Evaluation and training method for limb rehabilitation exercise of old people

Abstract

The invention relates to the field of limb exercise rehabilitation, in particular to an evaluation and training method for limb rehabilitation exercise of old people, and the method comprises a rehabilitation data collection module, an evaluation module and a training plan making module, the rehabilitation data collection module is used for collecting real-time rehabilitation information when the old people perform rehabilitation exercise in a current rehabilitation training period; the training plan making module is used for collecting rehabilitation test information of the old in a current rehabilitation exercise test, the evaluation module obtains and outputs a basic evaluation value, an endurance evaluation value and a rehabilitation effect evaluation value according to real-time rehabilitation information, the rehabilitation test information and historical evaluation data, and the training plan making module is used for automatically making a training method of a next rehabilitation training period. According to the method, the joint motion ability and pain feeling of the elderly patient are comprehensively considered, the exercise endurance related factors are introduced, the rehabilitation condition of the elderly patient is evaluated more comprehensively, the rehabilitation effect is dynamically monitored later, a scientific basis is provided for adjusting a rehabilitation training plan, and comprehensive, dynamic and personalized rehabilitation evaluation and training are achieved.

Description

Technical Field

[0001] The present invention relates to the technical field of limb movement rehabilitation, and in particular to an evaluation and training method for elderly limb rehabilitation movement. Background Art

[0002] With the aging of the population, the issue of limb rehabilitation for the elderly has received increasing attention. Due to factors such as physical function decline and chronic diseases, the limb movement ability of the elderly will also decline to varying degrees, which in turn affects their daily quality of life. Therefore, scientific and effective assessment and training methods for limb rehabilitation exercise for the elderly are particularly important.

[0003] At present, most of the rehabilitation assessment and training methods available on the market lack systematicity and comprehensiveness. Some assessment methods only focus on the actual and ideal number of grips in rehabilitation exercises, and conduct superficial rehabilitation effect assessments, ignoring important factors such as grip degree, the elderly's own pain perception, motor coordination, cardiopulmonary function, and psychological state. It is impossible to comprehensively consider the overall rehabilitation status of the elderly, such as a limb nerve rehabilitation status assessment method based on multimodal sensor data fusion with application number CN202411876805.2.

[0004] It is worth noting that if the pain felt by the elderly during exercise is ignored, it may lead to overtraining, aggravate pain and affect the rehabilitation effect; at the same time, poor motor coordination will limit the elderly's ability to carry out daily activities; insufficient cardiopulmonary function will affect exercise endurance; negative psychological state will reduce the elderly's enthusiasm and compliance in participating in rehabilitation training, all of which will have an adverse effect on the rehabilitation process.

[0005] In addition, the formulation of training plans often lacks personalization and cannot be accurately adjusted according to the actual situation of the elderly, resulting in uneven rehabilitation effects. Therefore, technical personnel in this field provide an evaluation and training method for limb rehabilitation exercises for the elderly to solve the problems raised in the above background technology. Summary of the invention

[0006] The technical problem solved by the present invention is to provide an evaluation and training method for elderly limb rehabilitation exercises to achieve comprehensive, dynamic and personalized rehabilitation evaluation and training, with significant optimization and innovation effects.

[0007] To solve the above problems, the present invention provides the following technical solutions: An evaluation and training method for elderly limb rehabilitation exercise, comprising a rehabilitation data collection module, an evaluation module and a training plan formulation module, characterized in that: the evaluation module comprises a limb movement ability evaluation unit, a movement endurance evaluation unit, and a rehabilitation effect evaluation unit; The specific implementation steps are as follows: Step 1: The rehabilitation data is used to collect real-time rehabilitation information of the elderly during rehabilitation exercises during the current rehabilitation training cycle, including exercise frequency and muscle growth value; Step 2, the rehabilitation data collection module is used to collect the rehabilitation test information of the elderly in the current rehabilitation exercise test, including the activity angle of each relevant joint, pain degree score, exercise duration, exercise coordination score, cardiopulmonary function score, and psychological state score; Step 3, the evaluation module obtains and outputs a basic evaluation value, an endurance evaluation value, and a rehabilitation effect evaluation value according to the real-time rehabilitation information, the rehabilitation test information, and the historical evaluation data; Step 4: the training plan formulation module receives the rehabilitation effect evaluation value, and uses the training plan formulation module to automatically formulate a training method for the next rehabilitation training cycle; The historical evaluation data include the maximum joint motion angle and value, and the last rehabilitation effect evaluation value; The tests included in the motor coordination score are the finger-to-nose test, the heel-knee-shin test, and the rotarod test; The cardiopulmonary function score includes the walking ability score of the elderly in the six-minute walking distance in the current rehabilitation exercise test and the heart rate variability score.

