KR20090027390A - Methodology and apparatus for portable and wearable type exercise electrocardiography - Google Patents
Methodology and apparatus for portable and wearable type exercise electrocardiography Download PDFInfo
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Abstract
Description
본 발명은 피측정자의 맥박, 혈중 산소농도, 혈압등을 측정하여 피측정자에게 가장 적절한 운동량을 지시하며, 피 측정자가 표시된 운동부하에 의해 운동량의 조절할 수 있도록 하는 휴대형 측정장치에 관한 것으로, 이를 통해 운동을 하는 사람에게 운동 부하량을 표시하여 적절한 운동량 결정에 도움을 주는데 목적이 있다. The present invention relates to a portable measuring device that measures the pulse, blood oxygen concentration, blood pressure, etc. of the subject to instruct the subject to the most appropriate exercise amount, and allows the subject to adjust the exercise amount by the displayed exercise load. The purpose of the exercise is to display the exercise load to the person to help determine the appropriate amount of exercise.
평소에 건강했던 사람들이 운동 중 돌연사, 스포츠사를 당하는 경우가 종종 발생하게 된다. 이러한 돌연사, 스포츠사는 대부분 잠재성 질환(허혈성 심질환, 협심증, 등)으로 인한 사고로 판단되어지며, 이러한 경우는 보통 24~48시간 안에 사망하게 된다. 이러한 사고는 운동부하 검사를 통한 측정으로 잠재성 질환 유무를 확인하고, 운동의 범위를 결정하여 미연에 예방하는 것이 중요하다. People who are normally healthy are suddenly killed during sports and death. Most of these sudden deaths and sports deaths are thought to be caused by latent diseases (ischemic heart disease, angina pectoris, etc.), and these cases usually die within 24 to 48 hours. It is important to prevent these accidents by checking the exercise load test to determine the presence of latent diseases and to determine the extent of exercise.
운동에 의한 불행한 사고를 방지하기 위해서는 자기 체력에 맞는 적절한 운동이 필요하다. 운동자의 운동한계치 설정 및 적정한 운동량의 측정을 위해 운동 부하 측정은 필수 조건으로, 특히 40대 이후 지속적인 운동시 반드시 운동자의 체력에 맞는 운동량 설정 및 운동부하의 측정을 통한 안전대책을 세우고 운동을 함으로 돌연사 및 스포츠사등의 불행한 사고를 방지할 수 있다. To prevent unfortunate accidents caused by exercise, you need to exercise appropriately for your fitness. Exercise load measurement is a prerequisite for setting exercise limit and proper exercise amount of exercisers, especially during continuous exercise after 40s, by setting safety measures by measuring exercise load and measuring exercise load. And unfortunate accidents such as sports companies can be prevented.
운동자의 운동부하를 측정하는 방법은 크게 2종류로 나눌 수 있다. 첫번째는 동적운동인 걷기, 달리기, 자전거 타기등에 의한 등장성 운동부하 측정이고, 두번째는 근육의 길이가 변함없이 장력만 증대시키는 등척성 운동부하이다. 일반적으로 등장성 운동부하에는 심박수가 산소섭취량과 상관이 있고, 심근 산소수요의 지표인 혈압×심박수가 관여가 된다. 특수한 경우를 제외하고 운동부하시험은 등장성 운동부하시험을 많이 사용한다. How to measure the exercise load of the exerciser can be largely divided into two types. The first is to measure the isotonic exercise load by walking, running and cycling, which is the dynamic exercise, and the second is isometric exercise load which increases the tension without changing the length of the muscle. In general, isotonic exercise load is associated with heart rate and oxygen uptake, and blood pressure × heart rate, which is an indicator of myocardial oxygen demand, is involved. Except in special cases, the exercise load test uses a lot of isotonic exercise load tests.
통상적으로 등장성 운동부하를 측정하기 위해 사용되는 요소로는 심박수, 혈압, 산소섭취량, 환기량, 무산소성 역치, 호흡교환율, 안정시 대사량, 자각적 운동강도, 심전도, 목표심박수등을 측정한다. 종래의 운동부하측정 방법은 주로 심박수의 경우 ECG(Electrocardiogram ; 심전도)를 이용하여 운동에서의 심박수의 변화를 측정하며, 산소섭취량은 운동시 호흡량을 측정하는 마스크를 안면에 쓰고 측정한다. In general, factors used to measure isotonic exercise load include heart rate, blood pressure, oxygen intake, ventilation rate, anaerobic threshold, respiratory exchange rate, resting metabolic rate, subjective exercise intensity, electrocardiogram, and target heart rate. Conventional exercise load measurement method mainly uses the ECG (Electrocardiogram; ECG) in the case of heart rate to measure the change in heart rate in exercise, oxygen intake is measured by wearing a mask to measure the respiratory volume during exercise.
