KR20240081516A - Vestibular Rehabilitation Training System - Google Patents

Abstract

A vestibular rehabilitation training system comprises: a user terminal comprising a user communication part that communicates with an external device, a display part that displays vestibular rehabilitation training information for vestibular rehabilitation, and a user control part that transmits training request information comprising diagnosis information of a user for receiving vestibular rehabilitation training information, and controls to display, to a display part, vestibular rehabilitation training information received in response to the requested training request information; and a training information providing server comprising a server communication part communicating with a user communication part, and a server control part storing vestibular rehabilitation training information corresponding to each of the diagnosis information of the patient, searching for corresponding vestibular rehabilitation training information among the stored vestibular rehabilitation training information based on the diagnosis information of the user when receiving training request information, and controlling the server communication part to transmit the searched corresponding vestibular rehabilitation training information to the user terminal.

Description

Vestibular Rehabilitation Training System

The present invention relates to a vestibular rehabilitation training system, and more specifically, to a vestibular rehabilitation training system that allows a patient to perform a certain number of dynamic compensatory exercises every day.

Dizziness is a very common symptom experienced by one in ten people, and is caused by inflammation or ischemia of the vestibular organ itself, tumor, or abnormalities in the central nervous system. In particular, the incidence of disease is high in the elderly, and secondary accidents such as falls due to dizziness can occur, so caution is always required. To alleviate the symptoms of dizziness, drug treatment and vestibular rehabilitation training should be performed. Most dizziness drugs work to prevent the feeling of dizziness by blocking signals transmitted from the peripheral vestibular organs to the brain. When these drugs are taken long-term, the function of the vestibular system is chronically weakened, and when the drugs are stopped, the symptoms return. The downside is that symptoms may recur. In addition, long-term drug treatment suppresses the central compensation that occurs after dizziness, making fundamental treatment of dizziness difficult in the long term. For this reason, patients with dizziness must undergo vestibular rehabilitation training that stimulates the vestibular system and strengthens central compensation in parallel with drug treatment.

However, vestibular rehabilitation training has the limitation of organizing and providing the same program regardless of the degree of decrease in vestibular function, making it impossible to provide customized treatment for each patient. In addition, there is a problem of reduced treatment efficiency by continuously providing the same program without considering the vestibular function that improves through rehabilitation training and natural recovery process. In addition, recovery is determined by the patient's concentration in rehabilitation training, but existing vestibular rehabilitation training also has the problem of lowering concentration because the patient does not find it fun.

Republic of Korea registered patent 10-1913934

Therefore, the purpose of the present invention is to provide a vestibular rehabilitation training system that provides vestibular rehabilitation training information tailored to the user and allows the user to comfortably perform training at home.

The vestibular rehabilitation training system according to the present invention for achieving the above purpose includes a user communication unit that communicates with an external device, a display unit that displays vestibular rehabilitation training information for vestibular rehabilitation, and a user's diagnosis to receive the vestibular rehabilitation training information. A user terminal including a user control unit that transmits training request information including information and controls vestibular rehabilitation training information received in response to the requested training request information to be displayed on the display unit; And storing the vestibular rehabilitation training information corresponding to each of the patient's diagnosis information and a server communication unit that communicates with the user communication unit, and when receiving the training request information, a corresponding one of the vestibular rehabilitation training information stored based on the user's diagnosis information. It includes a training information providing server that searches for vestibular rehabilitation training information and includes a server control unit that controls the server communication unit to transmit the searched vestibular rehabilitation training information to the user terminal. Since the user's diagnosis information is provided and appropriate vestibular rehabilitation training information is provided, it is possible to provide vestibular rehabilitation training information at a level according to the state of the user's vestibular function, and thus the user can have fun and focus on training. Rehabilitation can be done properly.

Here, the user terminal further includes a camera for photographing the user, and the user control unit controls the camera to photograph the user when the received vestibular rehabilitation training information is displayed on the display unit, and the captured user image And by controlling the transmission of user performance information for the vestibular rehabilitation training information to the training information providing server, the user's training status can be accurately identified, and thus training information suitable for the identified user's training status can be provided, which is desirable.

