WO2013042304A1 - Activity amount monitoring system, information processing device and activity amount monitoring device - Google Patents

Activity amount monitoring system, information processing device and activity amount monitoring device Download PDF

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Publication number
WO2013042304A1
WO2013042304A1 PCT/JP2012/005089 JP2012005089W WO2013042304A1 WO 2013042304 A1 WO2013042304 A1 WO 2013042304A1 JP 2012005089 W JP2012005089 W JP 2012005089W WO 2013042304 A1 WO2013042304 A1 WO 2013042304A1
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Prior art keywords
activity amount
monitoring device
activity
amount monitoring
total
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PCT/JP2012/005089
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French (fr)
Japanese (ja)
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光 ▲高▼橋
大輔 宮野
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テルモ株式会社
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118Determining activity level
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1124Determining motor skills
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches

Definitions

  • the present invention relates to an activity amount monitoring system for monitoring an activity amount of each part including the extremities of a subject, and an information processing apparatus and an activity amount monitoring device constituting the system.
  • an activity meter has been widely known as a device for measuring an activity amount of a healthy person. Since the activity meter has a built-in triaxial acceleration sensor and can detect the body movement of the subject, by attaching the activity meter to the paralysis side of the patient, The amount of activity in the paralyzed limb can be managed.
  • the present invention has been made in view of the above problems, and an object thereof is to provide an activity amount monitoring system, an information processing device, and an activity amount monitoring device that can be applied in rehabilitation of a patient who is paralyzed on one side of a human body. To do.
  • the activity monitoring system has the following configuration. That is, An information processing device; A first activity amount monitoring device that is attached to a first part of a subject and measures the amount of activity of the first part attached; An activity amount monitoring system comprising: a second activity amount monitoring device that is attached to a second part of the subject and measures an activity amount of the second part that is attached;
  • the information processing apparatus includes: Registration means for registering the first activity amount monitoring device and the second activity amount monitoring device in association with each other; Based on the registered content registered in the registration means, the activity amount measured by the first activity amount monitoring device is identified and acquired, and the first total activity amount is obtained based on the acquired activity amount.
  • an activity amount monitoring system and an activity amount monitoring device that can be applied in the rehabilitation of a patient who is paralyzed on one side of the human body.
  • FIG. 1 is a diagram showing an external configuration of an activity amount monitoring system 100 according to the present embodiment.
  • reference numeral 110 denotes an information processing device that manages the activity amount monitoring devices 131 to 134 and analyzes information obtained by the measurement in the activity amount monitoring devices 131 to 134, so as to treat a stroke patient or the like.
  • the amount of activity in the limbs on the paralyzed side of a patient (subject) who is paralyzed on one side of the human body is quantitatively evaluated.
  • a proximity communication unit 120 performs proximity communication with the activity amount monitoring devices 131 to 134, transmits information from the information processing device 110 to the activity amount monitoring devices 131 to 134, and displays the activity amount monitoring device 131. Information is received from .about.134 and stored in the information processing apparatus 110.
  • the activity amount monitoring device 131 is attached to the patient's right arm and measures the activity amount of the right arm.
  • the activity amount monitoring device 132 is worn on the left arm of the patient and measures the activity amount of the left arm. Further, the activity amount monitoring device 133 is attached to the patient's right foot, and the activity amount monitoring device 134 is attached to the patient's left foot, and measures the activity amount of the right foot and the activity amount of the left foot, respectively.
  • the activity amount monitoring system 100 In the activity amount monitoring system 100 according to the present embodiment, four activity amount monitoring devices are arranged to measure the activity amount of the patient's limbs, but the present invention is not limited to this. For example, when monitoring the activity amount of other parts of the patient (for example, shoulder, waist, head, etc.), an activity amount monitoring device may be further added. If it is desired to limit, the number of activity monitoring devices may be reduced.
  • the right half of the patient will be described as the healthy side and the left half as the paralyzed side.
  • FIG. 2 is a diagram illustrating a functional configuration of the information processing apparatus 110.
  • 201 is a control memory (ROM)
  • 202 is a central processing unit
  • 203 is a memory (RAM)
  • 204 is an external storage device
  • 205 is an input device
  • 206 is a display device
  • 207 is a proximity communication unit I / F.
  • Reference numeral 208 denotes a bus.
  • an activity amount ratio calculation program 210 (a program including a registration unit 211 and an analysis unit 212 for realizing an activity amount ratio calculation function described later. Details of processing will be described later) and registration data 220 (detailed details) used in the program. (Explained later) is stored in the external storage device 204. These programs and data are appropriately taken into the memory 203 through the bus 208 and executed by the central processing unit 202 under the control of the central processing unit 202.
  • FIG. 3 is a diagram showing an external configuration of the activity amount monitoring device 131.
  • reference numeral 301 denotes a main body unit, which includes a display unit 302 and an operation unit 303.
  • the display unit 302 displays a graph (bar graph) indicating the activity amount per predetermined time at each time.
  • the operation unit 303 inputs various setting values and a measurement start instruction, or inputs a display content switching instruction displayed on the display unit 302.
  • the configuration of the mounting member is not limited to this, and may be a configuration such as a rubber band or a clip, or may be a configuration such as a wristband or a buckle.
  • FIG. 4 is a diagram showing a functional configuration of the activity amount monitoring device 131.
  • the same reference number as FIG. 3 will be attached
  • 401 is an audio output unit.
  • the audio output unit 401 outputs a beep sound indicating that an instruction input via the operation unit 303 has been received, or outputs an alarm when a predetermined condition is satisfied.
  • a timer unit 403 outputs the current time and is used when calculating the amount of activity per predetermined time at each time.
  • the 404 is a three-axis acceleration sensor that measures acceleration in three directions of the XYZ axes.
  • the three-axis acceleration sensor includes various methods such as a piezoresistive type, a capacitance type, and a heat detection type.
  • the activity amount monitoring device 131 according to the present embodiment is any type. Good.
  • a proximity communication unit 406 transmits and receives information to and from the proximity communication unit 120 connected to the information processing apparatus 110.
  • Reference numeral 407 denotes a power supply unit that supplies power to each unit of the activity amount monitoring apparatus 131.
  • the 410 is a control unit that controls the entire activity amount monitoring device 131 and executes an activity amount measurement program. By executing the activity amount measurement program, the total activity amount of the patient's right arm is calculated according to the output from the triaxial acceleration sensor 404, the activity amount per predetermined time at each time is calculated, and the display unit Or 302. In addition, when the processing state of another activity amount monitoring device (for example, the activity amount monitoring device 132) is monitored and it is determined that the other activity amount monitoring device is not operating normally, the time period is set. (The identifier indicating that the other activity amount monitoring device is not operating normally during the time period is stored in the memory unit 402 in association with the activity amount per predetermined time at each time).
  • step S501 the registration unit 211 of the information processing apparatus 110 performs a registration process for the activity amount monitoring apparatuses 131 to 134 attached to the patient.
  • the table 221 of FIG. 2 shows the registration contents registered in the registration process of step S501.
  • Table 221 of FIG. 2 shows the identification number of each activity amount monitoring device, the mounting site, and whether the mounting site is a healthy site or a paralyzed site of the patient are shown. Information and identification numbers of other activity amount monitoring devices to be monitored by each activity amount monitoring device are registered.
  • step S501 when each activity amount monitoring device is brought close to the proximity communication unit 120, the registered content is transmitted to each activity amount monitoring device.
  • the proximity communication unit 120 reads the identification number “0001” of the activity amount monitoring device 131 and transmits it to the information processing device 110.
  • the information processing apparatus 110 Based on the table 221, the information processing apparatus 110 recognizes “0002” as the identification number of another activity amount monitoring apparatus that is to be monitored by the activity amount monitoring apparatus having the read identification number “0001”. Then, the information processing apparatus 110 notifies the activity amount monitoring apparatus 131 of the identification number via the proximity communication unit 120.
  • the activity amount monitoring devices 132 to 134 are notified of the identification numbers of the other activity amount monitoring devices to be monitored.
  • the activity amount monitoring devices 131 to 134 that have been notified of the monitoring target wait until a measurement processing start instruction is input (steps S511, S521, S531, and S541). If a start instruction is input, the measurement processing is performed. (Steps S512, S522, S532, S542) are started.
  • each activity amount monitoring device 131 to 134 periodically monitors the monitoring target. Specifically, it communicates with another activity amount monitoring apparatus having the monitoring target identification number via the wireless communication unit 405 to inquire about the processing state. For example, in the case of the activity amount monitoring device 131 attached to the right arm, the activity amount monitoring device 132 attached to the left arm is inquired about the processing state.
  • step S513 determines whether the other activity amount monitoring device to be monitored is operating normally. If there is no response to the inquiry, or if there is a response to the inquiry that the measurement process is not being performed, in step S513, the other activity amount monitoring device to be monitored operates normally. If not, the process proceeds to step S514.
  • step S514 a warning is displayed on the display unit 302 and an alarm is output from the audio output unit 401.
