NL2027923B1 - Method and system for assisting adaptive cardiac rehabilitation - Google Patents

Method and system for assisting adaptive cardiac rehabilitation Download PDF

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NL2027923B1
NL2027923B1 NL2027923A NL2027923A NL2027923B1 NL 2027923 B1 NL2027923 B1 NL 2027923B1 NL 2027923 A NL2027923 A NL 2027923A NL 2027923 A NL2027923 A NL 2027923A NL 2027923 B1 NL2027923 B1 NL 2027923B1
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heart rate
patient
rate threshold
rehabilitation training
task
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Sun Jinyan
Fan Jinsong
Luo Zhiqiang
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Univ Foshan
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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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/09—Rehabilitation or training
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate

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Abstract

The present invention discloses a method and a system for assisting adaptive cardiac rehabilitation. The method includes: setting, by a therapist client, a rehabilitation training task and a temporary heart rate threshold 5 associated with a patient ID and sending the patient ID, the rehabilitation training task and the temporary heart rate threshold as a data packet to a server; downloading, by a patient client, the data packet from the server according to the patient ID; during training, acquiring and recording all real-time heart rates of the patient, judging whether there is a new optimal heart rate 10 threshold, and in response to there being a new optimal heart rate threshold, sending at least one rehabilitation training sub-task, all the real-time heart rates and the new optimal heart rate threshold to the server. Fig. 1

Description

METHOD AND SYSTEM FOR ASSISTING ADAPTIVE CARDIAC REHABILITATION
TECHNICAL FIELD The present invention relates to the technical field of rehabilitation training, and more particularly, to a method and a system for assisting adaptive cardiac rehabilitation.
BACKGROUND There are known methods and systems for monitoring health parameters of a user such as athletics. Such methods and systems typically track the heart rate of the user during physical activities in real time so that the user can make an informed decision on whether or not to push harder or slow down. There are also health monitoring methods and systems that monitor vital signs of a person such as heart rates and respiration rates. Such systems are typically used by the elderly to detect possible medical issues so that the elderly can seek medical aid in advance. However these known systems and methods cannot be directly implemented on a rehabilitation plan of a cardiac patient. Hence, those skilled in the art are striving to provide an improved system and method that can assist cardiac patient in completing a rehabilitation plan.
SUMMARY The present invention provides a method and a system for assisting adaptive cardiac rehabilitation in order to solve one or more technical problems existing in the prior technology and provide at least one beneficial choice or create favorable conditions. In a first aspect, an embodiment of the present invention provides a method for assisting adaptive cardiac rehabilitation, which includes: in response to an input of a therapist, setting, by a therapist client, a rehabilitation training task and a temporary heart rate threshold associated with a patient ID and sending the patient ID, the rehabilitation training task and the temporary heart rate threshold as a data packet to a server, wherein the rehabilitation training task includes a plurality of rehabilitation training sub-tasks; receiving and storing the data packet by the server;
downloading, by a patient client, a data packet corresponding to the patient ID from the server according to the patient ID and establishing communication connection with a heart rate monitor in response to selection of at least one rehabilitation training sub-task by a patient; after the establishment of communication connection with the heart rate monitor, acquiring and recording all real-time heart rates of the patient, wherein the real-time heart rates are heart rates which are measured in real time as the patient takes rehabilitation trainings according to the at least one rehabilitation training sub-task; after the trainings are complete, judging whether there is a new optimal heart rate threshold according to all the real-time heart rates, the temporary heart rate threshold and a number of rehabilitation trainings, and if there is a new optimal heart rate threshold, sending the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the server; receiving and sending, by the server, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the therapist client; sending, by the therapist client, an updated rehabilitation training task, an updated temporary heart rate threshold and the patient ID as a new data packet to the server, wherein the updated rehabilitation training task and the updated temporary heart rate threshold are updated by the therapist according to the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold received by the therapist client; and downloading by the patient client, the new data packet corresponding to the patient ID when detecting the new data packet.
Further, judging whether there is a new optimal heart rate threshold according to all the real-time heart rates, the temporary heart rate threshold and the number of rehabilitation trainings includes: acquiring and ranking all real-time heart rates in a descending order; obtaining a first 5% of real-time heart rates from all the ranked real-time heart rates and calculating an average value; comparing the average value with the temporary heart rate threshold; judging whether the number of rehabilitation trainings is greater than or equal to a minimum number of rehabilitation trainings if the average value is greater than the temporary heart rate threshold;
judging whether there is 3 previously detected optimal hean rate threshold if the number of rehabililation trainings is greater than or equal to the minimum number of rehabilitation trainings; if there is a previously detected optimal heart rate threshold, comparing the § average value with the previously detected optimal heart rate threshold, and if the average valus is greater than the previously delecied optimal heart rate threshold, judging whether a heart rate intensity meets a heart rate intensity standard; if there is no previously detected optimal heart rate threshold, judging whether the heart rale intensily meets the heart rale intensity standard; and if the heart rate intensity meets the heart rate intensity standard, determining that there is a new optimal heart rate threshold, and calculating the new optimal heart rate threshold according to the temporary heart rate threshold, the heart rale intensity and an age of the patient.
Further, if the therapist client does not update the rehabilitation training task and the temporary heart rate threshold, the previously detected optimal heart rale threshold is updated as the new optimal heart rate threshold.
Further, whether the heart rale intensity meets the heart rale intensity standard is judged by an instantaneous heart rale intensity which is given as follows: Jits = where HR is a realtime heart rale collecied in rehabilitation raining, HR, is the temporary heart rate threshold, and Int is the instantaneous heart rate intensity; the value of Int is: 1, HR = HR, Int = ee HR < HR, if all instantaneous heart rate intensities in one rehabilitation raining meet a preset heart rale intensily (less than 1} within a preset time, an average value of the instantaneous heart rate intensities within the preset time is taken as a first heart rale inlensity of the rehabililation training; Trt, = Ean, where Int) is the i instantaneous heart rate intensity among the instantaneous heart rate intensities mesting the preset heart rate intensity within the present time, m is the number of samples of instantaneous heart rate intensities within the present time, and Int, is a first heart rate intensity meeting the preset heart rate intensity; if all heart rate intensities in n consecutive days of rehabilitation trainings include the first heart rate intensity meeting the preset heart rate intensity, it is indicated that the heart rate intensities meet the heart rate intensity standard; p,=1- (Ennead) n where P, is the heart rate intensity (optimally P, 2 95%), n represents the number of days of rehabilitation trainings, Int, (j) is the ji rehabilitation training among the n consecutive rehabilitation trainings, and n is a positive integer.
