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WO2019206954A1 - Système multi-capteur de diagnostic thérapeutique destiné à surveiller l'entraînement orthopédique et la performance sportive - Google Patents

Système multi-capteur de diagnostic thérapeutique destiné à surveiller l'entraînement orthopédique et la performance sportive Download PDF

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Publication number
WO2019206954A1
WO2019206954A1 PCT/EP2019/060452 EP2019060452W WO2019206954A1 WO 2019206954 A1 WO2019206954 A1 WO 2019206954A1 EP 2019060452 W EP2019060452 W EP 2019060452W WO 2019206954 A1 WO2019206954 A1 WO 2019206954A1
Authority
WO
WIPO (PCT)
Prior art keywords
sensor
carrying device
electrical components
data
data processing
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/EP2019/060452
Other languages
German (de)
English (en)
Inventor
Gilbert Santiago CAÑÓN BERMÚDEZ
Tetiana VOITSEKHIVSKA
Denys Makarov
Hagen FUCHS
Andriy TSVYAKH
Andriy HOSPODARSKYY
Oksana SHEVCHUK
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Helmholtz Zentrum Dresden Rossendorf eV
Original Assignee
Helmholtz Zentrum Dresden Rossendorf eV
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 Helmholtz Zentrum Dresden Rossendorf eV filed Critical Helmholtz Zentrum Dresden Rossendorf eV
Publication of WO2019206954A1 publication Critical patent/WO2019206954A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising

Definitions

  • Multi-sensory therapeutic-diagnostic system for monitoring orthopedic training and athletic performance
  • the invention relates to a multisensory therapeutic-diagnostic system for monitoring orthopedic training and athletic performance.
  • Digital healthcare technologies are used to diagnose, treat and monitor patients.
  • One area of this generic term called e-health is telemedicine.
  • the modern and innovative solutions of telemedicine enable the bridging of spatial and temporal boundaries between health organizations and patients through the use of new technological devices.
  • the costs and time of health insurance, hospitals and patients are saved.
  • Today, the devices used in telemedicine provide the ability to monitor patients from home.
  • Telemedical devices are used, for example, for the use of recording systems for fetal monitoring or portable ECG devices for cardiac diagnostics.
  • rehabilitation services and aftercare can also be offered over spatial and / or temporal distances, so that the healing process is stabilized or advanced. This is done through a so-called monitoring, in which the medical treatment and therapy is observed, evaluated and monitored.
  • the data were wirelessly transmitted to the treating orthopedist, creating an always individualized rehabilitation plan.
  • the disadvantage was the user bound to the use of a smartphone, as alternative devices were not provided.
  • Tsvyakh et al. System shown not mechanically flexible and adaptable to the anatomy of the patient.
  • the sensors used can not record any physiological parameters, such as temperature or pulse, which makes the use quite limited and specialized in a few data.
  • the research project for the MOTEX bandage http://www.motex-research.eu/), in whose realization u.a.
  • the Fraunhofer IZM Institute is involved, showing a knee bandage with textile strain sensors through which two different knee angles, e.g. in sports or rehabilitation.
  • the data is processed by an electronic module and transmitted to a smartphone and stored in high resolution.
  • Very fast knee movements e.g. measured artifact-free during the race.
  • no further physiological data can be acquired by this system, which disadvantageously can not be adapted individually to the current health of the patient.
  • the movements can be shown to the patient in real time, but only retrospectively understood and analyzed, but without intervening live in the training process and make any corrections if necessary.
  • the company OPED Medizintechnik GmbH https://oped.de/commun/product-orthelligent-knee
  • has developed an intelligent knee orthosis which by means of a motion sensor and associated App for ambulatory area after knee injuries is used.
  • predetermined knee angle tests are performed, which are based on the postoperative stage of the patient and are performed by both the healthy and the injured side.
  • the movement data is transmitted in real time to a smartphone.
  • the sensor is mounted in a special holder on the orthosis or the bandage, but not integrated in the textile.
  • the object is therefore to provide a system which overcomes the disadvantages of the prior art in the treatment of the lower and upper extremities after orthopedic surgery and for use in sports prevention, therapy, diagnostics and rehabilitation.
  • the goal is to guarantee real-time monitoring and patient care, independent of a doctor, trainer or therapist, and to reduce the time-consuming visits of doctors or therapists as well as treatment costs.
  • a device is to be made available, which is easy to use and comfortable and comfortable at home and thus outside a clinic or a rehab center is portable.
  • the device should continue to guarantee an individually adapted training plan, which takes into account the needs of the patient and is flexibly adaptable to the respective needs.
  • the object is achieved by a multisensory therapeutic-diagnostic system for monitoring orthopedic training and athletic performance according to the independent claims.
  • Advantageous embodiments of the invention are specified in the dependent claims.
  • a first aspect of the invention relates to a multisensory therapeutic-diagnostic system for monitoring orthopedic training and athletic performance, comprising electrical components, wherein the electrical components are spaced from each other and comprise at least one data processing device, at least one energy store and a sensor system for acquiring data wherein the sensor system comprises at least one first sensor, at least one second sensor, and at least one third sensor, and wherein the sensors are spaced from each other are.
  • the electrical components are connected to one another via means for signal transmission.
