JP2006263460A - Rehabilitation support apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a rehabilitation support apparatus, monitoring the brain activity during rehabilitation to achieve efficient rehabilitation training. <P>SOLUTION: A nervous damaged person A wears a brain hat 1 on the head. The brain hat 1 includes a first sensor 2 for measuring an electric field generated with the brain activity; and a second sensor 3 for detecting the state of brain bloodstream. A brain activity analyzer 11 analyzes the brain activity of the nervous damaged person A based upon a signal indicating the intracerebral obtained by the first sensor 2 and a signal indicating the state of brain bloodstream obtained by the second sensor 3, and outputs the analysis result to a monitor 12 and a printer 13. The monitor 12 displays the analysis result on the screen, and prints out the analysis result on paper to inform the nervous damaged person A, a doctor and a therapist of the analysis result. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a rehabilitation support apparatus that supports rehabilitation of a nerve injury person whose spinal cord or the like has been damaged by an accident, or a patient who has suffered a brain disorder due to a cerebrovascular disorder or the like.

  In recent years, research on brain activity has progressed, and the measurement accuracy of weak electric fields (electroencephalograms) and weak magnetic fields (encephalograms) generated from the brain has increased. An algorithm for estimating the position of the current source in the brain with high accuracy has also been proposed (see, for example, Patent Document 1).

Nerve-injured persons have a function of cells that are responsible for motor planning or command in the brain, but the command of movement is caused by damage or lesions somewhere in the pathway to effectors such as peripheral muscles. A person who does not reach the effector sufficiently. For example, taking spinal cord injury as an example, if the spinal cord is affected by accidents such as traffic accidents or diseases, the activity of the central nervous system and peripheral nerves (motor nerves, sensory nerves) mainly by the cerebrum Disruption causes functional impairment in the extremities. For such nerve-injured persons, rehabilitation (hereinafter also simply referred to as rehabilitation) centered on exercise training is performed in order to achieve functional recovery due to plasticity of the spinal cord.
International Publication No. WO03 / 057035 Pamphlet

  In rehabilitation, people with nerve damage perform limb recovery exercises in hospitals or at home in accordance with an exercise training plan created by a doctor or therapist. In this case, in conventional rehabilitation, changes in the movements of the limbs (peripheral nerves) of nerve-injured persons (movement angles of joints, muscle strength by electromyogram, etc.) are detected during rehabilitation, but the brain (central nerves) The activities in parentheses are not seen. Therefore, in the early stage of rehabilitation, when a command to move the limb is issued from the normal motor area of the cerebrum, the limb does not move according to the command, so the cerebrum stops activity (so-called `` learned '' "Learned non-use").

  For people with nerve damage, rehabilitation training is often accompanied by physical distress, and is often mentally unstable due to concerns about whether the function is fully restored.

  Due to such problems of “learned non-use” and the circumstances of nerve injured persons, rehabilitation is interrupted and functional recovery is delayed, and further, rehabilitation is stopped and functional recovery cannot be obtained. is there.

  In addition, even if brain cells are damaged due to cerebral hemorrhage, etc., the brain cells that were in a tentative state may return to life as the hematoma is absorbed over time. There is a problem that when it disappears, it feels that the brain has completely gone bad and is not willing to start rehabilitation.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide a rehabilitation support device that can perform efficient rehabilitation training without being interrupted or stopped by monitoring brain activity during rehabilitation. And

  Another object of the present invention is to provide a rehabilitation support device that can prompt a patient to start rehabilitation.

  The rehabilitation support apparatus of the present invention is an apparatus that supports rehabilitation for a nerve-injured person, non-invasively acquiring information representing the brain activity of the nerve-injured person during rehabilitation, and information acquired by the acquisition means And means for outputting.

  The rehabilitation support device of the present invention is a device that supports rehabilitation for a person with nerve injury, and non-invasively obtains an exercise assisting device attached to the person with nerve damage during rehabilitation and information representing the brain activity of the person with nerve damage. And obtaining means for operating the exercise assisting device based on information obtained by the obtaining means.

  The rehabilitation support apparatus according to the present invention is an apparatus that supports rehabilitation for a patient suffering from a brain disorder, an acquisition unit that non-invasively acquires information representing brain activity of the patient, and outputs the information acquired by the acquisition unit And means for performing.

