Rehabilitation support system, rehabilitation support method, and program

Abstract

To provide a rehabilitation support system, rehabilitation support method, and program that allow intuitive confirmation and recognition of delays and progress toward goals.SOLUTION: A rehabilitation support system comprises: a goal acquisition unit 11b that acquires long-term goals which include multiple achievement stages to recover a function of a prescribed body motion in a rehabilitation patient 90 and are achieved over a long term and short-term goals which include multiple achievement stages and are achieved over a short term shorter than the long term; a practice record acquisition unit 11d that acquires practice items practiced on each practice day as practice records; an achievement stage acquisition unit 11e that acquires the achievement stages achieved based on the practice records; a prediction unit 12 that predicts the goal achievement scheduled dates including the long-term goal achievement scheduled date on which the long-term goal is achieved and the short-term goal achievement scheduled date on which the short-term goal is achieved on the basis of the achieved achievement stages; and a display unit 14 that overlays and displays the practice records, achievement stages, and goal achievement scheduled dates on a display device.SELECTED DRAWING: Figure 2

Description

[Technical field]

[0001] The present disclosure relates to a rehabilitation support system, a rehabilitation support method, and a program. [Background technology]

[0002] Patent Document 1 discloses a technique for visualizing and presenting the progress and results of training such as rehabilitation (also simply referred to as rehab). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Patent No. 6355073 Summary of the Invention [Problem to be solved by the invention]

[0004] In rehabilitation and other training, it can take a long time from the start of training to discharge from hospital, and it can be difficult to maintain motivation during that time. From such a long-term perspective, a system is needed that can grasp the information necessary for trainees and medical professionals to more accurately grasp and guide goals, thereby allowing them to continue training with high motivation. However, there is currently no related technology that has a mechanism for being aware of goals or a mechanism for checking progress toward goals. Even if training performance data is extracted using machine learning, it is difficult to build a mechanism related to motivation.

[0005] The purpose of the present disclosure has been made to solve such problems, and it is an object of the present disclosure to provide a rehabilitation support system, rehabilitation support method, and program that enable intuitive confirmation and recognition of delays and progress toward a goal. [Means for solving the problem]

[0006] A rehabilitation support system according to one embodiment of the present disclosure includes a goal acquisition unit that acquires a long-term goal having multiple achievement stages and being achieved over a long period of time in order to restore a specific physical movement function in a rehabilitation patient, and a short-term goal having multiple achievement stages and being achieved over a short period of time that is shorter than the long-term goal, a practice result acquisition unit that acquires practice items practiced on each practice day as practice results, an achievement stage acquisition unit that acquires the achievement stage achieved by the practice results, a prediction unit that predicts a planned goal achievement date including a long-term goal achievement date for achieving the long-term goal and a short-term goal achievement date for achieving the short-term goal based on the achieved achievement stages, and a display unit that superimposes the practice results, the achievement stages, and the planned goal achievement date and displays them on a display device.

[0007] The rehabilitation assistance system may further include a storage unit that stores the practice record, the achievement stage, and the planned date for achieving the goal.

[0008] In the above rehabilitation support system, the memory unit stores the practice records, the achievement stage, and goal achievement dates including a short-term goal achievement date when the short-term goal is achieved, and a long-term goal achievement date when the long-term goal is achieved, for other rehabilitation patients, and the prediction unit may predict the planned goal achievement date based on the practice records, the achievement stage, and the goal achievement date for the other rehabilitation patients.

[0009] The above rehabilitation support system may further include a practice item acquisition unit that acquires the practice items, and the practice item acquisition unit may acquire the practice items based on the practice records, the achievement stage, and the target achievement date of the other rehabilitation patients, as well as the planned target date predicted by the prediction unit.

[0010] In the above rehabilitation support system, the memory unit may store the name of an assistant who assisted the rehabilitation patient when the rehabilitation patient practiced the practice items to recover the function of the physical movement, in correspondence with the practice history.

[0011] In the above rehabilitation support system, the assistant may include at least one of attributes of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse, and the memory unit may store each attribute in correspondence with the practice history.

[0012] In the above rehabilitation assistance system, the display unit may extract the practice record associated with a specific assistant and display the practice record on the display device.

[0013] In the rehabilitation assistance system, the prediction unit may predict a planned date for achieving each goal based on the practice record associated with each assistant.

[0014] In the above rehabilitation support system, the memory unit may store, when the rehabilitation patient practices the practice items to recover the function of the physical movement, individual practice performed by one person or group practice performed by multiple people, in association with the practice results.

[0015] A rehabilitation assistance method according to one aspect of the present disclosure obtains a long-term goal having multiple achievement stages and to be achieved over a long period of time in order to restore a specified physical movement function in a rehabilitation patient, and a short-term goal having multiple said achievement stages and to be achieved over a short period of time that is shorter than the long-term goal, obtains the practice items practiced on each practice day as practice results, obtains the achievement stages achieved by the practice results, predicts planned target achievement dates including a long-term goal achievement date for achieving the long-term goal and a short-term goal achievement date for achieving the short-term goal based on the achieved achievement stages, and displays the practice results, the achievement stages, and the planned target achievement dates on a display device in a superimposed manner.

[0016] In the above rehabilitation assistance method, the practice record, the achievement stage, and the planned date for achieving the goal may be stored in a storage unit.

[0017] In the above rehabilitation support method, the practice records, the achievement stage, the target achievement dates including the short-term target achievement date when the short-term goal is achieved, and the long-term target achievement date when the long-term goal is achieved for another rehabilitation patient may be stored, and when predicting the planned target achievement date, the planned target achievement date may be predicted based on the practice records, the achievement stage, and the target achievement date for the other rehabilitation patient.

[0018] In the above rehabilitation support method, the practice items may be acquired based on the practice records, the achievement stage, and the target achievement date of the other rehabilitation patients, as well as the predicted target scheduled date, when acquiring the practice items.

[0019] In the above rehabilitation support method, when storing the practice record, the achievement stage, and the planned date for achieving the goal, the assistant who assisted the rehabilitation patient when the rehabilitation patient practiced the practice items for recovering the physical movement function may be stored in correspondence with the practice record.

[0020] In the above rehabilitation support method, the assistant may include at least any one of attributes of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse, and when storing the practice results, the achievement stage, and the planned date for achieving the goal, each attribute may be stored in correspondence with the practice results.

[0021] In the above rehabilitation support method, when the practice record, the achievement stage, and the planned date for achieving the goal are superimposed and displayed on the display device, the practice record associated with a specific assistant may be extracted and displayed on the display device.

[0022] In the above rehabilitation assistance method, when predicting the expected date for achieving the goals, each expected date for achieving the goals may be predicted based on the practice record associated with each assistant.

[0023] In the above rehabilitation support method, when storing the practice results, the achievement stage, and the planned date for achieving the goal, an individual practice performed by one person or a group practice performed by multiple people when the rehabilitation patient practices the practice items for recovering the function of the physical movement may be stored in correspondence with the practice results.

[0024] A program according to one aspect of the present disclosure causes a computer to obtain a long-term goal having multiple achievement stages and being achieved over a long period of time in order to restore a specified physical movement function in a rehabilitation patient, and a short-term goal having multiple achievement stages and being achieved over a short period of time that is shorter than the long-term goal, obtain the practice items practiced on each practice day as practice results, obtain the achievement stages achieved by the practice results, predict planned target achievement dates including a long-term goal achievement date for achieving the long-term goal and a short-term goal achievement date for achieving the short-term goal based on the achieved achievement stages, and display the practice results, the achievement stages, and the planned target achievement dates on a display device in a superimposed manner. Effect of the Invention

[0025] According to the present disclosure, it is possible to provide a rehabilitation support system, a rehabilitation support method, and a program that enable intuitive confirmation and recognition of delays and progress toward a goal. [Brief description of the drawings]

