Rehabilitation Support Devices

Abstract

A rehabilitation support device is provided that supports rehabilitation while maintaining the motivation of a rehabilitation subject. [Solution] A rehabilitation support device 100 supports rehabilitation performed by a rehabilitation recipient. The rehabilitation support device 100 includes a challengeable line acquisition unit 53 that acquires a challengeable line that quantifies the physical ability that the rehabilitation recipient can safely improve, a desired goal line acquisition unit 54 that acquires a desired goal line that is a score that quantifies the physical ability necessary for daily activities that the rehabilitation recipient wishes to achieve as a result of rehabilitation and that can be compared with the challengeable line, a determination unit 55 that determines whether the desired goal line is higher than the challengeable line, and an output unit 2 that outputs determination result information that indicates the determination result by the determination unit 55.

Description

[Technical Field]

[0001] The present invention relates to a rehabilitation support device. [Background technology]

[0002] In recent years, the need for rehabilitation (hereinafter referred to as rehab) has increased with the aging population and the increase in health risk factors among young people. In rehabilitation, the condition of the rehabilitation user, such as illness and goals, is grasped, and a rehabilitation plan tailored to the user's condition is created. However, grasping the user's condition is not easy, and creating a rehabilitation plan is not easy. For this reason, various technologies for supporting the creation of rehabilitation plans have been proposed (see, for example, Patent Document 1). The rehabilitation support device disclosed in Patent Document 1 (referred to as a rehabilitation plan creation support device in Patent Document 1) supports the creation of a rehabilitation plan tailored to the user. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Patent Publication No. 2021-22401 Summary of the Invention [Problem to be solved by the invention]

[0004] The rehabilitation support device disclosed in Patent Document 1 narrows down example goals, such as increasing muscle strength, based on interest information indicating the results of a user's questionnaire and information about the user's home visit (information indicating the level of each of ADL (activities of daily living), IADL (instrumental activities of daily living), and daily living activities, and whether or not there are any issues), and extracts a rehabilitation program that corresponds to the example goal. Generally, rehabilitation programs that correspond to example goals aim to improve physical ability, and there is no option for the rehabilitation user (hereinafter referred to as the "rehabilitation recipient") other than improving physical ability, which poses a problem in that it is difficult to maintain the motivation of the rehabilitation recipient.

[0005] The present invention has been made in view of the above-mentioned problems, and its purpose is to provide a rehabilitation support device that can support rehabilitation while maintaining the motivation of the rehabilitation recipient. [Means for solving the problem]

[0006] The characteristic configuration of the rehabilitation support device of the present invention is that it is a rehabilitation support device that supports rehabilitation performed by a rehabilitation subject, and is equipped with a challengeable line acquisition unit that acquires a challengeable line (which quantifies the limit of the content of the rehabilitation that can be carried out) that quantifies the physical ability that the rehabilitation subject can safely improve, a desired target line acquisition unit that acquires a desired target line that is a score that quantifies the physical ability necessary for the daily living activities that the rehabilitation subject wishes to achieve as a result of the rehabilitation, and can be compared with the challengeable line, a judgment unit that judges whether the desired target line is higher than the challengeable line, and an output unit that outputs judgment result information that indicates the judgment result by the judgment unit.

[0007] According to this characteristic configuration, the results of a comparison between the desired goal line and the challengeable line are output. Therefore, the rehabilitation recipient and the rehabilitation staff in charge of the rehabilitation can understand the gap between the desired goal line and the challengeable line from the judgment result information. Based on this result, the rehabilitation recipient can carry out rehabilitation in a way that satisfies them. Therefore, the rehabilitation can be supported while maintaining the rehabilitation recipient's motivation.

[0008] In another configuration, when the determination unit determines that the desired goal line is higher than the challengeable line, the output unit may output suggested information that the desired goal line is equal to or lower than the challengeable line.

