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CN120376044A - Assessment and training method for rehabilitation exercise of old limbs - Google Patents

Assessment and training method for rehabilitation exercise of old limbs

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Publication number
CN120376044A
CN120376044A CN202510812778.0A CN202510812778A CN120376044A CN 120376044 A CN120376044 A CN 120376044A CN 202510812778 A CN202510812778 A CN 202510812778A CN 120376044 A CN120376044 A CN 120376044A
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rehabilitation
score
exercise
value
training
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许静
张伟
庞瑛
刘小娜
王静
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First Affiliated Hospital of Xian Jiaotong University
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First Affiliated Hospital of Xian Jiaotong University
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Abstract

The invention relates to the field of limb exercise rehabilitation, in particular to an evaluation and training method for rehabilitation exercise of old people, which comprises a rehabilitation data collection module, an evaluation module and a training plan making module, wherein the rehabilitation data collection module is used for collecting real-time rehabilitation information of the old people when performing rehabilitation exercise in a current rehabilitation training period and collecting rehabilitation test information of the old people in a current rehabilitation exercise test, the evaluation module acquires an output basic evaluation value, a endurance evaluation value and a rehabilitation effect evaluation value according to the real-time rehabilitation information, the rehabilitation test information and historical evaluation data, and utilizes the training plan making module to automatically make a training method of the next rehabilitation training period.

Description

Assessment and training method for rehabilitation exercise of old limbs
Technical Field
The invention relates to the technical field of limb movement rehabilitation, in particular to an evaluation and training method for senile limb rehabilitation movement.
Background
With the aggravation of aging population, the rehabilitation problem of the aged limbs is increasingly concerned, and the limb movement capacity of the aged population is reduced to different degrees due to factors such as physical function decline, chronic diseases and the like, so that the daily life quality of the aged population is influenced, so that a scientific and effective evaluation and training method for rehabilitation exercise of the aged limbs is particularly important.
At present, most of existing rehabilitation assessment and training means on the market lack systematicness and comprehensiveness, part of assessment methods only pay attention to the actual lifting and holding times of rehabilitation exercises and ideal lifting and holding times, carry out surface rehabilitation effect assessment, neglect important factors such as lifting and holding degree, pain feeling of the old, exercise coordination, cardiopulmonary function, psychological state and the like, and cannot comprehensively consider the whole rehabilitation state of the old, for example, a limb nerve rehabilitation state assessment method based on multi-mode sensor data fusion with the application number of CN 202411876805.2.
It is worth noting that if pain feeling of the old in the exercise process is ignored, excessive training is possibly caused, pain is aggravated, and rehabilitation effect is affected, meanwhile, daily movement capacity of the old is limited due to poor exercise coordination, exercise endurance is affected due to insufficient heart and lung functions, enthusiasm and compliance of the old in the rehabilitation training are reduced due to negative psychological states, and the rehabilitation process is adversely affected.
In addition, the establishment of the training program often lacks individuation, and cannot be accurately adjusted according to the actual situation of the old, so that the rehabilitation effect is uneven, and therefore, a person skilled in the art provides an evaluation and training method for limb rehabilitation exercise of the old so as to solve the problems in the background technology.
Disclosure of Invention
The invention solves the technical problem of providing an evaluation and training method for rehabilitation exercise of old limbs so as to realize comprehensive, dynamic and personalized rehabilitation evaluation and training, and has remarkable optimization and innovation effects.
In order to solve the problems, the invention provides the following technical scheme:
The evaluation and training method for the rehabilitation exercise of the aged limb comprises a rehabilitation data collection module, an evaluation module and a training plan making module, and is characterized in that the evaluation module comprises a limb exercise capacity evaluation unit, an exercise endurance evaluation unit and a rehabilitation effect evaluation unit;
the specific implementation steps are as follows:
step 1, the rehabilitation data are used for collecting real-time rehabilitation information of the old people when performing rehabilitation exercises in the current rehabilitation training period, wherein the real-time rehabilitation information comprises exercise frequency and muscle growth values;
step 2, the rehabilitation data collection module is used for collecting rehabilitation test information of the old in the current rehabilitation exercise test, wherein the rehabilitation test information comprises the activity angle, pain degree score, exercise duration, exercise coordination score, cardiopulmonary function score and psychological state score of each relevant joint;
Step 3, the evaluation module acquires an output basic evaluation value, a endurance evaluation value and a rehabilitation effect evaluation value according to the real-time rehabilitation information, the rehabilitation test information and the historical evaluation data;
step 4, the training plan making module receives the rehabilitation effect evaluation value and automatically makes a training method of the next rehabilitation training period by utilizing the training plan making module;
The history evaluation data comprises a maximum joint movement angle and a maximum joint movement value and a last rehabilitation effect evaluation value;
The tests included in the sports coordination score include a digital nose test, a knee-following shin test and a rotation test;
The cardiopulmonary function score comprises a walking ability score and a heart rate variability score of the old in the current rehabilitation exercise test for six minutes of walking distance.
