TW201714582A - Lower limb motion sensing and rehabilitation training system particularly designed for patients before or after artificial hip joint replacement surgery or artificial knee joint replacement surgery - Google Patents
Lower limb motion sensing and rehabilitation training system particularly designed for patients before or after artificial hip joint replacement surgery or artificial knee joint replacement surgery Download PDFInfo
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本發明關於一種下肢動作感測與復健訓練系統,特別是指一種具有雙量測模式可根據不同病人、症狀提供合適量測方法之下肢動作感測裝置以及其復健訓練系統。The invention relates to a lower limb motion sensing and rehabilitation training system, in particular to a lower limb motion sensing device with a dual measurement mode capable of providing a suitable measurement method according to different patients and symptoms, and a rehabilitation training system thereof.
按,美國ACL (Administration for Community Living)協會調查顯示,全球65歲以上的老年人口會在2060年會攀升到9千多萬人口。同時, 根據台灣衛生福利部國民健康署 (Health Promotion Administration, HPA) ,在2011年的調查台灣的老年人口中至少有80%的老年人受到退化性疾病的困擾,其中退化性關節疾病是老年人常見的退化性疾病之一,當關節退化為末期性關節炎時,需要接受手術治療,如全人工髖關節置換手術(Total Hip Replacement, THR)或全人工膝關節置換手術(Total knee Replacement, TKR)。這兩項手術開始於1968年,至今接受該手術治療病人已經大幅成長,根據美國AAOS (Agency for Healthcare Research and Quality) 的調查在美國一年有超過60萬個人口實施,是現今最成功的外科手術之一。According to the survey conducted by the American Association of ACL (Administration for Community Living), the population of the elderly over 65 years old will climb to more than 90 million in 2060. At the same time, according to the Health Promotion Administration (HPA) of the Taiwan Ministry of Health and Welfare, at least 80% of the elderly in Taiwan surveyed in 2011 were suffering from degenerative diseases, including degenerative joint diseases. One of the common degenerative diseases, when the joint degenerates into end-stage arthritis, requires surgery, such as Total Hip Replacement (THR) or Total Knee Replacement (TKR). ). These two operations began in 1968, and the patients who have undergone this surgery have grown significantly. According to the US AAOS (Agency for Healthcare Research and Quality) survey, more than 600,000 people in the United States are implemented each year, which is the most successful surgery today. One of the surgery.
一個成功的手術需有完善的術前評估與術後復健訓練,來幫助使用者快速地適應新的人工關節。接受手術的使用者在術後初期必須使用輔助裝置幫助使用者移動,待醫師診斷確認使用者的肌肉與骨頭已經復原良好才能移除輔助器材,並持續透過正確且規律的復健訓練運動回復身體機能,良好且有效的復健訓練不僅可以幫助使用者加快肌肉與骨頭的成長,也能讓使用者盡快恢復獨立行走能力。A successful surgery requires a well-established preoperative assessment and postoperative rehabilitation training to help the user quickly adapt to new artificial joints. The user undergoing surgery must use the auxiliary device to help the user move at the beginning of the operation. The doctor diagnoses that the muscles and bones of the user have been restored to remove the auxiliary equipment, and continues to return to the body through correct and regular rehabilitation training. Functional, good and effective rehabilitation training not only helps users to accelerate the growth of muscles and bones, but also allows users to resume independent walking ability as soon as possible.
由於手術後早期自主運動能有效降低組織沾黏,但患者常因為手術後的疼痛及對術後限制的不甚瞭解,僅用藥物達到良好的疼痛控制,而複雜的復健動作只能由復健治療師有限的介入下才能實施,無法達到自主運動的目的,進而錯過復健的時機。Because early autonomic exercise can effectively reduce tissue adhesion after surgery, patients often use drugs to achieve good pain control because of postoperative pain and lack of understanding of postoperative limitations. Complex rehabilitation actions can only be complicated by complex The limited intervention of the health therapist can be implemented, and the goal of autonomous exercise cannot be achieved, and the timing of rehabilitation is missed.
甚者,在療程中復健治療師須長時間且持續重複來協助患者之動作,相當耗費人力和時間,在現今醫療資源有限的情況下,患者通常無法長期接受復健治療,復健治療師便無法確切的了解病患之活動狀態,也無法確切追蹤該復健訓練計畫是否被患者正確執行。另一方面,有時會因復健使用之輔助器材並不是適合每一位患者所能負荷之範圍,因此在復健過程中可能會造成患者的異常吃力,使得患者的耐力下降而使得療效不見起色,更可能會讓復健者失去耐心以及信心。In addition, during the course of treatment, rehabilitation therapists have to wait for a long time and continue to assist the patient's movements, which is quite labor-intensive and time-consuming. In the current limited medical resources, patients usually cannot receive rehabilitation treatment for a long time, and the rehabilitation therapist will It is impossible to know exactly the patient's activity status, and it is impossible to accurately track whether the rehabilitation training program is correctly executed by the patient. On the other hand, sometimes the auxiliary equipment used for rehabilitation is not suitable for each patient's load range, so the patient may be abnormally struggling during the rehabilitation process, so that the patient's endurance is reduced and the curative effect is not seen. Improvement is more likely to make the rehabilitation person lose patience and confidence.