[0008] Further: the equipment used in the rehabilitation data collection module includes a protractor, a timer, a gripper, a puller, a cardiopulmonary function tester, and a data acquisition device; the equipment used in the evaluation module includes a data processing server; and the equipment used in the training plan formulation module includes a control device.

[0009] Further: the limb movement ability evaluation unit obtains the joint movement angle and value according to the relevant joint movement angles, divides the joint movement angle and value with the maximum joint movement angle and value, and obtains the joint movement ability characteristics; Acquiring the basic assessment value according to the joint mobility characteristics, the pain degree score and the movement coordination score; The pain level score is based on the pain experienced by the elderly during exercise, and the score ranges from {0-10}; The specific acquisition of the sports coordination score is as follows: The finger-to-nose test determines a first test score; The heel-knee-shin test determines a second test score; The rotating test determines the third test score; The first test score, the second test score and the third test score are weighted respectively to determine the test movement coordination score.

[0010] Further: The exercise endurance evaluation unit obtains the cardiopulmonary function score according to the weights assigned to the walking ability score and the heart rate variability score respectively; Based on the basic evaluation value, the exercise duration, and the cardiopulmonary function score, obtain the continuous exercise ability characteristics; Multiply the continuous exercise ability characteristics by the exercise frequency to obtain the endurance evaluation value.

[0011] Further: The rehabilitation effect evaluation unit obtains the comprehensive physiological and psychological evaluation value according to the endurance evaluation value and the psychological state score; Based on the comprehensive physiological and psychological evaluation value and the muscle growth value, obtain the rehabilitation growth characteristics; Based on the rehabilitation growth characteristics and the previous rehabilitation effect evaluation value, obtain the rehabilitation effect evaluation value.

[0012] Further: The evaluation based on the rehabilitation effect evaluation value is as follows: If the rehabilitation effect evaluation value is greater than 1, it indicates that the rehabilitation effect has improved; If the rehabilitation effect evaluation value is less than 1, it indicates that the rehabilitation effect tends to decline; If the rehabilitation effect evaluation value is equal to 1, it indicates that the rehabilitation effect tends to level off.

[0013] Further: The training plan formulation module automatically formulates the training method for the next rehabilitation training cycle according to the results that the rehabilitation effect evaluation value is greater than 1, less than 1, and equal to 1, and combines the respective relevant joint movement angles, the pain degree score, the exercise duration, and the exercise frequency.

[0014] The effects of the above solution are as follows: 1. Through the limb movement ability evaluation unit, the present invention comprehensively considers three factors: joint movement ability, pain perception, and movement coordination, and more comprehensively evaluates the limb movement ability of the elderly. Among them, movement coordination reflects the limb control and cooperation ability of the elderly during exercise. Incorporating it into the evaluation system can more accurately reflect the actual movement status of the elderly.

[0015] Based on the limb movement ability evaluation unit, the exercise endurance evaluation unit further introduces three factors: exercise duration, exercise frequency, and cardiopulmonary function, and considers the exercise endurance of the elderly. Cardiopulmonary function is one of the key factors affecting exercise endurance. Incorporating it into the evaluation makes the evaluation no longer limited to static joint movements, pain conditions, and simple exercise time and frequency, but more comprehensively reflects the rehabilitation status of the elderly.

[0016] Finally, the rehabilitation effect evaluation unit synthesizes exercise endurance, muscle strength growth, the dynamic changes in the rehabilitation effect, and the mental state. By comparing with the previous rehabilitation effect evaluation value, it can timely detect the progress and problems in the rehabilitation process, providing a basis for adjusting the training plan. Among them, the mental state has an important impact on the rehabilitation effect. A positive mental state helps to improve the rehabilitation effect. Incorporating it into the evaluation can more comprehensively reflect the rehabilitation effect. In addition, the current rehabilitation exercise test is integrated and correlated with various parameters within the current rehabilitation training cycle, not only reflecting the current rehabilitation exercise state, but also combining and reflecting the dynamic state of the rehabilitation exercise within the cycle.

