KR102390985B1 - A method and apparatus for determining evaluation technology for cardiac respiratory physiotherapy of patient - Google Patents

Abstract

The present invention relates to a method and apparatus for determining an evaluation technique for cardiorespiratory physiotherapy in a patient. A method for determining an evaluation technique for cardiorespiratory physiotherapy of a patient according to an embodiment of the present invention comprises the steps of: (a) acquiring information about the patient's questionnaire; (b) calculating basic physical examination information of the patient by using the questionnaire information; and (c) at least one cardiorespiratory physiotherapy evaluation item corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to the previously stored document information related to cardiorespiratory physiotherapy. Determining the; may include.

Description

A method and apparatus for determining evaluation technology for cardiac respiratory physiotherapy of patient

The present invention relates to a method and apparatus for determining an evaluation technique for cardiorespiratory physiotherapy in a patient, and more particularly, to a method and apparatus for determining an evaluation technique for cardiorespiratory physiotherapy in a patient based on a modified Delphi method is about

The central nervous system regulates heart rate, cardiac contractility, blood pressure, and vasomotor tone. Disorders related to cardiac control and autonomic regulation of blood flow occur after stroke, and are more relevant when they occur around the parietal and insular cortex.

In a study using the baroreceptor reflex that regulates blood pressure in the nerve structure, heart disease such as heart failure increased within 1 year of stroke in left hemiplegic patients.

Stroke patients suffer from musculoskeletal problems (including muscle atrophy and contracture) and cardiovascular problems (decreased heart rate and systolic output), as well as low aerobic exercise that affects performance of daily activities and can lead to death in severe cases.

Respiratory failure may also occur partially due to reduced lung diffusion capacity, ventilation-perfusion mismatch, or reduced lung volume due to limited use of paralyzed muscles and active insufficiency of chest wall movement and diaphragm movement.

Expiratory dysfunction is explained by decreased movement of the paralyzed diaphragm, intercostal muscles, and abdominal muscles. Restriction of inhalation may appear due to a decrease in the maximum inspiratory pressure, and the construction of a secondary rib cage gradually progresses in association with a decrease in the movement of the chest wall. This is associated with lower cardiovascular health levels in stroke patients, and is explained by a difference between the measured and maximal ventilation at the end of exercise or reduced ventilatory reserve.

After a stroke, the maximum oxygen intake (VO ₂ max) decreases to 10-17 ml/kg/min within 30 days, and does not rise above 20 ml/kg/min after 6 months. This figure means that the maximum oxygen uptake is about 25-45% lower than that of healthy subjects.

Therefore, although a cardio-respiratory physiotherapy method for stroke patients has been studied, research on providing an optimized cardiorespiratory physiotherapy method to the patient is insufficient.

[Patent Document 1] Korean Patent Publication No. 10-2018-0011558

The present invention was created to solve the above problems, and an object of the present invention is to provide a method and apparatus for determining an evaluation technique for cardiorespiratory physiotherapy in a patient.

In addition, the present invention evaluates at least one cardiorespiratory physiotherapy corresponding to the patient from among a plurality of prestored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. Its purpose is to provide a method and apparatus for determining an item.

Objects of the present invention are not limited to the objects mentioned above, and other objects not mentioned will be clearly understood from the description below.

In order to achieve the above objects, in accordance with an embodiment of the present invention, there is provided a method for determining an assessment technique for cardiorespiratory physiotherapy in a patient, comprising the steps of: (a) acquiring information about the patient's questionnaire; (b) calculating basic physical examination information of the patient by using the questionnaire information; and (c) at least one cardiorespiratory physiotherapy evaluation item corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to the previously stored document information related to cardiorespiratory physiotherapy. Determining the; may include.

In an embodiment, the patient's questionnaire information may include basic state information of the patient and target health information of the patient.

In an embodiment, the basic physical examination information of the patient may include at least one of a body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, respiration rate, and ventilation rate per minute.

In an embodiment, the method for determining an evaluation technique for cardiorespiratory physiotherapy in a patient includes, before step (c), acquiring a domestic literature database and a foreign literature database related to cardiorespiratory physical therapy; selecting documents excluding overlapping documents from among the domestic and foreign document databases; extracting documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents based on abstract and title; determining documents excluding documents not related to cardiorespiratory physiotherapy among the extracted documents based on a full-text article; and adding documents determined based on the modified Delphi method to the determined documents, generating and storing the document information related to cardiorespiratory physical therapy; may further include.

In an embodiment, the plurality of pre-stored cardiorespiratory physical therapy evaluation items may be determined based on a modified Delphi method.

In an embodiment, the method for determining an evaluation technique for cardiorespiratory physiotherapy of the patient further comprises, before the step (c), acquiring information on the daily living activity ability of the patient; The information may be determined based on a Modified Barthel Index (MBI).

In an embodiment, the step (c) includes evaluating a plurality of pre-stored cardiorespiratory physical therapy based on the basic physical examination information and the daily living activity ability information according to the previously stored document information related to cardiorespiratory physical therapy. It may include; determining at least one cardiorespiratory physical therapy evaluation item corresponding to the patient among the items.

