CN103488880A - Remote medical rehabilitation system in smart city - Google Patents

Abstract

The invention provides a medical rehabilitation system solution in a smart city, which includes a medical diagnosis module, a training terminal module, an exchange platform module, a signal identification and monitoring module, a system security and maintenance module, a network communication module, a network database module and a network Information management module. Based on the concept of smart city and smart medical treatment, the present invention combines the rehabilitation training robot terminal with medical information management, and uses one system to meet the functional requirements of medical rehabilitation training for the whole process from information management to rehabilitation training.

Description

Telemedicine Rehabilitation System in Smart Cities

technical field

The invention relates to the technical field of medical rehabilitation, in particular to a remote medical rehabilitation system for smart cities combined with a terminal rehabilitation training robot.

Background technique

Medical rehabilitation is a new concept that emerged in the middle of the 20th century. It is a medical discipline that eliminates and alleviates human dysfunction, makes up for and rebuilds human dysfunction, and tries to improve and enhance human functions in all aspects. Medical rehabilitation treatment is specific. Firstly, rehabilitation is a long-term and gradual process, which requires a lot of repetitive work; secondly, the rehabilitation subjects are not convenient to move; thirdly, with the aging of the modern society, the social demand for rehabilitation will increase. The establishment of a medical rehabilitation digital system can well meet the above requirements of rehabilitation treatment: digital rehabilitation medical robots can meet the long-term, high-intensity medical rehabilitation workload; remote information systems can allow patients to achieve nearby treatment or even training at home; timely and accurate The information feedback can allow doctors to pay more attention to the recovery of patients more efficiently and conveniently, and realize the informatization and networking of medical prescriptions through digital systems.

In 2008, IBM put forward the strategy of "smart earth" to cope with the financial crisis and adapt to the needs of informatization, low energy consumption and high efficiency in the development of modern society. Inspired by this, the construction of "smart city" has received more and more attention. Major cities responded one after another and proposed smart city construction plans based on the Internet of Things and the Internet. The Internet of Things perceives various information through sensing means such as sensors, radio frequency identification tags (RFID), handheld terminals, and surveillance cameras, and connects urban public facilities into a network to realize the relationship between things and things, things and people, and people-to-people. The interconnection of "everywhere connection" (Pervasive Connectivity) becomes possible. Based on the intelligent perception characteristics of the Internet of Things, smart cities collect and analyze data and intelligent information to carry out better business architecture and public service planning, better monitoring, real-time understanding of emergencies, and timely and appropriate deployment of resources for out response. Through the network, the remote "one-stop" service provides citizens with more convenience.

Among them, according to the IBM Institute for Business Value, medical care in smart cities has the following characteristics: interconnection, doctors can check various information of patients through the smart medical platform after authorization, and patients can also easily query hospitals and doctors Collaborate, integrate and share medical information and records, and build a comprehensive professional medical network; Prevention, real-time perception, processing and analysis of medical practices, so as to respond quickly and effectively; Universal, seamlessly connect townships Hospitals and community hospitals to central hospitals to obtain expert advice, arrange referrals and receive training in real time; innovation, to improve knowledge and process processing capabilities, and further promote clinical innovation and research; reliable, so that practitioners can obtain a large amount of scientific data and evidence Support diagnosis.

At present, the medical information management system has been widely developed, refined and applied, and there are related application programs in the field of rehabilitation. At present, there is a regional rehabilitation information sharing system that realizes the sharing of patient medical record information and medical data through the network connection between the terminal and the central server platform, and uses medical informatization in the field of medical rehabilitation. However, the system is mainly used for the exchange of rehabilitation information in various regions for the exchange and learning of medical staff. It cannot be directly used for the rehabilitation training of specific patients, and it does not combine specific diagnosis, rehabilitation and other operations. In addition, after searching the existing technical literature, it was found that Design and Application of Rehabilitation Treatment Management System (Journal of Medical Informatics, Vol. 33, No. 9, 2012) proposed a design of a rehabilitation treatment management system. It is applied to the information management system of the hospital, but it is limited to the internal use of the hospital, and it is only used for information management in the local area network, and it is not combined with the rehabilitation training terminal.

Therefore, those skilled in the art are committed to developing a telerehabilitation medical system in a smart city that integrates medical information management and rehabilitation training functions.

