阅读说明：本技术 一种肌肉骨骼疾病患者使用动力外骨骼康复的方法 (Method for rehabilitation of patient with musculoskeletal diseases by using powered exoskeleton ) 是由 柳志熙 于 2020-04-20 设计创作，主要内容包括：本发明提供一种肌肉骨骼疾病患者使用动力外骨骼康复的方法,涉及肌肉疾病治理技术领域,该一种肌肉骨骼疾病患者使用动力外骨骼康复的方法,包括如下步骤：评估残疾人综合康复效果的方法,就是在康复课程开始和结束时测量和总结指标,它考虑到三组指标,分别以5个参数来表征身体的功能状态：认知功能、肌肉张力、肌肉力量、疼痛的严重程度、排泄功能；5个参数中的活动：手腕能力、体能、行动力、自我服务水平、在家生产力；参与4个参数：沟通技巧、休闲、社会化、职业健身,Sp1：测量以下体征来进行研究。本发明通过多次记录使用者数据,确定周期的第一和第二平均特征随时间的变化与支持反应的垂直分量的函数关系。(The invention provides a method for a patient with musculoskeletal diseases to recover by using a powered exoskeleton, which relates to the technical field of muscular disease treatment, and comprises the following steps: the method for evaluating the comprehensive rehabilitation effect of the disabled is to measure and summarize indexes at the beginning and the end of a rehabilitation course, and considers three groups of indexes, and represents the functional state of the body by 5 parameters respectively: cognitive function, muscle tone, muscle strength, severity of pain, excretory function; activity in 5 parameters: wrist ability, physical ability, locomotion, self-service level, productivity at home; participate in 4 parameters: communication skills, leisure, socialization, occupational fitness, Sp 1: the following signs were measured for the study. The invention determines the functional relationship of the time-dependent changes of the first and second average characteristics of the period to the vertical component of the supporting response by recording the user data a plurality of times.)

1. A method of using a powered exoskeleton for rehabilitation of a patient suffering from musculoskeletal diseases, comprising the steps of: the method for evaluating the comprehensive rehabilitation effect of the disabled is to measure and summarize indexes at the beginning and the end of a rehabilitation course, and takes three groups of indexes into consideration, and represents the functional state of the body by 5 parameters respectively: cognitive function, muscle tone, muscle strength, severity of pain, excretory function; activity in 5 parameters: wrist ability, physical ability, locomotion, self-service level, productivity at home; participate in 4 parameters: communication skill, leisure, socialization, occupation and fitness,

sp 1: the following signs were measured for the study: the maximum number of times the patient can stand up from the high chair; a minimum height at which the patient can stand up from the high chair; the step height at which the patient can stand up from the high chair; the height each leg stands up separately;

sp 2: comparing the original value of each trait with the extent of its percentage increase, when the value of the first trait is increased by 50%, the first trait gains 1 min-at most 20 times the original value, i.e. 25% -the original value is from 20 to 40 times, any increase-the original value exceeds 40 times. The second and third features acquire one or more points when moving from one support height to another. The fourth feature respectively obtains a point, namely, when the original value is increased to 30s, the point is increased by 50%, the original value is increased by 25% from 30s to 60s, and any increased value-the point is increased when the original value exceeds 60 s;

sp 3: summarizing the received points, if the condition of the patient is equal to 1, the patient is evaluated as 'small improvement', the points are 2-4 points, the dynamic state of the disease condition of the patient is evaluated as 'improvement', the sum of the points is 5-6 points, and the dynamic state of the disease condition of the patient is evaluated as 'significant improvement';

sp 4: sensors for measuring pressure or force are placed between the patient's foot and the support for the powered exoskeleton's foot, at least in the heel and metatarsophalangeal regions. When the patient moves in the powered exoskeleton in a given walking pattern for a specified time or set number of steps at the beginning of the rehabilitation cycle, the sensor signal for each leg will be recorded for the first time;

