CN110808092A - 一种远程运动康复*** - Google Patents
一种远程运动康复*** Download PDFInfo
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Abstract
本发明公开了一种远程运动康复***,其包括患者端(100)、医生端(200)、服务器(300)。患者端搭配穿戴式传感器设备进行关节活动度的评估及训练,并将主被动关节评估信息通过服务器传输至医生端。医生端对患者信息进行创建维护,为患者端制定个性化的评估和康复训练方案,便于在患者端直接导入做康复训练。本发明基于微型传感器技术和网络传输技术,让患者在家和社区也能接受专业的评估和训练指导,有效解决就医不便的问题。患者通过移动设备,在家使用电视机或者电脑便可实现评估及康复训练。
Description
技术领域
本发明属于智能康复技术领域,涉及一种远程运动康复***,尤其是具有交互性的上肢康复训练用的远程运动康复***。
背景技术
我国每年新发脑中风病例120-150万人,死亡者80-100万人,死亡率高达66.7%,这种疾病引发了患者肢体运动功能障碍或丧失,尤其是上肢运动功能的丧失,存活者中约75%致残,极大的影响了患者日常生活的能力。而运动康复***能够帮助患者进行康复训练,减轻或消除患者肢体运动功能障碍。
在目前临床医学领域的研究中,运动康复***主要有基于视频的康复***、机器人辅助康复***、基于惯性传感器的康复***。而现有的这些康复***的设备大部分是基于PC端,且所有的操作只能在一台设备上完成,必须要有医护人员现场进行参数维护,这就限制了患者康复训练的场地。一方面,应用场合的局限性无法保证更多患者得到足够多的康复治疗机会。另一方面,康复评估数据也存在不全面性,只能记录关节角度数,不能记录患者的运动特征,无法深层次的分析这些运动参数和患者功能障碍之间的关系,导致评估数据缺乏全面性和有效性。
尽管也有一些基于惯性传感器的康复***可以通过网络服务器帮助患者居家康复训练,但其只是起到监测作用。通过这种康复***,患者在家不能得到在医院一样的康复训练指导,医患之间也不能建立起关系,即并未真正实现远程指导康复。
发明内容
本发明旨在解决现有的康复***无法根据患者的实际运动评估数据来实现远程的有效的康复训练指导的技术问题。
为解决上述技术问题,本发明提出一种远程运动康复***,该***包括患者端、医生端和服务器,所述患者端和医生端通过服务器交换数据;患者端用于获得人体肢体的主被动关节评估信息,并将该主被动关节评估信息上传到服务器。所述医生端用于从所述服务器获取所述主被动关节评估信息,根据所述主被动关节评估信息生成训练方案,并将该训练方案上传至所述服务器;所述患者端还用于从所述服务器下载所述训练方案,根据该训练方案提供训练交互界面以供患者进行康复训练。
优选地,所述患者端连接传感器设备,所述传感器设备包括可附着在人体肢体上的传感器节点,各传感器节点能够获取其空间位置及运动信息并进行处理,生成主被动关节评估信息。
优选地,所述训练方案包括:医生端通过所述主被动关节评估信息定制个性化训练方案。
优选地,所述医生端自动生成的个性化训练方案中确定了患者训练的关节动作和关节角度范围。
优选地,所述患者端能够接收用户操作以生成训练方案。
优选地,所述患者端用于获得人体肢体的主被动关节评估信息,并将该主被动关节评估信息上传到所述服务器,进一步包括:
当患者端在服务器上上传了评估信息后,服务器自动向医生端推送提醒信息。
优选地,所述医生端用于从所述服务器获取所述主被动关节评估信息,根据所述主被动关节评估信息定制训练方案,并将该训练方案上传至所述服务器,进一步包括:当医生端在服务器上上传了训练方案时,服务器自动向患者推送提醒信息;
优选地,还包括管理端,所述管理端与所述服务器交换数据,用于创建和维护医生端和患者端的关联关系。
优选地,所述管理端还用于配置服务器,以设定服务器在医生端和患者端交换据的方式。
优选地,还包括机顶盒,所述机顶盒用于连接患者端交互界面与传感器模块。
附图说明
图1是本发明远程康复***的逻辑框图;
图2是本发明的远程康复***的一个实施例的逻辑框图。
具体实施方式
为了解决现有的康复***无法根据患者的实际运动评估数据来实现远程的有效的康复训练指导的技术问题,本发明提出的远程运动康复***采用客户端与服务器连接的架构,客户端可根据不同的用户身份而设定不同的权限,实现不同的功能。不同的客户端都能够与服务器连接。
在本发明中,客户端可以是任何具有数据处理能力和通讯能力的电子设备,包括电脑和移动终端,例如PC、手机、平板电脑等,也可以是专用定制设备。在客户端上可以根据本发明的方法安装相应的软件或APP。