Contents of the invention

In order to solve the above problems, the present invention provides a rehabilitation medical system in a smart city. From the perspective of smart medical care for smart cities, hospitals, community terminals and home terminals are connected through the network, and medical diagnosis, real-time monitoring, training terminals, and network information platforms are integrated; in this rehabilitation medical system, doctors can complete knowledge The entire process of communication, disease diagnosis, rehabilitation operation, rehabilitation evaluation and information management; further, the system also includes a lower extremity exoskeleton rehabilitation training operation terminal, which combines intelligent rehabilitation training operation with networked medical information management , at the same time, it has the safety function of real-time monitoring, which is convenient for patients with inconvenient legs to choose to carry out daily training at home or in the community, so as to realize telemedicine and nearby rehabilitation; in addition, the network information center and communication platform realize the exchange of information between hospitals and rehabilitation terminal equipment Share within permissions.

Based on the characteristics of smart cities and smart medical care, the present invention designs a telemedicine rehabilitation system for the rehabilitation needs of patients and the medical needs of medical staff. The remote medical rehabilitation system provided by the present invention includes a medical diagnosis module, a training terminal module, an exchange platform module, an information signal identification and monitoring module, a network communication module, a system security and maintenance module and a network information center, and the network information center includes a network database module and a network information management module; it is characterized in that the medical diagnosis module is used for doctors to diagnose and issue prescriptions for patients, and is connected to the network information center through the network communication module; the signal identification and monitoring module is passed through Sensors and RFID technology are used to perceive patient and system terminal information, and are connected to the network information center through the network communication module; the communication platform module provides a communication and consultation software platform for patients, medical staff, and system design and maintenance personnel , connected to the network information center through the network communication module; the training terminal module is connected to the network information center through the network communication module; the system security and maintenance module detects and monitors the operation of the terminal equipment, The network information center is connected to the network information center through the network communication module; the network information center collects and processes information, and supports the medical diagnosis module, the signal identification and monitoring module, the The communication platform module, the training terminal module and the operation request of the system security and maintenance module.

Further, the medical diagnosis module includes a rehabilitation knowledge base query module, a rehabilitation status evaluation module, and a prescription entry, generation and management module; the rehabilitation knowledge base query module is connected to the network communication module, and can be queried through the network communication module The cases and data stored in the information storage module of the knowledge base assist the doctor to obtain a solution; the rehabilitation evaluation module provides the rehabilitation evaluation method and evaluation form for the doctor to quantitatively evaluate the patient's rehabilitation and store it in the In the patient rehabilitation information storage module of the network information center; the prescription entry, generation and management module provides the doctor with a rehabilitation training prescription format, and performs the issuance, storage, modification and call of the rehabilitation training prescription, and the prescription entry, generation and management The module calls the existing prescription stored in the doctor's prescription information storage module of the network information center through the network communication module, and stores the new prescription into the doctor's prescription information storage module through the network communication module to complete the prescription. entry.

Further, the signal recognition and monitoring module includes an identity recognition module, a device signal real-time detection module and a patient signal real-time detection module; The information in the personal information storage module is compared to obtain the operation authority; the real-time detection module of the device signal obtains the information of the operation of the device in real time through the sensor and the detection device, and the remote monitoring module of the network information center through the network communication module connected; the patient signal real-time detection module obtains the physiological information of the patient during training in real time through the sensor, and is connected with the remote monitoring module of the network information center through the network communication module.

Further, the communication platform module is used to provide a software platform for communication and consultation for patients, medical personnel, and system design and maintenance personnel, and is used at each terminal of the system; the communication platform module includes a device use feedback module, patient consultation and consultation Feedback module, remote joint consultation module, and doctor communication and consultation module; wherein, the device usage feedback module is used for communication between system device users and design and maintenance personnel, and the device usage feedback modules on different terminals communicate through the network communication module especially The voice and video communication modules are connected to each other; the patient consultation and feedback module is used for consultation and feedback on rehabilitation between patients and doctors, and the patient consultation and feedback modules on different terminals are connected to each other through the network communication module, especially the voice and video communication module; The remote joint consultation module is used for online consultation between multiple hospitals and departments. The remote joint consultation modules on different terminals are connected to each other through the network communication module, especially the voice and video communication module; the doctor communication and consultation module is used for technical communication among medical staff For consultation with experts, the doctor communication and consultation modules on different terminals are connected to each other through the network communication module, especially the voice and video communication module.