[0009] According to this characteristic configuration, suggested information that brings the desired goal line below the possible challenge line (for example, information that raises the possible challenge line or information that lowers the desired goal line) is output. This provides options other than improving physical ability (for example, an option to raise the possible challenge line by changing the rehabilitation environment, or an option to lower the desired goal line by changing the lifestyle behavior that the rehabilitation recipient wishes to achieve), and the rehabilitation recipient can select suggested information of their own volition, making it possible to support the rehabilitation recipient while maintaining their motivation.

[0010] In another configuration, the desired goal line may be obtained based on a physical ability score that quantifies the physical ability of the rehabilitation subject and a goal-to-achieve score that quantifies the lifestyle behaviors that the rehabilitation subject wishes to achieve as a result of the rehabilitation.

[0011] With this feature, by making the desired goal line a dimension that can be compared and evaluated with the challengeable line, the rehabilitation recipient can easily visualize the connection with the physical ability improvement training content that constitutes the rehabilitation plan, and rehabilitation can be carried out with a joint understanding between the rehabilitation recipient and the rehabilitation staff in charge. As a result, rehabilitation can be supported while maintaining the rehabilitation recipient's motivation.

[0012] In another configuration, the challengeable line may be obtained based on a physical ability score that quantifies the physical ability of the rehabilitation subject and an environmental score that quantifies the surrounding environment in which the rehabilitation subject performs the rehabilitation, and the output unit may output information that improves the environmental score as the suggested information.

[0013] According to this characteristic configuration, information for improving the environment score (information for improving the rehabilitation environment) is output as suggested information for bringing the desired goal line below the challengeable line. This provides options other than improving physical ability while maintaining the desired goal line, thereby supporting rehabilitation while maintaining the motivation of the rehabilitation recipient.

[0014] In another configuration, the physical ability score may be obtained based on a base score that quantifies a disease-free state and an action score that quantifies the actions that the rehabilitation subject can perform.

[0015] This feature configuration can improve the accuracy of the physical ability score.

[0016] In another configuration, the movement score may be obtained based on the disease of the rehabilitation subject and the movements that the rehabilitation subject can perform before the rehabilitation is performed.

[0017] This feature configuration can improve the accuracy of the physical ability score.

[0018] In another configuration, the output unit may output rehabilitation plan information indicating a rehabilitation plan to be implemented by the rehabilitation subject when the judgment unit determines that the desired goal line is below the challengeable line.

[0019] According to this characteristic configuration, the desired goal line is equal to or less than the challengeable line, so rehabilitation can be carried out safely and effectively. [Brief explanation of the drawings]

[0020] [Figure 1] 1 is a block diagram showing a configuration of a rehabilitation assistance device according to an embodiment. [Figure 2] FIG. 2 is a block diagram showing the configuration of a storage unit according to the embodiment. [Figure 3] FIG. 10 is a diagram illustrating an example of a basic score table according to the embodiment. [Figure 4] FIG. 10 is a diagram illustrating an example of an action score table according to the embodiment. [Figure 5] FIG. 10 is a diagram illustrating an example of a staff score table according to the embodiment. [Figure 6] FIG. 10 is a diagram illustrating an example of a floor plan score table according to the embodiment. [Figure 7] FIG. 10 is a diagram showing an example of an instrument score table according to the embodiment. [Figure 8] FIG. 10 is a diagram illustrating an example of a time slot score table according to the embodiment. [Figure 9] FIG. 10 is a diagram illustrating an example of a weighted score table according to the embodiment. [Figure 10] FIG. 10 is a diagram illustrating an example of a goal score table according to the embodiment. [Figure 11] 10 is a flowchart showing a rehabilitation assistance process according to the embodiment. [Figure 12] 10 is a flowchart showing a physical ability score acquisition process according to the embodiment. [Figure 13] 10 is a flowchart illustrating an environment score acquisition process according to the embodiment. [Figure 14] FIG. 10 is a diagram illustrating an example of a determination result presentation screen according to the embodiment. [Figure 15] 10 is a flowchart showing a rehabilitation assistance process according to another embodiment. [Figure 16] 10 is a flowchart illustrating a proposed information presentation process according to another embodiment. [Figure 17] FIG. 10 is a diagram illustrating an example of a proposed information presentation screen according to another embodiment. [Figure 18] FIG. 10 is a diagram showing another example of a proposed information presentation screen according to another embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0021] The present invention will be described below with reference to the accompanying drawings, but is not limited to the following embodiments and various modifications are possible without departing from the spirit and scope of the invention. [Embodiment 1] [Rehabilitation support device] First, the configuration of a rehabilitation support device according to this embodiment will be described with reference to Fig. 1. The rehabilitation support device 100 supports rehabilitation performed by a rehabilitation user (hereinafter referred to as rehabilitation recipient).

