Rehabilitation training monitoring system for stroke patient

By designing a rehabilitation training monitoring system that includes a power bicycle mechanism, a sole force monitoring component, a lower limb muscle monitor and a wireless surface electromyography device, the problem of inability to monitor the limb movement function of stroke patients in real time is solved in the prior art, real-time monitoring and evaluation of changes in muscle function on the affected side is achieved, and a more personalized and effective rehabilitation training plan is provided.

CN120053936APending Publication Date: 2025-05-30THE AFFILIATED SIR RUN RUN SHAW HOSPITAL OF SCHOOL OF MEDICINE ZHEJIANG UNIV
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Patent Information

Application Number
CN202510184905.7
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-02-19
Publication Date
2025-05-30

AI Technical Summary

Technical Problem

The existing rehabilitation training methods cannot monitor and evaluate the limb movement function of stroke patients in real time, especially during the power bicycle pedaling process, and lack monitoring indicators for muscle function changes on the affected side and plantar stress tests.

Method used

A rehabilitation training monitoring system for stroke patients is designed, including a power bicycle mechanism, a sole force monitoring assembly, a lower limb muscle monitor and a wireless surface electromyography instrument. The system monitors the foot pressure through a semiconductor pressure sensor, and monitors the leg muscle information through the surface electromyography electrode patch, and transfers data to a wireless surface electromyography instrument for recording and analysis.

Benefits of technology

Real-time monitoring and evaluation of changes in muscle function on the affected side during rehabilitation training in stroke patients is achieved, and a more personalized and effective rehabilitation training plan is provided, which helps to strengthen the recovery of muscle function on the affected side.

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Abstract

The invention discloses a rehabilitation training monitoring system for a stroke patient, relates to the technical field of rehabilitation training monitoring instruments, and provides the following scheme that the rehabilitation training monitoring system comprises a power bicycle mechanism, and foot bottom force monitoring assemblies are arranged on pedals of the power bicycle mechanism; two sets of lower limb muscle monitoring pieces are arranged above the power bicycle mechanism, and a wireless surface electromyography instrument is arranged on the side edge of the power bicycle mechanism. The device is provided with a wireless data monitoring system for simultaneously measuring the muscle functions of key muscles and calf muscles and synchronously measuring physiological index change data, and a data measuring module for evaluating and monitoring muscle function changes in the training process; and monitoring kinetic parameters of plantar pressure change in the power bicycle movement process of the patient, such as peak pressure, a plantar pressure curve in a supporting period, peak pressure, pressure time integral, stress load, load rate and impulse.
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Description

Technical Field

[0001] The present invention relates to the technical field of rehabilitation training monitoring devices, and particularly to a rehabilitation training monitoring system for stroke patients. Background Art

[0002] One of the common sequelae of stroke is limb motor impairment. Relevant data shows that more than 85% of patients have varying degrees of limb motor impairment after onset, and doing a good job in rehabilitation exercise is the key to reducing stroke sequelae. Rehabilitation training is based on the process of the disease evolution.

[0003] Existing training methods cannot achieve real-time monitoring and evaluation. The rehabilitation training process more relies on the evaluation and analysis of therapists, and it is impossible to accurately quantify whether the patient's training movements are in place, whether the quality meets the standard, and whether there is compensation by the healthy limb to complete the task (such as whether the healthy limb compensates too much to complete the cycling task on the lower limb power bicycle, and whether the affected limb reaches the maximum strength that can be achieved currently, lacking the evaluation of muscle function data).

[0004] Moreover, there is no accurate data evaluation. Existing surface electromyography evaluations are more about before-and-after evaluations to quantify muscle function, and they fail to monitor the changes in muscle function data of the healthy and affected limbs during the cycling process on the power bicycle. Currently, devices on the market such as Monark 928E have data such as time, heart rate, METS (metabolic equivalent), L / min (minute ventilation volume), RPM (revolutions per minute), WATT (Wingate anaerobic power test), etc., lacking monitoring indicators for changes in muscle function of the healthy and affected limbs. There is also a lack of content for plantar pressure testing to reflect the work done by both sides of the patient. Summary of the Invention

[0005] In view of the above background art, existing surface electromyography evaluations are more about before-and-after evaluations to quantify muscle function, and they fail to monitor the changes in muscle function data of the healthy and affected limbs during the cycling process on the power bicycle, lacking monitoring indicators for changes in muscle function of the healthy and affected limbs, and also lacking content for plantar pressure testing to reflect the work done by both sides of the patient. Therefore, a technical solution for a rehabilitation training monitoring system for stroke patients is provided.