Further, the training terminal module includes a rehabilitation mechanism module, a human-computer interaction module and a motion control module; the rehabilitation mechanism module is a mechanical part of a rehabilitation training terminal robot device, and during rehabilitation training, the terminal device is driven by the motion control module The rehabilitation mechanism module completes the exercise content required for rehabilitation training; the human-computer interaction module is a training terminal robot human body signal acquisition and auxiliary movement module. Among the specific functions of rehabilitation training, the human-computer interaction module is a motion control module Provide parameters to generate motion trajectory and mechanical response required for rehabilitation training; the motion control module is combined with the human-computer interaction module to control the kinematics and dynamics of the rehabilitation mechanism module during rehabilitation training.

Further, the system safety and maintenance module includes an equipment emergency stop module, an emergency rescue module and a multi-terminal system self-check module; the equipment emergency stop module responds immediately when the system judges that an emergency occurs, and suspends the ongoing operation , and respond to the emergency stop command from the emergency handling module of the network information center through the network communication module; Start the emergency processing module of the network information center; the multi-terminal system self-inspection module is used to detect the equipment status of the terminal equipment, and store the detection results into the basic equipment information of the network information center through the network communication module in the storage module.

Further, the network database module includes a patient's personal information storage module, a patient's rehabilitation information storage module, a doctor's prescription information storage module, a knowledge base information storage module, and a basic equipment information storage module; the patient's personal information storage module is used to store Patient's personal information and medical history; the patient's rehabilitation information storage module is used to store the patient's rehabilitation training operation, examination and rehabilitation status assessment information in the system; the doctor's prescription information storage module is used to store the doctor's The training prescription issued above; the knowledge base information storage module is used to store medical cases, treatment cases, and professional reference information for rehabilitation training and keep updated; the basic equipment information storage module stores the self-test of each terminal equipment Results, monitoring information, operation records, failure and maintenance records and other related information.

Further, the network information management module includes an information query module, an information management module, an emergency handling module, and a remote monitoring module; the information query module receives a terminal operation request, accesses the network database module, and performs information retrieval and Screening and returning data, responding to the terminal operation; the information management module receives the information, analyzes, manages and stores the received information, and operates the network database module; the emergency processing module immediately Responding to emergencies that occur during use, execute a processing plan; the remote monitoring module receives real-time detection signals from each terminal device signal real-time detection module and patient signal real-time detection module, and executes the remote monitoring and alarm functions.

Further, the network communication module is used to transmit various medical information through the network, and can be divided into a broadband/WIFI communication module, a mobile network communication module, a mobile phone short message communication module and a voice and video communication module according to different ways; the broadband/WIFI The communication module performs networking communication between hospitals at all levels, rehabilitation communities, home terminals and network information centers through the Internet and local area network. The mobile network communication module performs mobile communication through mobile communication technologies such as GPRS and 3G wireless network. The mobile phone short message The communication module provides customized message service through the short message service of the mobile phone, and the voice and video communication module performs online communication, consultation and remote consultation operations through voice and video communication.

Compared with the existing information-based medical technology, this invention is based on the concept of smart city and smart medical care, and proposes a more complete system solution for the whole process from information management to rehabilitation training:

With an intelligent training terminal module, it combines the rehabilitation training robot terminal with medical information management, and meets the functional requirements of medical rehabilitation training with one system.

The signal sensing and monitoring of the perception layer is added to obtain the operation information of each terminal in real time, and at the same time, it can respond to the emergency situation of the system and patients in time, ensuring the safety of the system.

Connect the database and management program of the network information center through different network communication channels, integrate and share medical information and records, and build a comprehensive professional medical rehabilitation network.

The medical rehabilitation knowledge base has been added to enable doctors to search, analyze and apply a large number of medical cases and materials in this field to assist in diagnosis, and to help doctors improve treatment plans and improve their own learning.

The communication platform module has been added to support the information exchange between relevant personnel in various hospitals and rehabilitation communities. It can obtain expert advice and arrange training equipment in real time. At the same time, it can conduct remote joint medical consultations between different departments in different hospitals for difficult cases; provide The communication module between patients and doctors is established, which helps doctors to follow up the recovery of patients in a timely manner, and provides a communication platform for patient consultation; in addition, the information exchange channel between system users and system design and maintenance personnel can facilitate maintenance personnel to timely update the system. Carry out repair and maintenance of relevant problems, and the information fed back by users can provide directions and suggestions for the further improvement of the system.

Description of drawings

Fig. 1 is a schematic block diagram of the functional structure of a preferred embodiment of the present invention.

Fig. 2 is a schematic block diagram of a network structure of a preferred embodiment of the present invention.