  • the other active amount monitoring devices having the identification numbers of the respective monitoring targets are inquired about the processing state, and a warning is displayed or an alarm is issued according to the inquiry result. (Steps S523, S524, S533, S534, S543, S544).
  • the measurement result (activity amount per predetermined time at each time) measured by the activity amount monitoring device is the other activity amount monitoring device. It is assumed that an identifier indicating that is not operating normally is stored in association with each other.
  • step S515 it is determined whether or not an instruction to end the measurement process is input. If it is determined that it has not been input, the process returns to step S512. On the other hand, if it is determined that an instruction to end the measurement process has been input, the process proceeds to step S516, and the measurement process ends.
  • each of the activity amount monitoring devices 132 to 134 determines whether or not an instruction to end the measurement process is input (steps S525, S535, and S545). The process returns to steps S522, S532, and S542, respectively. On the other hand, if it is determined that an instruction to end the measurement process has been input, the measurement process ends (steps S526, S536, and S546).
  • the measurement result is transmitted to the information processing apparatus 110 by bringing each activity amount monitoring apparatus closer to the proximity communication unit 120.
  • the proximity communication unit 120 determines, from the activity amount monitoring device 131, the identification number, the calculated total activity amount, and the predetermined time at each time. The amount of activity is read and transmitted to the information processing apparatus 110.
  • the information is stored in the external storage device 204, and in step S502, the analysis unit 212 performs an analysis process to determine the amount of activity on the paralyzed arm or foot of the patient. Quantitative evaluation is performed (details of the analysis process will be described later).
  • step S 602 the total amount of activity is calculated based on the acquired output of the triaxial acceleration sensor 404 and displayed on the display unit 302.
  • FIG. 7 is a diagram illustrating an example of display contents displayed on the display unit 302, and 700 indicates the calculated total amount of activity.
  • step S603 it is determined whether or not a predetermined time has elapsed based on the output from the timer unit 403. If it is determined that the predetermined time has elapsed, the process proceeds to step S604.
  • step S604 based on the output from the triaxial acceleration sensor 404 acquired within the predetermined time, an activity amount per predetermined time at the current time (for example, kcal / min) is calculated, and the position corresponding to the current time is calculated.
  • 701 in FIG. 7 is a graph (bar graph) showing the amount of activity per predetermined time at each time, the horizontal axis is the time after the start instruction of the measurement process is input, and the vertical axis is the amount of activity per predetermined time. Respectively.
  • 702 is an identifier indicating that the activity amount monitoring device 132 that is the monitoring target of the activity amount monitoring device 131 is determined not to be operating normally.
  • step S502 Flow of analysis processing in information processing device> Next, details of the analysis process (step S502) in the information processing apparatus 110 will be described with reference to FIG.
  • FIG. 8 is a flowchart showing the flow of analysis processing in the information processing apparatus 110.
  • the analysis unit 212 starts the analysis process, in step S801, the measurement results in the activity amount monitoring devices 131 to 134 transmitted from the activity amount monitoring devices 131 to 134 and already stored in the external storage device 204 are identified. Read while identifying based on.
  • the total activity amount, the activity amount per predetermined time (701) at each time, and the identifier (702) stored in association with each time are read out from each of the activity amount monitoring devices 131 to 134.
  • an effective total activity is calculated for each activity monitoring device 131-134.
  • the effective total activity amount refers to the sum of the activity amounts measured during a time period in which it is determined that the other activity amount monitoring devices to be monitored are operating normally. Specifically, the amount of activity excluding the amount of activity per predetermined time at the time associated with the identifier (702) among the amount of activity (701) per predetermined time at each time read in step S801. Is obtained by calculating the sum of.
  • the active total activity amount is calculated in the activity amount monitoring system 100 according to the present embodiment in order to evaluate the activity amount of the paralysis side limb of the patient with an appropriate evaluation value. This is because the ratio of the activity amount of the limb on the paralyzed side to the activity amount of the part is used. That is, if an activity amount measured in a time zone when other activity amount monitoring devices to be monitored are not operating normally is included in the evaluation value, correct evaluation cannot be performed.
  • the left arm on the paralyzed side has not moved much.
  • the ratio of the total activity amount measured in the activity amount monitoring device 132 attached to the left arm on the paralyzed side in the total activity amount measured in the activity amount monitoring device 131 becomes large, which is not appropriate. It is.
  • an activity amount ratio between the monitoring targets is calculated for the effective total activity amount of each activity amount monitoring device calculated in step S802. Specifically, by dividing the effective total activity amount of the activity amount monitoring device 132 attached to the left arm on the paralyzed side by the effective total activity amount of the activity amount monitoring device 131 attached to the right arm on the healthy side, The quantity ratio is calculated.
  • the activity amount ratio Is calculated.
  • step S804 the total activity amount in each of the activity amount monitoring devices 131 to 134, the effective total activity amount calculated in step S802, and the activity amount ratio calculated in step S803 are displayed on the display device 206.
  • FIG. 9 is an example of display contents displayed on the display device 206 of the information processing apparatus 110.
  • the total activity amount and effective total activity amount (parentheses) of the activity amount monitoring device 131 are displayed on the right arm portion of the mark 901 representing the patient, and the total activity amount of the activity amount monitoring device 132 is displayed on the left arm portion.
  • the effective total activity (parentheses) is displayed (911, 912). Further, the ratio of the effective total activity amount of the left arm to the effective total activity amount of the right arm is displayed (913).
  • the total activity amount and the effective total activity amount (parentheses) of the activity amount monitoring device 133 are indicated on the right foot portion of the mark 901 indicating the patient, and the total activity amount and the effective total activity amount of the activity amount monitoring device 134 are indicated on the left foot portion. (Parentheses) are respectively displayed (921, 922). Further, the ratio of the effective total activity amount of the left foot to the effective total activity amount of the right foot is displayed (923).
  • the activity amount monitoring system is configured to calculate the ratio between the activity amount of the healthy limb and the activity amount of the paralyzed limb as the evaluation value.
  • the active mass monitoring apparatus for measuring the active mass of the healthy limb part and the active mass monitoring apparatus for measuring the active mass of the paralyzed limb part are monitored.
  • the configuration is such that the objects are managed in association with each other.
  • the activity amount ratio calculation program 210 is arranged in the information processing apparatus 110, but the present invention is not limited to this.
  • the activity amount ratio calculation program 210 may be arranged in any of the activity amount monitoring devices 131 to 134 and executed by the activity amount monitoring device.
  • a separate activity amount monitoring device may be prepared in addition to the activity amount monitoring devices 131 to 134 and arranged in the activity amount monitoring device.
  • the activity amount monitoring apparatus in which the activity amount ratio calculation program 210 is arranged is attached to, for example, the patient's waist.
  • the calculated activity amount ratio is displayed on one display unit (a display unit of a separately prepared activity amount monitoring device) after the measurement process in each activity amount monitoring device is completed.
  • the present invention is not limited to this.
  • the activity amount monitoring devices associated as monitoring targets communicate with each other to sequentially transmit the effective total activity amount and calculate the activity amount ratio in real time, so that the display unit (for example, the healthy side) You may comprise so that it may display on each display part of the active mass monitoring apparatus 131 and 133 with which it was mounted
  • FIG. 10A and FIG. 10B are flowcharts showing the flow of overall processing in the activity amount monitoring system according to the present embodiment.
  • step S1011 the activity amount monitoring apparatus 131 performs registration processing. Specifically, the identification number of the activity amount monitoring device 132 to be monitored by the activity amount monitoring device 131 is registered. Similarly, in steps S1021, S1031, and S1041, the identification numbers of other activity amount monitoring devices to be monitored are registered in the activity amount monitoring devices 132, 133, and 134, respectively.
  • the activity amount monitoring device 131 inquires about the processing state of the activity amount monitoring device 132 that is the monitoring target registered in step S1011.
  • step S513 it is determined that the activity amount monitoring device 132 to be monitored is operating normally, and the process proceeds to step S1012.
  • step S1012 the current effective total activity amount in the activity amount monitoring device 131 is calculated, and the current effective total activity amount is received from the activity amount monitoring device 132.
  • step S ⁇ b> 1013 the effective total activity amount received from the activity amount monitoring device 132 is divided by the effective total activity amount calculated by the activity amount monitoring device 131, thereby calculating the activity amount ratio and displaying it on the display unit 302. To do. Thereafter, the process proceeds to step S515.
  • step S513 if it is determined in step S513 that the activity amount monitoring device 132 to be monitored is not operating normally, the process proceeds to step S514, where a warning is displayed on the display unit 302 and an alarm is output from the audio output unit 401. Output. During this time, the activity amount per predetermined time measured by the activity amount monitoring device 131 is not included in the effective total activity amount of the activity amount monitoring device 131.
  • each activity amount is calculated when calculating the ratio between the activity amount of the healthy limb and the activity amount of the paralyzed limb as an evaluation value.
