KR20140128630A - Remote treatment system and patient terminal - Google Patents
Remote treatment system and patient terminal Download PDFInfo
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- KR20140128630A KR20140128630A KR1020130047275A KR20130047275A KR20140128630A KR 20140128630 A KR20140128630 A KR 20140128630A KR 1020130047275 A KR1020130047275 A KR 1020130047275A KR 20130047275 A KR20130047275 A KR 20130047275A KR 20140128630 A KR20140128630 A KR 20140128630A
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- rehabilitation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
Abstract
Description
The present invention relates to a remote treatment system and a patient terminal. In particular, the present invention relates to a technique for remotely providing rehabilitation therapy for a stroke patient.
Stroke is one of the most common causes of disability in adults. In the case of a stroke patient, the upper limb (hand and arm) dysfunction due to neurological damage, and the loss of language control ability resulting from brain injury may occur.
After stroke, continuous treatment with topical rehabilitation combined with intensive therapy can effectively promote upper extremity exercise recovery.
However, in general, when patients are hospitalized in acute phase after stroke and discharged after rehabilitation treatment, the upper limb movement is neglected, and the speed of function restoration is reduced, and it becomes a permanent obstacle to daily life movement.
In addition, accurate and active treatment according to the type of aphasia should be continuously provided for patients suffering from aphasia after stroke and having difficulty in daily life.
However, there are limited hospitals in which language therapy can be performed, and there is a problem that access to speech therapy is low for patients who live in areas other than large cities. In addition, since speech disorders are recovered later than motor disorders after stroke, patients and caregivers often abandon the treatment of aphasia or neglect other exercise therapies. There are realistic constraints to miss timely treatment.
Recently, the guidelines for clinical care of stroke in many advanced countries, including the UK, recommend that patients with aphasia be treated with speech therapy for at least two hours a week at a time, and the importance of language therapy after stroke is emphasized.
However, there is no specific description of how to provide language therapy services such as aphasia.
SUMMARY OF THE INVENTION Accordingly, the present invention has been made in view of the above problems, and an object thereof is to provide a remote therapy system and a patient terminal capable of evaluating the result of training and treatment of upper extremity rehabilitation and speech therapy of a patient in a remote place.
According to one aspect of the present invention, a remote therapy system is disclosed. The remote therapy system includes a rehabilitation function evaluation server for receiving measurement information of a rehabilitation function of a patient from a patient terminal connected via a network, and a controller for monitoring the measurement information in connection with the rehabilitation function evaluation server, A rehabilitation exercise program is generated and transmitted to the patient terminal according to the inputted evaluation information, and then the rehabilitation exercise program is updated according to the reevaluation information inputted by the medical staff about the measurement information received from the patient terminal, A rehabilitation treatment management system.
The rehabilitation function evaluation server comprises:
The measurement guide information of the rehabilitation function may be transmitted to the patient terminal, and the measurement information measured according to the measurement guide information may be received and transmitted to the rehabilitation treatment management system.
The rehabilitation function evaluation server comprises:
Receiving upper limb function measurement information including an image of an upper limb function measurement guide information transmitted to the patient terminal and photographing a motion of the patient according to the upper limb function measurement guide information, and transmitting the upper limb function measurement information to the rehabilitation treatment management system And transmitting the language ability measurement information to the patient terminal, receiving the language ability measurement information according to the language ability assessment guide information, and transmitting the language ability measurement information to the rehabilitation treatment management system And a language function evaluation unit.
The language function evaluating unit,
The language ability of the patient may be evaluated by comparing the previously stored standardized information with the language ability measurement information, and the language ability evaluation information and the language ability measurement information may be transmitted to the rehabilitation treatment management system together.
The rehabilitation function evaluation server comprises:
The method includes receiving remeasurement information of the rehabilitation function of the patient after a predetermined time from the time when the rehabilitation exercise program is provided, receiving the exercise information of the patient according to the rehabilitation exercise program for a predetermined period, Management,
The rehabilitation treatment management system includes:
The rehabilitation exercise program may be updated based on the exercise history and re-measurement information received from the rehabilitation function evaluation server.
The rehabilitation treatment management system includes:
The recommendation input by the medical staff according to the evaluation information may be transmitted to the patient terminal using the message service of the mobile communication network and included in the rehabilitation exercise program.
The rehabilitation treatment management system includes:
A central server for providing monitoring information of the measurement information, providing a website for inputting evaluation information on the measurement information of the medical staff, generating a rehabilitation program and transmitting the generated rehabilitation program to the patient terminal connected through the network, And a medical terminal connected to the central server, receiving and displaying the web site, outputting the monitoring information on the web site, receiving the evaluation information, and transmitting the evaluation information to the central server .
The web site comprises:
It is a web site dedicated to the medical staff and is implemented by the hybrid web method,
The medical-
And may include a mobile terminal.