  In the rehabilitation support device according to the present invention, in the above device, the acquisition unit measures a first sensor that is mounted on the nerve-injured person or patient and measures an electric field generated by the brain, and a blood flow state in the brain. And a second sensor.

  The rehabilitation support apparatus according to the present invention is characterized in that, in the above apparatus, the acquisition means includes a sensor for measuring a hemoglobin concentration in the blood flow in the brain, which is attached to the nerve-injured person or patient.

  The rehabilitation support apparatus according to the present invention is the above apparatus, wherein the position at which the sensor for measuring the hemoglobin concentration in the blood flow in the brain is attached to the nerve injured person or patient is analyzed by analyzing a BOLD signal obtained by fMRI. It is characterized by being identified.

  In the present invention, information representing the brain activity of a nerve-injured person is acquired non-invasively, and the acquired information is output and notified. Therefore, at present, for example, the limbs do not move as intended, but the nerve-injured person understands that the brain is operating normally, so the aggressiveness of the nerve-injured person with respect to rehabilitation efforts is improved. In addition, doctors and therapists can know the transition of brain activity of nerve-injured persons and can make use of them for diagnosis of medical conditions or subsequent treatment policies and training plans. As a result, effective rehabilitation can be performed and functional recovery can be achieved in a short period of time.

  In the present invention, information representing the brain activity of a nerve-injured person is acquired non-invasively, and based on the acquired information, for example, an exercise assisting tool for assisting movement of the limbs is activated. As a result, the nerve-injured person can perform a desired operation during rehabilitation. In addition, since people with nerve damage know that the brain is operating normally, their aggressiveness toward rehabilitation is improved.

  In the present invention, information representing brain activity of a patient suffering from a brain disorder is acquired non-invasively, and the acquired information is output and notified. Therefore, the patient can know that the function of the brain has been recovered, and a willingness to start rehabilitation occurs.

  A signal indicating an electric field generated by the brain, which is one index representing brain activity, has a characteristic of being superior in temporal resolution but inferior in spatial resolution. On the other hand, a signal indicating a blood flow state in the brain, which is one index representing brain activity, has a characteristic of being superior in spatial resolution but inferior in time resolution. Therefore, by combining these signals, accurate brain activity can be measured by taking advantage of the advantages of each signal.

  Brain activity is predicted based on the amount of hemoglobin concentration change in the blood flow in the brain, which is an index representing brain activity. Therefore, it is possible to accurately recognize brain activity.

  The position where the sensor for measuring the hemoglobin concentration in the blood flow in the brain is attached is identified based on the analysis result of the BOLD signal obtained by fMRI. Therefore, it is possible to attach the sensor to an active region of the brain that is specific to a person with nerve injury or a patient.

  In the present invention, information indicating the brain activity of a nerve-injured person is acquired non-invasively, and the obtained information is notified to a nerve-injured person, a doctor, a therapist, and the like. And efficient treatment and training can be performed. As a result, effective rehabilitation can be performed, and functional recovery can be realized in a short period of time.

  In the present invention, information representing the brain activity of a nerve-injured person is acquired non-invasively, and the exercise assisting device is operated based on the obtained information. It is convenient to be able to perform the operation, and the willingness to tackle rehabilitation can be enhanced.

  In the present invention, information indicating the brain activity of a patient with a brain disorder is acquired non-invasively, and the acquired information is notified to a patient, a doctor, a therapist, and the like. It can be promoted and efficient treatment and training can be performed.

  In the present invention, a combination of a signal indicating an electric field generated by a brain excellent in temporal resolution of brain activity and a signal indicating a blood flow state in the brain excellent in spatial resolution of brain activity is used to reduce brain activity. Since invasive measurement is performed, the state of brain activity can be accurately grasped.

  In the present invention, since the brain activity is predicted based on the hemoglobin concentration change amount in the blood flow in the brain, the state of the brain activity can be accurately grasped.

  In the present invention, the mounting position of the sensor that measures the hemoglobin concentration in the blood flow in the brain is identified based on the analysis result of the BOLD signal obtained by fMRI. Can be worn, and information representing accurate brain activity can be acquired by a sensor.

