Spine endoscopic postoperative movement fear assessment method and system based on 5E rehabilitation mode

Abstract

The invention relates to the technical field of motion terrorism risk assessment, in particular to a spine endoscopic postoperative motion terrorism assessment method and system based on a 5E rehabilitation mode. According to the degree of adaptation of a patient to all rehabilitation trainings of the same type in each treatment stage and the change synchronization degree of rehabilitation state values, and the difference of entry scores of the same entry of an analysis questionnaire corresponding to the rehabilitation trainings and an adjacent next questionnaire, the rehabilitation training is analyzed; the association degree between each rehabilitation training of each treatment stage and each item of the questionnaire is obtained; adjusting the entry score of each entry of each questionnaire by using the correlation degree, and obtaining an optimized TSK total score of the corresponding questionnaire; and based on the optimized TSK total score of the questionnaire in all treatment stages, evaluating the motion terrorism symptom of the patient. According to the method, the entry score of the questionnaire is adjusted through the association degree between each rehabilitation training and the entry of the questionnaire, so that the influence degree of drug interference factors, physiological stress response and the like is reduced, and the accuracy of acterrorism symptom rating is effectively improved.

Description

Technical Field

[0001] This invention relates to the field of akinesis risk assessment technology, specifically to a method and system for assessing akinesis after spinal endoscopy based on the 5E rehabilitation model. Background Technology

[0002] Postoperative kinesia following spinal endoscopy is a common postoperative psychological disorder, characterized by pathological avoidance of movement due to factors such as uncertainty about surgical outcomes, fear of pain, and concerns about recurrence. The 5E Rehabilitation Model is a comprehensive rehabilitation and nursing intervention that can effectively reduce patient pain, alleviate anxiety, and significantly decrease the incidence of postoperative complications, thereby improving kinesia.

[0003] Currently, the primary method for clinical assessment of akinsiophobia relies on the Tampa Scale for Kinesiophobia (TSK). However, this assessment method has the following technical limitations: First, postoperative anesthetic drug metabolism disorders or the use of opioid analgesics may lead to temporary cognitive impairment, which can interfere with the patient's objective judgment of pain perception, causing misunderstanding of inverse items on the TSK scale. Second, surgical trauma may induce transient post-traumatic stress symptoms, such as hypervigilance and enhanced avoidance behavior. This stress state can temporarily increase the patient's subjective sensitivity to pain, resulting in an abnormally high TSK score. Therefore, due to the influence of drug interference and physiological stress responses, there is often a significant discrepancy between the TSK questionnaire assessment results and the patient's actual akinsiophobia condition. Summary of the Invention

[0004] To address the technical problem of discrepancies between TSK questionnaire assessment results and patients' actual akinesis symptoms caused by drug interference and physiological stress responses, this invention aims to provide a method and system for assessing akinesis after spinal endoscopic surgery based on the 5E rehabilitation model. The specific technical solution adopted is as follows: In a first aspect, one embodiment of the present invention provides a method for assessing kinesia after spinal endoscopic surgery based on the 5E rehabilitation model, the method comprising: Obtain the patient's total TSK score and the item score of each item in each questionnaire at different treatment stages; conduct different types of rehabilitation training at each treatment stage; Based on the training status and the trend of TSK total score changes in each treatment stage, obtain the rehabilitation status value for each treatment stage. The preceding questionnaire for each rehabilitation training session is recorded as the analysis questionnaire. Based on the patient's adaptation to all rehabilitation training sessions of the same type in each treatment stage and the synchronicity of the changes in the rehabilitation status value, as well as the difference in the item scores of the corresponding rehabilitation training analysis questionnaire and the next adjacent questionnaire for the same item, the correlation between each rehabilitation training session in each treatment stage and each item of the questionnaire is obtained. Based on the correlation, the item score of each item in each questionnaire is adjusted to obtain the optimized TSK total score for the corresponding questionnaire; the optimized TSK total score of the questionnaires in all treatment stages is used to assess the patient's kinepriscemia.

[0005] Furthermore, obtaining the rehabilitation status value for each treatment stage includes: The training status of each treatment phase is obtained based on the patient's training frequency in each treatment phase, as well as the duration of each rehabilitation training session, average heart rate, and average respiratory rate in each treatment phase. A linear fit was performed on the total TSK scores of all questionnaires under each treatment stage to obtain the fitted score line; the recovery trend value of each treatment stage was obtained based on the difference between the total TSK scores of the first and last questionnaires under each treatment stage and the slope of the fitted score line. Based on the training status and the rehabilitation trend value, obtain the rehabilitation status value for each treatment stage.

[0006] Furthermore, obtaining the training state for each treatment phase includes: The duration, average heart rate, and average respiratory rate of each rehabilitation training session were obtained. The duration, average heart rate, and average respiratory rate of each rehabilitation training session were normalized. The training fitness was obtained by subtracting the constant 1 from the mean of the three normalized results. Calculate the mean of the training fitness of all rehabilitation training in each treatment phase, and normalize the product of the mean and the training frequency of each treatment phase to obtain the training status of each treatment phase.

[0007] Furthermore, obtaining the correlation between each rehabilitation training session at each treatment stage and each item of the questionnaire includes: Based on the training fitness of the rehabilitation training prior to each rehabilitation training session in each treatment phase, the training fitness of each rehabilitation training session is adjusted to obtain improved fitness. The mean of the training fitness of all rehabilitation training in each treatment phase is calculated and denoted as the overall fitness. The difference between the overall fitness of each treatment phase and the improved fitness of each rehabilitation training is used as the index of the rehabilitation status value and the result is used as the preliminary correlation influence value of the corresponding rehabilitation training. Based on the difference in item scores between the analysis questionnaire for each rehabilitation training session and the next adjacent questionnaire for the same item, and the preliminary correlation influence value, the influence coefficient of each rehabilitation training session on each item of its analysis questionnaire is obtained; the mean of the influence coefficients of all rehabilitation training sessions of each type in each treatment stage is taken as the correlation degree between each rehabilitation training session of the corresponding type and each item of the questionnaire.

