KR20020073920A - The Early Rehabilitation Training System - Google Patents

Abstract

The present invention causes movement, sensory and cognitive decline due to various brain disorders that cause damage to the central nervous system, namely stroke, traumatic brain injury, cerebral palsy, and degenerative brain diseases. It is intended to promote rapid recovery by rehabilitation early in parallel with medical treatment for patients with brain dysfunction that causes great disability.

The existing concept of rehabilitation has been practiced since the patient was able to recover to some extent and get out of bed and perform minimal behavior. For patients, the timing of rehabilitation is very important for shortening the period in which the patient can be returned to society as a normal person. Within such an unreasonable range, rapid rehabilitation will promote rapid recovery of the patient. However, the existing rehabilitation device is difficult to perform early rehabilitation because the patient is made after the minimum behavior.

Therefore, the present invention is to provide an apparatus and method for enhancing the strength and smooth blood circulation by performing early rehabilitation training in parallel with medical treatment from the patient lying on the bed. In order to realize this, an early rehabilitation apparatus and a training method that can be performed on the bed are required.The early rehabilitation apparatus is a tilting bed for allowing a patient to lie down and a training to stimulate a variety of peripheral nerves of the patient. It consists of various sensor units and programs to present training methods.

Description

Early Rehabilitation Training System

The present invention causes movement, sensory and cognitive decline due to various brain disorders that cause damage to the central nervous system, namely stroke, traumatic brain injury, cerebral palsy, and degenerative brain diseases. It is intended to promote rapid recovery by treating the brain function disorder causing patients with an early disorder in parallel with medical treatment.

For patients, the timing of rehabilitation is closely related to the time needed to shorten the period for the patient to return to society as a normal person. However, the existing rehabilitation training device is difficult to carry out early rehabilitation training because it is performed from the time when the patient can behave to some extent.

The present invention is to solve the problems of the prior art as described above to provide a higher early rehabilitation training treatment effect. In addition, in the case of rehabilitation training due to brain dysfunction is very important because the training time is carried out in parallel with the medical treatment due to the present invention, if any one of the muscles, such as fingers, feet, head, etc. This can be done in parallel, which is a very important device for early rehabilitation training. Therefore, the present invention is to provide an apparatus and a control method for receiving the rehabilitation training early by performing the rehabilitation training early.

The present invention is a sensor, and a training method for stimulating the tilting bed and the various peripheral nerves of the patient in order to perform the rehabilitation early in parallel with the medical treatment while the patient lying on the bed, and the training method It consists of a program to present.

1 is an overall configuration diagram of the present invention

2 is a configuration of the force measuring plate of the present invention

Figure 3 is a mouse configuration of the present invention

4 is a glove configuration of the present invention

5 is a configuration diagram of the bed tilting device of the present invention

6 is a block diagram of a two-dimensional rotation angle measuring device of the present invention

7 is a control flowchart of the present invention.

8 is an exemplary view of the game screen of the present invention.