In an embodiment, the apparatus for determining an evaluation technique for cardiorespiratory physical therapy for a patient includes: an acquisition unit configured to acquire the patient's questionnaire information; and calculating the patient's basic physical examination information by using the questionnaire information, and according to the pre-stored cardiorespiratory physical therapy related literature information, based on the basic physical examination information, among a plurality of pre-stored cardiorespiratory physical therapy evaluation items and a control unit that determines at least one cardiorespiratory physical therapy evaluation item corresponding to the patient.

In an embodiment, the patient's questionnaire information may include basic state information of the patient and target health information of the patient.

In an embodiment, the basic physical examination information of the patient may include at least one of a body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, respiration rate, and ventilation rate per minute.

In an embodiment, the acquisition unit acquires the domestic literature database and foreign literature database related to cardiorespiratory physical therapy, and the control unit selects documents excluding overlapping documents among the domestic and foreign literature databases, and abstracts ( abstract) and title, and extracts documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents, and the extracted documents based on the full-text article Among them, documents that are not related to cardiorespiratory physiotherapy are determined, and documents determined based on the modified Delphi method are added to the determined documents, and the document information related to cardiorespiratory physiotherapy is retrieved. can be created and saved.

In an embodiment, cardiorespiratory physiotherapy evaluation items determined based on a modified Delphi method may be presented.

In an embodiment, the acquiring unit may acquire the daily living activity ability information of the patient, and the daily living activity ability information may be determined based on a modified Barthel Index (MBI).

In an embodiment, the control unit is, according to the pre-stored cardiorespiratory physiotherapy related literature information, based on the basic physical examination information and the daily living activity ability information, among the plurality of pre-stored cardiorespiratory physiotherapy evaluation items At least one cardiorespiratory physical therapy evaluation item corresponding to the patient may be determined.

Specific details for achieving the above objects will become clear with reference to the embodiments to be described in detail below in conjunction with the accompanying drawings.

However, the present invention is not limited to the embodiments disclosed below, but may be configured in various different forms, and those of ordinary skill in the art to which the present invention pertains ( Hereinafter, "a person skilled in the art") is provided to fully inform the scope of the invention.

According to an embodiment of the present invention, efficiency by providing an individual patient responsive evaluation technology system that can be proceeded immediately depending on the time and place to proceed based on the patient's current condition and indicators of basic physical examination items related to cardiorespiratory physical therapy can be maximized.

In addition, according to an embodiment of the present invention, since individual identification tags of various criteria can be inserted into the evaluation technology system, it is easy to present the most efficient evaluation technology to the patient, thereby ensuring the most efficient evaluation technology effect and delaying the possibility of unnecessary injuries This can be prevented so that more systematic management is possible.

Effects of the present invention are not limited to the above-described effects, and potential effects expected by the technical features of the present invention will be clearly understood from the following description.

1 is a diagram illustrating a method for determining an evaluation technique for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention.
2 is a diagram illustrating a method for determining literature information related to cardiorespiratory physical therapy according to an embodiment of the present invention.
3 is a diagram illustrating a functional configuration of an evaluation technique determining device for cardiorespiratory physiotherapy of a patient according to an embodiment of the present invention.

Since the present invention can have various changes and can have various embodiments, specific embodiments are illustrated in the drawings and described in detail.

Various features of the invention disclosed in the claims may be better understood upon consideration of the drawings and detailed description. The apparatus, methods, preparations, and various embodiments disclosed herein are provided for purposes of illustration. The disclosed structural and functional features are intended to enable those skilled in the art to specifically practice the various embodiments, and are not intended to limit the scope of the invention. The disclosed terms and sentences are for the purpose of easy-to-understand descriptions of various features of the disclosed invention, and are not intended to limit the scope of the invention.

In describing the present invention, if it is determined that a detailed description of a related known technology may unnecessarily obscure the gist of the present invention, the detailed description thereof will be omitted.

Hereinafter, a method and apparatus for determining an evaluation technique for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention will be described.

1 is a diagram illustrating a method for determining an evaluation technique for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention.

Referring to FIG. 1 , step S101 is a step of obtaining patient questionnaire information. In an embodiment, the patient's questionnaire information may include basic state information of the patient and target health information of the patient.

Step S103 is a step of calculating basic physical examination information of the patient using the questionnaire information. In one embodiment, the patient's basic physical examination information may include at least one of a body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, respiration rate, and ventilation rate per minute.

In step S105, at least one cardiorespiratory physiotherapy evaluation item corresponding to the patient is determined from among a plurality of pre-stored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. is a step to

In an embodiment, a plurality of pre-stored cardiorespiratory physical therapy evaluation items may be determined based on a modified Delphi method.