如中華民國專利第201417796號所揭示之一種「互動式下肢復健系統」,其利用九軸運動感測單元與ZigBee無線傳輸模組,提供使用者一套人機互動的復健系統,透過綁定在下肢大腿與小腿之運動感測裝置,觀察大腿相對於小腿之角度變化,並且透過動畫的模擬將其影像呈現在電腦螢幕上,提供使用者一套自我復健設備。然而,人體在行走或是跑步主要是透過大腿股四頭肌的肌肉發力,該「互動式下肢復健系統」雖然可以幫助使用者透過動畫的模擬得知自己的復健姿勢是否正確, 但是無法提供醫師肌肉強度變化參數。肌力強度的變化,是提供醫師診斷非常重要的參考依據,肌力復原狀況良好可幫助使用者早日離開輔助器具, 進入下一個復健階段。並且,該「互動式下肢復健系統」僅具備上述之單一量測模式,並無法針對各種不同症狀調整其運動量測模式。An "interactive lower limb rehabilitation system" disclosed in the Republic of China Patent No. 201417796, which utilizes a nine-axis motion sensing unit and a ZigBee wireless transmission module to provide a user-rehabilitation system for human-computer interaction. A motion sensing device for the thighs and calves of the lower extremities, observing the change in the angle of the thigh relative to the calf, and presenting the image on a computer screen through an animation simulation, providing a self-healing device for the user. However, when the human body is walking or running mainly through the muscles of the thigh quadriceps muscle, the "interactive lower limb rehabilitation system" can help the user to know whether his rehabilitation posture is correct through animation simulation, but The physician's muscle strength change parameters cannot be provided. The change of muscle strength is a very important reference for the diagnosis of the physician. The good muscle recovery can help the user to leave the assist device as soon as possible and enter the next rehabilitation stage. Moreover, the "Interactive Lower Limb Rehabilitation System" only has the single measurement mode described above, and it is not possible to adjust its exercise measurement mode for various symptoms.
又如中華民國專利第201413630號所揭示之一種「以步態感測為主之穿戴式居家照護系統」,透過一個穿戴式設備量測使用者的相關步態參數。其利用一個腰帶,並且安裝兩個加速度計在腰帶的左右兩側去做步態的相關測量。然而根據前文所述,人類行走相關之功能主要是利用股四頭肌與相關肌群去發力做出行走等步態動作,但該穿戴式居家照護系統明顯沒有相關的肌力量測方法;另一方面,該裝置僅透過加速度的計算得到相關步態之參數,並無法計算使用者的下肢擺動角度,無法得到較精確之量測數據。Another example is a "wearing home care system based on gait sensing" disclosed in the Republic of China Patent No. 201413630, which measures the user's relevant gait parameters through a wearable device. It uses a belt and installs two accelerometers to make gait-related measurements on the left and right sides of the belt. However, according to the foregoing, the function related to human walking is mainly to use the quadriceps and related muscle groups to make walking and other gait movements, but the wearable home care system obviously has no relevant muscle strength measurement method; On the one hand, the device only obtains the parameters of the relevant gait through the calculation of the acceleration, and cannot calculate the swing angle of the lower limb of the user, and the accurate measurement data cannot be obtained.
有鑑於上述習知穿戴式動作感測裝置無法同步量測肌力與無法彈性調整量測模式等缺點,本案創作人秉持精益求精的良善動機,提出一種互動式下肢復健系統,其藉由姿態感測模組偵測復健者之運動軌跡,結合人機介面所提供的互動模式及策略,以及可針對不同症狀調整其運動量測模式,具備有雙模式之量測方式,發展新穎復健療程及復健科技的開發,進而達到確實復健之效果。In view of the above-mentioned shortcomings of the wearable motion sensing device that cannot measure the muscle strength and the inability to adjust the measurement mode synchronously, the creator of the case insists on the good motive of excellence and proposes an interactive lower limb rehabilitation system with a gesture The sensing module detects the movement trajectory of the rehabilitation person, combines the interactive mode and strategy provided by the human-machine interface, and adjusts the motion measurement mode for different symptoms, and has a dual-mode measurement method to develop a novel rehabilitation The development of treatment and rehabilitation technology will achieve the effect of true rehabilitation.
為了達到上述目的,本創作係採取以下之技術手段予以達成,其中,本創作之下肢動作感測與復健訓練系統,包括:兩下肢動作感測裝置,該下肢動作感測裝置包括:一動作追蹤器,該動作追蹤器包括:一運動感測模組以及複數肌電感測器,該運動感測模組與該複數肌電感測器電性連接;一資料傳輸電路,與該動作追蹤器電訊連接,該資料傳輸電路具有一無線傳輸單元以及一微控制器,該無線傳輸單元與該微控制器電性連接;以及一資料收集器,與該兩下肢動作感測裝置電訊連接,用以接收該等下肢動作感測裝置所量測動作資料。In order to achieve the above objective, the present invention is achieved by the following technical means, wherein the present lower limb motion sensing and rehabilitation training system comprises: two lower limb motion sensing devices, the lower limb motion sensing device includes: an action a tracker, the motion tracker includes: a motion sensing module and a plurality of muscle sensors, the motion sensing module is electrically connected to the plurality of muscle sensors; a data transmission circuit, and the motion tracker telecommunications Connecting, the data transmission circuit has a wireless transmission unit and a microcontroller, the wireless transmission unit is electrically connected to the microcontroller; and a data collector is electrically connected to the two lower limb motion sensing devices for receiving The motion information of the lower limb motion sensing device is measured.
在本創作較佳實施例中,該運動感測模組包括:一加速規、一陀螺儀以及一磁力計。In the preferred embodiment of the present invention, the motion sensing module includes: an acceleration gauge, a gyroscope, and a magnetometer.
在本創作較佳實施例中,該下肢動作感測裝置更包括一外殼,該外殼具有一連接單元,該連接單元用以與該外殼共同形成一環狀結構。In a preferred embodiment of the present invention, the lower limb motion sensing device further includes a housing having a connecting unit for forming an annular structure together with the housing.
在本創作較佳實施例中,該資料傳輸電路更包括一充電電路。In a preferred embodiment of the present invention, the data transmission circuit further includes a charging circuit.
在本創作較佳實施例中,該下肢動作感測與復健訓練系統更包括一復健系統,與該資料收集器電訊連接,該復健系統包括一資料庫以及一系統平台,該資料庫與該系統平台電訊連接,用以儲存由該資料收集器上傳之量測資料。In a preferred embodiment of the present invention, the lower limb motion sensing and rehabilitation training system further includes a rehabilitation system electrically connected to the data collector, the rehabilitation system including a database and a system platform, the database The system platform is connected to the system for storing the measurement data uploaded by the data collector.