9 is an exemplary view of the training screen of the present invention

<Description of the symbols for the main parts of the drawings>

1. Bed mattress 2. Bed support

Bed tilting device 4. Bed body

Bed wheel 6. Force measurement board

7. User 8. Finger detector

9. Head Mounted Display Units (HMD)

10. Flat Panel Display (LCD Monitor)

11.Support 12. 2D rotation angle measuring device of head

13. Integrated controller 14. Integrated Controller Data Line

15.Monitor 16. computer

Keyboard Upper support plate fixing bolt hole

19. Upper support plate 20. Load cell

21.Load Cell Amplifier Lower support plate

23. Load Cell Data Line 24. Up arrow bar

25. Left arrow button 26. Down arrow button

27. Right arrow button 28. Spinning ball

29. Mouse body 30. Adhesive Tape

Blood pressure measuring sensor Cuff support

33. Mouse data line Blood Pressure Sensor Data Line

35. Mouse Controller Mouse controller data line

37.Selective sensor 38. Left direction sensor

39. Upward direction sensor 40. Right direction sensor

41.Down direction sensor mitt

Glove data line Glove Controller

45. Glove controller data line 46. Horizontal conveyor

47. Rotation axis 48. Min limit switch

49. Reducer 50. motor

51.Max limit switch 52. Limit switch data line

53. Bed tilting device controller 54. Motor power lines

55. Bed tilting device controller data line

56. The Band 57. 2D rotation angle measuring sensor

58. 2-D Rotation Angle Measuring Device Controller

59. 2-D Rotation Angle Controller Data Line

60. Beginning 61. reset

62. Data Entry 63. Mode selection

64. Selection Mode List 65. External input device selection

66. List of external input devices 67. External device data entry

68. Data Conversion Display device output

70.Data storage print

72. Termination 73. brick

74. Ball 75. Bar cursor

76. Target77. Route

78. Circular Cursor

The configuration of the present invention is a force measuring plate (6) for measuring the movement of the tilting bed and lower limbs for the early rehabilitation training in parallel with medical treatment while the patient is lying on the bed, for measuring finger movements Finger detection device 8, two-dimensional rotation angle measuring sensor 12 to measure the movement of the head, integrated controller 14 to collect and process data of various sensors, head-mounted display device for presenting various information to the patient (9), the flat panel display device 10, software for performing training, treatment, games, and the like based on external input data, and a computer 16.

Patients admitted with brain injury or spinal cord injury have difficulty in direct rehabilitation training because of their difficult behavior. In the present invention for such patients to perform rehabilitation training even in a state where the movement is impossible, by using a variety of muscles that can move on the bed attached to the tilting device as shown in FIG. It is to enable rehabilitation training to be carried out by the power of.

The force measuring plate attached to the tilting bed is composed of two sets so that each patient's lying on the bed can be placed one by one on each foot when standing over a certain angle. Each force measuring plate has four or three The load cell 20 is configured so that the user 7 can calculate the coordinates of the center of gravity and the applied load when the user puts the foot on the upper support plate 17. The load cell 20 is of a strain gauge type or piezoelectric type. Since the signal of the load cell 20 is weak, the load cell amplifier 21 can amplify the input signal. The amplification factor of the load cell amplifier 21 is adjusted by the type and size of the load cell 20 used, the applied voltage, and the internal resistances. The lower support plate 22 of the force measuring plate is firmly fixed to the bed body 4 so as to support the entire weight of the user 7. The signal from the load cell 20 is amplified by the load cell amplifier 21 and then sent to the integrated controller 13 through the load cell data line 23 and then A / D converted and finally transmitted to the computer 16. Since the force measuring plate consists of two sets, the left / right foot is placed on each force measuring plate to measure the load on each foot, and the selection mode is based on the data measured on the force measuring plate under each foot. Configured to move the cursor in the mode selected in the list 64.

3 and 4, the finger sensing device 8 is configured in the form of a mouse or a glove, and can be selected according to the degree of movement of a finger. If the user 7 is able to move the finger to some extent, a mouse-type finger training apparatus as shown in FIG. 3 is used, and if the user 7 has a very small finger movement, a glove-type finger training apparatus as shown in FIG. 4 is suitable.

Finger training apparatus using a mouse of Figure 3 has a cuff support 32 to support the wrist of the user (7), in order to train the finger muscles using the four direction key buttons to act as a direction key treatment and training It is configured to play games. In addition, if the user 7 is difficult to move the finger individually, it is configured to act as four direction keys by moving the rotating ball 28 using the entire palm or the entire finger. The four direction keys are composed of very soft push buttons, and are configured to be controlled by the mouse controller 35 to move by the set data each time and press continuously when pressed. In the mouse cursor moving device using the rotating ball 28, optical rotary encoders are installed on the vertical axis and the horizontal axis, and the rectangular pulse is generated by the amount of rotation, and the cursor is moved by the number of generated pulses. After calculating the number of square pulses generated in the horizontal and vertical axes, calculate the number of square pulses in the mouse controller so that the cursor can be used in any direction, and then send them to the integrated controller 13 through the mouse controller data line 36. In 13, it is transmitted to the computer 16. In addition, the blood pressure measuring sensor 31 is attached to measure the blood pressure of the user 7 is configured to measure the blood pressure of the user 7 in real time to monitor the body changes. The blood pressure measuring sensor 31 has a built-in microphone for measuring a small blood vessel pressure measurement and a moving sound of blood flow, and a signal generated by the blood pressure measuring sensor 31 is connected to the mouse through the blood pressure measuring sensor data line 34. Input to the controller 35, amplified appropriately in the mouse controller 35 and sent to the integrated controller 13 via the mouse controller data line 36, which is transmitted to the computer 16.