In one embodiment, the evaluation items for cardiorespiratory physiotherapy are the evaluation items of the draft development items as shown in <Table 1> below, and the evaluation items modified and added after the first modified Delphi investigation can be expressed as shown in <Table 2>, and , then, the evaluation items modified and added after the second modified Delphi investigation can be shown in <Table 3> below.

realm name Item number draft entry basic
body
checkup One Vital sign 2 Oxygen Saturation 3 Peak flow 4 Electrocardiography (ECG) Consciousness
level 5 Level of consciousness (LOC) 6 Glasgow coma scale (GCS) Recognition 7 Korean version of the Mini-mental state examination (MMSE-K) sense 8 Pain test [Visual analog scale (VAS), Faces pain rate scale (FPRS)] 9 Temperature test 10 Light touch & pressure test 11 Proprioception test 12 Albert test work out 13 Range of motion test (ROM) 14 Manual muscle test (MMT) 15 Respiratory flow pressure meter [Maximal inspiration pressure (MIP) & Maximum expiration pressure (MEP)] 16 Hand dynamometry 17 18 Functional reach test (FRT) 19 Uni-pedal stance test (UPST) 20 Berg balance scale (BBS) 21 Dynamic gait index (DGI) 22 Timed up and go test (TUG) heart
Breath 23 Rating of perceived exertion (RPE) 24 Modified Borg Dyspnea Scale 25 6 Minute walk test (6MWT) 26 Incremental shuttle walk test (ISWT) 27 Pulmonary function test 28 Cycle Graded exercise test (GXT) daily life
life
movement 29 Korean-style Saint george's respiratory questionnaire (SGRQ) 30 modified Barthel index (MBI) 31 Functional independence measure (FIM)

area item
number evaluation item Average Standard
Deviation CVR 1st quartile median 3 companies
quartile stability degree of convergence agreement basic
body
checkup One vital signs
(Vital sign) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 2 oxygen saturation
(Saturation) 5.00 .00 1.00 5.00 5.00 5.00 .00 .00 1.00 3 maximum flow
(Peak flow) 4.56 .73 .78 4.00 5.00 5.00 .16 .50 .80 4 electrocardiogram
(Electrocardiography; ECG) 5.00 .00 1.00 5.00 5.00 5.00 .00 .00 1.00 Consciousness
level 5 state of consciousness
(Level of consciousness; LOC) 4.33 .71 .78 4.00 4.00 5.00 .16 .50 .75 6 Glasgow Coma Scale
(Glasgow coma scale; GCS) 4.22 .67 .78 4.00 4.00 5.00 .16 .50 .75 Recognition 7 Korean version of the simplified mental state test
(Mini-mental state examination; MMSE-K) 3.78 .67 .33 3.00 4.00 4.00 .18 .50 .75 sense 8 Pain test [Visual analog scale (VAS), Faces pain rate scale (FPRS)] 3.78 .97 -.11 3.00 3.00 5.00 .26 1.00 .33 9 temperature sensory test
(Temperature test) 2.78 .97 -.56 2.00 3.00 3.50 .35 .75 .50 10 Light tactile and pressure tests
(Light touch & pressure test) 2.67 1.00 -.56 2.00 3.00 3.50 .38 .75 .50 11 proprioceptive sensory test
(Proprioception test) 3.56 1.01 .33 2.50 4.00 4.00 .29 .75 .63 12 Albert Prosecutor
(Albert test) 3.22 .97 -.33 2.50 3.00 4.00 .30 .75 .50 work out 13 joint range of motion test
(Range of motion test; ROM) 3.67 1.12 .33 2.50 4.00 4.50 .30 1.00 .50 14 bare muscle test
(Manual muscle test; MMT) 3.44 1.13 -.11 2.50 3.00 4.50 .33 1.00 .33 15 Respiratory flow pressure measurement
[Maximal inspiration pressure (MIP) & Maximum expiration pressure (MEP)] 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 16 hand dynamometer
(Hand dynamometry) 4.22 1.09 .56 3.50 5.00 5.00 .26 .75 .70 17 Modified Ashward Scale
(modified Ashworth scale; MAS) 3.33 1.00 -.11 2.50 3.00 4.00 .30 .75 .50 18 functional stretch test
(Functional reach test; FRT) 3.22 .97 .11 2.00 4.00 4.00 .30 1.00 .50 19 one leg support test
(Uni-pedal stance test; UPST) 3.33 1.22 .11 2.50 4.00 4.00 .37 .75 .50 20 bug balance scale
(Berg balance scale; BBS) 3.89 1.05 .33 3.00 4.00 5.00 .27 1.00 .63 21 dynamic gait index
(Dynamic gait index; DGI) 3.33 1.41 .11 2.00 4.00 4.50 .42 1.25 .38 22 stand-up walking test
(Timed up and go test; TUG) 4.22 1.30 .78 4.00 5.00 5.00 .31 .50 .80 heart
Breath 23 movement awareness
(Rating of perceived exertion; RPE) 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 24 Modified Borg Dyspnea Scale
(modified Borg dyspnea scale) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 25 6 minute walking test
(6 Minute walk test; 6MWT) 4.78 .67 .78 5.00 5.00 5.00 .14 .00 1.00 26 Incremental load shuttle gait test
(Incremental shuttle walk test; ISWT) 4.33 .71 .78 4.00 4.00 5.00 .16 .50 .75 27 lung function test
(Pulmonary function test) 5.00 .00 1.00 5.00 5.00 5.00 .00 .00 1.00 28 Cycle incremental exercise load test
(cycle graded exercise test; GXT) 4.56 .73 .78 4.00 5.00 5.00 .16 .50 .80 daily life
life
movement 29 Korean St. George Respiratory Survey
(Saint george's respiratory questionnaire; SGRQ) 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 30 Modified Badel Index
(modified Barthel index; MBI) 3.78 1.09 .11 3.00 4.00 5.00 .29 1.00 .50 31 Functional Independent Measurements
(Functional independence measure; FIM) 3.56 1.01 -.11 3.00 3.00 4.50 .29 .75 .50 evaluation area Average 4.05 .43 .45 3.50 4.19 4.65 .21 .57 .69