  • the system according to the invention further comprises a carrying device, wherein the carrying device is at least partially made of textile material, and has at least two spaced-apart connecting elements with closing means arranged thereon, wherein the closing means are detachably connected to one another.
  • the electrical components are arranged at least partially in the carrying device.
  • Another aspect of the invention relates to a method for monitoring orthopedic training and athletic performance.
  • the multisensory therapeutic diagnostic system is intended exclusively for humans.
  • system and method according to the invention can be used in the diagnostic and / or therapeutic field.
  • the term "diagnostic range” means the analysis and monitoring of the part of the body to be treated and, under the therapeutic range, the monitoring and medical treatment of the part of the body to be treated, both areas being able to interact with one another.
  • orthopedic training is understood to mean a preventive or post-operative or already completed rehabilitation treatment of the musculoskeletal system. This includes the field of rehabilitation (rehabilitation training) and sports medicine.
  • sporting performance is understood as monitoring the training progress of (high-performance) athletes. This includes, for example, the preventive determination and / or monitoring of muscle tone as well as the treatment of muscular dystonia or tension.
  • Body parts involved in orthopedic training or physical performance include those parts of the body or parts of the body of the patient that may be used in sports medicine or orthopedic surgery associated postoperative course preventive, therapeutically and / or diagnostically monitored and / or treated.
  • patients are referred to as patients who use the system according to the invention and are thus trained or treated. These may be, for example, newly operated persons, persons in rehabilitation or also (performance) athletes, regardless of age and anatomy.
  • the body parts to be treated include the upper and lower extremities, preferably their respective joints.
  • the lower extremities include areas of the buttocks, such as hip joints, areas of the thighs, areas of the lower legs, preferably knee joints, and areas of the foot such as hocks or toe joints.
  • the upper extremities include portions of the shoulder such as shoulder joints, portions of the upper arm, portions of the lower arm preferably elbow joints, areas of the hand and fingers, such as wrists, finger joints or thumb joints.
  • the body parts include the muscles connected to the respective joints.
  • the body parts to be treated may also include areas of the spine such as the cervical, thoracic and lumbar spine.
  • the system according to the invention is adapted depending on the body part to be treated. This relates in particular to the anatomical design of the support device and the selection of the sensor system and the sensors used, which can each be selected individually according to the purpose of use.
  • the system is portable.
  • the system is modular.
  • a modular construction is understood to mean the possibility of combining the electrical components with one another and with their arrangement in the carrying device as well as their reduction or topping-up as required.
  • electrical components and / or the carrying device can be adapted, replaced or replaced or retrofitted depending on the pathogenesis, course of the disease, stage of the disease, nature of the disease, anatomy and age of the patient or in the case of repairs or damage.
  • the choice of the sensors of the sensor system can be made individually according to the needs of the patient and thus advantageously maximum flexibility can be guaranteed.
  • the system is designed to be completely dismantled into the individual components.
  • this is a simple replacement, repair, supplementation, cleaning or donning and adaptation to the patient.
  • the electrical components are formed spaced apart from each other.
  • the electrical components comprise at least one data processing device.
  • the analysis of the data acquired by the sensor system is performed by the at least one data processing device.
  • the data acquired by the sensor system include the data on the mobility of the joints and / or the parameters coupled thereto and / or the vital functions of the patient.
  • the at least one data processing device processes and evaluates the data acquired by the sensor system. This advantageously takes place via a first subcomponent of a computer program product.
  • the data processing device has various modules.
  • the modules of the data processing device are interconnected by means for signal transmission.
  • the at least one data processing device is designed as a computer, laptop, smartphone or tablet.
  • the modules of the at least one data processing device include a microcontroller and a data carrier.
  • the at least one data processing device comprises at least one microcontroller.
  • the at least one microcontroller comprises a working and program memory.
  • the at least one microcontroller as a component to a module for data transmission.
  • the at least one microcontroller interacts with the sensor system, the further modules of the at least one data processing device and the at least one energy store of the system according to the invention via means for signal transmission.
  • the sensors communicate with the at least one microcontroller via a 1 2 C interface.
  • the at least one microcontroller interacts via its associated module for data transmission with the at least one external output device.
  • the at least one data processing device comprises a processor. In a further alternative embodiment, the at least one data processing device comprises a microprocessor.
  • the at least one data processing device further comprises at least one data carrier.
  • the at least one data carrier corresponds to a module of the data processing device.
  • patient-specific data can already be stored on the at least one data carrier before the training.
  • the patient-specific data include, for example, information on pathogenesis, course of surgery, postoperative stage, type of operation, athletic training parameters, anatomy and age of the patient.
  • the data acquired by the sensor system are stored and stored on the data carrier via means for signal transmission.
  • the recorded data is evaluated on the data medium immediately or at a later date.
  • the immediate evaluation can be advantageously decided on the course of treatment of the patient in real time.
  • the training can thus be adapted immediately to the condition of the patient by the doctor, trainer or therapist can intervene accordingly.
  • the at least one data carrier is designed as a memory card or as a flash memory, in particular as a microSD memory.
  • the at least one data carrier is designed as a USB stick or micro USB stick.
  • the at least one data carrier is designed as a process-controlled storage unit, in particular as a data logger or microSD data logger.