그러나 심박수 측정의 경우 ECG를 비롯한 다양한 방법으로 비교적 용이한 측정이 가능하나, 혈압을 비롯한 산소섭취량 및 호흡교환율 측정의 경우 고가의 장비가 필요하며, 운동자가 안면에 마스크를 쓰고 운동을 해야하는 등 피측정자에게 불편하며, 용이한 측정이 어렵다는 단점이 있다. 이를 개선하기 위해 트레드밀을 비롯한 여러운동기구의 운동량에 따른 산소섭취량을 계산해내는 방법이 있으나, 실제적으로 측정된 값이 아닌 통계값에 의한 산소섭취량 계산으로 개개인에 대한 정확한 값을 산출하기 어려운 단점이 있다. However, heart rate can be measured easily by various methods including ECG.However, measurement of oxygen intake and respiratory exchange rate including blood pressure requires expensive equipment, and exercisers must wear a face mask and exercise. It is inconvenient for the measurer, and there is a disadvantage that easy measurement is difficult. In order to improve this, there is a method of calculating the oxygen intake according to the exercise amount of various exercise equipment including treadmill, but it is difficult to calculate the exact value for each individual by calculating the oxygen intake by statistical value rather than the actual measured value. .
이에 본 발명은 상기한 바와 같은 종래의 문제점을 해소시키기 위해 안출된 것으로, 휴대가 불가능하며, 고가인 운동부하 측정 장비를 대신하여 휴대가 간편하고 저렴한 운동부하 측정 장치에 관한 것으로, 본 발명을 통해 피측정자의 운동량 모니터링이 가능하며, 이를 이용하여 피측정자의 운동중 과운동 상태를 검출하여 운동량의 조정이 가능하며, 피측정자의 개인정보(체중, 신장, 체지방량, 나이 등)의 입력을 통해 운동에 대한 칼로리 소모량 및 그에 따른 운동량의 결정이 가능하며, 개별 장치(PC, PDA, 휴대전화)에 연결하여 피측정자의 개별적인 장기간 운동상태 및 건강상태의 모니터링이 가능하도록 하는데 그 목적이 있다. Accordingly, the present invention has been made to solve the conventional problems as described above, and is not portable and relates to a portable and inexpensive exercise load measuring device instead of expensive exercise load measuring equipment. It is possible to monitor the exercise amount of the subject, and it is possible to adjust the amount of exercise by detecting the over exercise state of the subject using the exercise, and to exercise by inputting the personal information (weight, height, fat mass, age, etc.) of the subject It is possible to determine the calorie consumption and the amount of exercise according to the purpose, and to connect individual devices (PC, PDA, mobile phone) to monitor the individual long-term exercise and health status of the subject.
또한 장치의 특성상 여러 장치의 부가 장치가 가능함으로, 상기된 목적의 운용을 유, 무선 통신망을 이용하여 중앙서버에 접속하여 지속적인 피측정자의 운동상태 및 건강상태의 모니터링이 가능하다.In addition, because of the characteristics of the device, it is possible to add an additional device, so that the operation of the above-mentioned object can be continuously connected to the central server using a wired / wireless communication network to continuously monitor the exercise state and the health state of the subject.
고안된 휴대 및 착용이 가능한 운동부하 측정장치 및 측정방법은 기존의 운동부하 측정장치가 복잡하고, 고가이며, 휴대가 불가능했던 점을 탈피하기 위해 광학적 방법을 사용하여 비침습적으로 측정이 가능하도록 PPG(Photo-Plethysmography ; 광용적맥파)에 의한 심박수 및 혈압을 측정하고, Pulse Oximeter를 이용하여 혈중 산소포화도를 산출하여 실제적인 피측정자의 운동능력을 측정하도록 고안되었다. 또한 이를 이용하여 피측정자의 운동 능력에 적합하게 피측정자의 운동량을 모니터링하고, 피측정자의 운동량을 결정하여, 운동량의 조절 및 위험한 상황의 알람등이 가능하도록 고안하였다. The portable and wearable exercise load measuring device and measuring method are designed to use PPG (non-invasive measurement method using optical method to avoid the complicated, expensive, and impossible to carry. Heart rate and blood pressure were measured by Photo-Plethysmography, and blood oxygen saturation was calculated using Pulse Oximeter. In addition, it was designed to monitor the amount of exercise of the subject and determine the amount of exercise of the subject, and to control the amount of exercise and alarm of dangerous situations.