[0017] 2. By introducing the previous rehabilitation effect evaluation value, the rehabilitation effect evaluation unit of the present invention realizes the dynamic evaluation of the rehabilitation effect. And after each training cycle ends, it compares the rehabilitation effect evaluation value calculated this time with the previous one. This dynamic evaluation mechanism can timely detect the problems in the rehabilitation process, adjust the training plan in real time, and avoid the problem that the static evaluation in the prior art cannot keep up with the rehabilitation progress in time.

[0018] In addition, according to the evaluation values calculated by the limb motor ability evaluation unit, exercise endurance evaluation unit, and rehabilitation effect evaluation unit, this evaluation and training method formulates a personalized rehabilitation training plan for the elderly. By adjusting the exercise intensity and exercise type parameters of the training plan according to the rehabilitation effect evaluation value KX and combining factors such as movement coordination, cardiopulmonary function, and mental state, it can meet the personalized needs of different elderly people and improve the rehabilitation effect. BRIEF DESCRIPTION OF THE DRAWINGS

[0019] Figure 1 It is a schematic flow chart of the method steps of the evaluation and training method for the elderly limb rehabilitation exercise; Figure 2 It is a schematic diagram of the overall structure module in the present invention; Figure 3 It is a schematic diagram of each unit of the evaluation module in the present invention. DETAILED DESCRIPTION OF THE EMBODIMENTS

[0020] Next, the technical solutions in the embodiments of the present invention will be clearly and completely introduced in conjunction with the accompanying drawings in the embodiments of the present invention.

[0021] Embodiment 1, please refer to Figures 1-3 , an evaluation and training method for the elderly limb rehabilitation exercise, including a rehabilitation data collection module, an evaluation module, and a training plan formulation module, characterized in that: the evaluation module includes a limb motor ability evaluation unit, an exercise endurance evaluation unit, and a rehabilitation effect evaluation unit; The specific implementation steps are as follows: Step 1: The rehabilitation data collection module is used to collect the real-time rehabilitation information of the elderly during the current rehabilitation training cycle, including the movement frequency and muscle growth value; Step 2: The rehabilitation data collection module is used to collect the rehabilitation test information of the elderly during the current rehabilitation exercise test, including the movement angles of each relevant joint, pain degree score, movement duration, movement coordination score, cardiopulmonary function score, and mental state score; Step 3: The evaluation module obtains the output of the basic evaluation value, endurance evaluation value, and rehabilitation effect evaluation value based on the real-time rehabilitation information, rehabilitation test information, and historical evaluation data; Step 4: The training plan formulation module receives the rehabilitation effect evaluation value and automatically formulates the training method for the next rehabilitation training cycle by using the training plan formulation module; Among them, the historical evaluation data includes the maximum joint movement angle sum value and the previous rehabilitation effect evaluation value; The tests included in the movement coordination score are finger-to-nose test, heel-knee-tibia test, and alternating motion test; The cardiopulmonary function score includes the walking ability score and heart rate variability score of the six-minute walking distance of the elderly during the current rehabilitation exercise test.

[0022] The devices used by the rehabilitation data collection module include a goniometer, a timer, a grip strength meter, a tension meter, a cardiopulmonary function tester, and a data acquisition device. The devices used by the evaluation module include a data processing server, and the devices used by the training plan formulation module include a control device.

[0023] In this embodiment, through Steps 1 to 4, and the evaluation and training methods of the cooperating modules, units, and devices, it is possible to comprehensively and dynamically evaluate the limb rehabilitation situation of the elderly, automatically adjust the training plan according to the evaluation results, improve the rehabilitation effect. At the same time, the settings of each module and unit make the entire rehabilitation process more systematic and scientific.