  Hereinafter, the present invention will be specifically described with reference to the drawings showing embodiments thereof. Note that the present invention is not limited to the following embodiments.

(First embodiment)
FIG. 1 is a diagram showing a brain hat as an acquisition means for non-invasively acquiring information representing brain activity used in the present invention. The brain hat 1 includes a plurality of (for example, several tens to several hundreds) two types of first sensors 2 and 3 on a cloth base body 4 having a hat shape so as to cover a human head. ). The first sensor 2 and the second sensor 3 are arranged at an equal pitch (for example, at intervals of several millimeters).

  Specifically, the first sensor 2 is an electroencephalogram (EEG) having electrodes, and detects a weak electric field (electroencephalogram) caused by a current generated by a nerve cell in the brain in response to an external stimulus. To do. Each first sensor 2 measures and outputs the change over time of the electric field accompanying brain activity at each site where it is installed. The first sensor 2 has excellent time resolution and can measure in units of several milliseconds.

  Specifically, the second sensor 3 is a near-infrared light sensor (NIRS) which emits infrared light having a relatively short wavelength and reflects the reflected light of the infrared light. The receiving light receiving element is configured as a set, and the state of cerebral blood flow is detected based on the amount of light emitted from the light emitting element in the brain. Each second sensor 3 measures and outputs cerebral blood flow at each site where it is installed. Since the second sensor 3 is not affected by other regions such as a magnetic field and an electric field, it has excellent spatial resolution and can be measured in units of several millimeters.

  Since the first sensor 2 and the second sensor 3 can acquire information on brain activity even in a small configuration, the first sensor 2 and the second sensor 3 can be easily attached to the brain hat 1 as described above, and a large configuration is required. And not.

  FIG. 2 is a diagram illustrating a configuration of the rehabilitation support apparatus according to the first embodiment. The nerve-injured person A wears the brain hat 1 shown in FIG. The brain hat 1 is connected to a brain activity analyzer 11 for inputting signals detected by the first sensor 2 and the second sensor 3 of the brain hat 1. Further, a monitor 12 and a printer 13 are connected to the brain activity analysis apparatus 11.

  The brain activity analysis apparatus 11 is based on the signal indicating the intracerebral electric field obtained by the first sensor 2 and the signal indicating the state of cerebral blood flow obtained by the second sensor 3. The activity is analyzed, and the analysis result is output to the monitor 12 and the printer 13 as necessary. As the analysis results, for example, a command to “grab an object with the right hand”, a command to “go out the left foot”, and the like are obtained by the brain activity analysis apparatus 11. The monitor 12 displays such an analysis result on the screen, and the printer 13 prints out such an analysis result on paper.

  With such a configuration, the brain activity of the nerve injured person A during rehabilitation is notified to the nerve injured person A, a doctor, a therapist, and the like. Since the nerve-injured person A knows that the brain is operating normally, the willingness to work on rehabilitation is improved. In addition, since doctors and therapists can grasp the state of brain activity of nerve-injured person A, it not only helps diagnose the medical condition but also makes it easy to determine an accurate treatment policy including a training plan. it can.

  Moreover, since the information on the activity in the brain is acquired non-invasively by putting the brain hat 1 on instead of a method of embedding electrodes in the cerebral cortex, the nerve-injured person A does not feel any pain. Moreover, since it only needs to wear the brain hat 1, it does not give an excessive physical burden and a mental burden to the nerve-injured person A.

  Although the analysis results are displayed or printed out, the measurement data obtained by the first sensor 2 and the second sensor 3 can be displayed on the monitor 12 as they are or printed out by the printer 13. is there.

(Second Embodiment)
FIG. 3 is a diagram illustrating a configuration of the rehabilitation support apparatus according to the second embodiment. In 1st Embodiment, although the case where the nerve-injured person A exists in the hospital is assumed, this 2nd Embodiment assumes the case where the nerve-injured person A is performing the rehabilitation in home. It is.

  A person A with nerve damage in the home wears the brain hat 1 shown in FIG. The brain hat 1 is connected to a counting device 21 that counts signals detected by the first sensor 2 and the second sensor 3 of the brain hat 1. A communication device 22 that performs wireless data communication with the hospital is connected to the totaling device 21, and a display device 23 that displays the analysis result of brain activity from the hospital is connected to the communication device 22.