[0026] [Figure 1] 1 is a configuration diagram illustrating a support system according to a first embodiment. [Diagram 2] 1 is a block diagram illustrating a rehabilitation assistance device according to a first embodiment. [Diagram 3] 4 is a diagram illustrating rehabilitation patient information according to the first embodiment. FIG. [Figure 4] FIG. 2 is a diagram illustrating evaluation items for evaluating the degree of recovery of a rehabilitation patient according to the first embodiment. [Diagram 5] FIG. 13 is a diagram illustrating an example of a display screen displaying a goal set for a rehabilitation patient in the first embodiment. [Figure 6] 1 is a graph illustrating the practice performance and FIM of a subject patient according to embodiment 1, in which the horizontal axis indicates the number of days, and the two vertical axes indicate the practice time and FIM. [Figure 7] 1 is a graph illustrating the practice results and FIM of past patients according to embodiment 1, in which the horizontal axis indicates the number of days, and the two vertical axes indicate the practice time and FIM. [Figure 8] 1 is a graph illustrating the practice results and FIM of past patients and a target patient according to embodiment 1, in which the horizontal axis indicates the number of days, and the two vertical axes indicate the practice time and FIM. [Figure 9] 4 is a diagram illustrating an example of a display screen on which a display unit according to the first embodiment displays a practice result. FIG. [Figure 10] 1 is a diagram illustrating an example of a display screen on which a display unit according to the first embodiment displays a short-term goal, a long-term goal, practice results, and a stage of achievement. FIG. [Figure 11] 1 is a diagram illustrating an example of a display screen on which a display unit according to the first embodiment displays a short-term goal, a long-term goal, practice results, a stage of achievement, and a planned date for achieving the goal. FIG. [Figure 12] 1 is a flowchart illustrating a rehabilitation assistance method according to the first embodiment. [Figure 13] 1 is a block diagram showing an example of the configuration of a rehabilitation assistance device according to a first embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0027] Hereinafter, a specific configuration of this embodiment will be described with reference to the drawings. The following description shows a preferred embodiment of this disclosure, and the scope of this disclosure is not limited to the following embodiment. In addition, all of the configurations described in this embodiment are not necessarily essential as a means for solving the problem. For clarity of explanation, the following description and drawings are omitted and simplified as appropriate. In each drawing, the same elements are given the same reference numerals, and repeated explanations are omitted as necessary.

[0028] (Embodiment 1) The rehabilitation support system according to this embodiment supports a trainee in performing training aimed at functional recovery of the trainee's physical movement. The training includes one or more types of training items. The training items are also called practice items. Here, the trainee is, for example, a person who suffers from paralysis in a part of the body due to a disease such as a stroke caused by a cerebrovascular disorder or a spinal cord injury. Note that the trainee is not limited to a person who suffers from paralysis in a part of the body due to a disease, so long as the trainee recovers the functional recovery of physical movement. The trainee is also called a rehabilitation patient. The rehabilitation patient's physical movement function is reduced due to the disease. In this embodiment, the physical movement is, for example, a movement included in activities of daily living (ADL, Activities of Daily Living), and includes movements such as eating, going to the toilet, changing clothes, and walking.

[0029] A rehabilitation patient performs training including one or more types of practice items to recover a deteriorated function of a physical movement. Specifically, for example, in recovering a physical movement function of eating, the rehabilitation patient performs practice items for eating and swallowing. For example, in recovering a toilet function, the rehabilitation patient performs practice items for transfer movements to a bed, a wheelchair, and a toilet seat, and practice items for excretion movements in the toilet. For example, in recovering a walking function, the rehabilitation patient performs practice items for maintaining a sitting position, practice items for maintaining a standing position, practice items for walking on flat ground, practice items for walking uphill, and the like. In addition to the above-mentioned active physical movements, the practice items also include passive ones such as massages in which an assistant stimulates joints and muscles. Training including the above-mentioned practice items is also called rehabilitation, rehabilitation training, or rehabilitation.

[0030] Training using the rehabilitation support system may require assistance from a therapist. A therapist is a person who has specialized knowledge to assist a rehabilitation patient. In this embodiment, the therapists include physical therapists, occupational therapists, and speech therapists. The therapists assist the rehabilitation patient in the training according to their respective specialized knowledge.

[0031] Physiotherapists are also called PTs (Physical Therapists). Physiotherapists provide physical therapy services to physically disabled people, primarily to help them recover basic movement abilities. Physical therapy is a form of treatment aimed at maintaining or improving physical movement functions for people whose physical movement functions have been reduced due to illness, injury, disability, etc. Physiotherapists perform physical therapy using exercise, heat, electricity, etc.

[0032] Occupational therapists are also called OTs (Occupational Therapists). Occupational therapists are people who provide occupational therapy to people with physical or mental disabilities, primarily to help them recover their applied motor skills or social adaptability. Here, occupation includes everyday activities such as bathing, changing clothes, and using the toilet.

[0033] Speech therapists are also called speech-language-hearing therapists or STs. Speech therapists are people who provide language practice and other practice items, as well as the necessary tests, advice, guidance and other assistance, in order to maintain and improve the functions of people with speech, language or hearing disabilities. In addition, speech therapists also provide eating and swallowing practice items under the direction of doctors and dentists.

[0034] In the following, PTs, OTs, STs, and other individuals who assist the rehabilitation training of rehabilitation patients are also referred to as assistants. Assistants may include doctors, nurses, and the like. Assistants assist rehabilitation patients when they practice exercises that help them recover physical movement functions.

[0035] In the following, first, an <assistance system> including the rehabilitation assistance system according to this embodiment will be described. Then, a <training device>, a <terminal>, and a <rehabilitation assistance device> will be described. Then, each component of the rehabilitation assistance device, namely, a <patient information acquisition unit>, a <goal acquisition unit>, a <practice item acquisition unit>, a <practice performance acquisition unit>, a <achievement stage acquisition unit>, a <prediction unit>, a <storage unit>, and a <display unit>, will be described, and then a <rehabilitation assistance method> will be described.

[0036] <Support system> FIG. 1 is a configuration diagram illustrating a support system according to the first embodiment. The support system 1 includes a rehabilitation support device 10, training devices 21 and 22, a terminal 31, and a database DB. In FIG. 1, the support system 1 includes two training devices 21 and 22, but may include only one training device 21, or may include three or more training devices 20. The training devices 21 and 22 are collectively referred to as training devices 20. Furthermore, the support system 1 may not include the training device 20 if the training device 20 is not required. A plurality of rehabilitation patients 90 may use the support system 1.

[0037] <Training device> The training device 20 is, for example, a training device for performing walking practice to improve walking function. With this, the rehabilitation patient 90 performs rehabilitation training to improve walking function. Training devices for performing walking practice are, for example, Wellwalk WW-1000 and WW-2000. Of course, the rehabilitation training is not limited to walking practice, and may be training of eating movements or excretion movements. Therefore, the training device 20 may be a training device for performing eating movements or excretion movements. The training device 20 may have a driving device such as a motor, a sensor, etc. The training device 20 is installed in a rehabilitation facility such as a hospital. Of course, the training device 20 may be a device installed in the home of the rehabilitation patient 90.

[0038] <Device> The terminal 31 is a device into which at least one of the assistant 80 and the rehabilitation patient 90 (referred to as the assistant 80, etc.) can input data. The terminal 31 is also a device into which data output by the rehabilitation support device 10 can be output. For example, the terminal 31 is a tablet computer, a smartphone, a personal computer, etc. The terminal 31 inputs data using an input device such as a keyboard, a mouse, a touch panel, a microphone, etc. The terminal 31 outputs data using an output device including a display device such as a display, a printer, etc. The assistant 80, etc. can input and output data related to the rehabilitation patient 90 and his / her rehabilitation training using the terminal 31. The terminal 31 may be a device attached to the training device 20 or may be a device attached to the rehabilitation support device 10. The support system 1 may have multiple terminals 31.

[0039] <Rehabilitation support device> The rehabilitation support device 10 is a device capable of inputting and outputting data. The rehabilitation support device 10 alone may be called a rehabilitation support system, or may be called a rehabilitation support system in combination with at least one of a training device 20, a terminal 31, and a database DB. The rehabilitation support device 10 serves as a rehabilitation support system that supports rehabilitation training. The rehabilitation support device 10 may be realized by a computer having a memory, a processor, a display device, and the like.

[0040] The rehabilitation support device 10 may acquire data from the training device 20, the terminal 31, and the database DB. The rehabilitation support device 10 may also output data to the training device 20, the terminal 31, and the database DB. The training device 20, the terminal 31, the database DB, and the rehabilitation support device 10 may be communicatively connected to each other via a network N. Here, the network N is a communication line network such as the Internet, an intranet, a mobile phone network, or a LAN (Local Area Network).

[0041] The acquisition and output of data by the rehabilitation support device 10 is not limited to via the network N. For example, at least a part of the data may be acquired and output via a USB memory or the like. The acquisition and output of data may be via a wireless communication line such as WiFi (registered trademark) or via a wired communication line. The rehabilitation support device 10 may acquire and output data between the training device 20, the terminal 31, and the database DB via at least one of a wireless and a wired communication line. The rehabilitation support device 10 has an interface for wireless or wired data input and output. The data acquisition by the rehabilitation support device 10 may be performed by an assistant 80 or the like selecting necessary data and writing it to the rehabilitation support device 10, or may be performed automatically.

