[go: up one dir, main page]

WO2020209743A1 - Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel - Google Patents

Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel Download PDF

Info

Publication number
WO2020209743A1
WO2020209743A1 PCT/RU2019/000229 RU2019000229W WO2020209743A1 WO 2020209743 A1 WO2020209743 A1 WO 2020209743A1 RU 2019000229 W RU2019000229 W RU 2019000229W WO 2020209743 A1 WO2020209743 A1 WO 2020209743A1
Authority
WO
WIPO (PCT)
Prior art keywords
module
motor activity
patient
exercise
recovery
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/RU2019/000229
Other languages
English (en)
Russian (ru)
Inventor
Мария Сергеевна АШАПКИНА
Алексей Викторович АЛПАТОВ
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to PCT/RU2019/000229 priority Critical patent/WO2020209743A1/fr
Publication of WO2020209743A1 publication Critical patent/WO2020209743A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb

Definitions

  • the invention relates to restorative medicine of the human musculoskeletal system, namely, to control the correctness of movement of body parts when performing rehabilitation exercises to restore joints. [ ⁇ 61 ⁇ 5/11]
  • a DEVICE FOR DETERMINING BODY MOTION is known [RU 2517766 C2, Published: 05/27/2014] that implements a method for determining the movement of a body of a living organism on the basis of acceleration data indicating a change in acceleration caused by the movement of a body of a living organism; the body contains the stages at which: determine the change in acceleration that occurs when the working part is attached to the main unit of the device or when unfastened from it, based on the acceleration data; and determining the movement of the body based on the acceleration data after being secured or unfastened by means of a body motion determination procedure for the state after being secured or released.
  • the disadvantage of the analogue is that the claimed device does not take into account the individual characteristics of the user when registering body movements, which does not allow determining the real physical load and the work of the musculoskeletal system.
  • a device for determining the balance during body movement on the midline of a living organism is attached, and the device for determining balance during body movement contains a signal nala associated with body movement, which receives a signal associated with body movement, in which a change in the movement of the body of a living organism is determined; a body movement balance determination unit that determines body movement balance from a signal associated with body movement received by a body movement signal acquisition unit; and a result output block that does outputting the result based on the balance determined during the movement of the body, moreover, the unit for determining the balance during body movement performs the stages at which: by the process of obtaining information
  • the main technical problem of the analogue is that the claimed method does not provide for calibration for the user, and also does not take into account his individual physiological characteristics, such as age, weight, condition of the musculoskeletal system, which directly affect gait and can give gross errors in determination of balance for a given movement of the body, while there is no possibility of self-control of the correctness of performing a given movement of the body.
  • the closest in technical essence is a method of rehabilitation and restoration of motor activity under audiovisual self-control (US2014296750 A1, 02.10.2014, description [0003], [0101], [0374], [0381], [0418], [0451], [0471], [0551] - [0555], [0564], [0722], [0724]), characterized in that a motor activity recording module is installed on the body ([0034] - [0037], [0102], [ 0366]), the acceleration sensors register the change in the position of the motion activity registration module during body movements and display information on the body position in space ([UN]) on the user interface, the patient in the motion activity control module sets the threshold coefficient ([0547], [ 0548], [0550]), and also selects a rehabilitation exercise ([0087], [0145], [0546]), after which on the user interface of the control module they demonstrate an example of the installation of the motor activity registration module, the initial position of the limb and an example of execution exercises ([0393], [0431]
  • the difference between the claimed method and the known one lies in the fact that the threshold coefficient is individual and depends on the age, weight and severity of the joint condition, which ensures that the individual physiological characteristics of the patient are taken into account.
  • the technical problem of the prototype is that this method uses a mechanism, as an option with a motorized drive, in which the joint is fixed, and the sensors are used to control not the patient, but the device, which in turn corrects the movements of the patient's limb, thereby creating the need for - my load, does not allow incorrect movements.
  • the prototype does not provide self-control, that is, when the patient himself is able to correct movements, relying only on hearing and video. From the point of view of rehabilitation, this is not a disadvantage, but from the point of view of accessibility and ease of use, this is a clear disadvantage of the prototype, since the prototype method does not allow the use of available sensors, for example, a smartphone, and at the same time requires the presence of a trainer or a rehabilitator.
  • the solution according to the prototype does not ensure the achievement of a part of the technical result associated with the possibility of self-control of the correctness of the performance of rehabilitation exercises without the presence of a trainer or physician, a rehabilitologist.
  • the objective of the invention is to eliminate the disadvantages of the prototype.
  • the technical result of the claimed invention is the possibility of providing personal calibration and taking into account the individual physiological characteristics of the patient, as well as the possibility of self-monitoring of the correctness of the performance of rehabilitation exercises without the presence of a trainer or a rehabilitation physician.
  • the specified technical result of the invention is achieved due to the fact that the method of rehabilitation and restoration of motor activity under audiovisual self-control, characterized by the fact that a motor activity registration module is installed on the body, the acceleration sensors register a change in the position of the motor activity registration module during body movements and display on the user interface information about the position of the body in space, and after selecting the rehabilitation exercise, on the user interface of the control module they demonstrate an example of installation of the motor activity registration module, the initial position of the limb and an example of the exercise, after which the patient installs the motion activity registration module on the limb and wirelessly connects it with the motion activity control module, then gives the limb its initial position, while the position calculating unit of the motion activity registration module takes this position as the initial one, sends a message about this wirelessly into the motor activity control module and briefly activates the vibration motor, after which the patient proceeds to a cyclic repetition of the recovery exercise, while the unit for calculating the position of the motor activity registration module continuously calculates the current position relative to the initial one using acceleration and angular velocity
  • templates of restorative exercises fulfillment are stored in the memory unit of the motor activity control module by registering and averaging the motion trajectories of the motor activity registration module when performing restorative exercises of people with healthy joints for various restorative exercises.
  • individual templates for performing recovery exercises are stored by registering and averaging the trajectories of movement of the motor activity registration module when performing recovery exercises by a patient with a damaged joint for this recovery exercise.
  • the motor activity control module in the memory unit memorizes the values of the orientation sensors of the motor activity registration module, the results of comparing the real trajectory of movement of the motor activity registration module with the template for performing the recovery exercise, as well as the triggering of the thresholds.
  • Figure 1 shows a block diagram of a motor activity recording module.
  • Figure 2 shows a block diagram of a motor activity monitoring module.
  • Fig. 3 is a schematic illustration of a magnetic strap-mounted recorder.