[0022] As shown in FIG. 1, the rehabilitation support device 100 includes an operation unit 1, a display unit 2 (an example of an output unit), a control unit 5, and a storage unit 6.

[0023] The operation unit 1 accepts operations by a user on the rehabilitation support device 100. The operation unit 1 is, for example, a touch sensor, a keyboard, a mouse, or the like.

[0024] The display unit 2 displays various screens such as an operation screen, an information display screen, etc. The display unit 2 is a liquid crystal display, an organic EL (organic electro-luminescence) display, or the like.

[0025] The control unit 5 controls the operation of each unit of the rehabilitation support device 100. The control unit 5 includes a processor such as a CPU (Central Processing Unit). The control unit 5 may include a main storage device configured with semiconductor memory such as a RAM (Random Access Memory). The control unit 5 executes a control program PG (see FIG. 2) stored in the storage unit 6, thereby functioning as a physical ability score acquisition unit 51, an environmental score acquisition unit 52, a challengeable line acquisition unit 53, a desired target line acquisition unit 54, a determination unit 55, and an information generation unit 56.

[0026] The physical ability score acquisition unit 51 acquires a physical ability score that quantifies the physical ability of the rehabilitation subject before rehabilitation is performed. In this specification, "acquire" includes cases where a value is obtained by calculation and cases where the value obtained by calculation is input.

[0027] Factors that determine the physical ability of a rehabilitation recipient before rehabilitation begins include the rehabilitation recipient's illness and the movements that the rehabilitation recipient can perform before rehabilitation begins (hereinafter referred to as "executable movements"). The rehabilitation recipient's illness is identified by a physical therapist. The physical therapist identifies the rehabilitation recipient's illness by, for example, palpating the rehabilitation recipient and / or checking the rehabilitation recipient's movements based on diagnostic information from the rehabilitation recipient's attending physician. Note that the physical evaluation points required to identify the rehabilitation recipient's illness are extracted in advance by, for example, artificial intelligence.

[0028] The physical ability score is obtained based on a basic score that quantifies the state of being free of disease and an action score that quantifies the executable actions. The basic score is a score that quantifies the state of being free of disease for people of the same age and sex as the rehabilitation recipient. The action score is a score that quantifies the executable actions set for each disease of the rehabilitation recipient, and is obtained based on the rehabilitation recipient's disease and the executable actions. The method of obtaining the basic score and action score will be described later.

[0029] The environment score acquisition unit 52 acquires an environment score that quantifies the surrounding environment in which the rehabilitation subject performs rehabilitation (hereinafter referred to as "rehabilitation environment").

[0030] Factors that determine the rehabilitation environment include the attributes of the staff in charge of the rehabilitation performed by the rehabilitation recipient, the layout of the space where the rehabilitation is performed, the type of equipment used when performing the rehabilitation, and the time period during which the rehabilitation is performed. In this embodiment, the environment score is obtained based on a staff score, a floor plan score, an equipment score, and a time period score, which are numerical values ​​that represent the attributes of the staff, the layout of the space, the type of equipment, and the time period during which the rehabilitation is performed. Methods for obtaining the staff score, floor plan score, equipment score, and time period score will be described later.