[0042] Fig. 2 is a block diagram illustrating a rehabilitation support device 10 according to embodiment 1. As shown in Fig. 2, the rehabilitation support device 10 includes an acquisition unit 11, a prediction unit 12, a storage unit 13, and a display unit 14. The acquisition unit 11 may include a patient information acquisition unit 11a, a goal acquisition unit 11b, a practice item acquisition unit 11c, a practice result acquisition unit 11d, and an achievement stage acquisition unit 11e.

[0043] The rehabilitation support device 10 may be a tablet computer, a smartphone, a personal computer, or the like equipped with an input device and a display device, similar to the terminal 31. The rehabilitation support device 10 may use a part of the functions of the terminal 31. Furthermore, the rehabilitation support device 10 is not limited to being a single physical device. For example, the storage unit 13 may be a database DB provided separately from the main device.

[0044] <Patient information acquisition department> The patient information acquiring unit 11a acquires rehabilitation patient information related to the rehabilitation patient 90. The patient information acquiring unit 11a may acquire the rehabilitation patient information from at least one of the memory unit 13 and the database DB (referred to as the memory unit 13, etc.). The rehabilitation patient information may include attributes of the rehabilitation patient 90. The patient information acquiring unit 11a may acquire rehabilitation patient information of other rehabilitation patients 90 (including past rehabilitation patients 90).

[0045] FIG. 3 is a diagram illustrating rehabilitation patient information according to the first embodiment. As shown in FIG. 3, the rehabilitation patient information includes a patient ID, a name, an age, a sex, a diagnosis, a side of the disability, an onset date, a discharge date, a training record, a goal achievement date, and the like. The side of the disability is data indicating the affected leg with paralysis, and is indicated by the left leg (L) or the right leg (R). As shown by the patient ID 1000003 in the figure, the rehabilitation patient 90 who has not been discharged from the hospital, that is, the rehabilitation patient 90 who is hospitalized, has the discharge date field left blank. In other words, it is possible to identify whether the rehabilitation patient 90 is hospitalized or has been discharged from the hospital depending on whether a date is entered in the discharge date.

[0046] The rehabilitation patient information may be stored in the storage unit 13, for example, by the assistant 80 or the like inputting each item from the terminal 31. The rehabilitation patient information may be confirmed by the assistant 80 or the like inputting a patient ID and name from the terminal 31. When the rehabilitation support device 10 acquires data from multiple hospitals or facilities, the data may be accompanied by a facility ID indicating the hospital or facility where the rehabilitation training was performed.

[0047] Of course, the items shown in FIG. 3 are examples of rehabilitation patient information, and some items may be omitted. Furthermore, items not shown in FIG. 3 may be added. Specifically, the rehabilitation patient information may include practice items, practice results, achievement stages, short-term goals, long-term goals, planned dates for achieving short-term goals, planned dates for achieving long-term goals, dates for achieving short-term goals, and dates for achieving long-term goals, which will be described later. In addition, the rehabilitation patient information may include data on higher brain function, current FIM (Functional Independence Measure), current prosthetic device, current assistive device, and suspension device, which may be associated with a patient ID. The FIM is also called a functional independence assessment table, and is one of the assessment methods for evaluating ADL. The FIM may include a seven-level assessment from 1 point to 7 points depending on the amount of assistance.

[0048] The rehabilitation patient information may also include physical characteristics (height, weight, etc.), Br. stage (Brunnstrom Recovery Stage), SIAS (Stroke Impairment Assessment Set), initial walking FIM, latest walking FIM, etc. The initial walking FIM is the walking FIM at the time of onset or before rehabilitation training begins. The rehabilitation patient information may also include various data indicating the physical ability of the rehabilitation patient 90, such as evaluation items for evaluating the degree of recovery of the rehabilitation patient 90.

[0049] Br.stage is data that divides the recovery process of hemiplegia into six stages based on observation. Br.stage can include lower limb items, which are the main items related to the walking training device. SIAS is an index that comprehensively evaluates functional disorders of stroke. SIAS may include the hip flexion test (Hip-Flex), knee extension test (Knee-Ext), and foot pat test (Foot-Pat). SIAS may also include lower limb tactile sense (Touch L / E), lower limb position sense (Position L / E), abdominal muscle strength (Abdominal), and verticality test (Verticality).

[0050] FIG. 4 is a diagram illustrating evaluation items for evaluating the degree of recovery of a rehabilitation patient 90 according to the first embodiment. As shown in FIG. 4, when the evaluation items are for walking training, the evaluation items may include three items, namely, walking FIM, prosthetic device, and assistive device. An evaluation index indicating the degree of recovery is set for each evaluation item. Each evaluation item may be associated with the acquisition date of each evaluation index and the progress of the evaluation index (the progress of FIM in the figure). The storage unit 13 or the like may store an evaluation index indicating the degree of recovery for each rehabilitation patient 90.

[0051] For example, the walking FIM is a general-purpose index showing the degree of recovery. The walking FIM is also an index showing the movement ability (i.e., walking ability) of the rehabilitation patient 90 when no actuator is used. If the rehabilitation patient 90 can walk 50 m or more without an assistant 80 and without an orthosis (assisting device), the maximum score is 7 points, and if one assistant 80 can only walk less than 15 m no matter how much assistance he or she provides, the minimum score is 1 point. If the rehabilitation patient 90 can move 50 m with minimal assistance (assistance amount of 25% or less), the minimum score is 4 points, and if the rehabilitation patient 90 can move 50 m with moderate assistance (assistance amount of 25% or more), the minimum score is 3 points. Therefore, as recovery progresses, the rehabilitation patient 90's walking FIM gradually increases.

[0052] The assessment index of the walking FIM is divided into seven categories because it is input as an integer from 1 to 7. The assessment index of the walking FIM may be divided into eight categories, including the case where no data is input.

[0053] The prosthetic device complements or substitutes the physical functions of the rehabilitation patient 90 and is used continuously for a long period of time. The rehabilitation patient 90 walks wearing the prosthetic device. The prosthetic devices are classified into the following nine evaluation indexes. That is, they are classified into no prosthetic device, other, simple AFO (Ankle Foot Orthoses), with PAFO chair, without PAFO chair, RAPS (Remodeled Adjustable Posterior Strut)-AFO, M (Molded)-AFO, KAFO (Knee Ankle Foot Orthoses), and no input. That is, the evaluation items of the prosthetic devices are classified into nine evaluation indexes according to the degree of recovery.

[0054] The assistive device is a device that assists the rehabilitation patient 90 in walking. The rehabilitation patient 90 walks with an assistive device such as a cane. The evaluation items are classified into the following nine evaluation indexes: none, other, one-pronged cane, four-pronged cane (small), four-pronged cane (large), four-legged cane, walker, parallel bars, and not entered.

[0055] The rehabilitation patient 90 can walk using appropriate prosthetics and assistive devices. Furthermore, the assistant 80 can recommend appropriate prosthetics and assistive devices to the rehabilitation patient 90 according to the walking function of the rehabilitation patient 90. The prosthetics and assistive devices used change according to the degree of recovery of the rehabilitation patient 90. In other words, the prosthetics and assistive devices serve as evaluation indexes for evaluating the degree of recovery of the rehabilitation patient 90.

[0056] The rehabilitation patient information may include evaluation indexes for all evaluation items. Of course, some evaluation items may not be entered in the rehabilitation patient information. The evaluation index may be associated with the acquisition date. The evaluation index may also be associated with the date of onset and the number of days from the start date of rehabilitation.

[0057] <Target acquisition part> The goal acquisition unit 11b acquires goals to be achieved by the rehabilitation patient 90 when the rehabilitation patient 90 practices the practice items. The goals include long-term goals to be achieved over a long period of time and short-term goals to be achieved over a short period of time. The short-term period is a period shorter than the long-term period. The long-term goals and short-term goals may have multiple achievement stages. The rehabilitation patient 90 achieves the short-term goals and long-term goals through multiple achievement stages. In this way, the goal acquisition unit 11b acquires long-term goals that have multiple achievement stages and are achieved over a long period of time in order to restore the function of a specific physical movement in the rehabilitation patient 90, and short-term goals that have multiple achievement stages and are achieved over a short period of time that is shorter than the long period of time.

[0058] Fig. 5 is a diagram illustrating a display screen displaying a goal set for a rehabilitation patient according to embodiment 1. As shown in Fig. 5, for example, the display unit 14 of the rehabilitation support device 10 may display rehabilitation patient information of the past rehabilitation patient 90 on the display device in order to set a goal for the rehabilitation patient 90.