And further comprising a medical server that connects to the training information providing server and receives user performance information regarding the captured user image transmitted from the user terminal and the vestibular rehabilitation training information, so that a professional medical professional can identify the user's training information. This is desirable because it can help provide accurate training information to the user.

Here, it further includes an insurance processing server for medical-related insurance processing, wherein the server control unit transmits user performance information regarding the vestibular rehabilitation training information to the insurance processing server, and user performance information regarding the vestibular rehabilitation training information. Controlling the transmission of insurance benefit payment details received in response to the transmission to the user terminal is desirable because medical-related insurance processing can be processed accurately and easily.

In addition, the vestibular rehabilitation training information includes eye-fixation exercises that measure the number of eye movements through eye tracking, head exercises that turn the head in the correct direction, spine exercises that allow users to experience virtual movements, and whether the head is moved at an accurate angle. Including otolith position replacement surgery is desirable because the user can be provided with better vestibular rehabilitation training information and can perform rehabilitation, thereby improving the user's rehabilitation.

Here, the user terminal further includes a 3-axis acceleration sensor that detects balance and acceleration, and the user control unit determines a safe radius area for the user's balance based on the balance and acceleration detected from the 3-axis acceleration sensor. When the user leaves the safe radius area, the user is notified of the fact that the user is out of the safe radius area, and when the user is controlled to transmit information that the user has left the safe radius area to the preset guardian terminal, the user loses balance. Information can be provided and the guardian can be notified of the user's loss of balance, that is, the risk of falling, so it is desirable to quickly respond to the user's safety accident.

According to the present invention, by receiving the user's diagnosis information and providing appropriate vestibular rehabilitation training information, it is possible to provide vestibular rehabilitation training information at a level according to the state of the user's vestibular function, and thus the user can have fun and focus on training. This has the effect of ensuring proper rehabilitation of the user.

In addition, since the user's training status can be accurately identified, training information tailored to the user's training status can be provided, and since the user's training information can be identified by a medical professional, it will be helpful in providing accurate training information for the user. There is a possible effect.

In addition, medical-related insurance processing can be processed accurately and simply, and users can receive better vestibular rehabilitation training information and perform rehabilitation, which has the effect of improving user rehabilitation.

In addition, it is possible to inform the user about information that the user has lost balance and to inform the guardian of the information that the user has lost balance, that is, the risk of falling, which has the effect of quickly responding to the user's safety accident.

1 is a control block diagram of a vestibular rehabilitation training system according to the present invention.
Figure 2 is a diagram of the overall menu structure for vestibular rehabilitation training.
Figure 3 is a diagram showing the flow of the vestibular rehabilitation training menu.
Figure 4 is a diagram showing a screen displayed to a doctor regarding a vestibular rehabilitation training menu.
Figure 5 is an example diagram of diagnosis and prescription for a user's vestibular rehabilitation.
Figure 6 is an example diagram of a user's vestibular function training.
Figure 7 is an example diagram for confirming the user's vestibular rehabilitation training details.
Figure 8 is an example of a game-type eye exercise in vestibular rehabilitation training.
Figure 9 is an example of game-type head exercise and spinal exercise in vestibular rehabilitation training.
Figure 10 is an example of a game-type posture exercise for vestibular rehabilitation training.

Hereinafter, the vestibular rehabilitation training system 1 according to a preferred embodiment of the present invention will be described in detail with reference to the attached drawings.

Figure 1 is a control block diagram of the vestibular rehabilitation training system 1 according to the present invention, Figure 2 is an overall menu structure diagram for vestibular rehabilitation training, Figure 3 is a diagram showing the flow of the vestibular rehabilitation training menu, and Figure 4 is a diagram showing a screen displayed to a doctor regarding the vestibular rehabilitation training menu.

1 to 4, the configuration of the vestibular rehabilitation training system 1 will be described.

The vestibular rehabilitation training system (1) includes a user terminal (10) and a training information provision server (20). Includes a medical server (30) and an insurance processing server (40).

The user terminal 10 includes a user communication unit 11, a display unit 12, a speaker 13, a camera 14, a microphone 15, a three-axis acceleration sensor 16, and a user control unit 17.

The user communication unit 11 communicates with external devices.

The display unit 12 displays vestibular rehabilitation training information for vestibular rehabilitation.

The speaker 13 outputs audio of vestibular rehabilitation training information for vestibular rehabilitation.