[0024] Please refer to Figure 1 and Figure 3 , the limb movement ability evaluation unit obtains the sum value of the joint movement angles according to the movement angles of each relevant joint, divides the sum value of the joint movement angles by the maximum sum value of the joint movement angles, and obtains the joint movement ability characteristics; According to the joint movement ability characteristics, pain degree score, and movement coordination score, the basic evaluation value is obtained; The calculation formula of the limb movement ability evaluation unit is as follows: ; Among them: DJ is the basic evaluation value; JZ is the sum of joint movement angles. JZ refers to the total sum of the movement angles of each relevant joint of the elderly in the current rehabilitation exercise test. Joint movement angles include shoulder movement angles, elbow movement angles, and wrist movement angles. JZ0 is the maximum sum of joint movement angles. JZ0 refers to the total maximum movement angles that each relevant joint of the human body can reach under normal conditions, specifically the maximum shoulder movement angle + the maximum elbow movement angle + the maximum wrist movement angle. T is the pain level score. T is specifically scored by the elderly according to their pain perception during the movement process, and the value range of T is {0 - 10}: When the value of T is close to 0, it indicates a low pain level. When the value of T is close to 10, it indicates a high pain level. S is the movement coordination score, and S = S1×w1 + S2×w2 + S3×w3; S1 is the first test score automatically generated by the finger-to-nose test, S2 is the second test score automatically generated by the heel-to-knee-to-tibia test, and S3 is the third test score automatically generated by the alternating movement test. w1, w2, and w3 are all weight coefficients.

[0025] In the limb movement ability assessment unit of this embodiment, The calculation part is used to evaluate the proportion of the elderly's current joint movement ability to the normal joint movement ability. The sum of joint movement angles JZ reflects the actual joint movement range that the elderly can reach, while the maximum sum of joint movement angles JZ0 is the movement range that the human joints should have under normal conditions. Dividing the two can intuitively show the relative level of the elderly's joint movement ability. Specifically, if the ratio result of the calculation part is close to 1, it indicates that the elderly's joint movement ability is close to normal. The smaller the ratio result of the calculation part, the more severe the joint movement limitation. The calculation part is the basic data for evaluating limb movement ability, and subsequent calculations are adjusted and refined based on this.

[0026] The limb movement ability assessment unit comprehensively considers three factors: joint movement ability, pain perception, and movement coordination. The ratio of the sum of joint movement angles JZ to the maximum sum of joint movement angles JZ0 reflects the actual level of the elderly's joint movement, while the pain level score T reflects the subjective feeling of the elderly during the movement process, and movement coordination reflects the elderly's limb control and cooperation ability during the movement process. By combining these three factors, it is possible to more comprehensively and accurately evaluate the elderly's limb movement ability, avoiding the limitations of existing evaluation methods that only focus on a single indicator.

[0027] Among them, multiplication and division operations are used in the limb motor ability evaluation unit to smooth the data and control the range of the results, so that the calculation part and the numerical values of the calculation parts are on the same order of magnitude, facilitating subtraction operations and making the final evaluation score more reasonable and stable.

[0028] In addition, the finger-to-nose test is mainly used to detect the ataxia motor function of the upper limb, the heel-knee-tibia test is mainly used to evaluate the ataxia coordination ability of the lower limb, and the alternating movement test is used to check the coordination function and cerebellar function of the limb. These three tests detect the movement coordination ability of the elderly from different dimensions, and the combined effect of the scores and weights of these three tests can comprehensively and accurately reflect the movement coordination status of the elderly, providing a key basis for the comprehensive evaluation of the rehabilitation status and helping to formulate a more accurate and effective rehabilitation training plan.

[0029] Please refer to Figure 1 and Figure 3 , the exercise endurance evaluation unit obtains the cardiopulmonary function score according to the weights respectively given to the walking ability score and the heart rate variability score; Based on the basic evaluation value, exercise duration, and cardiopulmonary function score, obtain the continuous exercise ability characteristics; Multiply the continuous exercise ability characteristics by the exercise frequency to obtain the endurance evaluation value; The calculation formula of the exercise endurance evaluation unit is as follows: ; M = M1×w4 + M2×w5; Where: N is the endurance evaluation value; C is the exercise duration, C represents the time that the elderly continuously exercises in the current rehabilitation exercise test, that is, the exercise time for this time, and the unit is minutes; M is the cardiopulmonary function score, M1 is the walking ability score, and M2 is the heart rate variability score; M1 = (d / d0)×5, M1 = (HRV / HRV0)×5; d is the six-minute walking distance of the current elderly, d0 is the six-minute walking benchmark distance of normal elderly, HRV is the heart rate variability value of the current elderly's six-minute walking, and HRV0 is the heart rate benchmark variability value of normal elderly's six-minute walking; If the result value of M1 is greater than 5, the value is taken as 5; If the result value of M2 is greater than 5, the value is taken as 5; P is the exercise frequency, P refers to the number of times the elderly perform rehabilitation exercises in the current rehabilitation training cycle, that is, the number of times of exercise in a week.