[0006] It includes a power bicycle mechanism, a plantar force monitoring component is arranged on the pedal of the power bicycle mechanism, two groups of lower limb muscle monitoring components are arranged above the power bicycle mechanism, and a wireless surface electromyograph is arranged on the side of the power bicycle mechanism;

[0007] The power bicycle mechanism includes a frame, cranks rotatably arranged on the left and right sides of the frame, and pedals rotatably connected to the ends of the cranks far from the frame. A seat is fixedly connected to the rear side of the upper surface of the frame;

[0008] The sole force monitoring component includes a U-shaped frame fixed on the left and right sides of the pedal, and an elastic band fixed on the upper surface of the U-shaped frame and spanning the pedal. A semiconductor pressure sensor is inlaid and fixed on the top surface of the pedal.

[0009] Each of the lower limb muscle monitoring components includes two binding bands respectively tied around the outer circles of the thighs and calves. 2-3 surface electromyogram electrode patches are inlaid on the inner surfaces of the binding bands. Specifically, the binding bands are successively tied around the calves and thighs of the left and right legs. The binding bands are firmly tied by the Velcro on the inner and outer surfaces of the binding bands, so that several surface electromyogram electrode patches on the inner surface of the binding bands are in contact with the muscles of the thigh and calf parts. When the foot is placed on the pedal, the foot is bound by the elasticity of the elastic band. At this time, the sole of the foot is in contact with the semiconductor pressure sensor.

[0010] The wireless surface electromyograph includes an electromyogram host and an electromyogram signal receiver connected to the signal receiving end of the electromyogram host through a wire harness. Specifically, when the person to be rehabilitated sits on the upper surface of the seat, the lower limb muscle monitoring components are tied to the two legs, and the feet step on the pedal. By stepping on the pedal to drive the crank to rotate, since the semiconductor pressure sensor is in contact with the sole of the foot, during the process of driving the pedal and the crank to move, the force exerted by the foot on the flywheel inside the frame is monitored by the semiconductor pressure sensor. At the same time, the surface electromyogram electrode patches monitor the leg muscle information and transmit the monitored information to the wireless surface electromyograph. Moreover, the semiconductor pressure sensor also transmits the sole force application data to the wireless surface electromyograph for recording.

[0011] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: the bottom surface of the frame is fixedly connected to a frame base through screws, and support cross bars are fixedly connected to both the front and rear ends of the bottom of the frame base.

[0012] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: a faucet is fixedly connected to the front surface of the frame. A display screen is fixedly connected to the top end of the faucet, and grips are fixedly connected to both the left and right sides of the faucet.

[0013] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: a support seat is fixedly connected to the rear side of the upper surface of the frame, and the top end of the support seat is fixedly connected to the bottom surface of the seat through screws.

[0014] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: the cross sections of the U-shaped frames are all U-shaped, and square sleeves are sleeved on the outer surfaces of the U-shaped frames. The top parts of the square sleeves are respectively fixedly connected to the left and right ends of the elastic band.

[0015] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: there is a space on the left and right sides of the U-shaped frame and the pedal for the square sleeve to rotate, and the bottom surface of the elastic band contacts the instep through elasticity.

[0016] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: openings for embedding and fixing semiconductor pressure sensors are provided on the upper surface of the pedal, and the top sensing surface of the semiconductor pressure sensor is 1-2 cm higher than the top end surface of the pedal.

[0017] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: a magic hook tape is sewn on the inner surface of the left section of the binding band, and a magic loop tape is sewn on the outer surface of the right section of the binding band.