在本創作較佳實施例中,該系統平台更包括一步態分析演算法,該步態分析演算法用以計算使用者雙肢步態相關參數或使用者單肢運動相關參數,包括膝蓋彎曲角度參數、髖關節彎曲角度參數、動作判別以及平衡狀態參數。In a preferred embodiment of the present invention, the system platform further includes a one-step analysis algorithm for calculating a user's limb gait related parameters or a user's limb movement related parameters, including a knee bending angle. Parameters, hip bending angle parameters, motion discrimination, and balance state parameters.
在本創作較佳實施例中,該系統平台更包括一人體平衡判斷分析演算法,利用該運動感測模組與該肌電感測器相互搭配計算人體偏移狀態。In the preferred embodiment of the present invention, the system platform further includes a human body balance judgment analysis algorithm, and the motion sensing module and the muscle sensor detector are used together to calculate a human body offset state.
在本創作較佳實施例中,該系統平台更包括一體適能分析演算法,用以計算使用者體適能量測相關參數,包括三分鐘登階參數、起-坐-站參數以及行走之時間與距離參數。In a preferred embodiment of the present invention, the system platform further includes an integrated fitness analysis algorithm for calculating a user's physical energy measurement related parameters, including a three-minute walking parameter, a starting-sitting-station parameter, and walking. Time and distance parameters.
在本創作較佳實施例中,該系統平台更包括一模式轉換演算法,用以分辨及轉換目前模式為雙肢校正量測模式或為單肢校正量測模式,所述雙肢校正量測模式為穿戴該下肢動作感測裝置至使用者雙肢之小腿上,用以量測雙肢相關參數;所述單肢校正量測模式為穿戴該下肢動作感測裝置至使用者單肢之大腿與小腿處,用以量測單肢相關參數。In the preferred embodiment of the present invention, the system platform further includes a mode conversion algorithm for distinguishing and converting the current mode into a two-limb calibration measurement mode or a single-limb calibration measurement mode, and the two-limb correction measurement The mode is to wear the lower limb motion sensing device to the lap of the user's limbs for measuring the parameters related to the limbs; the single limb correction measurement mode is to wear the lower limb motion sensing device to the thigh of the user's single limb With the calf, it is used to measure the parameters related to the single limb.
在本創作較佳實施例中,該系統平台更包括一個別使用者不同部位之最大收縮肌力與肌電訊號反應之對照表,用以供該肌電感測器量測時,轉換為使用者之實際肌肉施力。In a preferred embodiment of the present invention, the system platform further includes a comparison table of maximum contraction muscle strength and myoelectric signal response of different parts of the user for conversion to the user when the muscle sensor is measured. The actual muscle exertion.
在本創作較佳實施例中,該系統平台更包括一個別使用者之感測器位置設定檔,紀錄各該肌電感測器應貼附之使用者部位,以提供基準一致之比較功能。In the preferred embodiment of the present invention, the system platform further includes a sensor position setting file of the user, and records the user parts to which the muscle sensor is attached to provide a comparison function of the reference.
為達成上述目的及功效,本創作所採用之技術手段及構造,茲繪圖就本創作較佳實施例詳加說明其特徵與功能如下,俾利完全了解,但須注意的是,該等內容不構成本發明的限定。In order to achieve the above objectives and effects, the technical means and structure adopted by this creation are described in detail in the preferred embodiment of the present creation. The features and functions are as follows, and the full understanding is made, but it should be noted that the contents are not It constitutes a limitation of the present invention.
請同時參閱圖1、圖2a及圖2b所示, 其為本創作下肢動作感測與復健訓練系統一實施例之系統架構圖、單肢校正量測模式實施示意圖一及示意圖二。下肢動作感測與復健訓練系統包括兩下肢動作感測裝置 (1,1’)以及一資料收集器 2。Please also refer to FIG. 1 , FIG. 2 a and FIG. 2 b , which is a system architecture diagram of an embodiment of a lower limb motion sensing and rehabilitation training system, and a schematic diagram 1 and a schematic diagram 2 of a single limb correction measurement mode. The lower limb motion sensing and rehabilitation training system includes two lower limb motion sensing devices (1, 1') and a data collector 2.
該兩下肢動作感測裝置 (1,1’)分別包括一動作追蹤器 11、一資料傳輸電路 12以及一外殼 13。該動作追蹤器 11包括一運動感測模組 111以及複數肌電感測器 (112,112’),該運動感測模組 111用以量測穿戴部位之動作反應,其包括一加速規 1111(accelerometer)、一陀螺儀 1112(gyroscope)以及一磁力計 1113(magnetometer)。於本實施例中,該等肌電感測器 (112,112’)(Electromyography, EMG)數量為兩個並分別與該運動感測模組 111電性連接,並具有兩組正極貼片 1121、負極貼片 1121’以及一接地貼片 1122,用以量測穿戴部位之肌電反應。該資料傳輸電路 12與該動作追蹤器 11電訊連接,該資料傳輸電路 12具有一電池 121、一無線傳輸單元 122以及一微控制器 123(Micro-Controller),該電池 121分別與該無線傳輸單元 122以及該微控制器 123電性連接。該電池 121用以提供該下肢動作感測裝置 1運作所需之電力,其可以為一3.7伏特聚合物鋰電池,但不限於此。該無線傳輸單元 122用以將收集而來之量測資料傳輸出去,其可為藍芽模組或ZigBee等無線通訊模組,但不限於此。該微控制器 123用以將收集而來之量測資料進行去雜訊、過濾以及取樣等計算工作。該外殼 13用以包覆及保護該下肢動作感測裝置 1,其具有一連接單元 131,該連接單元 131用以與該外殼 13共同形成一環狀結構,使得該外殼 13可穿戴於一使用者 4需要量測之部位。The two lower limb motion sensing devices (1, 1') respectively include an action tracker 11, a data transmission circuit 12, and a casing 13. The motion tracker 11 includes a motion sensing module 111 and a plurality of muscle sensors (112, 112') for measuring the action response of the wearing part, which includes an accelerometer 1111 (accelerometer) A gyroscope 1112 (gyroscope) and a magnetometer 1113 (magnetometer). In this embodiment, the number of the muscle sensors (112, 112') (Electromyography, EMG) is two and is electrically connected to the motion sensing module 111, and has two sets of positive electrode patches 1121 and negative electrodes. A slice 1121' and a ground patch 1122 are used to measure the electromyographic response of the wear site. The data transmission circuit 12 is electrically connected to the motion tracker 11. The data transmission circuit 12 has a battery 121, a wireless transmission unit 122, and a microcontroller 123 (Micro-Controller), and the battery 121 and the wireless transmission unit respectively 122 and the microcontroller 123 are electrically connected. The battery 121 is used to provide the power required for the operation of the lower limb motion sensing device 1, which may be a 3.7 volt polymer lithium battery, but is not limited thereto. The wireless transmission unit 122 is configured to transmit the collected measurement data, which may be a Bluetooth module or a wireless communication module such as ZigBee, but is not limited thereto. The microcontroller 123 is configured to perform measurement operations such as noise removal, filtering, and sampling on the collected measurement data. The outer casing 13 is used for covering and protecting the lower limb motion sensing device 1 , and has a connecting unit 131 for forming an annular structure together with the outer casing 13 so that the outer casing 13 can be worn for use. Part 4 needs to be measured.