area item
number evaluation item Average Standard
Deviation CVR 1 company
quartile median 3 companies
quartile stability degree of convergence agreement basic
body
checkup One body mass index
(Body mass index; BMI) 4.67 .71 .78 4.50 5.00 5.00 .15 .25 .90 2 vital signs
(Vital sign) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 3 oxygen saturation
(Saturation) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 4 maximum flow
(Peak flow) 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 5 electrocardiogram
(Electrocardiography; ECG) 4.56 1.33 .78 5.00 5.00 5.00 .29 .00 1.00 Consciousness
level 6 state of consciousness
(Level of consciousness; LOC) 4.33 .50 1.00 4.00 4.00 5.00 .12 .50 1.00 7 Glasgow Coma Scale
(Glasgow coma scale; GCS) 3.89 .93 .56 3.50 4.00 4.50 .24 .50 .75 balance 8 spatiotemporal gait parameters
(Spatiotemporal gait parameters) 4.22 .67 .78 4.00 4.00 5.00 .16 .50 .75 9 stand-up walking test
(Timed up and go test; TUG) 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 heart
Breath 10 Thoracic contour & Chest expansion test 4.22 .97 .78 4.00 4.00 5.00 .23 .50 .75 11 torso damage scale
(Trunk impairment scale; TIS) 3.56 1.01 .33 2.50 4.00 4.00 .29 .75 .63 12 Respiratory flow pressure measurement
[Maximal inspiration pressure (MIP) & Maximum expiration pressure (MEP)] 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 13 movement awareness
(Rating of perceived exertion; RPE) 4.67 .50 1.00 4.00 5.00 5.00 .11 .50 .80 14 Modified Medical Research Society Respiratory Distress Index
(modified Medical Research Council; mMRC) 4.67 .50 1.00 4.00 5.00 5.00 .11 .50 .80 15 6 minute walking test
(6 minute walk test; 6MWT) 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 16 Incremental load shuttle gait test
(Incremental shuttle walk test; ISWT) 3.78 1.09 .78 4.00 4.00 4.00 .29 .00 1.00 17 cardiopulmonary exercise test
(Cardiopulmonary exercise testing; CPET) 4.00 1.22 .78 4.00 4.00 5.00 .31 .50 .75 18 Cycle incremental exercise load test
(Cycle graded exercise test; GXT) 4.00 1.22 .78 4.00 4.00 5.00 .31 .50 .75 19 lung function test
(Pulmonary function test)
1. Lung capacity at rest
(Slow vital capacity; SVC) 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 20 lung function test
(Pulmonary function test)
2. Maximum exerted lung capacity
(Maximal-effort expiratory capacity) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 daily life
life
movement 21 Korean St. George Respiratory Survey
(Saint George's respiratory questionnaire; SGRQ) 4.44 .73 .78 4.00 5.00 5.00 .16 .50 .80 22 Stroke Impact Scale
(Stroke impact scale; SIS) 4.11 .60 .78 4.00 4.00 4.50 .15 .25 .88 evaluation area Average 4.40 .35 .86 4.14 4.59 4.86 .17 .36 .84

In one embodiment, after the second modified Delphi survey, if the content validity ratio (CVR) value is less than a threshold value (eg 0.78), the corresponding cardiorespiratory physiotherapy evaluation item is excluded and the final majority Cardiorespiratory physiotherapy evaluation items can be determined and saved in advance.

In this case, the content validity value can be expressed as in Equation 1 below.

Here, N _e is the number of participants for which the item is considered suitable, and N is the total number of participants.

For example, a plurality of pre-stored cardiorespiratory physical therapy evaluation items may follow the finally determined items as shown in Table 4 below.

area item
number final item basic
body
checkup One body mass index
(Body mass index; BMI) 2 vital signs
(Vital sign) 3 oxygen saturation
(Saturation) 4 Respiratory rate or Minute ventilation Consciousness
level 5 Level of consciousness (LOC) balance 6 Spatiotemporal gait parameters 7 10 meter walking test 8 Timed up and go test (TUG) heart
Breath 9 Peak flow 10 Electrocardiography (ECG) 11 Thoracic contour & chest expansion test 12 Respiratory flow pressure measurement [Maximal inspiration pressure (MIP) & Maximum expiration pressure (MEP)] 13 movement awareness
(Rating of Perceived Exertion; RPE) 14 Modified Medical Research Society Respiratory Distress Index
(modified Medical research council; mMRC) 15 6 minute walking test
(6 minute walk test; 6MWT) 16 Incremental load shuttle gait test
(Incremental shuttle walk test; ISWT) 17 cardiopulmonary exercise test
(Cardiopulmonary exercise testing; CPET) 18 Pulmonary function test
1. Slow vital capacity (SVC)
1) Tidal volume (TV)
2) Expiratory reserve volume (ERV)
3) Inspiratory reserve volume (IRV)
4) Inspiratory capacity (IC)
5) Vital capacity (VC)