[0008] Furthermore, the method for obtaining the improved fitness includes: The mean difference between the overall fitness of each treatment phase and the training fitness of all rehabilitation training sessions prior to each rehabilitation training session is normalized to obtain the historical training influence intensity of each rehabilitation training session. By using the constant 1 and the sum of the historical training influence intensity, the training fitness of each rehabilitation training session in each treatment phase is weighted to obtain the improved fitness of the corresponding rehabilitation training.

[0009] Furthermore, the method for optimizing the acquisition of the TSK total score includes: By utilizing the time interval between each rehabilitation training session in each treatment phase and the next adjacent questionnaire, the correlation between the corresponding rehabilitation training and each item in the questionnaire is adjusted to obtain the optimal correlation. By utilizing the optimal correlation between each rehabilitation training session in each treatment phase and each item in the questionnaire, the item scores of each item in each questionnaire are weighted to obtain the optimal score of each item in each questionnaire. The sum of the optimized scores of all items in each questionnaire for each treatment phase is used as the optimized TSK total score for the corresponding questionnaire. The time interval between each rehabilitation training session and the next adjacent questionnaire was normalized. The product of the difference between the constant 1 and the normalization result and the correlation degree between the corresponding rehabilitation training and each item of the questionnaire was used as the optimized correlation degree.

[0010] Furthermore, the assessment of patients' akinesis using the optimized TSK total score from questionnaires across all treatment phases includes: The mean of the optimized TSK total score of all questionnaires in all treatment stages was normalized to obtain the akinesis assessment index; the akinesis assessment index was used to assess the patient's akinesis disorder.

[0011] Furthermore, the time interval is negatively correlated with the optimized correlation degree.

[0012] Furthermore, a questionnaire survey was conducted before each treatment phase and after each rehabilitation training session within each treatment phase.

[0013] Secondly, another embodiment of the present invention provides a post-spinal endoscopic surgery kinesia assessment system based on the 5E rehabilitation model, the system comprising: The data acquisition module is used to obtain the patient's total TSK score and the score of each item in the questionnaire for each questionnaire at different treatment stages; different types of rehabilitation training are carried out at each treatment stage; The rehabilitation status analysis module is used to obtain the rehabilitation status value for each treatment stage based on the training status and the trend of TSK total score changes in each treatment stage. The correlation analysis module is used to record the previous questionnaire adjacent to each rehabilitation training as its analysis questionnaire. Based on the patient's degree of adaptation to all rehabilitation training of the same type in each treatment stage and the degree of synchronization of the changes in the rehabilitation status value, as well as the difference in the item score of the analysis questionnaire of the corresponding rehabilitation training and the next adjacent questionnaire, the correlation degree between each rehabilitation training in each treatment stage and each item of the questionnaire is obtained. The akinesis assessment module is used to adjust the item score of each item in each questionnaire based on the correlation, and obtain the optimized TSK total score of the corresponding questionnaire; the optimized TSK total score of the questionnaires in all treatment stages is used to assess the patient's akinesis.

[0014] The present invention has the following beneficial effects: In this embodiment of the invention, the trend of the total TSK score in the questionnaire during the treatment phase reveals the patient's psychological adaptation depth to exercise through changes in fear, and comprehensively reflects the patient's rehabilitation status of kinepriscemia in conjunction with the training status. The degree of adaptation and rehabilitation status value reflect the local rehabilitation trend and the overall trend of kinepriscemia rehabilitation effect in each rehabilitation training session, respectively. Considering that the natural continuation of the overall rehabilitation trend will affect the local rehabilitation trend, the synchronicity between the local rehabilitation trend and the overall trend of kinepriscemia rehabilitation effect shows that each rehabilitation training session affects the item score of each item in the analysis questionnaire. In addition, the difference in item scores between the analysis questionnaire of rehabilitation training and the next adjacent questionnaire for the same item is combined to separate the different items of the questionnaire from drug interference factors and life. To mitigate the impact of stress responses and other factors, and to avoid distortion in the assessment of the degree of influence caused by the immediate physiological state affecting the performance in a single rehabilitation training session, the overall influence of all rehabilitation training of the same type on each item of the questionnaire in the treatment stage is comprehensively considered to obtain the correlation between each rehabilitation training session and each item of the questionnaire. The correlation is used to adjust the item scores of each item in each questionnaire, and the degree to which the patient's answer selection for each item in the questionnaire is affected by drug interference factors and physiological stress responses is analyzed, so that the optimized TSK total score can more accurately assess the patient's akinesis. The optimized TSK total score of all questionnaires in all treatment stages is used to assess the patient's akinesis, effectively improving the accuracy of akinesis rating, thereby improving the precision and effectiveness of postoperative rehabilitation management. Attached Figure Description

[0015] To more clearly illustrate the technical solutions and advantages in the embodiments of the present invention or the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.