[0031] The challengeable line acquisition unit 53 acquires a challengeable line that quantifies the physical ability that the rehabilitation subject can safely improve. In this embodiment, the challengeable line acquisition unit 53 acquires the challengeable line based on the physical ability score and the environmental score.

[0032] The desired goal line acquisition unit 54 acquires a desired goal line, which is a score that quantifies the physical ability necessary for the daily activities that the rehabilitation recipient wishes to achieve as a result of rehabilitation and can be compared with the challengeable line. The desired goal line is acquired based on the goal achievement score and physical ability score acquired based on the results of an interview survey of the rehabilitation recipient.

[0033] The determination unit 55 determines whether the desired goal line is higher than the challengeable line. Information indicating the determination result by the determination unit 55 is input to the information generation unit 56.

[0034] The information generation unit 56 generates information (data) to be displayed on the display unit 2 based on the determination result by the determination unit 55. In this embodiment, the information generation unit 56 generates determination result information indicating the determination result by the determination unit 55, and causes the generated determination result information to be displayed on the display unit 2.

[0035] The storage unit 6 is an auxiliary storage device and is composed of a magnetic disk such as an HDD (Hard Disk Drive) or a semiconductor memory such as an SSD (Solid State Drive). The storage unit 6 pre-stores information indicating the physical ability score (basic score and movement score), the environment score (staff score, floor plan score, equipment score, and time period score), and the conditions (rules) for achieving the desired target line.

[0036] As shown in Figure 2, the memory unit 6 stores a physical ability related information memory unit 61 in which information for obtaining a physical ability score is stored, an environment related information memory unit 62 in which information for obtaining an environment score is stored, a desired goal related information memory unit 63 in which information for obtaining a desired goal line is stored, and a control program PG.

[0037] The physical ability related information storage unit 61 stores a basic score table 611 (see FIG. 3) and an action score table 612 (see FIG. 4).

[0038] 3, information for obtaining a basic score of a rehabilitation recipient is stored in basic score table 611. In the example shown in Fig. 3, information indicating the age, gender, etc. of the rehabilitation recipient is stored in basic score table 611. In this embodiment, the rehabilitation recipient is, for example, a woman in her 60s who has a lumbar disc herniation.

[0039] 1 acquires information indicating the age and sex of the rehabilitation recipient, stores the information indicating the age and sex of the rehabilitation recipient in a basic score table 611, and acquires a basic score based on the information indicating the age and sex of the rehabilitation recipient stored in the basic score table 611. Note that the information indicating the age and sex of the rehabilitation recipient is input to the rehabilitation support device 100 (physical ability score acquisition unit 51) by, for example, a physical therapist operating the operation unit 1. The same applies to the information required to acquire the movement score, staff score, floor plan score, equipment score, time zone score, and desired target line.

[0040] The physical ability score acquisition unit 51 acquires a basic score by changing the score from the initial score depending on age and gender. In this embodiment, as shown in Fig. 3, a condition is set in advance such that the score of a male in his twenties (hereinafter referred to as "initial score") is defined as "100," and the basic score is calculated by subtracting "10" from the initial score when the gender is different (female), and by subtracting "10" from the initial score for every 10-point increase in age. In other words, if the rehabilitation recipient is a female in her sixties, the physical ability score acquisition unit 51 acquires a basic score of "50."

[0041] The movement score table 612 described with reference to Fig. 2 stores information for obtaining the movement score of the rehabilitation recipient, as shown in Fig. 4. In the example shown in Fig. 4, the movement score table 612 stores information indicating the level of each of a plurality of executable movements set for each disease. In this embodiment, four levels, "◎", "◯", "△", and "×", are set for each executable movement, and information indicating which of the four levels the movement of the rehabilitation recipient falls into is stored.