  • the at least one data carrier is designed as a server or cloud.
  • a computer program product is used for carrying out the method according to the invention, wherein the computer program product comprises a first subcomponent and a second subcomponent which are coupled to one another.
  • the first and the second subcomponent of the computer program product advantageously interact and interact with one another.
  • the computer program product is designed as software.
  • the first subcomponent of the computer program product acquires, analyzes, and outputs the data on the mobility of the joints and / or the parameters coupled thereto and / or the vital signs.
  • the first subcomponent of the computer program product is designed to transmit the acquired data for the mobility of the joints and / or the parameters coupled thereto and / or the vital signs to the at least one external output device.
  • the data transmission from the at least one data processing device to the at least one external output device is effected by a module for data transmission.
  • the module for data transmission is a component of the at least one microcontroller of the at least one data processing device.
  • the module for data transmission is designed as a wireless connection such as a Bluetooth or WLAN or radio connection.
  • the module for data transmission is designed as a radio module.
  • the second subcomponent of the computer program product acquires the data for the mobility of the joints and / or the parameters coupled thereto and / or the vital signs, analyzes these and outputs them.
  • the computer program product is stored on the data processing device and / or an external output device.
  • the first subcomponent of the computer program product is stored on the data processing device.
  • the first subcomponent of the computer program product corresponds to a firmware.
  • the second subcomponent of the computer program product is stored on the at least one external output device.
  • the electrical components comprise at least one energy store.
  • the at least one energy store serves for the power supply of the at least one data processing device and the sensor system.
  • the at least one energy store is designed as a battery or rechargeable battery.
  • the at least one energy store is designed as a lithium-polymer accumulator.
  • the at least one energy store is positioned as far as possible from the sensor system and the at least one data processing device.
  • the multisensory therapeutic-diagnostic system comprises a power supply which is arranged on the carrying device and connected to the at least one energy store, for example via electrical cables which are arranged in the carrying device.
  • the charging of the at least one energy store, preferably when the carrying device is not supported by the patient, is advantageously made possible by the power supply unit.
  • the power supply is designed as a plug-in power supply or charging cable.
  • the multisensory therapeutic diagnostic system includes a power switch or a power button that allows the system to be turned on and off.
  • the power switch is arranged on the outside of the carrying device, so that the user is made easy access.
  • the electrical components comprise a sensor system for the acquisition of data.
  • the sensor system collects data on the mobility of the joints, which mainly includes orthopedically relevant measurements. Along with the collection of data on the mobility of the joints so coupled parameters are determined.
  • coupled parameters are understood to mean changes caused directly by the movement of the trained joints.
  • the sensor system records data on the mobility of the joints, thus coupled parameters and / or vital functions of the patient.
  • the sensor system is multisensory and has differently designed sensors. The listed sensors are not exhaustive.
  • the data measured by the sensors provide physico-medically relevant information about the patient, which flows into the diagnosis and / or therapy of the patient.
  • the temporal change of the data on the mobility of the joints and / or the parameters coupled thereto and / or the vital functions of the patient during exercise is recorded.
  • the sensor system comprises at least one first sensor.
  • the at least one first sensor is arranged between the inside and the outside or the intermediate or filling layer of the carrying device.
  • the at least one first sensor is not visible - neither outwardly to the environment, nor inwards to the skin of the patient.
  • the at least one first sensor determines data on the mobility of the body parts, in particular of the joints.
  • the at least one first sensor is designed as a motion sensor for determining the absolute and / or relative position of the body parts involved in the training or exercise.
  • the motion sensor measures the static and / or the dynamic and thus changing position of the body parts. This includes the purely mechanical movements of the body parts.
  • the respective absolute position of the mutually moved body parts, in particular the joints, involved in the rehabilitation exercises or sports exercises can be determined by a first sensor.
  • the at least one first sensor is designed as an orientation sensor, very preferably as an angle orientation sensor for determining the absolute and / or relative position of the body parts involved in the training or the exercise.
  • the measured information is displayed as three-axis orientation data with absolute x, y, and z angles a 360 ° sphere shown.
  • knee-angle measurements can be performed by the at least one first sensor.
  • the sensor system preferably comprises at least two first sensors, very preferably two first sensors.
  • the relative position and thus the temporal change of the body parts, in particular the joints, that are moved relative to one another and are involved in the rehabilitation exercises or sports exercises can be determined by two first sensors.
  • statements about the range of motion of the body parts can be made. In one embodiment, it is thus possible to determine the degrees of freedom of the joints during the joint excursion, that is to say excessive joint excursion in certain directions.
  • the sensor system comprises at least one second sensor.
  • the at least one second sensor is arranged on the inside of the support device.
  • the at least one second sensor is thus advantageously in the applied state of the carrying device in direct skin contact of the patient and can measure percutaneously.
  • the inside of the carrying device for this purpose recesses, in which the at least one second sensor is arranged, for example by sewing.
  • the at least one second sensor is designed to be visible at least to the inside and thus to the skin of the patient.
  • the at least one second sensor determines parameters coupled to the mobility of the joints determined by the at least one first sensor.
  • the coupled parameters preferably relate to the muscle activities and muscle forces produced by the joint excursions. For example, statements about the static work of the muscles, the holding work, and / or the dynamic work of the muscles, the movement work, can be advantageously made.