在本創作一實施例中,該資料傳輸電路 12更包括一充電電路 124,該充電電路 124與該電池 121電性連接,可通過與外部電源連接使該電池 121充電或提供該下肢動作感測裝置 1運作時所需電力。In an embodiment of the present invention, the data transmission circuit 12 further includes a charging circuit 124. The charging circuit 124 is electrically connected to the battery 121, and the battery 121 can be charged or provided by the external power supply to provide the lower limb motion sensing. The power required to operate the device 1.
該資料收集器 2分別與該兩下肢動作感測裝置 (1,1’)電訊連接,該資料收集器 2包括一無線通訊模組 21以及一處理單元 22。該無線通訊模組 21用以接收該兩下肢動作感測裝置 (1,1’)所量測動作資料,並電性傳輸至該處理單元 22進行處理。較佳的,該資料收集器 2可以是桌上型電腦或手持式電腦,可讓該使用者 4或醫療人員立即觀看量測結果。The data collector 2 is electrically connected to the two lower limb motion sensing devices (1, 1'). The data collector 2 includes a wireless communication module 21 and a processing unit 22. The wireless communication module 21 is configured to receive motion data measured by the two lower limb motion sensing devices (1, 1') and electrically transmit the processing data to the processing unit 22 for processing. Preferably, the data collector 2 can be a desktop computer or a handheld computer, allowing the user 4 or medical personnel to immediately view the measurement results.
請同時參閱圖3所示, 其為本創作下肢動作感測與復健訓練系統另一實施例之系統架構圖。在本創作一實施例中,該下肢動作感測與復健訓練系統更包括一復健系統 3,該復健系統 3與該資料收集器 2電訊連接,其可以為一雲端平台。該復健系統 3包括一資料庫 31以及一系統平台 32,該資料庫 31與該資料收集器 2電訊連接並具有網路傳輸能力,用以儲存由該資料收集器 2上傳之量測資料。該系統平台 32與該資料庫 31電訊連接,其可以為任一移動式裝置,例如平板電腦、智慧型手機或筆記型電腦,但不限於此。該系統平台 32內建有演算法,可用以計算量測參數。Please also refer to FIG. 3, which is a system architecture diagram of another embodiment of the creative lower limb motion sensing and rehabilitation training system. In an embodiment of the present invention, the lower limb motion sensing and rehabilitation training system further includes a rehabilitation system 3, and the rehabilitation system 3 is connected to the data collector 2 by telecommunication, which may be a cloud platform. The rehabilitation system 3 includes a database 31 and a system platform 32. The database 31 is telecommunications with the data collector 2 and has network transmission capability for storing measurement data uploaded by the data collector 2. The system platform 32 is telecommunicationally connected to the database 31, and can be any mobile device such as a tablet computer, a smart phone or a notebook computer, but is not limited thereto. The system platform 32 has built-in algorithms that can be used to calculate measurement parameters.
在本創作一實施例中,該系統平台 32具有一步態分析演算法 321,該步態分析演算法 321用以計算使用者雙肢步態相關參數或使用者單肢運動相關參數,包括膝蓋彎曲角度參數、髖關節彎曲角度參數、動作判別以及平衡狀態參數。In an embodiment of the present invention, the system platform 32 has a one-step analysis algorithm 321 for calculating a user's limb gait related parameters or a user's limb movement related parameters, including knee bending. Angle parameters, hip bending angle parameters, motion discrimination, and balance state parameters.
在本創作一實施例中,該系統平台 32具有一人體平衡判斷分析演算法 322,利用該運動感測模組 111與該兩肌電感測器 (112,112’)相互搭配計算人體偏移狀態。In an embodiment of the present invention, the system platform 32 has a human body balance judgment analysis algorithm 322, and the motion sensing module 111 and the two muscle sensors (112, 112') are used to calculate a human body offset state.
在本創作一實施例中,該系統平台 32具有一體適能分析演算法 323,用以計算使用者體適能量測相關參數,包括三分鐘登階參數、立定跳參數以及慢跑之時間與距離參數。In an embodiment of the present invention, the system platform 32 has an integrated fitness analysis algorithm 323 for calculating a user's physical energy measurement related parameters, including a three-minute travel parameter, a standing jump parameter, and a jogging time and distance. parameter.
在本創作一實施例中,該系統平台 32具有一模式轉換演算法 324,用以分辨及轉換目前模式為雙肢校正量測模式或為單肢校正量測模式,所述雙肢校正量測模式為穿戴該兩下肢動作感測裝置 (1,1’) 至使用者雙肢之小腿上,用以量測雙肢相關參數;所述單肢校正量測模式為穿戴該兩下肢動作感測裝置 (1,1’)至用者單肢之大腿與小腿處,用以量測單肢相關參數。In an embodiment of the present invention, the system platform 32 has a mode conversion algorithm 324 for distinguishing and converting the current mode into a two-limb correction measurement mode or a single-limb correction measurement mode, and the two-limb correction measurement The mode is to wear the two lower limb motion sensing devices (1, 1 ') to the lower leg of the user's limbs for measuring the parameters related to the limbs; the single limb correction measurement mode is to wear the two lower limb motion sensing The device (1, 1') is applied to the thighs and calves of the single limb of the user to measure the parameters related to the single limb.