Further: the equipment used by the rehabilitation data collection module comprises a protractor, a timer, a spring-grip, a chest expander, a heart-lung function tester and data collection equipment, the equipment used by the evaluation module comprises a data processing server, and the equipment used by the training plan making module comprises control equipment.
The limb movement capability assessment unit obtains joint movement angles and values according to the relevant joint movement angles, divides the joint movement angles and values from the maximum joint movement angles and values, and obtains joint movement capability characteristics;
Acquiring the basic evaluation value according to the joint movement capability characteristics, the pain degree score and the movement coordination score;
The pain degree score is obtained according to pain feeling of the old in the exercise process, and the score with the value range of {0-10 };
the specific acquisition of the motion coordination score is as follows:
the digital nose test determines a first test score;
determining a second trial score from the knee heel leg trial;
The rotation test determines a third test score;
the first trial score, the second trial score and the third trial score are weighted respectively to determine the exercise coordination score.
The exercise endurance assessment unit obtains the heart lung function score according to weights respectively added by the walking ability score and the heart rate variability score;
The basic evaluation value, the exercise duration and the heart lung function score are used for obtaining continuous exercise capability characteristics;
And multiplying the continuous movement capability characteristic by the movement frequency to obtain a endurance evaluation value.
The rehabilitation effect evaluation unit acquires a physiological and psychological comprehensive evaluation value according to the endurance evaluation value and the psychological state score;
acquiring rehabilitation growth characteristics according to the physiological and psychological comprehensive evaluation value and the muscle growth value;
and acquiring a rehabilitation effect evaluation value according to the rehabilitation growth characteristics and the last rehabilitation effect evaluation value.
Further, the evaluation based on the recovery effect evaluation value is as follows:
If the recovery effect evaluation value is greater than 1, the recovery effect is improved;
if the recovery effect evaluation value is smaller than 1, the recovery effect tends to be reduced;
if the recovery effect evaluation value is equal to 1, the recovery effect tends to be flat.
And the training plan making module automatically makes a training method of the next rehabilitation training period according to the results of the rehabilitation effect evaluation values which are more than 1, less than 1 and equal to 1 and combining the activity angles of all the relevant joints, the pain degree score, the exercise duration and the exercise frequency.
The effects of the scheme are as follows:
1. According to the invention, three factors including joint movement ability, pain feeling and movement coordination are comprehensively considered through the limb movement ability evaluation unit, so that the limb movement ability of the old is more comprehensively evaluated, wherein the movement coordination reflects the limb control and coordination ability of the old in the movement process, and the limb movement ability is brought into an evaluation system, so that the actual movement condition of the old can be more accurately reflected.
The exercise endurance assessment unit further introduces three factors of exercise duration, exercise frequency and cardiopulmonary function on the basis of the limb exercise ability assessment unit, considers the exercise endurance of the old, and brings the exercise endurance into assessment, so that the assessment is not limited to static joint movement, pain condition and simple exercise time and frequency, but more comprehensively reflects the rehabilitation condition of the old.
Finally, the rehabilitation effect evaluation unit synthesizes the dynamic changes of exercise endurance, muscle strength increase and rehabilitation effect and the psychological state, and timely discovers the progress and problems in the rehabilitation process by comparing with the previous rehabilitation effect evaluation value, and provides basis for adjusting a training plan, wherein the psychological state has important influence on the rehabilitation effect, and the positive psychological state is helpful for improving the rehabilitation effect, and is brought into evaluation, so that the rehabilitation effect can be more comprehensively reflected.
2. According to the rehabilitation effect evaluation unit, the last rehabilitation effect evaluation value is introduced to realize dynamic evaluation of the rehabilitation effect, and after each training period is finished, the rehabilitation effect evaluation value obtained through calculation is compared with the last rehabilitation effect evaluation value, so that the dynamic evaluation mechanism can timely find out problems in the rehabilitation process, adjust the training plan in real time, and avoid the problem that static evaluation cannot follow up the rehabilitation progress in time in the prior art.
In addition, according to the assessment and training method, according to each assessment value calculated by the limb movement capability assessment unit, the movement endurance assessment unit and the rehabilitation effect assessment unit, an individualized rehabilitation training plan is formulated for the old, and according to the rehabilitation effect assessment value KX, the movement strength and movement type parameters of the training plan are adjusted by combining factors such as movement coordination, cardiopulmonary function and psychological state, so that the individualized requirements of different old are met, and the rehabilitation effect is improved.