According to another aspect of the present invention, a patient terminal is disclosed. A patient terminal is connected to a remote therapy system via a network and transmits and receives data. The patient terminal receives measurement guide information of a rehabilitation function from the remote treatment system, and provides measurement information of a rehabilitation function of the patient according to the measurement guide information of the rehabilitation function And a therapy unit for receiving the rehabilitation exercise program generated according to the evaluation information inputted by the medical staff about the measurement information from the remote therapy system and executing the rehabilitation exercise program according to the user's selection.
Wherein the measuring unit comprises:
After re-training exercise by the rehabilitation exercise program, re-measurement information of the rehabilitation function is generated and transmitted,
The treatment section includes:
And can receive the updated rehabilitation exercise program according to the remeasure information.
Wherein the measuring unit comprises:
An upper limb function measuring unit for photographing an operation of the patient according to upper limb function measurement guide information received from the remote treatment system, generating upper limb function measurement information including the captured image and transmitting the upper limb function measurement information to the remote treatment system, And a language ability measurement unit for generating language ability measurement information evaluated according to the language ability evaluation guide information received from the system and transmitting the generated language ability measurement information to the remote treatment system.
The treatment section includes:
Receiving a rehabilitation exercise program including a recommended exercise phase and guide input by a medical staff from the remote therapy system and transmitting an image of the motion of the patient to the remote therapy system in accordance with the rehabilitation exercise program, A treatment program, and a multi-linguistic language treatment program, including expressing with pictures or figures, voice recording, question and answer writing, and listening, understanding, writing, speaking, reading and understanding, And a language therapy unit for receiving language training information from the remote therapy system and transmitting language training information performed in accordance with the language therapy program to the remote therapy system.
And a message output unit receiving the recommendation inputted by the medical staff according to the evaluation information by using the message service of the mobile communication network.
According to the embodiment of the present invention, the upper limb rehabilitation treatment and the speech therapy can be performed remotely at home and evaluated according to the instructions of the medical staff without visiting the hospital.
Therefore, it is possible to provide treatment opportunities to patients with poor accessibility to the hospital or to patients with uncomfortable mobility, and it is possible to reduce the time, expenses, and hospital expenses required to visit the hospital.
In addition, since a patient's mobile terminal or smart device can be used, a specific occupational therapy device for rehabilitation measurement and treatment is not required. In addition, the training image information of the patient is loaded in the patient mobile terminal program, so that the performance can be guaranteed even when the network is disconnected.
In addition, patients who have lowered upper limb function after stroke can evaluate the upper limb function at a remote site rather than a medical institution, and receive customized rehabilitation treatment according to their function, thereby reducing the frequency of outpatient treatment, thereby reducing the cost of managing rehabilitation patients .
In addition, patients whose language function has deteriorated due to paralysis, aphasia, etc. after stroke are evaluated at the remote place rather than in a medical institution, and the language therapy is suitably adapted to the function of the person, thereby reducing the frequency of the outpatient treatment, There is an effect of reducing the cost for the user.
In addition, it provides the rehabilitation exercise program by providing the recommendations made by the medical staff who confirmed the photographed images to the patient. The sharing of the recommendation point with the patient or the guardian in real time enables the communication with the medical staff I will.
1 is a block diagram of a remote treatment system according to an embodiment of the present invention.
2 is an exemplary view showing a detailed configuration of the rehabilitation treatment management system of FIG.
3 is a block diagram illustrating a configuration of a patient terminal according to an embodiment of the present invention.
4 is a block diagram showing a configuration of a rehabilitation function evaluation server according to an embodiment of the present invention.
5 is a block diagram showing a configuration of a rehabilitation treatment management system according to an embodiment of the present invention.
FIG. 6 is a flowchart illustrating a method for rehabilitating upper extremities according to an embodiment of the present invention.
7 is a flowchart illustrating a method for treating aphasia according to an embodiment of the present invention.
8 is a configuration diagram of a rehabilitation function evaluation server and a rehabilitation treatment management system according to another embodiment of the present invention.
Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings so that those skilled in the art can easily carry out the present invention. The present invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. In order to clearly illustrate the present invention, parts not related to the description are omitted, and similar parts are denoted by like reference characters throughout the specification.
Throughout the specification, when an element is referred to as "comprising ", it means that it can include other elements as well, without excluding other elements unless specifically stated otherwise.
Also, the terms of " part ", "... module" in the description mean units for processing at least one function or operation, which may be implemented by hardware or software or a combination of hardware and software.
Hereinafter, a remote therapy system and a patient terminal according to an embodiment of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a configuration diagram of a remote treatment system according to an embodiment of the present invention, and FIG. 2 is an exemplary view of a detailed configuration of the rehabilitation treatment management system of FIG.