  • the at least one second sensor is designed as a temperature sensor for measuring the local temperature in the region of the stressed and trained muscles of the patient during exercise.
  • At least one second sensor does not measure any direct body or muscle temperature.
  • the at least one second sensor is disposed on the muscles stressed during exercise.
  • the sensor system comprises at least two second sensors, very preferably three second sensors.
  • at least one second sensor acts as a measuring sensor and at least one further second sensor acts as a reference sensor.
  • the second sensor designed as a measuring sensor measures the muscles stressed during exercise and the reference sensor measures the muscles not stressed during exercise during exercise. The unclaimed muscles thus serve as reference muscles.
  • the second sensor designed as a measuring sensor is placed in the carrying device in such a way that it is arranged on muscles stressed during the training, and the second sensor designed as a reference sensor is placed in the carrier device so that it is arranged on muscles not stressed during the training ,
  • the first and second second sensors act as the measuring sensor and the third second sensor as the reference sensor to the first and second second sensors.
  • a first second sensor is arranged as a measuring sensor at the level of the outer thigh muscle (musculus vastus lateralis), and a second second sensor is arranged as a reference sensor on the two-headed calf muscle (musculus gastrocnemius).
  • a first second sensor is arranged as a measuring sensor at the level of the inner thigh muscle (musculus vastus medialis) and a second second sensor as a measuring sensor at the level of the outer thigh muscle (musculus vastus lateralis)
  • third second sensor is arranged as a reference sensor on the two-headed calf muscle (musculus gastrocnemius).
  • the at least one second sensor has a temperature resolution of ⁇ 0.1 ° C. In a further embodiment, the operating temperature range of the at least one second sensor extends from -5 ° C to + 50 ° C.
  • the sensor system comprises at least one third sensor.
  • the at least one third sensor is arranged on the inside of the carrying device.
  • the at least one third sensor is thus in the applied state of the carrying device in direct skin contact of the patient and can measure percutaneously.
  • the inside of the carrying device for this purpose recesses, in which the at least one third sensor is arranged, for example by sewing.
  • the at least one third sensor formed at least to the inside and thus visible to the skin of the patient.
  • the at least one third sensor determines vital functions of the patient.
  • the "vital functions" of the patient are understood to be vital processes in awake state, respiration and circulation such as heart rate, oxygen saturation, blood pressure, pulse rate, respiratory rate and body or muscle temperature.
  • These vital functions are also referred to as physiological parameters which are detected by the sensor system.
  • monitoring of these physiological parameters is made possible by the at least one third sensor of the sensor system.
  • the at least one third sensor is designed as a pulse oxysensor for measuring the pulse beat and the arterial oxygen saturation in the blood.
  • the at least one third sensor is positioned over the sartorius muscle.
  • the first, second and / or third sensors can be combined as desired.
  • the large number of differently formed measurements and combinable types of sensors, as well as the wide possibilities of variation and individual adjustments, advantageously result in a good overall picture of the physical condition of the respective treated body parts, based on the data on the mobility of the joints and / or the parameters coupled thereto and / or the vital functions of the patient.
  • the sensor system comprises at least two third sensors, very preferably two third sensors.
  • the sensor system comprises at least one further, so-called fourth sensor.
  • the spacing of the fourth sensors is analogous to the first, second and third sensors.
  • the fourth sensors may be arbitrarily combined with the first, second, and / or third sensors.
  • the at least one fourth sensor is between the inside and the outside or the intermediate or filling layer of the carrying device or on the inside or outside of the T rage worn arranged.
  • the at least one fourth sensor is either visible or not visible outwardly to the environment or inwardly to the skin of the patient.
  • the at least one fourth sensor measures peripheral parameters of the patient's environment. These environmental parameters include, for example, the outside temperature, the air pressure, the geographical position determination or the (barometric) altitude measurement.
  • the at least one fourth sensor is designed as a temperature sensor, barometer, altimeter, magnetometer or GPS module. In one embodiment, the at least one fourth sensor is designed as a gyroscope for measuring the orientation. In a further embodiment, the at least one fourth sensor is designed as an acceleration sensor (also drawn as an accelerometer or G sensor) for step number measurement. Thus, the distance traveled by the patient is measured.
  • the sensor system comprises more than at least one first, second or third sensor.
  • more measuring points are thereby recorded, whereby a more reliable measurement of the data on the mobility of the joints and / or the parameters coupled therewith and / or the vital functions of the patient takes place.
  • the sensors measure non-invasively and percutaneously.
  • the arrangement and placement of the sensors of the sensor system takes place at medically, therapeutically and diagnostically relevant anatomical locations of the patient.
  • the placement of the at least one data processing device, the at least one energy store and the means for signal transmission is not necessarily necessary at relevant anatomical sites of the patient.
  • the sensors of the sensor system are completely or at least partially in direct contact with the skin of the patient.
  • the at least one second sensor of the sensor system are complete or at least partially in direct contact with the skin of the patient.
  • the sensors preferably the third sensors, measure via an infrared interface.
  • the sensors have appropriately trained transmitters and receivers. In this case, light is emitted by the sensors in the infrared range, which is reflected on the skin of the patient and thereby sent back to the sensors and received there with the corresponding measured information.