운동 부하 측정을 위한 심장박동, 혈압, 혈중 산소포화도 측정을 위해 다음과 같은 방법을 이용하여 측정한다. Heart rate, blood pressure, and blood oxygen saturation to measure exercise load are measured using the following method.
1. PPG신호를 이용한 심장 박동 측정1. Heart rate measurement using PPG signal
PPG 신호의 측정은 수학식 1에서 보이는 Beer-Lambert 법칙에 의해 빛이 주어진 파장에서 투사되어 균질한 매질을 통과할때 투사된 빛과 통과된 빛의 강도에 대해 정의한다.The measurement of the PPG signal is defined by the Beer-Lambert law shown in Equation 1 for the intensity of the projected and transmitted light when it is projected at a given wavelength and passes through a homogeneous medium.
수학식 1에서 I 0 는 투사된 광강도이고 I는 조직에서 투과 및 반사된 광 강도, Ext는 조직에서의 흡수 계수이며 c는 조직의 농도, d는 조직의 두께이다. In Equation 1, I 0 is the projected light intensity, I is the light intensity transmitted and reflected in the tissue, Ext is the absorption coefficient in the tissue, c is the concentration of the tissue, d is the thickness of the tissue.
생체 조직에 빛을 인가하였을때 Beer-Lambert 법칙에 따라 조직, 혈관, 혈액 및 뼈에 대해 도 1과 같이 심장박동에 의해 변화하는 혈관 및 혈액에 대한 빛의 투과 및 반사되는 값으로 심장 박동의 측정이 가능하다. Measurement of the heart rate by the transmission and reflection of light to blood vessels and blood that are changed by the heartbeat as shown in FIG. 1 for tissues, blood vessels, blood, and bones according to Beer-Lambert law when light is applied to living tissues This is possible.
2. PPG신호를 이용한 혈압 측정2. Measurement of blood pressure using PPG signal
PPG를 이용한 혈압측정은 맥파의 전달시간을 이용하여 측정한다. 맥파의 전달 시간을 측정하기 위해 두 지점간의 PPG신호를 측정하고 각각의 측정값을 이용하여 맥파의 전달시간을 계산한다. 여기에서 혈압과 맥파전달시간 간의 관계식은 압력과 부피에 관한 식을 이용하며 이는 수학식 2와 같이 표현한다. Blood pressure measurement using PPG is measured using the pulse wave propagation time. To measure the pulse wave propagation time, we measure the PPG signal between two points and calculate the pulse wave propagation time using each measurement value. Here, the relation between the blood pressure and the pulse wave propagation time uses an equation regarding pressure and volume, which is expressed as in Equation 2.
여기에서 v 는 맥파의의 속도이고, ρ는 혈액의 밀도, V 는 혈액의 부피 ΔV 는 혈액의 부피 변화, ΔP 는 혈압의 변화이다. 혈액의 밀도가 일정하다고 가정하면 수학식 2는 수학식 3과 같이 간단하게 표현이 가능하며, 이는 혈압을 맥파의 속도와 혈액의 부피 변화로부터 추정이 가능하다.Where v is the velocity of the pulse wave, ρ is the density of blood, V is the volume of blood, ΔV is the volume of blood, and ΔP is the change of blood pressure. Assuming that the density of blood is constant, Equation 2 can be expressed simply as in Equation 3, which can estimate blood pressure from the pulse wave velocity and the blood volume change.
3. PPG신호를 이용한 혈중 산소포화도 측정3. Measurement of Oxygen Saturation in Blood Using PPG Signal
PPG 신호는 심장 박동시 빛의 파장에 따라 산화 헤모글로빈(Oxyhemogrobin)과 헤모글로빈(Reduced Hemoglobin)의 빛의 흡수계수 차이를 이용하여 측정한다. 도 2는 파장에 따른 혈중 헤모글로빈의 흡수도를 나타내는 것으로 PPG의 측정에 사용되는 주된 파장은 산화 헤모글로빈과 헤모글로빈의 파장에 따른 흡수 특성이 바뀌는 적색광과 적외광을 사용한다. 주로 사용되는 광원의 중심파장은 적색광의 경우 중심파장이 650~670nm에 위치하는 광을 사용하며, 적외광의 경우 중심파장이 890~940nm에 위치하는 광을 주로 사용한다. The PPG signal is measured using the difference in absorption coefficient of light between Oxyhemogrobin and Reduced Hemoglobin, depending on the wavelength of light at the heart rate. Figure 2 shows the absorbance of hemoglobin in the blood according to the wavelength, the main wavelength used for the measurement of PPG uses red light and infrared light whose absorption characteristics change depending on the wavelength of hemoglobin oxide and hemoglobin. In the case of the red light, the center wavelength of the light source is mainly used, the light having the center wavelength of 650 ~ 670nm, and in the case of the infrared light, the light having the center wavelength of 890 ~ 940nm.