  • the monitoring device is configured to register the identification number of another activity amount monitoring device to be monitored.
  • the active total activity amount is sequentially received from other activity amount monitoring devices to be monitored, and the ratio with the effective total activity amount calculated by the own device is calculated and displayed in real time.

Abstract

Provided is an activity amount monitoring system which can be applied to rehabilitation of a patient who is paralyzed on one side of the body. This activity amount monitoring system (100) comprises an information processing device (110), an activity amount monitoring device (131) which is worn on the arm on the normal side of a subject, and an activity amount monitoring device (132) which is worn on the arm on the paralyzed side of the subject, wherein the information processing device (110) further comprises a registration means for registering the activity amount monitoring device (131) and the activity amount monitoring device (132) in association with each other, and an analysis means for identifying and obtaining, on the basis of the registered content, the activity amount measured by the activity amount monitoring device (131) and calculating a first effective total activity amount, and identifying and obtaining, on the basis of the registered content, the activity amount measured by the activity amount monitoring device (132) and calculating a second effective total activity amount in order to calculate the ratio between the first effective total activity amount and the second effective total activity amount.

Description

活動量監視システム、情報処理装置及び活動量監視装置Activity amount monitoring system, information processing device, and activity amount monitoring device
 本発明は、被検者の四肢を含む各部位の活動量を監視する活動量監視システム、並びに該システムを構成する情報処理装置及び活動量監視装置に関するものである。 The present invention relates to an activity amount monitoring system for monitoring an activity amount of each part including the extremities of a subject, and an information processing apparatus and an activity amount monitoring device constituting the system.
 脳卒中患者等のように、人体の片側が麻痺している患者のリハビリにおいては、麻痺側の肢部の活動量の管理が重要であり、これを定量的に評価することが求められている。 In the rehabilitation of patients who are paralyzed on one side of the human body, such as stroke patients, it is important to manage the amount of activity of the limbs on the paralyzed side, and it is required to evaluate this quantitatively.
 一方で、健常者の活動量を測定するための装置として、従来より、活動量計が広く一般に知られている。活動量計には、3軸加速度センサが内蔵されており、被検者の体動を検出可能であることから、当該活動量計を、上記患者の麻痺側の肢部に装着することで、麻痺側の肢部の活動量を管理することができる。 On the other hand, an activity meter has been widely known as a device for measuring an activity amount of a healthy person. Since the activity meter has a built-in triaxial acceleration sensor and can detect the body movement of the subject, by attaching the activity meter to the paralysis side of the patient, The amount of activity in the paralyzed limb can be managed.
特開2010-068968号公報JP 2010-068968 A
 しかしながら、人体の四肢の活動量には、そもそも個人差があり、加えて、例えば腕部と足部とでは、健常者であっても活動量に違いがある。 However, there are individual differences in the amount of activity of the limbs of the human body, and in addition, for example, there are differences in the amount of activity between the arms and feet, even for healthy individuals.
 このため、当該活動量計を患者のリハビリに適用するにあたり、単に、麻痺側の肢部に活動量を装着して管理するだけでは、患者ごとの個人差や装着部位の影響を無視できず、妥当な評価とはいえな。つまり、患者ごとの個人差や装着部位の影響を排除した指標により評価することが必要であると考えられる。 For this reason, when applying the activity meter to patient rehabilitation, simply attaching and managing the activity amount on the limb on the paralyzed side can not ignore the individual differences for each patient and the influence of the wearing site, It's not a reasonable evaluation. That is, it is considered necessary to evaluate with an index that excludes individual differences for each patient and the influence of the wearing site.
 本発明は上記課題に鑑みてなされたものであり、人体の片側が麻痺している患者のリハビリにおいて適用可能な、活動量監視システム、情報処理装置及び活動量監視装置を提供することを目的とする。 The present invention has been made in view of the above problems, and an object thereof is to provide an activity amount monitoring system, an information processing device, and an activity amount monitoring device that can be applied in rehabilitation of a patient who is paralyzed on one side of a human body. To do.
 上記の目的を達成するために、本発明に係る活動量監視システムは以下のような構成を備える。即ち、
 情報処理装置と、
 被検者の第1の部位に装着され、装着された該第1の部位の活動量を測定する第1の活動量監視装置と、
 前記被検者の第2の部位に装着され、装着された該第2の部位の活動量を測定する第2の活動量監視装置と、を備える活動量監視システムであって、
 前記情報処理装置は、
 前記第1の活動量監視装置と前記第2の活動量監視装置とを対応付けて登録する登録手段と、
 前記登録手段に登録された登録内容に基づいて、前記第1の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第1の総活動量を算出するとともに、前記登録手段にて登録された登録内容に基づいて、前記第2の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第2の総活動量を算出することで、該第1の総活動量と該第2の総活動量との比率を算出する解析手段とを備えることを特徴とする。
In order to achieve the above object, the activity monitoring system according to the present invention has the following configuration. That is,
An information processing device;
A first activity amount monitoring device that is attached to a first part of a subject and measures the amount of activity of the first part attached;
An activity amount monitoring system comprising: a second activity amount monitoring device that is attached to a second part of the subject and measures an activity amount of the second part that is attached;
The information processing apparatus includes:
Registration means for registering the first activity amount monitoring device and the second activity amount monitoring device in association with each other;
Based on the registered content registered in the registration means, the activity amount measured by the first activity amount monitoring device is identified and acquired, and the first total activity amount is obtained based on the acquired activity amount. Calculating and identifying and acquiring the activity amount measured by the second activity amount monitoring device based on the registered content registered by the registration means; and based on the acquired activity amount And analyzing means for calculating a ratio between the first total activity amount and the second total activity amount by calculating the total activity amount.
 本発明によれば、人体の片側が麻痺している患者のリハビリにおいて適用可能な、活動量監視システム及び活動量監視装置を提供することが可能となる。 According to the present invention, it is possible to provide an activity amount monitoring system and an activity amount monitoring device that can be applied in the rehabilitation of a patient who is paralyzed on one side of the human body.
 本発明のその他の特徴及び利点は、添付図面を参照とした以下の説明により明らかになるであろう。なお、添付図面においては、同じ若しくは同様の構成には、同じ参照番号を付す。 Other features and advantages of the present invention will become apparent from the following description with reference to the accompanying drawings. In the accompanying drawings, the same or similar components are denoted by the same reference numerals.
 添付図面は明細書に含まれ、その一部を構成し、本発明の実施の形態を示し、その記述と共に本発明の原理を説明するために用いられる。
本発明の一実施形態にかかる活動量監視システムの外観構成を示す図である。 活動量監視システムを構成する情報処理装置の機能構成を示す図である。 活動量監視システムを構成する活動量監視装置の外観構成を示す図である。 活動量監視装置の機能構成を示す図である。 活動量監視システムにおける全体処理の流れを示すフローチャートである。 活動量監視システムにおける全体処理の流れを示すフローチャートである。 活動量監視装置における測定処理の流れを示すフローチャートである。 活動量監視装置の表示部に表示される表示例を示す図である。 情報処理装置における解析処理の流れを示すフローチャートである。 情報処理装置の表示装置に表示される表示例を示す図である。 活動量監視システムにおける全体処理の流れを示すフローチャートである。 活動量監視システムにおける全体処理の流れを示すフローチャートである。
The accompanying drawings are included in the specification, constitute a part thereof, show an embodiment of the present invention, and are used to explain the principle of the present invention together with the description.
It is a figure which shows the external appearance structure of the active mass monitoring system concerning one Embodiment of this invention. It is a figure which shows the function structure of the information processing apparatus which comprises an active mass monitoring system. It is a figure which shows the external appearance structure of the active mass monitoring apparatus which comprises an active mass monitoring system. It is a figure which shows the function structure of an active mass monitoring apparatus. It is a flowchart which shows the flow of the whole process in an active mass monitoring system. It is a flowchart which shows the flow of the whole process in an active mass monitoring system. It is a flowchart which shows the flow of the measurement process in an active mass monitoring apparatus. It is a figure which shows the example of a display displayed on the display part of an active mass monitoring apparatus. It is a flowchart which shows the flow of the analysis process in information processing apparatus. It is a figure which shows the example of a display displayed on the display apparatus of information processing apparatus. It is a flowchart which shows the flow of the whole process in an active mass monitoring system. It is a flowchart which shows the flow of the whole process in an active mass monitoring system.
 以下、必要に応じて添付図面を参照しながら本発明の各実施形態の詳細を説明する。なお、本発明は以下の実施形態に限定されるものではなく、適宜変更可能であるものとする。 Hereinafter, details of each embodiment of the present invention will be described with reference to the accompanying drawings as necessary. In addition, this invention is not limited to the following embodiment, It shall change suitably.