Further, calculating the new optimal heart rate threshold according to the temporary heart rate threshold, the heart rate intensity and the age of the patient includes: HRope = HR +(220 — age) x (so); where HR, is a new optimal heart rate threshold, age is the age of the patient, P, is heart rate intensity, and a (O<a<1) is a preset constant.
Further, the method also includes determining that there is no new optimal heart rate threshold if the average value is less than or equal to the temporary heart rate threshold, or the number of rehabilitation trainings is less than the minimum number of rehabilitation trainings, or the heart rate intensity does not meet the heart rate intensity standard, , and sending, by the patient client, the at least one rehabilitation training sub-task and all the recorded real-time heart rates to the server.
Further, after the establishment of communication connection with the heart rate monitor, timing is started, and when a counted time is greater than or equal to atime threshold, it is considered that training is complete.
Further, the method also includes that a patient's family member client checks a rehabilitation progress record of the patient from the server, wherein the rehabilitation progress record includes the rehabilitation training task, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold.
In a second aspect, an embodiment of the present invention also provides a system for assisting adaptive cardiac rehabilitation, which includes: a therapist client, configures for setting a rehabilitation training task and a temporary heart rate threshold associated with a patient ID in response to an input of a therapist and sending the patient ID, the rehabilitation training task and the temporary heart rate threshold to a server, the rehabilitation training task including a plurality of rehabilitation training sub-tasks; and sending an updated rehabilitation training task, an updated temporary heart rate threshold and the patient ID as a 5 new data packet to the server, wherein the updated rehabilitation training task and the updated temporary heart rate threshold are updated by the therapist according to the at least one rehabilitation training sub-task, all recorded real-time heart rates and a new optimal heart rate threshold received by the therapist client; a server, configures for receiving and storing the data packet and receiving and storing the new data packet; a patient client, configures for downloading a data packet corresponding to the patient ID from the server according to the patient ID and establishing communication connection with a heart rate monitor in response to selection of at least one rehabilitation training sub-task by the patient; acquiring and recording all real-time heart rates of the patient after the establishment of communication connection with the heart rate monitor; judging whether there is a new optimal heart rate threshold according to all the real-time heart rates, the temporary heart rate threshold and the number of rehabilitation trainings after the trainings are complete, and if there is a new optimal heart rate threshold, sending the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the server; and downloading a new data packet corresponding to the patient ID when detecting the new data packet; a heart rate monitor, configures for measuring a real-time heart rate as the patient takes rehabilitation trainings according to the at least one rehabilitation training sub-task; and a patient's family member client, configures for checking the rehabilitation progress record of the patient corresponding to the patient ID from the server, the rehabilitation progress record including the rehabilitation training task, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold.
One of the embodiments of the present invention at least has the following advantages. The patient client downloads a rehabilitation training task and a temporary heart rate threshold from the server, acquires and records all real-time heart rates of the patient during training, judges whether there is a new optimal heart rate threshold after training, and sends the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the server when there is a new optimal heart rate threshold. Therefore, the therapist client can check the rehabilitation training progress of the patient, and when there is a new optimal heart rate threshold, the therapist client updates the rehabilitation training task and the temporary heart rate threshold in response to an input of the therapist, so that the rehabilitation progress of the patient can be accurately monitored, the rehabilitation progress of the patient can be more accurately judged and the rehabilitation training task of the patient can be adjusted. In addition, the patient's family members can obtain the rehabilitation progress record of the patient in real time.
BRIEF DESCRIPTION OF THE DRAWINGS The accompanying drawings are used to provide a further understanding of the technical solution of the present invention and constitute a part of the specification. The accompanying drawings are used together with the embodiments of the present invention to explain the technical solution of the present invention, and do not constitute a limitation on the technical solution of the present invention. FIG. 1 is a structural diagram of a system for assisting adaptive cardiac rehabilitation training provided by an embodiment of the present invention; FIG. 2 is a structural diagram of a processing system provided by an embodiment of the present invention; FIG. 3 is a flow chart of a method for assisting adaptive cardiac rehabilitation provided by an embodiment of the present invention; FIG. 4 is a part of a flow chart of another method for assisting adaptive cardiac rehabilitation provided by an embodiment of the present invention; and FIG. 5 is another part of the flow chart of another method for assisting adaptive cardiac rehabilitation provided by the embodiment of the present invention.
DETAILED DESCRIPTION In order to make the objective, technical solution and advantages of the present invention clearer, the present invention is further described in detail below in reference to drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention rather than to limit the present invention.
It should be noted that although functional modules are divided in the schematic diagram of the system and a logical order is shown in the flow chart, in some cases, the steps shown or described may be executed differently from the module division in the system or the order in the flow chart. The terms "first", “second” and the like in the specification, the claims and the above accompanying drawings are used to distinguish similar objects and are not necessarily used to describe a specific order or sequence.
FIG. 1 is a structural diagram of a system for assisting adaptive cardiac rehabilitation training provided by an embodiment of the present invention. As shown in FIG. 1, the system includes a patient client 110 and a therapist client 120, which are computers or mobile devices. The communication between the patient client 110 and the therapist client 120 is managed by a server 130. During rehabilitation trainings, a patient uses an Internet-of-Things device 140, such as a heart rate sensor. The system further includes a patient's family member client 160, and the patient client 110, the therapist client 120, the patient's family member client 160 and the Internet-of-Things (loT) device 140 are in communication connection with the server 130 through a network 150. The Internet-of-Things device 140 is in communication connection with the patient client 110 through Bluetooth, and may also be in communication with the server 130 through the network 150.
FIG. 2 is a structural diagram of a processing system 200 provided by an embodiment of the present invention. The processing system 200 in FIG. 2 may be applied to the patient client 110, the therapist client 120, the patient's family member client 160 and the server 130. It should be clear to those skilled in the art that the exact device configuration of the processing system in FIG. 2 may be different, and the system configuration in each device may also be different. As shown FIG. 2, the processing system includes a central processing unit (CPU) 205. The CPU 205 is a processor, a microprocessor or any combination of them, which executes instructions to perform processes according to the present invention. The CPU 205 is connected to a memory bus 210 and an input/output (I/O) bus 215. The memory bus 210 connects the CPU 205 to memories 220 and 225, and transmits data and instructions between the memories and the CPU 205. The I/O bus 215 connects the CPU 205 to a peripheral device in order to transmit data between the CPU 205 and the peripheral device. The I/O bus 215 and the memory bus 210 may be combined into a bus or divided into many other buses.