[0018] In the technical solution of the above-mentioned rehabilitation training monitoring system for stroke patients, preferably: the front binding band is bound at the position of the calf muscle group, the rear binding band is bound at the position of the thigh muscle group, and the surface electromyogram electrode patches are all in contact with the leg muscles.

[0019] It can be seen from the above technical solutions that the present invention provides a rehabilitation training monitoring system for stroke patients. Compared with the prior art, the present invention has the following beneficial effects:

[0020] The present invention has a wireless data monitoring system that can simultaneously measure the functions of key muscles and calf muscle groups, and synchronously measure the change data of physiological indicators, evaluate the data measurement of muscle function changes during the training process, so as to strengthen the recovery of the affected muscle function. The foot pedal is added with a plantar pressure module to monitor the kinetic parameters of plantar pressure changes during the patient's exercise on the stationary bicycle, such as peak pressure, plantar pressure curve during the support period, peak pressure intensity, pressure-time integral, force load, load rate, and impulse; moreover, the combination of the stationary bicycle and surface electromyogram can provide more personalized and effective rehabilitation training for patients, which helps to monitor and improve the lower limb muscle function of patients. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce and explain the drawings required for describing the embodiments of the present invention or the prior art. Obviously, the following drawings are only partial embodiments of the present invention. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without creative efforts.

[0022] Figure 1 It is a schematic diagram of the overall structure of a rehabilitation training monitoring system for stroke patients in the present invention;

[0023] Figure 2Schematic diagram of a power bicycle;

[0024] Figure 3 Schematic diagram of a plantar force monitoring pedal;

[0025] Figure 4 Schematic diagram of a lower limb muscle monitoring component;

[0026] Figure 5 Schematic diagram of a wireless surface electromyograph.

[0027] Appendix Figure 1 - Appendix Figure 5 The corresponding relationships of the components in the following are as follows:

[0028] 1. Power bicycle mechanism; 11. Frame; 12. Frame base; 13. Pedal; 14. Crank; 15. Handlebar; 16. Display screen; 17. Grip; 18. Seat; 19. Support base; 110. U-shaped frame; 111. Square sleeve; 112. Elastic band; 113. Semiconductor pressure sensor; 2. Lower limb muscle monitoring component; 21. Binding strap; 22. Surface electromyography electrode patch; 3. Wireless surface electromyograph; 31. Electromyograph main unit; 32. Electromyogram signal receiver. Specific implementation mode

[0029] Next, the technical solutions in the embodiments of the present invention will be clearly and completely described in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the following described embodiments are only a part of the embodiments of the present invention, rather than all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without making creative efforts shall fall within the protection scope of the present invention.

[0030] In order to make a clearer explanation and illustration of the technical solutions and implementation modes of the present invention, the following introduces the preferred specific embodiments for implementing the technical solutions of the present invention.

[0031] Embodiment; A preferred technical solution of a rehabilitation training monitoring system for stroke patients:

[0032] Refer to the appendix of the specification Figure 1 As shown: It includes a power bicycle mechanism 1, a plantar force monitoring component is arranged on the pedal of the power bicycle mechanism 1, two groups of lower limb muscle monitoring components 2 are arranged above the power bicycle mechanism 1, and a wireless surface electromyograph 3 is arranged on the side of the power bicycle mechanism 1;

[0033] Refer to the appendix of the specification Figure 2 As shown: The power bicycle mechanism 1 includes a frame 11, cranks 14 rotatably arranged on the left and right sides of the frame 11, and pedals 13 rotatably connected to the ends of the cranks 14 far from the frame 11. A seat 18 is fixedly connected to the rear side of the upper surface of the frame 11;

[0034] Refer to the attached drawings of the specification Figure 3 As shown: The plantar force monitoring component includes a U-shaped frame 110 fixed on the left and right sides of the pedal 13, and an elastic band 112 fixed on the upper surface of the U-shaped frame 110 and spanning the pedal 13. A semiconductor pressure sensor 113 is inlaid and fixed on the top surface of the pedal 13;

[0035] Refer to the attached drawings of the specification Figure 4 As shown: The lower limb muscle monitoring component 2 includes two binding straps 21 respectively tied around the outer circles of the thigh and calf. 2-3 surface electromyogram electrode patches 22 are inlaid on the inner surfaces of the binding straps 21;

[0036] Refer to the attached drawings of the specification Figure 5 As shown: The wireless surface electromyograph 3 includes an electromyogram main unit 31 and an electromyogram signal receiver 32 connected to the signal receiving end of the electromyogram main unit 31 through a wire harness.