[0016] Figure 1 A flowchart illustrating the steps of a method for assessing post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model, as provided in one embodiment of the present invention; Figure 2 This is a flowchart illustrating a method for obtaining a rehabilitation status value according to an embodiment of the present invention. Figure 3 A flowchart illustrating a method for obtaining correlation degree according to an embodiment of the present invention; Figure 4 A system structure diagram of a spinal endoscopic postoperative kinesia assessment system based on the 5E rehabilitation model provided in one embodiment of the present invention; Figure 5 This is a schematic diagram of a computer device for assessing kinesia after spinal endoscopy based on the 5E rehabilitation model, provided as an embodiment of the present invention. Detailed Implementation

[0017] To further illustrate the technical means and effects adopted by the present invention to achieve its intended purpose, the following, in conjunction with the accompanying drawings and preferred embodiments, details the specific implementation, structure, features, and effects of a method and system for assessing kinesia after spinal endoscopy based on the 5E rehabilitation model proposed by the present invention. In the following description, different "one embodiment" or "another embodiment" do not necessarily refer to the same embodiment. Furthermore, specific features, structures, or characteristics in one or more embodiments can be combined in any suitable form.

[0018] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention pertains.

[0019] The following description, in conjunction with the accompanying drawings, details the specific scheme of the assessment method and system for post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model provided by this invention.

[0020] Example 1: This invention proposes a method for assessing kinesia after spinal endoscopy based on the 5E rehabilitation model. Please refer to [link / reference]. Figure 1The diagram illustrates a flowchart of a method for assessing kinesia after spinal endoscopy based on a 5E rehabilitation model, according to an embodiment of the present invention. The method includes: Step S1: Obtain the patient's total TSK score and the item score of each item in the questionnaire for each treatment stage; conduct different types of rehabilitation training in each treatment stage.

[0021] Based on the dynamic changes in patients' psychological state and the phased differences in intervention needs during the rehabilitation process, corresponding TSK questionnaires are designed for different treatment stages. In this embodiment of the invention, the specific TSK questionnaires for different treatment stages are as follows: The treatment goal in the early stage is to alleviate the patient's fear and anxiety, and enhance the patient's confidence and enthusiasm for exercise. The TSK questionnaire content is as follows: (1) I am afraid of injuring myself during activities; (2) If I try to do activities, the pain will worsen; (3) I am worried that exercise will worsen my condition; (4) I feel that my body is very weak and cannot withstand the load of exercise. The treatment goal in the intermediate stage is to help the patient gradually establish a positive attitude towards exercise and enhance the patient's self-efficacy. The TSK questionnaire content is as follows: (1) I believe that exercise can improve my physical condition; (2) I am confident in completing the rehabilitation training plan; (3) I feel that exercise is helpful for my rehabilitation; (4) I am willing to try new exercise methods to promote rehabilitation. The treatment goal in the late stage is to consolidate the patient's rehabilitation results and improve the patient's quality of life and exercise ability. The TSK questionnaire content is as follows: (1) I believe that I can resume a normal life and work; (2) I can independently complete various activities in daily life; (3) I am optimistic about the future rehabilitation prospects; (4) I feel that I can adapt well to the changes brought about by exercise.

[0022] It should be noted that all TSK questionnaires at all treatment stages should contain both positive and negative entries. Positive entries express a fear of exercise, while negative entries express a positive attitude towards exercise. In the above embodiment, the TSK questionnaire in the early treatment stage contains positive entries, while the TSK questionnaires in the intermediate and late treatment stages contain negative entries.

[0023] In other embodiments, alternative question items may be set for each treatment phase of the TSK questionnaire, which will not be exemplified here.

[0024] The TSK questionnaire uses a four-point Likert scale for item scoring. For positive items, the scores for "disagree", "somewhat disagree", "somewhat agree" and "completely agree" are 1, 2, 3 and 4 points respectively. However, for negative items, the scores are reversed, that is, the scores for the above options are 4, 3, 2 and 1 points respectively.

[0025] During each treatment phase, the therapist or doctor will select and arrange different types of rehabilitation training based on the patient's physical recovery status. Early-stage rehabilitation training includes passive joint mobilization exercises and breathing control exercises; mid-stage rehabilitation training includes equipment adaptation exercises and group mirror image training; and late-stage rehabilitation training includes fall prevention reaction exercises and slow yoga classes. Other types of rehabilitation training may also be included, but will not be elaborated here. Before the start of each treatment phase and after each rehabilitation training session within that phase, the patient's TSK questionnaire results for that phase are collected, including the total TSK score and the item score for each questionnaire. A higher total TSK score and item score indicate a stronger fear of movement; the total TSK score is equal to the sum of the item scores for all items in each questionnaire.

[0026] Step S2: Based on the training status and TSK total score trends of each treatment stage, obtain the rehabilitation status value for each treatment stage.

[0027] The patient's training status during rehabilitation training in the treatment phase can directly measure the patient's rehabilitation status of kinepriscemia. The changing trend of the total TSK score of all questionnaires in the treatment phase reveals the patient's psychological adaptation to movement through changes in fear, reflecting the patient's rehabilitation status of kinepriscemia. Comprehensive analysis can improve the accuracy of rehabilitation status values.

[0028] Step S3: Record the previous questionnaire adjacent to each rehabilitation training session as its analysis questionnaire. Based on the patient's degree of adaptation to all rehabilitation training of the same type in each treatment stage and the synchronicity of changes in rehabilitation status values, as well as the difference in item scores of the corresponding rehabilitation training analysis questionnaire and the next adjacent questionnaire for the same item, obtain the correlation between each rehabilitation training session in each treatment stage and each item of the questionnaire.