[0059] The display screen has a first display area 510, a second display area 520, a patient information display area 530, and a search condition display area 540. The patient information display area 530 displays patient information related to a rehabilitation patient 90 (herein referred to as a target patient 91) for whom a goal is to be set. For example, the patient information display area 530 is a window that displays the age, sex, diagnosis, side of disability, etc. of the target patient 91.

[0060] Search condition display area 540 displays search conditions for searching for past rehabilitation patients 90 similar to target patient 91. Past rehabilitation patients 90 are called past patients 92. In other words, search condition display area 540 is a window for assistant 80 or the like to input search conditions. A pull-down menu for inputting search conditions is displayed in search condition display area 540.

[0061] 5, age (40s), disease (stroke), walking FIM (3), prosthetic device (KAFO), assistive device (four-legged cane), etc. are set as search conditions. The search condition data is input according to the patient information of the target patient 91. The search condition data may be automatically input from the rehabilitation patient information of the target patient 91, or may be input manually by the assistant 80 or the like.

[0062] Furthermore, the number of days elapsed since the onset of symptoms (at two weeks) is set as a search condition. For example, similar rehabilitation patients can be extracted by referring to the data of each rehabilitation patient two weeks after the start of rehabilitation. By clicking the state distribution update distribution button, which is a search button, the rehabilitation support device 10 refers to the memory unit 13, etc., and extracts rehabilitation patients 90 that match the search condition. As a result, past patients 92 similar to the target patient 91 are extracted from the past patients 92. The past patients 92 can be filtered according to the search condition corresponding to the target patient 91. As a result, past patients 92 with similar preconditions can be set as a population.

[0063] The first display area 510 displays information that allows the positioning of the target patient 91 to be understood. Furthermore, the display in the first display area 510 is updated according to progress information of rehabilitation training. For example, the first display area 510 displays information indicating the condition of past patients 92 who match the search conditions at the time of discharge, in order to set a long-term goal at the time of discharge.

[0064] The display unit 14 groups a plurality of past patients 92 according to the state of similar past patients 92 at the time of discharge and displays them on the display screen. That is, a plurality of past patients 92 are classified into a plurality of groups. The first display area 510 shows the distribution of the number of past patients 92 belonging to each group. Here, the information on the number of past patients 92 that match the search conditions is displayed in a two-dimensional matrix.

[0065] The two-dimensional matrix is ​​generated according to the evaluation index of the evaluation item. Specifically, the horizontal axis of the two-dimensional matrix is ​​the walking FIM at the time of discharge, and the vertical axis is the prosthetic device at the time of discharge. Here, the evaluation items used in generating the two-dimensional matrix of the first display area 510 are the priority evaluation items. That is, the walking FIM and the prosthetic device are the priority evaluation items. Evaluation items other than the priority evaluation items are the non-priority evaluation items. The non-priority items are the auxiliary devices. Whether an item is a priority evaluation item or a non-priority evaluation item may be set in advance. That is, an evaluation item that is considered important as an evaluation item indicating recovery of rehabilitation training is the priority evaluation item. An evaluation item with a high contribution rate to recovery is the priority evaluation item.

[0066] The walking FIM is divided into eight categories including those not entered, and the prosthetic devices are divided into nine categories. Since the past patients 92 are divided into 72 (=8×9) groups, 72 display frames 511 are displayed in the first display area 510 in FIG. 5. The display frames 511 are rectangular squares.

[0067] Each display frame 511 displays number information indicating the number of past patients 92 belonging to each group. Here, the number is indicated by the number of icons, the size, etc. For example, one icon indicates 100 people. Fractions less than 100 are indicated by the size of the icon, etc. Note that a display frame 511 without an icon is a group without a similar past patient 92. Of course, the number information is not limited to the number of icons or the size. The number information may be indicated by a display color or shading. The display unit 14 may set a color bar according to the number of people and change the display color according to an increase or decrease in the number of people. Alternatively, the display unit 14 may change the shading of the gray scale according to the number of people. In addition, the display unit 14 may display a number indicating the number of people in the display frame 511 as the number information.

[0068] Furthermore, the display frame 511 may display information on the number of days according to the number of days until discharge. In other words, the average or median number of days required for a plurality of past patients 92 belonging to each group until discharge becomes the information on the number of days. The goal acquisition unit 11b can obtain the information on the number of days according to the admission and discharge dates of each rehabilitation patient 90. The goal acquisition unit 11b calculates the number of people information and the information on the number of days by referring to the storage unit 13, etc. Whether or not the patient has been discharged from the hospital can be determined according to the presence or absence of the data on the discharge date shown in FIG. 3. The evaluation index on the acquisition date immediately preceding the discharge date becomes the evaluation index at the time of discharge.

[0069] In this way, the display unit 14 displays information indicating the position of the target patient 91 in the group of 72. Furthermore, the display unit 14 updates and displays the information according to the progress of rehabilitation. The assistant 80 or the like can easily grasp the extent to which a similar past patient 92 had recovered at the time of discharge. Furthermore, the assistant 80 or the like can grasp how many days it took for the similar past patient 92 to be discharged from the hospital. Thus, the assistant 80 can formulate an appropriate training plan for the target patient 91. The assistant 80 can set goals for rehabilitation training by referring to the recovery process of the past patient 92. The target patient 91 can maintain high motivation for rehabilitation training.

[0070] The assistant 80 or the target patient 91 can select a target group. When the assistant 80 clicks on the display frame 511 of the group with the largest number of people or a group with a relatively large number of people, that group is set as the selected group. Alternatively, a group according to the level of recovery that the target patient 91 wishes to achieve may be designated as the selected group. The assistant 80 can formulate a rehabilitation plan for the target patient 91 by referring to the past rehabilitation history of past patients 92 who belong to the selected group. The assistant 80 can set goals based on comparison with similar past patients 92.

[0071] Furthermore, the distribution of the number of past patients 92 belonging to the selected group is displayed in the second display area 520. Here, the display unit 14 displays the past patients 92 of the selected group by dividing them into subgroups based on the evaluation index of the assistive device, which is a non-priority evaluation item.

[0072] Specifically, the evaluation index for the assistive device is divided into nine categories. Therefore, nine display frames 521 are displayed in a row in the second display area 520. Each display frame 521 displays the number of past patients 92 belonging to a subgroup and the number of days information about them. The number of patients information and the number of days information displayed in the display frame 521 are the same as the information in the display frame 511, so a description thereof will be omitted.

[0073] Furthermore, the assistant 80 or the like can select a target subgroup. When the assistant 80 clicks on the display frame 521 of a subgroup with the largest number of members or a subgroup with a relatively large number of members, the subgroup is set as the selected subgroup.

[0074] In this way, the goal acquisition unit 11b may acquire a goal from a group similar to the target patient 91. The goal may include the FIM and evaluation index of the past patient 92 belonging to a group similar to the target patient 91, or may include either the FIM or the evaluation index. For example, the goal acquisition unit 11b sets the FIM at the time of discharge as the long-term goal of the target patient 91. The goal acquisition unit 11b acquires an FIM similar to the FIM of the past patient 92 at the time of discharge as the long-term goal of the target patient 91. The FIM (for example, 7) of the long-term goal has a plurality of achievement stages (1 to 7) and has a long period to achieve. In addition, the goal acquisition unit 11b sets an FIM after a predetermined number of days as the short-term goal of the target patient 91. The goal acquisition unit 11b acquires an FIM similar to the FIM of the past patient 92 after a predetermined number of days as the short-term goal of the target patient 91. The FIM (for example, 3) of the short-term goal has a plurality of achievement stages (1 to 3) and has a predetermined period to achieve.

[0075] The goal acquisition unit 11b may acquire evaluation items of prosthetic devices, assistive devices, etc. as long-term goals and short-term goals of the target patient 91. The goal acquisition unit 11b may acquire the long-term goals and short-term goals through input by the assistant 80, etc. The goal acquisition unit 11b may automatically acquire the long-term goals and short-term goals from the selected group.

[0076] <Practice item acquisition part> The practice item acquiring unit 11c acquires practice items for achieving goals including long-term goals and short-term goals. The practice item acquiring unit 11c may acquire the practice items by referring to the practice items of a past patient 92 similar to the target patient 91.

[0077] FIG. 6 is a graph illustrating the practice results and FIM of the target patient 91 according to the first embodiment, where the horizontal axis indicates the number of days and the two vertical axes indicate the practice time and FIM. As shown in FIG. 6, the practice item acquisition unit 11c acquires rehabilitation patient information including the practice results and FIM of the target patient 91. In the example of FIG. 6, the onset date of the target patient 91 is August 31. The target patient 91 was admitted to the hospital on September 1 and immediately started rehabilitation. FIG. 6 shows the practice time of the practice items and evaluation items recorded from September 1 to September 8, and the FIM.

