WO2019225905A1 - Dispositif de test de myotome pour la quantification d'un examen neurologique - Google Patents

Dispositif de test de myotome pour la quantification d'un examen neurologique Download PDF

Info

Publication number
WO2019225905A1
WO2019225905A1 PCT/KR2019/005901 KR2019005901W WO2019225905A1 WO 2019225905 A1 WO2019225905 A1 WO 2019225905A1 KR 2019005901 W KR2019005901 W KR 2019005901W WO 2019225905 A1 WO2019225905 A1 WO 2019225905A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
test
ankle
unit
wrist
Prior art date
Application number
PCT/KR2019/005901
Other languages
English (en)
Korean (ko)
Inventor
최광호
Original Assignee
Choi Kwang Ho
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Choi Kwang Ho filed Critical Choi Kwang Ho
Publication of WO2019225905A1 publication Critical patent/WO2019225905A1/fr

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224—Measuring muscular strength

Definitions

  • the present invention relates to a muscle segment examination apparatus, and more specifically, away from the subjective examination by facilitation of the existing medical staff, and quantifying the measured value detected while guiding the operation for the muscle segment examination through mechanization and storing and managing it.
  • the present invention relates to a muscle segment inspection device that enables to do so.
  • diagnosis In general, it is called diagnosis to have a doctor accurately identify the patient's abnormal condition and thus obtain the basis for proper treatment.
  • the goal of diagnosis is not only to determine the name of the disease, but also to accurately identify the abnormal condition indicated by the patient, and may be divided into symptom diagnosis, state diagnosis, outpatient diagnosis, and cause diagnosis.
  • one of the medical means performed for diagnosis is called an examination (examination).
  • Tests as a means of diagnosing disease are largely divided into physical examination and clinical examination.
  • the former physical examination is a test that examines the patient's abnormalities by visual examination, palpation, percussion, auscultation, etc.
  • the latter clinical test helps in the diagnosis treatment by obtaining indirect methods that the physical examination cannot obtain.
  • Imaging methods such as radiology (X-Ray, CT), magnetic resonance imaging (MRI), ultrasound, and other medical imaging methods, such as electroencephalogram and electrocardiogram, are used to detect and analyze biosignals and blood tests.
  • the items are very large and growing with the development of science and technology.
  • a test for diagnosing diseases of the nervous system as a physical examination is collectively called a neurologic examination.
  • the neurological examination is based on neuroanatomy and neurophysiology for the diagnosis of neurological diseases, and is also a test method based on neuropharmacology and biochemistry.
  • Neurological diagnosis is performed by determining the site, extent, and cause of the disorder by performing a physical examination, electroencephalogram, electromyography, blood flow rate, cerebrospinal fluid, and blood tests.
  • the examination method for outpatient diagnosis which has been continuously performed historically, is a neurological examination method through percussion and facilitation tests.
  • Myotome test during palpation test is also a neurological test method that tests the sensory and motor function of the patient's problem area by hand of medical staff during examination of nervous system and musculoskeletal patients.
  • This muscle segment test [Myotome test] has been carried out in the medical history of centuries and is one of the important test method that can not be performed even now.
  • the muscle segment test through this promotion [Myotome test] gives the patient the resistance value by using the force of the body (hands, arms, etc.) of the medical staff and the patient takes the action against it to determine the force against the resistance Scoring will be done in 6 steps and left as charting on the chart as shown in Table 1 below.
  • these tests have been used as a criterion for observing patients' changes by comparing subjective records with repeated, repeated, and recorded subjects.
  • the existing muscle segment test could not be quantified by the subjective test of the medical staff, so the reliability of the test result tended to be low, and the reliability of the test could only be weakened when the medical staff changed.
  • the muscle activity test through dynamic EMG attaches an electrode to the patient's skin and detects and amplifies the biological signal generated by the muscle when the patient operates the body and transmits this signal to the computer.
  • a test method that analyzes the magnitude or pattern of a value.
  • the EMG test method is a test that uses a more accurate device than the accelerated test, if the test environment such as the patient's posture, the range and angle of the joint, and the position of the electrode to be attached cannot be maintained constantly, the test method also includes There was a problem that the reliability is significantly lower.
  • the present invention was devised to solve the conventional problems as described above, by mechanizing extremely subjective muscle segment audit by the promotion of existing medical staff to quantify, store and manage the resistance pressure indicating the range of joint movement and muscle activity
  • An object of the present invention is to provide a muscle segment examination apparatus having an improved form.
  • the muscle segment examination device of the present invention for achieving the above object is a bed portion that the patient can lie down or sit down, the shoulder test guide is installed on the bed portion to guide the vertical movement of the shoulder and the bed portion It is installed on the wrist test guide for guiding the upper and lower refraction and the left and right rotation movement of the patient wrist, and the ankle test guide for guiding the vertical refraction movement of the patient ankle is installed on the bed portion, the patient has a muscle segment examination ( A test frame for guiding a certain posture and motion with respect to the Myotome test); A movable range measuring unit installed in the test frame to measure a moving range of a body joint according to the operation of the patient during the muscle segment test; It is installed on the test frame, the shoulder test guide portion, the wrist test guide, the ankle test guide resistance resistance measurement unit for detecting the muscle activity generated in the static resistance unit of resistance pressure; .