請同時參閱圖4所示,圖4為本創作下肢動作感測與復健訓練系統另一實施例流程圖。該使用者 4在穿戴該兩下肢動作感測裝置 (1,1’)後 90,透過該模式轉換演算法 324分辨及轉換91其為單肢校正量測模式 92或為雙肢校正量測模式 93 ,並分別執行(A)流程 94或(B)流程 95。此外,該兩下肢動作感測裝置 (1,1’)會先行測試及紀錄該使用者 4之最大收縮力與肌電反應,作為之後量測之基準。該兩下肢動作感測裝置 (1,1’)所量測的訊號可經由無線傳輸方式,傳送至該資料收集器 2內處理、運算。該資料收集器 2可穿戴於使用者身上或擺放在訊號可及範圍內接收資料,並經由類比/數位轉換、濾波、去雜訊等前置運算後,將資料傳送至手機或遠端該系統平台 32進行後端運算,提供給醫師或復健師診斷時參考以及回診時檢索之數據。Please refer to FIG. 4 at the same time. FIG. 4 is a flow chart of another embodiment of the lower limb motion sensing and rehabilitation training system. After the user 4 wears the two lower limb motion sensing devices (1, 1') 90, the mode conversion algorithm 324 distinguishes and converts 91 into a single limb correction measurement mode 92 or a dual limb correction measurement mode. 93 and perform (A) Process 94 or (B) Process 95, respectively. In addition, the two lower limb motion sensing devices (1, 1') will first test and record the maximum contraction force and myoelectric response of the user 4 as a reference for subsequent measurement. The signals measured by the two lower limb motion sensing devices (1, 1') can be transmitted to the data collector 2 for processing and calculation via wireless transmission. The data collector 2 can be worn on the user or placed in the range of the signal to receive the data, and after the pre-operation of analog/digital conversion, filtering, de-noising, etc., the data is transmitted to the mobile phone or the remote end. The system platform 32 performs back-end operations that are provided to the physician or the rehabilitation engineer for reference during diagnosis and data retrieved at the time of return visit.
請同時參閱圖2a、圖2b及圖5所示,圖5為本創作下肢動作感測與復健訓練系統另一實施例之單肢校正量測模式實施流程圖。在單肢校正量測模式 92,會執行(A)流程 94。該使用者 4將該兩下肢動作感測裝置 (1,1’)分別穿戴於該使用者 4大腿與小腿上,用以量測單一肢體之規律動作與肌肉拮抗反應。該兩下肢動作感測裝置 (1,1’)必須鄰靠於該使用者 4皮膚表皮上,不可以有空隙、距離產生,以確保量測資料的準確性,並將其中一該下肢動作感測裝置 1之該正極貼片 1121、該負極貼片 1121’分別貼至大腿之股四頭肌以及大腿後側之肌肉上,另一該下肢動作感測裝置 1’之該正極貼片 1121、該負極貼片 1121’分別貼至小腿前側以及小腿後側之肌肉上,以及將該接地貼片 1122貼至關節上,例如膝關節或踝關節上。Please refer to FIG. 2a, FIG. 2b and FIG. 5 at the same time. FIG. 5 is a flow chart of the implementation of the single-limb calibration measurement mode of another embodiment of the lower limb motion sensing and rehabilitation training system. In the single-limb calibration measurement mode 92, (A) Flow 94 is performed. The user 4 wears the two lower limb motion sensing devices (1, 1') on the thigh and the lower leg of the user 4, respectively, for measuring the regular motion and muscle antagonistic response of the single limb. The two lower limb motion sensing devices (1, 1') must be adjacent to the skin of the user 4, and there should be no gaps or distances to ensure the accuracy of the measured data, and one of the lower limbs The positive electrode patch 1121 and the negative electrode patch 1121 ′ of the measuring device 1 are respectively attached to the quadriceps of the thigh and the muscle of the posterior side of the thigh, and the positive electrode patch 1121 of the lower limb motion sensing device 1 ′. The negative electrode patch 1121' is attached to the muscles on the anterior side of the lower leg and the back side of the lower leg, respectively, and the ground patch 1122 is attached to the joint, such as the knee joint or the ankle joint.
該兩下肢動作感測裝置 (1,1’)穿戴完成後,該使用者 4根據醫師或復健師所開立之復健處方籤 9401,遵循動作指示進行復健 9402。於復健過程中,該兩下肢動作感測裝置 (1,1’)量測下肢動作參數 9403並透過該微控制器分析參數 9404進行去雜訊、過濾以及取樣後,將動作資料輸出至該資料收集器 9405以及該資料庫中 9406。另一方面,該復健系統 3會即時模擬該使用者 4復健動作並同時顯示相關運動參數 9407,判斷使用者 4目前動作是否正確 9408,當該使用者 4復健動作錯誤會提出警示訊息 9409,供該使用者 4自行調整動作 9410至動作正確並開始計算次數 9411。當完成該復健動作 9412時,該系統平台會判斷是否還有未完成之動作 9413,如果有將會進入休息時間 9414,待休息時間過後會進入下一個復健動作 9415並執行流程模擬該使用者 4復健動作並同時顯示相關運動參數 9407,若無未完成之動作則結束量測9416。After the two lower limb motion sensing devices (1, 1') are worn, the user 4 follows the action instruction to perform rehabilitation 9402 according to the rehabilitation prescription 9401 opened by the physician or the rehabilitationist. During the rehabilitation process, the two lower limb motion sensing devices (1, 1') measure the lower limb motion parameter 9403 and perform the denoising, filtering, and sampling through the microcontroller analysis parameter 9404, and output the motion data to the motion data. Data collector 9405 and 9406 in the database. On the other hand, the rehabilitation system 3 will immediately simulate the user 4 rehabilitation action and simultaneously display the relevant motion parameter 9407, and determine whether the user 4 is currently correct 9408, and the user 4 will raise a warning message when the rehabilitation action is incorrect. 9409, for the user 4 to adjust the action 9410 to the correct action and start the number of calculations 9411. When the rehabilitation action 9412 is completed, the system platform will determine whether there is still an unfinished action 9413, and if there is any rest time 9414, after the rest time, it will enter the next rehabilitation action 9415 and execute the process simulation to use the The 4 rejuvenation action simultaneously displays the relevant motion parameter 9407, and if there is no unfinished action, the measurement 9416 ends.