sp 5: depending on the clinical condition of the patient, the patient is trained to a controlled or fully independent degree prior to the patient's rehabilitation process, or with external assistance using a powered exoskeleton. Of course, each patient has its own training level;

sp 6: the physician or assistant selects the number of double steps or sufficient time to record the parameter under study, taking into account the movement pattern of the powered exoskeleton. To really understand the state of the rehabilitation process, at least 10 double steps need to be executed;

sp 7: at the end of the rehabilitation cycle, with a rehabilitation session with a given walking pattern, the sensor signals or a given number of steps are being recorded a second time as the patient moves in the powered exoskeleton in a given time;

sp 8: the duration of the rehabilitation cycle varies greatly in each case according to the physical condition of the diagnosed patient and for socio-economic reasons. Typically, rehabilitation using powered exoskeletons takes 2 to 3 weeks or 10 to 15 times, respectively. However, due to the long recovery period, e.g. 2 months, the physician needs to obtain objective information about his motivation. Thus, an assessment may be made, for example, a course every three weeks.

Sp 9: from the recorded data, first and second temporal characteristics of the cycle are determined and compared to the temporal characteristics obtained by a healthy person on such a powered exoskeleton with a given walking pattern.

2. The method of using a powered exoskeleton of a patient with musculoskeletal disease of claim 1, wherein: the disability severity (VOJ) was calculated according to equation VOJ ═ 100- (RP1/MRP · 100) (%). Where RP1 is the sum of the points of the pre-rehabilitation measurements and MRP is the maximum rehabilitation potential, the highest score in assessing function, activity and participation. VOJ the ratio is 10-24%, the mild disability is judged, the VOJ value is 25-49%, the moderate disability is judged, the VOJ value is 50-74%, the severe disability is judged, the VOJ value is 75-100%, and the severe disability is judged.

3. The method of using a powered exoskeleton of a patient with musculoskeletal disease of claim 1, wherein: the healing effect was calculated according to the formula ER ═ RP2-RP1)/MRP · 100 (%). Where RP1 is the sum of pre-rehabilitation measurements, RP2 is the sum of post-rehabilitation measurements, MRP is the maximum rehabilitation potential, the maximum number of points in assessing function, activity and participation.

4. The method of using a powered exoskeleton of a patient with musculoskeletal disease of claim 1, wherein: the evaluation result is a percentage, wherein the rehabilitation effect evaluation of 15-25% is defined as very good, 10-14% good, 5-9% satisfactory, 0-4% unpowered, when the HEW value is 10-24%, taking into account factor VOJ. If the VOJ value is 25-49%, the rehabilitation effect is evaluated as 25-50% very good, 15-24% very good, 5-14% satisfactory, 0-4% unpowered. If the VOJ value is 50-74%, the rehabilitation effect evaluation is 20-35% very good, 10-19% good, 5-9% satisfactory, and 0-4% unpowered. If the value of VOJ is 75-100%, the rehabilitation efficacy is evaluated as 10-15% very good, 5-9% good, 1-4% satisfactory, 0-0.09% unpowered.

5. The method of using a powered exoskeleton of a patient with musculoskeletal disease of claim 1, wherein: the time characteristic is a periodically cyclically recognized parameter such as the duration of a double step, the support interval on the heel, the support interval on the foot, the support interval on the toes, the swing phase, the double support phase, the shift, the coefficient og, etc.

Technical Field

The invention relates to the technical field of muscular disease treatment, in particular to a method for rehabilitation of a patient with musculoskeletal diseases by using a powered exoskeleton.

Background

Non-inflammatory diseases, referred to as myopathy for short, which originate at the skeletal muscle or neuromuscular junction. The main manifestations are hypodynamia or disappearance of muscular contraction and muscular atrophy. Congenital or acquired and no nervous system lesion exists, but the main symptoms of myopathy and myasthenia caused by nervous system damage are not easy to distinguish, so that the diagnosis is often needed to distinguish from the neuropathy. The etiology includes genetic defect, metabolic disorder, immune injury, etc. Myopathy in a broad sense includes primary and secondary diseases, and also inflammation.

