Remote rehabilitation platform for cerebral apoplexy

Abstract

The invention discloses a cerebral apoplexy remote rehabilitation platform, relates to the technical field of intelligent medical treatment, and solves the technical problem that an existing remote rehabilitation platform cannot set a targeted training plan according to the conditions of a patient to adapt to different training stages of the patient. The system comprises an information acquisition system, an interaction system, an evaluation system, a control system and a training system. The interaction system is used for interaction between a patient and a doctor and other systems; the evaluation system is used for generating different types of questionnaires and training plans; the information acquisition system is used for acquiring basic information of a patient and specifically acquiring disease-related information of the patient according to a questionnaire; the control system is used for evaluating the physical condition of the patient based on the information acquired by the information acquisition system and generating a corresponding guidance conclusion; the training system is used for guiding the patient to train according to the training plan; according to the invention, the suitability of the patient and the training plan can be ensured without excessive participation of doctors.

Description

Technical Field

[0001] The present invention relates to the field of smart medical technology, and in particular to a remote rehabilitation platform for stroke. Background Art

[0002] As an emerging medical technology, telerehabilitation platform combines information technology and rehabilitation medicine, and is committed to providing convenient rehabilitation services for patients. In recent years, with the popularization of the Internet and the widespread use of mobile devices, telerehabilitation has gradually been accepted by more medical institutions and patients. Currently, it mainly relies on video conferencing technology, sensors and wearable devices, virtual reality (VR) and augmented reality (AR) technology, data analysis and artificial intelligence to build platforms for medical institutions and patients to conduct remote rehabilitation, health monitoring and personalized treatment, improve patients' rehabilitation effects and treatment compliance, and reduce medical costs and resource consumption. However, there is a lack of rehabilitation platforms built on a technical theory that comprehensively covers all the content of stroke motor dysfunction training.

[0003] For example, the Chinese patent "Stroke conditioning growth system and method based on test cloud evaluation system" (patent application number: 202110607845.7, publication number: CN113331844A). This patent directly drives human consciousness, drives corresponding limb movements through human consciousness itself, and uses EEG rehabilitation detection and limb rehabilitation detection to measure the rehabilitation quality of both, and reasonably adjusts the progress of rehabilitation therapy according to the level and progress of rehabilitation, and uses big data cloud technology to obtain physiotherapy plans.

[0004] However, the main purpose of this program is to help patients obtain accurate physical therapy plans and conduct standard rehabilitation training, but it does not evaluate the patient's suitability for online rehabilitation training.

[0005] Chinese patent "A stroke rehabilitation training system and method" (patent application number: 201911317730.3, publication number: CN111035535A). This patent can detect the relevant parts of the patient's affected limb (such as the pectoralis major, biceps brachii, and various joints of the affected limb) through the detection device in the on-site rehabilitation training equipment, and send the detection results to the controller so that doctors can formulate accurate rehabilitation plans for patients and help patients with remote rehabilitation.

[0006] However, this solution mainly obtains patient training data through detection devices to help doctors understand the patient's rehabilitation stage and determine the rehabilitation plan; but the detection device still cannot obtain data on the patient's overall physical condition, nor can it understand whether the patient is compatible with the rehabilitation plan during the rehabilitation training process.

[0007] Chinese patent "A remote control system, method, device, equipment and medium for rehabilitation training" (patent application number: 202210597903.7, publication number: CN114898832B). This patent obtains at least one rehabilitation training plan for the target patient based on the target patient's medical record information through a doctor-patient interaction cloud platform, and then determines the plan through a doctor, and analyzes the rehabilitation assessment data when the target patient performs rehabilitation assessment actions.

[0008] However, this patent mainly focuses on generating rehabilitation training plans through the platform and then having doctors determine the rehabilitation training plans, while ensuring that the rehabilitation training plans are designed in detail and introducing specific training equipment; but it does not involve understanding the compatibility of the patient with the training plan and making corresponding adjustments during the training plan process. At the same time, relying solely on doctors to ensure the effectiveness of the training plan cannot truly test intelligence.

[0009] It can be seen that the existing technology mainly ensures that patients can obtain accurate rehabilitation training plans and perform accurate training according to the guidance of the rehabilitation training plan and related sensors, but it does not evaluate whether the patient’s own condition is suitable for online rehabilitation. If it is suitable, how to specify targeted training plans based on the patient’s basic information and disease information to ensure that the training plan is suitable for different stages of the patient. Summary of the invention

[0010] In order to solve the problems existing in the above-mentioned prior art, the present invention provides a stroke remote rehabilitation platform to solve the technical problem that the existing remote rehabilitation platform cannot set up targeted training plans according to the patient's own situation to adapt to the different training stages of the patient.

[0011] A stroke remote rehabilitation platform, comprising: an information collection system, an interaction system, an evaluation system, a control system and a training system;

[0012] The interactive system is used for interaction between patients, doctors and other systems;

[0013] The evaluation system is used to generate different types of questionnaires and training plans;

[0014] The information collection system is used to collect basic information of patients and collect disease-related information of patients in a targeted manner according to the questionnaire;

[0015] The control system is used to evaluate the patient's physical condition based on the information collected by the information collection system and generate corresponding guidance conclusions, the guidance conclusions including not recommending the use of the platform, not recommending online training, and a training plan, the training plan including a training cycle and corresponding multiple training stages;

[0016] The training system is used to guide the patient to perform training according to the training plan.

[0017] Further, the assessment system includes a risk assessment module, an intelligent assessment module, a real-time assessment module and a plan generation module;

[0018] The risk assessment module is used to generate a risk questionnaire based on the patient's basic information;

[0019] The intelligent assessment module is used to generate a functional assessment questionnaire based on the patient's basic information;

[0020] The real-time evaluation module is used to generate a real-time questionnaire based on the execution status of the patient's training plan;

[0021] The plan generation module is used to generate a corresponding training plan according to the patient's basic information and the results of the functional assessment questionnaire.