  • the sensors are spaced from each other.
  • the first sensors and the second sensors and the third sensors are spaced from each other.
  • the at least one first sensor is spaced from the at least one second sensor and the at least one third sensor.
  • the at least one second sensor is spaced from the at least one first sensor and the at least one third sensor.
  • the at least one third sensor is spaced from the at least one first sensor and the at least one second sensor.
  • the sensors are positioned parallel to each other.
  • the electrical components are connected to one another via means for signal transmission.
  • the means for signal transmission are designed as electrical cables and / or as a wireless connection.
  • the wireless connection is designed as a Bluetooth or WLAN connection.
  • the sensor system is connected via means for signal transmission to the at least one energy store and the at least one data processing device.
  • the at least one energy store is connected via means for signal transmission to the at least one data processing device.
  • the data recorded by the sensor system is transmitted to the at least one data processing device via the means for signal transmission.
  • the analysis of the data measured by the sensor system is performed by the at least one external output device.
  • system according to the invention comprises at least one external output device.
  • At least one external output device is connected to the at least one data processing device via at least one module for data transmission of the at least one microcontroller.
  • the data already analyzed by the at least one data processing device is transmitted via the at least one module for data transmission to the at least one external output device or the data is transmitted from the at least one data processing device via the at least one module for data transmission to the at least one external output device and there analyzed.
  • the analysis of the data collected by the sensor system is performed by the at least one external output device.
  • the data acquired by the sensor system is transmitted to the at least one external output device by at least one module for data transmission of the at least one data processing device.
  • the at least one external output device is designed as a computer, laptop, smartphone or tablet. In an alternative embodiment, the at least one external output device is designed as a server or cloud.
  • the operation of the at least one external output device and / or the analysis of the data transmitted to the external output device is performed by the second subcomponent of the computer program product.
  • the second subcomponent of the computer program product is designed as an app.
  • the second subcomponent of the computer program product is configured in a user-friendly manner.
  • the attending physician, trainer or therapist has access to the at least one external output device and the second subcomponent of the A computer program product.
  • this can monitor in real time the training or treatment process and possibly intervene or adapt the training or treatment.
  • the patient has access to the at least one external output device and the second subcomponent of the computer program product. This is particularly advantageous in the analysis of athletic performance as the patient gets real-time insight into his or her workout.
  • the physician has access to a first external output device and the patient has access to a second external output device.
  • the system according to the invention comprises at least one light-emitting element.
  • the at least one light-emitting element serves as a status indicator of the electrical components of the system.
  • the at least one light-emitting element is designed as a lamp, in particular as an LED.
  • the system has a carrying device.
  • the system has more than one carrying device.
  • the electrical components are at least partially arranged in or on the carrying device.
  • all electrical components are arranged in or on the carrying device.
  • the electrical components can be positioned at any desired location of the carrying device.
  • the carrying device is designed as a bandage or orthosis.
  • the electrical components are releasably or permanently attached in the carrying device.
  • the electrical components may be advantageously replaced or replaced as needed and necessary.
  • the attachment of the electrical components in the support means is carried out by sewing.
  • the electrical components in the inner layer and / or the outer layer of the carrying device are sewn.
  • the fastening of the electrical components in the carrying device takes place by casting in a casing.
  • the casing corresponds to a sleeve, shell, capsule or a housing.
  • the sheath is made of plastic or glass.
  • the sheath is thus transparent to incoming and outgoing infrared light.
  • the sheath is rigid and / or waterproof and / or stable.
  • the carrying device is individually adaptable to the anatomy of the patient and adjustable in variable dimensions.
  • the carrying device is designed so flexible that it conforms to the anatomy of the patient.
  • an efficient treatment and training of the patient can take place and the wearing comfort for the patient is increased.
  • a muscle, joint and blood vessel gentle treatment is guaranteed.
  • the carrying device has a recess.
  • the recess is provided in the region of the body part to be treated.
  • the recess serves the better adaptability of the carrying device to the respective anatomy or the body part to be treated.
  • the recess in the region of the knee advantageously in the region of the hollow of the knee, arranged so that neither the support device itself nor the electrical components arranged in it rests in this area.
  • the movements of the patient are not impaired, restricted or obstructed.
  • the recess is designed so that it is designed in the manner of a continuous hole, so that no part of the support device or electrical components can be arranged in the region of the entire recess.
  • the carrying device has at least partially a tempering device.
  • the tempering device is designed to be heatable and / or coolable.
  • the treated or trained body parts can be heated and / or cooled as needed.
  • the tempering device comprises a Peltier element with a control, whereby at least partial heating or cooling of the support means is made possible.
  • the temperature control device comprises heating wires and / or heating pads and / or cooling batteries and / or cooling gels.
  • the at least one energy store is connected to the temperature control device for supplying the same.
  • the carrying device is at least partially made of textile material.
  • all textile material parts of the support means comprise the same textile material. In an alternative embodiment, all parts of the carrying device comprising textile materials comprise differing textile materials.
  • the carrying device has at least two layers of textile material.
  • a first layer serves as outer layer and a second layer as inner layer.
  • the outer layer also called outer side
  • the inner layer also called the inside
  • the electrical components of the system are arranged between the at least two layers of textile material, preferably between the inner layer and the outer layer.