Fig. 3 is a schematic block diagram of a terminal embodiment of a preferred embodiment of the present invention

Detailed ways

The technical solutions of the preferred embodiments of the present invention will be further described below in conjunction with the accompanying drawings.

As shown in Figure 1, the telemedicine rehabilitation system of the present invention includes a medical diagnosis module, a signal recognition and monitoring module, an exchange platform module, a training terminal module, a system security and maintenance module, a network communication module, a network database module and network information management module. Among them, the medical diagnosis module, signal identification and monitoring module, communication platform module, training terminal module, system security and maintenance module are functional modules of the system terminal, the network communication module is a related module that performs networking functions, and the network database module and network information management A module is a functional module of the network information center. Wherein, the medical diagnosis module, the signal identification and monitoring module, the communication platform module, the training terminal module and the system security and maintenance module are connected to the network information center through the network communication module, and the network The information center collects and processes information, and supports the medical diagnosis module, the signal identification and monitoring module, the communication platform module, the training terminal module and the system security and maintenance module through the network communication module various operation requests.

As shown in Figure 2, the network structure of the preferred embodiment of the present invention includes: a network information center, a hospital application terminal, a community rehabilitation terminal, a home rehabilitation terminal and a mobile phone terminal. The hospital application terminal, community rehabilitation terminal, home rehabilitation terminal and mobile phone terminal are connected to the network information center server through the Internet or mobile communication network.

The above-mentioned hospital application terminals can be divided into diagnosis terminals and rehabilitation terminals according to different functions, network information center servers can be divided into management servers and data servers, and mobile phone terminals are divided into mobile phone application terminals and mobile phone short message service terminals. Among them, the diagnosis terminal is used by doctors, including the identification module, medical diagnosis module and communication platform module, which can mainly be used to issue training prescriptions and perform rehabilitation evaluation on patients; the rehabilitation terminal is used by patients, including the training terminal module, signal identification and monitoring module, system security and maintenance module, and communication platform module, which can mainly carry out specific rehabilitation training operations; mobile phone application terminals mainly obtain related records such as equipment operation information or patient rehabilitation record information through the mobile network communication module; The short message service terminal provides message reminding and information query functions for relevant personnel ordering the service through the mobile phone short message communication module.

The specific working process of the intelligent medical rehabilitation system of the present invention is given below through this embodiment.

First, the doctor diagnoses the patient at the hospital terminal. The system first identifies the patient's identity through the identity recognition module. After the patient's identity is confirmed, it connects to the network information center through the network communication module, and the information query module calls out the patient's basic information stored in the patient's personal information storage module. In addition, during follow-up visits, doctors can choose to query information such as rehabilitation records, rehabilitation status evaluation records, and muscle strength test records stored in the patient's rehabilitation information storage module, as reference information for subsequent treatment plans.

When analyzing the patient’s condition and deciding on a treatment plan, the doctor can use the rehabilitation knowledge base query module in the medical diagnosis module to query relevant professional information in the knowledge base in the network database module for reference. The relevant information can include professional knowledge in the field of rehabilitation and Records of cases and treatment cases submitted by each hospital. When encountering difficult cases, doctors can conduct technical consultation and discussion with fellow practitioners and experts in related fields through the doctor communication and consultation module in the communication platform module, and each hospital can use the remote communication platform module as appropriate. The joint consultation module organizes online joint consultations across hospitals and departments to formulate an appropriate treatment plan.

After determining the treatment plan, the doctor generates a training prescription in a standardized format through the prescription entry, generation and management module in the medical diagnosis module, and transmits it to the hospital's training terminal through the hospital's wireless or wired LAN. At the same time, the training prescription is stored in the doctor's prescription information storage module of the network database module of the network information center through the network communication module.

After the prescription is generated, the patient can use the rehabilitation terminal for rehabilitation training. When the patient is training on the rehabilitation terminal, the current training prescription is read from the local database or the network database, and then the training terminal module is used for rehabilitation training, and the training information is recorded in the patient rehabilitation information storage module of the network database module.