[0037] Refer to the attached drawings of the specification Figure 2 As shown: The bottom surface of the vehicle frame 11 is fixedly connected to a vehicle frame base 12 through screws. Support cross bars are fixedly connected to the front and rear ends of the bottom of the vehicle frame base 12. A faucet 15 is fixedly connected to the front side surface of the vehicle frame 11. A display screen 16 is fixedly connected to the top end of the faucet 15. Grips 17 are fixedly connected to the left and right sides of the faucet 15. A support seat 19 is fixedly connected to the rear side of the upper surface of the vehicle frame 11. The top end of the support seat 19 is fixedly connected to the bottom surface of the seat 18 through screws.

[0038] Refer to the attached drawings of the specification Figure 3 As shown: The cross section of the U-shaped frame 110 is U-shaped, and a square sleeve 111 is sleeved on the outer surface of the U-shaped frame 110. The top parts of the square sleeve 111 are respectively fixedly connected to the left and right ends of the elastic band 112; There is a space for the square sleeve 111 to rotate between the U-shaped frame 110 and the left and right sides of the pedal 13. The bottom surface of the elastic band 112 contacts the instep through elasticity; Openings for inlaying and fixing the semiconductor pressure sensor 113 are provided on the upper surface of the pedal 13. The top sensing surface of the semiconductor pressure sensor 113 is 1-2 cm higher than the top end face of the pedal 13.

[0039] Refer to the attached drawings of the specification Figure 4 As shown: A magic male fastener is sewn on the inner surface of the left section of the binding strap 21, and a magic female fastener is sewn on the outer surface of the right section of the binding strap 21; The front binding strap 21 is tied around the position of the calf muscle group, and the rear binding strap 21 is tied around the position of the thigh muscle group. The surface electromyogram electrode patches 22 are all in contact with the leg muscles.

[0040] According to the above-mentioned preferred technical solution content, the working process of this technical solution is described as follows:

[0041] It should be noted that since the surface electromyography electrode patch 22 needs to be adhesively contacted with the leg muscles of the patient to be rehabilitated, it belongs to consumables; after the current patient has used it, the used surface electromyography electrode patch 22 needs to be replaced from the binding strap 21. Therefore, a magic hook surface sticker is sewn in the groove on the inner side of the binding strap 21 for inlaying the surface electromyography electrode patch 22, and a magic loop surface sticker is adhesively attached to the surface of the surface electromyography electrode patch 22 by glue. After use, the magic sticker is torn off to replace the new surface electromyography electrode patch 22.

[0042] The binding strap 21 is successively bound to the calves and thighs of the left and right legs. Depending on the magic stickers on the inner and outer surfaces of the binding strap 21, the binding strap 21 is firmly bound, and several surface electromyography electrode patches 22 on the inner surface of the binding strap 21 are in contact with the muscles of the thighs and calves. When the foot is placed on the pedal 13, the foot is bound by the elasticity of the elastic band 112, and at this time, the sole of the foot is in contact with the semiconductor pressure sensor 113.

[0043] When the person to be rehabilitated sits on the upper surface of the seat 18, the lower limb muscle monitoring member 2 is bound by both legs, and the foot steps on the pedal 13. By stepping on the pedal 13, the crank 14 is driven to rotate. Since the semiconductor pressure sensor 113 is in contact with the sole of the foot, during the process of driving the pedal 13 and the crank 14 to move, the force of the foot driving the flywheel inside the frame 11 is monitored by the semiconductor pressure sensor 113. At the same time, the surface electromyography electrode patch 22 monitors the leg muscle information and transmits the monitored information to the wireless surface electromyograph 3, and the semiconductor pressure sensor 113 also transmits the sole force application data to the wireless surface electromyograph 3 for recording.