A non-volatile memory, such as the read-only memory (ROM) 220, is connected to the memory bus 210. The read-only memory 220 stores instructions and data required by various subsystems of the processing system and the startup of the system. A volatile memory, such as the read/write memory (RAM) 225, is also connected to the memory bus 210. The read/write memory 225 stores instructions and data required by the execution of software instructions by the CPU 205, e.g. providing processes required by the system according to the present invention. The non-volatile memory and the volatile memory may have different memory configurations, which can be chosen according to actual requirements.
An input/output device 230, a keyboard 235, a display 240, a memory 245, a network device 250 and any number of other peripheral devices are connected to the I/O bus 215 in order to exchange data with the CPU 205 for an application executed by the CPU 205. The input/output device 230 is any device which sends data to and/or receives data from the CPU 305, such as a heart rate monitor or other Internet-of-Things devices. The keyboard 235 is a specific type of input/output device, which receives an input of a user and transmits the input to the CPU 205. The display 240 receives display data from the CPU 205, and displays images on the screen for the user to view. The memory 245 is a storage device for storing data sent to and received from the CPU 205 into a medium. The network device 250 connects the CPU 205 to the network 150 in order to transmit data to other processing systems.
FIG. 3 is a method for assisting adaptive cardiac rehabilitation training provided by an embodiment of the present invention, which includes but is not limited to steps S101 to S108.
At step S101, in response to an input of a therapist, the therapist client setting a rehabilitation training task and a temporary heart rate threshold associated with a patient ID and sending the patient ID, the rehabilitation training task and the temporary heart rate threshold as a data packet to a server, the rehabilitation training task including a plurality of rehabilitation training sub-tasks.
In some embodiments, before cardiac rehabilitation, the therapist sets a rehabilitation training task through the therapist client. The rehabilitation training task is stored on the server, and the patient can retrieve and extract his/her own rehabilitation training task and a temporary heart rate threshold through the patient client. The rehabilitation training task includes a plurality of rehabilitation training sub-tacks, which will be carried out during cardiac rehabilitation. The patient executes each training sub-task on an appointed date. By using an application on the patient client, the patient can be self-supervised during training. For example, through the communication connection between an Internet-of-Things device (such as the heart rate monitor) and the patient client, the patient can monitor his/her heart rate in real time on the application of the patient client. In addition, by using the Internet-of- Things device, the patient will send vital sign parameters (such as heart rate) to the server after each rehabilitation training.
One goal of the cardiac rehabilitation training is to help the patient with heart disease reach an appropriate and ideal target heart rate. However, it is impossible to achieve the target heart rate overnight, so the patient will not be required to achieve this goal immediately at the beginning of cardiac rehabilitation, otherwise the self-efficacy of the patient in receiving cardiac rehabilitation trainings will be decreased. A temporary heart rate threshold (e.g., 70% of the target heart rate) is set first, and is gradually increased with the progress of cardiac rehabilitation until the target heart rate is reached.
At step S102, the server receives and stores the data packet.
At step S103, the patient client downloads a data packet corresponding to the patient ID from the server according to the patient ID.
At step S104, in response to selection of at least one rehabilitation training sub-task by the patient, a communication connection with the heart rate monitor is established; after the establishment of communication connection with the heart rate monitor, all real-time heart rates of the patient are acquired and recorded, where the real-time heart rates are heart rates which are measured in real time as the patient takes rehabilitation trainings according to the at least one rehabilitation training sub-task; after the trainings are complete, whether there is a new optimal heart rate threshold is judged according to all the real-time heart rates, the temporary heart rate threshold and a number of rehabilitation trainings, and if there is a new optimal heart rate threshold, the at least one rehabilitation training sub- task, all the recorded real-time heart rates and the new optimal heart rate threshold are sent to the server.
The rehabilitation training task specifies a series of training sub-tasks for cardiac rehabilitation, each of which includes exercise type, heart rate target, duration, etc. The rehabilitation training task can be downloaded into an application of the patient client, and the patient will be reminded through a short message the day before execution of the training task. When the patient starts the rehabilitation training of the day, specific requirement parameters of the training task will be displayed in the application of the patient client for the patient's reference.
Rehabilitation training supervision is to monitor physiological parameters of the patient during exercise in real time, such as heart rate and calorie consumption.
The patient client may be connected to an Internet-of-Things device, such as a heart rate monitor, so that the application of the patient client can monitor calorie consumed by rehabilitation training, running distance and exercise duration. In an embodiment, data from the Internet-of-Things device may also be directly transmitted to a remote server to update the rehabilitation training progress of the patient. These data may also be retrieved by the therapist and displayed in the form of graphs and tables.
In an embodiment, after the heart rate monitor is connected to the patient client, a timer is started to start the currently selected training activity, and the heart rate of the patient is received from the heart rate monitor and recorded. Whether the time of the timer reaches a duration required by the rehabilitation training is checked. If the rehabilitation training time is over, it is considered that the training is complete, or else the heart rate continues to be monitored and recorded.
In an embodiment, after the training is complete, whether there is a new optimal heart rate threshold is judged, which includes steps S201 to S208.
At step S201, all real-time heart rates are acquired and ranked in a descending order.
At step S202, obtaining a first 5% of real-time heart rates from all the ranked real-time heart rates and calculating an average value.
At step S203, the average value is compared with the temporary heart rate threshold.
At step S204, if the average value is greater than the temporary heart rate threshold, whether the number of rehabilitation trainings is greater than or equal to the minimum number of rehabilitation trainings is judged.
If the average value is less than or equal to the temporary heart rate threshold, it is indicated that there is no new optimal heart rate threshold.
At step S205, if the number of rehabilitation trainings is greater than or equal to the minimum number of rehabilitation trainings, whether there is a previously detected optimal heart rate threshold is judged.
if the number of rehabilitation trainings is less than the minimum number of rehabilitation trainings, itis indicated that there is no new optimal heart rate threshold.
At step 5206, ff there is a previously detected optimal heart rate threshold, § the average value is compared with the previously detected optimal heart rate threshold, and if the average value is grealer than the previously detected optimal heart rate threshold, whether a heart rale intensity meets a heart rate intensity standard is judged.
If there is a previously detected optimal heart rate threshold, His indicated that the previously detected optimal heart rate threshold is not adopted as a temporary heart rate threshold by the therapist, Al step S207, if there is no previously detected optimal hear rale threshold, whether the heart rale intensity meets the heart rate intensity standard is judged.