During system operation, the system security and maintenance module protects terminal users. The device signal real-time detection module and the patient signal real-time detection module detect the operation of the device and the patient's physiological signals in real time at each terminal, and transmit them to the remote monitoring module of the network information management module of the network information center through the network communication module for processing. When the real-time detected signal is abnormal, the network information center discovers an emergency, starts the emergency processing module of the network information management module, and gives instructions to the abnormal terminal through the network communication module, and starts the terminal system security and maintenance module. Equipment emergency stop module. At the same time, if an emergency occurs during the use of the terminal, the emergency module of the terminal system security and maintenance module can ask for help from the network information center through the network communication module. After receiving the emergency request, the network information center The emergency handling module of the network information management module starts. The emergency handling module can perform operations such as emergency stop of equipment, provision of emergency measures suggestions in the knowledge base, and sending help-seeking mobile phone information or online help-seeking information to professionals.

System maintenance personnel can know the operation status of each terminal machine of the system through mobile phone information service or application terminal. When the machine runs abnormally, the machine terminal will transmit the reminder information to the network information center. The information management module of the network information center server transmits the reminder information to the mobile phone through the short message communication module of the mobile phone. The mobile phone application terminal is connected to the server of the network information center through the mobile network communication module, and can conduct real-time query on the current operation status of each terminal machine.

Doctors can know the patient's training situation through mobile phone information service or application terminal. When the patient is undergoing rehabilitation training, the machine terminal will transmit the reminder information to the network information center. The information management module of the management server of the network information center sends the patient's operation reminder information to the doctor's mobile phone through the mobile phone short message communication module. The mobile application terminal is connected to the server of the network information center through the mobile network communication module, and the doctor can inquire about the current training status of each patient.

The use of the rehabilitation terminal is illustrated through a specific embodiment in conjunction with the lower limb exoskeleton rehabilitation robot:

As shown in accompanying drawing 3, the operation terminal described in this embodiment includes: equipment self-inspection module, local information management module, prescription module, training operation module, muscle strength test module, rehabilitation condition evaluation module, network communication module and status Monitoring and Security Module. Among them: the equipment self-inspection module is connected with the local information management module, the local information management module is connected with the prescription module, the prescription module is connected with the training operation module, the muscle strength test module is connected with the local information management module, and the rehabilitation status evaluation module is connected with the local information management module The local information management module is connected to the network communication module, and the equipment self-inspection module and the status monitoring and security module are connected to the network communication module.

The above-mentioned equipment self-inspection module is used to perform the self-inspection operation of the equipment. Through the operation and motion state detection of the machine, it is known whether the machine can operate normally, and the movement range of the mechanism is obtained, so that the operation can be carried out within a feasible range, ensuring its security. The equipment self-inspection module executes the function of the aforementioned multi-terminal system self-inspection module on the equipment terminal.

The above-mentioned prescription module provides an interface for doctors to perform prescription operations. Available operations include issuing training prescriptions, saving training prescriptions and reading training prescriptions. Doctors can select the required training mode according to the patient's condition, and determine the specific parameters of the training process to generate a training prescription. After the prescription is generated, you can choose to save the training prescription for future reference and reuse. When a saved training prescription is needed, the doctor can read the prescription and perform rehabilitation training on the patient directly according to the previous prescription. The prescription module executes the functions of the aforementioned prescription entry, generation and management module on the device terminal.

Wherein, the training prescription includes basic information of the patient and training information. The training information includes the training type and related parameters required for this type of training. These include training reps, cadence, angle range, force patterns, and more.

The above-mentioned local information management module records patient information, doctor information, rehabilitation training operation records, equipment self-inspection records, and muscle strength test records into the local information management database, so that the machine can be performed on the same machine later. User information management. Operations such as viewing, querying, adding, and deleting can be performed on the information management interface. At the same time, the local information management module is connected to the Internet through the network communication module, and connected to the aforementioned network information center through the network.

The above-mentioned training operation module is used to operate the lower limb exoskeleton rehabilitation robot to perform rehabilitation training for patients, and the user can perform related operations through the human-computer interaction interface. The lower limb exoskeleton rehabilitation robot performs the functions of the aforementioned training terminal module. The training operation module includes a passive flexion and extension module, a passive walking module, an active flexion and extension module, an active walking module, a healthy side auxiliary flexion and extension module, and a healthy side auxiliary walking module.

Wherein, the passive flexion and extension module refers to a software operation module used for passive flexion and extension exercise training of unilateral affected limb driven by a unilateral exoskeleton mechanism.

The passive walking module refers to a software operation module used for passive gait walking exercise training with bilateral exoskeleton mechanisms driving bilateral affected limbs.

The active flexion and extension module refers to a software operation module used to guide the patient to perform active flexion and extension exercise training by detecting the muscle strength of the patient's corresponding affected limb with the unilateral exoskeleton mechanism. This module can choose to use three training modes: follow-up mode, assist mode and resistance mode.