Drawings
FIG. 1 is a flow chart showing the steps of the method for evaluating and training rehabilitation exercise of an aged limb;
FIG. 2 is a schematic diagram of the overall structural module of the present invention;
FIG. 3 is a schematic diagram of each unit of the evaluation module according to the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
1-3, An evaluation and training method for rehabilitation exercise of an aged limb comprises a rehabilitation data collection module, an evaluation module and a training plan making module, and is characterized in that the evaluation module comprises a limb exercise capacity evaluation unit, an exercise endurance evaluation unit and a rehabilitation effect evaluation unit;
the specific implementation steps are as follows:
Step 1, a rehabilitation data collection module is used for collecting real-time rehabilitation information of old people when rehabilitation exercises are performed in a current rehabilitation training period, wherein the real-time rehabilitation information comprises exercise frequency and muscle growth values;
Step 2, a rehabilitation data collection module is used for collecting rehabilitation test information of the old in the current rehabilitation exercise test, wherein the rehabilitation test information comprises the activity angle of each relevant joint, the pain degree score, the exercise duration, the exercise coordination score, the cardiopulmonary function score and the psychological state score;
step 3, the evaluation module acquires an output basic evaluation value, a endurance evaluation value and a rehabilitation effect evaluation value according to the real-time rehabilitation information, the rehabilitation test information and the historical evaluation data;
Step 4, a training plan making module receives the rehabilitation effect evaluation value and automatically makes a training method of the next rehabilitation training period by utilizing the training plan making module;
the history evaluation data comprises a maximum joint movement angle and a maximum joint movement value and a last rehabilitation effect evaluation value;
The tests included in the sports coordination score include a digital nose test, a knee-following shin test and a rotation test;
The cardiopulmonary function score includes a walking ability score and a heart rate variability score of the old's six minute walking distance in the current rehabilitation exercise test.
The equipment used by the rehabilitation data collection module comprises a protractor, a timer, a spring-grip, a chest expander, a heart-lung function tester and data acquisition equipment, the equipment used by the evaluation module comprises a data processing server, and the equipment used by the training plan making module comprises control equipment.
In this embodiment, through the steps 1 to 4 and the evaluation and training methods of the modules, units and devices used in combination, the limb rehabilitation condition of the old can be comprehensively and dynamically evaluated, and the training plan can be automatically adjusted according to the evaluation result, so that the rehabilitation effect is improved, and meanwhile, the whole rehabilitation process is more systematic and scientific due to the arrangement of the modules and units.
Referring to fig. 1 and 3, the limb movement capability assessment unit obtains a joint movement angle and a value according to each relevant joint movement angle, divides the joint movement angle and the value by a maximum joint movement angle and a maximum joint movement value, and obtains a joint movement capability feature;
acquiring a basic evaluation value according to joint movement ability characteristics, pain degree scores and exercise coordination scores;
the calculation formula of the limb movement ability evaluation unit is as follows:
;
wherein:
DJ is taken as a basic evaluation value;
JZ is the joint movement angle sum value, and JZ is the sum of the addition of all relevant joint movement angles of the old in the current rehabilitation exercise test;
the joint movement angle comprises a shoulder movement angle, an elbow movement angle and a wrist movement angle;
JZ0 is the maximum joint movement angle sum value, and JZ0 refers to the total maximum movement angle which can be achieved by each relevant joint of the human body under the normal condition, specifically, the maximum shoulder movement angle, the maximum elbow movement angle and the maximum wrist movement angle;
t is a pain degree score, T is specifically a pain feeling score of the old according to the old in the exercise process, and the value range of T is {0-10}:
A value of T approaching 0 indicates a low pain level;
a value of T approaching 10 indicates a high pain level;
s is the score of the coordination of the sport, and s=s1 xw1+s2 x w1 +S2;
s1 is a first test score automatically generated through a digital nose test, S2 is a second test score automatically generated through a heel knee shin test, and S3 is a third test score automatically generated through a rotation test;
w1, w2 and w3 are weight coefficients.
In the limb movement capability assessment unit of the present embodiment,The calculation part is used for evaluating the proportion of the current joint movement capacity of the old to the normal joint movement capacity, the joint movement angle and the value JZ reflect the joint movement range which can be achieved by the old actually, the maximum joint movement angle and the value JZ0 are the movement range which is supposed to be of the joints of the human body under the normal condition, and the relative level of the joint movement capacity of the old can be intuitively seen by dividing the two;
In particular, if The ratio result of the calculation part is close to 1, which indicates that the joint movement capability of the old is close to normal,The smaller the ratio result of the calculation part, the more severely the joint movement limitation is indicated,The calculation part is basic data for evaluating the limb movement capability, and the subsequent calculation is adjusted and refined on the basis.