[0042] When the operating unit 1 is operated to acquire information indicating a disease and information indicating a level of movement, the physical ability score acquisition unit 51 (see FIG. 1) stores the acquired information in the level of executable movement corresponding to the disease in the movement score table 612, and acquires a movement score based on the information indicating the disease and the information indicating the level of movement.

[0043] In this embodiment, values ​​"0", "1", "2" and "3" are preset as values ​​for acquiring an action score for each of the four levels "◎", "◯", "△" and "×". In Fig. 4, the values ​​set according to the levels are shown in parentheses for ease of understanding.

[0044] The physical ability score acquiring unit 51 acquires the sum of the values ​​corresponding to the levels of each of the feasible movements as the movement score. For example, if the rehabilitation target's disease is "lumbar disc herniation," the level of "turning over in bed" is "△," the level of "long distance walking" is "△," and the level of urination movement is "◯," the physical ability score acquiring unit 51 acquires the sum of "2," "2," and "1," which is "5," as the movement score.

[0045] After acquiring the basic score and the movement score, the physical ability score acquisition unit 51 acquires the physical ability score. In the example shown in FIGS. 3 and 4, the physical ability score acquisition unit 51 acquires the value "45" obtained by subtracting the movement score "5" from the basic score "50" as the physical ability score. Note that the physical ability score is not limited to being calculated by subtracting the movement score from the basic score, and may be calculated, for example, by dividing the basic score by the movement score. In this case, the values ​​used to calculate the basic score and the movement score (for example, the values ​​set for the feasible movement level, etc.) are changed as appropriate depending on the calculation method.

[0046] The environment-related information storage unit 62 described with reference to Fig. 2 stores information about the surrounding environment of the rehabilitation performed by the rehabilitation recipient. In detail, the environment-related information storage unit 62 stores a staff score table 621 (see Fig. 5), a floor plan score table 622 (see Fig. 6), an equipment score table 623 (see Fig. 7), a time period score table 624 (see Fig. 8), and a weighting score table 625 (see Fig. 9).

[0047] As shown in Fig. 5, the staff score table 621 stores information for obtaining a staff score, which is a numerical representation of information about the staff in charge of rehabilitation of a rehabilitation recipient. In the example shown in Fig. 5, the staff score table 621 stores attributes of the staff in charge of rehabilitation. The staff attributes include the number of staff members simultaneously in charge of rehabilitation, the physique of the staff member in charge of rehabilitation, the career history of the staff member, and the occupation of the staff member, and the staff score table 621 stores information for each item, with these attributes as items.

[0048] Specifically, the item "Number of Persons in Charge" stores a value indicating the number of persons in charge of rehabilitation at the same time.

[0049] The physique item stores a value obtained by subtracting "1" from the value (meters) indicating the height of the staff member in charge of rehabilitation. If there is more than one staff member, the value stored is the average height of the staff members minus "1". However, the value stored in the physique is not limited to the average height of the multiple staff members, but may also be the value obtained by subtracting "1" from the maximum or minimum height of the multiple staff members.

[0050] The career field stores a value indicating the number of years of practice of the staff member in charge of rehabilitation. In this embodiment, if there are multiple staff members, the value stored is the total number of years of practice of the multiple staff members divided by twice the number of staff members.

[0051] The occupation field stores information about the occupation of the staff member in charge of rehabilitation. The occupations of the staff member in charge of rehabilitation include, for example, "physical therapist (PT)," "occupational therapist (OT)," "nurse (NS)," and "caregiver (caregiver)," and the occupation field stores information indicating one of "physical therapist (PT)," "occupational therapist (OT)," "nurse (NS)," and "caregiver (caregiver)." In this embodiment, values ​​for calculating the staff score are preset as "3," "3," "2," and "1" for "physical therapist (PT)," "occupational therapist (OT)," "nurse (NS)," and "caregiver (caregiver)," respectively, and these set values ​​are stored in the occupation field. Note that when there are multiple staff members, the occupation field stores the average value of the values ​​indicating the staff members' occupations. However, when there are multiple staff members, the occupation field may store the integrated value of the values ​​indicating the staff members' occupations.