The active walking module refers to a software operation module used to guide the patient to carry out active gait walking exercise training by detecting the muscle strength of the patient's affected limb with the bilateral exoskeleton mechanism.

The healthy-side auxiliary flexion-extension module refers to a software operation module used to guide the patient's affected limb to perform passive flexion-extension exercise training by detecting the muscle strength of the patient's healthy-side lower limb with the unilateral exoskeleton mechanism.

The healthy-side assisted walking module refers to a software operation module used to guide the patient to perform assisted gait-walking exercise training by detecting the muscle strength of the patient's healthy-side lower limbs with the bilateral exoskeleton mechanism.

The rehabilitation status evaluation module mentioned above provides the evaluation methods required by different types of rehabilitation. Doctors can fill in various indicators of rehabilitation status evaluation according to the patient's rehabilitation status, and further generate quantitative results of rehabilitation evaluation. After the evaluation, you can choose to generate detailed files to save the results of the rehabilitation status evaluation for future reference, and store the final evaluation results in the local and network databases. The information of the physician who performed the evaluation operation is recorded when the evaluation result is saved. The recovery status assessment module executes the functions of the aforementioned recovery status assessment module on the device terminal.

Wherein, the rehabilitation evaluation refers to the quantitative standard evaluation of the patient's rehabilitation degree. Different evaluation methods are adopted according to the medical requirements of different patient types. The current recovery status of the patient is summarized through the evaluation results of different evaluation items.

The muscle strength test module described above performs the muscle strength test operation, and the muscle strength can be tested under the two conditions of constant muscle length and joint equiangular motion under slow flexion and extension. And the muscle strength curve and the measured maximum muscle strength are displayed on the interface.

The above-mentioned network communication module is connected to the Internet through wired broadband or wireless local area network, transmits information to the network information center, and receives information from the network information center at the same time. The network communication module here performs the functions of network port and connection on the device terminal, and is an integral part of the aforementioned network communication module of the system.

The state monitoring and safety module mentioned above executes part of the functions of the aforementioned real-time signal detection module, equipment emergency stop module and emergency call module on the equipment terminal.

An optimization process used in this embodiment is as follows:

1. Equipment self-inspection module: After the software is turned on, enter the equipment self-inspection module. Users can perform mechanism self-inspection operations on the lower limb exoskeleton rehabilitation robot. After the operation, the mechanism will perform motion detection, and the current status of the mechanism will be displayed on the interface after completion. This module can carry out three modes of double mechanism detection, left mechanism detection and right mechanism detection. After the self-inspection operation is completed, the self-inspection results are stored in the local and network databases as related records for equipment maintenance.

2. Local information management module: After self-checking, enter the local information management module, and the interface is associated with the local information management database. In the local information management interface, it is possible to manage the personal information of patients and view and edit various rehabilitation training records, rehabilitation evaluation records and other information.

3. Prescription module: From the local information management module, you can enter the prescription module, and doctors can issue prescriptions according to the patient's condition. In the training prescription area, select the training operation type, the specific parameters of the training, and generate the prescription required for rehabilitation training. There is also an option to read past prescriptions. From the prescription module, you can choose to return to the local information management module, or you can choose to enter the training operation module.

4. Training operation module: After generating a prescription or successfully reading the generated prescription, you can enter the training operation module. The training operation module is divided into passive flexion and extension module, passive walking module, active flexion and extension module, active walking module, healthy side auxiliary flexion and extension module, and healthy side auxiliary walking module. In the training operation module, the patient performs relevant lower limb rehabilitation training. After the training operation is finished, the operation information is stored in the local database and the network database, and can optionally be returned to the local information management module.

5. Muscle strength test module: users can enter the muscle strength test module from the local information management interface. The muscle strength test module can perform two modes of muscle strength test operations, that is, to measure the muscle strength when the muscle is kept isometric without moving, and Make the lower limbs swing at the same speed, and measure the muscle strength of the muscles at different lengths. After the muscle strength test, the test results can be stored in the local database and the database of the network information center. From the muscle strength test module, you can return to the local information management module.

6. Rehabilitation status evaluation module: users can enter the rehabilitation status evaluation module from the local information management interface, and doctors can choose professional rehabilitation evaluation methods to evaluate the patient's recovery status. After the rehabilitation status evaluation is completed, the rehabilitation evaluation results can be stored in the local database In the database with the network information center. From the rehabilitation status assessment module, you can return to the local information management module.