With the development of society and the improvement of living standard, people neglect the importance of exercise more and more, so various skeletal muscle diseases appear, but the prior art can not accurately analyze the skeletal condition of a user, and the rehabilitation of the user is influenced.

Disclosure of Invention

Technical problem to be solved

Aiming at the defects of the prior art, the invention provides a method for rehabilitation of a patient with musculoskeletal diseases by using a powered exoskeleton, and solves the problem that the skeletal condition of the user is difficult to accurately analyze.

(II) technical scheme

In order to achieve the purpose, the invention is realized by the following technical scheme: a method of using a powered exoskeleton for rehabilitation of a patient suffering from musculoskeletal diseases, comprising the steps of: the method for evaluating the comprehensive rehabilitation effect of the disabled is to measure and summarize indexes at the beginning and the end of a rehabilitation course, and takes three groups of indexes into consideration, and represents the functional state of the body by 5 parameters respectively: cognitive function, muscle tone, muscle strength, severity of pain, excretory function; activity in 5 parameters: wrist ability, physical ability, locomotion, self-service level, productivity at home; participate in 4 parameters: communication skill, leisure, socialization, occupation and fitness,

sp 1: the following signs were measured for the study: the maximum number of times the patient can stand up from the high chair;

a minimum height at which the patient can stand up from the high chair; the step height at which the patient can stand up from the high chair; the height each leg stands up separately;

sp 2: comparing the original value of each trait with the extent of its percentage increase, when the value of the first trait is increased by 50%, the first trait gains 1 min-at most 20 times the original value, i.e. 25% -the original value is from 20 to 40 times, any increase-the original value exceeds 40 times. The second and third features acquire one or more points when moving from one support height to another. The fourth feature respectively obtains a point, namely, when the original value is increased to 30s, the point is increased by 50%, the original value is increased by 25% from 30s to 60s, and any increased value-the point is increased when the original value exceeds 60 s;

sp 3: summarizing the received points, if the condition of the patient is equal to 1, the patient is evaluated as 'small improvement', the points are 2-4 points, the dynamic state of the disease condition of the patient is evaluated as 'improvement', the sum of the points is 5-6 points, and the dynamic state of the disease condition of the patient is evaluated as 'significant improvement';

sp 4: sensors for measuring pressure or force are placed between the patient's foot and the support for the powered exoskeleton's foot, at least in the heel and metatarsophalangeal regions. When the patient moves in the powered exoskeleton in a given walking pattern for a specified time or set number of steps at the beginning of the rehabilitation cycle, the sensor signal for each leg will be recorded for the first time;

sp 5: depending on the clinical condition of the patient, the patient is trained to a controlled or fully independent degree prior to the patient's rehabilitation process, or with external assistance using a powered exoskeleton. Of course, each patient has its own training level;

sp 6: the physician or assistant selects the number of double steps or sufficient time to record the parameter under study, taking into account the movement pattern of the powered exoskeleton. To really understand the state of the rehabilitation process, at least 10 double steps need to be executed;

sp 7: at the end of the rehabilitation cycle, with a rehabilitation session with a given walking pattern, the sensor signals or a given number of steps are being recorded a second time as the patient moves in the powered exoskeleton in a given time;

sp 8: the duration of the rehabilitation cycle varies greatly in each case according to the physical condition of the diagnosed patient and for socio-economic reasons. Typically, rehabilitation using powered exoskeletons takes 2 to 3 weeks or 10 to 15 times, respectively. However, due to the long recovery period, e.g. 2 months, doctors need to obtain objective information about their patients. Thus, an assessment may be made, for example, a course every three weeks.

Sp 9: from the recorded data, first and second temporal characteristics of the cycle are determined and compared to the temporal characteristics obtained by a healthy person on such a powered exoskeleton with a given walking pattern.