 [第1の実施形態]
 <1.活動量監視システムの外観構成>
 図1は、本実施形態に係る活動量監視システム100の外観構成を示す図である。図1において、110は情報処理装置であり、活動量監視装置131~134を管理するとともに、活動量監視装置131~134における測定により得られた情報を解析することで、脳卒中患者等のように、人体の片側が麻痺している患者(被検者)の麻痺側の肢部の活動量を定量的に評価する。
[First Embodiment]
<1. External configuration of activity monitoring system>
FIG. 1 is a diagram showing an external configuration of an activity amount monitoring system 100 according to the present embodiment. In FIG. 1, reference numeral 110 denotes an information processing device that manages the activity amount monitoring devices 131 to 134 and analyzes information obtained by the measurement in the activity amount monitoring devices 131 to 134, so as to treat a stroke patient or the like. The amount of activity in the limbs on the paralyzed side of a patient (subject) who is paralyzed on one side of the human body is quantitatively evaluated.
 120は、活動量監視装置131~134との間で近接通信を行うための近接通信部であり、情報処理装置110から活動量監視装置131~134に情報を送信したり、活動量監視装置131~134から情報を受信し、情報処理装置110に格納したりする。 A proximity communication unit 120 performs proximity communication with the activity amount monitoring devices 131 to 134, transmits information from the information processing device 110 to the activity amount monitoring devices 131 to 134, and displays the activity amount monitoring device 131. Information is received from .about.134 and stored in the information processing apparatus 110. FIG.
 活動量監視装置131は、患者の右腕に装着され、右腕の活動量を測定する。活動量監視装置132は、患者の左腕に装着され、左腕の活動量を測定する。更に、活動量監視装置133は患者の右足に、活動量監視装置134は患者の左足にそれぞれ装着され、それぞれ右足の活動量及び左足の活動量を測定する。 The activity amount monitoring device 131 is attached to the patient's right arm and measures the activity amount of the right arm. The activity amount monitoring device 132 is worn on the left arm of the patient and measures the activity amount of the left arm. Further, the activity amount monitoring device 133 is attached to the patient's right foot, and the activity amount monitoring device 134 is attached to the patient's left foot, and measures the activity amount of the right foot and the activity amount of the left foot, respectively.
 なお、本実施形態に係る活動量監視システム100では、4台の活動量監視装置を配し、患者の四肢の活動量を測定する構成としたが、本発明はこれに限定されない。例えば、患者の他の部位(例えば、肩、腰、頭等)の活動量を監視する場合にあっては、更に、活動量監視装置を追加してもよいし、反対に、監視したい部位を限定したい場合にあっては、活動量監視装置を減らしてもよい。 In the activity amount monitoring system 100 according to the present embodiment, four activity amount monitoring devices are arranged to measure the activity amount of the patient's limbs, but the present invention is not limited to this. For example, when monitoring the activity amount of other parts of the patient (for example, shoulder, waist, head, etc.), an activity amount monitoring device may be further added. If it is desired to limit, the number of activity monitoring devices may be reduced.
 なお、以下では、患者の右半身を健常側、左半身を麻痺側として説明を行うこととする。 In the following description, the right half of the patient will be described as the healthy side and the left half as the paralyzed side.
 <2.情報処理装置の機能構成>
 次に、活動量監視システム100を構成する情報処理装置110の機能構成について説明する。図2は、情報処理装置110の機能構成を示す図である。図2において、201は制御メモリ(ROM)、202は中央演算処理装置、203はメモリ(RAM)、204は外部記憶装置、205は入力装置、206は表示装置、207は近接通信部I/F部、208はバスである。
<2. Functional configuration of information processing apparatus>
Next, a functional configuration of the information processing apparatus 110 constituting the activity amount monitoring system 100 will be described. FIG. 2 is a diagram illustrating a functional configuration of the information processing apparatus 110. In FIG. 2, 201 is a control memory (ROM), 202 is a central processing unit, 203 is a memory (RAM), 204 is an external storage device, 205 is an input device, 206 is a display device, 207 is a proximity communication unit I / F. Reference numeral 208 denotes a bus.
 なお、後述する活動量比率算出機能を実現するための活動量比率算出プログラム210(登録部211及び解析部212を備えるプログラム。処理の詳細は後述)及び該プログラムにおいて用いられる登録データ220(詳細な説明は後述)は、外部記憶装置204に記憶される。これらのプログラムやデータは、中央演算処理装置202の制御のもと、バス208を通じて適宜メモリ203に取り込まれ、中央演算処理装置202によって実行される。 It should be noted that an activity amount ratio calculation program 210 (a program including a registration unit 211 and an analysis unit 212 for realizing an activity amount ratio calculation function described later. Details of processing will be described later) and registration data 220 (detailed details) used in the program. (Explained later) is stored in the external storage device 204. These programs and data are appropriately taken into the memory 203 through the bus 208 and executed by the central processing unit 202 under the control of the central processing unit 202.
 <3.活動量監視装置の外観構成>
 次に、活動量監視装置131~134の外観構成について説明する。なお、活動量監視システム100を構成する活動量監視装置131~134の外観構成はいずれも同じであるため、ここでは活動量監視装置131について説明する。
<3. External configuration of activity monitoring device>
Next, the external configuration of the activity amount monitoring devices 131 to 134 will be described. It should be noted that the activity amount monitoring devices 131 to 134 constituting the activity amount monitoring system 100 have the same external appearance configuration, and therefore the activity amount monitoring device 131 will be described here.
 図3は、活動量監視装置131の外観構成を示す図である。図3において、301は本体部であり、表示部302と操作部303とを備える。表示部302には、測定された総活動量の他、各時刻における所定時間あたりの活動量を示すグラフ(棒グラフ)等が表示される。操作部303は、各種設定値や測定開始の指示を入力したり、表示部302に表示された表示内容の切り替え指示を入力したりする。 FIG. 3 is a diagram showing an external configuration of the activity amount monitoring device 131. In FIG. 3, reference numeral 301 denotes a main body unit, which includes a display unit 302 and an operation unit 303. In addition to the measured total activity amount, the display unit 302 displays a graph (bar graph) indicating the activity amount per predetermined time at each time. The operation unit 303 inputs various setting values and a measurement start instruction, or inputs a display content switching instruction displayed on the display unit 302.
 304は装着部材であり、活動量監視装置131が装着される部位に巻き回され、面ファスナ305により固定される。ただし、装着部材の構成はこれに限定されず、例えば、ゴムバンドやクリップのような構成であってもよいし、腕時計のバンドやバックルのような構成であってもよい。 304 is a mounting member that is wound around a portion where the activity amount monitoring device 131 is mounted and is fixed by a surface fastener 305. However, the configuration of the mounting member is not limited to this, and may be a configuration such as a rubber band or a clip, or may be a configuration such as a wristband or a buckle.
 <4.活動量監視装置の機能構成>
 次に、活動量監視装置131~134の機能構成について説明する。なお、活動量監視システム100を構成する活動量監視装置131~134は、機能構成についても互いに同じであるため、ここでは活動量監視装置131について説明する。
<4. Functional configuration of activity monitoring device>
Next, the functional configuration of the activity amount monitoring devices 131 to 134 will be described. Since the activity amount monitoring devices 131 to 134 constituting the activity amount monitoring system 100 have the same functional configuration, the activity amount monitoring device 131 will be described here.
 図4は活動量監視装置131の機能構成を示す図である。なお、図3と重複する構成については、図3と同じ参照番号を付すこととし、説明は省略する。 FIG. 4 is a diagram showing a functional configuration of the activity amount monitoring device 131. In addition, about the structure which overlaps with FIG. 3, the same reference number as FIG. 3 will be attached | subjected, and description is abbreviate | omitted.
 図4において、401は音声出力部である。音声出力部401では、操作部303を介して入力された指示を受け付けたことを示すビープ音を出力したり、所定の条件が成立した場合に、アラームを出力したりする。 In FIG. 4, 401 is an audio output unit. The audio output unit 401 outputs a beep sound indicating that an instruction input via the operation unit 303 has been received, or outputs an alarm when a predetermined condition is satisfied.
 402はメモリ部であり、測定された活動量に関するデータ等を格納する。403はタイマ部であり、現在時刻を出力するとともに、各時刻における所定時間あたりの活動量を算出する際に用いられる。 402 is a memory unit for storing data relating to the measured amount of activity. A timer unit 403 outputs the current time and is used when calculating the amount of activity per predetermined time at each time.
 404は3軸加速度センサであり、XYZ軸の3方向の加速度を測定する。なお、3軸加速度センサとしては、圧電抵抗型、静電容量型、熱検知型等、種々の方式が挙げられるが、本実施形態に係る活動量監視装置131は、いずれの方式であってもよい。 404 is a three-axis acceleration sensor that measures acceleration in three directions of the XYZ axes. The three-axis acceleration sensor includes various methods such as a piezoresistive type, a capacitance type, and a heat detection type. The activity amount monitoring device 131 according to the present embodiment is any type. Good.