[0029] The degree of adaptation reflects the patient's local rehabilitation trend in each rehabilitation training session, thus affecting the item score changes of each item in the rehabilitation training analysis questionnaire. The rehabilitation status value presents the overall trend of the patient's akinetosis rehabilitation effect in each treatment stage. When the patient's local rehabilitation trend in each rehabilitation training session is consistent with the overall trend of akinetosis rehabilitation effect, the natural continuation of the overall rehabilitation trend will affect the local rehabilitation trend, thus affecting the item score of each item in the analysis questionnaire for each rehabilitation training session. The patient's feelings during each treatment stage will affect the answer selection of different items in the questionnaire. The greater the influence of rehabilitation training on the questionnaire item, the greater the change in the item score. Therefore, by comprehensively considering the synchronicity between the degree of adaptation and the change in the rehabilitation status value in each rehabilitation training session, as well as the difference in item scores between the corresponding rehabilitation training analysis questionnaire and the next adjacent questionnaire for the same item, the influence of each rehabilitation training session on the item score of each item in the analysis questionnaire is analyzed. Considering that the patient's performance in a single rehabilitation training session is affected by the immediate physiological state, to avoid distortion in the correlation assessment, the overall correlation of all rehabilitation training of the same type on each item in the questionnaire of the treatment stage is comprehensively considered to analyze the correlation between all rehabilitation training of that type on each item in the questionnaire of the treatment stage.

[0030] It should be noted that the questionnaire preceding each rehabilitation training session refers to the questionnaire between each rehabilitation training session and the one preceding the adjacent rehabilitation training session, while the questionnaire preceding the first rehabilitation training session of each treatment phase refers to the questionnaire before the start of that treatment phase.

[0031] Step S4: Adjust the item score of each item in each questionnaire based on the correlation to obtain the optimized TSK total score of the corresponding questionnaire; use the optimized TSK total score of the questionnaires in all treatment stages to assess the patient's kinepriscemia.

[0032] By adjusting the item scores of each questionnaire using correlation, we can analyze the degree to which patients' answer choices for each item are affected by factors such as drug interference and physiological stress responses, thereby making the optimized TSK total score more accurate in assessing patients' kinesia. By using the optimized TSK total score of all questionnaires across all treatment stages, we can assess patients' kinesia, effectively improving the accuracy of kinesia rating, and thus enhancing the precision and effectiveness of postoperative rehabilitation management.

[0033] Preferably, in some possible implementations of the embodiments of the present invention, the method for obtaining the rehabilitation status value is described in [reference needed]. Figure 2 The diagram illustrates a flowchart of a method for obtaining a rehabilitation status value according to an embodiment of the present invention, the method comprising: Step S210: Based on the patient's training frequency in each treatment phase, as well as the duration of each rehabilitation training session, average heart rate, and average respiratory rate in each treatment phase, obtain the training status for each treatment phase.

[0034] Patients undergo multiple rehabilitation training sessions at each treatment stage. The training frequency and duration of each rehabilitation training session are recorded. The patient's heart rate and respiratory rate are measured at each moment during each rehabilitation training session using a smartwatch or wristband. The mean heart rate and mean respiratory rate at all moments during each rehabilitation training session are calculated and recorded as mean heart rate and mean respiratory rate, respectively.

[0035] In this embodiment of the invention, the method for obtaining the training state is as follows: the training fitness is obtained based on the duration, average heart rate and average respiratory rate of each rehabilitation training session; the mean of the training fitness of all rehabilitation training sessions in each treatment phase is calculated, and the product of the mean and the training frequency of each treatment phase is normalized to obtain the training state of each treatment phase.

[0036] It should be noted that psychological stress activates the sympathetic-adrenal axis, releasing cortisol and catecholamines, directly increasing heart rate and respiratory rate. The higher the average heart rate and respiratory rate during rehabilitation training, the greater the psychological stress of the training and the lower the patient's adaptation to it. Patients with poor adaptability need to frequently pause or slow down, leading to a longer time to complete the same amount of training; therefore, a longer duration indicates a lower degree of adaptation. Thus, duration, average heart rate, and average respiratory rate are all negatively correlated with training fitness. In this embodiment of the invention, the min-max normalization method is used to normalize the duration, average heart rate, and average respiratory rate of each rehabilitation training session. The training fitness is obtained by subtracting the constant 1 from the mean of the three normalization results.

[0037] The higher the frequency of rehabilitation training during the treatment phase, and the higher the patient's overall adaptability to all rehabilitation training (i.e., the higher the mean adaptability of all rehabilitation training during the treatment phase), the better the patient's training condition and the stronger their training state during the treatment phase. It should be noted that the minimax normalization method is used for normalization in this embodiment of the invention; function transformation can also be chosen, and this is not limited here.

[0038] Step S220: Perform linear fitting on the total TSK score of all questionnaires under each treatment stage to obtain the fitted score line; obtain the rehabilitation trend value of each treatment stage based on the difference between the total TSK score of the first and last questionnaires under each treatment stage and the slope of the fitted score line.

[0039] It should be noted that the method for obtaining the fitted score line is as follows: a two-dimensional coordinate system is established with time as the horizontal axis and the total TSK score of the questionnaire as the vertical axis. The total TSK scores of all questionnaires under each treatment stage are marked on the two-dimensional coordinate system to obtain the corresponding coordinate points. A straight line is fitted to all coordinate points in the two-dimensional coordinate system to obtain the fitted score line. The fitting method is the least squares method.

[0040] It is known that the higher the TSK total score, the stronger the patient's fear of movement. During the treatment phase, if the rehabilitation training for acrophobia shows good results, the total TSK score should gradually decrease. If the slope of the fitted score line during the treatment phase is smaller and the difference between the total TSK scores of the first and last questionnaires is larger, it indicates a stronger trend of acrophobia recovery during the treatment phase. Therefore, the slope and the recovery trend value are negatively correlated, while the difference between the total TSK scores of the first and last questionnaires is positively correlated. In this embodiment of the invention, the slope of the fitted score line for each treatment phase is normalized using the minimax normalization method, and the difference between the constant 1 and the normalization result is taken as the first value. The difference between the total TSK scores of the first and last questionnaires is normalized using the minimax normalization method to obtain the second value. Half of the sum of the first and second values ​​is taken as the recovery trend value for each treatment phase. The recovery trend value ranges from 0 to 1.