The camera 14 photographs the user.

The microphone 15 can receive and collect surrounding voices, including the user's voice.

The three-axis acceleration sensor 16 detects balance and acceleration. The user's risk of falling can be detected using the balance and acceleration of the 3-axis acceleration sensor 16.

The user control unit 17 transmits training request information including the user's diagnosis information in order to receive vestibular rehabilitation training information, and displays the vestibular rehabilitation training information received in response to the requested training request information on the display unit 12. Control.

Vestibular rehabilitation training information includes eye-fixation exercises that measure the number of eye movements using eye tracking, head exercises that turn the head in the correct direction, spine exercises that allow users to experience virtual movements, and otolith posture that checks whether the head is moved at the correct angle. Includes replacement surgery.

Items to be checked include measuring the eye movement angle, direction, and speed; when sitting, that is, when there is no spine movement, the head movement direction, angle, and speed are measured; and when standing, that is, when there is no spine movement, the head movement direction, angle, and speed are measured. When present, the integrated movement of the neck and spine can be checked. In a standing situation, eye movements and head/spine movements can be distinguished separately, but head and spine movements cannot be separated.

The user control unit 17 controls the camera 14 to photograph the user when the received vestibular rehabilitation training information is displayed on the display unit 12, and converts the captured user image and user performance information about the vestibular rehabilitation training information into training information. It can be controlled to transmit to the provision server (20).

The user control unit 17 sets a safety radius area for the user's balance based on the balance and acceleration detected from the 3-axis acceleration sensor 16, and when the user leaves the safe radius area, the user is notified of the safety radius area. This fact can be notified, and information indicating that the user has left the safe radius area can be controlled to be transmitted to a preset guardian terminal.

The training information provision server 20 includes a server communication unit 21 and a server control unit 22.

The server communication unit 21 communicates with the user communication unit.

The server control unit 22 stores vestibular rehabilitation training information corresponding to each piece of patient diagnosis information, and upon receiving training request information, searches for the corresponding vestibular rehabilitation training information among the stored vestibular rehabilitation training information based on the user's diagnosis information. The server communication unit 21 is controlled to transmit the searched vestibular rehabilitation training information to the user terminal 10.

The server control unit 22 transmits the user performance information for the vestibular rehabilitation training information to the insurance processing server 40, and sends the insurance benefit payment details received in response to the transmission of the user performance information for the vestibular rehabilitation training information to the user terminal ( 10) can be controlled to transmit.

The medical server 30 connects to the training information providing server 20 and receives user performance information about the captured user image and vestibular rehabilitation training information transmitted from the user terminal 10. The medical server 30 includes a medical communication unit 31, a medical display unit 32, a medical input unit 33, and a medical control unit 34.

The medical communication unit 31 may communicate with the user communication unit 11, the server communication unit 12, and the insurance processing server 40.

The medical display unit 32 may display user performance information regarding the captured user image and vestibular rehabilitation training information transmitted from the user terminal 10.

The medical input unit 33 allows a doctor to input opinions or prescriptions for the user.

When the medical control unit 34 receives the user performance information regarding the captured user image and vestibular rehabilitation training information transmitted from the user terminal 10, the medical control unit 34 displays the user performance information regarding the received user image and vestibular rehabilitation training information to the medical display unit ( 32) can be controlled to be displayed.

The insurance processing server 40 is configured to process medical-related insurance. The insurance processing server 40 receives user performance information on vestibular rehabilitation training information from the server control unit 22, performs medical-related insurance processing, pays the relevant insurance benefits to the user and medical institution, and records insurance benefit payment details. Transmitted to the server control unit 22. Accordingly, the server control unit 22 transmits the insurance benefit payment details to the user terminal 10.

Figure 2 is a diagram of the overall menu structure for vestibular rehabilitation training.

The notification pop-up is a pop-up that checks whether or not you have registered for self-diagnosis every week and notifies you to perform the diagnosis at least once a week.

Introduction to vestibular rehabilitation training and dizziness replacement surgery includes the type, method, recommended number and duration of training, training period according to the type of dizziness, and training conversion content during the period.

The latest test/diagnosis results are provided in the form of a history of mild dizziness, severe dizziness, and otolithiasis.