 405は無線通信部であり、他の活動量監視装置(例えば、活動量監視装置132)との間で無線通信を行う。406は近接通信部であり、情報処理装置110に接続された近接通信部120との間で、情報の送受信を行う。407は電源部であり、活動量監視装置131の各部に電力を供給する。 405 is a wireless communication unit that performs wireless communication with other activity amount monitoring devices (for example, the activity amount monitoring device 132). A proximity communication unit 406 transmits and receives information to and from the proximity communication unit 120 connected to the information processing apparatus 110. Reference numeral 407 denotes a power supply unit that supplies power to each unit of the activity amount monitoring apparatus 131.
 410は制御部であり、活動量監視装置131全体を制御するとともに、活動量測定プログラムを実行する。活動量測定プログラムが実行されることにより、3軸加速度センサ404からの出力に応じて、患者の右腕の総活動量を算出したり、各時刻における所定時間あたりの活動量を算出し、表示部302に表示したりする。また、他の活動量監視装置(例えば、活動量監視装置132)の処理状態を監視し、他の活動量監視装置が正常動作していないと判断された場合にあっては、当該時間帯を記録する(当該時間帯に他の活動量監視装置が正常動作していないことを示す識別子を、各時刻における所定時間あたりの活動量と対応付けてメモリ部402に格納する)。 410 is a control unit that controls the entire activity amount monitoring device 131 and executes an activity amount measurement program. By executing the activity amount measurement program, the total activity amount of the patient's right arm is calculated according to the output from the triaxial acceleration sensor 404, the activity amount per predetermined time at each time is calculated, and the display unit Or 302. In addition, when the processing state of another activity amount monitoring device (for example, the activity amount monitoring device 132) is monitored and it is determined that the other activity amount monitoring device is not operating normally, the time period is set. (The identifier indicating that the other activity amount monitoring device is not operating normally during the time period is stored in the memory unit 402 in association with the activity amount per predetermined time at each time).
 <5.活動量監視システムにおける全体処理の流れ>
 次に、活動量監視システム100における全体処理(情報処理装置110における活動量比率算出処理及び活動量監視装置131~134における活動量測定処理)の流れについて図5A、図5Bを用いて説明する。
<5. Overall Process Flow in Activity Monitoring System>
Next, the flow of overall processing (activity amount ratio calculation processing in the information processing device 110 and activity amount measurement processing in the activity amount monitoring devices 131 to 134) in the activity amount monitoring system 100 will be described with reference to FIGS. 5A and 5B.
 ステップS501では、情報処理装置110の登録部211が、患者に装着される活動量監視装置131~134についての登録処理を行う。ここで、図2の表221は、ステップS501の登録処理において登録される登録内容を示したものである。図2の表221に示すように、ステップS501の登録処理では、各活動量監視装置の識別番号と、装着部位と、当該装着部位が当該患者の健常側の部位か麻痺側の部位かを示す情報と、各活動量監視装置が監視すべき他の活動量監視装置の識別番号と、が登録される。 In step S501, the registration unit 211 of the information processing apparatus 110 performs a registration process for the activity amount monitoring apparatuses 131 to 134 attached to the patient. Here, the table 221 of FIG. 2 shows the registration contents registered in the registration process of step S501. As shown in Table 221 of FIG. 2, in the registration process of step S501, the identification number of each activity amount monitoring device, the mounting site, and whether the mounting site is a healthy site or a paralyzed site of the patient are shown. Information and identification numbers of other activity amount monitoring devices to be monitored by each activity amount monitoring device are registered.
 ステップS501において登録処理が完了した後、近接通信部120に各活動量監視装置を近づけると、登録内容が各活動量監視装置に送信される。例えば、活動量監視装置131を近接通信部120に近づけると、近接通信部120では、当該活動量監視装置131の識別番号“0001”を読み出し、情報処理装置110に送信する。情報処理装置110では、表221に基づいて、読み出された識別番号“0001”を有する活動量監視装置が監視すべき監視対象である他の活動量監視装置の識別番号として“0002”を認識すると、情報処理装置110では、近接通信部120を介して、活動量監視装置131に対して、当該識別番号を通知する。 After the registration process is completed in step S501, when each activity amount monitoring device is brought close to the proximity communication unit 120, the registered content is transmitted to each activity amount monitoring device. For example, when the activity amount monitoring device 131 approaches the proximity communication unit 120, the proximity communication unit 120 reads the identification number “0001” of the activity amount monitoring device 131 and transmits it to the information processing device 110. Based on the table 221, the information processing apparatus 110 recognizes “0002” as the identification number of another activity amount monitoring apparatus that is to be monitored by the activity amount monitoring apparatus having the read identification number “0001”. Then, the information processing apparatus 110 notifies the activity amount monitoring apparatus 131 of the identification number via the proximity communication unit 120.
 同様に、活動量監視装置132~134についても、それぞれの監視対象となる他の活動量監視装置の識別番号を通知する。 Similarly, the activity amount monitoring devices 132 to 134 are notified of the identification numbers of the other activity amount monitoring devices to be monitored.
 監視対象が通知された活動量監視装置131~134では、測定処理の開始指示が入力されるまで待機し(ステップS511、S521、S531、S541)、開始指示が入力された場合には、測定処理(ステップS512、S522、S532、S542)を開始する。 The activity amount monitoring devices 131 to 134 that have been notified of the monitoring target wait until a measurement processing start instruction is input (steps S511, S521, S531, and S541). If a start instruction is input, the measurement processing is performed. (Steps S512, S522, S532, S542) are started.
 測定処理が開始されると、各活動量監視装置131~134では、監視対象について定期的に監視する。具体的には、無線通信部405を介して、監視対象の識別番号を有する他の活動量監視装置と通信を行い、処理状態を問い合わせる。例えば、右腕に装着された活動量監視装置131の場合には、左腕に装着された活動量監視装置132に対して、処理状態を問い合わせる。 When the measurement process is started, each activity amount monitoring device 131 to 134 periodically monitors the monitoring target. Specifically, it communicates with another activity amount monitoring apparatus having the monitoring target identification number via the wireless communication unit 405 to inquire about the processing state. For example, in the case of the activity amount monitoring device 131 attached to the right arm, the activity amount monitoring device 132 attached to the left arm is inquired about the processing state.
 問い合わせの結果、測定処理中である旨の応答があった場合には、ステップS513において、監視対象である他の活動量監視装置が正常動作していると判断し、ステップS515に進む。一方、問い合わせに対して応答がない場合、または、問い合わせに対して、測定処理中でない旨の応答があった場合には、ステップS513において、監視対象である他の活動量監視装置が正常動作していないと判断し、ステップS514に進む。 As a result of the inquiry, if there is a response indicating that the measurement process is in progress, it is determined in step S513 that the other activity amount monitoring device to be monitored is operating normally, and the process proceeds to step S515. On the other hand, if there is no response to the inquiry, or if there is a response to the inquiry that the measurement process is not being performed, in step S513, the other activity amount monitoring device to be monitored operates normally. If not, the process proceeds to step S514.
 ステップS514では、表示部302に警告を表示するとともに、音声出力部401よりアラームを出力する。 In step S514, a warning is displayed on the display unit 302 and an alarm is output from the audio output unit 401.
 同様に、活動量監視装置132~134においても、それぞれの監視対象の識別番号を有する他の活動量監視装置に対して処理状態を問い合わせ、問い合わせ結果に応じて、警告を表示したり、アラームを出力したりする(ステップS523、S524、S533、S534、S543、S544)。 Similarly, in the activity amount monitoring devices 132 to 134, the other active amount monitoring devices having the identification numbers of the respective monitoring targets are inquired about the processing state, and a warning is displayed or an alarm is issued according to the inquiry result. (Steps S523, S524, S533, S534, S543, S544).
 なお、他の活動量監視装置が正常動作していないと判断した際に、活動量監視装置にて測定した測定結果(各時刻における所定時間あたりの活動量)については、他の活動量監視装置が正常動作していない旨の識別子を対応付けて格納するものとする。 When it is determined that the other activity amount monitoring device is not operating normally, the measurement result (activity amount per predetermined time at each time) measured by the activity amount monitoring device is the other activity amount monitoring device. It is assumed that an identifier indicating that is not operating normally is stored in association with each other.
 ステップS515では、測定処理の終了指示が入力されたか否かを判断し、入力されていないと判断された場合には、ステップS512に戻る。一方、測定処理の終了指示が入力された判断された場合には、ステップS516に進み、測定処理を終了する。 In step S515, it is determined whether or not an instruction to end the measurement process is input. If it is determined that it has not been input, the process returns to step S512. On the other hand, if it is determined that an instruction to end the measurement process has been input, the process proceeds to step S516, and the measurement process ends.
 同様に、活動量監視装置132~134においても、それぞれ、測定処理の終了指示が入力されたか否かを判断し(ステップS525、S535、S545)、入力されていないと判断された場合には、それぞれステップS522、S532、S542に戻る。一方、測定処理の終了指示が入力されたと判断された場合には、それぞれ測定処理を終了する(ステップS526、S536、S546)。 Similarly, each of the activity amount monitoring devices 132 to 134 determines whether or not an instruction to end the measurement process is input (steps S525, S535, and S545). The process returns to steps S522, S532, and S542, respectively. On the other hand, if it is determined that an instruction to end the measurement process has been input, the measurement process ends (steps S526, S536, and S546).