  • the movable range measuring unit, the shoulder movable range measuring unit is installed in the shoulder test guide to measure the upper and lower movement range for the shoulder shoulder;
  • the movable range measuring unit may be configured as a scale display type for allowing the measurer to visually check the numerical value according to the movable range, or a sensor detecting type for detecting and automatically storing the numerical value according to the movable range.
  • the ankle test guide further comprises a toe test guide for guiding the up and down movement of the big toe, the movable range measuring unit is installed in the toe test guide toe movement to measure the moving range for the up and down movement of the big toe Range measurement unit; may be configured to further include.
  • the resistance pressure measuring unit may include: a shoulder resistance pressure measuring unit installed in the shoulder test guide unit to detect muscle activity of a patient's shoulder up and down motion in units of resistance pressure; A wrist resistance pressure measurement unit installed in the wrist examination guide unit for detecting muscle activity of the patient's wrist in the vertical and horizontal refraction and the left and right rotational motions in units of resistance pressure; Ankle resistance pressure measurement unit is installed in the ankle test guide unit for detecting the muscle activity of the upper and lower refraction motion of the patient ankle in resistance pressure units; It is installed to the toe test guide portion toe resistance pressure measurement unit for detecting the muscle activity for the upper and lower movements of the toe of the patient to the resistance pressure unit; may be configured to include.
  • the shoulder test guide the fixed vertical bar is installed vertically on the bed; It is installed to be slidable up and down along the fixed vertical bar and the Shanghai East bar to move upwards according to the vertical movement of the shoulder of the patient; and wherein, the wrist inspection guide is formed to extend forward from the predetermined height of the fixed vertical bar Fixed horizontal bar in which the patient lower arm is located; Rotating bar is installed to the upper and lower hinges at the end of the fixed horizontal bar configured to move in conjunction with the vertical bending operation of the patient wrist; Rotating handle portion is rotatably installed at the end of the rotation bar to rotate the patient's wrist by rotating the patient left and right by holding the hand by the hand, the ankle test guide portion is installed on the bed portion, the patient Calf high fixation calf; It is installed to be hinged to the distal end of the calf brace and the patient foot is fixed to the foot brace to rotate with respect to the calf brace according to the up and down refraction motion of the patient ankle; may be configured to include.
  • the toe test guide may include a toe insertion portion into which the patient's toes are inserted and installed to be slidable up and down on the foot rest, and may be configured to move up and down with respect to the foot rest according to the vertical movement of the big toe of the patient.
  • the ankle inspection guide portion, the sliding plate is configured to be movable along the longitudinal direction on the bed portion, the lower end of the calf holder is installed hinged; may be configured to further include.
  • the shoulder test guide unit may further include a first locking means for selectively locking the movement of the shanghai bar relative to the fixed vertical bar, wherein the wrist test guide unit is configured to selectively move the pivot bar relative to the fixed horizontal bar.
  • the toe test guide may further include a fifth locking means for selectively locking the movement of the foot rest.
  • the inspection frame may be configured to further include a light irradiator for irradiating a laser to indicate the electrode attachment position for the EMG inspection on the skin of the patient.
  • control unit for controlling the driving of the light irradiator
  • the control unit may be configured to display the electrode attachment position at the same position for each patient based on the stored patient information.
  • the method of operation such as bending, extension, withdrawal, shock, rotation of each body can be added or subtracted.
  • the test frame not only allows the patient to take a certain posture and movement for the muscle segment examination, but also quantifies, stores, and manages the resistance pressure representing the range of motion and muscle activity of the joint. Because it is configured so that the muscle segment examination, which was previously made only by subjective judgment by the medical staff, has the effect of having a role as a more reliable and objective examination.
  • the present invention by the light irradiator to display the electrode attachment position at a certain position during the EMG inspection, it is possible to attach the electrode for the EMG inspection at the same position for the same patient, thereby increasing the reliability of the EMG inspection results It can give an effect.
  • FIG. 1 is a perspective view schematically showing a muscle segment examination apparatus according to an embodiment of the present invention
  • FIG. 2 is a plan view (a) and side view (b) of the wrist examination guide of Figure 1,
  • FIG. 3 is a partial view showing a state viewed from the front wrist inspection guide of Figure 2
  • FIG 4 is a perspective view of the ankle inspection guide shown in Figure 1,
  • FIG. 5 is a view showing the operation state of the toe test guide installed in the ankle test guide of Figure 4,
  • Figure 6 is a view showing the position movement state of the ankle test guide of the present invention.
  • Figure 7 is a view showing a state in front of the toe inspection guide of Figure 5,
  • FIG. 8 is a control block diagram of the muscle segment examination apparatus according to an embodiment of the present invention.
  • Embodiments described herein will be described with reference to cross-sectional views and / or plan views, which are ideal exemplary views of the present invention.