This week's exercise prescription includes the number/period of training per day.

Prescription history includes weekly exercise prescription history.

Today’s customized training is automatically determined based on diagnosis/prescription.

Type 1 selection includes selecting eye movements, head movements, spinal movements, and posture movements.

Type 2 selection involves choosing between game type and leisure type.

Difficulty check/modify includes training period, number of training sessions, eye/head angle and training speed.

The pre-survey may include questions such as whether you feel you are improving through training compared to before or what your current level of dizziness is.

Training history includes history of training date, training performance, and training progress time.

Here, deletion deletes unnecessary training details, such as other people's tests.

The training progress graph is a graphic representation of daily training time, number of training sessions, and success rate.

The status improvement graph may include the level of dizziness during daily self-diagnosis tests, the level of dizziness before, and the level of dizziness after training.

Here, member information modification may include management hospital, patient number, and password.

The menu and flow were structured so that registering patients, performing training according to prescriptions, checking results after training, loading training history, and self-improvement using graphs can be accomplished naturally. Since patients with otolithiasis and vestibular dysfunction require different functions and training, there is a need to separate them to allow for different diagnostic/training processes.

Figure 3 is a diagram showing the flow of the vestibular rehabilitation training menu.

Self-diagnosis tests allow scores for each test item to be derived.

Customized prescription confirmation ensures that a customized prescription is created for each diagnosis result.

The status improvement graph allows comments to be recorded for each status/training progress.

Ease of treatment can be increased by minimizing the processes patients encounter. Usability can be increased when regulations are designed and provided at points where regulations are needed (self-diagnosis test, customized prescription confirmation, and condition improvement graph).

Figure 4 is a diagram showing a screen displayed to a doctor regarding a vestibular rehabilitation training menu.

The overall training history provides a table showing the training details performed by all patients over the past week.

Patient registration includes entering a patient number and entering personal information such as age/gender that is used to customize exercise.

Each patient's message box includes connection by OOO ID.

Figure 5 is an example diagram of diagnosis and prescription for vestibular rehabilitation of a user.

(1) The most recent diagnosis received at a hospital or at home is indicated as ‘my diagnosis’.

(2) When you click on the item that lists the diagnosis history received by date and hospital, detailed diagnosis information appears as a pop-up as shown in (1).

(3) This is the screen that appears when you click ‘View prescription’.

(4) Displays currently valid exercise prescription data linked to the currently received diagnosis.

- Doctor's prescription: Entered directly at the hospital

- Self-diagnosis prescription: Enter according to regulations

The content consists of how long the prescription is valid, the recommended number of times the prescription should be performed per week, and the content of the exercises.

(5) Go to the corresponding customized training screen.

(6) When you click on the list of prescriptions received by date, detailed prescription details are displayed in a pop-up as shown in (4).

(7) The screen that moves when the self-diagnosis button is pressed.

(8) Mark 1) of the 25 questions in the DHI questionnaire so that you can enter yes/sometimes/no in the check box.

Whether to check yes/no for the question can be entered in the diagnosis table (Item 1 response, Item 2 response??).

(9) When submitting diagnostic results, calculate yes = 4 points, sometimes = 2 points, no = 0 points, and physical aspects (questions 1, 4, 8, 11, 13, 17 and 25); Sum the scores for functional aspects (questions 3, 5, 6, 7, 12, 14, 16, 19 and 24) and emotional aspects (questions 2, 9, 10, 15, 18, 20, 21, 22 and 23.) In addition, four diagnostic results, including the total combined score, are provided.

Figure 6 is an example diagram of a user's vestibular function training.

(1) When conducting customized training, a series of training sets to be performed per day (e.g.

Examples (see, follow, 1X exercise) are presented.

(2) When proceeding with direct training, select the training type (category) in order and select the desired training.

(3) Screen entered when clicking the Proceed button.

(4) List the training included in the prescription, and (1) allow individual modification if there is training that can adjust the level of difficulty. (2) Allows modification of the number of repetitions of the entire training set (currently fixed at 5).

(5) Collect the level of dizziness felt prior to training. (Questions 5, 8, and 23 of the DHI questionnaire were collected each time before training)

(6) Since the patient felt more dizzy immediately after training, the effect of training was asked right before another training to collect the effect of previous training.