Al step S208, if the heart rate inlensity meets the heart rate inlensity standard, it is determined that there is a new optimal heart rate threshold, and the new optimal heart rate threshold is calculated according to the temporary heart rale threshold, the heart rale intensity and an age of the patient, If the heart rale intensity does not meet the heart rate intensity standard, it is indicated that there is no new optimal heart rate threshold. if there is no new optimal heart rate threshold, the at least ons rehabilitation training sub-task and all the recorded real-time heart rates are sent to the server.
At Step S207, whether the heart rate intensity meets the heaft rate intensity standard is judged by an instanianeous heart rate intensity which is given as follows: Int = Ex whore HR is a real-time heart rale collected in rehabilitation training, HR, is the temporary heart rate threshold, and Int is the instantaneous heart rate intensity; the value of Int is: {DL HR ZAR, ES Be, HR < HRS it all instantaneous heart rate intensities in one rehabilitation training meet a preset heart rate intensity (less than 1} within a preset time, an averages value of the instantaneous heart rate intensities within the preset time is laken as a first heart rate intensity of the rehabilitation training;
Int, = po where Int(i) is the itt instantaneous heart rate intensity among the instantaneous heart rate intensities meeting the preset heart rate intensity within the present time, m is the number of samples of instantaneous heart rate intensities within the present time, and Int, is the first heart rate intensity meeting the preset heart rate intensity.
In an embodiment, the preset time is set as two minutes, the preset heart rate intensity is 90%, and cardiac rehabilitation training requires the heart rate intensity in a training activity to reach more than 90% at least within a time span of two minutes.
In an embodiment, as long as it is detected for the first time that all instantaneous heart rate intensities meet the preset heart rate intensity within the preset time among all the heart rates of a training, an average value of the instantaneous heart rate intensities within the preset time is taken as a first heart rate intensity of a rehabilitation training. For example, if it is detected that all instantaneous heart rate intensities are greater than 90% from the third to fourth minutes and the eighth to ninth minutes after the start of training, the average value of the instantaneous heart rate intensities within the third to fourth minutes is calculated as the first heart rate intensity.
If all heart rate intensities in n consecutive days of rehabilitation trainings include the first heart rate intensity meeting the preset heart rate intensity, it is indicated that the heart rate intensities meet the heart rate intensity standard; Pp =1- ss n where Py, is the heart rate intensity (optimally P, 2 95%), n represents the number of days of rehabilitation trainings, and Int, (j) is the ji" rehabilitation training among the n consecutive rehabilitation trainings.
In some embodiments, for example, if each rehabilitation training within 30 consecutive days has the first heart rate intensity meeting the preset heart rate intensity, it is indicated that the heart rate intensities meet the heart rate intensity standard. If the first heart rate intensity meeting the preset heart rate intensity exists from the first to sixth days, does not exist on the seventh day and exists again on the eighth day, calculation begins from the eighth day, and only when the first heart rate intensity meeting the preset heart rate intensity exists in n consecutive days (30 days), can the heart rate intensity standard be met.
In an embodiment, calculating the new optimal heart rate threshold according to the temporary heart rate threshold, the heart rate intensity and the age of the patient includes: HR,pe = HR+(220 — age) x (2): where HR, is a new optimal heart rate threshold, age is the age of the patient, P, is heart rate intensity, and a (O<a<1) is a preset constant. a is a fixed value (e.g., {1, 0.8, 0.6.}) selected from a predefined set, and ast.
A formula for calculating an optimal heart rate threshold defines a method for judging an optimal heart rate threshold at each stage in a long-term rehabilitation training. The method takes into account two main variables: (1) the age of patients, because the target heart rates of patients of different ages are different; (2) heart rate intensity, the value of which is based on the heart rate measured by the heart rate monitor in real time. This ensures that a new optimal heart rate threshold can completely reflect the current rehabilitation progress of a patient.
At step S105, the server receives and sends the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the therapist client.
The server sends the new optimal heart rate threshold to the therapist client, so that the therapist can conveniently know the rehabilitation of the patient.
At step S106, the therapist client sends an updated rehabilitation training task, an updated temporary heart rate threshold and the patient ID as a new data packet to the server, where the updated rehabilitation training task and the updated temporary heart rate threshold are updated by the therapist according to the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold received by the therapist client.
In an embodiment, the server takes the new optimal heart rate threshold as a new temporary heart rate threshold and sends it to the therapist client for confirmation. The therapist client may directly confirm the new optimal heart rate threshold as a temporary heart rate threshold, or may not confirm the new optimal heart rate threshold as a temporary heart rate threshold, so that the patient still takes the original temporary heart rate threshold as a temporary target.
In an embodiment, the therapist client may directly confirm the new optimal heart rate threshold as a temporary heart rate threshold, and update the rehabilitation training task, such as exercise time, exercise speed, etc.
In an embodiment, the therapist updates the rehabilitation training task and the temporary heart rate threshold according to the at least one rehabilitation training sub-task received by the therapist client, all the recorded real-time heart rates and the new optimal heart rate threshold. The updated temporary threshold may or may not be equal to the new optimal heart rate threshold. In an embodiment, after the training is complete, the patient evaluates his/her current rehabilitation training. The patient enters his/her score of the current exercise intensity. The patient chooses a grade from a scale shown in Table 1 to express the exercise intensity (i.e. the degree of physical strength consumption or tiredness he/she feels after the training). The grades range from 6 to 20, which correspondingly describe exercise intensity levels from "extremely easy” to "extremely tired". This is an effective method for evaluating the intensity of rehabilitation training. The ideal or target exercise intensity after training is between 12 and 13 levels. Table 1: Corresponding Relation Between Grades And Exercise Intensity ° 7 Extremely easy
FT any t 5 fred Cn Very tired eo " Extremely tired opr The patient client sends the exercise intensity, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold together to the server, and the therapist determines whether to update the rehabilitation training task and the temporary heart rate threshold according to the exercise intensity, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold received by the therapist client.
If the therapist client does not update the rehabilitation training task and the temporary heart rate threshold, the previously detected optimal heart rate threshold is updated as the new optimal heart rate threshold. Thus, in the next training, the previously detected optimal heart rate threshold can be compared with the average value calculated in the next training as in Step S206.
At step S107, when detecting the new data packet, the patient client downloads a new data packet corresponding to the patient ID.
When the patient client detects the new data packet, the temporary heart rate threshold in the new data packet is taken as a temporary target for cardiac rehabilitation training.
At step S108, Steps S104-S107 are repeated until the heart rate of the patient reaches the target heart rate.
One goal of cardiac rehabilitation trainings is to help the patient with heart disease reach an appropriate and ideal target heart rate. Through the stage-by- stage trainings, the temporary heart rate threshold is continuously raised, so that the heart can be recovered to the target heart rate, and the rehabilitation trainings end.