[0030] In the exercise endurance evaluation unit of this embodiment, first, The calculation result can reflect the rehabilitation status of the elderly from multiple dimensions. DJ represents the basic ability, M represents the endurance, and CC represents the duration of continuous exercise. The combination of the three can comprehensively reflect the comprehensive exercise performance of the elderly in the rehabilitation training, helping the rehabilitation personnel to more accurately understand the rehabilitation progress and physical condition of the elderly. Moreover, through this calculation result, the rehabilitation personnel can judge whether the current rehabilitation training plan is effective.

[0031] In addition, it should be noted that the walking ability score M1 is used to evaluate the exercise endurance and cardiopulmonary reserve function of the elderly by measuring the distance they walk within six minutes. Although in actual tests, some elderly people may, due to better physical conditions or after a period of rehabilitation training, have a six-minute walking distance d that exceeds the six-minute walking benchmark distance d0 corresponding to the cardiopulmonary function of normal elderly people, the scoring system sets a full score of 5 points, which means that when the walking distance of the elderly reaches or exceeds a certain level, it is sufficient to indicate that their cardiopulmonary function in this regard is in good condition, and increasing the score further cannot more effectively reflect their cardiopulmonary function advantages. Therefore, the score upper limit is set to 5 points. The heart rate variability score M2 is an important indicator reflecting the regulation function of the cardiac autonomic nervous system. The heart rate baseline variability value HRV0 represents a relatively reasonable range. When the heart rate variability value HRV of the elderly exceeds the heart rate baseline variability value HRV0, it indicates that their cardiac autonomic nerve regulation function is better. However, similarly, in order to make the scoring system consistent and comparable, the score upper limit is set to 5 points to avoid excessive scores that lose the reference significance of the scoring.

[0032] Based on the limb movement ability assessment unit, the exercise endurance assessment unit introduces three factors: the exercise duration C, the exercise frequency P, and the cardiopulmonary function score M, comprehensively considering the exercise endurance of the elderly, so as to be able to more accurately evaluate the comprehensive rehabilitation status of the elderly.

[0033] The calculation result of the exercise endurance assessment unit further enriches the dimensions of the rehabilitation assessment, cooperates with the limb movement ability assessment unit, and evaluates the limb rehabilitation situation of the elderly from different angles, making the entire rehabilitation assessment system more perfect.

[0034] Please refer to Figure 1 and Figure 3 , the rehabilitation effect assessment unit obtains the comprehensive physiological and psychological assessment value according to the endurance assessment value and the psychological state score; Obtains the rehabilitation growth characteristics according to the comprehensive physiological and psychological assessment value and the muscle growth value; Obtains the rehabilitation effect assessment value according to the rehabilitation growth characteristics and the previous rehabilitation effect assessment value; The calculation formula of the rehabilitation effect assessment unit is as follows: ; Wherein: KX is the rehabilitation effect evaluation value; R is the mental state score of the current elderly after the psychological test in the current rehabilitation training cycle; JR is the muscle growth value. JR refers to the growth value of the muscle strength of the elderly after the end of the current rehabilitation training cycle compared with the previous rehabilitation training cycle. Specifically, it is the result of subtracting the grip strength at the end of the current training and rehabilitation cycle from the grip strength at the end of the previous training and rehabilitation cycle. And in the first rehabilitation exercise test of each elderly, the value range of the grip strength at the end of the previous training and rehabilitation cycle is set to {8 - 14}, and the unit is kilogram; KX0 is the previous rehabilitation effect evaluation value. KX0 reflects the rehabilitation effect evaluation value KX calculated in the rehabilitation exercise test after the end of the previous rehabilitation training cycle of the elderly. And in the first rehabilitation exercise test of each elderly, the rehabilitation effect evaluation value KX after the end of the previous rehabilitation training cycle is set to 1.