(7) Start training (go to cardboard).

Figure 7 is an example diagram for confirming the user's vestibular rehabilitation training details.

(1) Presents training details by date and performance time.

(2) When you click on the training details text, the details of the relevant training are presented (training date and time, training duration, training content/number of repetitions).

(3) The screen that appears when you click ‘Training Progress’ on the first screen.

(4) Changes in duration and success rate over time (by training type) are presented in graphs. The numbers that appear in the graph are taken from the 'Summary' table.

(5) Simple explanatory text is presented upon agreement for content that can be easily derived from the contents of the graph (rule setting required).

(6) The screen that appears when you click the ‘Symptom Improvement’ button on the first screen.

(7) Bar chart comparing the weekly average of the four dizziness scores (physical, functional, emotional, total sum) entered during each training with week 1.

(8) Line graph showing weekly (or daily) changes in four types of dizziness scores. For patients with otolithiasis, the frequency of checking ‘I have dizziness’ is recorded in a graph for each week.

(9) Simple explanatory text is presented upon agreement for content that can be easily derived from the contents of the graph (rule setting required).

Figure 8 is an example diagram of a game-type eye exercise in vestibular rehabilitation training.

(1) Present the time required for training before starting training (maximum time for game type).

(2) Explain the purpose and content of the training.

(3) A central point that can be used as a cursor, used when moving the head to point to an object or fixed component on the background screen.

(4) Start button: Starts when you wear VR and stare at it for more than 3 seconds. Currently, there are parts that require a 10-second wait even after pressing the start button or require touch input once VR has started, so this needs to be fixed.

(5) Time remaining until end: Provides the (maximum) time remaining until end.

(6) Instructions: Provides floating instructions for the task currently to be performed.

(7) If dizziness is severe, the option to end training midway is provided, and the performance time and score until then are recorded as a training record.

(8) Provides the option to pause and resume during training. (optional) If vibration in the normal range is not transmitted to the device for 30 consecutive seconds, the training is considered not to have progressed and the training is terminated.

(9) At the end of training, a message informing you of your hard work along with the game progress time is provided. For eye movements, no score is given.

(10) Next training button: Allows you to proceed with chained training without taking off the VR cardboard. Excluding the 10 second wait function.

Figure 9 is an example of game-type head exercise and spinal exercise in vestibular rehabilitation training.

(1) Present the time required for training before starting training (maximum time for game type).

(2) Explain the purpose and content of the training.

(3) A central point that can be used as a cursor, used when moving the head to point to an object or fixed component on the background screen.

(4) Start button: Starts when you wear VR and stare at it for more than 3 seconds. Currently, there are parts that require a 10-second wait even after pressing the start button or require touch input even after VR has started, so this needs to be fixed.

(5) Time remaining until end: Provides the (maximum) time remaining until end.

(6) Scoreboard: Provides the total score of successful missions to date.

(7) Instructions: Provides floating instructions for the task currently to be performed. If the mission is successful/failed, the content immediately changes to the next mission.

(8) Option to pause and resume during training.

(9) If dizziness is severe, the option to end training midway is provided, and the performance time and score until then are recorded as a training record.

(10) Event message: Success when success/failure is confirmed for a mission in the game! failure! Provides event effects such as.

(11) At the end of training, a message is provided along with the game progress time and final score (if the game is played well, a time shorter than the maximum game time is recorded).

(12) Next training button: Allows you to proceed with chained training without taking off the VR cardboard.

Figure 10 is an example of a game-type posture exercise in vestibular rehabilitation training.

(1) Present the time required for training before starting training (maximum time for game type).

(2) The number of repetitions within training is presented in advance.

(3) Explain the purpose and content of the training.

(4) A central point that can be used as a cursor and is used to confirm that the head has been turned.

(5) Start button: Start by wearing VR and staring at it for more than 3 seconds.

(6) Provides the number of times the posture has been repeated.

(7) Notice: Guides you to turn your head in a specific direction according to the goal of the exercise, and allows you to confirm by pressing a button when you turn your head.

(8) When you move the cursor to a location where you can confirm that you have turned your head to the right (or left)

(9) If dizziness is severe, the option to end training midway is provided, and the performance time and score until then are recorded as a training record.