[0052] When the operating unit 1 is operated to acquire information indicating the attributes of the staff, the environment score acquisition unit 52 (see FIG. 1) stores the acquired information (values ​​obtained by calculation) in the staff score table 621. At the same time, the environment score acquisition unit 52 acquires a staff score based on the acquired information. For example, if there are "two" staff members simultaneously in charge of the rehabilitation of a rehabilitation recipient, the average height of the two is "0.6 meters," the two staff members have "five years" and "three years" of experience, respectively, and the two staff members' occupations are "nurses (Ns)," the environment score acquisition unit 52 stores the values ​​corresponding to the number of staff members, physique, experience, and occupation, respectively, as "2," "0.6," "2," and "2," in the staff score table 621, and acquires the sum of these values, "4.8," as the staff score.

[0053] As shown in FIG. 6, the floor plan score table 622 stores information for obtaining a floor plan score that quantifies information about the floor plan of the space where the rehabilitation recipient will be performing rehabilitation. In the example shown in FIG. 6, the floor plan score table 622 stores information indicating the layout of the space where the rehabilitation recipient will be performing rehabilitation. The layout layout includes a "nurse station (hereinafter referred to as "NSST") counter," "NSST loop," "intra-ward corridor," "inter-ward corridor," and "outdoors." The floor plan layout item stores information indicating any of "NSST," "NSST loop," "intra-ward corridor," "inter-ward corridor," and "outdoors." In this embodiment, "5," "4," "3," "2," and "1" are preset as values ​​for calculating the floor plan score for "NSST," "NSST loop," "intra-ward corridor," "inter-ward corridor," and "outdoors," respectively. The floor plan score table 622 stores any of these preset values. Note that in FIG. 6, values ​​set according to the floor plan layout are shown in parentheses.

[0054] When the operating unit 1 is operated to acquire information indicating the type of floor plan, the environment score acquisition unit 52 stores the acquired information in the floor plan score table 622. At the same time, the environment score acquisition unit 52 acquires a floor plan score based on the acquired information. In the example shown in FIG. 6, information indicating "NsST lap" is stored as the type of floor plan, and the environment-related information storage unit 62 acquires "4" as the floor plan score.

[0055] As shown in Fig. 7, the tool score table 623 stores information for acquiring a tool score that quantifies information about the tool used by the rehabilitation recipient when performing rehabilitation. Fig. 7 shows the tool score table 623 when a cane has been selected in advance as the tool to be used for rehabilitation.

[0056] In the example shown in FIG. 7, the instrument score table 623 stores information indicating the type of cane (hereinafter referred to as "cane type") used by the rehabilitation recipient when performing rehabilitation. In this embodiment, the cane types include "T-shaped," "pine needle," "multi-legged," and "Lofstrand," and the cane type item stores information indicating any of "T-shaped," "pine needle," "multi-legged," and "Lofstrand." In this embodiment, values ​​for calculating the instrument score are set to "2," "5," "4," and "3," respectively, for "T-shaped," "pine needle," "multi-legged," and "Lofstrand," and the instrument score table 623 stores any of these set values. In FIG. 7, the values ​​set according to the cane type are shown in parentheses.

[0057] When the operating unit 1 is operated to acquire information indicating the cane type (tool type), the environment score acquisition unit 52 stores the acquired information in the tool score table 623. At the same time, the environment score acquisition unit 52 acquires an tool score based on the acquired information. In the example shown in FIG. 7, information indicating "Lofstrand" is stored as the cane type, and the environment score acquisition unit 52 acquires "3" as the tool score.