  A data processing device 30 is provided in the hospital. The data processing device 30 is based on signals detected by the communication unit 31 that performs wireless data communication with the communication device 22 in the home, and the first sensor 2 and the second sensor 3 of the brain hat 1. A brain activity analysis unit 32 that analyzes the brain activity of A, a monitor unit 33 that displays the analysis result, a printer unit 34 that prints out the analysis result, a storage unit 35 that stores the analysis result, and each of these hardware And a CPU 36 for controlling the operation.

  The signals detected by the first sensor 2 and the second sensor 3 are aggregated over time by the aggregation device 21 and then transmitted to the hospital via the communication device 22. The aggregate data is received by the communication unit 31 and input to the brain activity analysis unit 32. The brain activity analysis unit 32 analyzes the brain activity of the nerve injured person A based on the data indicating the electric field in the brain and the data indicating the state of cerebral blood flow, and if necessary, the analysis result is displayed on the monitor unit 33, The data is output to the printer unit 34 and the storage unit 35. The monitor unit 33 displays the analysis result on the screen, the printer unit 34 prints out the analysis result on paper, and the storage unit 35 stores the analysis result inside.

  The analysis result obtained by the brain activity analysis unit 32 is transmitted from the communication unit 31 to the home of the nerve-injured person A. The analysis result is received by the communication device 22, displayed on the display device 23, and notified to the nerve injured person A.

  In the second embodiment, the same effects as in the first embodiment can be obtained. Further, since it is not necessary to provide a device for analyzing brain activity in the vicinity of the nerve-injured person A, the present invention can also be applied to the nerve-injured person A who performs rehabilitation at home. Further, the data processing device 30 can collectively manage a plurality of nerve injured persons.

  In the above-described example, the case where wireless communication is performed between a home and a hospital has been described, but it is needless to say that data communication may be performed using an existing public line.

(Third embodiment)
FIG. 4 is a diagram illustrating a configuration of a rehabilitation support apparatus according to the third embodiment. The nerve-injured person A wears the brain hat 1 shown in FIG. Further, the nerve-injured person A is equipped with an exercise assisting tool 41 for assisting limb exercise. In the example shown in FIG. 4, a wrist joint driven gripping device that assists the gripping motion of the object by the dorsiflexion motion of the wrist joint is mounted as the motion assisting device 41 from the forearm of the nerve injured person A to the hand.

  The brain hat 1 is connected to a brain activity analyzer 11 for inputting signals detected by the first sensor 2 and the second sensor 3 of the brain hat 1. The brain activity analysis apparatus 11 is connected to an operation control apparatus 42 that controls the operation of the exercise assisting tool 41.

  The brain activity analysis apparatus 11 is based on the signal indicating the intracerebral electric field obtained by the first sensor 2 and the signal indicating the state of cerebral blood flow obtained by the second sensor 3. The activity is analyzed, and the analysis result is output to the motion control device 42. The motion control device 42 controls the motion of the exercise assisting tool 41 according to the input analysis result. For example, in the example shown in FIG. 4, when the analysis result is a command to “bend the wrist and grasp an object”, the exercise assisting device 41 (wrist joint drive type grasping device) is driven by the control of the motion control device 42. Thus, the gripping operation is assisted.

  FIG. 5 is a flowchart illustrating an example of an operation procedure of the rehabilitation support apparatus according to the third embodiment. The first sensor 2 and the second sensor 3 acquire information indicating brain activity (a signal indicating an intracerebral electric field and a signal indicating a state of cerebral blood flow), and input the acquired information to the brain activity analyzing apparatus 11. (Step S1). Based on the acquired information, the brain activity analysis device 11 analyzes the brain activity of the nerve-injured person A, and inputs the analysis result to the motion control device 42 (step S2). It is determined whether or not the analysis result is a command related to limb movement (step S3). When the analysis result is a command related to the movement of the limb (S3: YES), it is determined whether or not the command is a command related to the movement of the limb (for example, the left hand in the example of FIG. 4) wearing the exercise assisting tool 41 ( Step S4). When the command is related to the movement of the limb wearing the exercise assisting device 41 (S4: YES), the operation assisting device 41 is operated according to the analyzed instruction by the operation control device 42 (step S5), and the operation is performed. Ends. If the analysis result is not a command related to limb movement (S3: NO), or if it is not a command related to movement of the limb wearing the exercise assisting device 41 (S4: NO), the operation ends as it is.