The patient's family member client can check the rehabilitation progress record of the patient from the server, the rehabilitation progress record including the rehabilitation training task, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all the recorded real-time heart rates, the new optimal heart rate threshold, the exercise intensity, etc. Figs. 4 and 5 show another method for assisting adaptive cardiac rehabilitation provided by an embodiment of the present invention, which includes following steps S301 to S319 At step S301, a therapist client sets a rehabilitation training task and a target heart rate value associated with a patient ID as a data packet and sends the data packet to a server, the target heart rate value including a final target heart rate value and a temporary heart rate threshold.
At step S302, the server receives and stores the data packet.
At step S303, in response to selection of the at least one rehabilitation training sub-task by the patient, a patient client establishes communication connection with a heart rate monitor.
At step S304, the patient client starts a timer to start timing.
At step S305, the patient client obtains real-time heart rates of the patient from the heart rate monitor and records them.
At step 306, the patient client judges whether time reaches a time threshold; if so, Step S307 is performed; and if not, Step S305 is performed; At step S307, after the training is complete, the patient client stops timing, and obtains and ranks all the real-time heart rates in a descending order; obtains a first 5% of real-time heart rates from all the ranked real-time heart rates and calculates an average value.
At step S308, the patient client judges whether the average value is greater than the temporary heart rate threshold; if not, Step S319 is performed; and if so, Step S309 is performed.
At step S309, the patient client judges whether the number of rehabilitation trainings reaches the minimum number of rehabilitation trainings, where the number of rehabilitation trainings means the number of times of executing the rehabilitation training task; if not, Step S319 is performed; and if so, Step S310 is performed. At step S310, the patient client judges whether there is a previously detected optimal heart rate threshold; if so, Step S311 is performed; and if not, Step S312 is performed. At step S311, the patient client judges whether the average value is greater than the previously detected optimal heart rate threshold; if not, Step S319 is performed; and if so, Step S312 is performed. At step S312, the patient client determines a heart rate intensity and judges whether the heart rate intensity meets the heart rate intensity standard; if not, Step S319 is performed; and if so, Step S313 is performed.
At step S313, the patient client calculates a new optimal heart rate threshold.
At step S314, the patient client sends the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the server.
At step S315, the server receives, stores and sends the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the therapist client, and Step S316 or S318 are performed.
At step S316, the therapist client sends an updated rehabilitation training task, an updated temporary heart rate threshold and the patient ID as a new data packet to the server.
At step S317, when detecting the new data packet, the patient client downloads the new data packet corresponding to the patient ID, and Step S319 is performed.
At step S318, if the patient client does not detect the new data packet, the patient client updates the previously detected optimal heart rate threshold as the new optimal heart rate threshold, and Step S319 is performed.
At step S319, the timer is cleared to end this training.
In an embodiment, the present invention also provides a system for assisting adaptive cardiac rehabilitation training, which includes: a therapist client, configured for setting a rehabilitation training task and a temporary heart rate threshold associated with a patient ID in response to an input of a therapist and sending the patient ID, the rehabilitation training task and the temporary heart rate threshold to a server, the rehabilitation training task including a plurality of rehabilitation training sub-tasks; and sending an updated rehabilitation training task, an updated temporary heart rate threshold and the patient ID as a new data packet to the server, wherein the updated rehabilitation training task and the updated temporary heart rate threshold are updated by the therapist according tothe at least one rehabilitation training sub-task, all recorded real-time heart rates and a new optimal heart rate threshold received by the therapist client; a server, configured for receiving and storing the data packet and receiving and storing the new data packet; a patient client, configured for downloading a data packet corresponding to the patient ID from the server according to the patient ID and establishing communication connection with a heart rate monitor in response to selection of the at least one rehabilitation training sub-task by the patient; acquiring and recording all real-time heart rates of the patient after the establishment of communication connection with the heart rate monitor; judging whether there is a new optimal heart rate threshold according to all the real-time heart rates, the temporary heart rate threshold and the number of rehabilitation trainings after the trainings are complete, and if there is a new optimal heart rate threshold, sending the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold to the server; and downloading a new data packet corresponding to the patient ID when detecting the new data packet; a heart rate monitor, configured for measuring a real-time heart rate as the patient takes rehabilitation trainings according to the at least one rehabilitation training sub-task; and a patient's family member client, configured for checking the rehabilitation progress record of the patient corresponding to the patient ID from the server, the rehabilitation progress record including the rehabilitation training task, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all the recorded real-time heart rates and the new optimal heart rate threshold.
The working principle of the therapist client, the server, the patient client and the patient's family client is the same as that of the method for assisting adaptive cardiac rehabilitation in the aforementioned embodiments, and therefore will not be described herein again.
It can be understood by those of ordinary skill in the art that all or some of the steps in the method and the system disclosed above can be implemented as software, firmware, hardware and an appropriate combination thereof. Some or all of the physical components may be implemented as software executed by a processor (such as a central processing unit, a digital signal processor or a microprocessor), hardware or an integrated circuit (such as an application-specific integrated circuit). Such software may be distributed on computer-readable media, which may include computer storage media (or non-transitory media) and communication media (or transitory media). As well-known to those of ordinary skill in the art, the term "computer storage media" include volatile and nonvolatile, removable and non-removable media implemented in any method or technology for storing information (such as computer-readable instructions, data structures, program modules or other data). Computer storage media include but are not limited to RAM, ROM, EEPROM, flash memory or other memory technologies, CD- ROM, digital versatile disk (DVD) or other optical disk storage, magnetic cassettes, magnetic tapes, magnetic disk storage or other magnetic storage devices or any other media that can be used to store desired information and can be accessed by computers. Furthermore, it is well-known to those of ordinary skill in the art that communication media typically contain computer-readable instructions, data structures, program modules or other data in a modulated data signal such as carriers or other transmission mechanisms, and can include any information delivery media.
The preferred embodiments of the present invention have been described in detail above. However, the present invention is not limited to the aforementioned embodiments. Those skilled in the art can also make various equivalent modifications or replacements without departing from the spirit of the present invention, and these equivalent modifications or replacements shall be included in the scope defined by the claims of the present invention.