The limb movement capability assessment unit comprehensively considers three factors including joint movement capability, pain feeling and movement coordination, the actual level of the joint movement of the old is reflected by the ratio of the joint movement angle and the value JZ to the maximum joint movement angle and the value JZ0, the subjective feeling of the old in the movement process is reflected by the pain degree score T, the limb control and coordination capability of the old in the movement process is reflected by the movement coordination, and the limb movement capability of the old can be assessed more comprehensively and accurately by combining the three factors, so that the limitation that the existing assessment method only focuses on a single index is avoided.
Wherein the limb movement capability evaluation unit uses multiplication and division operation, performs smoothing processing on the data and controls the range of the result so as to ensure thatCalculation partThe numerical values of the calculation parts are in the same order of magnitude, so that subtraction operation is facilitated, and the final evaluation score is more reasonable and stable.
In addition, the finger-nose test is mainly used for detecting the ataxia movement function of the upper limb, the knee-leg test is mainly used for evaluating the ataxia coordination ability of the lower limb, the alternate test is used for detecting the coordination ability and the cerebellum function of the limb, the three tests respectively detect the movement coordination ability of the old from different dimensions, and the comprehensive effect of the scores and the weights of the three tests can comprehensively and accurately reflect the movement coordination condition of the old, provide a key basis for comprehensive evaluation of the rehabilitation condition, and facilitate making a more accurate and effective rehabilitation training plan.
Referring to fig. 1 and 3, the exercise endurance assessment unit obtains a cardiopulmonary function score according to weights respectively added to the walking ability score and the heart rate variability score;
basic evaluation value, exercise duration and cardiopulmonary function score, obtain the continuous exercise ability characteristic;
Multiplying the continuous movement capability characteristic by the movement frequency to obtain a endurance evaluation value;
The calculation formula of the exercise endurance evaluation unit is as follows:
;
M=M1×w4+M2×w5;
wherein:
N is an endurance evaluation value;
C is exercise duration, C represents the time of continuous exercise of the old in the current rehabilitation exercise test, namely the exercise time of this time, and the unit is minutes;
M is heart lung function score, M1 is walking ability score, M2 is heart rate variability score;
M1=(d/d0)×5,M1=(HRV/HRV0)×5;
d is the current six-minute walking distance of the old, d0 is the normal six-minute walking reference distance of the old, HRV is the current six-minute walking heart rate variability value of the old, and HRV0 is the normal six-minute walking heart rate reference variability value of the old;
If the result value of M1 is greater than 5, the value is 5;
if the result value of M2 is greater than 5, the value is 5;
p is the exercise frequency, and P refers to the number of times of rehabilitation exercise performed by the old in the current rehabilitation training period, namely the number of times of exercise in one week.
In the exercise endurance assessment unit of the present embodiment, first,The calculation result can reflect the rehabilitation condition of the old people from multiple dimensions, DJ represents basic capability, M represents endurance, CC represents duration of continuous exercise, the three can comprehensively reflect comprehensive exercise performance of the old people in rehabilitation training, rehabilitation staff can know the rehabilitation progress and physical condition of the old people more accurately, and through the calculation result, the rehabilitation staff can judge whether the current rehabilitation training plan is effective.
In addition, it should be noted that the walking ability score M1 is a score for evaluating exercise endurance and cardiopulmonary reserve function by measuring the walking distance of the elderly within six minutes, and although in actual test, some elderly may have a good physical condition or a rehabilitation training over a period of time, the six-minute walking distance d exceeds the six-minute walking reference distance d0 corresponding to the cardiopulmonary function of the normal elderly, but the scoring system is set to be fully divided into 5 points, meaning that when the walking distance of the elderly reaches or exceeds a certain level, which is sufficient to indicate that the cardiopulmonary function thereof is in good condition, the score is increased again and the cardiopulmonary function advantage thereof cannot be reflected more effectively, so the upper score limit is set to be 5 points;
The heart rate variability score M2 is an important index reflecting the regulation function of the cardiac autonomic nervous system, the heart rate reference variability value HRV0 represents a relatively reasonable range, and when the heart rate variability value HRV of the old exceeds the heart rate reference variability value HRV0, the heart autonomic nervous regulation function of the old is better, but in order to make the scoring system have consistency and comparability, the upper score limit is set to be 5 points, so that the occurrence of excessively high scores and the loss of the reference meaning of scoring are avoided.
The exercise endurance assessment unit introduces three factors of exercise duration C, exercise frequency P and cardiopulmonary function score M on the basis of the limb exercise ability assessment unit, comprehensively considers the exercise endurance of the old, so that the comprehensive rehabilitation condition of the old can be assessed more accurately.
The calculation result of the exercise endurance assessment unit further enriches the dimension of rehabilitation assessment, and the exercise endurance assessment unit is matched with the limb exercise ability assessment unit to assess the limb rehabilitation condition of the old from different angles, so that the whole rehabilitation assessment system is more perfect.