[0022] Furthermore, the control system determines whether the patient is suitable for intelligent assessment using the remote rehabilitation platform based on the risk questionnaire results. If not, a guidance conclusion of "this platform is not recommended" is generated and the assessment system terminates; if suitable, the control system determines whether the patient is suitable for online training based on the functional assessment questionnaire results. If not, a guidance conclusion of "online training is not recommended" is generated and the assessment system terminates; if suitable, the control system sends the patient's basic information and the functional assessment questionnaire results to the plan generation module. After the plan generation module generates the corresponding training plan, the control system sends the training plan to the interactive system.

[0023] Further, the plan generation module includes an information processing unit, a guidance information library and a plan unit;

[0024] The information processing module is used to process the results of the functional assessment questionnaire to determine the patient's symptom type and corresponding stage;

[0025] The guidance information database includes training guidance information for different age groups and training guidance information for patients at different stages of different symptom types;

[0026] The planning unit generates a corresponding training plan based on the patient's age information, the patient's corresponding symptom type and specific stage, and in combination with the guidance information library.

[0027] Furthermore, generating a training plan includes: digitizing the patient's basic information, symptom type and specific stage into the maximum tolerable training volume of the patient's joints and body parts according to the guidance information in the guidance information library, and then determining the training content required for the stage corresponding to each symptom type of the patient according to the guidance information library, the training content including the joints and body parts that need to participate in the training and the corresponding optimal training volume, and determining the patient's optimal training plan based on the maximum tolerable training volume of each joint and body part of the patient and the training content required for the stage corresponding to each symptom type, that is, not exceeding the maximum tolerable training volume of each joint and body part of the patient and being as close as possible to the training content required for the stage corresponding to each symptom type.

[0028] Specifically, patients in different age groups can tolerate different amounts of training, and different types of symptoms will also cause the amount of training that patients can tolerate to be affected to varying degrees. As the patient's symptoms improve, the amount of training that can be tolerated will be adjusted accordingly. The greedy algorithm takes the above restrictions into account to output the best training cycle and related designs of the training stages, ensuring that the patient's training process is more refined and fits the patient's own physical condition, avoiding excessive training that leads to physical overload, which in turn creates some risks.

[0029] Furthermore, when the control system determines that the patient needs to switch training stages based on the training cycle, the patient's training plan and training records are transmitted to the real-time evaluation module, the real-time evaluation module generates a real-time evaluation questionnaire, and the control system evaluates and determines the guidance conclusion based on the results of the real-time evaluation questionnaire; if the patient's training is assessed to have a trend of worsening symptoms, the guidance conclusion is "it is not recommended to continue online training"; if the patient's symptoms are assessed to have not improved, the guidance conclusion is "it is not recommended to enter the next training stage"; if the patient's symptoms are assessed to have improved, the guidance conclusion is "it is recommended to enter the next training stage".

[0030] Furthermore, the information collection module is used to obtain patient risk information based on a risk questionnaire, including whether the patient has had severe heart disease, acute disease, and cannot exercise vigorously; to obtain the patient's symptom type and corresponding stage based on a functional assessment questionnaire, and the symptom types include pain, upper limb staging, lower limb staging, sitting balance, standing balance, bed activities, sitting to standing, walking ability, and physical fitness; and to obtain the patient's training effect based on a real-time assessment questionnaire, and the training effect includes symptom worsening, no improvement in symptoms, and some improvement in symptoms.

[0031] The risk questionnaire is used to determine whether the patient belongs to one of the high risk, medium risk and low risk categories, where the priority is high risk > medium risk > low risk. If the questionnaire determines that the patient is already a risk category with a higher priority, no further questionnaire content will be conducted;

[0032] The functional assessment questionnaire is used to assess whether the patient has disease symptoms, the specific disease symptom type, and the corresponding stage. Specifically, the information collection system includes a picture library and a video library, which will match the corresponding pictures or videos according to the specific questionnaire options, so that the patient can understand the questionnaire options more intuitively; the specific assessment order of the functional assessment questionnaire is: pain first, then upper and lower limb staging, then balance, then bed activity, and then transfer. Pain <7 continues; continue after staging is completed; sit balance 1 or 2 enters standing balance, and continue after completion; bed activity selects 1, 2, or 3 and enters transfer; after transfer is completed, enter physical fitness.

[0033] Furthermore, the real-time assessment questionnaire is determined based on the patient's functional assessment questionnaire results. If the patient has one or more disease symptoms through the functional assessment questionnaire results, the real-time assessment questionnaire generates a questionnaire corresponding to the disease symptom type, and compares the real-time assessment questionnaire results with the functional assessment questionnaire results to clarify the patient's training effect; the Nth (N≥2) real-time assessment questionnaire results are compared with the N-1th real-time assessment questionnaire results to obtain the comparison results for analysis and processing to obtain the training effect; when the patient undergoes the 2nth (n=1,2,3...) real-time assessment, it is necessary to fill in the functional assessment questionnaire again to obtain the patient's overall physical condition after training and determine whether there are new symptom types caused by training.

[0034] Furthermore, the control system generates a specific function evaluation report according to the function evaluation questionnaire result or the real-time evaluation questionnaire, and the control system compares the function evaluation reports of different periods to obtain the training effect.

[0035] Furthermore, when the control system determines that the training effect is that the symptoms have not improved, the historical training effects of the training plan so far are collected, and the compatibility between the training plan and the patient is analyzed and determined. If the compatibility is high, the current training plan is continued to be used. If the compatibility is medium, the patient's functional evaluation report is deeply analyzed to generate modification information to adaptively adjust the patient's training plan. If the compatibility is low, the patient is recommended to re-evaluate to generate a new training plan. Specifically:

[0036] If the proportion of symptoms that have improved in the historical training effects is greater than the proportion of symptoms that have not improved, then the training program is judged to be highly compatible with the patient;

[0037] If the proportion of symptoms that improved in the historical training effect is less than the proportion of symptoms that did not improve, the suitability of the training plan to the patient is judged to be medium;

[0038] If the historical training results have not improved the symptoms, the training plan is judged to be poorly suited to the patient.