측정한 PPG 신호를 수학식 4를 이용하여 산소포화도를 구할수 있다. Oxygen saturation can be obtained by using Equation 4 for the measured PPG signal.
수학식 4에 의해 구해진 산소포화도는 혈액속의 산화헤모글로빈과 헤모글로빈의 합에 대한 산화 헤모글로빈에 대한 백분율 값으로, 일반적으로 건강한 사람의 경우 100%에 가까운 값을 갖는다.Oxygen saturation obtained by Equation 4 is a percentage value of oxidized hemoglobin to the sum of oxidized hemoglobin and hemoglobin in the blood, and generally has a value close to 100% in a healthy person.
상기 과제 해결 수단에서 제시된 운동 부하 측정 방법의 실시를 위한 구체적 인 내용은 첨부한 도면들을 참조하여 상세히 설명한다. Specific details for the implementation of the exercise load measuring method presented in the above-mentioned problem solving means will be described in detail with reference to the accompanying drawings.
도 3는 본 발명에 의한 휴대 및 착용이 가능한 운동부하 측정장치의 시스템을 도시한 블록도이다. 맥박, 산소포화도, 혈압(이하 측정값)을 측정하기 위한 운동부하 센서부(11)는 맥박과 산소포화도 측정을 위한 적색광원(12), 근적외 광원(13) 및 광센서(14)로 구성되어 있으며, 맥파 전달 속도를 측정하기 위한 광원(15) 및 광센서(16)로 구성되어 있다. 측정값을 신호처리하기 위한 신호처리부(21)는 상기 측정된 값을 근거로 피측정자의 측정값을 산출하기 위한 중앙처리장치(22), 피측정자의 개인정보를 입력하기 위한 개인정보 입력부(23), 상기 중앙처리장치에 의해 산출된 피측정자의 측정값을 표시하기 위한 표시장치(24), 피측정자의 개인정보 및 산출된 측정값을 저장하기 위한 메모리장치(25)로 구성된다. 상기 구성은 독립적으로 구성되어 전용 측정 장치로 활용되거나, 기존의 다른 장치들을 부가적으로 사용할 수 있다. 이렇게 다른 장치를 부가하여 사용하는 경우, 상기된 운동부하 센서부와 신호처리부에 구성된 수단으로 사용할 수 있다. Figure 3 is a block diagram showing a system of the exercise load measuring device that can be carried and worn according to the present invention. The exercise
도 4는 본 발명에 의한 측정값의 제어 흐름도로서 도시한 바와 같이, 피측정자의 개인정보 입력부를 통해 피측정자의 성별, 나이, 키, 몸무게 등과 같은 피측정자의 개인정보를 입력하는 단계(110), 측정 장치에 구성된 운동부하 센서부를 통해 측정요소인 맥박을 측정하는 단계(111), 산소포화도를 측정하는 단계(112), 맥파전달시간을 통해 혈압을 측정하는 단계(113), 측정값과 피측정자의 신체적 특성요소를 이용하여 운동부하를 산출하는 단계(114), 상기 산출된 측정값을 표시장치에 표시하는 단계(115), 산출된 측정값이 과운동 상태일 때 알람(116) 및 산출된 측정값을 저장(117)하는 단계로 이루어진다. 4 is a flow chart of the measurement value according to the present invention, as shown in
도 5는 본 발명에 의한 도 4에 도시한 구성을 개인용 정보단말기(PC, PDA, 핸드폰 등) 및 통신망에 적용한 예로써 본 발명에 의한 운동부하측정기(211)에는 각종의 유, 무선 통신 장치를 부가하여 개인정보단말기(212)와 통신을 통한 데이터의 저장이 가능하며, DB서버(213)와의 통신을 통해 각종데이터의 분석 및 열람이 용이하도록 한다. 또한 피측정자의 동의하에 헬스센터(214), 병원(215), 복지센터(216)등 공공기관과의 연계를 통해 운동량의 분석, 잠재성 질환 등 여러 건강 관련 기록의 열람 및 분석이 가능하다. FIG. 5 is an example in which the configuration shown in FIG. 4 according to the present invention is applied to a personal information terminal (PC, PDA, mobile phone, etc.) and a communication network. The exercise load measuring
상기와 같이 본 발명의 휴대 및 착용이 가능한 운동부하 측정 기술은 장치의 구성이 간단하고 조작이 단순하여 독립된 운동부하 측정기 및 독립 운동부하 측정 장치에 각종 유, 무선 통신 및 유, 무선 통신망에 다양한 적용이 가능하다.As described above, the portable and wearable exercise load measuring technology of the present invention is simple in configuration and simple to operate, and is widely applied to various wired, wireless communication and wired and wireless communication networks to the independent exercise load measuring device and the independent exercise load measuring device. This is possible.