[0035] In the rehabilitation effect evaluation unit of this embodiment, it comprehensively considers the comprehensive rehabilitation status (physical endurance and mental state) of the elderly and the growth of muscle strength. This result reflects the comprehensive influence effect of rehabilitation training on muscle strength growth on the basis of comprehensively considering the physical endurance and mental state of the elderly; Compare the calculation part with the previous rehabilitation effect evaluation value KX0 to evaluate the dynamic change of the rehabilitation effect. Specifically, by dividing the calculation part by the previous rehabilitation effect evaluation value KX0, a relative value can be obtained, that is, the rehabilitation effect evaluation value KX. And the rehabilitation effect evaluation value KX reflects the improvement and decline of the rehabilitation effect up to the current rehabilitation training cycle compared with the previous time.

[0036] It should be noted that when each elderly person conducts the first rehabilitation exercise test, since there is no historical data of the current elderly person, according to the normal grip strength range of the elderly, that is, {8 - 14}, the initial data for calculating the muscle growth value JR is flexibly set. According to the rehabilitation effect evaluation value KX calculated by the rehabilitation effect evaluation unit, problems and progress in the rehabilitation process can be found in time; If the rehabilitation effect evaluation value KX is greater than 1, it indicates that the rehabilitation effect has improved, and the training intensity can be appropriately increased. If the rehabilitation effect evaluation value KX is less than 1, it indicates that the rehabilitation effect has declined, and the training plan needs to be adjusted. In addition, since the standard value for evaluating and comparing the rehabilitation effect evaluation value KX is 1, when each elderly person undergoes the first rehabilitation exercise test, the previous rehabilitation effect evaluation value KX0 is set to 1. This dynamic evaluation mechanism provides a scientific basis for the adjustment of rehabilitation training, helps improve the rehabilitation effect, and the dynamic evaluation function of the rehabilitation effect evaluation unit promotes the continuous optimization of the rehabilitation training process. By continuously tracking the changes in the rehabilitation effect and automatically adjusting the training plan, the rehabilitation training can be made more in line with the actual needs of the elderly, thereby improving the efficiency and quality of rehabilitation.

[0037] In addition, in this evaluation system, whether it is the motor coordination score S, the cardiopulmonary function score M, or the mental state score R, the full score is set to 5 points. This is a standardized scoring method, which is convenient for uniformly measuring and comparing the various indicators of different elderly people.

[0038] Please refer to Figures 1-3 , the evaluation based on the rehabilitation effect evaluation value KX is as follows: If the rehabilitation effect evaluation value KX is greater than 1, it means that the rehabilitation effect has improved; If the rehabilitation effect evaluation value KX is less than 1, it means that the rehabilitation effect tends to decline; If the rehabilitation effect evaluation value KX is equal to 1, it means that the rehabilitation effect tends to level off; The training plan formulation module automatically formulates the training method for the next rehabilitation training cycle according to the results that the rehabilitation effect evaluation value KX is greater than 1, less than 1, or equal to 1, and combines the relevant joint movement angles, pain degree score T, exercise duration C, and exercise frequency P.

[0039] In this embodiment, first, the rehabilitation effect evaluation value KX of the rehabilitation effect evaluation unit can be fed back to the calculation of the limb motor ability evaluation unit to optimize the parameters in the limb motor ability evaluation unit. Specifically, if the rehabilitation effect evaluation value KX is greater than 1, it indicates that the rehabilitation progress of the elderly is good, and the reference value of the maximum joint movement angle and value JZ0 can be appropriately increased; If the rehabilitation effect evaluation value KX is less than 1, it indicates that the rehabilitation progress of the elderly is poor, and the reference value of the maximum joint movement angle and value JZ0 needs to be appropriately reduced; If the rehabilitation effect evaluation value KX is equal to 1, it indicates that the rehabilitation progress of the elderly is slow, and the reference value of the maximum joint movement angle and value JZ0 needs to be appropriately increased; Moreover, for the cases greater than 1, less than 1, and equal to 1 above, comprehensive evaluation and adjustment shall be carried out in combination with the joint movement angles, pain degree score T, movement duration C, and movement frequency P of each relevant joint, so as to formulate the training method for the next rehabilitation training cycle. In this way, automation can make the calculation results of the limb movement ability evaluation unit more accurately reflect the actual rehabilitation situation of the elderly, improve the accuracy of the basic evaluation. The circular influence of the rehabilitation effect evaluation unit on the limb movement ability evaluation unit forms a closed-loop rehabilitation evaluation and training system. By continuously automatically adjusting the training method according to the rehabilitation effect to adjust the basic evaluation parameters, and then formulating a training plan based on the new basic evaluation result DJ, the rehabilitation process can be made more scientific and reasonable. This closed-loop management mode helps to improve the pertinence and effectiveness of rehabilitation training and promote the better recovery of the elderly's limb function.