[0078] The practice item acquisition unit 11c acquires practice results and FIM for other rehabilitation patients 90 (e.g., past patients 92) similar to the target patient 91. For example, past practice results and FIM for one or more past patients 92 with the same medical condition (e.g., cerebral infarction) as the target patient 91 are acquired from the storage unit 30, etc.

[0079] FIG. 7 is a graph illustrating the practice results and FIM of the past patient 92 according to the first embodiment, where the horizontal axis indicates the number of days and the two vertical axes indicate the practice time and FIM. As shown in FIG. 7, the practice item acquisition unit 11c acquires the practice results and FIM of the past patient 92 similar to the practice results and FIM of the target patient 91. Specifically, data in which the difference between the trend including the slope of the FIM of the target patient 91 shown in FIG. 6 and the trend including the slope of the FIM of the past patient 92 is smaller than a threshold value may be extracted as similar data. As shown in FIG. 7, the past patient 92 developed cerebral infarction on June 2, was hospitalized on June 3, and started rehabilitation thereafter. In addition, the past patient 92 recovered to the same level as a healthy person (FIM indicates 7) on June 17, and was discharged from the hospital on June 18.

[0080] The practice item acquisition unit 11c acquires the practice items of the target patient 91 by matching the practice results and the reference time of the FIM of the past patient 92 with the practice results and the reference time of the FIM of the target patient 91. For example, the onset date (June 2) of the past patient 92's practice data and the onset date (August 31) of the target patient 91's data are matched to acquire the practice items of the target patient 91 from the practice results of the past patient 92. Specifically, the practice item acquisition unit 11c acquires the practice items of the target patient 91 from September 9 onwards, for which there is no input record of the practice results and FIM, from the practice results of the past patient 92 from June 13 onwards. The practice item acquisition unit 11c fits the acquired practice results and FIM into the practice items from September 9 onwards, for which there is no input record. The practice item acquisition unit 11c can acquire September 16th as the planned discharge date from the practice plan.

[0081] FIG. 8 is a graph illustrating the practice results and FIM of the past patient 92 and the target patient 91 according to the first embodiment, where the horizontal axis indicates the number of days and the two vertical axes indicate the practice time and FIM. As shown in FIG. 8, the display unit 14 displays the practice items of the target patient 91 (lower diagram of FIG. 7) on the display device so as to be comparable with the practice items of the past patient 92 (upper diagram of FIG. 7). The display unit 14 shows the planned end date or planned discharge date of the practice items (September 16th in the lower diagram of FIG. 7). In addition, in FIG. 8, the display unit 14 leaves the practice items of the target patient 91 blank, but the practice items and practice time required by the target patient 91 until discharge from the hospital may be specifically displayed. Alternatively, the display unit 14 may display short-term or long-term goals together with the practice items. The display unit 14 may not display such comparable graphs, but may simply display the planned end date or planned discharge date of the practice items, the practice items and practice time required by the target patient 91 until discharge from the hospital, and the like.

[0082] <Practice Record Acquisition Department> The practice result acquisition unit 11d acquires the practice items practiced on each practice day of rehabilitation as practice results. The practice items include, for example, walking practice (for example, walking on flat ground, stairs, etc.), range of motion practice, and muscle strength practice. The practice items may also include eating practice and toilet practice. The practice items may be those that use the training devices 21 and 22, or may not use the training devices 21 and 22. The practice result acquisition unit 11d may acquire the practice items as practice results through input by the assistant 80, etc.

[0083] The practice record may be associated with the name or ID of the assistant 80 in charge. The assistant 80 includes at least one of attributes of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse. The practice record may be associated with such attributes. The practice record may also be associated with an individual practice in which the rehabilitation patient 90 practices alone, or a group practice in which a plurality of patients gather and practice. In the case of an individual practice, the assistant 80 may ask the rehabilitation patient 90 about the time for each practice item, and input data such as the practice record into the rehabilitation support device 10. The practice record acquiring unit 11d may also acquire the practice record for each practice item from a sensor (e.g., a wearable device) attached to the rehabilitation patient 90.

[0084] Fig. 9 is a diagram illustrating a display screen on which the display unit 14 according to the embodiment 1 displays the practice results. As shown in Fig. 9, the display unit 14 may display the practice results on the display screen. A first display area 610, a second display area 620, a third display area 630, a fourth display area 640, a fifth display area 650, and a sixth display area 660 are displayed on the display screen.

[0085] The first display area 610 displays first information from the training device 21, WelWalk-2000. The second display area 620 displays second information from the training device 22 for treadmill walking practice. The third display area 630 displays third information from the training device 20 for indoor walking practice. The fourth display area 640 displays fourth information from the training device 20 for applied walking practice.

[0086] The first display area 610, the second display area 620, the third display area 630, and the fourth display area 640 each include a detail display button 611, 621, 631, and 641. Clicking the detail display button 611, 621, 631, and 641 displays the respective information in detail. In FIG. 9, the first information in the first display area 610 is displayed in detail. When the assistant 80 clicks the detail display button 611, the first display area 610 becomes wider, and when the assistant 80 clicks the detail display button 611 again, the first display area 610 is folded and becomes smaller.

[0087] The display unit 14 may display the first information and the second information side by side on the display screen. The first information and the second information may be displayed independently on a graph or a radar chart. That is, the first information and the second information may be displayed in different areas (display windows) of the display screen. Alternatively, the first information and the second information may be displayed on the same graph or radar chart. The first information and the second information may be displayed superimposed on a common area (display window) of the display screen. Furthermore, the manner in which the first information and the second information are displayed side by side is not limited to the above display manner. For example, the display unit 14 may display the first information and the second information simultaneously on the display screen. The display unit 14 may display the first information and the second information simultaneously on the same graph or the like on the display screen. The display unit 14 may display the first information and the second information simultaneously on different graphs or the like on the display screen. Furthermore, the first information and the second information may be displayed in different types of graphs.

[0088] A detailed description will be given of the first display area 610. The degree of achievement of the training on the training device 21 is evaluated for a plurality of items. Data relating to the plurality of items is displayed in a circular or polygonal radar chart 612.

[0089] Specifically, the training device 21 detects 14 abnormal walking movements during training (for example, leaning forward of the trunk, difficulty in swinging, leaning backward of the trunk, etc.). The training result acquisition unit 11d acquires the number of times abnormal walking movements are detected in one rehabilitation training session. The display unit 14 plots the number of detections on a 14-sided polygon centered on a reference point 613. If the number of times abnormal walking movements are detected is 0, a point indicating the number of detections is plotted on the reference point 613. The point indicating the number of detections is plotted so that the greater the number of detections, the farther the point is from the reference point 613. Therefore, the display unit 14 displays on the display screen the distance from the reference point 613 changing according to the level of achievement.

[0090] Furthermore, when the rehabilitation patient 90 has trained multiple times with the training device 21, the display unit 14 may display the first information so as to show the change over time. For example, data acquired in the most recent five training sessions may be displayed. The display unit 14 may then display the dots by changing their shape and color for each training date (acquisition date). In this way, by displaying the achievement levels of multiple training sessions at once, the progress of the training can be confirmed. The achievement levels may also be displayed in chronological order. The assistant 80 or the like may specify the acquisition date and time of the data to be displayed, and the range of the data.

[0091] Here, each of the display areas 610 to 640 displays information indicating the degree of achievement in each training device 20. The number of display areas 610 to 640 displayed on the display screen may be changed according to the number of training devices 20 on which training has been performed. For example, for a rehabilitation patient 90 who only trains on the two training devices 21 and 22, the display unit 14 may display only two display areas, the first display area 610 and the second display area 620. In other words, since information from the third training device 20 and the fourth training device 20 is not acquired, the display of the third display area 630 and the fourth display area 640 can be omitted. Therefore, it is possible to change the number of display areas for each rehabilitation patient 90.

[0092] In addition, the second display area 620, the third display area 630, and the fourth display area 640 display information corresponding to the achievement level of each training device 20. The second display area 620 displays second information corresponding to the achievement level of the training device 22. The third display area 630 displays third information corresponding to the achievement level of the third training device 20, and the fourth display area 640 displays fourth information corresponding to the achievement level of the fourth training device 20.

[0093] For example, each training device 20 detects abnormal movements, such as abnormal walking movements, of the rehabilitation patient 90. The training device 20 transmits the number of times the abnormal movements are detected to the rehabilitation support device 10. The display unit 14 displays the number of times the abnormal movements are detected as a radar chart. Of course, the display unit 14 may display information other than abnormal movements. The display unit 14 may simultaneously display information obtained by two or more training devices 20 in detail. Furthermore, the display unit 14 may display information obtained by two or more training devices 20 on one radar chart 612.