在本发明中,服务器可以是任何具有数据处理能力、数据的存储和管理以及通讯能力的电子设备,可以由专用的数据服务器实现,也可以由PC等电脑来实现,只要其上安装有实现本发明的方法的硬件和/或软件。本发明中所称的服务器可以是单台设备、也可以是一个设备集群。对于多台设备来说,其可以是集中配置,也可以是分布式配置。也就是说,本发明的服务器也可以是在云端布署的云服务器。
本发明不限于客户端与服务器之间通讯的方式,包括通过互联网进行连接,也不限于数据通讯采用的协议。但更优选的是,本发明的客户端是通过无线方式进行通讯的,这样使得本发明的***对于用户更具有便携性。
图1是本发明远程康复***的逻辑框图。如图1所示,从最基本的架构来说,本发明***的客户端至少应包括患者端100和医生端200。患者端100和医生端200均可以与服务器300进行通讯以交换数据,由此患者端和医生端可通过对所述服务器的访问而交换数据。
需要说明的是,本发明中的患者端100和医生端200的数量并不仅限于一个,实际上,通过上述架构,服务器300可以同时为多个患者端100或医生端200提供数据交换的服务。例如,可通过在服务器300的数据库中建立患者端100与医生端200的对应关系及相应的权限,由此,不同的客户端通过访问服务器300,可以与其相关联的客户端进行相应的数据交换。
本发明为了实现帮助患者进行快速的有效的定制化的康复训练,本发明的患者端被配置为能够获得人体肢体的主被动关节评估信息,并将该主被动关节评估信息上传到所述服务器,由此,与该客户端建立关联的医生端可以从所述服务器获取所述主被动关节评估信息,根据所述主被动关节评估信息定制训练方案,并将该训练方案上传至所述服务器。这样,所述患者端可从所述服务器下载所述训练方案,根据该训练方案提供训练交互界面以供患者进行康复训练。
由于本发明的患者端能够获取到患者的实时的主被动关节评估信息,这样,医生就不必要在现场采集患者的主被动关节评估信息,而只需要在医生端登录服务器获取该患者的主被动关节评估信息即可。同时,本发明的医生端能够通过接收医生的操作,根据评估的结果专为该患者定制针对性的康复训练方案;当训练康复方案上传到服务器上时,患者端可以接收并导入该训练康复方案。患者端还可以通过解析该训练康复方案,提供能被患者进行观看、聆听的指导信息(音、视频信息、文字信息,或者与患者进行交互的定制界面)。
可见,通过上述方式,本发明能够根据患者的实际运动评估数据来实现远程的有效的康复训练指导。
此外,作为优选的方式,患者端为了获得所述的主被动关节评估信息,患者端还可以连接相应的传感器,通过获取传感器的数据来生成主被动关节评估信息。所述传感器通常是惯性传感器,例如加速计和陀螺仪,但本发明并不限于此。
再者,作为优选实施方式,患者端为了能够将定制化的训练康复方案展示给患者,患者端可以连接一个机顶盒,通过机顶盒的数据转换,将对患者进行展示或指示的音、视频信息或交互信息传送到与机顶盒连接的电视机。这样,患者就可以通过观看电视或者与电视进行交互来完成康复训练。
当然,本发明的患者端不限于连接到机顶盒,也可以直接连接到具有解析训练康复方案的智能电视,例如是安装了特定APP的智能电视。
为使本发明的目的、技术方案和优点更加清楚明白,以下结合具体实施例,并参照附图,对本发明作进一步的详细说明。
图2是本发明的一个实施例的远程康复***的逻辑框图。如图2所示,该***包括患者端100、传感器设备110、机顶盒120、医生端200、服务器300和管理端400。
在该实施例中,管理员端400包含建立院室、医生信息等功能,在管理端进行操作如更新医生个人信息后,通过服务器300传输至医生端200,医生端200接收并更新医生个人信息。
在该实施例中,医生端200包括建立患者信息功能,并为患者制定相应的评估和训练处方,通过服务器300传送至患者端100,当医生端200在服务器300上传了训练方案时,服务器自动向患者端推送提醒信息。患者端100接收来自医生端200的信息,对处方动作信息进行匹配计算,按照处方要求通过传感器110完成相应的动作,患者端获得患者训练的主被动关节评估信息,通过服务器将结果传输至医生端200进行数据分析,生成可视化报告;当患者端在服务器上上传了评估信息后,服务器自动向医生端推送提醒信息。
在该实施例中,***包含7个传感器节点,传感器通过wifi进行网络配置,患者佩戴传感器设备,在患者进行动作时能够获取其空间位置及运动信息并进行处理,产生对应的传感信号,患者端100接收传感信号,并提供动作指示,动作指示方式包括文字、3D动画。提示的动作可以是在康复过程中用户需要完成的动作序列,动作指示中可以包括医生处方以及动作的要点等信息。服务器300可以通过有线或者无线网络向用户终端下发动作指示;另外,患者也可以在训练开始前,手动在患者端输入本次训练的关节动作和关节角度范围,生成训练方案进行训练。
在该实施例中,服务器在确认患者身份之后,可以发送与患者身份信息相匹配的动作指示,动作指示可以在多个预设的动作集合中选择,或者也可以是医生根据用户情况定制的动作集合。服务器可以直接接受医生的输入,以得到定制的动作集合,或者也可以是通过医生端200获得定制的动作集合。动作指示如果从医生端获得,则不能进行修改或选择,也可以由医生根据患者的情况,直接进行动作指示的定制。