2. Maximum-effort expiratory capacity
1) Forced vital capacity (FVC)
2) Forced expiratory volume in 1 second; FEV ₁
3) Forced expiratory volume/forced vital capacity for 1 second (FEV ₁ /FVC)
4) Forced expiratory flow (FEF 25~75%) daily life
life
movement 19 St. George's Respiratory Survey
(Saint George's respiratory questionnaire; SGRQ) 20 Stroke Impact Scale
(Stroke impact scale; SIS)

(1) Body mass index: It is an objective index of body weight using the ratio of height to body weight, and it has been proven that it has a large correlation with body fat mass of general people. Body fat refers to the fat in the human body, and the percentage of body fat is called percent body fat. Body fat can be divided into visceral fat and subcutaneous fat, and the average body fat percentage of men is 15-20%, and that of women is 20-25%. Body mass index is used as a measure of obesity. BMI may not take into account age, gender or body size.

(2) Vital sign: Body temperature (normal range for tympanic thermometry; 35.8~38℃), pulse (the method of palpation of the ulnar arteries in the radial region is the most commonly used method, and the normal range is 60~ 100 times), respiration rate (referring to respiration rate per minute, calculated as respiration rate X 2 for 30 seconds, the normal range is 12 to 20 times per minute), and blood pressure.

(3) Oxygen saturation: It is the concentration of oxygen bound to hemoglobin (SP0 ₂ ), and the normal range is 96~100% (<90%, subject to consideration for oxygen administration). There is a finger-type oxygen saturation device, so evaluation can be easy.

(4) Respiratory rate or ventilation per minute: Refers to the amount of gas that enters and leaves the lungs in 1 minute, and can be measured using a spirogram or Douglas bag. Normal values may include 5 to 8 l.

(5) State of Consciousness: It is evaluated to measure the integrated functioning of the brain that can adapt and utilize the environment in response to stimuli. This evaluation tool can be used as an evaluation tool for stroke patients. For example, it may include alert, drowsiness/drowsy, confusion/confusion, stupor, semi-coma, coma. there is.

(6) Spatiotemporal gait parameters: Only evaluation scales such as BBS and TUG are listed, so a more objective balance scale may be needed. , can generally mean evaluation using gait view equipment.

(7) 10-meter gait test: This is a method designed to measure the speed of walking at a straight distance of 10 m for each individual without an auxiliary tool. In order to exclude the acceleration and deceleration sections of walking, a total distance of 14 m (before starting point 2 m, Time is measured at the starting point and arrival point, and an additional point of 2 m is marked on the floor after passing through the arrival point) with a digital stopwatch at the starting point and arrival point (when the tip of the toe is removed from the starting point and at the arrival point indicating 10 meters) It is a method of recording the time elapsed by stopping the timer when passing through the heel.

(8) Timed up and go test (TUG): A method designed to evaluate functional mobility and dynamic balance. Measurements were recorded in seconds and standardized armchair (seat height of 46 cm). , armrest height 65 cm), the time taken by individual factors such as standing up alone, walking 3 m, turning, returning to a chair, and sitting is measured. In addition, in order to reduce the error, the patient should be sufficiently explained and practiced in advance. The second hand of a stopwatch or wrist watch is used to measure the time of the examination.

(9) Peak flow: This is a simple machine that can measure only the expiratory volume during the respiratory function test using the maximum flow device. Only the peak flow rate during effort respiration is displayed with the indicator hand, and it can be read directly. there is.

(10) Electrocardiography (ECG): Electrocardiography, also called EKG or ECG, is a device that records microscopic currents generated in the heart, and is used to diagnose various types of heart disease.

(11) Thoracic contour & chest expansion test: Check the appearance of the chest cage protruding due to chest cage contracture, and measure the degree of expansion of the chest cage during breathing with a tape measure After horizontally passing the junction of the xiphoid process and the body of the sternum using the The degree of expansion of the chest cage is determined by subtracting the measured value at the time of maximum exhalation from the measured value at the time of maximum inhalation (deep inspiration-expiration).

(12) Respiratory flow pressure measurement [Maximal inspiration pressure (MIP) & Maximum expiration pressure (MEP)]: Respiratory muscle strength measurement is performed using a respiratory flow pressure meter to measure maximum inspiratory strength Pressure (PImax) and expiratory muscle strength can be compared with the normal range by measuring maximum expiratory pressure (PEmax), respectively.

(13) Rating of Perceived Exertion (RPE): It guides the degree of dyspnea and exercise intensity, and is a widely used scale as a reliable monitoring index. This scale is a percentage of the difficulty level during an exercise test or exercise.

(14) Modified Medical research council (mMRC): The degree of respiratory distress is evaluated using mMRC, and the respiratory distress score measured using this is another tool ( evaluation method), and the higher the respiratory distress score, the worse the prognosis and the greater the risk of death.