Finger training device using the glove of Figure 4 is a training device for the user (7) that can only move the finger muscles only because severe paralysis of the upper limbs. When rehabilitation treatment is needed due to brain dysfunction or spinal cord injury, there are many types of devices for training the finger muscles because the recovery proceeds from the end of each joint. However, most of these devices required external power or the help of the user (7) himself or those around him. However, in the present invention, it is possible to train at the user's own will without the help of external devices or people around him, so that only a little finger movement is possible. In other words, if the glove 42 is worn and only a finger can be moved, the mouse cursor appearing on the computer 16 can be moved using a direction sensor attached to each finger. The direction sensor is composed of a selection sensor 37, a left direction sensor 38, an upward direction sensor 39, a right direction sensor 40, and a downward direction sensor 41 to move the mouse cursor in a desired direction. The sensor used in each direction sensor is very sensitive and can be composed of a touch type, a ground type, an acceleration sensor, and the like. In addition, depending on the state of the user (7) can be lying on the bed for training or games, or can rise to a certain angle to play or play games, so that the blood pressure measuring sensor (31) glove to check the state of health of the user (7) It is also attached to the system so that it can be monitored in real time. Signals generated by the various sensors of the glove are controlled by the glove controller 44 via the glove data line 43 and the controlled signals are sent to the integrated controller 13 via the glove controller data line 45 to the integrated controller 13. Transmits it to the computer 16.

The bed tilting apparatus of FIG. 5 has been developed by a number of methods, the present invention generates a driving force using the electric motor 54, to prevent the sudden movement of the bed mattress (1) and of the user 7 In consideration of the weight and the load of the bed mattress 1, the reduction gear 49 is attached to increase the torque, and the limiter switch 51 and the minimum limiter 51 and the minimum limiter are used to limit the damage of the horizontal conveyor 46 and the maximum / minimum transport distance. Limiter switch 48 was attached to ensure stability. These actions are controlled by the bed tilting device controller 53, the bed tilting device controller 53 is controlled to set the bed mattress 1 at a desired angle in accordance with the control command from the computer 13, In addition, a separate angle control switch is attached to the bed tilting controller 53 is configured to be used separately from the computer (13). An encoder is attached to the rotary shaft 47 to calculate an angle between the rotary shaft 47 and the bed support 2 according to the rotation of the rotary shaft 47. The control method for controlling the rotational force of the motor 54 is It is programmed in the bed tilt controller 53. Various signals generated from the bed tilting device controller 53 and various information sent from the computer 16 are configured to be made through the bed tilting controller data line 55.

The two-dimensional rotation angle measuring device of the head of Figure 6 is a device for early rehabilitation training to the user (7) who can not move the limbs due to general paralysis, the movement of the head in most patients with general paralysis It is possible. In the present invention, in order to perform early rehabilitation training in such a state that only the movement of the head, wearing a band 56 with the two-dimensional rotation angle measuring sensor 57 attached to the head and moving the head left / right or up / down The mouse cursor can be moved. The two-dimensional rotation angle measurement sensor 57 may be used by attaching the one-dimensional rotation angle measurement sensor at right angles to each other, or may use a sensor capable of measuring the rotation angle of the two-dimensional, x-axis and y-axis. The rotation angle measuring sensor uses a gyroscope-type sensor, and various sizes and measuring ranges can be selected according to the type used, and the head is displayed straight on the monitor (15), flat panel display (10), or head mounted display. The center of the device 9 is configured to move the mouse left / right or up / down to move the mouse by the rotation angle measured by the rotation angle sensor. In order to process and amplify the signal generated from the two-dimensional rotation angle measuring sensor 57, there is a two-dimensional rotation angle measuring device controller 58, and the signal generated from the two-dimensional rotation angle measuring sensor 57 is a two-dimensional rotation angle measurement After being amplified in the device controller 58, it is sent to the integrated controller 13 via the two-dimensional rotation angle measuring device controller data line 59, which is transmitted to the computer 16.