[0040] The circular influence of the rehabilitation effect evaluation unit on the limb movement ability evaluation unit enables the rehabilitation training to better fit the individual differences of the elderly. The rehabilitation effects of different elderly are different. By dynamically adjusting and formulating the training method for the next rehabilitation training cycle, a more personalized rehabilitation training plan can be formulated for each elderly to meet their different rehabilitation needs and improve the effect of rehabilitation training.

[0041] Example 2, please refer to Figure 3 , based on the calculation formulas of the limb movement ability evaluation unit and the exercise endurance evaluation unit, where and For the calculation parts, multiplication and division algorithms are respectively used to perform 10-fold amplification, 100-fold reduction, and 10-fold reduction to control the range of the calculation results.

[0042] In this embodiment, the calculation part is to amplify the ratio value to a certain extent so that subsequent calculation processing can be carried out within a suitable numerical range. Since the ratio of the sum value of joint movement angles JZ to the maximum sum value of joint movement angles JZ0 is usually less than 1, multiplying by 10 can make the value more convenient for subsequent calculation and analysis.

[0043] While the calculation part appropriately reduces the pain degree score T so that it is on the same order of magnitude as the value in the previous calculation part, which is convenient for subtraction operation.

[0044] Moreover, the pain degree score T is a subjective score from 0 to 10. Subtracting it directly from the previous value will cause the result to be overly affected by the pain factor. Dividing by 10 can reasonably balance the weight of the pain factor in the evaluation.

[0045] The calculation part reduces the product result of the DJ×C calculation part to avoid excessive numerical values. Specifically, multiplying the basic evaluation value DJ by the exercise duration C will result in a relatively large three-digit value, so dividing by 100 can adjust it to an appropriate range for subsequent calculation operations.

[0046] And the calculation part appropriately reduces the exercise frequency P so that it is at the same order of magnitude as the value of the calculation part for convenient multiplication operation. It should be noted that the exercise frequency P is the number of exercises in the current rehabilitation training cycle. If multiplying the result values of the calculation part will cause the result to be overly affected by the exercise frequency P factor, and dividing by 10 can reasonably balance the weight of the exercise frequency P in the evaluation.

[0047] Although the present invention is disclosed as above, the present invention is not limited thereto. Any person skilled in the art can make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, the protection scope of the present invention should be determined by the scope defined by the claims.

Claims

1. An evaluation and training method for the rehabilitation exercise of the elderly's limbs, characterized in that: It includes a rehabilitation data collection module, an evaluation module, and a training plan formulation module. The evaluation module includes a limb motor ability evaluation unit, an exercise endurance evaluation unit, and a rehabilitation effect evaluation unit; The specific implementation steps are as follows: Step 1: The rehabilitation data collection module is used to collect real-time rehabilitation information of the elderly during rehabilitation exercises in the current rehabilitation training cycle, including exercise frequency and muscle growth value; Step 2: The rehabilitation data collection module is used to collect rehabilitation test information of the elderly in the current rehabilitation exercise test, including the range of motion of each relevant joint, pain degree score, exercise duration, exercise coordination score, cardiopulmonary function score, and mental state score; Step 3: The evaluation module obtains and outputs a basic evaluation value, an endurance evaluation value, and a rehabilitation effect evaluation value based on the real-time rehabilitation information, the rehabilitation test information, and historical evaluation data; Step 4: The training plan formulation module receives the rehabilitation effect evaluation value and automatically formulates a training method for the next rehabilitation training cycle; Among them, the historical evaluation data includes the maximum joint range of motion sum value and the previous rehabilitation effect evaluation value; The tests included in the exercise coordination score are the finger-to-nose test, the heel-knee-tibia test, and the alternating motion test; The cardiopulmonary function score includes the walking ability score and the heart rate variability score of the six-minute walking distance of the elderly in the current rehabilitation exercise test.