(15) 6 minute walk test (6MWT): It is mainly used to measure cardiorespiratory endurance. It is a test to objectively evaluate a patient's exercise ability by measuring the maximum walking distance for 6 minutes.

(16) Incremental shuttle walk test (ISWT): This is a test for walking a 10m course while increasing the walking speed every minute. After three beeps, the test starts. The subject walks back and forth between the markers at an interval of 9 m by matching the walking speed to the beep sound from the CD. In the test protocol, the speed of step 1 is 0.5 m/s and step 2 is 0.67 m/s, and the walking speed is increased up to 2.37 m/s in step 12. The test is terminated when it is difficult to maintain walking or when you stop for other reasons, or when factors that endanger the gait are found, such as oxygen saturation decreasing to less than 85% or increasing to 85% or more of maximum heart rate. , oxygen saturation, and respiratory distress index. Record the steps completed and the number of shuttles, and calculate and record the total walking distance. Follow the criteria table below for the predicted maximum oxygen uptake for each completion stage.

(17) Cardiopulmonary exercise testing (CPET): A sophisticated, gradual exercise load test, usually up to maximal amount of exercise, in order to evaluate the form of cardiopulmonary function limitation on exercise, by continuously measuring various cardiac and respiratory parameters to ensure accurate exercise. time changes are checked. Usually, it is measured using a treadmill and a cycle, and patients with a risk of falling should use a cycle for evaluation.

(18) Pulmonary function test: By accurately measuring lung function in stroke patients, it is possible to obtain the basis for accurate exercise prescription by evaluating functional ability, disease diagnosis and prognosis.

1) Slow vital capacity (SVC): Also called static lung volume, it refers to a test that checks the overall lung volume by measuring the respiratory volume in a comfortable state.

go. Tidal volume (TV): Volume of exhalation or inhalation during each breath (comfortable daily breathing)

me. Expiratory reserve volume (ERV): The maximum expiratory volume after normal expiration

all. Inspiratory reserve volume (IRV): The maximum inspiratory volume after normal inspiration

la. Inspiratory capacity (IC): Maximum amount of inspiration after exhalation at rest

mind. Vital capacity (VC): the amount that can be exhaled after maximal inhalation

2) Maximum-effort expiratory capacity: This is a test to check whether the airway is obstructed by using the ratio of the expiratory capacity in 1 second among the expiratory capacity. In addition, it is also possible to check whether the expandability of the lungs is restricted through the results of the maximum effort expiratory lung capacity test. This test can distinguish whether the patient's lung disease is obstructive pulmonary disease or restrictive pulmonary disease.

go. Forced vital capacity (FVC): The amount of breath that can be exhaled with maximum effort after maximum inhalation

me. Forced expiratory volume in 1 second (FEV ₁ ): The volume of exhaled breath in 1 second after starting forced exhalation after maximal inhalation

all. Forced expiratory volume/forced vital capacity in 1 second (FEV ₁ /FVC): a useful indicator to check whether airway obstruction is present

la. Forced expiratory flow (FEF 25-75%): an indicator reflecting the presence or absence of peripheral small airway obstruction

(19) Saint George's respiratory questionnaire (SGRQ): designed to investigate the health-related quality of life of patients with various respiratory diseases such as chronic obstructive pulmonary disease, asthma, bronchiectasis, cystic lung disease, and diffuse interstitial lung disease became As a test method for chronic respiratory disease patients, it consists of 50 items, and consists of three areas (Symptom area: Respiratory symptoms, area on the effect of frequency and severity, Activity area: Activities with limited or cause of respiratory distress) It is divided into an area of influence and an area of influence: an area to find out whether the extent of social functioning and psychological disorders causes respiratory diseases).

The results can be interpreted as follows.

- Displayed as a score from “0” to “100”

- “0” indicates the best health-related quality of life, and a higher score means that the quality of life decreases

(20) Stroke impact scale (SIS): Stroke-related self-report and questionnaire-type evaluation to measure health status. This is a method designed to assess multidimensional stroke-related items including strength, hand function ADL/IADL, mobility, communication, emotion, memory and thinking, and participatory activities. This scale can be used in both clinical and research settings.

In one embodiment, before step S105, the patient's daily living activity ability information may be acquired. In this case, the daily living activity ability information may be determined based on a modified Barthel Index (MBI).

For example, the modified Badel index is a questionnaire-type test method that divides daily life behavior into 10 sub-items and can be configured on a scale of 0 (not performed at all) to 15 (completely independently performed).

In addition, personal hygiene, bathing, and wheelchair movement consist of a scale of 0 to 5, and toileting, eating, going up and down stairs, putting on and taking off, and urination control are 0 points (cannot be performed at all) to 10 points (completely independently performed) ), gait and movement can consist of a scale of 0 (not performed at all) to 15 (performed completely independently).