Claims (9)

ConclusiesConclusions 1. Werkwijze voor het assisteren bij adaptieve cardiale revalidatie, omvattende: in reactie op een invoer van een therapeut, het instellen door een processor van de therapeut van een taak voor revalidatietraining en een tijdelijke drempelwaarde voor de hartslag die is gerelateerd aan een identiteit van een patiënt en het verzenden van de identiteit van de patiënt, de taak voor revalidatietraining en de tijdelijke drempelwaarde voor de hartslag als een datapakket naar een server, waarbij de taak voor revalidatietraining een veelheid aan sub-taken voor revalidatietraining omvat; het ontvangen en opslaan van het datapakket door de server; het downloaden door een processor van de patiënt, van een datapakket dat correspondeert met de identiteit van de patiënt vanaf de server op basis van de identiteit van de patiënt, en het tot stand brengen van een communicatieverbinding met een hartslagmonitor in reactie op het selecteren van de ten minste ene sub- taak voor revalidatietraining door een patiënt; na het tot stand brengen van de communicatieverbinding met een hartslagmonitor, het verkrijgen en vastleggen van alle actuele hartslagwaardes van de patiënt, waarbij de actuele hartslagwaardes de hartslagwaardes zijn die actueel worden gemeten terwijl de patiënt revalidatietrainingen volgt volgens de ten minste ene sub-taak voor revalidatietraining; nadat de revalidatietrainingen zijn afgewerkt, het beoordelen of een nieuwe optimale drempelwaarde voor de hartslag aanwezig is op basis van alle actuele hartslagwaardes, de tijdelijke drempelwaarde voor de hartslag en het aanta! revalidatietrainingen, en indien een nieuwe optimale drempelwaarde voor de hartslag aanwezig is, het verzenden naar de server van de ten minste ene sub-taak voor revalidatietraining, alle vastgelegde actuele hartslagwaardes en de nieuwe optimale drempelwaarde voor de hartslag; het ontvangen door de server en verzenden door de server naar de processor van de therapeut, van de ten minste ene sub-taak voor revalidatietraining, alle vastgelegde actuele hartslagwaardes en de nieuwe optimale drempelwaarde voor de hartslag; het verzenden door de processor van de therapeut van een bijgewerkte taak voor revalidatietraining, een bijgewerkte tijdelijke drempelwaarde voor de hartslag en de identiteit van de patiént als een nieuwe datapakket naar de server, waarbij de bijgewerkte taak voor revalidatietraining en de bijgewerkte tijdelijke drempelwaarde voor de hartslag zijn bijgewerkt door de therapeut op basis van de ten minste ene sub-taak voor revalidatietraining, alle actuele hartslagwaardes, en de nieuwe optimale drempelwaarde voor de hartslag ontvangen door de processor van de therapeut; en het downloaden door de processor van de patiént, van het nieuwe datapakket dat correspondeert met de identiteit van de patiént wanneer het nieuwe data pakket wordt gedetecteerd.A method of assisting adaptive cardiac rehabilitation, comprising: in response to an input from a therapist, the therapist's processor setting a rehabilitation training task and a temporary heart rate threshold associated with an identity of a patient and transmitting the patient's identity, the rehabilitation training task, and the temporary heart rate threshold as a data packet to a server, the rehabilitation training task comprising a plurality of rehabilitation training sub-tasks; receiving and storing the data packet by the server; downloading, by a processor of the patient, a data packet corresponding to the patient's identity from the server based on the patient's identity, and establishing a communication link with a heart rate monitor in response to the selection of the at least one sub-task for rehabilitation training by a patient; after establishing the communication link with a heart rate monitor, obtaining and recording all current heart rate values of the patient, where the current heart rate values are the heart rate values currently measured while the patient is undergoing rehabilitation training according to the at least one rehabilitation training sub-task ; after the rehabilitation workouts are completed, assessing whether a new optimal heart rate threshold is present based on all current heart rate values, the temporary heart rate threshold, and the number of! rehabilitation workouts, and if a new optimal heart rate threshold is present, sending to the server the at least one rehabilitation training sub-task, all captured current heart rate values and the new optimal heart rate threshold; receiving by the server and transmitting by the server to the therapist's processor the at least one rehabilitation training sub-task, all recorded current heart rate values, and the new optimal heart rate threshold; the therapist's processor sending an updated rehabilitation training task, an updated temporary heart rate threshold, and the patient's identity as a new data packet to the server, including the updated rehabilitation training task and the updated temporary heart rate threshold are updated by the therapist based on the at least one rehabilitation training sub-task, all current heart rate values, and the new optimal heart rate threshold value received by the therapist's processor; and downloading, by the patient's processor, the new data packet corresponding to the patient's identity when the new data packet is detected. 2. De werkwijze volgens conclusie 1, waarbij het beoordelen of een nieuwe optimale drempelwaarde voor de hartslag aanwezig is op basis van alle actuele hartslagwaardes, de tijdelijke drempelwaarde voor de hartslag en het aantal revalidatietrainingen, omvat: het verkrijgen en het opstellen van alle actuele hartslagwaardes in afnemende volgorde; het verkrijgen van een eerste 5% deel aan actuele hartslagwaardes uit alle opgestelde actuele hartslagwaardes en het berekenen van een gemiddelde waarde; het vergelijken van de gemiddelde waarde met de tijdelijke drempelwaarde voor de hartslag; wanneer de gemiddelde waarde groter is dan de tijdelijke drempelwaarde voor de hartslag, het beoordelen of het aantal revalidatietrainingen groter of gelijk is aan het minimum aantal revalidatietrainingen; wanneer het aantal revalidatietrainingen groter of gelijk is aan het minimum aantal revalidatietrainingen, het beoordelen of een eerder gedetecteerde optimale drempelwaarde voor de hartslag aanwezig is; wanneer een eerder gedetecteerde optimale drempelwaarde voor de hartslag aanwezig is, het vergelijken van de gemiddelde warde met de eerder gedetecteerde optimale drempelwaarde voor de hartslag, en wanneer de gemiddelde waarde groter is dan de eerder gedetecteerde optimale drempelwaarde voor de hartslag, het beoordelen of een hartslagintensiteit overeenkomt met de standaardwaarde voor hartslagintensiteit; en wanneer de hartslagintensiteit overeenkomt met de standaardwaarde voor hartslagintensiteit, het bepalen of een nieuwe optimale drempelwaarde voor de hartslag aanwezig is, en het berekenen van de nieuwe optimale drempelwaarde voor de hartslag op basis van de tijdelijke drempelwaarde voor de hartslag, de hartslagintensiteit en een leeftijd van de patiënt.The method of claim 1, wherein judging whether a new optimal heart rate threshold exists based on all current heart rate values, the temporary heart rate threshold, and the number of rehab workouts comprises: obtaining and compiling all current heart rate values