[0039] Furthermore, the interactive system includes a patient side and a medical side, and the control system confirms with the medical side before sending the guidance conclusion and training plan to the patient side.

[0040] Furthermore, the training system includes sensors and a training guidance interface. The training guidance interface calls up training videos corresponding to the training plan to guide patients in training. At the same time, patients wear sensors to collect data such as athletic ability, balance, and posture control during training, thereby obtaining more training record-related data so that the control system can accurately guide conclusions and training plans.

[0041] The beneficial effects of the present invention include:

[0042] Through multiple questionnaires, we can confirm whether the patient is suitable for intelligent assessment to determine the patient's physical condition, whether the patient is suitable for online training, and if so, we will conduct in-depth analysis to determine the patient's training plan.

[0043] Taking into account the different physical conditions caused by different ages, types of disease symptoms and stages of different patients, the amount of training that can be tolerated is also different. In the process of generating training plans, more targeted training plans are generated. Compared with simply superimposing training plans for different symptoms, this plan generation method is more in line with the actual situation, does not require doctors to make too many adjustments, and reduces the workload of doctors.

[0044] The training plan is divided into multiple stages, and a real-time evaluation questionnaire is conducted in conjunction with different training stages to investigate the patient's training status, obtain the patient's training effect, and determine whether the patient is suitable for online training. If not, terminate the training in time; if suitable, re-evaluate whether the patient is suitable for this training plan. If not, make corresponding adjustments in time. If suitable, determine whether it is suitable to enter the next training stage, to ensure the compatibility of the patient and the training plan without excessive involvement of doctors. BRIEF DESCRIPTION OF THE DRAWINGS

[0045] Figure 1 This is a schematic diagram of the structure of a stroke remote rehabilitation platform involved in an embodiment of the present application.

[0046] Figure 2 This is the evaluation process of the evaluation system involved in the embodiment of the present application.

[0047] Figure 3 A schematic diagram of obtaining the training effect involved in an embodiment of the present application. DETAILED DESCRIPTION

[0048] In order to make the purpose, technical scheme and advantages of the embodiments of the present application clearer, the technical scheme in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all of the embodiments. Therefore, the following detailed description of the embodiments of the present application provided in the drawings is not intended to limit the scope of the application for protection, but merely represents the selected embodiments of the present application. Based on the embodiments of the present application, all other embodiments obtained by those skilled in the art without making creative work belong to the scope of protection of the present application.

[0049] A stroke remote rehabilitation platform, such as Figure 1 As shown, it includes: information collection system, interaction system, evaluation system, control system and training system;

[0050] The interactive system is used for interaction between patients, doctors and other systems;

[0051] The evaluation system is used to generate different types of questionnaires and training plans;

[0052] The information collection system is used to collect basic information of patients and collect disease-related information of patients in a targeted manner according to the questionnaire;

[0053] The control system is used to evaluate the patient's physical condition based on the information collected by the information collection system and generate corresponding guidance conclusions, the guidance conclusions including not recommending the use of the platform, not recommending online training, and a training plan, the training plan including a training cycle and corresponding multiple training stages;

[0054] The training system is used to guide the patient to perform training according to the training plan.

[0055] In another embodiment, the assessment system includes a risk assessment module, an intelligent assessment module, a real-time assessment module, and a plan generation module;

[0056] The risk assessment module is used to generate a risk questionnaire based on the patient's basic information;

[0057] The intelligent assessment module is used to generate a functional assessment questionnaire based on the patient's basic information;

[0058] The real-time evaluation module is used to generate a real-time questionnaire based on the execution status of the patient's training plan;

[0059] The plan generation module is used to generate a corresponding training plan according to the patient's basic information and the results of the functional assessment questionnaire.

[0060] In another embodiment, if Figure 2As shown, the control system determines whether the patient is suitable for intelligent assessment using the remote rehabilitation platform based on the risk questionnaire results. If not, a guiding conclusion "this platform is not recommended" is generated and the assessment system terminates; if suitable, the control system determines whether the patient is suitable for online training based on the functional assessment questionnaire. If not, a guiding conclusion "online training is not recommended" is generated and the assessment system terminates; if suitable, the control system sends the patient's basic information and the results of the functional assessment questionnaire to the plan generation module. After the plan generation module generates the corresponding training plan, the control system sends the training plan to the interactive system.

[0061] In another embodiment, the plan generation module includes an information processing unit, a guidance information library, and a planning unit;

[0062] The information processing module is used to process the results of the functional assessment questionnaire to determine the patient's symptom type and corresponding stage;

[0063] The guidance information database includes training guidance information for different age groups and training guidance information for patients at different stages of different symptom types;

[0064] The planning unit generates a corresponding training plan based on the patient's age information, the patient's corresponding symptom type and specific stage, and in combination with the guidance information library.

[0065] Specifically, the training guidance information includes:

[0066] 1. Pain:

[0067] ① Mild pain Moderate pain:

[0068] ■ Passive joint range of motion training:

[0069] ■Select the corresponding joint movements: 1. Shoulder flexion - passive; 2. Shoulder internal rotation / external rotation - passive; 3. Shoulder adduction / abduction - passive; 4. Elbow flexion / extension - passive 5. Wrist flexion / dorsiflexion - passive; 6. Hip abduction - passive; 7. Hip flexion - passive; 8. Hip internal rotation / external rotation - passive; 9. Ankle dorsiflexion / plantar flexion - passive.

[0070] 2. Upper limb staging:

[0071] ①Upper limbs are close to normal:

[0072] ■No corresponding training.