7. Network communication module: The machine transmits information to the local area network through wireless network or wired broadband, and transmits the information to the database of the network information center through the Internet for storage and management. Locally, the relevant records stored in the network information center database can be queried through the network communication module, and new records generated locally can also be stored in the network information center database through the network communication module for management and sharing within authority.

The lower limb exoskeleton rehabilitation robot software system can be used with the lower limb exoskeleton rehabilitation robot, and can be used for the vehicle-mounted mobile walking exoskeleton rehabilitation robot disclosed in Chinese patent application number 201010199188.9, and the sitting exoskeleton lower limb rehabilitation robot disclosed in Chinese patent application number 201010543205. Patent application number 201210122947.0 discloses the clinical rehabilitation training operation of various lower limb exoskeleton rehabilitation robots such as exoskeleton lower limb rehabilitation robots, and is not limited to the rehabilitation training operations of the above types of lower limb exoskeleton rehabilitation robots.

This system scheme starts from the perspective of smart medical care for smart cities, connects hospitals, community terminals and home terminals through the network, and integrates medical diagnosis, real-time monitoring, training terminals, and network information platforms. In this system, doctors can complete the entire process from knowledge exchange, disease diagnosis, rehabilitation operation, rehabilitation evaluation to information management. The system also includes a lower extremity exoskeleton rehabilitation training operation terminal, which combines intelligent rehabilitation training operations with networked medical information management. Training, telemedicine and nearby rehabilitation. In addition, the network information center and communication platform realize the sharing of information between hospitals and rehabilitation terminal equipment within authority.

The preferred specific embodiments of the present invention have been described in detail above. It should be understood that those skilled in the art can make many modifications and changes according to the concept of the present invention without creative efforts. Therefore, all technical solutions that can be obtained by those skilled in the art based on the concept of the present invention through logical analysis, reasoning or limited experiments on the basis of the prior art shall be within the scope of protection defined by the claims.

Claims (9)