In this case, the score for the detailed item may be expressed as shown in <Table 5>, and the corresponding score may be expressed as shown in <Table 6> below.

score explanation 0-24 points full dependence 25-49 points severe dependence 50-74 points moderate dependence 75-90 points mildly dependent 91-99 points minimal dependence

item inability to perform lots of help middle help minimal help full independence personal hygiene 0 One 3 4 5 bath 0 One 3 4 5 meal 0 2 5 8 10 use the toilet 0 2 5 8 10 going up and down stairs 0 2 5 8 10 getting dressed 0 2 5 8 10 stool control 0 2 5 8 10 urine control 0 2 5 8 10 chair/bed transfer 0 3 8 12 15 walking 0 3 8 12 15 bathchair
use 0 One 3 4 5

(1) Eating: When food is brought to a place that can be reached by hand, whether you can cut food and season with salt and pepper by yourself whether you can

(2) Getting on and off the wheelchair: Whether the wheelchair can be placed next to the bed, lock the brake, lift the footrest, and move it to the side

(3) Washing face and makeup: washing face, combing hair, brushing teeth, shaving, whether it is possible to apply basic makeup for women

(4) Toilet treatment: moving to the toilet, taking off pants and putting on clothes, whether it is possible to clean up after using the toilet

(5) Taking a bath: Is it possible to take a shower using a bathtub?

(6) Whether or not you can walk on flat ground

(7) Going up and down the stairs: Whether you can safely go up and down the stairs (in this case, it is okay to use a cane or crutches, or use a handrail attached to the wall)

(8) Putting on and taking off clothes: whether it is possible to put on and take off clothes, to be able to button or fasten the collar, and to tie shoelaces.

(9) Stool control: Controls stool well, and if you need suppositories, whether you can do it yourself

(10) Urine control: Whether you can control your urine during daytime activity or sleep at night (urinary incontinence, etc.)

This modified Badel index was developed based on the self-reliance of daily activities and is an evaluation method that reflects changes in the patient's functional improvement. It is widely used for its ease of use and can be an indicator for self-help activities and training for mobility.

In addition, the modified Badel index has simpler test items than other evaluation tools, so it is easy and accurate to evaluate, so it can be widely used for training on self-help activities and motility.

In one embodiment, at least one heart corresponding to a patient among a plurality of pre-stored cardiorespiratory physical therapy evaluation items, based on the basic physical examination information and daily living activity ability information, according to the pre-stored cardiorespiratory physiotherapy related literature information Respiratory physiotherapy evaluation items can be determined.

In an embodiment, prior to step S105, literature information related to cardiorespiratory physical therapy may be determined, and details thereof are described in FIG. 2 .

2 is a diagram illustrating a method for determining literature information related to cardiorespiratory physical therapy according to an embodiment of the present invention.

Referring to FIG. 2 , step S201 is a step of acquiring a domestic literature database and a foreign literature database related to cardiorespiratory physical therapy.

Step S203 is a step of selecting documents excluding duplicate documents from among the domestic and foreign document databases.

Step S205 is a step of extracting documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents based on the abstract and title.

In an embodiment, by analyzing keywords of the abstract and the title, it is possible to extract documents excluding documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the first threshold value among documents excluding the overlapping documents.

Step S207 is a step of determining documents excluding documents not related to cardiorespiratory physiotherapy among the extracted documents based on the full-text article.

In an embodiment, by analyzing the keywords of the text content, it is possible to determine documents excluding documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the second threshold value among the extracted documents.

Step S209 is a step of generating and storing literature information related to cardiorespiratory physiotherapy by adding documents determined based on the modified Delphi method to the determined documents.

In one embodiment, additional documents in the reference list of the searched articles and other electronic databases may be further added to generate cardiorespiratory physiotherapy-related literature information.

In an embodiment, the finally determined literature information related to cardiorespiratory physical therapy may include at least one of domestic literature information, foreign literature information, and literature information based on a modified Delphi survey.

3 is a diagram illustrating a functional configuration of an evaluation technique determining apparatus 300 for cardiorespiratory physiotherapy of a patient according to an embodiment of the present invention.

Referring to FIG. 3 , the evaluation technique determining apparatus 300 may include an acquisition unit 310 , a control unit 320 , and a storage unit 330 .

The acquisition unit 310 may acquire the patient's questionnaire information. In an embodiment, the acquiring unit 310 may include a communication unit, and in this case, the communication unit may include at least one of a wired communication module and a wireless communication module. In addition, all or part of the communication unit may be referred to as a 'transmitter', 'receiver', or 'transceiver'.

The controller 320 may calculate basic physical examination information of the patient by using the patient's questionnaire information. In addition, the controller 320 evaluates at least one cardiorespiratory physiotherapy corresponding to the patient from among a plurality of prestored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. items can be determined.

In an embodiment, the controller 320 may include at least one processor or microprocessor, or may be a part of the processor. Also, the controller 320 may be referred to as a communication processor (CP). The controller 320 may control the operation of the evaluation technique determining apparatus 300 according to various embodiments of the present disclosure.

The storage unit 330 may store the patient's questionnaire information. Also, the storage unit 330 may store basic physical examination information of the patient. Also, the storage unit 330 may store document information related to cardiorespiratory physical therapy. In addition, the storage unit 330 may store a plurality of cardiorespiratory physiotherapy evaluation items. In addition, the storage unit 330 may store the daily living activity ability information of the patient.