Preferably, the disability severity (VOJ) is calculated according to equation VOJ ═ 100- (RP1/MRP · 100) (%). Where RP1 is the sum of the points of the pre-rehabilitation measurements and MRP is the maximum rehabilitation potential, the highest score in assessing function, activity and participation. VOJ the ratio is 10-24%, the mild disability is judged, the VOJ value is 25-49%, the moderate disability is judged, the VOJ value is 50-74%, the severe disability is judged, the VOJ value is 75-100%, and the severe disability is judged.

Preferably, the effect of rehabilitation is calculated according to the formula ER ═ (RP2-RP1)/MRP · 100 (%). Where RP1 is the sum of pre-rehabilitation measurements, RP2 is the sum of post-rehabilitation measurements, MRP is the maximum rehabilitation potential, the maximum number of points in assessing function, activity and participation.

Preferably, the assessment result is a percentage, considering factor VOJ, wherein a rehabilitation effect assessment of 15-25% is defined as very good, 10-14% good, 5-9% satisfactory, 0-4% unpowered when the HEW value is 10-24%. If the VOJ value is 25-49%, the rehabilitation effect is evaluated as 25-50% very good, 15-24% very good, 5-14% satisfactory, 0-4% unpowered. If the VOJ value is 50-74%, the rehabilitation effect evaluation is 20-35% very good, 10-19% good, 5-9% satisfactory, and 0-4% unpowered. If the value of VOJ is 75-100%, the rehabilitation efficacy is evaluated as 10-15% very good, 5-9% good, 1-4% satisfactory, 0-0.09% unpowered.

Preferably, said time characteristic is a periodically cyclically recognized parameter, such as the duration of a double step, the support interval on the heel, the support interval on the foot, the support interval on the toes, the swing phase, the double support phase, the shift, the coefficient og, etc.

(III) advantageous effects

The invention provides a method for rehabilitation of a patient with musculoskeletal diseases by using a powered exoskeleton. The method has the following beneficial effects:

1. the invention determines the functional relation between the time variation of the first average characteristic and the second average characteristic of the period and the vertical component of the supporting response by recording the user data for many times, is convenient for analyzing the condition of the user and solves the problem that the bone condition of the user is difficult to be accurately analyzed.

2. The invention is convenient for reasonably evaluating the condition of the user by observing the change of the time characteristic of the exercise period along with the time characteristic of a healthy person and the average ratio of the vertical component of the two legs of the user to the weight of the user.

3. The invention ensures the stable implementation of the method by providing a complete detection and rehabilitation process, is suitable for users at different stages, and effectively provides corresponding schemes for the users.

Detailed Description

The technical solutions in the embodiments of the present invention are clearly and completely described below, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

The first embodiment is as follows:

the embodiment of the invention provides a method for recovering a patient with musculoskeletal diseases by using a powered exoskeleton, which comprises the following steps: the method for evaluating the comprehensive rehabilitation effect of the disabled is to measure and summarize indexes at the beginning and the end of a rehabilitation course, and takes three groups of indexes into consideration, and represents the functional state of the body by 5 parameters respectively: cognitive function, muscle tone, muscle strength, severity of pain, excretory function; activity in 5 parameters: wrist ability, physical ability, locomotion, self-service level, productivity at home; participate in 4 parameters: communication skill, leisure, socialization, occupation and fitness,

sp 1: the following signs were measured for the study: the maximum number of times the patient can stand up from the high chair;

a minimum height at which the patient can stand up from the high chair; the step height at which the patient can stand up from the high chair; the height each leg stands up separately;

sp 2: comparing the original value of each trait with the extent of its percentage increase, when the value of the first trait is increased by 50%, the first trait gains 1 min-at most 20 times the original value, i.e. 25% -the original value is from 20 to 40 times, any increase-the original value exceeds 40 times. The second and third features acquire one or more points when moving from one support height to another. The fourth feature respectively obtains a point, namely, when the original value is increased to 30s, the point is increased by 50%, the original value is increased by 25% from 30s to 60s, and any increased value-the point is increased when the original value exceeds 60 s;