  • Figure 4 shows an example of the installation of the module for registration of motor activity on clothing using a magnetic attachment.
  • Figure 5 shows a user interface with applied template and individual data on motor activity.
  • the figures indicate: 1 - motor activity registration module, 2 - acceleration sensor, 3 - angular velocity sensor, 4 - magnetometer, 5 - position calculator, 6 - wireless transceiver, 7 - vibration motor, 8 - control module motion activity, 9 - block for calculating the trajectory, 10 - block for calculating the correspondence of the pattern and the trajectory of movement of the module for registration of motor activity, 11 - memory block, 12 - user interface, including audio broadcasting, 13 - magnets, 14 - strap , 15 - fabric of the patient's clothing, 16 - a conditional graphic image of a limb template for performing a recovery exercise, 17 - a conditional graphic image of a patient's limb when performing a recovery exercise.
  • the method of rehabilitation and restoration of motor activity under audiovisual self-control is implemented through the joint operation of the motor activity registration module 1 and the motor activity control module 8.
  • the motor activity recording module 1 contains an acceleration sensor 2, an angular velocity sensor 3 and a magnetometer 4, which are connected to the position calculating unit 5. To the output of the position calculating unit 5, a wireless communication transceiver 6 is connected, to which a vibration motor 7 is also connected ...
  • the motor activity monitoring module 8 contains a wireless communication transceiver 6, which is connected to the trajectory calculating unit 9, the pattern matching unit and the movement trajectory unit of the motor activity recording module 10 and the memory unit 11, while these units are also connected to the user - user interface 12.
  • a smart phone with built-in standard acceleration and rotation sensors can be used as a motor activity recording module 1, while the functions of the motor activity monitoring module 8 can also be implemented on a smartphone.
  • the pairing of the recording device 1 and the motor activity monitoring module 8 is performed using wireless transceivers 6.
  • the user interface 12 can be made in the form of a touch screen with sound.
  • a magnet 13 can be installed on the body of the motor activity recording module 1 in order to attach the module 1, for example, to the counter magnet 13 on the strap 14 to attach the module 1 to the patient's limb or to attach the module 1 to the patient's body to the cloth 14 of clothing by means of a second magnet 13.
  • Neodymium magnets can be used as magnets 13.
  • the motor activity registration module 1 should be fixed in the area of joint action. To do this, use a simple palm pressure at the desired point, a magnetic closure for clothes, straps, hoops and armbands with pockets for the device, clothespins on a belt, etc.
  • a power source in the form of a battery (not shown in the figures) can be mounted inside its housing.
  • the claimed method implements the functions of fixing the trajectory of motion of the motor activity registration module 1, as well as comparison with a template and visual display on the user interface 12 of the motor activity monitoring module 8.
  • the method of rehabilitation and restoration of motor activity under audiovisual self-control is carried out as follows.
  • the patient on the user interface 12 of module 8 sets an individual threshold coefficient based on age, weight, and the severity of the condition of the damaged joint, which can be represented by integer values and selects a recovery exercise consisting of cyclic reciprocating movements of the body, or limbs, amplitude and trajectory of movement, as well as the number of repetitions, which are determined on the basis of the expert's assessment of the doctor, depending on the anamnesis and the current state of a particular joint.
  • information is read from the memory unit 11, and on the user interface 12 an example of the installation of the motor activity registration module 1, the initial position of the limb and an example of exercise performance by animating the conditional graphic image of the limb template when performing the recovery exercise 16 are shown.
  • the module 1 is fixed either on the user's clothing by connecting a magnet 13 mounted on the body of the module 1 with a similar magnet 13 located on the back side of the clothing fabric 14 (see Fig. 4), or on the user's limbs by connecting a magnet 13 mounted on the housing of the module 1 with a counter magnet 13 mounted on a strap 14 (see Fig. 3), pre-fitted to the size of the patient's limb.
  • magnetometer 4 When attaching the module 1 to the counter magnet 13, magnetometer 4 is triggered and activates the position calculation unit 5.
  • the patient gives the limb the initial position, while the position calculating unit 5 of module 1 takes this position as the initial one, transmits a message about this via unit 6 wirelessly to module 8 and briefly activates the vibration motor 7.
  • the patient proceeds to a cyclic repetition of the recovery - an innovative exercise, while the position calculation unit 4 continuously calculates the current position relative to the initial one according to acceleration sensors 2, angular velocity 3 and wirelessly transmits these values to unit 6 of module 8 via wireless communication, which calculates the trajectory in unit 9 motion of the recorder stores it in block 11 and, taking into account the individual threshold coefficient in block 10, compares it with the template, displays on the user interface 12 animation of the conditionally graphic image of the template of the limb 16 and animation of the conditionally graphic image of the user's limb 17 and information on compliance with the Whoever moves it to the template, if the current position of the module 1 deviates from the template beyond the individual threshold, the control module 8 displays information about this on the user interface 12, accompanying it with sound signals or voice messages about the need to correct the
  • information about the correspondence of the trajectory of performing the rehabilitation exercise to the given template through the vibration motor 7 is issued not in absolute units, but in relative ones, while the patient is given discrete information in the form of “true” or “not true” and the user adjusts his movements to get into the zone of correct execution of the exercise on his own without the presence of a coach.
  • the present invention realizes the possibility of calibration in 2 ways:
  • templates for performing recovery exercises are stored by registering and averaging the trajectories of motion of the motor activity registration module 1 when performing recovery exercises for people with a healthy state of joints for various recovery exercises.
  • individual templates for performing recovery exercises are stored by registering and averaging the trajectories of movement of the motor activity recording module 1 when performing recovery exercises by a patient with a damaged joint for this recovery exercise. This procedure is effective for patients with complex joint problems when an initial fit is required from the physician. Further, when the exercise progresses, the doctor can switch the exercise performance to a standard pattern.
  • the present invention allows setting an individual threshold coefficient that reflects the actual current physiological state of the patient, the state of his musculoskeletal system and the state of joint severity (no pain, no comfort, mild pain, moderate pain, severe pain).
  • Block 10 can determine the threshold for deviation of the current trajectory from the template, the deviation of the speed and amplitude of the exercise.
  • the user interface screen 12 provides a score for each exercise cycle and for the entire exercise.
  • the claimed technical result of the invention is achieved due to the fact that the present method ensures the coordinated operation of the motor activity registration module 1, which is installed on the patient's body to register the movement of this part of the body when performing a recovery exercise and the motor activity control module 8, on which in real-time display of the correspondence between the animated image of the template 16 and the animated movement of a part of the patient's body 17 is provided, as well as the fact that before performing the recovery exercise, the task of the individual template and the individual threshold coefficient of the correctness of the recovery exercise is provided, the current physical condition of the patient, including the condition of his musculoskeletal system and the condition of the damaged joint.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Dentistry (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