In an embodiment, the storage unit 330 may be configured as a volatile memory, a non-volatile memory, or a combination of a volatile memory and a non-volatile memory. In addition, the storage unit 330 may provide stored data according to the request of the control unit 320 .

Referring to FIG. 3 , the evaluation technique determining apparatus 300 may include an acquisition unit 310 , a control unit 320 , and a storage unit 330 . In various embodiments of the present invention, the evaluation technique determining apparatus 300 has more configurations than the configurations described in FIG. 3, or fewer configurations than the configurations described in FIG. 3 are not essential. can

The above description is merely illustrative of the technical spirit of the present invention, and various changes and modifications may be made by those skilled in the art without departing from the essential characteristics of the present invention.

Accordingly, the embodiments disclosed in the present specification are not intended to limit the technical spirit of the present invention, but to illustrate, and the scope of the present invention is not limited by these embodiments.

The protection scope of the present invention should be interpreted by the claims, and all technical ideas within the scope equivalent thereto should be understood to be included in the scope of the present invention.

300: evaluation skill determination device
310: acquisition unit
320: control unit
330: storage

Claims (14)

(a) acquiring, by the acquiring unit of the evaluation technique determining device, the patient's questionnaire information;
(b) calculating, by the control unit of the evaluation technique determination device, basic physical examination information of the patient using the questionnaire information; and
(c) at least one cardiac respiration corresponding to the patient among a plurality of pre-stored cardiorespiratory physical therapy evaluation items, based on the basic physical examination information, according to the pre-stored document information related to cardiorespiratory physiotherapy by the controller determining a physical therapy evaluation item;
including,
The pre-stored plurality of cardiorespiratory physical therapy evaluation items are determined based on the modified Delphi method,
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
According to claim 1,
The patient's questionnaire information,
Including the patient's basic state information and the patient's target health information,
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
According to claim 1,
The basic physical examination information of the patient is,
including at least one of body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, respiration rate, and ventilation per minute;
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
According to claim 1,
Before step (c),
acquiring, by the acquiring unit, the domestic literature database and foreign literature database related to cardiorespiratory physical therapy;
selecting, by the control unit, documents excluding overlapping documents from among the domestic and foreign document databases;
extracting, by the control unit, documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents based on an abstract and a title;
determining, by the control unit, documents excluding documents not related to cardiorespiratory physiotherapy among the extracted documents based on full-text articles; and
adding, by the control unit, documents determined based on a modified Delphi method to the determined documents, generating and storing the document information related to cardiorespiratory physiotherapy;
further comprising,
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
delete According to claim 1,
Before step (c),
acquiring, by the acquiring unit, the daily living activity ability information of the patient;
further comprising,
The daily living activity ability information is determined based on the modified Barthel Index (MBI),
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
7. The method of claim 6,
Step (c) is,
Corresponding to the patient from among the plurality of pre-stored cardiorespiratory physical therapy evaluation items, based on the basic physical examination information and the daily living activity ability information, according to the pre-stored document information related to cardiorespiratory physiotherapy determining at least one cardiorespiratory physical therapy evaluation item;
containing,
Method of operation of evaluation technique determining device for cardiorespiratory physiotherapy in patients.
Acquisition unit for obtaining the patient's questionnaire information; and
Calculate basic physical examination information of the patient by using the questionnaire information,
A control unit that determines at least one cardiorespiratory physiotherapy evaluation item corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy evaluation items, based on the basic physical examination information, according to previously stored document information related to cardiorespiratory physiotherapy ;
including,
The pre-stored plurality of cardiorespiratory physical therapy evaluation items are determined based on the modified Delphi method,
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.
9. The method of claim 8,
The patient's questionnaire information,
Including the patient's basic state information and the patient's target health information,
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.
9. The method of claim 8,
The basic physical examination information of the patient is,
including at least one of body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, respiration rate, and ventilation per minute;
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.
9. The method of claim 8,
The acquisition unit acquires the domestic and foreign literature databases related to cardiorespiratory physical therapy,
The control unit is
Selecting documents excluding overlapping documents among the domestic and foreign literature databases,
Based on the abstract and title, the documents excluding the documents not related to cardiorespiratory physiotherapy are extracted among the documents excluding the overlapping documents,
Based on the full-text article, among the extracted documents, documents excluding documents not related to cardiorespiratory physiotherapy are determined,
By adding the documents determined based on the modified Delphi method to the determined documents, to generate and store the document information related to cardiorespiratory physiotherapy,
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.
delete 9. The method of claim 8,
The acquisition unit acquires the daily living activity ability information of the patient,
The daily living activity ability information is determined based on the modified Barthel Index (MBI),
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.
14. The method of claim 13,
The control unit is
At least one heart corresponding to the patient from among the plurality of pre-stored cardiorespiratory physical therapy evaluation items, based on the basic physical examination information and the daily living activity ability information, according to the previously stored document information related to cardiorespiratory physical therapy To determine the evaluation items for respiratory physiotherapy,
Apparatus for determining evaluation techniques for cardiorespiratory physiotherapy in patients.

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