sp 3: summarizing the received points, if the condition of the patient is equal to 1, the patient is evaluated as 'small improvement', the points are 2-4 points, the dynamic state of the disease condition of the patient is evaluated as 'improvement', the sum of the points is 5-6 points, and the dynamic state of the disease condition of the patient is evaluated as 'significant improvement';

sp 4: sensors for measuring pressure or force are placed between the patient's foot and the support for the powered exoskeleton's foot, at least in the heel and metatarsophalangeal regions. When the patient moves in the powered exoskeleton in a given walking pattern for a specified time or set number of steps at the beginning of the rehabilitation cycle, the sensor signal for each leg will be recorded for the first time;

sp 5: depending on the clinical condition of the patient, the patient is trained to a controlled or fully independent degree prior to the patient's rehabilitation process, or with external assistance using a powered exoskeleton. Of course, each patient has its own training level;

sp 6: the physician or assistant selects the number of double steps or sufficient time to record the parameter under study, taking into account the movement pattern of the powered exoskeleton. To really understand the state of the rehabilitation process, at least 10 double steps need to be executed;

sp 7: at the end of the rehabilitation cycle, with a rehabilitation session with a given walking pattern, the sensor signals or a given number of steps are being recorded a second time as the patient moves in the powered exoskeleton in a given time;

sp 8: the duration of the rehabilitation cycle varies greatly in each case according to the physical condition of the diagnosed patient and for socio-economic reasons. Typically, rehabilitation using powered exoskeletons takes 2 to 3 weeks or 10 to 15 times, respectively. However, due to the long recovery period, e.g. 2 months, doctors need to obtain objective information about their patients. Thus, an assessment may be made, for example, a course every three weeks.

Sp 9: from the recorded data, first and second temporal characteristics of the cycle are determined and compared to the temporal characteristics obtained by a healthy person on such a powered exoskeleton with a given walking pattern.

Example two:

the embodiment of the invention provides a method for rehabilitation of a patient with musculoskeletal diseases by using a powered exoskeleton, wherein the disability severity (VOJ) is calculated according to the formula VOJ ═ 100- (RP1/MRP 100) (%). Where RP1 is the sum of the points of the pre-rehabilitation measurements and MRP is the maximum rehabilitation potential, the highest score in assessing function, activity and participation. VOJ the ratio is 10-24%, the mild disability is judged, the VOJ value is 25-49%, the moderate disability is judged, the VOJ value is 50-74%, the severe disability is judged, the VOJ value is 75-100%, the serious disability is judged, and the rehabilitation effect is calculated according to the formula ER (RP2-RP1)/MRP 100 (%). Where RP1 is the sum of pre-rehabilitation measurements, RP2 is the sum of post-rehabilitation measurements, MRP is the maximum rehabilitation potential, the maximum number of points in assessing function, activity and participation, the assessment being a percentage, where a rehabilitation effect assessment of 15-25% is defined as very good, 10-14% good, 5-9% satisfactory, 0-4% unpowered, when HEW values are 10-24%, taking into account the VOJ factor. If the VOJ value is 25-49%, the rehabilitation effect is evaluated as 25-50% very good, 15-24% very good, 5-14% satisfactory, 0-4% unpowered. If the VOJ value is 50-74%, the rehabilitation effect evaluation is 20-35% very good, 10-19% good, 5-9% satisfactory, and 0-4% unpowered. If the value of VOJ is 75-100%, the rehabilitation effect is evaluated as 10-15% very good, 5-9% good, 1-4% satisfactory, 0-0.09% unpowered, and the time characteristics are well-established parameters of the cycle, such as duration of two steps, support interval on the heel, support interval on the foot, support interval on the toes, swing phase, double support phase, shift, coefficient og, etc.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising a reference structure" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.