1. A rehabilitation medical system in a smart city, comprising a medical diagnosis module, a training terminal module, an exchange platform module, an information signal identification and monitoring module, a network communication module, a system security and maintenance module and a network information center, the network information The center includes a network database module and a network information management module; it is characterized in that the medical diagnosis module is used for doctors to diagnose and issue prescriptions for patients, and is connected to the network information center through the network communication module; the signal identification The monitoring module perceives patient and system terminal information through sensors and RFID technology, and is connected to the network information center through the network communication module; the communication platform module provides communication and communication services for patients, medical staff, and system design and maintenance personnel. The consulting software platform is connected to the network information center through the network communication module; the training terminal module is connected to the network information center through the network communication module; the system security and maintenance module detects and monitors terminal equipment The operation status of the system is connected to the network information center through the network communication module; the network information center collects and processes information, and supports the medical diagnosis module, the signal identification and monitoring through the network communication module module, the communication platform module, the training terminal module and the system security and maintenance module’s operation requests. 2. The rehabilitation medical system in the smart city according to claim 1, wherein the medical diagnosis module includes a rehabilitation knowledge base query module, a rehabilitation status evaluation module and a prescription entry, generation and management module; the rehabilitation knowledge The library query module is connected with the network communication module, through which the case and data stored in the knowledge base information storage module are queried to assist the doctor to obtain a solution; the rehabilitation evaluation module provides the rehabilitation evaluation method and The evaluation form is used for the doctor to quantitatively evaluate the patient's rehabilitation situation and store it in the patient rehabilitation information storage module of the network information center; the prescription input, generation and management module provides the doctor with a rehabilitation training prescription format for rehabilitation training Prescribing, storing, modifying and invoking prescriptions, the prescription entry, generation and management module invokes the existing prescriptions stored in the doctor’s prescription information storage module in the network information center through the network communication module, and The communication module stores the new prescription into the doctor's prescription information storage module to complete the entry of the prescription. 3. The rehabilitation medical system in the smart city as claimed in claim 1, wherein, said signal recognition and monitoring module comprises identity recognition module, equipment signal real-time detection module and patient signal real-time detection module; Described identity recognition module uses RFID technology to identify the patient’s identity, and compare the network communication module with the information stored in the patient’s personal information storage module to obtain operation authority; the device signal real-time detection module obtains equipment operation information in real time through sensors and detection equipment, Connect with the remote monitoring module of the network information center through the network communication module; the patient signal real-time detection module obtains the physiological information of the patient in the training process in real time through the sensor, and communicates with the network information center through the network communication module connected to the remote monitoring module. 4. The rehabilitation medical system in the smart city as claimed in claim 1, wherein, the communication platform module includes a device use feedback module, a patient consultation and feedback module, a remote joint consultation module and a doctor communication and consultation module; The feedback module is used for communication between system equipment users and design and maintenance personnel, and the equipment on the terminal uses the feedback module to connect to each other through the network communication module, especially the voice and video communication module in the network communication module; The patient consultation and feedback module is used for consultation and feedback about rehabilitation between patients and doctors. The patient consultation and feedback module on the terminal communicates with each other through the network communication module, especially the voice and video communication module in the network communication module. connection; the remote joint consultation module is used for online consultation between multiple hospitals and departments, and the remote joint consultation module on the terminal is connected to each other through the network communication module, especially the voice and video communication module in the network communication module; The doctor communication and consultation module is used for technical communication and expert advice and consultation among medical personnel. The doctor communication and consultation module on the terminal passes through the network communication module, especially the voice and video communication module in the network communication module. interconnected. 5. the rehabilitation medical system in the smart city as claimed in claim 1, wherein, described training terminal module comprises rehabilitation institution module, man-machine interaction module and motion control module; Described rehabilitation institution module is the rehabilitation training terminal robot equipment For the mechanical part, during rehabilitation training, the terminal device drives the rehabilitation mechanism module through the motion control module to complete the motion content required for rehabilitation training; the human-computer interaction module is a human body signal acquisition and auxiliary motion module for training terminal robots. In the specific function of training, the human-computer interaction module provides parameters for the motion control module to generate the motion trajectory and mechanical response required for rehabilitation training; the motion control module is combined with the human-computer interaction module to The rehabilitation mechanism module performs kinematics and dynamics control. 6. The rehabilitation medical system in the smart city as claimed in claim 1, wherein said system safety and maintenance module comprises an equipment emergency stop module, an emergency rescue module and a multi-terminal system self-check module; said equipment emergency stop module When the system judges that an emergency occurs, it responds immediately, suspends the ongoing operation, and responds to the emergency stop instruction from the emergency processing module of the network information center through the network communication module; When an event occurs, it is used to call for help remotely, and start the emergency processing module of the network information center through the network communication module; The network communication module is stored in the basic equipment information storage module of the network information center. 7. The rehabilitation medical system in the smart city as claimed in claim 1, wherein, the network database module includes a patient personal information storage module, a patient rehabilitation information storage module, a doctor's prescription information storage module, a knowledge base information storage module and equipment Basic information storage module; the patient's personal information storage module is used to store the patient's personal information and medical history; the patient's rehabilitation information storage module is used to store the patient's rehabilitation training operation, examination and rehabilitation status assessment information in the system; The doctor's prescription information storage module is used to store the training prescription issued by doctors on each diagnosis terminal; the knowledge base information storage module is used to store medical cases, treatment cases, and professional reference information for rehabilitation training and keep them updated ; The basic equipment information storage module stores the self-inspection results, monitoring information, operation records and failure and maintenance record information of each terminal equipment. 8. The rehabilitation medical system in the smart city as claimed in claim 1, wherein, the network information management module includes an information query module, an information management module, an emergency handling module and a remote monitoring module; the information query module receives A terminal operation request, accessing the network database module, searching and screening information, returning data, and responding to the terminal operation; the information management module receiving the information and analyzing, managing and storing the received information, Operate the network database module; the emergency processing module immediately responds to the emergency event that occurs during use, and executes the processing plan; the remote monitoring module receives real-time signals from each terminal device signal real-time detection module and the patient signal real-time detection module Detect the signal, and execute the remote monitoring and alarm function. 9. The rehabilitation medical system in the smart city as claimed in claim 1, wherein, the network communication module is used for network transmission of various medical information, and can be divided into broadband/WIFI communication module, mobile network communication module, Mobile phone short message communication module and voice and video communication module; described broadband/WIFI communication module carries out networking communication between hospitals at all levels, rehabilitation community, family terminal and network information center through Internet and local area network, and described mobile network communication module passes such as GPRS and 3G wireless network mobile communication technology for mobile communication, the mobile phone short message communication module provides customized message service through the mobile phone short message service, and the described voice and video communication module performs online communication, consultation and remote consultation operations through voice and video communication.

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