[0094] Exercise items are displayed in the fifth display area 650 and the sixth display area 660. For example, exercise items for reduced ability (IE) are displayed in the fifth display area 650, and upper limb function exercise items (UE) are displayed in the sixth display area 660. Furthermore, the rehabilitation support device 10 may present effective exercise items according to the degree of achievement of the rehabilitation patient 90 in training. For example, the exercise item acquisition unit 11c acquires effective exercise items based on at least one of the first information and the second information. The display unit 14 may display the effective exercise items in an emphasized manner.

[0095] The practice items displayed in the fifth display area 650 and the sixth display area 660 may be different for each training device 20, or may be common to a plurality of training devices 20.

[0096] <Achievement Level Acquisition Section> The achievement stage acquisition unit 11e acquires an achievement stage achieved by the practice results of the practice. The achievement stage may be indicated by a predetermined evaluation item or may be indicated by FIM. For example, when the rehabilitation patient 90 improves FIM by the practice results of the walking practice, the achievement stage acquisition unit 11e acquires the improved FIM as the achievement stage achieved. In addition, when the rehabilitation patient 90 achieves a predetermined evaluation item by the practice results of the walking practice, the achievement stage acquisition unit 11e acquires a predetermined evaluation item as the achievement stage achieved.

[0097] The patient information acquiring unit 11a, the goal acquiring unit 11b, the practice item acquiring unit 11c, the practice result acquiring unit 11d, and the achievement stage acquiring unit 11e may be integrated as the acquiring unit 11. At least two of the patient information acquiring unit 11a, the goal acquiring unit 11b, the practice item acquiring unit 11c, the practice result acquiring unit 11d, and the achievement stage acquiring unit 11e may be integrated as the acquiring unit 11.

[0098] <Prediction Department> The prediction unit 12 predicts the planned goal achievement date based on the achieved achievement stage. The planned goal achievement date includes a long-term goal achievement date when the long-term goal is achieved and a short-term goal achievement date when the short-term goal is achieved. The prediction unit 12 may predict the planned goal achievement date based on the practice results, achievement stage, and goal achievement date of other rehabilitation patients 90 (including past patients 92) similar to the practice results to date of the target patient 91. The goal achievement date includes a short-term goal achievement date when the other rehabilitation patients 90 achieve their short-term goals and a long-term goal achievement date when the long-term goals are achieved.

[0099] The prediction unit 12 may also predict the expected date of achievement of each goal based on the practice record associated with each assistant 80. Therefore, it is possible to find an assistant 80 suitable for accelerating the expected date of achievement of the goal of the rehabilitation patient 90.

[0100] <Storage section> The memory unit 13 etc. (at least one of the memory unit 13 and the database DB) stores the long-term goal and short-term goal acquired by the goal acquisition unit 11b, the practice results acquired by the practice result acquisition unit 11d, the achievement stage acquired by the achievement stage acquisition unit 11e, and the planned goal achievement date predicted by the prediction unit 12. The memory unit 13 etc. may store the long-term goal, short-term goal, practice results, achievement stage, short-term goal achievement date, and long-term goal achievement date for other rehabilitation patients 90 (including past patients 92).

[0101] The memory unit 13 etc. may store an assistant who assisted the rehabilitation patient 90 when the rehabilitation patient 90 practiced a practice item for recovering a physical movement function, in association with the practice record. The assistant 80 includes at least one attribute of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse. The memory unit 13 etc. may store each attribute in association with the practice record. An assistant 80 suited to a practice item can be made to assist with the practice item, and the achievement level of the rehabilitation patient 90 can be improved. In addition, a practice item suited to each attribute can be made to assist, and the achievement level of the rehabilitation patient 90 can be improved.

[0102] Furthermore, the storage unit 13 etc. may store, when the rehabilitation patient 90 practices a practice item for recovering a physical movement function, an individual practice performed by one person or a group practice performed by multiple people in association with the practice results. Depending on the practice item practiced by the rehabilitation patient 90, there are cases where it is better to practice individually and cases where it is better to practice in a group. Therefore, by comparing the achievement stage based on the practice results of the individual practice with the achievement stage based on the practice results of the group practice, it is possible to select an appropriate practice method.

[0103] Furthermore, the memory unit 13 etc. may store rehabilitation patient information of the rehabilitation patient 90. The memory unit 13 etc. may store evaluation indexes for all evaluation items for each rehabilitation patient 90. Of course, the memory unit 13 etc. may not input evaluation indexes for some evaluation items. The memory unit 13 etc. may update the evaluation index according to the recovery status of the rehabilitation patient 90. In other words, the memory unit 13 etc. stores the latest evaluation index. The evaluation index is associated with the acquisition date on which the data was acquired. The evaluation index may also be associated with the onset date and the number of days from the rehabilitation start date. The memory unit 13 etc. may store the acquisition time in addition to the acquisition date.

[0104] The storage unit 13 etc. may store an initial (at the time of onset) evaluation index, or may store evaluation indexes for each predetermined period from the onset date. The storage unit 13 etc. may store evaluation indexes according to the number of days elapsed in rehabilitation in chronological order. The evaluation indexes for the evaluation items may be input using the terminal 31, or may be automatically acquired by the training device 20.

[0105] The storage unit 13 etc. includes a non-volatile memory such as a hard disk drive, a flash memory, an EPROM (Erasable Programmable Read Only Memory), or an SSD (Solid State Drive). The storage unit 13 etc. may include a database DB that stores information about a plurality of rehabilitation patients 90. The storage unit 13 may store information about each rehabilitation patient 90 for each rehabilitation patient 90.

[0106] <Display section> The display unit 14 displays the long-term goal, short-term goal, practice items, practice results, achievement stages, planned long-term goal achievement dates, and short-term goal achievement dates, etc., for the assistant 80, etc., on a display device such as a display. The display unit 14 may, for example, superimpose the practice results, achievement stages, and planned goal achievement dates, etc., and display them on the display device. The display unit 14 may extract the practice results, achievement stages, and planned goal achievement dates, etc., associated with a specific assistant 80, and display them on the display device.

[0107] Fig. 10 is a diagram illustrating a display screen on which the display unit 14 according to the first embodiment displays a short-term goal, a long-term goal, practice results, and achievement stages. As shown in Fig. 10, the display unit 14 displays a graph in the center of the display screen, with the horizontal axis representing the number of days and the two vertical axes representing practice time and FIM. The right vertical axis of the graph represents practice time, and the left vertical axis of the graph represents FIM. This allows the assistant 80 or the like to check the practice results and FIM, etc. side by side.

[0108] For the practice performance and FIM, the 0th day on the horizontal axis may be set as the onset date. The onset date refers to the date when symptoms begin to appear. The 0th day on the horizontal axis may be changed to the hospitalization date or the rehabilitation start date. The assistant 80 or the like can change the 0th day on the horizontal axis to not only the onset date but also the hospitalization date, the rehabilitation start date, or the like by operating various buttons on the display screen.

[0109] The display unit 14 may visualize the practice results of the rehabilitation patient 90 on the display screen using a stacked bar graph or a line graph. The display unit 14 may display the practice time for each practice item of the rehabilitation patient 90 recorded by the assistant 80 as the practice results. In FIG. 10, the display unit 14 displays a line 101 indicating a short-term goal at the position on the horizontal axis where the number of practice days is 20 days. The display unit 14 also displays a line 102 indicating a long-term goal at the position on the horizontal axis where the number of practice days is 80 days. The display unit 14 displays a line 103 indicating the planned discharge date at the position on the horizontal axis where the number of practice days is 90 days.

[0110] The lines 101 and 102 of the short-term goal and the long-term goal may be acquired by the goal acquisition unit 11b described above. The line 103 of the planned discharge date may be acquired by the practice item acquisition unit 11c described above. The lines 101 to 103 of the short-term goal, the long-term goal, and the planned discharge date may be arbitrarily set by the assistant 80 or the like. Practice items include, but are not limited to, walking practice (e.g., walking on flat ground, stairs, etc.), eating practice, toilet practice, etc.

[0111] As shown in FIG. 10, the display unit 14 displays "FIM being performed" 111 and "FIM being able to perform" 112 in association with data such as practice results.