in descending order; obtaining a first 5% share of current heart rate values from all established current heart rate values and calculating an average value; comparing the mean value to the temporary heart rate threshold value; when the average value is greater than the temporary heart rate threshold value, judging whether the number of rehab workouts is greater than or equal to the minimum number of rehab workouts; when the number of rehab workouts is greater than or equal to the minimum number of rehab workouts, judging whether a previously detected optimal heart rate threshold is present; when a previously detected optimal heart rate threshold is present, comparing the average value to the previously detected optimal heart rate threshold, and when the average value is greater than the previously detected optimal heart rate threshold, assessing whether a heart rate intensity corresponds to the standard heart rate intensity value; and when the heart rate intensity matches the default heart rate intensity value, determining whether a new optimal heart rate threshold is present, and calculating the new optimal heart rate threshold based on the temporary heart rate threshold, the heart rate intensity, and an age of the patient. 3. De werkwijze volgens conclusie 2, waarbij in het geval van het niet- bijwerken van de taak voor revalidatietraining en de tijdelijke drempelwaarde voor de hartslag door de processor van de therapeut, het bijwerken van de eerder gedetecteerde optimale drempelwaarde voor de hartslag als nieuwe optimale drempelwaarde voor de hartslag.The method of claim 2, wherein in the event of non-updating of the rehabilitation training task and the temporary heart rate threshold by the therapist's processor, updating the previously detected optimal heart rate threshold as the new optimal heart rate threshold. 4. De werkwijze volgens conclusie 2, waarbij de beoordeling of de hartslagintensiteit overeenkomt met de standaardwaarde voor hartslagintensiteit, wordt uitgevoerd op basis van een instantane hartslagintensiteit die als volgt is gedefinieerd: fue = waarbij HR een actuele hartslag is die verkregen is tijdens revalidatietraining, HR: is de tijdelijke drempelwaarde voor de hartslag en Int is de instantane hartslagintensiteit; de waarde van Int is: {1 HR DHR, in het geval dat alle instantane hartslagintensiteiten binnen een revalidatietraining overeenkomen met een vooral ingestelde hartslagintensiteit binnen een vooraf ingestelde tijdsduur, waarbij de vooraf ingestelde hartslagintensiteit kleiner is dan 1, een gemiddelde waarde van de instantane hartslagintensiteiten binnen de vooraf ingestelde tijd wordt aangenomen als een eerste hartslagintensiteit van de revalidatietraining; vn ee nti 20 far a SEAL waarbij Int(i) is de i-de instantane hartslagintensiteit onder de instantane hartslagintensiteiten die overeenkomen met de vooraf ingestelde hartslagintensiteit binnen de tegenwoordige tijd, m is het aantal monsters van instantane hartslagintensiteiten binnen de tegenwoordige tijd, en Int. is een eerste hartslagintensiteit die overeenkomt met de vooraf ingestelde hartslagintensiteit;The method according to claim 2, wherein the assessment of whether the heart rate intensity corresponds to the default heart rate intensity value is performed based on an instantaneous heart rate intensity defined as follows: fue = where HR is a current heart rate obtained during rehabilitation training, HR : is the temporal heart rate threshold and Int is the instantaneous heart rate intensity; the value of Int is: {1 HR DHR, in case all instantaneous heart rate intensities within a rehab workout correspond to a predetermined heart rate intensity within a preset time duration, where the preset heart rate intensity is less than 1, an average value of the instantaneous heart rate intensities within the preset time is assumed as a first heart rate intensity of the rehabilitation training; vn a nti 20 far a SEAL where Int(i) is the ith instantaneous heartbeat intensity among the instantaneous heartbeat intensities corresponding to the preset heartbeat intensity within the present tense, m is the number of samples of instantaneous heartbeat intensities within the present tense, and Int . is a first heartbeat intensity corresponding to the preset heartbeat intensity; in het geval dat alle hartslagintensiteiten tijdens n opeenvolgende dagen van revalidatietrainingen de eerste hartslagintensiteit omvatten welke overeenkomt met de vooraf ingestelde hartslagintensiteit, er wordt aangeduid dat de hartslagintensiteit overeenkomt met de standaardwaarde voor de hartslagintensiteit; FER, sulin waarbij P de hartslagintensiteit is, n vertegenwoordigt het aantal dagen van revalidatietrainingen, Inta (j) is de j-de revalidatietraining onder de n opeenvolgende revalidatietrainingen, en n is een positief geheel getal.in the event that all heart rate intensities during n consecutive days of rehabilitation workouts include the first heart rate intensity which corresponds to the preset heart rate intensity, the heart rate intensity is indicated as the default heart rate intensity value; FER, sulin where P is the heart rate intensity, n represents the number of days of rehabilitation training, Inta (j) is the jth rehabilitation training among n consecutive rehabilitation training, and n is a positive integer. 5. De werkwijze volgens conclusie 4, waarbij het berekenen van de nieuwe optimale drempelwaarde voor de hartslag op basis van de tijdelijke drempelwaarde voor de hartslag, de hartslagintensiteit en de leeftijd van de patiënt, omvat: waarbij HRop: een nieuwe optimale drempelwaarde voor de hartslag is, ‘age’ is de leeftijd van de patiënt, Py is de hartslagintensiteit, en ‘a’ is een vooraf ingesteld constant getal tussen 0 en 1.The method of claim 4, wherein calculating the new optimal heart rate threshold based on the temporary heart rate threshold, the heart rate intensity, and the patient's age comprises: where HRop: a new optimal heart rate threshold is, 'age' is the age of the patient, Py is the heart rate intensity, and 'a' is a preset constant number between 0 and 1. 6. De werkwijze volgens conclusie 2, waarbij de werkwijze tevens het bepalen omvat of er geen nieuwe optimale drempelwaarde voor de hartslag aanwezig in het geval dat de gemiddelde waarde minder is of gelijk aan de tijdelijke drempelwaarde voor de hartslag, of het aantal revalidatietrainingen kleiner is dan het minimum aantal revalidatietrainingen, of de hartslagintensiteit is niet overeenkomend met de standaardwaarde voor de hartslagintensiteit, en het verzenden door de processor van de patiënt naar de server, van de ten minste ene sub-taak voor revalidatietraining en alle vastgelegde actuele hartslagwaardes.The method of claim 2, wherein the method further comprises determining whether there is no new optimal heart rate threshold in case the average value is less than or equal to the temporary heart rate threshold, or the number of rehabilitation workouts is less than the minimum number of rehabilitation workouts, or the heart rate intensity does not match the default heart rate intensity value, and the patient's processor transmitting to the server the at least one rehabilitation training sub-task and all recorded current heart rate values. 