Referring to fig. 1 and 3, the rehabilitation effect evaluation unit obtains a physiological and psychological comprehensive evaluation value according to the endurance evaluation value and the psychological state score;
acquiring rehabilitation growth characteristics according to the physiological and psychological comprehensive evaluation value and the muscle growth value;
Acquiring a rehabilitation effect evaluation value according to the rehabilitation growth characteristics and the last rehabilitation effect evaluation value;
The calculation formula of the rehabilitation effect evaluation unit is as follows:
;
wherein:
KX is an evaluation value of rehabilitation effect;
R is the psychological state score of the current old after the psychological test is performed in the current rehabilitation training period;
JR is a muscle growth value, wherein JR refers to the growth value of muscle strength of the old after the current rehabilitation training period is finished compared with that of the previous rehabilitation training period, specifically, the result of subtracting the grip strength after the current rehabilitation training period is finished from the grip strength when the previous rehabilitation training period is finished, the value range of the grip strength when the previous rehabilitation training period is finished is set to be {8-14} in the first rehabilitation exercise test of each old, and the unit is kg;
KX0 is the last rehabilitation effect evaluation value, KX0 reflects the rehabilitation effect evaluation value KX calculated in the rehabilitation exercise test of the old after the last rehabilitation training period is finished, and in the first rehabilitation exercise test of each old, the rehabilitation effect evaluation value KX after the last rehabilitation training period is set to be 1.
In the rehabilitation effect evaluation unit of the present embodiment,The comprehensive rehabilitation state (physiological endurance and psychological state) and the increase condition of muscle strength of the old are integrated, and the result reflects the comprehensive influence effect of rehabilitation training on the increase of the muscle strength on the basis of comprehensively considering the physiological endurance and psychological state of the old;
Will be The calculation section compares with the last rehabilitation effect evaluation value KX0 to evaluate the dynamic change of the rehabilitation effect, in particular byThe calculation section divides the previous rehabilitation effect evaluation value KX0 to obtain a relative value, that is, a rehabilitation effect evaluation value KX, and the rehabilitation effect evaluation value KX reflects the rising and falling of the rehabilitation effect with respect to the last time by the current rehabilitation training period.
It should be noted that, when each old man carries out the rehabilitation exercise test for the first time, since there is no history data of the current old man, the initial data when calculating the muscle growth value JR is flexibly set according to the normal grip range of the old man, i.e., {8-14}, and problems and progress in the rehabilitation process can be found in time according to the rehabilitation effect evaluation value KX calculated by the rehabilitation effect evaluation unit;
If the rehabilitation effect evaluation value KX is larger than 1, which indicates that the rehabilitation effect is improved, the training intensity can be properly increased, if the rehabilitation effect evaluation value KX is smaller than 1, which indicates that the rehabilitation effect is reduced, the training plan needs to be adjusted, in addition, since the standard value of the evaluation comparison of the rehabilitation effect evaluation value KX is 1, when each old person performs the rehabilitation exercise test for the first time, the previous rehabilitation effect evaluation value KX0 is 1, the dynamic evaluation mechanism provides scientific basis for adjustment of rehabilitation training, is beneficial to improving rehabilitation effect, and the dynamic evaluation function of the rehabilitation effect evaluation unit promotes continuous optimization of the rehabilitation training process, and automatically adjusts the training plan by continuously tracking the change of the rehabilitation effect, so that the rehabilitation training meets the actual demands of the old more, and further the rehabilitation efficiency and quality are improved.
In addition, in the evaluation system, the full score is set to be 5 points no matter the sports coordination score S, the heart and lung function score M or the psychological state score R, which is a standardized scoring mode, so that various indexes of different old people can be conveniently measured and compared uniformly.
Referring to fig. 1 to 3, the evaluation based on the rehabilitation effect evaluation value KX is as follows:
if the rehabilitation effect evaluation value KX is greater than 1, the rehabilitation effect is improved;
if the rehabilitation effect evaluation value KX is smaller than 1, the rehabilitation effect tends to be reduced;
If the rehabilitation effect evaluation value KX is equal to 1, the rehabilitation effect tends to be gentle;
The training plan making module automatically makes a training method of the next rehabilitation training period according to the results of the rehabilitation effect evaluation value KX being more than 1, less than 1 and equal to 1 and combining the activity angles of all relevant joints, the pain degree score T, the movement duration C and the movement frequency P.