Referring to FIG. 1, a remote treatment system includes a
The
The
The
The
The rehabilitation
The rehabilitation
The rehabilitation
Rehabilitation
Here, as shown in FIG. 2, the rehabilitation
At this time, the
Such a web site dedicated to the medical staff can be implemented in a HybridWeb manner accessible from a mobile.
In addition, the
At this time, the
FIG. 3 is a block diagram showing the configuration of a patient terminal according to an embodiment of the present invention, and shows a detailed configuration of the
3, the
The
The
The
The
The
At this time, the
Here, the measuring
The
The measuring
In this case, the measuring
Here, the upper limb function measuring unit (not shown) measures the upper limb (hand and arm) function state of the patient. The upper limb function measurement unit (not shown) generates limb function measurement information of the patient according to the upper limb function measurement guide information received from the rehabilitation
Further, the language ability measurement unit (not shown) generates language ability measurement information evaluated according to the language ability evaluation guide information received from the rehabilitation
The
At this time, the
The upper extremity rehabilitation department (not shown) receives the upper extremity rehabilitation program including recommended exercise steps and guides entered by the medical staff. And transmits the image of the motion of the patient to the rehabilitation
The Language Therapy Department (not shown) is divided into multiple categories, including pictures, diagrams, voice recording, question and answer writing, and listening, understanding, writing, speaking, reading and understanding, Receives a language therapy program from the rehabilitation treatment management system (400). And transmits the language training information performed in accordance with the language therapy program to the rehabilitation
In addition, the
FIG. 4 is a block diagram showing a configuration of a rehabilitation function evaluation server according to an embodiment of the present invention, and shows a detailed configuration of the rehabilitation
Referring to FIG. 4, the rehabilitation
The upper limb
And upper limb function measurement guide information for guiding the user to input measurement information on the pain and transmits the generated upper limb function measurement guide information to the
The upper limb
The language
At this time, the method of measuring the language ability is a method of recording a situation by expressing a situation as a picture, recording a voice when responding to a query, and a method of reading a screen responded to a query by expressing a situation or a figure as a picture .
The language
The language ability measurement guide information may include various methods such as recording a patient's voice, inputting a game type O, X, or inputting a character.
The language
The
5 is a block diagram showing a configuration of a rehabilitation treatment management system according to an embodiment of the present invention. At this time, it can be included in the rehabilitation
Referring to FIG. 5, the rehabilitation
At this time, the upper extremity
The upper extremity
That is, the upper extremity exercise program is set and transmitted according to the upper limb function state evaluation, the lumbar motion phase, and the guide inputted by the medical staff. The upper extremity exercise program may include an exercise phase including the arm exercise phase 5, the hand exercise phase 5, the recovery, and the exercise time.
In addition, the upper extremity
The
At this time, the language therapy program may be subdivided into five categories including listening, understanding, writing, speaking, reading and understanding, paralysis disorder treatment (breathing method, imagination method) .
The language therapy program includes a method for treating aphasia, and can be implemented to select the type and level of language treatment.
Language therapy programs can include example questions in treatment to help patients who are new to the program or less understanding.
The language therapy program may include visual or auditory methods for each question, with hints and best practices. In addition, accurate feedback can be provided directly to the patient, and treatment for other language regions can be provided on a day-by-day basis, thereby generating interest and motivation of the patient.
The upper limb
Here, the remeasurement takes place after a predefined time from when the rehabilitation program is provided.
The
The
Based on the above-described configuration, remote therapy is divided into upper limb rehabilitation and language therapy. 1 to 5 are denoted by the same reference numerals.
FIG. 6 is a flowchart illustrating a method for rehabilitating upper extremities according to an embodiment of the present invention.
Referring to FIG. 6, an upper limb function measuring unit (not shown) of the
The upper limb function measurement unit (not shown) of the
The upper extremity
The upper limb function measurement unit (not shown) of the
The upper extremity
At this time, if a predefined period arrives, the upper limb
The upper limb
7 is a flowchart illustrating a language treatment method according to an embodiment of the present invention.
Referring to FIG. 7, the language ability measuring unit (not shown) of the
The language ability measurement unit (not shown) of the
The language
The language
The language ability measuring unit (not shown) of the
Then, the language
The language
At this time, if a predefined period arrives, the language
The language
The remote treatment service according to the above description is summarized briefly. When the patient evaluates and transmits the upper limb function or the language function using the mobile program, the medical staff confirms the evaluation result and recommends the treatment step and type. The patient then carries out the recommended treatment for 2 weeks, saves the picture taken at home and sends it to the medical staff. The medical staff who checked the patient's treatment video and the evaluation result on the 2nd week will feed back the treatment stage, type, method and attitude according to the reevaluation result. Thereafter, the procedure is carried out at home for two more weeks, and reevaluated at week 4.