(10) Option to pause and resume during training

(11) Provides remaining time to maintain current posture.

(12) Presentations of each movement, including Brandtdarov, Simon, and Epley.

(13) Event message: When the posture is successfully maintained for 1 minute, a success message is displayed.

(14) At the end of training, a message is provided along with the game progress time and final score (if the game is played well, a time shorter than the maximum game time is recorded).

(15) Next training button: Allows you to proceed with chained training without taking off the VR cardboard.

Due to the vestibular rehabilitation training system 1 above, the user's diagnosis information is provided and appropriate vestibular rehabilitation training information is provided, so it is possible to provide vestibular rehabilitation training information at a level according to the state of the user's vestibular function, and thus the user Because the user can have fun and focus on training, the user's rehabilitation can be properly achieved.

In addition, since the user's training status can be accurately identified, training information tailored to the user's training status can be provided, and since the user's training information can be identified by a medical professional, it will be helpful in providing accurate training information for the user. You can. In addition, medical-related insurance processing can be processed accurately and simply, and the user can be provided with better vestibular rehabilitation training information and perform rehabilitation, thereby improving the user's rehabilitation.

In addition, it is possible to inform the user of information about loss of balance and to the guardian of information about the user's loss of balance, that is, the risk of falling, so that the user can quickly respond to safety accidents.

1: Vestibular rehabilitation training system
10: user terminal 11: user communication unit
12: display unit 13: speaker
14: Camera 15: Microphone
16: 3-axis acceleration sensor 17: user control unit
20: Training information provision server 21: Server communication department
22: Server control unit
30: Medical Server 31: Medical Communications Department
32: medical display unit 33: medical input unit
34: Medical control unit 40: Insurance processing server

Claims (6)

In the vestibular rehabilitation training system,
A user communication unit that communicates with an external device, a display unit that displays vestibular rehabilitation training information for vestibular rehabilitation, and transmits training request information including the user's diagnosis information to receive the vestibular rehabilitation training information, and transmits the requested training request information. a user terminal including a user control unit that controls vestibular rehabilitation training information received in response to be displayed on the display unit; and
Stores the vestibular rehabilitation training information corresponding to each of the patient's diagnosis information and a server communication unit that communicates with the user communication unit, and when the training request information is received, the corresponding vestibular rehabilitation training information among the vestibular rehabilitation training information stored based on the user's diagnosis information is stored. A vestibular rehabilitation training system comprising a training information providing server that searches for rehabilitation training information and includes a server control unit that controls the server communication unit to transmit the retrieved corresponding vestibular rehabilitation training information to the user terminal. According to claim 1,
The user terminal further includes a camera for photographing the user,
The user control unit,
When the received vestibular rehabilitation training information is displayed on the display unit, the camera is controlled to photograph the user, and the captured user image and user performance information regarding the vestibular rehabilitation training information are transmitted to the training information providing server. A vestibular rehabilitation training system, characterized in that. According to clause 2,
The vestibular rehabilitation training system further comprises a medical server connected to the training information providing server and receiving user performance information for the captured user image and the vestibular rehabilitation training information transmitted from the user terminal. According to clause 3,
It further includes an insurance processing server for medical-related insurance processing,
The server control unit,
Transmitting user performance information for the vestibular rehabilitation training information to the insurance processing server, and controlling to transmit insurance benefit payment details received in response to the transmission of user performance information for the vestibular rehabilitation training information to the user terminal. Characterized by a vestibular rehabilitation training system. According to claim 1,
The vestibular rehabilitation training information is,
It includes eye-fixation exercises that measure the number of eye movements using eye tracking, head exercises that turn the head in the correct direction, spine exercises that allow users to experience virtual movements, and otolith position replacement surgery that checks whether the head is moved at the correct angle. Characterized by a vestibular rehabilitation training system. According to claim 1,
The user terminal further includes a 3-axis acceleration sensor that detects balance and acceleration,
The user control unit sets a safe radius area for the user's balance based on the balance and acceleration detected from the 3-axis acceleration sensor, and when the user leaves the safe radius area, it notifies the user that he or she has left the safe radius area. A vestibular rehabilitation training system characterized in that it notifies and controls to transmit information that the user has left the safe radius area to a preset guardian terminal.