  • the thicknesses of films and regions are exaggerated for effective explanation of technical content. Therefore, the shape of the exemplary diagram may be modified by manufacturing techniques and / or tolerances. Therefore, the embodiments of the present invention are not limited to the specific forms shown, but also include changes in forms generated according to manufacturing processes.
  • the etched regions shown at right angles may be rounded or have a predetermined curvature.
  • the regions illustrated in the figures have properties, and the shape of the regions illustrated in the figures is intended to illustrate a particular type of region of the device and is not intended to limit the scope of the invention.
  • terms such as first and second are used to describe various components in various embodiments of the present specification, these components should not be limited by these terms. These terms are only used to distinguish one component from another.
  • the embodiments described and illustrated herein also include complementary embodiments thereof.
  • the muscle segment examination apparatus 10 according to an embodiment of the present invention will be described.
  • Muscle segment test apparatus 10 of the present invention is configured to include a test frame (A), the movable range measuring unit 510, the resistance pressure measuring unit 520.
  • the test frame (A) is intended to guide the patient to take posture and motion for the Myotome test.
  • the test frame A includes a bed part 100, a shoulder test guide part 200, a wrist test guide part 300, and an ankle test guide part 400.
  • Bed portion 100 is made of a bed form, the patient is configured to lie down or sit down.
  • the bed portion 100 is installed so that the backrest portion 120 is embedded.
  • the backrest part 120 is disposed to be embedded in the bed part 100 so as not to protrude from the bed part 100 when the patient is lying down, and when the patient sits down and performs the examination, the back part 120 is placed in the bed part ( 100) can be configured to be used to deform the posture vertically between the shoulder test guide portion 200 on both sides.
  • the bed unit 100 is provided with a pillow 140 when the patient is lying down to perform the test, so that a comfortable test can be made in support of the patient's head.
  • the shoulder test guide part 200 is installed on the bed part 100, and a pair is installed on the left and right sides of the bed part 100.
  • Each of the shoulder test guides 200 is installed vertically from the bed 100 to the fixed vertical bar 210, and is installed to be slidable up and down along the fixed vertical bar 210 to the vertical movement of the patient shoulder It is configured to include the shangdong bar 220 moving upward.
  • the vertical fixing bar 210 may be provided with a rail hole 212 up and down, and the rear end of the shandong bar 220 is inserted into the rail hole 212 to move up and down along the rail hole 212. It may be configured to.
  • the first locking means 230 having a pin shape is configured to be moved forward and backward at the rear end of the shandong bar 220, and the coupling groove 232 is provided at a predetermined interval along the longitudinal direction of the vertical fixing bar 210. Configured to form.
  • the first locking means 230 is selectively inserted into the coupling groove 232 to lock the shanghai bar 220 moving relative to the vertical fixing bar 210. It can be configured (locking operation).
  • the first locking means 230 may be configured to be manually operated by an external force of the user, and the first locking means 230 is moved back and forth by a driving means (not shown) such as a solenoid or an electric cylinder.
  • the locking operation may be configured, and the driving means may be configured to be controlled by the control of the controller 600.
  • the wrist test guide 300 is formed to extend forward at a predetermined height of the fixed vertical bar 210 and the fixed horizontal bar 310, the patient lower arm is positioned, the fixed horizontal bar Rotating bar 320 is installed at the distal end of the rotation bar 320 by the cutting section 330, and the support plate 322 formed perpendicular to the end of the rotation bar 320 is rotatably installed and the patient It is configured to include a rotary knob 340 configured to grip with.
  • a first belt part 314 may be provided to fix the lower arm of the patient on the fixed horizontal bar 310.
  • a manager such as a nurse may have a first arm.
  • the lower arm of the patient may be fixed to the fixed horizontal bar 310 using the belt part 314.
  • the rotation bar 320 rotates up and down with respect to the fixed horizontal bar 310, and the patient rotates the rotation handle 340.
  • the rotation knob 340 may be rotated with respect to the rotation bar (320).
  • the joint portion 330 is provided with a second locking means (not shown) in the form of a locking pin, it can be configured to selectively rotate the rotation of the joint portion 330 according to the operation of the second locking means (locking operation). .
  • the second locking means may be a manual operation method by an external force of the user, and the second locking means is driven by a driving means (not shown) such as a solenoid or an electric cylinder. It is configured to be moved back and forth to the locking operation, the driving means may be configured to be controlled by the control of the controller 600.
  • a driving means such as a solenoid or an electric cylinder. It is configured to be moved back and forth to the locking operation, the driving means may be configured to be controlled by the control of the controller 600.
  • the rotation of the joint portion 330 is configured to be selectively locked by the second locking means, such that the rotation bar 320 may move up and down with respect to the fixed horizontal bar 310, or the joint portion 330 as the second locking means. ) Can be locked so that the rotation bar 320 can not be locked relative to the fixed horizontal bar 310.
  • the rotation knob 340 is formed on the end of the shaft member 342 rotatably installed on the support plate 322 formed perpendicular to the end of the rotation bar 320, the shaft member 342 and the user
  • the gripping portion 344 is configured to include a gripping portion.
  • the rear end of the shaft portion 342 is configured such that the third locking means 360 having a locking pin shape can be moved forward and backward, and selectively operated by the front and rear of the third locking means 360 to selectively rotate the third locking means 360.
  • the rotation of the rotation knob 340 relative to the rotation bar 320 is locked (locking operation)