[0044] The present invention is not limited to the above-mentioned optimal implementation manner. Anyone should know that structural changes made under the inspiration of the present invention, as long as they have the same or similar technical solutions as the present invention, all fall within the protection scope of the present invention. Finally, it should also be noted that the structures, proportions, sizes, etc. shown in the drawings of this specification are only used to cooperate with the content disclosed in the specification for those familiar with this technology to understand and read, and are not used to limit the implementable conditions of this application. Therefore, they do not have technical essence. Any modification of the structure, change of the proportional relationship, or adjustment of the size, without affecting the effects that this application can produce and the purposes that can be achieved, should still fall within the scope that can be covered by the technical content disclosed in this application.

Claims

1. A rehabilitation training monitoring system for stroke patients, comprising a power bicycle mechanism (1), characterized in that: A foot pedal force monitoring component is arranged on the pedal of the power bicycle mechanism (1), two groups of lower limb muscle monitoring components (2) are arranged above the power bicycle mechanism (1), and a wireless surface electromyograph (3) is arranged on the side of the power bicycle mechanism (1); The power bicycle mechanism (1) comprises a frame (11), cranks (14) rotatably arranged on the left and right sides of the frame (11), and pedals (13) rotatably connected to the ends of the cranks (14) away from the frame (11); a seat (18) is fixedly connected to the rear side of the upper surface of the frame (11); The foot force monitoring assembly comprises a U-shaped frame (110) fixed to the left and right sides of a pedal (13), and an elastic band (112) fixed to the upper surface of the U-shaped frame (110) and spanning the pedal (13); a semiconductor pressure sensor (113) is embedded and fixed on the top surface of the pedal (13); The lower limb muscle monitoring device (2) comprises two circles of binding straps (21) respectively bounded on the outer circle of the thigh and the outer circle of the calf, and the inner surface of the binding straps (21) is inlaid with 2-3 surface electromyography electrode patches (22); The wireless surface electromyograph (3) comprises an electromyograph host (31) and an electromyography signal receiver (32) connected to a signal receiving end of the electromyograph host (31) via a wire harness.

2. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: The bottom surface of the frame (11) is fixedly connected to a frame base (12) via screws, and the front and rear ends of the bottom of the frame base (12) are fixedly connected to support cross bars.

3. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: A handlebar (15) is fixedly connected to the front surface of the frame (11), a display screen (16) is fixedly connected to the top of the handlebar (15), and handles (17) are fixedly connected to the left and right sides of the handlebar (15).

4. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: A support seat (19) is fixedly connected to the rear side of the upper surface of the frame (11), and the top end of the support seat (19) is fixedly connected to the bottom surface of the seat (18) by means of screws.

5. The rehabilitation training monitoring system for stroke patients according to claim 1, characterized in that: The U-shaped frame (110) has a U-shaped cross section, and a square sleeve (111) is sleeved on the outer surface of the U-shaped frame (110), and the top of the square sleeve (111) is fixedly connected to the left and right ends of the elastic band (112) respectively.

6. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: The U-shaped frame (110) and the left and right sides of the pedal (13) have spaces for the square sleeve (111) to rotate, and the bottom surface of the elastic band (112) contacts the instep through elasticity.

7. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: The upper surface of the pedal (13) is provided with an opening for embedding and fixing the semiconductor pressure sensor (113), and the top sensing surface of the semiconductor pressure sensor (113) is 1-2 cm higher than the top end surface of the pedal (13).

8. The rehabilitation training monitoring system for stroke patients according to claim 1, characterized in that: The inner surface of the left section of the binding belt (21) is sewn with a Velcro tape, and the outer surface of the right section of the binding belt (21) is sewn with a Velcro tape.

9. A stroke patient rehabilitation training monitoring system according to claim 1, characterized in that: The front binding belt (21) is bound at the calf muscle group, and the rear binding belt (21) is bound at the thigh muscle group. The surface electromyography electrode patches (22) are in contact with the leg muscles.

Citation Information

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