The integrated controller 13 processes signals input from various external devices, and converts the external signals input through analog to A / D conversion and digitizes them. Send to). In addition, various control signals generated from the computer 16 may be sent to each external device, and the signals may be converted and processed. The integrated controller 13 may be manufactured in the form of a board and mounted in a slot of the computer 16, and may be installed in a separate case.

The control flowchart of the software built in the computer 16 is shown in FIG. When the program is started 60, the integrated controller 13 and external devices are initialized and converted into the program execution mode. When the user's image is input, the user selects a mode 63 to be used according to the state of the user 7, and various methods can be selected from the selection mode list 64 according to the request of the user 7. At the same time, the external input device selection 65 is selected from the external input device list 66 to be used according to the state of the user 7. The external input device selection 65 may select one, or may select a plurality, so that the head, hands, and feet can be trained at the same time. If the mode selection (63) and the external input device selection (65) is made in this way, it is possible to enter the actual training, treatment, game mode to start. From then on, signals are input from the external input devices such as mouse, glove, force measuring plate, two-dimensional rotation angle measuring device, and bed tilting devices and transmitted to the software after data conversion 68 and based on the training, The results of the treatment, games, etc. can be displayed to the user 7, the therapist, the clinician, and the surrounding people through the display device output 69. The results are stored and printed ( 71) can be output if necessary. When all training, games, and treatments are completed, 72 is to be terminated so that the user can check the results every day, so that a satisfactory treatment effect is displayed.

8 illustrates an application of a brick breaking game as an embodiment of a game screen. By using the direction sensor of the external input device selected by the user 7, the bar cursor 75 is moved to hit the brick 73 and the ball 74 to be thrown back to the brick 73. In the present invention, it is necessary to adjust the moving speed of the ball 74 because the response of the user (7) is slow, and the sensor used at this time is the speed and difficulty of the ball to the remaining sensor other than the left / right direction sensor It is possible to set. In addition, when the force measuring plate is used, the bar cursor 75 is moved by using the data of the force measuring plate placed on the left / right foot. If the force measuring plate is kept pressed, the bar cursor 75 continues to be pressed. It is supposed to move. When the force is applied to the two force measuring plates at the same time, the setting mode can be entered to adjust the speed and difficulty of the ball 74, and other external input devices can be used similarly to the method used in the force measuring plate. Consists of.

9 shows an example of a training screen for moving a circular cursor 78 to a given target 76. In this case, it is possible to adjust the intensity of the training by measuring the time and speed of moving the circular cursor 78 to the target and how accurately it follows the path 77 so that the time and speed and the path 77 error range can be adjusted. By measuring, the clinician can judge the effectiveness of the training. In addition, the given path 77 shows the whole as shown in FIG. 9 and the path to be moved next when the circular cursor 78 reaches the target 76 without showing the path 77 in the direction of the training and the movement direction in advance. It is organized in such a way that you can train in a variety of ways.

In the present invention, since the software is configured to present a method for playing games and training in various ways in addition to the examples shown in FIGS. 8 and 9, rehabilitation can be performed early in a method suitable for a patient's condition. It is effective, and this suggests a device and a method for early rehabilitation of walking rehabilitation essential to medical treatment. As a result, the patient's ability to strengthen muscle treatment, improve blood circulation, restore the sensory functions essential for balance, and raise the patient's will for treatment by instilling a quick rehabilitation consciousness. .