[0112] The "FIM done" indicates the degree to which the rehabilitation patient 90 is performing the practice items in his / her daily life. For example, in the case of walking practice, the rehabilitation patient 90 is somehow able to walk without a cane, but in the case of walking with a cane in daily life, the "FIM done" expresses the state in which the rehabilitation patient 90 is able to walk with a cane. On the other hand, the "FIM done" expresses the state in which the rehabilitation patient 90 is able to walk without a cane. The "FIM done" may be obtained by the assistant 80 for each practice item by observing the rehabilitation patient 90 periodically (for example, once a month). The "FIM done" may be obtained by the assistant 80 for each practice item by observing the patient's daily life. The "FIM done" may also be obtained by the assistant 80 at the time of admission and at the time of discharge, and the difference between them may be used to evaluate the rehabilitation performance.

[0113] From the viewpoint of recovery, it is desirable that the values ​​of "FIM done" and "FIM able to do" are as similar as possible. Therefore, it is desirable for the assistant 80 to take measures to make the difference between these values ​​as close as possible.

[0114] Fig. 11 is a diagram illustrating a display screen on which the display unit 14 according to the first embodiment displays a short-term goal, a long-term goal, a practice record, an achievement stage, and a planned goal achievement date. As shown in Fig. 11, the display unit 14 may display on the display device a planned goal achievement date including a short-term goal achievement date (line 104) and a long-term goal achievement date (line 105) predicted by the prediction unit 12 in a superimposed manner. This makes it possible to intuitively recognize the difference between the proposed short-term goal and long-term goal. This allows the assistant 80 or the like to easily grasp the progress of rehabilitation with respect to the short-term goal and the long-term goal.

[0115] Specifically, if the gap between the short-term goal line 101 and the short-term goal scheduled date line 104 is large, it indicates that there is some problem with the practice results for the short-term goal. In this case, the display unit 14 may display an alert to the assistant 80 or the like as to whether the short-term goal can be achieved. Therefore, the assistant 80 or the like may review the practice items to improve the achievement stage. For example, the assistant 80 or the like may cause the practice item acquisition unit 11c to acquire practice items that will improve the achievement stage. The practice item acquisition unit 11c acquires new practice items based on the practice results, achievement stage, and goal achievement date of other rehabilitation patients 90, and the scheduled goal achievement date predicted by the prediction unit 12.

[0116] On the other hand, if the gap between the short-term goal line 101 and the planned date for achieving the short-term goal line 104 is small, this indicates that the practice results are sufficient for the short-term goal. In this case, the assistant 80 or the like can maintain this pace. The same is true for the long-term goal line 102 and the planned date for achieving the long-term goal line 105. Thus, the assistant 80 or the like can grasp the progress of goal achievement based on the practice results and the achievement stage, and can change the practice items. Furthermore, by grasping the progress of goal achievement, motivation for rehabilitation can be increased.

[0117] The display unit 14 may display the assistant 80 associated with the practice results on the display screen. For example, the display unit 14 may display the assistant 80 associated with the walking practice. In addition, the assistant etc. 80 may select the name of the assistant 80 on the display screen to extract the practice results associated with the specific assistant 80 and display them on the display device. The display unit 14 may display data such as the practice results associated with the assistant 80 in charge in a distinguishable manner by color coding or the like. The display unit 14 may display data for each attribute of the assistant 80 in a distinguishable manner. In addition, the display unit 14 may display an individual practice in which a rehabilitation patient 90 practices alone, and a group practice in which multiple patients gather and practice, in a distinguishable manner.

[0118] <Rehabilitation support methods> Next, a rehabilitation assisting method according to the present embodiment will be described with reference to Fig. 12. Fig. 12 is a flow chart illustrating the rehabilitation assisting method according to the first embodiment.

[0119] 12, patient information, short-term goals, long-term goals, practice items, practice results, achievement stages, etc. are acquired. Specifically, for example, the patient information acquiring unit 11a acquires rehabilitation patient information stored in the storage unit 13.

[0120] Note that, before step S11, a step may be further provided of storing, as rehabilitation patient information, patient information, short-term goals, long-term goals, practice items, practice results, achievement stage, short-term goal achievement date, and long-term goal achievement date of another rehabilitation patient 90 in memory unit 13. Then, patient information acquisition unit 11a may acquire rehabilitation patient information of another rehabilitation patient 90 from memory unit 13.

[0121] The goal acquisition unit 11b acquires a short-term goal and a long-term goal. Specifically, the goal acquisition unit 11b acquires a long-term goal to be achieved over a long period of time and a short-term goal to be achieved over a short period of time in order to restore a predetermined physical movement function in the rehabilitation patient 90. The goal acquisition unit 11b may acquire the short-term goal and the long-term goal by referring to rehabilitation patient information of other rehabilitation patients 90.

[0122] The practice item acquiring unit 11c acquires practice items. The practice item acquiring unit 11c may acquire practice items based on the practice items, practice results, and achievement stages of other rehabilitation patients 90 similar to the rehabilitation patient information, practice results, and achievement stages of the target patient 91.

[0123] The practice result acquisition unit 11d acquires the practice result. Specifically, the practice result acquisition unit 11d acquires the practice items practiced on each practice day as the practice result. The achievement level acquisition unit 11e acquires the achievement level achieved by the practice result.

[0124] Next, as shown in step S12, the scheduled date of goal achievement is predicted. Specifically, the prediction unit 12 predicts the scheduled date of goal achievement, including the long-term goal achievement date and the short-term goal achievement date, based on the achieved achievement stage. When predicting the scheduled date of goal achievement, the prediction unit 12 may predict the scheduled date of goal achievement based on the practice results, achievement stage, and goal achievement date of other rehabilitation patients 90 similar to the practice results and achievement stage of the target patient 91. In addition, each scheduled date of goal achievement may be predicted based on the practice results and achievement stage associated with each assistant 80.

[0125] The practice results, the achieved achievement stage, and the predicted target achievement date may be stored in the storage unit 13. Specifically, the acquisition unit 11 and the prediction unit 12 may store the acquired information and the predicted target achievement date in the storage unit 13. When storing the acquired information and the predicted target achievement date in the storage unit 13, the assistant 80 who assisted the rehabilitation patient 90 may be stored in association with the practice results. In addition, when the rehabilitation patient 90 practices a practice item, an individual practice performed by one person or a group practice performed by multiple people may be stored in association with the practice results.

[0126] Next, as shown in step S13, the practice results, achievement stages, etc., and the planned target achievement date are superimposed and displayed on the display device. When the display unit 14 superimposes the practice results, achievement stages, etc., and the planned target achievement date on the display device, the display unit 14 may extract the practice results associated with a specific assistant 80 and display them on the display device. In this way, the rehabilitation support device 10 can display various data of the rehabilitation patient 90 on the display device.

[0127] Next, the effects of this embodiment will be described. The rehabilitation support device 10 of this embodiment displays on a display device a goal for recovering a predetermined physical movement function of the rehabilitation patient 90, a practice result, an achievement stage, and a planned date for achievement of the goal, superimposed on each other. Thus, by displaying the planned goal together with the current practice result and achievement stage, the delay and progress to the goal can be intuitively confirmed and recognized. This makes it possible to maintain motivation for rehabilitation over a long period from the start of training to discharge from hospital.

[0128] The prediction unit 12 predicts the expected date of goal achievement based on the practice results and achievement stages of other rehabilitation patients 90 similar to those of the target patient 91. Thus, the accuracy of the expected date of goal achievement can be improved.

[0129] The storage unit 13 stores the assistants 80 who assisted the rehabilitation patient 90 in association with their practice records. Thus, the prediction unit 12 can predict the expected target achievement date corresponding to each assistant 80 based on each practice record and each achievement stage associated with each assistant 80. This allows each practice item associated with the optimal assistant 80 to be selected and practiced in order to accelerate the expected target achievement date.

[0130] The memory unit 13 also stores the individual practice performed by one person or the group practice performed by multiple people in association with the practice results. Thus, the prediction unit 12 can predict the planned goal achievement date based on each practice result and each achievement stage associated with the individual practice or group practice. This allows the user to select and practice each optimal practice item from the individual practice or group practice in order to accelerate the planned goal achievement date.

[0131] Next, a configuration of the rehabilitation support device 10 for executing the above-mentioned rehabilitation support method by a program will be described. Fig. 13 is a block diagram showing an example of the configuration of the rehabilitation support device 10 according to the first embodiment. As shown in Fig. 13, the rehabilitation support device 10 includes an interface 1201, a processor 1202, and a memory 1203. The interface 1201 is used to communicate with other network node devices constituting the communication system. The interface 1201 may be used to perform wireless communication.