  In the third embodiment, since the exercise assisting device 41 for assisting the movement of the limbs such as the wrist is operated based on the analysis result of the brain activity of the nerve-injured person A, the nerve-injured person can be rehabilitated. You can do what you want. Moreover, since the nerve-injured person A knows that the brain is operating normally, the willingness to rehabilitate improves.

(Fourth embodiment)
FIG. 6 is a diagram illustrating a configuration of a rehabilitation support apparatus according to the fourth embodiment. The nerve-injured person A wears the brain hat 1 shown in FIG. A vibration element 51 that generates vibration is attached to a predetermined part of the limb of the nerve-injured person A.

  The brain hat 1 is connected to a brain activity analyzer 11 for inputting signals detected by the first sensor 2 and the second sensor 3 of the brain hat 1. The brain activity analysis apparatus 11 is connected to a vibration control apparatus 52 that controls the vibration of the vibration element 51.

  The brain activity analysis apparatus 11 is based on the signal indicating the intracerebral electric field obtained by the first sensor 2 and the signal indicating the state of cerebral blood flow obtained by the second sensor 3. The activity is analyzed, and the analysis result is output to the vibration control device 52. The vibration control device 52 controls the vibration of the vibration element 51 according to the input analysis result. For example, when the analysis result is a command to “raise the right arm”, the vibration element 51 attached to the right arm is vibrated, and when the analysis result is a command to “bend the left leg”, the command is attached to the left leg. The vibrating element 51 is vibrated.

  In the fourth embodiment as described above, since the nerve injured person A can realize that the brain is normal by the vibration stimulation, the willingness to tackle rehabilitation is increased.

  In the example described above, EEG and NIRS are combined as a means for non-invasively acquiring information representing brain activity, but the present invention is not limited to this. As another example, for example, a magnetoencephalograph (MEG) having a high temporal resolution and a magnetic resonance apparatus (fMRI: functional magnetic resonance imaging) having a high spatial resolution may be combined. The means for obtaining information representing brain activity is arbitrary, and the present invention can of course be applied in all cases.

  Moreover, it cannot be overemphasized that the structure which combined the 1st-4th embodiment suitably may be sufficient.

(Fifth embodiment)
Hereinafter, another embodiment of the present invention that supports rehabilitation by combining fMRI and NIRS will be described.

  It is known that the level of BOLD signal obtained from fMRI increases at a site where brain activity is active. By analyzing the change in the level of BOLD signal, the level at a specific site (motor cortex, sensory cortex, etc.) It is possible to know the degree of brain activity. In particular, a very high correlation is recognized between the BOLD signal in the motor area and the actual muscle output. Actually, an average of BOLD signal values is obtained and used as an index of brain activity.

  In addition, NIRS is a sensor that optically measures cerebral blood flow and detects brain activity as described above. For example, NIRS is based on fluctuations in light absorption characteristics of hemoglobin, and is locally associated with neuronal activity of the brain. Measures blood flow changes to detect brain function. Specifically, NIRS calculates the amount of change in the relative concentration of oxygenated hemoglobin (oxy-Hb), reduced hemoglobin (deoxy-Hb), and total hemoglobin (total-Hb), which is the sum of oxy-Hb and deoxy-Hb. It can be measured. Among these measured values, oxy-Hb has the highest correlation with brain activity for limb movement.

  An experiment conducted on a healthy person will be described. A NIRS is placed on the left head of a healthy person. FIG. 7 schematically shows the configuration of the installed NIRS. This NIRS has five light emitting elements (indicated by ◯ in FIG. 7) that emit near-infrared light and four light-receiving elements (indicated by □ in FIG. 7) that receive near-infrared light. In addition, 12 types of channels (CH1 to CH12) exist as measurement target parts by one light emitting element / light receiving element combination.