值得一提的是,由於單肢校正量測模式最主要目的係量測該使用者 4單下肢膝關節或膝蓋的彎曲角度以及股四頭肌拮抗肌電參數,除了做為供給醫師在使用者日後復診時的參考依據外,亦可在手術前量測以做為醫師在使用者術前的參考依據。It is worth mentioning that, as the main purpose of the single-limb calibration measurement mode is to measure the bending angle of the knee joint or knee of the user's 4 lower limbs and the antagonistic myoelectric parameters of the quadriceps muscle, in addition to serving as a physician in the user. In addition to the reference basis at the time of returning to the clinic, it can also be measured before surgery as a reference for the physician before the user.
請同時參閱圖6a、圖6b及圖7所示,其為本創作下肢動作感測與復健訓練系統另一實施例之雙肢校正量測模式實施示意圖一、示意圖二及流程圖。在雙肢校正量測模式 93中,會執行(B)流程 95,該使用者 4將該兩下肢動作感測裝置 (1,1’)分別穿戴於該使用者 4左小腿與右小腿上,該兩下肢動作感測裝置 (1,1’)亦必須鄰靠於該使用者 4皮膚表皮上,不可以有空隙、距離產生,以確保量測資料的準確性,並將該兩下肢動作感測裝置 (1,1’)之該正極貼片 1121、該負極貼片 1121’分別貼至大腿之股四頭肌以及大腿後側之肌肉上,以及將該接地貼片 1122貼至膝關節上。Please refer to FIG. 6a, FIG. 6b and FIG. 7 simultaneously, which is a schematic diagram, a schematic diagram 2 and a flow chart of the implementation of the two-limb correction measurement mode of another embodiment of the lower limb motion sensing and rehabilitation training system. In the two-limb correction measurement mode 93, the process (95) is performed, and the user 4 wears the two lower-limb motion sensing devices (1, 1') on the left and right lower legs of the user 4, respectively. The two lower limb motion sensing devices (1, 1') must also be adjacent to the skin of the user 4, and there should be no gaps or distances to ensure the accuracy of the measured data, and the motion of the two lower limbs The positive electrode patch 1121 and the negative electrode patch 1121' of the measuring device (1, 1') are respectively attached to the quadriceps of the thigh and the muscle of the back side of the thigh, and the ground patch 1122 is attached to the knee joint. .
由於雙肢校正量測模式最主要目的是分析該使用者 4日常生活的步態參數、平衡狀況與肌肉拮抗反應,判定其步態是否正常。該兩下肢動作感測裝置 (1,1’)收集該使用者 4之步態參數 9501,並利用該資料收集器或該系統平台分析步態參數 9502,同時評估該使用者 4的平衡能力 9503。若發現平衡能力出現異常則回饋異常訊息給使用者 9504,並上傳異常資料 9505至該資料庫 9506儲存紀錄,作為日後參考使用。另外,雙肢校正量測模式亦具有步態體適能量測功能 9507,該使用者 4可以選擇進行量測 9508或跳過該流程,步態體適能量測包括三分鐘登階、起-站-坐、行走等,可提供給該使用者 4與相關醫療人士日後使用。最後,該兩下肢動作感測裝置 (1,1’)輸出步態參數 9509儲存至該資料庫 9510中,並結束量測 9511。The main purpose of the two-limb correction measurement mode is to analyze the gait parameters, balance status and muscle antagonistic response of the user's daily life, and determine whether the gait is normal. The two lower limb motion sensing devices (1, 1') collect the gait parameter 9501 of the user 4, and analyze the gait parameter 9502 by using the data collector or the system platform, and simultaneously evaluate the balance ability of the user 4 9503. . If the balance ability is found to be abnormal, the abnormal message is returned to the user 9504, and the abnormal data 9505 is uploaded to the database 9506 to store the record for future reference. In addition, the limb correction measurement mode also has a gait body energy measurement function 9507, and the user 4 can select to perform the measurement 9508 or skip the process, and the gait body energy measurement includes three minutes to step up, - Station - sitting, walking, etc., can be provided to the user 4 and related medical personnel for future use. Finally, the two lower limb motion sensing devices (1, 1') output gait parameters 9509 are stored in the database 9510, and the measurement 9511 is ended.
在本創作一實施例中,該系統平台 32更包括一個別使用者不同部位之最大收縮肌力與肌電訊號反應之對照表 325,用以供該兩肌電感測器 (112,112’)量測時,轉換為使用者之實際肌肉施力。In an embodiment of the present invention, the system platform 32 further includes a comparison table 325 of maximum contraction muscle strength and myoelectric signal response of different parts of the user for measuring the two muscle detectors (112, 112'). At the time, it is converted to the actual muscle force of the user.
在本創作一實施例中,該系統平台 32更包括一個別使用者之感測器位置設定檔 326,紀錄各該肌電感測器 (112,112’)貼片應貼附之部位,以提供基準一致之比較功能。In an embodiment of the present invention, the system platform 32 further includes a sensor position setting file 326 of the user, and records the parts to which the muscle sensor (112, 112') patch should be attached to provide a reference consistency. Comparison function.
