KR20210052028A - Telerehabilitation and Self-management System for Home based Cardiac and Pulmonary Rehabilitation - Google Patents
Telerehabilitation and Self-management System for Home based Cardiac and Pulmonary Rehabilitation Download PDFInfo
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Abstract
The present invention relates to a remote rehabilitation training and self-management system for home-based cardiorespiratory rehabilitation treatment. More specifically, the system comprises a management server (mobile application) for calculating an acute exacerbation prediction index through an acute exacerbation prediction algorithm using a monitoring index during evaluation and exercise, and informing a user of appropriate behavioral guidelines using the calculated prediction index to provide proper rehabilitation training information and a chronic disease self-management program.
Description
본 발명은 가정 기반 심장 및 호흡 재활 치료를 위한 원격 재활 훈련 시스템에 관한 것이다.The present invention relates to a remote rehabilitation training system for home-based cardiac and respiratory rehabilitation treatment.
심장재활이란 심근경색 등 심장질환을 앓고 난 환자가 재활치료를 통해 병의 재발을 막고 급성 악화를 줄이기 위하여 지속적인 관리와 이전의 운동능력 상태로 회복하게 도와주는 포괄적인 프로그램을 말한다. Cardiac rehabilitation refers to a comprehensive program that helps patients suffering from heart disease such as myocardial infarction to recover to the previous state of exercise ability and continuous management to prevent recurrence and reduce acute exacerbations through rehabilitation treatment.
그러므로 협심증, 심근경색, 관상동맥우회술, 심장이식 수술을 받은 환자는 시술이나 수술이 끝난 후 반드시 심장 재활을 받아야 한다. Therefore, patients who have undergone angina pectoris, myocardial infarction, coronary artery bypass grafting, or heart transplant must undergo cardiac rehabilitation after the procedure or surgery is complete.
심장 재활은 심장 기능평가, 운동치료 및 위험인자 관리교육 프로그램 순으로 진행된다. 이중 핵심은 운동치료로서, 환자 상태에 맞는 운동을 처방하기 위해선 심폐 운동부하 검사를 통해 평가를 실시한다.Cardiac rehabilitation proceeds in the order of cardiac function evaluation, exercise therapy, and risk factor management education program. Among them, exercise therapy is the core of which, in order to prescribe exercise suitable for the patient's condition, evaluation is performed through a cardiopulmonary exercise load test.
또한, 환자의 상태에 따라 자가운동 또는 병원에서 의료진의 모니터링 하에 심장재활 치료를 하게 된다. In addition, depending on the patient's condition, cardiac rehabilitation treatment is performed under self-exercise or under the monitoring of a medical staff in a hospital.
본 발명의 배경이 되는 기술은 대한민국 공개특허공보 제10-2018-0063440호 (2018.06.12. 공개)에 개시되어 있다.The technology behind the present invention is disclosed in Korean Patent Application Publication No. 10-2018-0063440 (published on June 12, 2018).
본 발명의 목적은 웨어러블 디바이스를 이용하여 생체 신호를 측정하여 자가 운동 상태를 평가하고 운동 중 모니터링하며 평가 지표를 이용하여 급성 악화를 예측해서 환자들에게 행동 지침 (action plan)을 제공하여 급성 악화의 조기 발견 및 조기 적정 치료가 가능하게 하는 원격 재활 훈련 및 자기 관리 시스템을 제공하고자 한다.An object of the present invention is to evaluate a self-exercise state by measuring a vital signal using a wearable device, monitor during exercise, predict acute deterioration using an evaluation index, and provide an action plan to patients to prevent acute exacerbation. It is intended to provide a remote rehabilitation training and self-management system that enables early detection and early appropriate treatment.
본 발명의 실시예에 따르면, 가정 기반 심장 및 호흡 재활 치료를 위한 원격 재활 훈련 및 자기 관리 시스템을 포함한다. According to an embodiment of the present invention, it includes a remote rehabilitation training and self-management system for home-based cardiac and respiratory rehabilitation treatment.
본 발명에 따르면, 원격 재활 훈련 의료기기를 이용하여 매일의 폐기능, 운동능력 평가 및 운동 중 생체신호 모니터링이 가능하여 생체신호 모니터링 지표들이 모바일 어플리케이션으로 전달되고 어플리케이션 내에 내장된 급성 악화를 예측하는 알고리즘에 적용하여, 급성 악화 예측 지수를 산출하고, 산출된 지수 값을 이용하여 환자들에게 행동 지침 (action plan)을 제공하여 급성 악화의 조기 발견 및 조기 적정 치료가 가능하게 한다.According to the present invention, by using a medical device for remote rehabilitation training, it is possible to evaluate daily lung function and exercise ability, and to monitor biosignals during exercise, so that biosignal monitoring indicators are transmitted to a mobile application and an algorithm for predicting acute deterioration embedded in the application. Applying to, the acute exacerbation predictive index is calculated, and an action plan is provided to patients using the calculated index value to enable early detection of acute exacerbation and early appropriate treatment.
도 1은 본 발명의 실시예에 따른 원격 재활 훈련시스템에 적용되는 휴대 단말기를 설명하기 위한 도면이다.
도 2는 도 1에 도시된 휴대단말기을 통해 재활 훈련을 제공하는 방법을 제공하는 예시도이다. 1 is a view for explaining a portable terminal applied to a remote rehabilitation training system according to an embodiment of the present invention.
2 is an exemplary view providing a method of providing rehabilitation training through the portable terminal shown in FIG. 1.