  • outer layer and inner layer are arranged spaced from each other.
  • the electrical components are at least partially mounted between the outer layer and the inner layer, so that they are advantageously not visible from the outside and, if this is not needed or relevant, not in direct skin contact with the patient.
  • the T rage realized at least one intermediate or filling layer, also called intermediate layer, which is introduced between the outer layer and inner layer.
  • this at least one intermediate or filling layer further padding, insulation and / or stabilization of the support device.
  • the intermediate or filling layer is made of plastic or a textile material.
  • the textile material of the intermediate or filling layer is either the same or different from the textile material of the support device.
  • the electrical components are at least partially mounted in the at least one intermediate or filling layer, so that they are advantageously not visible from the outside and, if this is not needed or relevant, not in direct skin contact with the patient.
  • the carrying device has a plurality of layers of textile material. In this case, they can be arranged or stacked locally and locally, for example in the region of the electrical components, or over a large area and form layers.
  • the carrying device has a single layer of textile material. Then arranged in the support means electrical components can be arranged at least partially visible to the outside.
  • the carrying device forms a treatment surface which rests on the body part to be treated and is therefore at least partially in direct contact with the skin of the patient.
  • the carrying device is at least partially padded.
  • the robust textile material is a textile fabric or fabric.
  • the textile fabric on fibers of synthetic and / or natural fibers, which rest on the skin of the patient.
  • the robust textile material is a textile fabric of synthetic rubber, preferably chloroprene rubber.
  • the textile material is less prone to damage by these properties.
  • the textile material is laminated on one or both sides with textile fabric.
  • the textile fabric is selected from nylon, polyester or elastane.
  • the textile material of the carrying device is water-impermeable, stretchable, hard-wearing, skin-friendly, insulating, resistant to salt water and chemicals and / or tear-resistant. In one embodiment, the textile material of the carrying device has a stretchability of 10% to 20%.
  • the textile material is formed dynamically loadable.
  • the textile material is dirt-repellent.
  • the textile material is easy to clean, washable and quick-drying.
  • the textile material is made breathable.
  • the carrying device has at least two spaced-apart connecting elements with closing means arranged thereon, wherein the closing means are designed releasably connectable to one another. This advantageously ensures reliable direct skin contact. Furthermore, the carrying device can thereby quickly applied to the site to be treated and fixed and also removable again.
  • the connecting elements of the carrying device are designed as straps or as bands or straps and the closure means as mechanical closure means such as buckles or hook-and-loop fasteners.
  • the closure means have corresponding counterparts.
  • the dimensions of the connecting elements are variable and can be designed in different dimensions.
  • the connecting elements and the closure means are releasably connectable to each other.
  • the number of connection elements corresponds to the number of closure means.
  • the connecting elements are detachably or non-detachably arranged on the treatment surface of the carrying device.
  • the connecting elements on adjusting slide whereby advantageously the length of the connecting elements can be adjusted.
  • a carrying device is designed for the at least partial arrangement of electrical components of a multisensory therapeutic-diagnostic system, wherein the carrying device is at least partially made of textile material, and has at least two spaced connection elements with closure means arranged thereon, wherein the closure means detachably with each other are configured connectable.
  • a method for monitoring orthopedic training and athletic performance wherein spaced-apart electrical components that comprise at least one data processing device, at least one energy store, and a sensor system are at least partially arranged in a carrying device.
  • the carrying device is applied to the anatomical site to be treated by at least two spaced connection elements with releasable closure means arranged thereon.
  • system according to the invention or the method according to the invention is used for monitoring orthopedic training and athletic performance. Telemedicine applications are thereby advantageously made possible.
  • the inventive system is used in the diagnostic field to analyze and monitor the body part to be treated. In a further embodiment, the system is used in the therapeutic area for monitoring and medical treatment of the body part to be treated.
  • the system of the present invention is used to perform the orthopedic neutral null method.
  • the precision of this method is improved by the sensor system of the system according to the invention.
  • at least two first sensors of the sensor system advantageously eliminate the otherwise customary direct monitoring of the patient by a second person or a camera.
  • the monitoring takes place in real time.
  • the attending physician, trainer or therapist immediately has the data collected by the sensor system through the at least one external output device in order to decide on the further course of treatment and, if necessary, to make individual corrections.
  • Remote monitoring saves time and money and increases satisfaction - on the part of the patient and the attending physician.
  • system according to the invention is used for carrying out the method according to the invention for monitoring orthopedic training and athletic performance.
  • a computer program product is used to monitor orthopedic training and athletic performance.
  • the exemplary embodiment relates to a system for multisensory therapeutic-diagnostic treatment of the knee joint and is intended to describe the invention without restricting it.
  • FIG. 4 shows a schematic placement of the multisensory therapeutic-diagnostic system on one leg.
  • FIG. 1 shows the outer side 3 of the carrying device 2 of the multisensory therapeutic-diagnostic system 1 that faces the environment and that is designed for the treatment of a knee joint.
  • the inner thigh muscle muscle vastus medialis
  • the outer thigh muscle muscle vastus lateralis
  • the carrying device 2 is designed as a bandage, which rests on these trained muscles.