[0073] ② Upper limb separation exercise:

[0074] ■Upper limb functional activity training:

[0075] ■1. Book-turning exercise in side-lying position; 2. Activation of internal and external oblique muscles in side-lying position; 3. Shoulder abduction in side-lying position.

[0076] ③Separation exercise of upper limbs:

[0077] ■ Upper limb separation exercise strengthening training:

[0078] ■1. Supine shoulder flexion; 2. Forearm pronation and supination training; 3. Supine finger-to-nose test.

[0079] ④Upper limb joint movement:

[0080] ■Upper limb tension training:

[0081] ■1. Supine upper limb flexor stretch; 2. Half-turn over - assisted; 3. Supine shoulder adduction and abduction.

[0082] ⑤ Upper limb spasticity-upper limb flaccidity:

[0083] ■Upper limb function induction training:

[0084] ■1. Supine shoulder flexion - Bobath handshake; 2. Sitting upper limb joint compression; 3. Supine shoulder adduction and abduction.

[0085] 3. Lower limb staging:

[0086] ① Lower limbs are close to normal:

[0087] ■No corresponding training.

[0088] ② Lower limb separation exercise:

[0089] ■ Functional activity training of lower limbs:

[0090] ■1. Lie on your back with your knees bent and lift your legs; 2. Pelvic stability training - cross your legs alternately and swing them left and right; 3. Lie on your back and do aerial bicycle movements with your lower limbs.

[0091] ③Partial separation exercise of lower limbs:

[0092] ■ Upper limb separation exercise strengthening training:

[0093] ■1. Lie on your back with your knees bent and legs raised; 2. Lie on your back and tilt your pelvis backward for -10s; 3. Lie on your back and slide your heels along the bed.

[0094] ④Joint movement of lower limbs:

[0095] ■Lower limb tension training:

[0096] ■1. Lie on your back with your knees bent and legs raised; 2. Lie on your back and tilt your pelvis backwards for 10 seconds; 3. Lie on your back and rotate your lower back.

[0097] ⑤Lower limb spasm-lower limb flaccidity:

[0098] ■ Lower limb function induction training:

[0099] ■1. Raise both lower limbs in the supine position - active assisted; 2. Posterior tilt of the pelvis in the supine position - assisted.

[0100] 4. Sitting balance:

[0101] ① Sitting balance level 2 Sitting balance level 1, independent sitting:

[0102] ■Seated Level 2 Balance Training:

[0103] ■ Reaching objects while sitting - on the opposite side; Reaching objects while sitting - on the side; Reaching objects while sitting - in front.

[0104] ② Sitting balance level 1, supervision required Sitting balance level 1, short-term maintenance:

[0105] ■Seated Level 1 Balance Training:

[0106] ■ Tilt the pelvis forward and backward while sitting; shift the center of gravity left and right while sitting; sit without support - 10s.

[0107] ③ Sitting balance level 1 is not achieved, and slight assistance is required:

[0108] ■ Level 1 balance training in supported sitting position:

[0109] ■Supine pelvic posterior tilt - 10 seconds; unsupported sitting - 10 seconds.

[0110] ④ Sitting balance level 1 is not achieved, requiring a lot of assistance:

[0111] ■No corresponding training.

[0112] 5.Station balance:

[0113] ①Station Balance Level 2Station Balance Level 1, Independent Position:

[0114] ■Station Level 2 Balance Training:

[0115] ■Standing position to reach objects - opposite side; Standing position to reach objects - in front; Standing position to turn around.

[0116] ②Station balance level 1, need to supervise the station balance level 1, short-term maintenance:

[0117] ■Standing Level 1 Balance Training:

[0118] ■Standing without support; turning while standing; shifting the center of gravity left and right while standing.

[0119] ③ The position balance is not up to level 1, and slight assistance is needed:

[0120] ■ Level 1 balance training in supported stance:

[0121] ■ From sitting to standing - with support; standing without support; reaching for objects while sitting - on the opposite side.

[0122] ④ The position balance is not up to level 1, and a lot of assistance is needed:

[0123] ■Seated Level 2 Balance Training:

[0124] ■ Reaching objects while sitting - on the opposite side; Reaching objects while sitting - on the side; Reaching objects while sitting - in front.

[0125] 6. Bed activities:

[0126] ①Complete bed activities independently:

[0127] ■No corresponding training.

[0128] ②Complete bed activities under supervision:

[0129] ■Independent bed activity training:

[0130] ■ Turn over from lying to sitting - on the healthy side; from lying to sitting - on the affected side.

[0131] ③Complete bed activities with slight assistance:

[0132] ■Assisted bed activity training:

[0133] ■Roll over to the healthy side - Bobtah handshake; posterior pelvic tilt in supine position - assisted; from lying to sitting - healthy side.

[0134] ④Complete bed activities with a lot of assistance:

[0135] ■ Artificially assisted bed activity training:

[0136] ■Supine pelvic posterior tilt - assisted; turning over - passive; from lying to sitting - passive.

[0137] 7. From sitting to standing:

[0138] ① Transfer under supervision using assistive devices:

[0139] ■Independent transfer training:

[0140] ■Bed-chair transfer; from sitting to standing - Bobath handshake; from sitting to half squatting.

[0141] ② Mild assisted transfer:

[0142] ■Assisted transfer training:

[0143] ■Bed-chair transfer; sitting to standing - with support; sideways transfer from sitting position.

[0144] ③ Large amount of assisted transfer:

[0145] ■Human-assisted transfer training:

[0146] ■Bed and chair transfer - passive.

[0147] ④ Unable to complete the transfer:

[0148] ■No corresponding training.

[0149] 8. Walking ability:

[0150] ① Walking under supervision using assistive devices:

[0151] ■Independent walking training:

[0152] ■Take a step with the healthy side; take a step with the affected side.

[0153] ②Walking with mild assistance:

[0154] ■Assisted walking training:

[0155] ■Step with the healthy side - with support; step with the affected side - with support.