In this embodiment, firstly, the rehabilitation effect evaluation value KX of the rehabilitation effect evaluation unit can be fed back to the calculation of the limb movement capability evaluation unit, so as to optimize the parameters in the limb movement capability evaluation unit, specifically, if the rehabilitation effect evaluation value KX is greater than 1, it is indicated that the rehabilitation of the old is well progressed, and the reference value of the maximum joint movement angle and the value JZ0 can be properly improved;
if the rehabilitation effect evaluation value KX is smaller than 1, the rehabilitation progress of the old is poor, and the reference value of the maximum joint movement angle and the value JZ0 needs to be properly reduced;
If the rehabilitation effect evaluation value KX is equal to 1, which indicates that the rehabilitation of the old is slow, the reference value of the maximum joint movement angle and the value JZ0 needs to be properly improved;
And the conditions that the pain degree is greater than 1, less than 1 and equal to 1 are combined with the movement angles of all the relevant joints, the pain degree score T, the movement duration C and the movement frequency P to carry out comprehensive evaluation adjustment, so as to formulate a training method of the next rehabilitation training period;
Therefore, the automatic rehabilitation evaluation and training system can enable the calculation result of the limb movement capacity evaluation unit to more accurately reflect the actual rehabilitation situation of the old, improves the accuracy of basic evaluation, enables the rehabilitation effect evaluation unit to form a closed-loop rehabilitation evaluation and training system on the cyclic influence of the limb movement capacity evaluation unit, adjusts basic evaluation parameters by continuously and automatically adjusting the training method according to the rehabilitation effect, and makes a training plan according to the new basic evaluation result DJ, so that the rehabilitation process is more scientific and reasonable, and the closed-loop management mode is beneficial to improving the pertinence and the effectiveness of rehabilitation training and promoting the limb functions of the old to be better recovered.
The rehabilitation effect evaluation unit can be used for enabling rehabilitation training to be more fit with individual differences of old people due to the cyclic influence of the limb movement capability evaluation unit, the rehabilitation effects of different old people are different, more personalized rehabilitation training plans can be formulated for each old people through dynamic adjustment and a training method for formulating the next rehabilitation training period, different rehabilitation requirements of the old people are met, and the rehabilitation training effect is improved.
In the second embodiment, referring to fig. 3, based on the calculation formulas of the limb movement ability evaluation unit and the movement endurance evaluation unit,AndThe calculation part respectively performs 10 times amplification, 100 times reduction and 10 times reduction by a multiplication and division algorithm mode to control the range of the calculation result.
In the present embodiment of the present invention, in the present embodiment,The calculating part is toThe ratio is amplified to a certain extent so that the subsequent calculation is performed in a suitable range of values, and the ratio of the joint movement angle and value JZ to the maximum joint movement angle and value JZ0 is generally less than 1, and the multiplication of the ratio by 10 can make the values more convenient for subsequent calculation and analysis.
WhileThe calculation part appropriately reduces the pain degree score T to be in line with the previous oneThe numerical values of the calculation parts are in the same order of magnitude, so that the subtraction operation is facilitated.
And the pain degree score T is a subjective score of 0-10, subtracting directly from the previous value would result in an excessive impact on the pain factor, divided by 10 would reasonably balance the weight of the pain factor in the assessment.
The calculation part reduces the product result of the DJ×C calculation part to avoid overlarge value, specifically, the multiplication of the basic evaluation value DJ and the motion duration C can obtain a hundred-bit larger value, so that the division by 100 can adjust the larger value to a proper range, and the subsequent calculation operation is convenient.
WhileThe calculation part appropriately reduces the motion frequency P to be matched with the motion frequency PThe values of the calculation part are in the same order of magnitude, so that the multiplication operation is convenient, and it is worth noting that the movement frequency P is the movement frequency in the current rehabilitation training period, ifThe multiplication of the result values of the calculation section would have the result over-affected by the factor of the movement frequency P, divided by 10, to reasonably balance the weight of the movement frequency P in the evaluation.
Although the present invention is disclosed above, the present invention is not limited thereto. Various changes and modifications may be made by one skilled in the art without departing from the spirit and scope of the invention, and the scope of the invention should be assessed accordingly to that of the appended claims.