  • the multisensory therapeutic-diagnostic system 1 comprises a charging cable 18 which is arranged on the carrying device 2 and connected to the energy store (not shown) in order to charge it.
  • a light-emitting element 16 formed as an LED serves to display the status of the electrical components of the multisensory therapeutic-diagnostic system 1.
  • the carrying device 2 has a recess 12 which covers the region of the popliteal 13.
  • the upper area of the carrying device 2 shown in FIG. 1 is placed on the thigh 15 and the lower area of the carrying device 2 is placed on the lower leg 14.
  • the carrying device 2 has two connecting elements 10 designed as bands, which in each case are spaced apart from one another on the right-hand region of the carrying device shown in FIG 2 are arranged on the outside 3.
  • the connecting elements 10 are each provided with closure means 1 1 designed as hook-and-loop fasteners, the counterparts of these closing means 11 being arranged on the left-hand side on the outside 3 of the carrying device 2 in FIG.
  • the application of the support means 2 to the knee joint 13 is effected by the arrangement of the recess 12 on the hollow of the knee 13, wherein the upper portion of the support means 2 with the power switch 17 in the region of the thigh 15 and the lower portion of the support means 2 in the calf 14 is arranged.
  • the two closure means 1 1 of the support means 2 are releasably connected to the respective counterparts 1 1 together.
  • the material of the carrying device 2 is selected from both sides cloth laminated neoprene.
  • FIG. 2 shows the patient-facing inner side 4 of the multisensory therapeutic-diagnostic system 1, which is designed for the treatment of a knee joint, the multi-sensory therapeutic-diagnostic system 1 shown in FIG. 2 corresponding to the system shown in FIG Vertical was mirrored.
  • the carrying device 2 is designed as a bandage.
  • the carrying device 2 has a recess 12 which covers the region of the popliteal 13.
  • the upper area of the carrying device 2 shown in FIG. 2 is placed on the thigh 15 and the lower area of the carrying device 2 is placed on the lower leg 14.
  • the carrying device 2 has two connecting elements 10 designed as bands, which are each arranged at a distance from one another on the left region of the carrying device 2 shown in FIG. 2 on the outside.
  • the connecting elements 10 are each provided with closure means 1 1 designed as hook-and-loop fasteners, the counterparts of these closure means 11 being arranged on the right-hand region on the outside of the carrying device 2 in FIG.
  • the application of the carrying device 2 to the knee joint 13 is effected by the arrangement of the recess 12 on the hollow of the knee 13, the upper region of the carrying device 2 being arranged in the region of the thigh 15 and the lower region of the carrying device 2 in the region of the calf 14.
  • the two closure means 1 1 of the support means 2 are releasably connected to the respective counterparts 1 1 together.
  • the material of the carrying device 2 is selected from both sides cloth laminated neoprene.
  • the multisensory therapeutic-diagnostic system 1 comprises a charging cable 18, which is arranged on the carrying device 2 and connected to the energy store (not shown). is connected to load this.
  • a light-emitting element 16 formed as an LED serves to display the status of the electrical components of the multisensory therapeutic-diagnostic system 1.
  • the carrying device 2 also has three second sensors 8, which are designed as temperature sensors for measuring the local temperature in the area of the stressed and trained muscles of the patient during training, especially the inner thigh muscle (Musculus vastus medialis) and the outer thigh muscle (Musculus vastus lateralis).
  • Two second sensors 8, which serve as measuring sensors, are arranged in the upper region of the carrying device 2 of FIG. 2, the first second sensor (top left in FIG. 2) at the level of the inner thigh muscle (musculus vastus medialis) and the second second sensor 8 (upper right in FIG. 2) at the level of the outer thigh muscle (musculus vastus lateralis) is sewn in each case in the upper region of the carrying device 2.
  • a third second sensor 8 is sewn in the lower region of the carrying device 2 (bottom right in FIG. 2) as a reference sensor on the two-headed calf muscle (gastrocnemius muscle).
  • the three second sensors 8 are each arranged in the inner side 4 of the carrying device 2 such that they are in direct contact with the patient in the applied state and can measure percutaneously.
  • the carrying device 2 on its inside 4 recesses (not shown in the figure), in which the three second sensors 8 are arranged and sewn.
  • the dimensions of the three second sensors 8 are each 4 mm ⁇ 4 mm ⁇ 0.8 mm.
  • the system has a third sensor 9 embodied as a pulse-oxysensor, which is positioned and arranged in the inner side 4 of the upper region of the carrying device 2 in such a way that it is located above the cutter muscle (musculus sartorius) (top right in FIG. 2).
  • the third sensor 9 measures the pulse rate and the arterial oxygen saturation in the blood of the patient.
  • the third sensor 9 is also arranged in recesses (not shown in the figure) of the inside 4 of the carrying device 2 and sewn.
  • FIG. 3 shows the electrical components of the multisensory therapeutic-diagnostic system 1 which are provided between the outside 3 and the inside 4 of the carrying device 2 (shown by dashed lines) and which are designed for the treatment of a knee joint.
  • the orientation of the multisensory therapeutic-diagnostic system 2 corresponds to that of FIG. 2.
  • the carrying device 2 itself is shown in dashed lines in FIG.