[0156] ③ Unable to walk with a lot of assistance:

[0157] ■No corresponding training.

[0158] 9. Physical fitness (determines the intensity of the training program)

[0159] ①Good physical fitness:

[0160] ■High Strength:

[0161] ■7 days a week, once a day, 2 sets each time, 15 in each set.

[0162] ②General physical fitness:

[0163] ■Medium strength:

[0164] ■7 days a week, once a day, 2 sets each time, 10 in each set.

[0165] ③ Poor physical fitness:

[0166] ■Low strength:

[0167] ■7 days a week, write an inscription every day, 2 groups at a time, 5 in a group.

[0168] In another embodiment, generating a training plan includes: digitizing the patient's basic information, symptom type and specific stage into the maximum tolerable training volume of the patient's joints and body parts according to the guidance information in the guidance information library, and then determining the training content required for the stage corresponding to each symptom type of the patient according to the guidance information library, the training content including the joints and body parts that need to participate in the training and the corresponding optimal training volume, and determining the patient's optimal training plan based on the maximum tolerable training volume of each joint and body part of the patient and the training content required for the stage corresponding to each symptom type, that is, not exceeding the maximum tolerable training volume of each joint and body part of the patient and being as close as possible to the training content required for the stage corresponding to each symptom type.

[0169] Specifically, patients in different age groups can tolerate different amounts of training, and different types of symptoms will also cause the amount of training that patients can tolerate to be affected to varying degrees. As the patient's symptoms improve, the amount of training that can be tolerated will be adjusted accordingly. The greedy algorithm takes the above restrictions into account to output the best training cycle and related designs of the training stages, ensuring that the patient's training process is more refined and fits the patient's own physical condition, avoiding excessive training that leads to physical overload, which in turn creates some risks.

[0170] In another embodiment, if the patient believes that the training plan is not suitable for his / her condition after participating in training for a period of time, he / she may reapply for a new training plan to be generated through a full set of assessments.

[0171] In another embodiment, when the control system determines that the patient needs to switch training stages based on the training cycle, the patient's training plan and training records are transmitted to the real-time evaluation module, the real-time evaluation module generates a real-time evaluation questionnaire, and the control system evaluates and determines the guidance conclusion based on the results of the real-time evaluation questionnaire; if the patient's training is assessed to cause symptoms to worsen, the guidance conclusion is "it is not recommended to continue online training"; if the patient's symptoms are assessed to have not improved, the guidance conclusion is "it is not recommended to enter the next training stage"; if the patient's symptoms are assessed to have improved, the guidance conclusion is "it is recommended to enter the next training stage".

[0172] In another embodiment, the information collection module is used to obtain patient risk information based on a risk questionnaire, including whether the patient has had severe heart disease, acute disease, and cannot exercise vigorously; it is used to obtain the patient's symptom type and corresponding stage based on a functional assessment questionnaire, and the symptom types include pain, upper limb staging, lower limb staging, sitting balance, standing balance, bed activities, sitting to standing, walking ability, and physical fitness; it is used to obtain the patient's training effect based on a real-time assessment questionnaire, and the training effect includes symptom worsening, no improvement in symptoms, and some improvement in symptoms.

[0173] The risk questionnaire is used to determine whether the patient is of high risk, medium risk or low risk, with the priority being high risk > medium risk > low risk. If the questionnaire determines that the patient is already a risk type with a higher priority, no further questionnaire content will be conducted. The specific questionnaire content includes:

[0174] A. High risks include:

[0175] Severe heart disease, such as unstable angina, severe arrhythmia, severe heart failure;

[0176] Acute diseases, such as recent myocardial infarction, acute pulmonary embolism, and acute inflammation;

[0177] Uncontrolled hypertension refers to systolic blood pressure (high pressure) ≥160 mmHg or diastolic blood pressure (low pressure) ≥100 mmHg;

[0178] Being told by a doctor not to engage in strenuous exercise;

[0179] There are local skin ulcers;

[0180] Dizziness that makes it difficult to maintain a sitting position;

[0181] Cardiopulmonary symptoms at rest or with light activity.

[0182] B. Medium risks include:

[0183] A heart rate that is too fast or too slow refers to a heart rate >100 beats / minute or <60 beats / minute;

[0184] There is fever and swelling of the limbs;

[0185] Cardiopulmonary symptoms during moderate activity.

[0186] C. Low risks include:

[0187] Fracture or surgical treatment within three months;

[0188] Vascular ultrasound showed no thrombus;

[0189] The electrocardiogram showed no abnormalities.

[0190] The functional assessment questionnaire is used to assess whether the patient has disease symptoms, the specific disease symptom type, and the corresponding stage. Specifically, the information collection system includes a picture library and a video library, which will match the corresponding pictures or videos according to the specific questionnaire options, so that the patient can understand the questionnaire options more intuitively. The specific questionnaire content includes:

[0191] 1. Pain

[0192] ①Do you have any body pain?

[0193] ■Yes;

[0194] ■Choose the area where you feel pain (picture);

[0195] ■ Express the degree of pain using 11 numbers from 0 to 10, where 0 represents no pain and 10 represents the worst pain you can imagine; 1 to 3 represents mild pain, which slightly affects your life; 4 to 6 represents moderate pain, which affects important daily life; 7 to 10 represents severe pain, which makes it impossible to carry out your daily life normally; (For each painful area) What is your pain level?

[0196] ■No.

[0197] 2. Upper limb staging:

[0198] ①Keep your left / right arm straight, can you lift your arm forward?

[0199] ■Can it be lifted until it is parallel to the ground?

[0200] ■Can you do the following? Multiple choice:

[0201] ■Keep your left / right arm straight, raise your arm forward more than 30 degrees, and rotate your palm up and down;

[0202] ■Keep your left / right arm straight, palms facing inward, and raise your arm above your head;

[0203] ■Keep your left / right arm straight and lift it outward until it is parallel to the ground;

[0204] ■None of them can be done;

[0205] ■Staging is IV.