  • the third locking means 360 may be configured to be manually operated by an external force of the user, and the third locking means 360 is moved back and forth by a driving means (not shown) such as a solenoid or an electric cylinder.
  • the locking operation may be configured, and the driving means may be configured to be controlled by the control of the controller 600.
  • the ankle test guide 400 is installed on the bed portion 100 and the calf brace to secure the patient calf 420, and the end of the calf brace 420 It is installed to be hinged by the hinge portion 440 and is fixed to the patient foot is configured to include a foot swivel 440 that rotates about the calf limb according to the up and down refractive motion of the patient ankle.
  • the calf rest 420 and the foot rest 440 is provided with a second valve portion 422 and the fourth belt 432, respectively, to fix the calf of the patient to the calf rest 420,
  • the foot may be fixed to the foot rest 440.
  • the hinge portion 440 is configured such that the fourth locking means 450 having a locking pin shape can be moved back and forth, and the fourth locking means 450 is hinged by manipulating the fourth locking means 450 back and forth. It can be configured to lock the hinge operation of the branch 440.
  • the fourth locking means 450 may be configured to be manually operated by an external force of the user, and the fourth locking means 450 is moved back and forth by a driving means (not shown) such as a solenoid or an electric cylinder.
  • the locking operation may be configured, and the driving means may be configured to be controlled by the control of the controller 600.
  • the ankle test guide 400 of the present invention is configured to further include a toe test guide 435 for guiding the vertical movement of the big toe.
  • the toe test guide 435 has a toe insertion part 436 into which the patient's big toe is inserted, and may be configured to slide upward and downward through the end of the foot rest 410. Therefore, the patient can perform the operation of moving the big toe up and down in a state where the big toe is inserted into the toe insertion portion 436.
  • the toe test guide 435 is provided with a locking pin or a fifth locking means (not shown) in the form of a stopper, and by operating the fifth locking means, the toe test guide 435 is optionally the foot fixing stand 410 Can be locked so as not to slide (locking operation).
  • the fifth locking means is also configured so that the fifth locking means is moved back and forth by a driving means (not shown), such as a separate solenoid or electric cylinder, so that the locking operation can be performed. It can be configured to be controlled by.
  • a driving means such as a separate solenoid or electric cylinder
  • the present invention allows the patient to perform an examination for ankle refractive motion in a state where the knee is bent approximately 90 degrees, or to perform an examination for ankle fracture motion in a state where the knee is completely open, and the calf brace 420. And can be configured so that the position of the foot fixing 430 can be moved.
  • the groove 130 having a predetermined length is formed on the bed portion 100 along the longitudinal direction, the groove 130 is a pair is configured to be spaced apart in the width direction of the bed portion (100).
  • the sliding plate 410 of the "C" shape is installed to be slidable.
  • the roller 412 is installed on the sliding plate 410, and the sliding plate 410 is configured to move along the groove 130 according to the rolling motion of the roller 412.
  • the inner side of the sliding plate 410 is configured to be inserted into the calf jungjung 410, the sliding plate 410 and the calf jungjung 410 is connected by a hinge (h1), calf jungjung 410 is It is configured to be hinged with respect to the sliding plate 410.
  • the calf fastener 410 may be completely inserted into the inside of the sliding plate 410, so that the calf fastener 410 pivots the hinge h1 with respect to the sliding plate 410.
  • the calf height 410 may be in a posture at which the sliding plate 410 forms a predetermined angle.
  • the patient may perform ankle refraction in a state where the knee is completely opened, and FIGS. 6B and 6B.
  • the sliding plate 410 when the sliding plate 410 is located on the other side of the groove 130, the patient may be able to perform ankle refraction in a state where the knee is bent at about 90 degrees.
  • the movable range measuring unit 510 is installed on the test frame A to measure the movable range of the body joint according to the operation of the patient during the muscle segment test.
  • the movable range measuring unit 510 may be configured as a digital type detection through a sensor and a detection type for visual confirmation of the measurer.
  • the movable range measuring unit 510 is configured to include a shoulder moving range measuring unit 511, a wrist moving range measuring unit 512, and ankle moving range measuring unit 513.
  • Shoulder movement range measuring unit 511 may be configured in the form that the scale is displayed in the vertical direction on the side of the fixed vertical bar (210). After the patient sits on the bed part 100, the shanghaidongba 220 is placed on the shoulder, and the patient shakes the shoulder, that is, moves the shoulder up and down, thereby causing the shanghaidongba 220 to move up and down. It can be moved to, and by numerically checking the shoulder movement range measurement unit 511 marked by the vertical movement position of the Shanghai East bar 220 as a scale can be stored in the numerical data of the vertical movement range.
  • the shoulder movement range measurement unit 511 is described as being configured in the form of a scale displayed on one side of the shoulder test guide portion 200, but is not limited to this, the shoulder movement range measurement unit 511 acceleration
  • the sensor such as a gyro sensor, an optical distance sensor, and the like, may be configured to automatically store in the control unit 600 to quantify the moving range according to the vertical movement of the patient shoulder.
  • the ankle movable range measuring unit 512 is installed at the joint 330 and the first scale display unit 513 installed at the joint 330 to measure the movable range for the vertical bending operation of the patient wrist. It is configured to include a second scale display unit 514 displayed on the support piece 322 to measure the movable range for the left and right rotational movement of the patient wrist.