Claims (8)

1.一种老年肢体康复运动的评估与训练方法,其特征在于:包括康复数据收集模块,评估模块和训练计划制定模块,所述评估模块包括有肢体运动能力评估单元、运动耐力评估单元、康复效果评估单元;1. An evaluation and training method for elderly limb rehabilitation exercise, characterized in that it includes a rehabilitation data collection module, an evaluation module and a training plan formulation module, wherein the evaluation module includes a limb movement ability evaluation unit, a movement endurance evaluation unit and a rehabilitation effect evaluation unit; 具体实现步骤如下:The specific implementation steps are as follows: 步骤1、所述康复数据收集模块用于收集老人在当前康复训练周期内进行康复运动时的实时康复信息,包括运动频率、肌肉增长值;Step 1: The rehabilitation data collection module is used to collect real-time rehabilitation information of the elderly during rehabilitation exercises in the current rehabilitation training cycle, including exercise frequency and muscle growth value; 步骤2、所述康复数据收集模块用于收集老人在当前康复运动测试中的康复测试信息,包括各个相关关节活动角度,疼痛程度评分,运动持续时间,运动协调性评分,心肺功能评分,心理状态评分;Step 2, the rehabilitation data collection module is used to collect the rehabilitation test information of the elderly in the current rehabilitation exercise test, including the activity angle of each relevant joint, pain degree score, exercise duration, exercise coordination score, cardiopulmonary function score, and psychological state score; 步骤3、所述评估模块根据所述实时康复信息、所述康复测试信息、历史评估数据,获取输出基础评估值、耐力评估值、康复效果评估值;Step 3, the evaluation module obtains and outputs a basic evaluation value, an endurance evaluation value, and a rehabilitation effect evaluation value according to the real-time rehabilitation information, the rehabilitation test information, and the historical evaluation data; 步骤4、所述训练计划制定模块接收所述康复效果评估值,并自动制定下一康复训练周期的训练方法;Step 4: the training plan formulation module receives the rehabilitation effect evaluation value and automatically formulates a training method for the next rehabilitation training cycle; 其中,所述历史评估数据包括有最大关节活动角度和值、上一康复效果评估值;The historical evaluation data include the maximum joint motion angle and value, and the last rehabilitation effect evaluation value; 所述运动协调性评分所包括的测试有指鼻试验、跟膝胫试验和轮替试验;The tests included in the motor coordination score are the finger-to-nose test, the heel-knee-shin test, and the rotarod test; 所述心肺功能评分包括老人在当前康复运动测试中六分钟步行距离的步行能力得分和心率变异性得分。The cardiopulmonary function score includes the walking ability score of the elderly in the six-minute walking distance in the current rehabilitation exercise test and the heart rate variability score. 2.根据权利要求1所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述康复数据收集模块所使用到的设备包括有量角器,计时器,握力器,拉力器,心肺功能测试仪,数据采集设备,所述评估模块所使用到的设备包括有数据处理服务器,所述训练计划制定模块所使用到的设备包括有控制设备。2. According to claim 1, a method for evaluating and training limb rehabilitation exercises for the elderly is characterized in that: the equipment used in the rehabilitation data collection module includes a protractor, a timer, a handgrip, a puller, a cardiopulmonary function tester, and a data acquisition device; the equipment used in the evaluation module includes a data processing server; and the equipment used in the training plan formulation module includes a control device. 3.根据权利要求1所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述肢体运动能力评估单元根据所述各个相关关节活动角度,获取关节活动角度和值,将所述关节活动角度和值与所述最大关节活动角度和值相除,获取关节活动能力特征;3. The method for evaluating and training elderly limb rehabilitation exercises according to claim 1, characterized in that: the limb movement ability evaluation unit obtains the joint movement angle and value according to the relevant joint movement angles, and divides the joint movement angle and value with the maximum joint movement angle and value to obtain the joint movement ability characteristics; 根据所述关节活动能力特征、所述疼痛程度评分和所述运动协调性评分,获取所述基础评估值。The basic assessment value is obtained according to the joint mobility characteristics, the pain degree score and the movement coordination score. 4.根据权利要求3所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述疼痛程度评分根据老人自身在运动过程中的疼痛感受,获取取值范围为{0-10}的评分;4. The method for evaluating and training elderly limb rehabilitation exercise according to claim 3, characterized in that: the pain level score is obtained based on the pain felt by the elderly during exercise, and the value range is {0-10}; 所述验运动协调性评分的具体获取如下:The specific acquisition of the sports coordination score is as follows: 所述指鼻试验确定第一试验评分;The finger-to-nose test determines a first test score; 所述跟膝胫试验确定第二试验评分;The heel-knee-shin test determines a second test score; 所述轮替试验确定第三试验评分;The rotating test determines the third test score; 所述第一试验评分、所述第二试验评分和所述第三试验评分分别加以权重,确定所述验运动协调性评分。The first test score, the second test score and the third test score are weighted respectively to determine the test movement coordination score. 5.