 測定処理が完了した後は、近接通信部120に各活動量監視装置を近づけることで、測定結果が情報処理装置110に送信される。例えば、活動量監視装置131を近接通信部120に近づけると、近接通信部120では、当該活動量監視装置131より、識別番号と、算出された総活動量、ならびに、各時刻における所定時間あたりの活動量を読み出し、情報処理装置110に送信する。 After the measurement process is completed, the measurement result is transmitted to the information processing apparatus 110 by bringing each activity amount monitoring apparatus closer to the proximity communication unit 120. For example, when the activity amount monitoring device 131 is brought close to the proximity communication unit 120, the proximity communication unit 120 determines, from the activity amount monitoring device 131, the identification number, the calculated total activity amount, and the predetermined time at each time. The amount of activity is read and transmitted to the information processing apparatus 110.
 各種情報が送信された情報処理装置110では、当該情報を外部記憶装置204に格納するともに、ステップS502において、解析部212が解析処理を行い、患者の麻痺側の腕または足の活動量について、定量的な評価を行う(なお、解析処理の詳細は後述する)。 In the information processing apparatus 110 to which various types of information have been transmitted, the information is stored in the external storage device 204, and in step S502, the analysis unit 212 performs an analysis process to determine the amount of activity on the paralyzed arm or foot of the patient. Quantitative evaluation is performed (details of the analysis process will be described later).
 <6.活動量監視装置における測定処理の流れ>
 次に、活動量監視装置131~134における測定処理(ステップS512、S521、S531、S541)の詳細について、図6及び図7を用いて説明する。なお、活動量監視システム100を構成する活動量監視装置131~134の測定処理の流れはいずれも同じであるため、ここでは活動量監視装置131における測定処理の流れについて説明する。
<6. Flow of measurement process in activity monitoring device>
Next, details of the measurement processing (steps S512, S521, S531, and S541) in the activity amount monitoring apparatuses 131 to 134 will be described with reference to FIGS. Since the flow of measurement processing of the activity amount monitoring devices 131 to 134 constituting the activity amount monitoring system 100 is the same, the flow of measurement processing in the activity amount monitoring device 131 will be described here.
 図6に示すように、活動量測定プログラムが実行されると、ステップS601では、3軸加速度センサ404の出力の取得を開始する。 As shown in FIG. 6, when the activity amount measurement program is executed, acquisition of the output of the triaxial acceleration sensor 404 is started in step S601.
 ステップS602では、取得された3軸加速度センサ404の出力に基づいて、総活動量を算出し、表示部302に表示する。図7は、表示部302に表示される表示内容の一例を示す図であり、700は算出された総活動量を示す。 In step S 602, the total amount of activity is calculated based on the acquired output of the triaxial acceleration sensor 404 and displayed on the display unit 302. FIG. 7 is a diagram illustrating an example of display contents displayed on the display unit 302, and 700 indicates the calculated total amount of activity.
 ステップS603では、タイマ部403からの出力に基づいて所定時間が経過したか否かを判断し、所定時間が経過したと判断した場合には、ステップS604に進む。ステップS604では、所定時間内に取得された3軸加速度センサ404からの出力に基づいて、現在時刻における所定時間あたりの活動量(例えば、kcal/分)を算出し、現在時刻に対応する位置に表示する。図7の701は、各時刻における所定時間あたりの活動量を示すグラフ(棒グラフ)であり、横軸は測定処理の開始指示が入力されてからの時間を、縦軸は所定時間あたりの活動量をそれぞれ示している。 In step S603, it is determined whether or not a predetermined time has elapsed based on the output from the timer unit 403. If it is determined that the predetermined time has elapsed, the process proceeds to step S604. In step S604, based on the output from the triaxial acceleration sensor 404 acquired within the predetermined time, an activity amount per predetermined time at the current time (for example, kcal / min) is calculated, and the position corresponding to the current time is calculated. indicate. 701 in FIG. 7 is a graph (bar graph) showing the amount of activity per predetermined time at each time, the horizontal axis is the time after the start instruction of the measurement process is input, and the vertical axis is the amount of activity per predetermined time. Respectively.
 なお、702は活動量監視装置131が監視対象としている活動量監視装置132が、正常動作していないと判断されたことを示す識別子である。 Note that 702 is an identifier indicating that the activity amount monitoring device 132 that is the monitoring target of the activity amount monitoring device 131 is determined not to be operating normally.
 <7.情報処理装置における解析処理の流れ>
 次に、情報処理装置110における解析処理(ステップS502)の詳細について図8を用いて説明する。
<7. Flow of analysis processing in information processing device>
Next, details of the analysis process (step S502) in the information processing apparatus 110 will be described with reference to FIG.
 図8は、情報処理装置110における解析処理の流れを示すフローチャートである。解析部212が解析処理を開始すると、ステップS801では、各活動量監視装置131~134から送信され外部記憶装置204に既に格納されている、各活動量監視装置131~134における測定結果を識別番号に基づいて識別しながら読み出す。 FIG. 8 is a flowchart showing the flow of analysis processing in the information processing apparatus 110. When the analysis unit 212 starts the analysis process, in step S801, the measurement results in the activity amount monitoring devices 131 to 134 transmitted from the activity amount monitoring devices 131 to 134 and already stored in the external storage device 204 are identified. Read while identifying based on.
 具体的には、各活動量監視装置131~134の、総活動量、各時刻における所定時間あたりの活動量(701)と各時刻に対応付けて記憶された識別子(702)を読み出す。 Specifically, the total activity amount, the activity amount per predetermined time (701) at each time, and the identifier (702) stored in association with each time are read out from each of the activity amount monitoring devices 131 to 134.
 ステップS802では、各活動量監視装置131~134ごとに、有効総活動量を算出する。ここで有効総活動量とは、総活動量のうち、監視対象となる他の活動量監視装置が正常動作していると判断された時間帯に測定された活動量の総和をいう。具体的には、ステップS801において読み出された、各時刻における所定時間あたりの活動量(701)のうち、識別子(702)が対応付けられた時刻における、所定時間あたりの活動量を除く活動量の総和を算出することにより求められる。 In step S802, an effective total activity is calculated for each activity monitoring device 131-134. Here, the effective total activity amount refers to the sum of the activity amounts measured during a time period in which it is determined that the other activity amount monitoring devices to be monitored are operating normally. Specifically, the amount of activity excluding the amount of activity per predetermined time at the time associated with the identifier (702) among the amount of activity (701) per predetermined time at each time read in step S801. Is obtained by calculating the sum of.
 このように、有効総活動量を算出するのは、本実施形態に係る活動量監視システム100では、患者の麻痺側の肢部の活動量を適切な評価値により評価すべく、健常側の肢部の活動量に対する麻痺側の肢部の活動量の比率を用いるからである。つまり、監視対象となる他の活動量監視装置が正常動作していない時間帯において測定された活動量まで評価値に含めてしまうと、正しい評価ができないからである。 As described above, the active total activity amount is calculated in the activity amount monitoring system 100 according to the present embodiment in order to evaluate the activity amount of the paralysis side limb of the patient with an appropriate evaluation value. This is because the ratio of the activity amount of the limb on the paralyzed side to the activity amount of the part is used. That is, if an activity amount measured in a time zone when other activity amount monitoring devices to be monitored are not operating normally is included in the evaluation value, correct evaluation cannot be performed.
 例えば、健常側の右腕に装着された活動量監視装置131が、長時間、電源がOFFとなっており、測定処理が行われていなかったとすると、麻痺側の左腕をあまり動かしていないにも関わらず、活動量監視装置131において測定された総活動量に占める、当該麻痺側の左腕に装着された活動量監視装置132において測定された総活動量の比率が大きくなってしまい、妥当ではないからである。 For example, if the activity monitoring device 131 attached to the right arm on the healthy side has been turned off for a long time and the measurement process has not been performed, the left arm on the paralyzed side has not moved much. First, the ratio of the total activity amount measured in the activity amount monitoring device 132 attached to the left arm on the paralyzed side in the total activity amount measured in the activity amount monitoring device 131 becomes large, which is not appropriate. It is.
 図8に戻る。ステップS803では、ステップS802において算出された、各活動量監視装置の有効総活動量について、監視対象同士で活動量比率を算出する。具体的には、麻痺側の左腕に装着された活動量監視装置132の有効総活動量を、健常側の右腕に装着された活動量監視装置131の有効総活動量で除算することにより、活動量比率を算出する。 Return to FIG. In step S803, an activity amount ratio between the monitoring targets is calculated for the effective total activity amount of each activity amount monitoring device calculated in step S802. Specifically, by dividing the effective total activity amount of the activity amount monitoring device 132 attached to the left arm on the paralyzed side by the effective total activity amount of the activity amount monitoring device 131 attached to the right arm on the healthy side, The quantity ratio is calculated.