  Then, the healthy person was allowed to open and close the tool of the non-magnetic material with a predetermined period using the thumb and index finger of the right hand, and the change in the oxy-Hb concentration of the healthy person at this time was measured by NIRS. . The tool used is designed so that the force required for the opening and closing movement differs depending on the type of rubber spring, and the four types of force (4.9N, 14.7N, 24.24) with the finger closed. 5N, 29.4N). For each of the four types of power, the time for imposing an opening / closing exercise on a healthy person was 15 seconds. The sampling period of the concentration of oxy-Hb in NIRS was set to 0.1 second.

  The measurement results (change with time in the oxy-Hb concentration) are shown in FIG. The time between 0 and 15 seconds on the horizontal axis in FIG. It can be seen that the oxy-Hb concentration increases with the opening and closing movement, and the oxy-Hb concentration increases as the magnitude of the required force increases. It should be noted that the chronological change pattern of the oxy-Hb concentration is different in each of the 12 types of channels, and the channels for which a significant correlation is obtained between the magnitude of force and the oxy-Hb concentration are particularly CH4 and CH9. It was. Therefore, the brain region that is particularly active with respect to finger movement is considered to be a region corresponding to CH4 and CH9 in the case of this subject.

  From this, there is a correlation between the magnitude of the force and the oxy-Hb concentration, so from the measured value of the oxy-Hb concentration, for example, the magnitude of the force to be applied to the finger (how much force It is possible to predict the will of the person that represents what they want to add.

  FIG. 9 shows the magnitude of the muscle strength predicted from the oxy-Hb concentration measurement results at CH4 and CH9 (thick line in the figure) and the magnitude of the finger muscle strength actually measured for two types of finger movements performed by healthy subjects. It is a graph showing the relationship with (thin line in a figure). From the result of FIG. 9, it is understood that high correlation accuracy is obtained.

  FIG. 10 is a graph showing the prediction accuracy of the magnitude of muscle strength, and the vertical axis is an evaluation coefficient for evaluating the goodness of prediction. In addition, when the abscissa a predicts muscle strength from the oxy-Hb concentration measurement result of only CH4, the abscissa b indicates the muscle strength from the oxy-Hb concentration measurement result of CH4 and CH9, the abscissa c indicates all The case where muscle strength is predicted from the oxy-Hb concentration measurement results of 12 types of CH1 to CH12 is shown (see a, b and c in FIG. 7). The prediction accuracy is almost the same between the case of prediction based on two types of channels (CH4 and CH9) and the case of prediction based on all 12 types of channels. Therefore, if a channel closely related to finger movement is selected, it is possible to obtain a highly accurate prediction result of muscle strength based on the measurement result of oxy-Hb concentration in the selected channel without performing prediction based on all channels. it can. This leads to cost reduction.

  The fifth embodiment has been made based on the knowledge as described above. In the following example, a nerve-injured person is a patient with right hand paralysis. First, for a person with nerve damage, the location of the right finger is identified based on the fMRI test result. The part that controls the movement of the right finger is the left motor area, but there are individual differences in that part. Then, the person with nerve damage is considered to move the right finger, and the BOLD signal obtained by fMRI is analyzed at that time, and the brain active region peculiar to the person with nerve damage is identified.

  FIG. 11 is a diagram illustrating a configuration of a rehabilitation support apparatus according to the fifth embodiment. The NIRS 60 is attached to the nerve-injured person A at a position including the region identified based on the fMRI test result. Connected to the NIRS 60 is a brain activity analyzer 61 for inputting a signal (oxy-Hb concentration) detected by the NIRS 60. In addition, a monitor 62 and a printer 63 are connected to the brain activity analysis apparatus 61.

  The brain activity analysis device 61 analyzes the brain activity of the nerve-injured person A based on the temporal change of the oxy-Hb concentration detected by the NIRS 60, and outputs the analysis result to the monitor 62 and the printer 63 as necessary. . As the analysis result, for example, a command to “pick an object with a light force using the thumb and index finger of the right hand”, a command to “release the gripped object suddenly”, etc. It is obtained by. The monitor 62 displays such an analysis result on the screen, and the printer 63 prints out such an analysis result on paper.

  With such a configuration, the brain activity of the nerve injured person A during rehabilitation is notified to the nerve injured person A, a doctor, a therapist, and the like. Therefore, since it can be understood that the brain is operating normally for the nerve-injured person A, the willingness to work on rehabilitation can be improved. Since it can be grasped, it not only helps diagnosis of a medical condition, but also has an excellent effect such as being able to easily determine an accurate treatment policy including a training plan.