7. De werkwijze volgens conclusie 1, waarbij na het tot stand brengen van de communicatieverbinding met de hartslagmonitor, een tijdsmeting wordt gestart en zodra een gemeten tijdsduur groter is of gelijk aan een drempelwaarde voor de tijdsduur, wordt vastgesteld dat de betreffende training voltooid is.The method according to claim 1, wherein after establishing the communication link with the heart rate monitor, a time measurement is started and as soon as a measured time duration is greater than or equal to a time duration threshold value, the relevant workout is determined to be completed. 8. De werkwijze volgens conclusie 1, waarbij de werkwijze eveneens omvat dat een processor van een familielid van de patiént vanaf de server voortgangsgegevens controleert van de revalidatie van de patiént welke corresponderen met de identiteit van de patiént, waarbij de voortgangsgegevens van de revalidatie de taak van de revalidatietraining omvatten, de tijdelijke drempelwaarde voor de hartslag, de ten minste ene sub-taak voor revalidatietraining, alle vastgelegde actuele hartslagwaardes en de nieuwe optimale drempelwaarde voor de hartslag.The method of claim 1, wherein the method also includes a processor of a relative of the patient checking from the server patient rehabilitation progress data corresponding to the patient's identity, the rehabilitation progress data performing the task. of the rehabilitation training, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all recorded current heart rate values, and the new optimal heart rate threshold. 9. Systeem geschikt voor het assisteren bij adaptieve cardiale revalidatie, welk systeem omvat: een processor van de therapeut, welke is ingericht voor het instellen van een taak voor revalidatietraining en een tijdelijke drempelwaarde voor de hartslag die is gerelateerd aan een identiteit van een patiënt, in reactie op een invoer van een therapeut, en het verzenden van de identiteit van de patiënt, de taak voor revalidatietraining en de tijdelijke drempelwaarde voor de hartslag naar een server, waarbij de taak voor revalidatietraining een veelheid aan sub-taken voor revalidatietraining omvat; het verzenden van een bijgewerkte taak voor revalidatietraining, een bijgewerkte tijdelijke drempelwaarde voor de hartslag en de identiteit van de patiënt als een nieuwe datapakket naar de server, waarbij de bijgewerkte taak voor revalidatietraining en de bijgewerkte tijdelijke drempelwaarde voor de hartslag zijn bijgewerkt door de therapeut op basis van de ten minste ene sub-taak voor revalidatietraining, alle actuele hartslagwaardes, en een nieuwe optimale drempelwaarde voor de hartslag ontvangen door de processor van de therapeut; een server die is ingericht voor het ontvangen en opslaan van het datapakket en het ontvangen en opslaan van het nieuwe datapakket; een processor van de patiënt, welke is ingericht voor het downloaden van een datapakket dat correspondeert met de identiteit van de patiënt vanaf de server op basis van de identiteit van de patiënt en het tot stand brengen van een communicatieverbinding met een hartslagmonitor in reactie op een selectie door de patiënt van de ten minste ene sub-taak voor revalidatietraining; het verkrijgen en vastleggen van alle actuele hartslagwaardes van de patiënt nadat de communicatieverbinding met de hartslagmonitor tot stand is gebracht; het beoordelen of een nieuwe optimale drempelwaarde voor de hartslag aanwezig is op basis van alle actuele hartslagwaardes, de tijdelijke drempelwaarde voor de hartslag en het aantal revalidatietrainingen nadat de trainingen zijn voltooid, en indien een nieuwe optimale drempelwaarde voor de hartslag aanwezig is, het verzenden naar de server van de ten minste ene sub-taak voor revalidatietraining, alle vastgelegde actuele hartslagwaardes en de nieuwe optimale drempelwaarde voor de hartslag; en het downloaden van een nieuw datapakket corresponderend met de identiteit van de patiënt wanneer het nieuwe datapakket wordt gedetecteerd; een hartslagmonitor die is ingericht voor het meten van een actuele hartslagwaarde wanneer de patiënt revalidatietrainingen uitvoert volgens de ten minste ene sub-taak voor revalidatietraining; en een processor van een familielid van de patiënt, ingericht voor het controleren vanaf de server van de voortgangsgegevens van de revalidatie van de patiënt welke corresponderen met de identiteit van de patiënt, waarbij de voortgangsgegevens van de revalidatie de taak van de revalidatietraining omvatten, de tijdelijke drempelwaarde voor de hartslag, de ten minste ene sub-taak voor revalidatietraining, alle vastgelegde actuele hartslagwaardes en de nieuwe optimale drempelwaarde voor de hartslag.9. A system suitable for assisting in adaptive cardiac rehabilitation, the system comprising: a therapist's processor adapted to set a rehabilitation training task and a temporary heart rate threshold related to a patient's identity, in response to an input from a therapist, and transmitting the patient's identity, the rehabilitation training task, and the temporary heart rate threshold to a server, the rehabilitation training task including a plurality of rehabilitation training sub-tasks; sending an updated Rehabilitation Training Task, an updated Temporary Heart Rate Threshold and the patient's identity as a new data packet to the server, with the updated Rehabilitation Training Task and the updated Temporary Heart Rate Threshold being updated by the therapist at based on the at least one rehabilitation training sub-task, all current heart rate values, and a new optimal heart rate threshold value received by the therapist's processor; a server configured to receive and store the data packet and receive and store the new data packet; a patient processor configured to download a data packet corresponding to the patient's identity from the server based on the patient's identity and establish a communication link with a heart rate monitor in response to a selection by the patient of the at least one rehabilitation training sub-task; obtaining and recording all current heart rate values of the patient after the communication link with the heart rate monitor has been established; assessing whether a new optimal heart rate threshold exists based on all current heart rate values, the temporary heart rate threshold, and the number of rehabilitation workouts after the workouts are completed, and if a new optimal heart rate threshold exists, sending to the server of the at least one rehabilitation training sub-task, all recorded current heart rate values and the new optimal heart rate threshold; and downloading a new data packet corresponding to the patient's identity when the new data packet is detected; a heart rate monitor adapted to measure a current heart rate value when the patient performs rehabilitation training according to the at least one rehabilitation training sub-task; and a processor of a relative of the patient arranged to check from the server the rehabilitation progress data of the patient corresponding to the identity of the patient, the rehabilitation progress data including the rehabilitation training task, the temporary heart rate threshold, the at least one rehabilitation training sub-task, all recorded current heart rate values, and the new optimal heart rate threshold.
NL2027923A 2021-02-03 2021-04-06 Method and system for assisting adaptive cardiac rehabilitation NL2027923B1 (en)

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