Meanwhile, FIG. 8 is a schematic view of a remote treatment system including a rehabilitation function evaluation server and a rehabilitation treatment management system according to another embodiment of the present invention. The upper and lower
8, the
The
The
The I /
In this case, the
The
The
The embodiments of the present invention described above are not implemented only by the apparatus and method, but may be implemented through a program for realizing the function corresponding to the configuration of the embodiment of the present invention or a recording medium on which the program is recorded.
While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, It belongs to the scope of right.
Claims (13)
And a rehabilitation exercise program which is connected to the rehabilitation function evaluation server and monitors the measurement information, generates a rehabilitation exercise program according to the evaluation information input by the medical staff about the measurement information, and transmits the rehabilitation exercise program to the patient terminal, And the rehabilitation exercise program is transmitted to the patient terminal by updating the rehabilitation exercise program according to the reevaluation information input by the medical staff for the rehabilitation treatment management system
The remote therapy system comprising:
The rehabilitation function evaluation server comprises:
And transmitting the measurement guide information of the rehabilitation function to the patient terminal and receiving the measurement information measured according to the measurement guide information and transmitting the measurement information to the rehabilitation treatment management system.
The rehabilitation function evaluation server comprises:
Receiving upper limb function measurement information including an image of an upper limb function measurement guide information transmitted to the patient terminal and photographing a motion of the patient according to the upper limb function measurement guide information, and transmitting the upper limb function measurement information to the rehabilitation treatment management system The upper extremity rehabilitation function evaluation unit, and
A language function evaluation unit for transmitting language ability evaluation guide information to the patient terminal and receiving language ability measurement information according to the language ability evaluation guide information and transmitting the language ability measurement information to the rehabilitation treatment management system,
The remote therapy system comprising:
The language function evaluating unit,
A remote therapy system for evaluating the language ability of the patient by comparing previously stored standardized information with the language ability measurement information and delivering the language ability assessment information and the language ability measurement information together to the rehabilitation treatment management system.
The rehabilitation function evaluation server comprises:
The method includes receiving remeasurement information of the rehabilitation function of the patient after a predetermined time from the time when the rehabilitation exercise program is provided, receiving the exercise information of the patient according to the rehabilitation exercise program for a predetermined period, Management,
The rehabilitation treatment management system includes:
And updates the rehabilitation exercise program based on the exercise history and re-measurement information received from the rehabilitation function evaluation server.
The rehabilitation treatment management system includes:
Wherein the recommendation input by the medical staff according to the evaluation information is transmitted to the patient terminal using the message service of the mobile communication network and included in the rehabilitation exercise program.
The rehabilitation treatment management system includes:
A central server for providing monitoring information of the measurement information, providing a website for inputting evaluation information on the measurement information of the medical staff, generating a rehabilitation program and transmitting the generated rehabilitation program to the patient terminal connected through the network, And
A center terminal connected to the central server for receiving and displaying the web site, receiving the evaluation information by outputting the monitoring information on the web site, and transmitting the evaluation information to the central server,
The remote therapy system comprising:
The web site comprises:
It is a web site dedicated to the medical staff and is implemented by the hybrid web method,
The medical-
A remote therapy system comprising a mobile terminal.
A measurement unit receiving measurement guide information of a rehabilitation function from the remote treatment system, generating measurement information of a rehabilitation function of the patient according to the measurement guide information of the rehabilitation function, and transmitting the measurement information to the remote treatment system, and
A remedy exercise program generated in accordance with the evaluation information input by the medical staff for the measurement information,
.
Wherein the measuring unit comprises:
After re-training exercise by the rehabilitation exercise program, re-measurement information of the rehabilitation function is generated and transmitted,
The treatment section includes:
And receiving the rehabilitation exercise program updated in accordance with the remeasure information.
Wherein the measuring unit comprises:
An upper limb function measuring unit for photographing an operation of the patient according to upper limb function measurement guide information received from the remote treatment system, generating upper limb function measurement information including the captured image, and transmitting the upper limb function measurement information to the remote treatment system, and
A language ability measurement unit for generating language ability measurement information evaluated according to the language ability evaluation guide information received from the remote treatment system and transmitting the generated language ability measurement information to the remote treatment system;
.
The treatment section includes:
Receiving a rehabilitation exercise program including a recommended exercise phase and guide input by a medical staff from the remote therapy system and transmitting an image of the motion of the patient to the remote therapy system in accordance with the rehabilitation exercise program, Treatment department, and
A language therapy program segmented by a plurality of categories including expressing in pictures or figures, voice recording, question and answer writing, and listening, understanding, writing, speaking, reading and understanding, And transmitting the language training information performed in accordance with the language therapy program to the remote therapy system,
.
A message output unit for receiving a recommendation input by the medical staff according to the evaluation information by using a message service of the mobile communication network,
And a patient terminal.
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