[0206] ■Can lift but cannot keep arms straight;

[0207] ■Can you do the following? Multiple choice:

[0208] ■Keep your left / right elbow close to your body and rotate your palm back and forth, facing up and down.

[0209] ■The back of your hand touches the back of your waist;

[0210] ■None of them can be done;

[0211] ■Stage III;

[0212] ■Cannot raise arms, but can make some movements;

[0213] ■Stage II;

[0214] ■No action;

[0215] ■The stage is I.

[0216] 3. Lower limb staging:

[0217] ① Keeping your left / right knee straight, can you lift your entire leg up?

[0218] ■You can lift your legs and keep your knees straight;

[0219] ■When sitting, straighten your knees and curl your insteps;

[0220] ■When sitting, keep your thighs close to the chair surface and hook your feet outwards;

[0221] ■When standing, curl your instep;

[0222] ■None of them can be done;

[0223] ■Staging is IV;

[0224] ■Can lift legs but cannot keep knees straight;

[0225] ■Can you do the following actions? Multiple choice;

[0226] ■When sitting, slide the left / right foot backward;

[0227] ■When sitting, lift your instep;

[0228] ■None of them can be done;

[0229] ■Stage III;

[0230] ■Cannot lift legs, but can make some movements;

[0231] ■Stage II;

[0232] ■No action;

[0233] ■The stage is I.

[0234] 4.Balance function:

[0235] ①Sitting balance:

[0236] ■Stay seated and record the duration. Both feet should touch the ground, the back should not be supported, and the arms should not support the seat or legs;

[0237] ■Can sit safely without support for 1 minute;

[0238] ■Stay seated, raise your healthy arm, reach to the opposite side about an arm's length away, and then return;

[0239] ■Can complete the movements and maintain balance;

[0240] ■ Tendency to fall or inability to complete movements;

[0241] ■Can sit without support for 1 minute, but needs supervision to prevent falls;

[0242] ■Can sit without support for 10 seconds to 1 minute;

[0243] ■ Need slight support to sit steadily, such as one hand supporting the seat;

[0244] ■ Needs a lot of assistance to sit still, such as being supported by someone or sitting in a chair with a backrest;

[0245] ②Station balance (Station balance level 2; Position balance level 1, independent standing; Position balance level 1, supervision required; Position balance level 1, short-term maintenance; Position balance level 1 is not achieved, light assistance is required; Position balance level 1 is not achieved, a lot of assistance is required);

[0246] ■Stay in position and record the duration. Your feet can be placed anywhere;

[0247] ■Can stand safely without support for 1 minute;

[0248] ■Stay standing, raise your healthy arm, reach to the opposite side about an arm's length away, and then return;

[0249] ■Can complete the movements and maintain balance;

[0250] ■ Tendency to fall or inability to complete movements;

[0251] ■Can stand without support for 1 minute, but needs supervision to prevent falls;

[0252] ■Can stand without support for 10 seconds to 1 minute;

[0253] ■ Needs slight support to stand, such as holding onto a table with one hand;

[0254] ■ Needs a lot of support to keep steady, such as someone supporting you or leaning against something to stand.

[0255] 5. Bed activities (independently complete bed activities; complete bed activities under supervision; complete bed activities with slight assistance; complete bed activities with a lot of assistance):

[0256] ①Which of the following bed activities can the child complete independently without any prompts or guidance from family members? Multiple choice;

[0257] ■Move toward the head of the bed;

[0258] ■Move sideways;

[0259] ■ Turn over to the affected side;

[0260] ■Turn over to the healthy side;

[0261] ■ Sit up on the side of the bed;

[0262] ■ Sit up on the side of the bed;

[0263] ② Which of the following bed activities can be completed with prompts or guidance from family members? Multiple choice;

[0264] ■The remaining options from the previous question;

[0265] ③Which of the following bed activities can be completed with slight assistance from family members, such as using one hand to help?

[0266] ■The remaining options from the previous question.

[0267] 6. Transfer function:

[0268] ① Sit to stand (independently sit to stand; sit to stand with assistive devices; sit to stand with supervision; sit to stand with mild assistance; sit to stand with substantial assistance; unable to complete sit to stand);

[0269] ■ Sit in a chair with armrests and try to stand up without using your hands;

[0270] ■Can stand up on his own without any help;

[0271] ■Can stand up on their own but needs hand support, such as handrails or crutches;

[0272] ■ Need family members to be present to stand up, such as to supervise to prevent falls, or to give suggestions or guidance;

[0273] ■ Needs slight assistance from family members to stand up, such as using one hand for help;

[0274] ■ Requires a lot of assistance from family members to stand up, such as using a lot of force or needing the help of two people;

[0275] ■Unable to stand up even with help;

[0276] ② Walking ability (walking independently; walking with assistive devices; walking under supervision; walking with slight assistance; walking with a lot of assistance; unable to walk);

[0277] ■Walk 10 meters on flat ground;

[0278] ■Can walk on his own without any help;

[0279] ■Can walk on their own but needs assistive devices, such as a cane or walker;

[0280] ■ Needs family members to be present to walk, such as to supervise to prevent falls or to give prompts or guidance;

[0281] ■Requires minor assistance from family members to walk, such as continuous or intermittent touch to prevent falls;

[0282] ■Requires a lot of assistance from family members to walk, such as supporting part of the patient's weight to prevent falls;

[0283] ■Unable to walk, even with help.

[0284] 7.Physical fitness:

[0285] ① If the patient can go from sitting to standing independently / using assistive devices / under supervision;

[0286] ■Is it difficult to complete 5 consecutive steps from sit to stand?

[0287] ■No effort, you can continue to do more;

[0288] ■It’s a bit strenuous, but the difficulty level feels just right;

[0289] ■ Very strenuous and needs to rest; or cannot be completed continuously;

[0290] ②If you cannot complete the process from sitting to standing, try to move in bed;

[0291] ■Is it difficult to complete 10 hip bridges in a row?