L'invention se rapporte au domaine de la médecine réparatrice de l'appareil locomoteur d'une personne, et concerne notamment le contrôle de la correction d'exécution de mouvements de parties du corps lors de l'exécution d'exercices de réhabilitation afin de restaurer les articulations. Le résultat technique de la présente invention consiste en la possibilité d'assurer un étalonnage personnel et de tenir compte des particularités physiologiques individuelles d'un patient, et en la possibilité d'effectuer un contrôle autonome de la correction d'exécution d'exercices de réhabilitation en l'absence d'un entraîneur, lequel résultat est atteint grâce à un procédé de réhabilitation et de restauration de l'activité motrice sous contrôle autonome audiovisuel, qui permet un fonctionnement synchronisé d'un module d'enregistrement d'activité motrice que l'on installe sur le corps du patient afin d'enregistrer le déplacement d'une partie donnée du corps lors de l'exécution d'un exercice de restauration, et d'un module de contrôle de l'activité motrice sur lequel on assure en temps réel une représentation de la correspondance d'une image animée d'un modèle et du mouvement animé de la partie du corps du corps du patient; en outre, avant d'exécuter l'exercice de réhabilitation, on définit le modèle individuel et et le coefficient seuil individuel de correction d'exécution de l'exercice de réhabilitation qui tiennent compte de l'état courant du patient, y compris l'état de son appareil locomoteur et l'état d'une articulation endommagée.
PCT/RU2019/000229 2019-04-10 2019-04-10 Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel Ceased WO2020209743A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/RU2019/000229 WO2020209743A1 (fr) 2019-04-10 2019-04-10 Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/RU2019/000229 WO2020209743A1 (fr) 2019-04-10 2019-04-10 Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel

Publications (1)

Publication Number Publication Date
WO2020209743A1 true WO2020209743A1 (fr) 2020-10-15

Family

ID=72750493

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/RU2019/000229 Ceased WO2020209743A1 (fr) 2019-04-10 2019-04-10 Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel

Country Status (1)

Country Link
WO (1) WO2020209743A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113273775A (zh) * 2021-06-22 2021-08-20 南通市精神卫生中心（南通市第四人民医院） 一种适合精神病患者药物不良反应自我监测的智能手环

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070060849A1 (en) * 2003-04-30 2007-03-15 Nini Bluman Method and system for motion improvement
US20140296750A1 (en) * 2004-02-05 2014-10-02 Motorika Limited Methods and apparatus for rehabilitation and training
US20160120432A1 (en) * 2013-06-21 2016-05-05 Northeastern University Sensor System and Process for Measuring Electric Activity of the Brain, Including Electric Field Encephalography
RU2645604C1 (ru) * 2017-03-30 2018-02-26 Антон Сергеевич Клочков Способ реабилитации двигательных нарушений

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070060849A1 (en) * 2003-04-30 2007-03-15 Nini Bluman Method and system for motion improvement
US20140296750A1 (en) * 2004-02-05 2014-10-02 Motorika Limited Methods and apparatus for rehabilitation and training
US20160120432A1 (en) * 2013-06-21 2016-05-05 Northeastern University Sensor System and Process for Measuring Electric Activity of the Brain, Including Electric Field Encephalography
RU2645604C1 (ru) * 2017-03-30 2018-02-26 Антон Сергеевич Клочков Способ реабилитации двигательных нарушений

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113273775A (zh) * 2021-06-22 2021-08-20 南通市精神卫生中心（南通市第四人民医院） 一种适合精神病患者药物不良反应自我监测的智能手环

Similar Documents

Publication Publication Date Title
US11679300B2 (en) Systems and methods for real-time data quantification, acquisition, analysis, and feedback
US20180220933A1 (en) Chest measuring device, scoliosis correction system, system for remotely diagnosing spine, and wearable measuring device
US10352962B2 (en) Systems and methods for real-time data quantification, acquisition, analysis and feedback
US9149222B1 (en) Enhanced system and method for assessment of disequilibrium, balance and motion disorders
WO2019086997A2 (fr) Système de biofeedback vestimentaire
US20060195020A1 (en) Methods, systems, and apparatus for measuring a pulse rate
US20170136296A1 (en) System and method for physical rehabilitation and motion training
US20150374280A1 (en) Belt for guiding the activation of the core muscles
US20120094814A1 (en) Method and apparatus for vibrotactile motional training employing cognitive spatial activity
US20080108903A1 (en) Portable respiration monitoring and feedback system
US20160220174A1 (en) Body-Sensing Tank Top with Biofeedback System for Patients with Scoliosis
JP2014217707A (ja) 生体情報計測装置及び生体情報計測システム
US11482130B2 (en) Method and system for providing kinesthetic awareness
US11179065B2 (en) Systems, devices, and methods for determining an overall motion and flexibility envelope
WO2007053146A1 (fr) Procedes, systemes et dispositif permettant de mesurer la frequence du pouls
KR20200059428A (ko) 웨어러블 디바이스 기반의 운동 관리 시스템
JPH0576501A (ja) 監視システムおよび監視システムに用いられる携帯用電子機器
WO2020209743A1 (fr) Procédé de réhabilitation et de restauration de l'activité motrice avec contrôle autonome audiovisuel
KR20190011864A (ko) 재활보조장치를 이용한 재활운동 관리방법
JP2004065803A (ja) データ送受信システム
Ashapkina et al. Vibro-tactile portable device for home-base physical rehabilitation
RU2692535C1 (ru) Способ реабилитации и восстановления двигательной активности под аудиовизуальным самоконтролем
US11992729B2 (en) Measuring a pull force on an exercise band
Cesarini et al. Simplifying tele-rehabilitation devices for their practical use in non-clinical environments
JP2013017614A (ja) 疲労判定装置

Legal Events

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

Ref document number: 19924311

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19924311

Country of ref document: EP

Kind code of ref document: A1