[0058] As shown in FIG. 8, the time slot score table 624 stores information for obtaining a time slot score that quantifies information about the time slot during which the rehabilitation recipient performs rehabilitation. In the example shown in FIG. 8, the time slot score table 624 stores information indicating the time slot during which rehabilitation is performed. The time slots include "morning," "afternoon," and "evening," and the time slot item stores information indicating either "morning," "afternoon," or "evening." In this embodiment, "2," "3," and "1" are preset as values ​​for calculating the time slot score for "morning," "afternoon," and "evening," respectively, and the time slot score table 624 stores one of these set values. Note that in FIG. 8, the values ​​set according to the time slot are shown in parentheses.

[0059] When the operating unit 1 is operated to acquire information indicating a time period, the environment score acquisition unit 52 stores the acquired information in the time period score table 624. At the same time, the environment score acquisition unit 52 acquires a time period score based on the acquired information. In the example shown in Fig. 8, information indicating "morning" is stored as the time period, and the environment score acquisition unit 52 acquires "2" as the time period score.

[0060] As shown in Fig. 9, the weighting score table 625 (see Fig. 9) stores information indicating weights for the elements that determine the environment score (staff score, floor plan score, appliance score, and time period score). In the example shown in Fig. 9, "2.5", "2", "2.5", and "1.5" are preset for the "staff score", "floor plan score", "appliance score", and "time period score", respectively. Note that the values ​​set as weights can be changed by the designer of the rehabilitation support device 100, etc.

[0061] The environment-related information storage unit 62 obtains the staff score ("4.8"), floor plan score ("4"), equipment score ("3"), and time period score ("2"), and obtains the total value ("12", "8", "7.5", and "3") obtained by multiplying the weightings set for each score ("2.5", "2", "2.5", and "1.5") as the environmental score, which is "30.5".

[0062] The desired goal related information storage unit 63 described with reference to FIG. 2 stores a desired achievement score table 631 (see FIG. 10) for acquiring a desired achievement score, which is an element of a desired goal line. Elements that determine the desired achievement score (desired goal line) include the rehabilitation recipient's answers (specific details) to questions about the 5W1H elements ("what," "when," "where," "with whom," "why," and "how"). In this embodiment, answers (specific details) are set in advance for each element that determines the desired achievement score. For example, items such as "cooking," "shopping," "commuting," and "travel" are set in advance as answers corresponding to "what," and the rehabilitation recipient selects from the preset answers.

[0063] As shown in FIG. 10, values ​​(e.g., "1," "2," "3," "4," etc.) for obtaining a goal score are preset for items such as "cooking," "shopping," "commute," and "travel." Weights are also set for each element. In the example shown in FIG. 10, weights are set for "what," "when," "where," "with whom," "why," and "how," in that order, with values ​​such as "15," "3," "5," "8," "7," and "6." Note that the questions for obtaining the elements that determine the goal score, the preset answers, and the values ​​and weights set for the contents can be changed by the designer, etc.

[0064] For example, if the rehabilitation subject's desired daily activity is "I want to travel alone within Japan as a hobby, using public transportation and walking, whenever I like," the desired goal line acquisition unit 54 acquires values ​​corresponding to "travel," "preference," "domestic," "alone," "hobby," "walking," and "public transportation," respectively, multiplies each acquired value by a corresponding weighting, obtains the resulting values ​​(in the example shown in FIG. 9 , "4" x "15," "3" x "3," "3" x "5," "4" x "8," "4" x "7," "3" x "6," and "4" x "6"), adds up all of the obtained values, and acquires the value "186" as the desired achievement score. The desired goal line acquisition unit 54 divides the value "186" obtained by multiplying each acquired value by a corresponding weighting by the number of elements ("6" in this embodiment) of the questions (5W1H), which are the above elements, to obtain the value "31" as the desired achievement score.