 同様に、麻痺側の左足に装着された活動量監視装置134の有効総活動量を、健常側の右足に装着された活動量監視装置133の有効総活動量で除算することにより、活動量比率を算出する。 Similarly, by dividing the effective total activity amount of the activity amount monitoring device 134 attached to the paralyzed left foot by the effective total activity amount of the activity amount monitoring device 133 attached to the healthy right foot, the activity amount ratio Is calculated.
 ステップS804では、各活動量監視装置131~134における総活動量と、ステップS802において算出された有効総活動量、及び、ステップS803において算出された活動量比率を表示装置206に表示する。 In step S804, the total activity amount in each of the activity amount monitoring devices 131 to 134, the effective total activity amount calculated in step S802, and the activity amount ratio calculated in step S803 are displayed on the display device 206.
 図9は、情報処理装置110の表示装置206に表示された表示内容の一例である。図9に示すように、患者を表す標記901の右腕部分に、活動量監視装置131の総活動量及び有効総活動量(括弧)を、左腕部分に、活動量監視装置132の総活動量及び有効総活動量(括弧)をそれぞれ表示する(911、912)。更に、右腕の有効総活動量に占める左腕の有効総活動量の比率を表示する(913)。 FIG. 9 is an example of display contents displayed on the display device 206 of the information processing apparatus 110. As shown in FIG. 9, the total activity amount and effective total activity amount (parentheses) of the activity amount monitoring device 131 are displayed on the right arm portion of the mark 901 representing the patient, and the total activity amount of the activity amount monitoring device 132 is displayed on the left arm portion. The effective total activity (parentheses) is displayed (911, 912). Further, the ratio of the effective total activity amount of the left arm to the effective total activity amount of the right arm is displayed (913).
 同様に、患者を示す標記901の右足部分に、活動量監視装置133の総活動量及び有効総活動量(括弧)を、左足部分に、活動量監視装置134の総活動量及び有効総活動量(括弧)をそれぞれ表示する(921、922)。更に、右足の有効総活動量に占める左足の有効総活動量の比率を表示する(923)。 Similarly, the total activity amount and the effective total activity amount (parentheses) of the activity amount monitoring device 133 are indicated on the right foot portion of the mark 901 indicating the patient, and the total activity amount and the effective total activity amount of the activity amount monitoring device 134 are indicated on the left foot portion. (Parentheses) are respectively displayed (921, 922). Further, the ratio of the effective total activity amount of the left foot to the effective total activity amount of the right foot is displayed (923).
 以上の説明から明らかなように、本実施形態に係る活動量監視システムでは、健常側の肢部の活動量と麻痺側の肢部の活動量の比率を評価値として算出する構成とした。 As apparent from the above description, the activity amount monitoring system according to the present embodiment is configured to calculate the ratio between the activity amount of the healthy limb and the activity amount of the paralyzed limb as the evaluation value.
 また、当該構成を実現するために、健常側の肢部の活動量を測定するための活動量監視装置と、麻痺側の肢部の活動量を測定するための活動量監視装置とを、監視対象として互いに対応付けて管理する構成とした。 Moreover, in order to realize the said structure, the active mass monitoring apparatus for measuring the active mass of the healthy limb part, and the active mass monitoring apparatus for measuring the active mass of the paralyzed limb part are monitored. The configuration is such that the objects are managed in association with each other.
 更に、監視対象として対応付けられた活動量監視装置同士が互いに監視し合うことで、監視対象が正常動作していないと判断された時間帯に自装置にて測定された活動量については、上記比率の算出に用いない構成とした。 Furthermore, the activity amount measured by the own device in the time zone when it is determined that the monitoring target is not operating normally by monitoring the activity amount monitoring devices associated as monitoring targets with each other. It was set as the structure which is not used for calculation of a ratio.
 この結果、患者ごとの活動量の個人差や装着部位の影響が排除された評価値を算出することが可能となった。 As a result, it became possible to calculate an evaluation value in which the individual differences in the amount of activity for each patient and the influence of the wearing site were excluded.
 [第2の実施形態]
 上記第1の実施形態では、情報処理装置110に活動量比率算出プログラム210を配する構成としたが、本発明はこれに限定されない。例えば、当該活動量比率算出プログラム210を、活動量監視装置131~134のいずれかに配し、当該活動量監視装置において実行させるように構成してもよい。
[Second Embodiment]
In the first embodiment, the activity amount ratio calculation program 210 is arranged in the information processing apparatus 110, but the present invention is not limited to this. For example, the activity amount ratio calculation program 210 may be arranged in any of the activity amount monitoring devices 131 to 134 and executed by the activity amount monitoring device.
 あるいは、活動量監視装置131~134以外に別途活動量監視装置を用意し、当該活動量監視装置に配するように構成してもよい。この場合、活動量比率算出プログラム210が配された活動量監視装置は、例えば、患者の腰部に装着されるのが好ましい。 Alternatively, a separate activity amount monitoring device may be prepared in addition to the activity amount monitoring devices 131 to 134 and arranged in the activity amount monitoring device. In this case, it is preferable that the activity amount monitoring apparatus in which the activity amount ratio calculation program 210 is arranged is attached to, for example, the patient's waist.
 [第3の実施形態]
 上記第2の実施形態では、算出された活動量比率を、各活動量監視装置における測定処理が完了した後に、1つの表示部(別途用意した活動量監視装置の表示部)に表示させる構成としたが、本発明はこれに限定されない。例えば、監視対象として対応付けられた活動量監視装置同士が互いに通信することで、逐次、有効総活動量を送信し、リアルタイムに活動量比率を算出することで、表示部(例えば、健常側に装着された活動量監視装置131、133の各表示部)に表示するよう構成してもよい。以下、本実施形態の詳細について説明する。
[Third Embodiment]
In the second embodiment, the calculated activity amount ratio is displayed on one display unit (a display unit of a separately prepared activity amount monitoring device) after the measurement process in each activity amount monitoring device is completed. However, the present invention is not limited to this. For example, the activity amount monitoring devices associated as monitoring targets communicate with each other to sequentially transmit the effective total activity amount and calculate the activity amount ratio in real time, so that the display unit (for example, the healthy side) You may comprise so that it may display on each display part of the active mass monitoring apparatus 131 and 133 with which it was mounted | worn. Details of this embodiment will be described below.
 図10A、図10Bは、本実施形態に係る活動量監視システムにおける全体処理の流れを示すフローチャートである。なお、図5A、図5Bと同じ処理を実行する各工程については、それぞれ同じ参照番号を付すこととし、説明を省略する。 FIG. 10A and FIG. 10B are flowcharts showing the flow of overall processing in the activity amount monitoring system according to the present embodiment. In addition, about each process which performs the same process as FIG. 5A and FIG. 5B, it shall attach | subject the same reference number, respectively, and abbreviate | omits description.
 ステップS1011では、活動量監視装置131において登録処理を行う。具体的には、活動量監視装置131の監視対象となる活動量監視装置132の識別番号を登録する。同様に、ステップS1021、S1031、S1041では、それぞれ活動量監視装置132、133、134に、監視対象となる他の活動量監視装置の識別番号を登録する。 In step S1011, the activity amount monitoring apparatus 131 performs registration processing. Specifically, the identification number of the activity amount monitoring device 132 to be monitored by the activity amount monitoring device 131 is registered. Similarly, in steps S1021, S1031, and S1041, the identification numbers of other activity amount monitoring devices to be monitored are registered in the activity amount monitoring devices 132, 133, and 134, respectively.
 ステップS512において、活動量監視装置131の測定処理が開始されると、活動量監視装置131では、ステップS1011において登録された監視対象である、活動量監視装置132の処理状態を問い合わせる。 When the measurement processing of the activity amount monitoring device 131 is started in step S512, the activity amount monitoring device 131 inquires about the processing state of the activity amount monitoring device 132 that is the monitoring target registered in step S1011.
 問い合わせの結果、測定処理中である旨の応答があった場合には、ステップS513において、監視対象である活動量監視装置132が正常動作していると判断し、ステップS1012に進む。 As a result of the inquiry, if there is a response indicating that the measurement process is being performed, in step S513, it is determined that the activity amount monitoring device 132 to be monitored is operating normally, and the process proceeds to step S1012.
 ステップS1012では、活動量監視装置131における現時点での有効総活動量を算出し、更に、活動量監視装置132より、現時点での有効総活動量を受信する。 In step S1012, the current effective total activity amount in the activity amount monitoring device 131 is calculated, and the current effective total activity amount is received from the activity amount monitoring device 132.
 ステップS1013では、活動量監視装置132より受信した有効総活動量を、活動量監視装置131にて算出された有効総活動量により除算することで、活動量比率を算出し、表示部302に表示する。その後、ステップS515に進む。 In step S <b> 1013, the effective total activity amount received from the activity amount monitoring device 132 is divided by the effective total activity amount calculated by the activity amount monitoring device 131, thereby calculating the activity amount ratio and displaying it on the display unit 302. To do. Thereafter, the process proceeds to step S515.