[0292] ■No effort, you can continue to do more;

[0293] ■It’s a bit strenuous, but the difficulty level feels just right;

[0294] ■It is very strenuous and needs a break; or cannot be completed continuously.

[0295] The specific evaluation order of the functional assessment questionnaire is: pain first, then upper and lower limb staging, then balance, then bed activity, and then transfer. If pain < 7, continue; after staging is completed, continue; from sitting balance 1 or 2, enter standing balance, and continue after completion; after bed activity 1, 2, or 3, enter transfer; after transfer is completed, enter physical fitness.

[0296] In another embodiment, if Figure 3 As shown, the real-time assessment questionnaire is determined according to the patient's functional assessment questionnaire results. If the patient has one or more disease symptoms through the functional assessment questionnaire results, the real-time assessment questionnaire generates a questionnaire corresponding to the disease symptom type, and compares the real-time assessment questionnaire results with the functional assessment questionnaire results to clarify the patient's training effect; the Nth (N≥2) real-time assessment questionnaire results are compared with the N-1th real-time assessment questionnaire results to obtain the comparison results for analysis and processing to obtain the training effect; when the patient undergoes the 2nth (n=1,2,3...) real-time assessment, it is necessary to fill in the functional assessment questionnaire again to obtain the patient's overall physical condition after training and determine whether there are new symptom types caused by training.

[0297] In another embodiment, the result of the Mth function assessment questionnaire is combined with the corresponding result of the 2nth real-time assessment questionnaire and compared with the result of the 2n-1th real-time assessment questionnaire to obtain the training effect of this time.

[0298] In another embodiment, the control system generates a specific function evaluation report according to the function evaluation questionnaire results or the real-time evaluation questionnaire. The control system compares the function evaluation reports of different periods to obtain the training effect. The specific function evaluation report includes:

[0299] 1. Pain:

[0300] ① Location + mild pain / moderate pain / severe pain.

[0301] 2. Installment:

[0302] ①Upper limbs: upper limbs are close to normal / separate movements of upper limbs / partially separated movements of upper limbs / joint movements of upper limbs / spasm of upper limbs / soft paralysis of upper limbs;

[0303] ②Lower limbs: lower limbs are close to normal / separated movements of lower limbs / partially separated movements of lower limbs / common movements of lower limbs / spasm of lower limbs / soft paralysis of lower limbs.

[0304] 3.Balance function:

[0305] ① Sitting balance: Sitting balance level 2; Sitting balance level 1, independent sitting; Sitting balance level 1, supervision required; Sitting balance level 1, short-term maintenance; Sitting balance level 1 is not achieved, light assistance is required; Sitting balance level 1 is not achieved, a lot of assistance is required;

[0306] ② Position balance: Position balance level 2; Position balance level 1, independent standing; Position balance level 1, supervision required; Position balance level 1, short-term maintenance; Position balance level 1 is not achieved, light assistance is required; Position balance level 1 is not achieved, heavy assistance is required.

[0307] 4. Bed activities:

[0308] ① Complete bed activities independently; complete bed activities under supervision; complete bed activities with slight assistance; complete bed activities with a lot of assistance.

[0309] 5. Transfer function:

[0310] ① Sit to stand: sit to stand independently; sit to stand with assistive devices; sit to stand with supervision; sit to stand with slight assistance; sit to stand with substantial assistance; unable to complete sit to stand.

[0311] ② Walking ability: walking independently; walking with assistive devices; walking under supervision; walking with slight assistance; walking with a lot of assistance; unable to walk.

[0312] 6.Physical fitness:

[0313] ①Physical fitness is good / average / poor.

[0314] In another embodiment, when the control system determines that the current training effect is that the symptoms have not been improved, the historical training effects of the training plan so far are collected, and the compatibility between the training plan and the patient is analyzed and determined. If the compatibility is high, the current training plan is continued to be used. If the compatibility is medium, the patient's functional evaluation report is deeply analyzed to generate modification information to adaptively adjust the patient's training plan. If the compatibility is low, the patient is recommended to re-evaluate to generate a new training plan. Specifically:

[0315] If the proportion of symptoms that have improved in the historical training effects is greater than the proportion of symptoms that have not improved, then the training program is judged to be highly compatible with the patient;

[0316] If the proportion of symptoms that improved in the historical training effect is less than the proportion of symptoms that did not improve, the suitability of the training plan to the patient is judged to be medium;

[0317] If the historical training results show no improvement in symptoms, the training program is judged to be poorly suited to the patient.

[0318] In another embodiment, the interactive system includes a patient side and a medical side, and the control system confirms with the medical side before sending the guidance conclusion and training plan to the patient side.

[0319] In another embodiment, the training system includes sensors and a training guidance interface. The training guidance interface calls up training videos corresponding to the training plan to guide patients in training. At the same time, patients wear sensors to collect data such as athletic ability, balance, and posture control during training, thereby obtaining more training record-related data so that the control system can generate accurate guidance conclusions and training plans.

[0320] The above-mentioned embodiments only express the specific implementation methods of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the protection scope of the present application. It should be pointed out that, for ordinary technicians in this field, several variations and improvements can be made without departing from the technical solution concept of the present application, and these all belong to the protection scope of the present application.

Claims

1. A stroke remote rehabilitation platform, characterized in that: include: Information collection system, interaction system, evaluation system, control system and training system; The interactive system is used for interaction between patients, doctors and other systems; The evaluation system is used to generate different types of questionnaires and training plans; The information collection system is used to collect basic information of patients and collect disease-related information of patients in a targeted manner according to the questionnaire; The control system is used to evaluate the patient's physical condition based on the information collected by the information collection system and generate corresponding guidance conclusions, the guidance conclusions including not recommending the use of the platform, not recommending online training, and a training plan, the training plan including a training cycle and corresponding multiple training stages; The training system is used to guide the patient to perform training according to the training plan.