[0041] In this embodiment of the invention, the correlation between the difference in the total TSK score between the first and last questionnaires, the slope of the fitted score line, and the recovery trend value can also be constructed through other basic mathematical operations, which are not limited or elaborated here.

[0042] Step S230: Obtain the rehabilitation status value for each treatment stage based on the training status and rehabilitation trend value.

[0043] It should be noted that a higher training status and rehabilitation trend value during the treatment phase indicates a better training condition and a stronger rehabilitation trend for the patient's apoptosis during the treatment phase. Consequently, the patient's rehabilitation status during the treatment phase is better, and the rehabilitation status value is higher. Therefore, both the training status and rehabilitation trend value are positively correlated with the rehabilitation status value. In this embodiment of the invention, the product of the training status and rehabilitation trend value for each treatment phase is used as the rehabilitation status value. Since both the training status and rehabilitation trend values ​​range from 0 to 1, the rehabilitation status value also ranges from 0 to 1.

[0044] Preferably, in some possible implementations of the embodiments of the present invention, the method for obtaining the correlation degree is described in [reference needed]. Figure 3 The diagram illustrates a flowchart of a method for obtaining correlation degree according to an embodiment of the present invention, the method comprising: Step S310: Based on the training fitness of the rehabilitation training before each rehabilitation training session in each treatment phase, adjust the training fitness of each rehabilitation training session to obtain the improved fitness.

[0045] Preferably, in some possible implementations of the embodiments of the present invention, the method for obtaining the improved fitness includes: calculating the mean of the training fitness of all rehabilitation training in each treatment stage, denoted as the overall fitness; normalizing the mean of the differences between the overall fitness of each treatment stage and the training fitness of all rehabilitation training before each rehabilitation training to obtain the historical training influence intensity of each rehabilitation training; and weighting the training fitness of each rehabilitation training in each treatment stage using the sum of a constant 1 and the historical training influence intensity to obtain the improved fitness of the corresponding rehabilitation training. It should be noted that the historical influence intensity of the first rehabilitation training in each treatment stage is set to 0. In this embodiment, the Sigmoid function is used for normalization.

[0046] It should be noted that, considering the cumulative nature of bodily adaptation, compensatory effects, and the continuity of neuropsychological mechanisms during rehabilitation training, each rehabilitation training session is influenced by the cumulative effects of previous sessions. The lower the patient's adaptation to previous rehabilitation training compared to the overall adaptation level to all rehabilitation training during the treatment phase, the more likely poor adaptation to previous training may have led to unrecovered muscle fatigue. Subsequent training will then experience increased inhibition due to pain, thus making each rehabilitation training session more susceptible to the influence of previous training, and the stronger the influence of historical training. Because of the inhibitory effects of pain, the patient's actual adaptation to each rehabilitation training session should be greater than the training adaptation. To offset the inhibitory effects of historical training, it is necessary to increase the training adaptation, making the adjusted improved adaptation more consistent with the actual physiological adaptation process.

[0047] Step S320: Calculate the mean of the training fitness of all rehabilitation training in each treatment stage, and record it as the overall fitness; use the difference between the overall fitness of each treatment stage and the improved fitness of each rehabilitation training as the index of the rehabilitation status value, and use the result as the preliminary correlation influence value of the corresponding rehabilitation training.

[0048] In one specific implementation of this invention, the preliminary correlation influence value of each rehabilitation training session is expressed by the formula: In the formula, The initial correlation impact value of the u-th rehabilitation training session for each treatment phase; The intensity of the historical training impact of the uth rehabilitation training session in each treatment phase; The training adaptability of the u-th rehabilitation training session for each treatment phase; Improved adaptation for each rehabilitation training session at each stage of treatment; The overall fitness level for each treatment phase; K is the recovery status value for each treatment phase.

[0049] like A negative value indicates that the patient's adaptation level to the u-th rehabilitation training session is higher than the overall adaptation level. The patient's rehabilitation progress is consistent with the rehabilitation trend during the u-th session, typically resulting in a downward trend in the item scores of the same item in the analysis questionnaire for the u-th session and the next adjacent questionnaire. The larger the rehabilitation status value K, the greater the initial correlation influence value. The smaller the value of K, the greater the likelihood that the patient's akinesis rehabilitation effect during the treatment phase will show an upward trend. This indicates that the impact of the u-th rehabilitation training on the item scores of each item in the analysis questionnaire is more consistent with the patient's overall rehabilitation trend. Since the u-th rehabilitation training is a natural continuation of the rehabilitation trend—meaning the rehabilitation trend itself has already driven progress—the actual impact of the u-th rehabilitation training on the item scores of each item in the analysis questionnaire may be smaller. Conversely, the smaller the rehabilitation status value K, the greater the likelihood that the patient's akinesis rehabilitation effect during the treatment phase will show a downward trend. The u-th rehabilitation training is inhibited by the natural continuation of the rehabilitation trend, making the actual impact of the u-th rehabilitation training on the item scores of each item in the analysis questionnaire potentially larger.