  • the electrical components shown, namely the data processing device 5, the energy storage 6 and the first sensors 7 are included are still attached to the inside 4 of the carrying device 2 between the outside 3 and are thus visible neither outwardly to the environment nor inwardly to the skin of the patient.
  • the carrying device 2 is designed as a bandage.
  • the multisensory therapeutic-diagnostic system 1 has a data processing device 5 designed as an ESP32 microcontroller and an energy store 6 spaced therefrom, designed as a lithium polymer accumulator, the data processing device 5 in the lower region of the carrying device and the energy store 6 in the upper region of the carrying device 2 is sewn.
  • a data processing device 5 designed as an ESP32 microcontroller and an energy store 6 spaced therefrom, designed as a lithium polymer accumulator, the data processing device 5 in the lower region of the carrying device and the energy store 6 in the upper region of the carrying device 2 is sewn.
  • the multisensory therapeutic-diagnostic system 1 comprises a charging cable 18 which is arranged on the carrying device 2 and connected to the energy store 6 via electrical cables (not shown in the figure) arranged in the carrying device 2 in order to charge it.
  • a light-emitting element 16 formed as an LED serves to display the status of the electrical components of the multisensory therapeutic-diagnostic system 1.
  • the carrying device 2 has a recess 12 which covers the region of the popliteal 13.
  • the upper area of the carrying device 2 shown in FIG. 3 is placed on the thigh 15 and the lower area of the carrying device 2 is placed on the lower leg 14.
  • the carrying device 2 has two connecting elements 10 designed as bands, which are each arranged at a distance from one another in the left area of the carrying device 2 shown on the outside in FIG.
  • the connecting elements 10 are each provided with closure means 11 designed as hook-and-loop fasteners, the counterparts of these closure means 11 being arranged on the right-hand region on the outside of the carrying device 2 in FIG.
  • the application of the support means 2 to the knee joint 13 is effected by the arrangement of the recess 12 on the hollow of the knee 13, wherein the data processing device 5 in the lower region of the support means 2 in the calf 14 and the energy storage 6 in the upper region of the support means 2 in the region of the thigh 15th is arranged.
  • the two closure means 1 1 of the support means 2 are releasably connected to the respective counterparts 1 1 together.
  • the energy store 6 is located at the same height in the region of the thigh with the connecting element 10 and closing means 11 arranged at the top left in FIG. 3.
  • the energy storage 6 is located at the bottom left in Figure 3 Connecting element 10 and closure means 1 1 at the same height in the region of the lower leg.
  • the material of the carrying device 2 is selected from both sides cloth laminated neoprene.
  • the system 1 has two first sensors 7 designed as orientation sensors, which are also sewn between the outside 3 and the inside 4 in the carrying device 2.
  • the first sensors 7 are arranged at a distance from each other, wherein a first first sensor 7 in the upper region of the support device 2 in the region of the thigh 15 (in the figure above right) and a second first sensor 7 in the lower region of the T rage worn 2 in the region of the lower leg 14 is arranged (in the figure below right).
  • the two first sensors 7 measure the absolute position of the knee joint during exercise.
  • FIG. 4 shows a schematic representation of the placement of the multisensory therapeutic-diagnostic system 1 on a leg of a patient.
  • the inner thigh muscle muscle vastus medialis
  • the outer thigh muscle muscle vastus lateralis
  • the carrying device 2 is designed as a bandage.
  • the carrying device 2 via the connecting elements 10 with closure means and counterparts (not shown in the figure) is placed so that the recess 12 in the region of the popliteal 13, the lower leg 14 and the thigh 15 is located.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Primary Health Care (AREA)
  • General Health & Medical Sciences (AREA)
  • Data Mining & Analysis (AREA)
  • Pathology (AREA)
  • Databases & Information Systems (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

L'invention concerne un système multi-capteur de diagnostic thérapeutique destiné à surveiller l'entraînement orthopédique et la performance sportive, équipé de composants électroniques espacés, qui comprennent un dispositif de traitement des données, un accumulateur, un système de capteur pour collecter des données ainsi qu'un dispositif de support, les composants électroniques étant disposés au moins partiellement dans ou contre le dispositif de support. L'invention concerne en outre un procédé destiné à surveiller l'entraînement orthopédique et la performance sportive ainsi qu'un logiciel informatique pour réaliser le procédé.
PCT/EP2019/060452 2018-04-25 2019-04-24 Système multi-capteur de diagnostic thérapeutique destiné à surveiller l'entraînement orthopédique et la performance sportive Ceased WO2019206954A1 (fr)

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DE102018109913.4A DE102018109913A1 (de) 2018-04-25 2018-04-25 Multisensorisches therapeutisch-diagnostisches System zum Monitoring des orthopädischen Trainings und der sportlichen Leistung

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DE102021106723B4 (de) 2021-03-18 2022-12-22 Kinfinity UG (haftungsbeschränkt) Trainingssystem und Verfahren zum Durchführen eines fernüberwachten Trainings
DE102023110644A1 (de) 2022-04-26 2023-10-26 Orthopädie - Technik - Service aktiv GmbH Orthese, insbesondere Lumbalorthese, zum Anzeigen einer vordefinierten Positionierung der Orthese und Verfahren zum Anzeigen einer vordefinierten Positionierung einer Orthese

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