 一方、ステップS513において、監視対象である活動量監視装置132が正常動作していないと判断した場合には、ステップS514に進み、表示部302に警告を表示するとともに、音声出力部401よりアラームを出力する。なお、この間に、活動量監視装置131において測定された、所定時間あたりの活動量は、活動量監視装置131の有効総活動量に算入しない。 On the other hand, if it is determined in step S513 that the activity amount monitoring device 132 to be monitored is not operating normally, the process proceeds to step S514, where a warning is displayed on the display unit 302 and an alarm is output from the audio output unit 401. Output. During this time, the activity amount per predetermined time measured by the activity amount monitoring device 131 is not included in the effective total activity amount of the activity amount monitoring device 131.
 以上の説明から明らかなように、本実施形態に係る活動量監視システムでは、健常側の肢部の活動量と麻痺側の肢部の活動量の比率を評価値として算出するにあたり、各活動量監視装置にて、監視対象となる他の活動量監視装置の識別番号を登録する構成とした。 As is clear from the above description, in the activity amount monitoring system according to the present embodiment, each activity amount is calculated when calculating the ratio between the activity amount of the healthy limb and the activity amount of the paralyzed limb as an evaluation value. The monitoring device is configured to register the identification number of another activity amount monitoring device to be monitored.
 また、監視対象となる他の活動量監視装置から、逐次、有効総活動量を受信し、自装置にて算出した有効総活動量との比率をリアルタイムに算出し、表示する構成とした。 Also, the active total activity amount is sequentially received from other activity amount monitoring devices to be monitored, and the ratio with the effective total activity amount calculated by the own device is calculated and displayed in real time.
 この結果、患者ごとの活動量の個人差や装着部位の影響が排除された評価値を、リアルタイムに表示させることが可能となった。 As a result, it became possible to display in real time the evaluation values in which the individual differences in the amount of activity for each patient and the influence of the wearing site were excluded.
 本発明は上記実施の形態に制限されるものではなく、本発明の精神及び範囲から離脱することなく、様々な変更及び変形が可能である。従って、本発明の範囲を公にするために、以下の請求項を添付する。 The present invention is not limited to the above embodiment, and various changes and modifications can be made without departing from the spirit and scope of the present invention. Therefore, in order to make the scope of the present invention public, the following claims are attached.
 本願は、2011年9月22日提出の日本国特許出願特願2011-207860を基礎として優先権を主張するものであり、その記載内容の全てを、ここに援用する。 This application claims priority on the basis of Japanese Patent Application No. 2011-207860 filed on Sep. 22, 2011, the entire contents of which are incorporated herein by reference.

Claims (6)

  1.  情報処理装置と、
     被検者の第1の部位に装着され、装着された該第1の部位の活動量を測定する第1の活動量監視装置と、
     前記被検者の第2の部位に装着され、装着された該第2の部位の活動量を測定する第2の活動量監視装置と、を備える活動量監視システムであって、
     前記情報処理装置は、
     前記第1の活動量監視装置と前記第2の活動量監視装置とを対応付けて登録する登録手段と、
     前記登録手段に登録された登録内容に基づいて、前記第1の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第1の総活動量を算出するとともに、前記登録手段にて登録された登録内容に基づいて、前記第2の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第2の総活動量を算出することで、該第1の総活動量と該第2の総活動量との比率を算出する解析手段と
     を備えることを特徴とする活動量監視システム。
    An information processing device;
    A first activity amount monitoring device that is attached to a first part of a subject and measures the amount of activity of the first part attached;
    An activity amount monitoring system comprising: a second activity amount monitoring device that is attached to a second part of the subject and measures an activity amount of the second part that is attached;
    The information processing apparatus includes:
    Registration means for registering the first activity amount monitoring device and the second activity amount monitoring device in association with each other;
    Based on the registered content registered in the registration means, the activity amount measured by the first activity amount monitoring device is identified and acquired, and the first total activity amount is obtained based on the acquired activity amount. Calculating and identifying and acquiring the activity amount measured by the second activity amount monitoring device based on the registered content registered by the registration means; and based on the acquired activity amount An activity amount monitoring system comprising: an analysis unit that calculates a ratio between the first total activity amount and the second total activity amount by calculating the total activity amount.
  2.  前記第1の活動量監視装置では、前記第1の部位の活動量の測定を開始すると、前記登録手段に対応付けて登録された、前記第2の活動量監視装置の処理状態を監視し、該第2の活動量監視装置が正常動作していないと判断した場合には、正常動作していないと判断した間に測定した活動量を識別して記録することを特徴とする請求項1に記載の活動量監視システム。 In the first activity amount monitoring device, when the measurement of the activity amount of the first part is started, the processing state of the second activity amount monitoring device registered in association with the registration unit is monitored, 2. The activity amount measured while it is determined that the second activity amount monitoring device is not operating normally is identified and recorded. The activity monitoring system described.
  3.  前記第2の活動量監視装置では、前記第2の部位の活動量の測定を開始すると、前記登録手段に対応付けて登録された、前記第1の活動量監視装置の処理状態を監視し、該第1の活動量監視装置が正常動作していないと判断した場合には、正常動作していないと判断した間に測定した活動量を識別して記録することを特徴とする請求項2に記載の活動量監視システム。 In the second activity amount monitoring device, when measurement of the activity amount of the second part is started, the processing state of the first activity amount monitoring device registered in association with the registration unit is monitored, 3. The activity amount measured while it is determined that the first activity amount monitoring apparatus is not operating normally is identified and recorded. The activity monitoring system described.
  4.  前記第1の総活動量は、前記第1の活動量監視装置にて識別して記録された活動量を除いて算出された総活動量であり、
     前記第2の総活動量は、前記第2の活動量監視装置にて識別して記録された活動量を除いて算出された総活動量であることを特徴とする請求項3に記載の活動量監視システム。
    The first total activity amount is a total activity amount calculated by excluding the activity amount identified and recorded by the first activity amount monitoring device,
    4. The activity according to claim 3, wherein the second total activity amount is a total activity amount calculated by excluding the activity amount identified and recorded by the second activity amount monitoring device. Quantity monitoring system.
  5.  被検者の第1の部位に装着され、装着された該第1の部位の活動量を測定する第1の活動量監視装置と、該被検者の第2の部位に装着され、装着された該第2の部位の活動量を測定する第2の活動量監視装置とを、対応付けて登録する登録手段と、
     前記登録手段に登録された登録内容に基づいて、前記第1の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第1の総活動量を算出するとともに、前記登録手段にて登録された登録内容に基づいて、前記第2の活動量監視装置にて測定された活動量を識別して取得し、該取得した活動量に基づいて第2の総活動量を算出することで、該第1の総活動量と該第2の総活動量との比率を算出する解析手段と
     を備えることを特徴とする情報処理装置。
    A first activity amount monitoring device that is attached to the first part of the subject and measures the amount of activity of the attached first part, and is attached to and attached to the second part of the subject. Registration means for registering the second activity amount monitoring device for measuring the activity amount of the second part in association with each other;
    Based on the registered content registered in the registration means, the activity amount measured by the first activity amount monitoring device is identified and acquired, and the first total activity amount is obtained based on the acquired activity amount. Calculating and identifying and acquiring the activity amount measured by the second activity amount monitoring device based on the registered content registered by the registration means; and based on the acquired activity amount An information processing apparatus comprising: an analysis unit that calculates a ratio between the first total activity amount and the second total activity amount by calculating a total activity amount.
  6.  被検者の第1の部位に装着され、装着された該第1の部位の活動量を測定する活動量監視装置であって、
     前記被検者の第2の部位に装着され、装着された該第2の部位の活動量を測定する他の活動量監視装置を登録する登録手段と、
     前記登録手段に登録された前記他の活動量監視装置にて測定された活動量に基づいて算出された第2の総活動量を取得する取得手段と、
     前記被検者の前記第1の部位について測定した活動量に基づいて第1の総活動量を算出し、該算出した第1の総活動量と前記取得手段により取得された前記第2の総活動量との比率を算出する解析手段と
     を備えることを特徴とする活動量監視装置。
    An activity amount monitoring device that is attached to a first part of a subject and measures the amount of activity of the attached first part,
    Registration means for registering another activity amount monitoring device that is attached to the second part of the subject and measures the amount of activity of the second part attached;
    Obtaining means for obtaining a second total activity amount calculated based on an activity amount measured by the other activity amount monitoring device registered in the registration means;
    A first total activity amount is calculated based on the activity amount measured for the first part of the subject, and the calculated first total activity amount and the second total amount acquired by the acquisition unit An activity amount monitoring apparatus comprising: an analysis means for calculating a ratio with the activity amount.
PCT/JP2012/005089 2011-09-22 2012-08-10 Activity amount monitoring system, information processing device and activity amount monitoring device WO2013042304A1 (en)

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