  In the fifth embodiment, the nerve injury person A has the will to move the right finger in advance, learns the measurement result of the NIRS 60 at that time, and refers to the learning result to obtain the brain activity analysis device 61. In the case where brain activity is analyzed by the method, the analysis accuracy can be improved.

  In addition, with respect to the fifth embodiment using such a NIRS 60, the configuration of the second embodiment (rehabilitation in the home), the configuration of the third embodiment (control of exercise assistance equipment), the fourth Of course, any of the configurations of the embodiment (attachment of the vibration element) may be combined as appropriate.

  In the above-described example, the application of the present invention to rehabilitation of a patient whose nervous system is damaged has been described. However, other application examples of the present invention will be described below. Even if the brain cells are damaged due to cerebral hemorrhage due to aneurysm rupture or cerebral infarction, hematoma may be pulled or blood flow will be restored over time, or the neural circuit may be reconstructed. , Damaged brain cells may restore function. However, in response to a command from the brain, for example, when the extremity temporarily stops moving, the patient assumes that the brain has completely failed and loses the will to work the brain.

  In such a case, if the brain activity is monitored as in the first to fifth embodiments described above, the patient's function is recovered or the function of the brain is gradually recovered. Can be known, and willingness to start rehabilitation from there, and willingness to continue rehabilitation is strengthened.

It is a figure which shows the brain hat used by this invention. It is a figure which shows the structure of the rehabilitation assistance apparatus which concerns on 1st Embodiment. It is a figure which shows the structure of the rehabilitation assistance apparatus which concerns on 2nd Embodiment. It is a figure which shows the structure of the rehabilitation assistance apparatus which concerns on 3rd Embodiment. It is a flowchart which shows an example of the operation | movement procedure of the rehabilitation assistance apparatus which concerns on 3rd Embodiment. It is a figure which shows the structure of the rehabilitation assistance apparatus which concerns on 4th Embodiment. It is a schematic diagram which shows the structure of NIRS. It is a graph which shows a time-dependent change of the oxy-Hb density | concentration obtained by NIRS. It is a graph showing the relationship between the magnitude of the predicted muscle strength and the magnitude of the finger muscle strength actually measured. It is a graph showing the prediction precision of the magnitude | size of a muscular strength. It is a figure which shows the structure of the rehabilitation assistance apparatus which concerns on 5th Embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Brain hat 2 1st sensor 3 2nd sensor 11, 61 Brain activity analysis apparatus 12, 62 Monitor 13, 63 Printer 23 Display part 30 Data processing apparatus 32 Brain activity analysis part 33 Monitor part 34 Printer part 41 Exercise support tool 42 Operation | movement Controller A A nerve injury person

Claims (6)

  An apparatus for supporting rehabilitation for a nerve-injured person, comprising: an acquisition unit that non-invasively acquires information representing brain activity of a nerve-injured person during rehabilitation; and a unit that outputs information acquired by the acquisition unit A special rehabilitation support device.   In an apparatus for supporting rehabilitation for a nerve-injured person, an exercise assisting device to be worn by the nerve-injured person during rehabilitation, acquisition means for non-invasively acquiring information representing the brain activity of the nerve-injured person, and the acquisition means And a means for operating the exercise assisting device based on the information acquired by the rehabilitation assisting device.   An apparatus for supporting rehabilitation for a patient suffering from a brain disorder, comprising: an acquisition unit that noninvasively acquires information representing brain activity of the patient; and a unit that outputs information acquired by the acquisition unit. Rehabilitation support device.   The acquisition means includes a first sensor that measures an electric field generated by the brain and is attached to the nerve-injured person or patient, and a second sensor that measures a blood flow state in the brain. Item 4. The rehabilitation support device according to any one of Items 1 to 3.   The rehabilitation support apparatus according to any one of claims 1 to 3, wherein the acquisition unit includes a sensor that is attached to the nerve-injured person or patient and measures a hemoglobin concentration in a blood flow in the brain.   6. The position where a sensor for measuring hemoglobin concentration in the blood flow in the brain is attached to the nerve-injured person or patient is identified by analyzing a BOLD signal obtained by fMRI. Rehabilitation support device.

Images