상기의 목적과 구성을 갖는 본 발명에 따라, 운동 중 심박수, 혈압, 산소포화도의 측정을 통해 개인의 운동능력의 정확한 평가가 가능하고, 이를 기준으로 운동자에게 최적의 운동강도, 운동시간, 운동횟수등을 제공할 수 있으므로, 운동중 불의의 사고를 예방할 수 있으며, 유사시 위험 상태를 알려줌으로써 사고의 위험을 줄일 수 있다. 또한 본 장치의 변형 및 부가장치를 통해 운동부하, 운동량의 기록, DB화 및 통신망을 이용한 운동처방등을 제공할 수 있을 것이다. According to the present invention having the above object and configuration, it is possible to accurately evaluate the individual's exercise ability through the measurement of heart rate, blood pressure, oxygen saturation during exercise, and based on this, the optimal exercise intensity, exercise time, number of exercise It can provide a back, to prevent accidental accidents during exercise, and can reduce the risk of accidents by informing the dangerous state in case of emergency. In addition, it is possible to provide the exercise load, the recording of the exercise amount, DBization and exercise prescription using a communication network through the modification and addition of the present device.
도 1은 혈관 및 혈액에 대한 조직 입사광의 출력 변화에 대한 개념도1 is a conceptual diagram of a change in the output of tissue incident light to blood vessels and blood
도 2는 파장에 따른 혈액 구성성분의 흡수도2 shows the absorption of blood components according to wavelength
도 3은 휴대 및 착용이 가능한 운동부하 측정장치 시스템 블록도3 is a block diagram of a mobile load measurement system that can be worn and worn
도 4는 휴대 및 착용이 가능한 운동부하 측정장치 제어 흐름도4 is a flow chart of the control device for portable and wearable exercise load
도 5는 휴대 및 착용이 가능한 운동부하 측정장치의 통신망 적용 예5 is an application example of the communication network of the mobile load measurement device that can be carried and worn
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KR101254592B1 (en) * | 2010-07-30 | 2013-04-15 | 주식회사 도화엔지니어링 | Common Sport Apparatus for Measuring Exercising State using connected Mobile Device |
KR101280026B1 (en) * | 2012-11-13 | 2013-07-05 | 옵토이엔지(주) | A wireless optical sensor module for human blood measurement |
WO2015026047A1 (en) * | 2013-08-20 | 2015-02-26 | 삼성전자주식회사 | Wearable biosignal interface and method of operating wearable biosignal interface |
WO2018056605A3 (en) * | 2016-09-23 | 2018-08-09 | 최규동 | Insulin injector capable of measuring oxygen saturation level and heart rate |
US10485479B2 (en) | 2015-07-16 | 2019-11-26 | Samsung Electronics Co., Ltd. | Grip-type blood pressure measuring apparatus and method of operating the same |
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Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
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KR101254592B1 (en) * | 2010-07-30 | 2013-04-15 | 주식회사 도화엔지니어링 | Common Sport Apparatus for Measuring Exercising State using connected Mobile Device |
KR101280026B1 (en) * | 2012-11-13 | 2013-07-05 | 옵토이엔지(주) | A wireless optical sensor module for human blood measurement |
WO2015026047A1 (en) * | 2013-08-20 | 2015-02-26 | 삼성전자주식회사 | Wearable biosignal interface and method of operating wearable biosignal interface |
US10241574B2 (en) | 2013-08-20 | 2019-03-26 | Samsung Electronics Co., Ltd. | Wearable biosignal interface and method thereof |
US10642359B2 (en) | 2013-08-20 | 2020-05-05 | Samsung Electronics Co., Ltd. | Wearable biosignal interface and method thereof |
US10485479B2 (en) | 2015-07-16 | 2019-11-26 | Samsung Electronics Co., Ltd. | Grip-type blood pressure measuring apparatus and method of operating the same |
WO2018056605A3 (en) * | 2016-09-23 | 2018-08-09 | 최규동 | Insulin injector capable of measuring oxygen saturation level and heart rate |
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