在该实施例中,患者端100是远程康复***中的患者使用设备,可以是计算机、电视机,搭配机顶盒120使用。机顶盒中装载相应的患者使用软件,启动机顶盒即打开程序,进入应用界面。患者端可以与传感设备建立无线连接进行数据传输。所有的动作为上肢肩关节、肘关节和腕关节的动作,传感器信号包括压力分布、位置信号、角度信号、加速度、肌电信号等。患者的动作信息通过服务器传送至医生端,医生端通过服务器下发的动作参数标准范围判断患者动作正常或异常,从得出的报告中体现。
在该实施例中,医生端200与管理端400同属网页端,可以是计算机、平板电脑,两者通过切换登录账号改变权限。在医生端,由医生建立患者身份信息,身份信息中包括个人基本的信息以及患者的相关临床诊断,患者信息建立后,在患者端就能找到相匹配的患者身份。选定一位患者,为患者定制康复处方,包括评估和训练的处方,如果在患者端患者已完成了医生定制的处方动作,则在医生端会有“已完成”的状态提示。医生端评估和训练的报告数据来源于患者端得到的动作数据,以及医生建立的患者基本信息。如果是做了多组动作,如屈曲和伸展、外展和内收、外旋和内旋,医生可以选择打印其中一项或者多项,分组打印,同样另存到本地也是可以选择分组保存。医生端满足了医生实时观察患者异地康复情况的需求,通过患者端传输过来的数据,医生可以判断并且再次传送新的处方。
在该实施例中,退出医生端后可切换医生/管理员登录账号,进入管理员界面,管理员负责医生信息的创建,分配医生科室,负责院室信息创建,提供医生端报告中需要的院室信息数据。医院名称有且只有一条,科室信息可以建立多条,根据医生需求而定。医生可以在医生端修改登录密码,管理员有权限对医生的密码进行重置。
以上所述的具体实施例,对本发明的目的、技术方案和有益效果进行了进一步详细说明,应理解的是,以上所述仅为本发明的具体实施例而已,并不用于限制本发明,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。
Claims (10)
1.一种远程运动康复***,所述***包括患者端(100)、医生端(200)和服务器(300),所述患者端(100)和医生端(200)通过所述服务器(300)交换数据,其特征在于:
所述患者端(100)用于获得人体肢体的主被动关节评估信息,并将该主被动关节评估信息上传到所述服务器(300);
所述医生端(200)用于从所述服务器(300)获取所述主被动关节评估信息,根据所述主被动关节评估信息生成训练方案,并将该训练方案上传至所述服务器(300);
所述患者端(100)还用于从所述服务器(300)下载所述训练方案,根据该训练方案提供训练交互界面以供患者进行康复训练。
2.如权利要求1所述的远程运动康复***,其特征在于,所述患者端(100)连接传感器设备(110),所述传感器设备(110)包括可附着在人体肢体上的传感器节点,各传感器节点能够获取其空间位置及运动信息并进行处理,生成主被动关节评估信息。
3.如权利要求1所述的远程运动康复***,其特征在于,所述训练方案包括:医生端(200)通过所述主被动关节评估信息自动生成训练方案。
4.如权利要求3所述的远程运动康复***,其特征在于,进一步包括:所述医生端(200)自动生成的训练方案中确定了患者训练的关节动作和关节角度范围。
5.如权利要求1所述的远程运动康复***,其特征在于,所述患者端(100)能够接收用户操作以生成训练方案。
6.如权利要求1所述的远程运动康复***,其特征在于,所述患者端(100)用于获得人体肢体的主被动关节评估信息,并将该主被动关节评估信息上传到所述服务器(300),进一步包括:
当患者端在服务器上上传了评估信息后,服务器自动向医生端推送提醒信息。
7.如权利要求1所述的远程运动康复***,其特征在于,所述医生端(200)用于从所述服务器(300)获取所述主被动关节评估信息,根据所述主被动关节评估信息生成训练方案,并将该训练方案上传至所述服务器(300),进一步包括:
当医生端在服务器上上传了训练方案时,服务器自动向患者推送提醒信息。
8.如权利要求1所述的远程运动康复***,其特征在于,还包括管理端(400),所述管理端(400)与所述服务器(300)交换数据,用于创建和维护医生端和患者端的关联关系。
9.如权利要求8所述的远程运动康复***,其特征在于,所述管理端还用于配置服务器,以设定服务器在医生端和患者端交换据的方式。
10.如权利要求1所述的远程运动康复***,其特征在于,还包括机顶盒(120),所述机顶盒(120)用于连接患者端交互界面与传感器模块。
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