[0050] like A positive value indicates that the patient's adaptation level to the u-th rehabilitation training session is lower than the overall adaptation level. The patient's adaptation to the u-th rehabilitation training session does not conform to the rehabilitation trend, and typically causes the item scores of the same item in the analysis questionnaire for the u-th rehabilitation training session to show an upward trend compared to the next adjacent questionnaire. The larger the rehabilitation status value K, the greater the initial correlation influence value. The larger the value, the greater the likelihood that the patient's rehabilitation effect on apoptosis during the treatment phase will show an upward trend. This indicates that the impact of the u-th rehabilitation training on the item scores of each item in the analysis questionnaire is less consistent with the patient's overall rehabilitation trend. Even if the u-th rehabilitation training is a natural continuation of the rehabilitation trend, the item scores of each item in the analysis questionnaire of the u-th rehabilitation training still do not conform to the rehabilitation trend, which means that the actual impact of the u-th rehabilitation training on the item scores of each item in its analysis questionnaire may be greater.

[0051] In summary, if the trend of the item score change of the analysis questionnaire for each rehabilitation training session and the next adjacent questionnaire is inconsistent with the patient's rehabilitation trend of akinesia during the treatment phase, but the trend of the item score change is presented through the patient's degree of adaptation to each rehabilitation training session, it is equivalent to the patient's degree of adaptation to each rehabilitation training session and the rehabilitation status value being simultaneously large or small, i.e., changing synchronously. The smaller the impact of each rehabilitation training session on the item score of each item in its analysis questionnaire, the better.

[0052] Step S330: Based on the difference in item scores and preliminary correlation impact values ​​between the analysis questionnaire for each rehabilitation training session and the same item in the next adjacent questionnaire, obtain the influence coefficient of each rehabilitation training session on each item of the analysis questionnaire; take the mean of the influence coefficients of all rehabilitation training sessions of each type in each treatment stage as the correlation degree between each rehabilitation training session of the corresponding type and each item of the questionnaire.

[0053] It should be noted that the smaller the initial correlation impact value, the smaller the actual impact of each rehabilitation training session on the item score of each item in the analysis questionnaire. Changes in item scores also reflect the impact of rehabilitation training on item scores. The greater the difference between the item score of the analysis questionnaire for each rehabilitation training session and the score of the same item in the next adjacent questionnaire, the greater the impact of the rehabilitation training on the item score of each item in the analysis questionnaire. Therefore, both the initial correlation impact value and the difference in item scores are positively correlated with the impact coefficient. In this embodiment of the invention, the product of the absolute value of the difference between the item score of the analysis questionnaire for each rehabilitation training session and the score of the same item in the next adjacent questionnaire and the initial correlation impact value is normalized to obtain the impact coefficient of each rehabilitation training session on each item in the analysis questionnaire. In this embodiment of the invention, the min-max normalization method is used for normalization; function transformation can also be used, and this is not limited here.

[0054] The greater the influence coefficient of each rehabilitation training session on each item of the analysis questionnaire, the greater the correlation between the rehabilitation training and each item of the analysis questionnaire. Considering that the patient's performance in a single rehabilitation training session is affected by the immediate physiological state, in order to avoid distortion of the correlation assessment, the overall correlation of all rehabilitation training of the same type on each item of the questionnaire of the treatment stage is comprehensively considered, and these are respectively used as the correlation between all rehabilitation training of that type on each item of the questionnaire of the treatment stage.

[0055] Preferably, in some possible implementations of the embodiments of the present invention, the method for optimizing the TSK total score includes: adjusting the correlation between each rehabilitation training session in each treatment stage and each item of the questionnaire using the time interval between each subsequent questionnaire and the next adjacent rehabilitation training session, to obtain an optimized correlation; weighting the item score of each item in each questionnaire using the optimized correlation between each rehabilitation training session in each treatment stage and each item of the questionnaire, to obtain an optimized score for each item in each questionnaire; and summing the optimized scores of all items in each questionnaire for each treatment stage as the optimized TSK total score for the corresponding questionnaire. Wherein, the time interval between each rehabilitation training session and the next adjacent questionnaire refers to the time interval between the start time of each rehabilitation training session and the survey time of the questionnaire between each rehabilitation training session and the next adjacent rehabilitation training session.

[0056] It should be noted that motor memory generated by rehabilitation training decays over time. The shorter the time interval between each rehabilitation training session and the next adjacent questionnaire, the more accurate the patient's recall of TSK questionnaire items, and the more accurate the correlation between rehabilitation training and each item of the questionnaire. Therefore, the time interval between each rehabilitation training session and the next adjacent questionnaire is negatively correlated with the optimized correlation. In this embodiment of the invention, the minimum normalization method is used to normalize the time interval between each rehabilitation training session and the next adjacent questionnaire. The product of the difference between the constant 1 and the normalization result and the correlation between the corresponding rehabilitation training and each item of the questionnaire is used as the optimized correlation. If the optimized correlation between each rehabilitation training session and each item of the questionnaire in each treatment stage is larger, it indicates that the patient is less affected by drug interference factors and physiological stress responses, and the item score is more accurate in assessing the patient's kinechophobia condition. Therefore, the optimized score is larger, and the optimized score can adjust and compensate for the assessment bias caused by memory decay.

[0057] In some possible implementations of this invention, the akinesis assessment method includes: normalizing the mean of the optimized TSK total score of all questionnaires across all treatment stages to obtain an akinesis assessment index; and using the akinesis assessment index to assess the patient's akinesis. It should be noted that the mean of the optimized TSK total score of all questionnaires across all treatment stages can measure the overall assessment of the patient's true akinesis condition throughout the entire treatment period; the higher the akinesis assessment index, the more severe the patient's akinesis condition.

[0058] In this embodiment of the invention, when the terrorism assessment index is at At that time, the patient had mild akinesis; when the akinesis assessment indicators were at... At that time, the patient had moderate akinesis; when the akinesis assessment indicators were at... At that time, the patient had severe akinesis. The therapist or doctor would adjust the patient's subsequent rehabilitation training plan based on the 5E rehabilitation model, according to the patient's akinesis rating.