[0132] The processor 1202 reads out and executes software (computer programs) from the memory 1203 to perform the processing of the rehabilitation support device 10 described using the flowcharts or sequences in the above-mentioned embodiments. The processor 1202 may be, for example, a microprocessor, a CPU (Central Processing Unit), an MPU (Micro Processing Unit), an ECU (Electronic Control Unit), an FPGA (Field-Programmable Gate Array), an ASIC (Application Specific Integrated Circuit), or the like. The processor 1202 may include multiple processors.

[0133] The memory 1203 is configured by a combination of volatile memory and non-volatile memory. The memory 1203 may include storage located remotely from the processor 1202. In this case, the processor 1202 may access the memory 1203 via an input / output (I / O) interface (not shown).

[0134] The memory 1203 is used to store software modules. The processor 1202 can perform the processing of the rehabilitation support device 10 described in the above embodiment by reading and executing these software modules from the memory 1203. Each of the processors included in the rehabilitation support device 10 etc. executes one or more programs including instructions for causing a computer to execute the algorithms described with reference to the drawings.

[0135] In addition, a part or all of the processes in the above-mentioned system, device, terminal, etc. can be realized as a computer program. Such a program can be stored using various types of non-transitory computer-readable media and supplied to a computer. The non-transitory computer-readable media includes various types of tangible recording media. Examples of the non-transitory computer-readable media include magnetic recording media (e.g., flexible disks, magnetic tapes, hard disk drives), magneto-optical recording media (e.g., magneto-optical disks), CD-ROMs (Read Only Memory), CD-Rs, CD-R / Ws, and semiconductor memories (e.g., mask ROMs, PROMs (Programmable ROMs), EPROMs (Erasable PROMs), flash ROMs, and RAMs (Random Access Memory)). The program may also be supplied to a computer by various types of temporary computer-readable media. Examples of the temporary computer-readable media include electrical signals, optical signals, and electromagnetic waves. The temporary computer-readable media can supply the program to a computer via wired communication paths such as electric wires and optical fibers, or wireless communication paths.

[0136] Although the embodiments of the present disclosure have been described above, the present disclosure includes appropriate modifications that do not impair the objects and advantages thereof, and is not limited to the above-mentioned embodiments. In addition, the configurations in the first embodiment may be appropriately combined. [Explanation of symbols]

[0137] 1. Support System 10 Rehabilitation support devices 11 Acquisition Department 11a Patient information acquisition department 11b Target acquisition part 11c Practice item acquisition part 11d Practice Record Acquisition Department 11e Accomplishment Stage Acquisition Section 12 Prediction Department 13 Storage section 14 Display section 20, 21, 22 Training equipment 31 Terminals 80 Auxiliary 90 Rehabilitation Patients 91 Target Patients 92 Past patients 101, 102, 103, 105, 106 lines 111 FIM 112 FIM 510 1st display area 511 Display Frame 520 2nd display area 512 display frame 530 Patient information display area 540 Search criteria display area 610 1st display area 611 Details button 612 Radar Chart 613 Reference point 620 2nd display area 621 Details button 630 Third display area 631 Details button 640 4th display area 641 Details button 650 5th display area 660 6th display area 1201 Interface 1202 Processor 1203 Memory DB Database N Network

Claims

1. a goal acquisition unit that acquires a long-term goal having a plurality of achievement stages and being achieved over a long period of time for recovering a predetermined physical movement function in a rehabilitation patient, and a short-term goal having a plurality of the achievement stages and being achieved over a short period of time that is shorter than the long-term goal; a practice record acquisition unit that acquires practice items practiced on each practice day as practice records; an achievement level acquisition unit that acquires the achievement level achieved based on the practice results; a prediction unit that predicts a planned target achievement date including a long-term target achievement date for achieving the long-term target and a short-term target achievement date for achieving the short-term target based on the achieved achievement stage; a display unit that displays the practice record, the achievement stage, and the planned target achievement date on a display device in a superimposed manner; A rehabilitation support system equipped with

2. Further comprising a storage unit for storing the practice results, the achievement stage, and the planned date for achieving the goal, The rehabilitation support system according to claim 1 .

3. The storage unit stores the practice results of other rehabilitation patients, the achievement stage, and goal achievement dates including a short-term goal achievement date when the short-term goal is achieved and a long-term goal achievement date when the long-term goal is achieved, The prediction unit predicts the expected goal achievement date based on the practice results, the achievement stage, and the goal achievement date of the other rehabilitation patients. The rehabilitation support system according to claim 2.

4. A practice item acquisition unit for acquiring the practice items is further provided, The practice item acquisition unit acquires the practice items based on the practice results, the achievement stage, and the goal achievement date of the other rehabilitation patient, and the planned goal achievement date predicted by the prediction unit. The rehabilitation support system according to claim 3.

5. The storage unit stores an assistant who assisted the rehabilitation patient when the rehabilitation patient practiced the practice item for recovering the function of the body movement in association with the practice record. The rehabilitation support system according to claim 2.

6. The assistant includes at least one attribute of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse, The storage unit stores each attribute in association with the practice record. The rehabilitation support system according to claim 5.

7. The display unit extracts the practice results associated with the specific assistant and displays them on the display device. The rehabilitation support system according to claim 5 or 6.

8. The prediction unit predicts a planned date for achieving each goal based on the practice results associated with each assistant. The rehabilitation support system according to claim 5 or 6.

9. The storage unit stores an individual practice performed by one person or a group practice performed by a plurality of people when the rehabilitation patient practices the practice item for recovering the function of the body movement in association with the practice record. The rehabilitation support system according to claim 2 or 3.

10. A long-term goal having a plurality of achievement stages and to be achieved over a long period of time for restoring a predetermined physical movement function in a rehabilitation patient and a short-term goal having a plurality of the achievement stages and to be achieved over a short period of time shorter than the long-term goal are obtained; The practice items practiced on each practice day are recorded as practice results, Obtain the achievement stage achieved through the practice results; predicting a target achievement date including a long-term target achievement date for achieving the long-term goal and a short-term target achievement date for achieving the short-term goal based on the achievement stage achieved; displaying the practice results, the achievement stage, and the planned date for achieving the goal on a display device in a superimposed manner; Rehabilitation support methods.

11. storing the practice results, the achievement stage, and the planned date for achieving the goal in a storage unit; The rehabilitation assistance method according to claim 10.

12. storing the practice results of other rehabilitation patients, the achievement stage, and goal achievement dates including a short-term goal achievement date when the short-term goal is achieved and a long-term goal achievement date when the long-term goal is achieved; When predicting the expected date of goal achievement, predict the expected date of goal achievement based on the practice records, the achievement stage, and the goal achievement date of the other rehabilitation patients. The rehabilitation assistance method according to claim 11.

13. Acquire the practice items, When acquiring the practice items, the practice items are acquired based on the practice results, the achievement stage, and the target achievement date of the other rehabilitation patients, and the predicted scheduled date of achievement of the target. The rehabilitation assistance method according to claim 12.

14. When storing the practice record, the achievement stage, and the planned date for achieving the goal, an assistant who assisted the rehabilitation patient when the rehabilitation patient practiced the practice item for recovering the function of the physical movement is stored in association with the practice record. The rehabilitation assistance method according to claim 11.

15. The assistant includes at least one attribute of a physical therapist, an occupational therapist, a speech therapist, a doctor, and a nurse, When storing the practice results, the achievement stage, and the planned date for achieving the goal, each attribute is stored in association with the practice results. The rehabilitation assistance method according to claim 14.

16. When the practice results, the achievement stage, and the planned date for achieving the goal are displayed on the display device in a superimposed manner, the practice results associated with a specific assistant are extracted and displayed on the display device. The rehabilitation assistance method according to claim 14 or 15.

17. When predicting the expected date of achievement of the goal, predicting each expected date of achievement of the goal based on the practice record associated with each assistant. The rehabilitation assistance method according to claim 14 or 15.

18. When storing the practice results, the achievement stage, and the planned date for achieving the goal, an individual practice performed by one person or a group practice performed by a plurality of people when the rehabilitation patient practices the practice item for recovering the function of the body movement is stored in association with the practice results. The rehabilitation assistance method according to claim 11 or 12.

19. A long-term goal having a plurality of achievement stages and to be achieved over a long period of time for restoring a predetermined physical movement function in a rehabilitation patient and a short-term goal having a plurality of the achievement stages and to be achieved over a short period of time shorter than the long-term goal are obtained; The practice items practiced on each practice day are recorded as practice results, Obtain the achievement stage achieved through the practice results; predicting a target achievement date including a long-term target achievement date for achieving the long-term goal and a short-term target achievement date for achieving the short-term goal based on the achievement stage achieved; displaying the practice results, the achievement stage, and the planned date for achieving the goal on a display device in a superimposed manner; A program that causes a computer to do something.

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