RU2692437C1 - Method for numerical determination of human postural disorders and their visualization - Google Patents

Abstract

FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to restorative medicine and chiropractic, and can be used for numerical determination of postural disturbances and their imaging. Disclosed is a method, where topographic photometry of patient's bone reference is used. Programmatically in the digital model of the patient, bone landmarks with limiting linear and angular deviations from the gravitational axis and in the vicinity of these landmarks, stiffness of affected soft tissues is measured, numerical data of which are compared with stiffness of healthy tissues in the vicinity of unaffected segments, in case of exceeding the difference of the specified stiffnesses of limit values established based on statistical data, additionally measuring passive stretching forces applied to patient's extremities, and comparing these efforts with limiting values thereof, additionally digital model of patient is printed out on 3-D printer, in order to obtain a rubber copy of patient, on which affected segments are marked.EFFECT: invention provides excessive overloads in local spinal segments and related nerve fibres and vessels and degree of structural involvement in musculoskeletal tissues.1 cl

Description

The present invention relates to restorative medicine and chiropractic and is aimed at establishing objective numerical data on the violation of the posture of the spine and the whole body as well as their visualization.

The known method according to patent No. 2265395/5005, in which bone reference points are applied on the patient's back, then they are taken with a digital camera and the resulting images are inserted into a computer. In a computer, these images are processed in a 3-HH program, resulting in linear and angular dimensions between the bone landmarks. These parameters are compared with the parameters idealized and judging by the difference of the specified parameters, postural deviations are judged. This method is defined as topographic photometry.

Topographic photometry can be taken as a prototype of the proposed method. Topographic photometry makes it possible to determine the patient’s postural abnormalities without taking into account the influence of the lower extremities and hip bones. The purpose of the proposed method and device is the expansion of information about the posture of the patient. This information is aimed at diagnosing the disorder not only in the paravertebral ligamentous-muscular tissues, but also to diagnose the condition of the patient's musculoskeletal system, to determine the degree of structural damage in the local vertebral segments.

This goal in the method of numerical determination of postural disorders and their visualization is achieved by entering the patient's images into a computer when shooting it at fixed angles and entering the image at the same fixed angles of a person’s figure taken as the standard. At the same time, patient images and images of the reference figure are scaled, leading to one height and one size across the body width. Then, for the same angles of the images, the above images are superimposed on each other, the deviations between the images are measured, and the actual deviations in different sections in millimeters are calculated through the scale. The plan of deviation of the patient's bone landmarks from the bone landmarks of an ideal figure correlates with the gravitational axis. Linear and angular deviations of bone landmarks from the gravitational axis carry information about the overload of local vertebral segments and the associated ligaments, nerve fibers and vessels. To clarify this information, it is additionally measured with a diagnostic meter according to patent No. 2627679 of the stiffness of the soft tissues that surround the selected local vertebral segment with a maximum deviation and the soft tissues surrounding the segment without the indicated deviations. Comparison of the measured stiffnesses in the selected localized photometry of the affected local vertebral segments with the normal segments, allows us to specify the degree of their structural damage. Then, the degree of structural damage of local vertebrae is correlated with a passive force that stretches the affected muscles of the body around the spine and muscles of the extremities. Only in the aggregate, the three types of information noted above allow us to establish structural and functional lesions in the patient's postural system. Information about passive tensile forces, comparing the stiffness of the above tissues is processed in a computer along with information about the deviations of bone landmarks recorded by photometry. Refinement of the deviations of the bone landmarks established by photometry is carried out by visualizing a rubber cast made on a 3-D printer in a reduced size based on a digital model of a full patient figure. Based on the processing of this information, a table is programmed that indicates the numerical data obtained during the studies. This table allows you to apply the affected area on the model. Visualization of information in this way allows the specialist to carry out a comprehensive analysis of the patient's postural system and establish the optimal set of recovery procedures. In this case, the recommendations of the specialist to the patient will be communicated in a more accessible form.

This method is implemented by a known device used in 3D scanning technology.

The device works in automatic mode. The turntable can perform a smooth movement with a slight angular acceleration, which helps to keep the patient in one position on the platform. When the platform rotates at pre-programmed angles and stops, 3 digital cameras capture the patient's image, transfer it to the computer and it is stored in the computer's memory. The same applies to the person whose figure is adopted for the standard. Extremely small angular acceleration of the platform provides a stabilization system that controls the rotary drive.

The matching features of the prototype and the proposed solution are:

- Enter the patient's image into the computer and image processing in the 3-D program.

The distinguishing features are:

- comparing the image of the patient with the image of the ideal figure and the definition of postural deviations of the patient’s entire body in a variety of sections and establishing the deviation of the position of the bone landmarks from the gravitational axis,

- the selection of the affected local vertebral segments and the measurement in their vicinity of the rigidity of soft tissues,

- comparison of the stiffness of the affected soft tissue with the stiffness of healthy tissue,

- additional measurement of passive tensile forces applied to the body and limbs,

- visualization of the affected areas on the patient's model.

Due to the distinctive features, together with the signs that coincide, functional expansion of photometry in restorative medicine has been achieved.

The proposed method for the numerical determination of postural disorders and their visualization, which uses topographic photometry of patient's bone landmarks, characterized in that programmatically in the patient's digital model are landmarks with extreme linear and angular deviations from the gravitational axis and in the vicinity of these landmarks soft tissue rigidity , the numerical data about which are compared with the rigidity of the tissues in the vicinity of the unaffected segments, in case of exceeding the difference specified x stiffness limits set on the basis of static data, additionally measure the passive tensile forces applied to the patient's limbs and compare these efforts with the limit ones, which are also established based on the processing of statistical data on these efforts, additionally a digital model of the patient is printed on an AZ-D printer, in order to obtain a rubber copy of the patient, on which the affected segments are marked, it allows to establish overloads in the locally isolated spinal segments and x them nerve fibers and vessels to establish the degree of tissue damage and structural segments of the spine and the patient's limb.

The method allows you to more accurately diagnose postural disorders, identify violations in the musculoskeletal system of the patient and to conduct an adequate correction of these disorders.

This method is easily implemented in 3-D programs, carries accurate information about postural disorders and therefore will find wide application in medical salons, chiropractic rooms, wellness and fitness centers, massage salons.

Claims (1)

A method for the numerical determination of postural disorders and their visualization, which uses topographic photometry of the patient’s bone landmarks, characterized in that bone landmarks with marginal linear and angular deviations from the gravitational axis and in the vicinity of these landmarks are measured in soft digital patient models tissues, the numerical data about which are compared with the rigidity of healthy tissues in the vicinity of the non-affected segments, in case of The values of the specified stiffness limit values, established on the basis of statistical data, additionally measure passive tensile forces applied to the patient’s limbs, and compare these efforts with their limit values, additionally a digital patient model is printed on a 3-D printer, on which the affected segments are marked.