值得一提的是,為確保前後測試的比較基準一致,上述該兩組校正量測模式中每個該肌電感測器 (112,112’)貼片都需貼附在固定位置。因此每位使用者皆會有一組獨立的參數設定,使用者依據該設定穿戴並貼附各該肌電感測器 (112,112’)貼片。為使各該肌電感測器 (112,112’)貼片位置一致,使用者也可利用適合各部位之束帶來加以固定。It is worth mentioning that in order to ensure that the comparison benchmarks of the before and after tests are consistent, each of the two sets of the calibration measurement modes (112, 112') patches need to be attached to a fixed position. Therefore, each user will have a set of independent parameter settings, according to which the user wears and attaches each of the muscle sensor (112, 112') patches. In order to make the position of each of the muscle detectors (112, 112') uniform, the user can also fix it by using a bundle suitable for each part.
此外,該系統平台 32可模擬人體運動之狀況,並分為即時模式與離線模式,即時模式應用於使用者做復健動作時,並搭配上述之演算法,即時告知使用者目前動作是否正確。而離線模式主要提供給專業醫療人士使用,提供較為視覺化的方式讓專業醫療人士以最簡潔的方式觀看使用者運動及復健狀況。In addition, the system platform 32 can simulate the state of human motion, and is divided into an immediate mode and an offline mode. The instant mode is applied to the user to perform a rehabilitation action, and is matched with the above algorithm to immediately inform the user whether the current action is correct. The offline mode is mainly provided to professional medical professionals, providing a more visual way for professional medical professionals to view user movement and rehabilitation in the most simple way.
綜合上述,可以看出本創作提出之下肢動作感測與復健訓練系統,與習用技術相較,確實具有下列優點: (1) 本創作之下肢動作感測與復健訓練系統,可根據不同量測情境,切換量測模式為雙肢校正量測模式或單肢校正量測模式。 (2) 本創作之下肢動作感測與復健訓練系統,可解決現有之穿戴式裝置僅以量測動作變化為主,無法量測肌力變化之問題。 (3) 本創作之下肢動作感測與復健訓練系統,提供一套即時模擬模式,透過資料的分析及即時輸出回饋給使用者,讓使用者學習並做出正確之復健運動,也具備即時錯誤判斷方法,引導使用者立即修正錯誤動作。 (4) 本創作之下肢動作感測與復健訓練系統,可提供病人居家活動之動作感測數據,協助醫師建構病人到院、離院完整之動作模型,並可讓使用者自行操作,取代病人需到醫院進行之部分測試,減少病人到院進行完整測試所需花費的等待時間。 (5) 本創作之下肢動作感測與復健訓練系統,透過下肢動作感測裝置量測人體肢態是否有異常現象,使用肌電感測器量測肌肉發力狀況並透過時序比對,觀察使用者在目前站立時的發力狀況與歷史紀錄比較,以及了解使用者肌力發力狀況是否有衰退之情況或雙腳肌力的發力是否不對稱。Based on the above, it can be seen that the lower limb motion sensing and rehabilitation training system proposed by this creation has the following advantages compared with the conventional techniques: (1) The lower limb motion sensing and rehabilitation training system of this creation can be different according to different The measurement situation is switched, and the measurement mode is a two-limb calibration measurement mode or a single-limb calibration measurement mode. (2) The creation of the lower limb motion sensing and rehabilitation training system can solve the problem that the existing wearable device is mainly based on the measurement movement change and cannot measure the muscle strength change. (3) This creation of the lower limb motion sensing and rehabilitation training system provides a set of real-time simulation mode, which provides feedback to the user through data analysis and instant output, allowing the user to learn and make correct rehabilitation exercises. Instant error judgment method guides the user to correct the wrong action immediately. (4) The lower limb motion sensing and rehabilitation training system of this creation can provide motion sensing data of the patient's home activities, assist the physician to construct the complete action model of the patient to the hospital and the hospital, and allow the user to operate by himself. The patient needs to go to the hospital for part of the test, reducing the waiting time for the patient to go to the hospital for a complete test. (5) The lower limb motion sensing and rehabilitation training system of this creation measures the abnormality of the human limbs through the lower limb motion sensing device, and measures the muscle force condition using the muscle inductance detector and observes through the time series comparison. The user's current state of force when standing is compared with the historical record, and whether the user's muscle strength is declining or whether the strength of the muscles of the feet is asymmetrical.
經過上述的詳細說明,已充分顯示本創作具有實施的進步性,且為前所未見的新創作,完全符合發明專利要件,爰依法提出申請。惟以上所述僅為本創作的較佳實施例而已,當不能用以限定本創作實施的範圍,亦即依本創作專利範圍所作的均等變化與修飾,皆應屬於本發明專利涵蓋的範圍內。After the above detailed description, it has been fully shown that the creation has progressive progress, and the new creations that have never been seen before, fully comply with the requirements of the invention patent, and apply in accordance with the law. However, the above description is only for the preferred embodiment of the present invention, and should not be used to limit the scope of the present invention, that is, the equivalent changes and modifications according to the scope of the present invention should be within the scope of the present invention. .