2. The evaluation and training method for the limb rehabilitation exercise of the elderly according to claim 1, characterized in that: The devices used by the rehabilitation data collection module include a goniometer, a timer, a grip strength meter, a tension meter, a cardiopulmonary function tester, and a data acquisition device. The devices used by the evaluation module include a data processing server, and the devices used by the training plan formulation module include a control device.

3. The evaluation and training method for the elderly limb rehabilitation exercise according to claim 1, characterized in that: The limb motor ability evaluation unit obtains the sum value of the joint range of motion based on the range of motion of each relevant joint, divides the sum value of the joint range of motion by the maximum joint range of motion sum value, and obtains the joint movement ability characteristic; Based on the joint movement ability characteristic, the pain degree score, and the exercise coordination score, the basic evaluation value is obtained.

4. The evaluation and training method for the elderly limb rehabilitation exercise according to claim 3, characterized in that: The pain degree score obtains a score with a value range of {0-10} based on the elderly's own pain perception during exercise; The specific acquisition of the exercise coordination score is as follows: The finger-to-nose test determines the first test score; The heel-knee-tibia test determines the second test score; The alternating motion test determines the third test score; The first test score, the second test score, and the third test score are respectively weighted to determine the exercise coordination score.

5. The evaluation and training method for the elderly limb rehabilitation exercise according to claim 4, characterized in that: The exercise endurance evaluation unit obtains the cardiopulmonary function score based on the weights of the walking ability score and the heart rate variability score respectively; Based on the basic evaluation value, the exercise duration, and the cardiopulmonary function score, the continuous exercise ability characteristic is obtained; The continuous exercise ability characteristic is multiplied by the exercise frequency to obtain the endurance evaluation value; The calculation formula of the exercise endurance evaluation unit is as follows: ； M = M1×w4 + M2×w5; Where: N is the endurance evaluation value; C is the duration of exercise, which represents the time that the elderly person continuously exercises in the current rehabilitation exercise test, that is, the exercise time for this time, and the unit is minutes; M is the cardiopulmonary function score, M1 is the walking ability score, and M2 is the heart rate variability score; M1 = (d / d0) × 5, M1 = (HRV / HRV0) × 5; d is the six-minute walking distance of the current elderly person, d0 is the six-minute walking benchmark distance of a normal elderly person, HRV is the heart rate variability value of the current elderly person's six-minute walk, and HRV0 is the heart rate benchmark variability value of a normal elderly person's six-minute walk; If the result value of M1 is greater than 5, the value is taken as 5; If the result value of M2 is greater than 5, the value is taken as 5; P is the exercise frequency, which refers to the number of times the elderly person performs rehabilitation exercises within the current rehabilitation training cycle, that is, the number of exercises in a week.

6. The evaluation and training method for the elderly limb rehabilitation exercise according to claim 4, characterized in that: The rehabilitation effect evaluation unit obtains a comprehensive physiological and psychological evaluation value based on the endurance evaluation value and the psychological state score; Based on the comprehensive physiological and psychological evaluation value and the muscle growth value, a rehabilitation growth characteristic is obtained; Based on the rehabilitation growth characteristic and the previous rehabilitation effect evaluation value, a rehabilitation effect evaluation value is obtained; The calculation formula of the rehabilitation effect evaluation unit is as follows: ； Where: KX is the rehabilitation effect evaluation value; R is the psychological state score of the current elderly person after the psychological test in the current rehabilitation training cycle; JR is the muscle growth value; KX0 is the previous rehabilitation effect evaluation value.

7. The evaluation and training method for the elderly limb rehabilitation exercise according to claim 6, characterized in that: The evaluation based on the rehabilitation effect evaluation value is as follows: If the rehabilitation effect evaluation value is greater than 1, it indicates that the rehabilitation effect has improved; If the rehabilitation effect evaluation value is less than 1, it indicates that the rehabilitation effect tends to decline; If the rehabilitation effect evaluation value is equal to 1, it indicates that the rehabilitation effect tends to be flat.

8. A method for evaluating and training the limb rehabilitation exercise of the elderly according to claim 7, characterized in that: The training plan formulation module automatically formulates the training method for the next rehabilitation training cycle according to the results that the rehabilitation effect evaluation value is greater than 1, less than 1, or equal to 1, and combines the various relevant joint movement angles, the pain degree score, the exercise duration, and the exercise frequency.

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