The present invention causes walking, daily activities, and performance of motion, sensory and cognitive abilities due to various functional disorders that cause damage to the central nervous system, namely stroke, traumatic brain injury, cerebral palsy, and degenerative brain diseases. It is intended to promote rapid recovery by rehabilitation early in parallel with medical treatment for patients with brain dysfunction that causes great disability. Therefore, while the patient is lying in bed, early rehabilitation training is performed in parallel with medical treatment to strengthen muscle strength, help blood circulation, restore the essential sensory functions to maintain balance, and instill fast rehabilitation awareness. Giving is effective to enhance the patient's willingness to treat.

Claims (11)

Medical treatment with patients lying in bed, causing movement, sensory, and cognitive decline due to various disorders that cause damage to the central nervous system, such as stroke, traumatic brain injury, cerebral palsy, and degenerative brain diseases. In parallel with a tilting bed for early rehabilitation training, a force measuring plate (6) for measuring the movement of the lower limbs, a finger sensing device (8) for measuring finger movements, and a two-dimensional to measure head movement Rotation angle measuring sensor 12, integrated controller 13 to collect and process data of various sensors, head mounted display device 9 for presenting various information to the patient, flat panel display device 10, and external input A tilting needle in an early rehabilitation training device composed of software and a computer 16 for performing training, treatment, games, etc. based on data. Force measuring plate 6, finger detection device 8, head 2D rotation angle measuring device 12, integrated controller 13, computer 16, and flat panel display device 10 or head mounted display. Early rehabilitation training device, characterized in that the device 9, and software According to claim 1, the force measuring plate (6) for measuring the center of gravity of the user and strengthening the muscles of the lower extremity is composed of one each of the left foot / right foot, attached to the bed body (4) perpendicular to the patient Early rehabilitation training device that can detect the movement of the toes and lower legs to play games, training, treatment. According to claim 1, the finger detection device 8 for measuring the finger movement of the user 7 to be able to train to strengthen the muscle strength of the upper limbs according to the state of the user finger using a mouse as shown in FIG. Early rehabilitation training device comprising a training device and a finger training device using a glove as shown in FIG. According to claim 3, the finger training device using a mouse as shown in Figure 3 is composed of four direction keys, or can be selectively used according to the state of the finger movement of the user 7 using the rotary ball 28 , Early rehabilitation training device characterized in that the blood pressure measuring sensor 31 for monitoring the state of the user 7 is attached in real time. According to claim 3, the finger training device using a glove as shown in Figure 4 is attached to the direction sensor and the selection sensor 37 to each finger can be used easily even for the user (7) with a small finger movement, 7) Early rehabilitation training device characterized in that the blood pressure measuring sensor 31 for monitoring the state of the real time. The method according to claim 1, wherein a two-dimensional rotation angle measuring sensor 57 is attached to enable rehabilitation even in a state where the user 7 can only move the head, thereby moving the head in a horizontal or vertical axis or in an arbitrary direction. An early rehabilitation training apparatus, characterized in that rehabilitation training is possible. According to claim 1, various signals generated from an external input device, that is, the force measuring plate 6, the finger sensing device 8, the head two-dimensional rotation angle measuring device 12, and the bed tilting device 3 Early rehabilitation training device, characterized in that the integrated controller for processing integrally (13) is configured from the external to the internal. The software for controlling the early rehabilitation training device is composed of training, treatment, games, and the like, and is configured to freely set the external input device or mode selection 63 according to the state of the user (7). The early rehabilitation training apparatus as set forth in claim 8, wherein the game mode as shown in FIG. 8 is configured to freely set a moving speed, a difficulty level, and the like of the ball according to the state of the user (7). 9, the speed at which the circular cursor 78 moves to the target 76 in the training mode as shown in FIG. 9, the time, and the deviation range of the path when the circular cursor 78 follows the path 77. Early rehabilitation training device configured to measure back and use it as clinical data. In the above-described method, the given path 77 shows the whole as shown in FIG. 9, and the circular cursor 78 is moved to the target 76 in the state of training and without showing the path 77 in the moving direction in advance. An early rehabilitation training device, organized in a way that shows you the path you'll move on when you reach it.