1,1’‧‧‧下肢動作感測裝置
11‧‧‧動作追蹤器
111‧‧‧運動感測模組
1111‧‧‧加速規
1112‧‧‧陀螺儀
1113‧‧‧磁力計
112,112’‧‧‧肌電感測器
1121‧‧‧正極貼片
1121’‧‧‧負極貼片
1122‧‧‧接地貼片
12‧‧‧資料傳輸電路
121‧‧‧電池
122‧‧‧無線傳輸單元
123‧‧‧微控制器
124‧‧‧充電電路
13‧‧‧外殼
131‧‧‧連接單元
2‧‧‧資料收集器
21‧‧‧無線通訊模組
22‧‧‧處理單元
3‧‧‧復健系統
31‧‧‧資料庫
32‧‧‧系統平台
321‧‧‧步態分析演算法
322‧‧‧人體平衡判斷分析演算法
323‧‧‧體適能分析演算法
324‧‧‧模式轉換演算法
325‧‧‧各別使用者不同部位之最大收縮肌力與肌電訊號反應之對照表
326‧‧‧各別使用者之感測器位置設定檔
4‧‧‧使用者
90~9511‧‧‧流程方法步驟1,1'‧‧‧ Lower limb motion sensing device
11‧‧‧Action Tracker
111‧‧‧Sports Sensing Module
1111‧‧‧ Acceleration regulations
1112‧‧‧Gyro
1113‧‧‧ magnetometer
112,112'‧‧‧Muscle Inductance Detector
1121‧‧‧positive patch
1121'‧‧‧negative patch
1122‧‧‧Ground patch
12‧‧‧Data transmission circuit
121‧‧‧Battery
122‧‧‧Wireless transmission unit
123‧‧‧Microcontroller
124‧‧‧Charging circuit
13‧‧‧Shell
131‧‧‧Connecting unit
2‧‧‧ Data Collector
21‧‧‧Wireless communication module
22‧‧‧Processing unit
3‧‧‧Rehabilitation system
31‧‧‧Database
32‧‧‧System platform
321‧‧‧gait analysis algorithm
322‧‧‧ Human balance judgment analysis algorithm
323‧‧‧Physical analysis algorithm
324‧‧‧Mode Conversion Algorithm
325‧‧‧Compare table of maximal contraction muscle strength and myoelectric signal response in different parts of each user
326‧‧‧Sensor position profiles for individual users
4‧‧‧Users
90~9511‧‧‧Process method steps
圖1為本創作下肢動作感測與復健訓練系統一實施例之系統架構圖; 圖2a為本創作下肢動作感測與復健訓練系統一實施例之單肢校正量測模式實施示意圖一; 圖2b為本創作下肢動作感測與復健訓練系統一實施例之單肢校正量測模式實施示意圖二; 圖3為本創作下肢動作感測與復健訓練系統另一實施例之系統架構圖; 圖4為本創作下肢動作感測與復健訓練系統另一實施例之流程圖; 圖5為本創作下肢動作感測與復健訓練系統另一實施例之單肢校正量測模式實施流程圖; 圖6a為本創作下肢動作感測與復健訓練系統另一實施例之雙肢校正量測模式實施示意圖一; 圖6b為本創作下肢動作感測與復健訓練系統另一實施例之雙肢校正量測模式實施示意圖二; 圖7為本創作下肢動作感測與復健訓練系統另一實施例之雙肢校正量測模式實施流程圖。1 is a system architecture diagram of an embodiment of a lower limb motion sensing and rehabilitation training system; FIG. 2a is a schematic diagram 1 of a single limb correction measurement mode according to an embodiment of a lower limb motion sensing and rehabilitation training system; 2b is a schematic diagram of the implementation of the single limb correction measurement mode of the lower limb motion sensing and rehabilitation training system; FIG. 3 is a system architecture diagram of another embodiment of the lower limb motion sensing and rehabilitation training system. 4 is a flow chart of another embodiment of the lower limb motion sensing and rehabilitation training system of the present invention; FIG. 5 is a flow chart of the single limb correction measurement mode of another embodiment of the lower limb motion sensing and rehabilitation training system. Figure 6a is a schematic diagram of the implementation of the two-limb correction measurement mode of another embodiment of the lower limb motion sensing and rehabilitation training system; Figure 6b is another embodiment of the lower limb motion sensing and rehabilitation training system of the present invention; FIG. 7 is a flow chart of implementing the two-limb correction measurement mode of another embodiment of the lower limb motion sensing and rehabilitation training system.
1,1’‧‧‧下肢動作感測裝置 1,1'‧‧‧ Lower Limb Motion Sensing Device
11‧‧‧動作追蹤器 11‧‧‧Action Tracker
111‧‧‧運動感測模組 111‧‧‧Sports Sensing Module
1111‧‧‧加速規 1111‧‧‧ Acceleration regulations
1112‧‧‧陀螺儀 1112‧‧‧Gyro
1113‧‧‧磁力計 1113‧‧‧ magnetometer
112,112’‧‧‧肌電感測器 112,112’‧‧‧Mensance detector
1121‧‧‧正極貼片 1121‧‧‧positive patch
1121’‧‧‧負極貼片 1121'‧‧‧negative patch
1122‧‧‧接地貼片 1122‧‧‧Ground patch
12‧‧‧資料傳輸電路 12‧‧‧Data transmission circuit
121‧‧‧電池 121‧‧‧Battery
122‧‧‧無線傳輸單元 122‧‧‧Wireless transmission unit
123‧‧‧微控制器 123‧‧‧Microcontroller
124‧‧‧充電電路 124‧‧‧Charging circuit
13‧‧‧外殼 13‧‧‧Shell
131‧‧‧連接單元 131‧‧‧Connecting unit
2‧‧‧資料收集器 2‧‧‧ Data Collector
21‧‧‧無線通訊模組 21‧‧‧Wireless communication module
22‧‧‧處理單元 22‧‧‧Processing unit
Claims (11)
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TW104134027A TW201714582A (en) | 2015-10-16 | 2015-10-16 | Lower limb motion sensing and rehabilitation training system particularly designed for patients before or after artificial hip joint replacement surgery or artificial knee joint replacement surgery |
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TWI713053B (en) * | 2018-04-10 | 2020-12-11 | 仁寶電腦工業股份有限公司 | Motion evaluation system, method thereof and computer-readable recording medium |
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TWI726361B (en) | 2019-07-22 | 2021-05-01 | 財團法人工業技術研究院 | Weight training method and system |
CN113040441A (en) * | 2021-04-21 | 2021-06-29 | 上海健康医学院 | Intelligent falling-down protection patch and protection method thereof |
TWI801097B (en) * | 2022-01-18 | 2023-05-01 | 新世紀產品股份有限公司 | Rehabilitation Action Guidance Aid |
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TW201417796A (en) * | 2012-11-14 | 2014-05-16 | Tzu-Chuan Huang | Interactive rehabilitating system for lower-limbs |
JP2014104185A (en) * | 2012-11-28 | 2014-06-09 | Sony Corp | Exercise assistance device and exercise assistance method |
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