  • the measurer reads the first scale display unit 513 during the up and down bending operation of the patient wrist and numerically records the moving range for the up and down refractive operation, and the second scale display unit 514 during the left and right rotation operation of the patient wrist. You can read and record the range of motion for left / right rotation operation numerically.
  • the ankle movable range measuring unit 512 was described as configured in the form that the measurer can numerically record the moving range for the vertical and vertical bending and left and right rotational motion of the patient wrist by reading the scale with the naked eye.
  • the ankle movement range measuring unit 512 is not limited, and is formed of a sensor type such as an electronic goniometer (goniometer), an acceleration sensor, a gyro sensor, an optical photometer, and the like according to the vertical bending motion and the left and right rotation of the patient's wrist.
  • the moving range may be configured to be numerically stored and automatically stored in the control unit 600.
  • Ankle moving range measurement unit 515 is configured in the form of a scale displayed on the side of the hinge portion 440, the measurement by the naked eye to check the angle that the foot fixing 430 is rotated relative to the calf jungdae 420. It may be in a form that can be, or consists of a sensor type such as an electronic goniometer (goniometer), acceleration sensor, gyro sensor, optical photometer, etc., the numerical value of the moving range according to the up and down refractive motion of the patient ankle is automatically controlled It can be configured to store in.
  • goniometer goniometer
  • acceleration sensor acceleration sensor
  • gyro sensor gyro sensor
  • optical photometer etc.
  • the movable range measuring unit 510 of the present invention is formed on the toe test guide 435 to be configured to further include a toe movable range kite 517 to measure the movable range for the up and down movement of the patient's toe. Can be.
  • Toe moving range measurement unit 517 is configured in the form that the scale is displayed on the bottom surface 435a of the toe test guide 435, as shown in Figure 7, the measurer to visually move the movement distance of the patient's toes up and down It may be a form that can be confirmed and recorded, or made of a sensor type such as an acceleration sensor, a gyro sensor, an optical distance sensor, and can be configured to automatically digitize the moving range for the vertical movement of the toe of the patient to be stored in the controller 600 automatically. .
  • a sensor type such as an acceleration sensor, a gyro sensor, an optical distance sensor
  • the resistance pressure measuring unit 520 is installed on the test frame 100, and the shoulder test guide 200, the wrist test guide 300, the ankle test guide 400 when the operation for the muscle segment test through the shoulder,
  • the test guide 200, wrist test guide 300, the ankle test guide is configured to detect the muscle activity generated in the static resistance in units of resistance pressure.
  • a shoulder resistance pressure measurement unit 521 configured to include a shoulder resistance pressure measurement unit 521, wrist resistance pressure measurement unit 522, ankle resistance pressure measurement unit 525, toe resistance pressure measurement unit 527.
  • Shoulder resistance pressure measurement unit 521 measures the resistance pressure according to the vertical movement of the shoulder of the patient with a load cell, the resistance pressure may be configured to be transmitted to the control unit 2600, stored and managed.
  • the shoulder resistance pressure measuring unit 521 may be configured on the lower surface of the shandong bar 220, the shandong bar 220 is positioned relative to the fixed vertical bar 210 by the first locking means 230. In a fixed state, when the patient exerts a force to push the shandong bar 220 upward by the shoulder, this force is configured to be measured through the shoulder resistance pressure measurement unit 521, the shoulder resistance pressure measurement unit 512 The measured resistance pressure refers to a form in which muscle activity is expressed in units of pressure for vertical movement of the shoulder.
  • control unit 600 receives the pressure value received from the shoulder resistance pressure measuring unit 521 only for a predetermined time, and calculates the average value of the pressure value received during this predetermined time of the patient shoulder for a predetermined time By calculating the average resistance pressure according to the up and down operation, it can be configured to store and manage the calculated pressure average value.
  • Wrist resistance pressure measurement unit 522 is composed of two load cells, one is installed in the joint portion 330, the upper and lower refraction movement of the wrist of the patient in the rotation of the joint 330 by the second locking means It is configured to detect the resistance pressure, the other one is installed on the support plate 322 or / and the shaft member 342, the rotary knob 340 for the rotation bar 320 by the third locking means 360 In a state in which the rotation of the lock is locked, it may be configured to detect the resistance pressure according to the left and right rotation operation of the patient wrist.
  • the resistance pressure values detected may be configured to be transmitted to the control unit 600 to be stored and managed.
  • the resistance pressure refers to a form in which muscle activity of the upper and lower refraction and left and right rotational movements of the patient's wrist is expressed in units of pressure.
  • the control unit 600 receives the pressure value received from the wrist resistance pressure measuring unit 522 only for a predetermined time, calculates the average value of the pressure value received during this set time, the patient wrist for a predetermined time It can be configured to calculate the average resistance pressure value according to the up and down refraction movement and the average resistance pressure according to the left and right rotation of the patient wrist, and to store and manage the calculated average resistance pressure.
  • Ankle resistance pressure measuring unit 525 is composed of a load cell can be installed in the hinge portion 440, the state of the rotation of the ankle fixing stand 430 relative to the calf fixing stand 420 by the fourth locking means 450 In, it can be configured to detect the resistance pressure according to the up and down refractive action of the patient ankle.