[0059] Since each treatment stage in this scheme has four items in the TSK questionnaire and the maximum item score is 4, and the total TSK score range is 4 to 16, this embodiment of the invention uses the minimax normalization method to normalize the mean of the optimized total TSK score of all questionnaires under all treatment stages based on the range of the total TSK score.

[0060] This invention is now complete.

[0061] Example 2: This invention proposes a 5E rehabilitation model-based assessment system for post-spinal endoscopic kinesthetic phobia. Please refer to [link / reference]. Figure 4The diagram illustrates a system structure of a post-spinal endoscopic kinesthetic phobia assessment system based on the 5E rehabilitation model, according to an embodiment of the present invention. The system includes: The data acquisition module 510 is used to obtain the patient's total TSK score and the item score of each item in each questionnaire at different treatment stages; different types of rehabilitation training are carried out at each treatment stage; The rehabilitation status analysis module 520 is used to obtain the rehabilitation status value of each treatment stage based on the training status and the trend of TSK total score changes in each treatment stage. The correlation analysis module 530 is used to record the adjacent previous questionnaire of each rehabilitation training as its analysis questionnaire. Based on the patient's adaptation to all rehabilitation training of the same type in each treatment stage and the synchronicity of changes in rehabilitation status value, as well as the difference in item scores of the corresponding rehabilitation training analysis questionnaire and the next adjacent questionnaire for the same item, the correlation degree between each rehabilitation training in each treatment stage and each item of the questionnaire is obtained. The akinesis assessment module 540 is used to adjust the item score of each item in each questionnaire based on the correlation, and obtain the optimized TSK total score of the corresponding questionnaire; using the optimized TSK total score of questionnaires in all treatment stages, the patient's akinesis is assessed.

[0062] It should be noted that the devices provided in the above embodiments are only illustrative examples of the division of the above functional modules. In practical applications, the above functions can be assigned to different functional modules as needed, that is, the internal structure of the computer device can be divided into different functional modules to complete all or part of the functions described above. In addition, the above embodiments of the 5E rehabilitation model-based assessment system for kinesia after spinal endoscopy and the 5E rehabilitation model-based assessment method for kinesia after spinal endoscopy belong to the same concept, and their specific implementation process is detailed in the method embodiment, which will not be repeated here.

[0063] Example 3: Figure 5 This is a schematic diagram of a computer device for assessing post-spinal endoscopic akinesis based on a 5E rehabilitation model, as provided in one embodiment of the present invention. For example,... Figure 5 As shown, the computer device includes: a memory 601, a processor 602, and a computer program 603 stored in the memory 601 and running on the processor 602, wherein when the processor 602 executes the computer program 603, the computer device can perform any of the aforementioned 5E rehabilitation model-based post-spinal endoscopic kinesthetic phobia assessment methods.

[0064] Furthermore, this application also protects an apparatus that may include a memory and a processor, wherein the memory stores executable program code, and the processor is used to call and execute the executable program code to perform a method for assessing kinesia after spinal endoscopy based on the 5E rehabilitation model provided in this application.

[0065] This embodiment can divide the device into functional modules based on the above method example. For example, each module can correspond to a separate function, or two or more functions can be integrated into one processing module. The integrated module can be implemented in hardware. It should be noted that the module division in this embodiment is illustrative and only represents one logical functional division. In actual implementation, there may be other division methods.

[0066] It should be understood that the device provided in this embodiment is used to perform the above-mentioned assessment method for postoperative kinesia based on the 5E rehabilitation model of spinal endoscopy, and therefore can achieve the same effect as the above-mentioned implementation method.

[0067] When using integrated units, the device may include a processing module and a storage module. When applied to a workpiece, the processing module can be used to control and manage the workpiece's operations. The storage module can be used to support the execution of program code by the workpiece.

[0068] The processing module may be a processor or a controller, which can implement or execute various exemplary logic blocks, modules, and circuits contained in conjunction with the disclosure of this application. The processor may also be a combination of functions that implement computing capabilities, such as a combination of one or more microprocessors, a combination of digital signal processing (DSP) and microprocessors, etc., and the storage module may be a memory.

[0069] It should be noted that the order of the above embodiments of the present invention is merely for descriptive purposes and does not represent the superiority or inferiority of the embodiments. The processes depicted in the accompanying drawings do not necessarily require a specific or sequential order to achieve the desired result. In some embodiments, multitasking and parallel processing are also possible or may be advantageous.

[0070] The various embodiments in this specification are described in a progressive manner. The same or similar parts between the various embodiments can be referred to each other. Each embodiment focuses on describing the differences from other embodiments.

[0071] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc., made within the principles of the present invention should be included within the protection scope of the present invention.

Claims

1. A method for assessing kinesia after spinal endoscopic surgery based on the 5E rehabilitation model, characterized in that, The method includes: Obtain the patient's total TSK score and the item score of each item in each questionnaire at different treatment stages; conduct different types of rehabilitation training at each treatment stage; Based on the training status and the trend of TSK total score changes in each treatment stage, obtain the rehabilitation status value for each treatment stage. The preceding questionnaire for each rehabilitation training session is recorded as the analysis questionnaire. Based on the patient's adaptation to all rehabilitation training sessions of the same type in each treatment stage and the synchronicity of the changes in the rehabilitation status value, as well as the difference in the item scores of the corresponding rehabilitation training analysis questionnaire and the next adjacent questionnaire for the same item, the correlation between each rehabilitation training session in each treatment stage and each item of the questionnaire is obtained. Based on the correlation, the item score of each item in each questionnaire is adjusted to obtain the optimized TSK total score for the corresponding questionnaire; the optimized TSK total score of the questionnaires in all treatment stages is used to assess the patient's kinepriscemia.