2. A stroke remote rehabilitation platform according to claim 1, characterized in that: The evaluation system includes a risk evaluation module, an intelligent evaluation module, a real-time evaluation module and a plan generation module; The risk assessment module is used to generate a risk questionnaire based on the patient's basic information; The intelligent assessment module is used to generate a functional assessment questionnaire based on the patient's basic information; The real-time evaluation module is used to generate a real-time questionnaire based on the execution status of the patient's training plan; The plan generation module is used to generate a corresponding training plan according to the patient's basic information and the results of the functional assessment questionnaire.

3. A stroke remote rehabilitation platform according to claim 2, characterized in that: The control system determines whether the patient is suitable for intelligent assessment using the remote rehabilitation platform based on the risk questionnaire results. If not, a guiding conclusion "this platform is not recommended" is generated and the assessment system terminates. If suitable, the control system determines whether the patient is suitable for online training based on the functional assessment questionnaire results. If not, a guiding conclusion "online training is not recommended" is generated and the assessment system terminates. If suitable, the control system sends the patient's basic information and the functional assessment questionnaire results to the plan generation module. After the plan generation module generates the corresponding training plan, the control system sends the training plan to the interactive system.

4. A stroke remote rehabilitation platform according to claim 2, characterized in that: The plan generation module includes an information processing unit, a guidance information library and a plan unit; The information processing module is used to process the results of the functional assessment questionnaire to determine the patient's symptom type and corresponding stage; The guidance information database includes training guidance information for different age groups and training guidance information for patients at different stages of different symptom types; The planning unit generates a corresponding training plan based on the patient's age information, the patient's corresponding symptom type and specific stage, and in combination with the guidance information library.

5. A stroke remote rehabilitation platform according to claim 4, characterized in that: The generating of the training plan comprises: digitizing the basic information of the patient, the symptom type and the specific stage into the maximum tolerable training amount of the patient's joints and body parts according to the guidance information in the guidance information library, and then determining the training content required for the stage corresponding to each symptom type of the patient according to the guidance information library, wherein the training content comprises the joints and body parts that need to participate in the training and the corresponding optimal training amount, and determining the optimal training plan for the patient according to the maximum tolerable training amount of each joint and body part of the patient and the training content required for the stage corresponding to each symptom type, i.e., the training plan which does not exceed the maximum tolerable training amount of each joint and body part of the patient and is as close as possible to the training content required for the stage corresponding to each symptom type.

6. A stroke remote rehabilitation platform according to claim 1, characterized in that: When the control system determines that the patient needs to switch training stages based on the training cycle, the patient's training plan and training records are transmitted to the real-time evaluation module. The real-time evaluation module generates a real-time evaluation questionnaire. The control system evaluates and determines the guidance conclusion based on the results of the real-time evaluation questionnaire. If the patient's training is assessed to have a worsening trend in symptoms, the guidance conclusion is "it is not recommended to continue online training"; if the patient's symptoms have not improved, the guidance conclusion is "it is not recommended to enter the next training stage"; if the patient's symptoms have improved, the guidance conclusion is "it is recommended to enter the next training stage".

7. A stroke remote rehabilitation platform according to claim 2, characterized in that: The information collection module is used to obtain patient risk information based on a risk questionnaire, including whether the patient has had severe heart disease, acute disease, and cannot exercise vigorously; to obtain the patient's symptom type and corresponding stage based on a functional assessment questionnaire, and the symptom types include pain, upper limb staging, lower limb staging, sitting balance, standing balance, bed activities, transfers, walking ability, and physical fitness; and to obtain the patient's training effect based on a real-time assessment questionnaire, and the training effect includes symptom worsening, no improvement in symptoms, and some improvement in symptoms.

8. A stroke remote rehabilitation platform according to claim 7, characterized in that: The risk questionnaire is used to determine whether the patient is of high risk, medium risk, or low risk, with the priority being high risk > medium risk > low risk. If the questionnaire determines that the patient is already of a higher priority risk type, no further questionnaire content will be conducted; The functional assessment questionnaire is used to assess whether the patient has disease symptoms, the specific disease symptom type, and the corresponding stage; the specific assessment order of the functional assessment questionnaire is: pain first, then upper and lower limb staging, then balance, then bed activities, and then transfer; after the transfer is completed, enter physical fitness; The information collection system includes a picture library and a video library, and corresponding pictures or videos are matched according to specific questionnaire options.

9. A stroke remote rehabilitation platform according to claim 2, characterized in that: The real-time assessment questionnaire is determined based on the patient's functional assessment questionnaire results. If the patient has one or more disease symptoms through the functional assessment questionnaire results, the real-time assessment questionnaire generates a questionnaire corresponding to the disease symptom type, and compares the real-time assessment questionnaire results with the functional assessment questionnaire results; the Nth (N≥2) real-time assessment questionnaire results are compared with the N-1th real-time assessment questionnaire results to obtain the comparison results for analysis and processing to obtain the training effect; when the patient undergoes the 2nth (n=1,2,3...) real-time assessment, it is necessary to re-fill in the functional assessment questionnaire to obtain the patient's overall physical condition after training and determine whether there are new symptom types caused by training.

10. A stroke remote rehabilitation platform according to claim 2, characterized in that: The control system generates a specific functional assessment report based on the results of the functional assessment questionnaire or the real-time assessment questionnaire. The control system compares the functional assessment reports of different periods to obtain the training effect. When the control system determines that the training effect is that the symptoms have not improved, the historical training effects of the training plan so far are collected, and the compatibility of the training plan with the patient is analyzed and determined. If the compatibility is high, the current training plan is continued to be used. If the compatibility is medium, the patient's functional assessment report is deeply analyzed to generate modification information to adaptively adjust the patient's training plan. If the compatibility is low, the patient is recommended to re-evaluate to generate a new training plan.

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