  • the detected resistance pressure value may be configured to be transmitted to the control unit 600 to be stored and managed.
  • the resistance pressure refers to a form in which muscle activity of the patient's ankle is displayed in units of pressure.
  • control unit 600 receives the pressure value received from the ankle resistance pressure measuring unit 525 only for a predetermined time, calculates the average value of the pressure value received during this set time, the patient ankle for a predetermined time It can be configured to calculate the average resistance pressure according to the up and down refractive operation of the storage and to store and manage the calculated average resistance pressure.
  • the patient in the lying state as shown in Figure 6 (a) to move the sliding plate 410 to the end to the groove 130, the knee in a fully open state, according to the up and down refractive motion of the ankle
  • the resistance pressure can be measured through the ankle resistance pressure measurement unit 525, and after moving the sliding plate 410 to the other end of the groove 130, as shown in Figure 6 (b), the knee 90 degrees
  • the resistance pressure according to the vertical bending operation of the ankle can be measured by the ankle resistance pressure measuring unit 525.
  • the patient can measure the resistance pressure according to the vertical bending operation of the ankle through the ankle resistance pressure measurement unit 525 in a state where the knee is fully extended or the knee is bent.
  • the measured resistance pressure may be stored and managed in the controller 600.
  • the resistance pressure measuring unit 520 of the present invention may further include a toe resistance pressure measuring unit 535 for measuring the muscle activity for the vertical movement of the big toe of the patient in resistance pressure units.
  • Toe resistance pressure measurement unit 527 is made of a load cell can be installed on the toe test guide 435, the toe test guide 435 is moved up and down with respect to the foot fixing 430 by the fifth locking means In the locked state, it can be configured to detect the resistance pressure according to the movement of the upper and lower toes of the patient's ankle.
  • the toe resistance pressure measuring unit 527 may be installed on the ceiling of the insertion unit 436 of the toe test guide 435, and the toe test guide 435 for the foot rest 430 by the fifth locking means. In the locked state, the toe resistance pressure measuring unit 527 is configured to measure this force by the movement of the patient lifting the big toe, and the measured resistance pressure is stored and managed in the control unit 600. Can be.
  • the detected resistance pressure refers to a form in which muscle activity is expressed in units of pressure according to the movement of the upper and lower movements of the toe of the patient.
  • control unit 600 receives the pressure value received from the toe resistance pressure measuring unit 527 only for a predetermined time, calculates the average value of the pressure value received during this set time, the patient toes for a predetermined time It can be configured to calculate the average resistance pressure according to the vertical motion of the storage and to store and manage the calculated average resistance pressure.
  • the muscle segment test apparatus 10 of the present invention is configured to easily perform the muscle segment test and to quantify, store and manage resistance pressure values indicating the range of motion and muscle activity in each joint.
  • more objective and reliable tests can be made than in the past, and accordingly, there is a characteristic that can greatly help the patient's disease improvement.
  • the muscle segment examination apparatus 10 of the present invention has an additional function of guiding the EMG electrode attachment position during the EMG examination, as well as the muscle segment examination, and constantly hydrating the patient's motion for the EMG examination.
  • the muscle segment inspection apparatus 10 of the present invention may further include a light irradiator 530 for guiding the EMG electrode attachment position during the EMG test.
  • the light irradiator 530 may be configured to be installed on a separate support frame (not shown) on the bed portion 100, the shoulder test guide 200, wrist test guide 300 or It can be configured to be installed in the ankle inspection guide 400.
  • the light irradiator 530 is configured to irradiate a laser like a laser pointer, and the operation is controlled by the controller 600, and the controller 600 controls the light irradiator 530 so that the laser is applied to the skin of the patient. It can be configured to control the displayed position.
  • the control unit 600 further includes a patient information management unit 610, the patient information management unit 610 is configured to store and manage the patient information including the unique ID and body information, examination date, etc. for each patient do.
  • the patient information management unit 610 stores and manages the joint movement range and the resistance pressure values measured by the movable range measuring unit 510 and the resistance pressure measuring unit 520 for each patient, and outputs the information through the display unit. You can database all this information.
  • the irradiation position control unit 530 in conjunction with the patient information management unit 610, by controlling the light irradiator 530 so that the laser is irradiated to the same position for each patient, the measurer EMG inspection at the position where the laser is irradiated
  • the EMG electrode attachment position can be the same even during multiple EMG inspections, which greatly increases the reliability of the EMG inspection.
  • control unit 600 of the present invention is configured to be remotely controlled by wired or wireless communication from the smart phone 630 or the computer 640, the first to fifth locking means can be electronically operated by the drive means. When configured to, it can be configured to control the operation of the first to fifth locking means through the smart phone 630.
  • the present invention can be widely used in the medical-related diagnosis, analysis, and test equipment industry.
  • control unit 600 600 ...