이하 첨부된 도면을 참조하여 본 발명에 따른 바람직한 실시예를 상세히 설명하기로 한다. 이 과정에서 도면에 도시된 선들의 두께나 구성요소의 크기 등은 설명의 명료성과 편의상 과장되게 도시되어 있을 수 있다. Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. In this process, the thickness of the lines or the size of components shown in the drawings may be exaggerated for clarity and convenience of description.
또한 후술되는 용어들은 본 발명에서의 기능을 고려하여 정의된 용어들로서, 이는 사용자, 운용자의 의도 또는 관례에 따라 달라질 수 있다. 그러므로 이러한 용어들에 대한 정의는 본 명세서 전반에 걸친 내용을 토대로 내려져야 할 것이다.In addition, terms to be described later are terms defined in consideration of functions in the present invention, which may vary according to the intention or custom of users or operators. Therefore, definitions of these terms should be made based on the contents throughout the present specification.
본 발명의 실시예에 따른 원격 재활 훈련 및 자기관리 시스템은 생체신호 측정 및 모니터링이 가능한 자가 심장재활 의료기기 및 자가 호흡재활 의료기기, 급성악화 예측 알고리즘과 행동지침, 가정 기반 심장·호흡재활치료 프로토콜, 재활치료 교육 프로그램, 자기관리 프로그램이 내장된 모바일 어플리케이션, 사용자 단말기 및 관리서버를 포함한다. The remote rehabilitation training and self-management system according to an embodiment of the present invention is a self-contained cardiac rehabilitation medical device and self-respiratory rehabilitation medical device capable of measuring and monitoring bio-signals, acute deterioration prediction algorithm and behavior guidelines, and home-based cardiorespiratory rehabilitation protocol , A rehabilitation treatment education program, a mobile application with a built-in self-management program, a user terminal and a management server.
생체신호 측정장치는 사용자가 착용한 상태에서 생체신호를 측정하는 장치이다. 생체신호 측정장치는 생체신호 모니터링과 평가 및 훈련이 가능한 것으로, 이지 코프(Easy cough), 스마트 목걸이 또는 반지 등의 형태로 형성된다. 따라서, 생체신호 측정장치는 사용자의 폐기능, 호흡근 근력, 최대기침유량, 심박수, 산소포화도, 운동자각지수 등을 이용하여 생체신호를 측정한다. 측정된 생체신호는 사용자 단말기(200)에 전달된다. The biosignal measuring device is a device that measures a biosignal in a state worn by a user. The bio-signal measuring device is capable of monitoring, evaluating, and training bio-signals, and is formed in the form of an Easy cough, a smart necklace or a ring. Accordingly, the biosignal measuring device measures the biosignal using the user's lung function, respiratory muscle strength, maximum cough flow, heart rate, oxygen saturation, exercise awareness index, and the like. The measured biometric signal is transmitted to the
사용자 단말기는 인터넷 통신을 통해 관리서버에 접속가능하며, 관리서버에서 제공되는 어플리케이션을 다운로드 할 수 있는 단말기를 나타낸다. The user terminal is accessible to the management server through Internet communication and represents a terminal capable of downloading an application provided from the management server.
사용자 단말기는 연동되는 생체신호 측정장치로부터 생체신호를 수신하고, 수신된 생체신호를 모바일 어플리케이션에 전달한다. The user terminal receives a bio-signal from an interworking bio-signal measuring device and transmits the received bio-signal to the mobile application.
모바일 어플리케이션에 수신된 생체신호는 어플리케이션에 내재되어 있는 급성악화 예측 알고리즘에 의해 자동으로 급성 악화 예측 지수를 산출한다. 모바일 어플리케이션 내에서 산출된 급성 악화 예측 지수를 이용하여 사용자의 상태를 판단하여 행동지침(action plan)을 표시해준다. The biosignal received in the mobile application automatically calculates an acute exacerbation prediction index by an acute exacerbation prediction algorithm built into the application. Using the acute exacerbation prediction index calculated in the mobile application, the user's condition is determined and an action plan is displayed.
그리고 모바일 어플리케이션에 수신된 생체 신호중에서 심박수에 대한 데이터를 수집하고, 수집된 데이터를 머신러닝에 입력하여 부정맥 환자인지 여부를 판단한다. In addition, data on heart rate are collected from the bio-signals received by the mobile application, and the collected data is input to machine learning to determine whether the patient is an arrhythmia patient.
모바일 어플리케이션에서 판단한 결과에 따라 심장호흡 재활시 필요한 호흡 훈련, 근력훈련에 대한 정보를 제공한다. It provides information on breathing training and strength training necessary for cardiorespiratory rehabilitation according to the results determined by the mobile application.
이상으로 본 발명 내용의 특정한 부분을 상세히 기술하였는 바, 당업계의 통상의 지식을 가진 자에게 있어서, 이러한 구체적 기술은 단지 바람직한 실시양태일 뿐이며, 이에 의해 본 발명의 범위가 제한되는 것이 아닌 점은 명백할 것이다. 따라서 본 발명의 실질적인 범위는 첨부된 청구항들과 그것들의 등가물에 의하여 정의된다고 할 것이다.As described above, specific parts of the present invention have been described in detail, and for those of ordinary skill in the art, it is obvious that this specific description is only a preferred embodiment, and the scope of the present invention is not limited thereby. something to do. Therefore, it will be said that the practical scope of the present invention is defined by the appended claims and their equivalents.
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-
2019
- 2019-10-31 KR KR1020190138043A patent/KR20210052028A/en not_active Withdrawn
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