2. The method for assessing post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model according to claim 1, characterized in that, The acquisition of rehabilitation status values ​​for each treatment stage includes: The training status of each treatment phase is obtained based on the patient's training frequency in each treatment phase, as well as the duration of each rehabilitation training session, average heart rate, and average respiratory rate in each treatment phase. A linear fit was performed on the total TSK scores of all questionnaires under each treatment stage to obtain the fitted score line; the recovery trend value of each treatment stage was obtained based on the difference between the total TSK scores of the first and last questionnaires under each treatment stage and the slope of the fitted score line. Based on the training status and the rehabilitation trend value, obtain the rehabilitation status value for each treatment stage.

3. The method for assessing post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model according to claim 2, characterized in that, The acquisition of the training state for each treatment phase includes: The duration, average heart rate, and average respiratory rate of each rehabilitation training session were obtained. The duration, average heart rate, and average respiratory rate of each rehabilitation training session were normalized. The training fitness was obtained by subtracting the constant 1 from the mean of the three normalized results. Calculate the mean of the training fitness of all rehabilitation training in each treatment phase, and normalize the product of the mean and the training frequency of each treatment phase to obtain the training status of each treatment phase.

4. The method for assessing post-spinal endoscopic kinesia based on the 5E rehabilitation model according to claim 3, characterized in that, The process of obtaining the correlation between each rehabilitation training session at each treatment stage and each item in the questionnaire includes: Based on the training fitness of the rehabilitation training prior to each rehabilitation training session in each treatment phase, the training fitness of each rehabilitation training session is adjusted to obtain improved fitness. The mean of the training fitness of all rehabilitation training in each treatment phase is calculated and denoted as the overall fitness. The difference between the overall fitness of each treatment phase and the improved fitness of each rehabilitation training is used as the index of the rehabilitation status value and the result is used as the preliminary correlation influence value of the corresponding rehabilitation training. Based on the difference in item scores between the analysis questionnaire for each rehabilitation training session and the next adjacent questionnaire for the same item, and the preliminary correlation influence value, the influence coefficient of each rehabilitation training session on each item of its analysis questionnaire is obtained; the mean of the influence coefficients of all rehabilitation training sessions of each type in each treatment stage is taken as the correlation degree between each rehabilitation training session of the corresponding type and each item of the questionnaire.

5. The method for assessing post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model according to claim 4, characterized in that, The method for obtaining the improved fitness includes: The mean difference between the overall fitness of each treatment phase and the training fitness of all rehabilitation training sessions prior to each rehabilitation training session is normalized to obtain the historical training influence intensity of each rehabilitation training session. By using the constant 1 and the sum of the historical training influence intensity, the training fitness of each rehabilitation training session in each treatment phase is weighted to obtain the improved fitness of the corresponding rehabilitation training.

6. The method for assessing post-spinal endoscopic kinesthetic phobia based on the 5E rehabilitation model according to claim 1, characterized in that, The optimized method for obtaining the total TSK score includes: By utilizing the time interval between each rehabilitation training session in each treatment phase and the next adjacent questionnaire, the correlation between the corresponding rehabilitation training and each item in the questionnaire is adjusted to obtain the optimal correlation. By utilizing the optimal correlation between each rehabilitation training session in each treatment phase and each item in the questionnaire, the item scores of each item in each questionnaire are weighted to obtain the optimal score of each item in each questionnaire. The sum of the optimized scores of all items in each questionnaire for each treatment phase is used as the optimized TSK total score for the corresponding questionnaire. The time interval between each rehabilitation training session and the next adjacent questionnaire was normalized. The product of the difference between the constant 1 and the normalization result and the correlation degree between the corresponding rehabilitation training and each item of the questionnaire was used as the optimized correlation degree.

7. The method for assessing post-spinal endoscopic kinesia based on the 5E rehabilitation model according to claim 1, characterized in that, The optimized TSK total score from questionnaires across all treatment phases is used to assess patients' akinesis, including: The mean of the optimized TSK total score of all questionnaires in all treatment stages was normalized to obtain the akinesis assessment index; the akinesis assessment index was used to assess the patient's akinesis disorder.

8. The method for assessing post-spinal endoscopic kinesia based on the 5E rehabilitation model according to claim 6, characterized in that, The time interval is negatively correlated with the degree of optimization.

9. A method for assessing post-spinal endoscopic kinesia based on the 5E rehabilitation model according to claim 1, characterized in that, A questionnaire survey was conducted before each treatment phase and after each rehabilitation training session within each treatment phase.

10. A system for assessing kinesia after spinal endoscopic surgery based on the 5E rehabilitation model, characterized in that, The system includes: The data acquisition module is used to obtain the patient's total TSK score and the score of each item in the questionnaire for each questionnaire at different treatment stages; different types of rehabilitation training are carried out at each treatment stage; The rehabilitation status analysis module is used to obtain the rehabilitation status value for each treatment stage based on the training status and the trend of TSK total score changes in each treatment stage. The correlation analysis module is used to record the previous questionnaire adjacent to each rehabilitation training as its analysis questionnaire. Based on the patient's degree of adaptation to all rehabilitation training of the same type in each treatment stage and the degree of synchronization of the changes in the rehabilitation status value, as well as the difference in the item score of the analysis questionnaire of the corresponding rehabilitation training and the next adjacent questionnaire, the correlation degree between each rehabilitation training in each treatment stage and each item of the questionnaire is obtained. The akinesis assessment module is used to adjust the item score of each item in each questionnaire based on the correlation, and obtain the optimized TSK total score of the corresponding questionnaire; the optimized TSK total score of the questionnaires in all treatment stages is used to assess the patient's akinesis.

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