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

L'invention concerne un dispositif de test de myotome. Le dispositif de test de myotome selon l'invention comprend : un cadre de test, une unité de mesure de plage mobile et une unité de mesure de pression de résistance. Le cadre de test permet à un patient de prendre une certaine posture et un mouvement pour un test de myotome et comprend : une unité de lit sur laquelle le patient peut s'allonger ou s'asseoir ; une unité de guidage de test d'épaule qui est installée sur l'unité de lit et guide des mouvements vers le haut et vers le bas d'une épaule du patient ; une unité de guidage de test de poignet qui est installée sur l'unité de lit et guide les mouvements vers le haut et vers le bas et les mouvements de rotation vers la gauche et vers la droite d'un poignet du patient ; et une unité de guidage de test de cheville qui est installée sur l'unité de lit et guide des mouvements vers le haut et vers le bas d'une cheville du patient. L'unité de mesure de distance mobile est installée sur le cadre de test et mesure une plage mobile d'une articulation corporelle en fonction des mouvements du patient pendant un test de myotome. L'unité de mesure de pression de résistance est installée sur le cadre de test et mesure l'activité musculaire générée par la résistance statique de l'unité de guidage de test d'épaule, de l'unité de guidage de test de poignet et de l'unité de guidage de test de cheville dans des unités de pression de résistance.
PCT/KR2019/005901 2018-05-23 2019-05-17 Dispositif de test de myotome pour la quantification d'un examen neurologique WO2019225905A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2018-0058076 2018-05-23
KR1020180058076A KR101928237B1 (ko) 2018-05-23 2018-05-23 신경학적검사의 정량화를 위한 근육분절검사장치

Publications (1)

Publication Number Publication Date
WO2019225905A1 true WO2019225905A1 (fr) 2019-11-28

Family

ID=64671886

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2019/005901 WO2019225905A1 (fr) 2018-05-23 2019-05-17 Dispositif de test de myotome pour la quantification d'un examen neurologique

Country Status (2)