根据权利要求4所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述运动耐力评估单元根据所述步行能力得分和所述心率变异性得分分别加以的权重,获取所述心肺功能评分;5. The method for evaluating and training elderly limb rehabilitation exercise according to claim 4, characterized in that: the exercise endurance evaluation unit obtains the cardiopulmonary function score according to the weights respectively added to the walking ability score and the heart rate variability score; 所述基础评估值、所述运动持续时间和所述心肺功能评分,获取持续运动能力特征;The basic assessment value, the exercise duration and the cardiopulmonary function score are used to obtain the sustained exercise ability characteristics; 将所述持续运动能力特征与所述运动频率相乘,获取耐力评估值;Multiplying the sustained exercise capacity characteristic by the exercise frequency to obtain an endurance evaluation value; 运动耐力评估单元的计算公式如下:The calculation formula of the exercise endurance assessment unit is as follows: ; M=M1×w4+M2×w5;M = M1 × w4 + M2 × w5; 其中:in: N为耐力评估值;N is the endurance assessment value; C为运动持续时间,C表示老人在当前康复运动测试中所持续运动的时间,即这一次的运动时间,且单位为分钟;C is the duration of exercise, which means the duration of the elderly's exercise in the current rehabilitation exercise test, that is, the exercise time of this time, and the unit is minutes; M为心肺功能评分,M1为步行能力得分,M2为心率变异性得分;M is the cardiopulmonary function score, M1 is the walking ability score, and M2 is the heart rate variability score; M1=(d/d0)×5,M1=(HRV/HRV0)×5;M1=(d/d0)×5, M1=(HRV/HRV0)×5; d为当前老人的六分钟步行距离,d0为正常老人的六分钟步行基准距离,HRV为当前老人六分钟步行的心率变异值,HRV0为正常老人六分钟步行的心率基准变异值;d is the current six-minute walking distance of the elderly, d0 is the six-minute walking benchmark distance of a normal elderly, HRV is the heart rate variability of the current six-minute walking distance of the elderly, and HRV0 is the heart rate benchmark variability of the six-minute walking distance of a normal elderly; 若M1的结果值大于5,则取值为5;If the result value of M1 is greater than 5, then the value is 5; 若M2的结果值大于5,则取值为5;If the result value of M2 is greater than 5, then the value is 5; P为运动频率,P指老人在当前康复训练周期内进行康复运动的次数,即一周内运动的次数。P is the exercise frequency, which refers to the number of times the elderly perform rehabilitation exercises in the current rehabilitation training cycle, that is, the number of exercises in a week. 6.根据权利要求4所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述康复效果评估单元根据耐力评估值和所述心理状态评分,获取生理与心理综合评估值;6. The method for evaluating and training elderly limb rehabilitation exercises according to claim 4, characterized in that: the rehabilitation effect evaluation unit obtains a comprehensive physiological and psychological evaluation value based on the endurance evaluation value and the psychological state score; 根据所述生理与心理综合评估值和所述肌肉增长值,获取康复增长特征;Obtaining rehabilitation growth characteristics according to the comprehensive physiological and psychological evaluation values and the muscle growth value; 根据所述康复增长特征、所述上一康复效果评估值,获取康复效果评估值;Obtaining a rehabilitation effect evaluation value according to the rehabilitation growth characteristic and the previous rehabilitation effect evaluation value; 康复效果评估单元的计算公式如下:The calculation formula of the rehabilitation effect evaluation unit is as follows: ; 其中:in: KX为康复效果评估值;KX is the rehabilitation effect evaluation value; R为当前老人在当前康复训练周期所做心理测试后的心理状态评分;R is the psychological state score of the elderly after the psychological test in the current rehabilitation training cycle; JR为肌肉增长值;JR is the muscle growth value; KX0为上一康复效果评估值。KX0 is the previous rehabilitation effect evaluation value. 7.根据权利要求6所述的一种老年肢体康复运动的评估与训练方法,其特征在于:基于所述康复效果评估值的评估如下:7. The method for evaluating and training elderly limb rehabilitation exercises according to claim 6, characterized in that the evaluation based on the rehabilitation effect evaluation value is as follows: 若康复效果评估值大于1,则表示康复效果有所提升;If the rehabilitation effect evaluation value is greater than 1, it means that the rehabilitation effect has improved; 若康复效果评估值小于1,则表示康复效果趋于下降;If the rehabilitation effect evaluation value is less than 1, it means that the rehabilitation effect tends to decrease; 若康复效果评估值等于1,则表示康复效果趋于平缓。If the rehabilitation effect evaluation value is equal to 1, it means that the rehabilitation effect tends to be flat. 8.根据权利要求7所述的一种老年肢体康复运动的评估与训练方法,其特征在于:所述训练计划制定模块根据康复效果评估值大于1、小于1、等于1的结果,并结合所述各个相关关节活动角度、所述疼痛程度评分、所述运动持续时间、所述运动频率,自动制定下一康复训练周期的训练方法。8. A method for evaluating and training limb rehabilitation exercises for the elderly according to claim 7, characterized in that: the training plan formulation module automatically formulates the training method for the next rehabilitation training cycle based on the results of the rehabilitation effect evaluation value being greater than 1, less than 1, or equal to 1, and in combination with the relevant joint activity angles, the pain level score, the exercise duration, and the exercise frequency.
CN202510812778.0A 2025-06-18 2025-06-18 Assessment and training method for rehabilitation exercise of old limbs Pending CN120376044A (en)

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