Country Link
KR (1) KR101928237B1 (fr)
WO (1) WO2019225905A1 (fr)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101928237B1 (ko) * 2018-05-23 2018-12-11 최광호 신경학적검사의 정량화를 위한 근육분절검사장치
KR102248962B1 (ko) * 2019-01-22 2021-05-06 경남대학교 산학협력단 Mmi프로그램을 활용한 족부 대상의 근육활성도검사장치

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200193724Y1 (ko) * 1997-12-05 2000-08-16 유석봉 자동신체검사기
KR100345246B1 (ko) * 1999-08-27 2002-07-19 주식회사 바이오스페이스 생체전기 임피던스 법을 이용한 근육진단 장치 및 그 진단 방법
JP5598756B2 (ja) * 2010-07-29 2014-10-01 国立大学法人九州工業大学 血栓症予防装置
KR20160058277A (ko) * 2014-11-14 2016-05-25 (주) 알앤유 증강현실을 이용한 인체 데이터 획득용 전극 부착 위치 표시 장치 및 방법
KR101788960B1 (ko) * 2016-02-24 2017-10-23 서울대학교산학협력단 관절 가동성 자동측정장치 및 이를 이용한 관절 가동성 자동측정방법
KR101928237B1 (ko) * 2018-05-23 2018-12-11 최광호 신경학적검사의 정량화를 위한 근육분절검사장치

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200193724Y1 (ko) * 1997-12-05 2000-08-16 유석봉 자동신체검사기
KR100345246B1 (ko) * 1999-08-27 2002-07-19 주식회사 바이오스페이스 생체전기 임피던스 법을 이용한 근육진단 장치 및 그 진단 방법
JP5598756B2 (ja) * 2010-07-29 2014-10-01 国立大学法人九州工業大学 血栓症予防装置
KR20160058277A (ko) * 2014-11-14 2016-05-25 (주) 알앤유 증강현실을 이용한 인체 데이터 획득용 전극 부착 위치 표시 장치 및 방법
KR101788960B1 (ko) * 2016-02-24 2017-10-23 서울대학교산학협력단 관절 가동성 자동측정장치 및 이를 이용한 관절 가동성 자동측정방법
KR101928237B1 (ko) * 2018-05-23 2018-12-11 최광호 신경학적검사의 정량화를 위한 근육분절검사장치

Also Published As

Publication number Publication date
KR101928237B1 (ko) 2018-12-11

Similar Documents

Publication Publication Date Title
WO2011145807A2 (fr) Dispositif pour l'examen de la fonction nerveuse
WO2017160015A1 (fr) Système de contrôle d'apnée du sommeil
WO2013094995A1 (fr) Système d'autodiagnostic du champ visuel faisant appel à un ordinateur personnel et méthode d'autodiagnostic du champ visuel
US8777878B2 (en) Devices, systems, and methods for measuring and evaluating the motion and function of joints and associated muscles
US6063044A (en) Apparatus for measuring muscle tone
WO2019225905A1 (fr) Dispositif de test de myotome pour la quantification d'un examen neurologique
CN115054415B (zh) 具有云存储功能的智能化脊柱侧凸康复机器人
CN109157233A (zh) 一种关节功能测试训练系统
US5961474A (en) Non-invasive measurement of joint translation and range of motion
KR101799551B1 (ko) 척추 측만증 진단 기기
WO2011097615A1 (fr) Dispositif de mesure de couple et de plage de mouvement d'une épaule
CN110575143A (zh) 膝关节松弛度测量仪
Pringle Intra-instrument reliability of 4 goniometers
EP2371282A1 (fr) Dispositif de mesure de l'instabilité rotatoire du genou
CN112315473A (zh) 非人灵长类动物多模态数据采集实验系统
WO2022196891A1 (fr) Appareil de collecte d'échantillons à distance réglable en hauteur
CN210931366U (zh) 膝关节松弛度测量仪
KR102248962B1 (ko) Mmi프로그램을 활용한 족부 대상의 근육활성도검사장치
Hu et al. Creation of an asymmetrical gradient of back muscle activity and spinal stiffness during asymmetrical hip extension
CN110403603A (zh) 一种用于辅助癫痫手术的监测设备
Gross et al. Method for Quantifying Assessment of Contract Thermography: Effect of Extremity Dominance on Temperature Distribution Patterns
CN215385627U (zh) 一种神经外科护理用检查装置
US20240099920A1 (en) Method for controlling device for automatically adjusting airway opening body position
WO2023075560A1 (fr) Méthode et dispositif d'évaluation pour test d'impulsion de la tête
CN215227759U (zh) 一种新型64排ct机

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19807033

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19807033

Country of ref document: EP

Kind code of ref document: A1