[0065] When the desired goal line acquisition unit 54 acquires the desired achievement score "31", it multiplies the desired achievement score "31" by the physical ability score "40.5" to acquire the value "1255.5" as the desired goal line.

[0066] [Rehabilitation support flow] 11 to 14, the rehabilitation support process executed by the control unit 5 will be described below. The rehabilitation support process is started when a rehabilitation specialist such as a physical therapist (PT) operates the operation unit 1 of the rehabilitation support device 100.

[0067] As shown in FIG. 11, when the rehabilitation assistance process is started, the physical ability score acquisition section 51 executes the physical ability score acquisition process (see FIG. 12) (step S101).

[0068] 12, the physical ability score acquisition unit 51 acquires information indicating the disease and feasible movements of the rehabilitation recipient (step S201). The disease and feasible movements of the rehabilitation recipient are identified by a physical evaluation by a physical therapist (PT) as described above, and the information indicating the disease and feasible movements of the rehabilitation recipient is input to the physical ability score acquisition unit 51 via the operation unit 1.

[0069] When the operation unit 1 is operated to acquire information indicating the rehabilitation recipient's disease and feasible movements, the physical ability score acquisition unit 51 acquires a basic score and a movement score based on the acquired information, as described with reference to FIGS. 3 and 4 (step S203). Next, the physical ability score acquisition unit 51 acquires a physical ability score based on the basic score and the movement score (step S205). In this embodiment, the physical ability score is "45." When the physical ability score acquisition unit 51 acquires the physical ability score, the physical ability score acquisition process ends, and the rehabilitation support process shown in FIG. 11 proceeds to step S103.

[0070] In step S103, the environment score acquisition unit 52 executes an environment score acquisition process (see FIG. 13) to acquire the environment score (step S103).

[0071] 13, the environment score acquisition unit 52 acquires information indicating staff attributes, floor plan type, equipment type, and time period (step S301). The information indicating staff attributes, floor plan type, equipment type, and time period is input to the environment score acquisition unit 52 via the operation unit 1 as described above.

[0072] When the operating unit 1 is operated to acquire information indicating staff attributes, floor plan type, equipment type, and time period, the environmental score acquisition unit 52 acquires a staff score, floor plan score, equipment score, and time period score as described with reference to FIGS. 5 to 9 (step S303). Next, the environmental score acquisition unit 52 acquires an environmental score taking into account weightings corresponding to the staff score, floor plan score, equipment score, and time period score (step S305). In this embodiment, the environmental score is "30.5." When the environmental score acquisition unit 52 acquires the environmental score, the environmental score acquisition process ends, and the rehabilitation support process shown in FIG. 11 proceeds to step S105.

[0073] In step S105, the challenge available line acquisition unit 53 acquires the challenge available line based on the physical ability score acquired in step S101 and the environmental score acquired in step S103 (step S105). The challenge available line acquisition unit 53 acquires, for example, the product value of the physical ability score and the environmental score as the challenge available line. In this embodiment, the challenge available line is "1235.25" (=30.5 x 40.5).

[0074] Next, the desired target line acquisition unit 54 acquires the desired target line as described with reference to Fig. 10 (step S107). Note that information required to acquire the desired target line (information indicating the results of the interview survey of the rehabilitation recipient) is input to the desired target line acquisition unit 54 via the operation unit 1. The desired target line acquisition unit 54 acquires a goal-to-achieve score based on the answers to the questions, and acquires the desired target line based on the goal-to-achieve score and the physical ability score. In this embodiment, the desired target line is "1255.5" (=31 x 40.5).

[0075] When the challengeable line and the desired goal line are acquired, the determination unit 55 determines whether the desired goal line is higher than the challengeable line (step S109). In the above example, the challengeable line is "1235.25" and the desired goal line is "1255.5", so the challengeable line is lower than the desired goal line.

[0076] Next, the information generator 56 generates determination result information indicating the determination result, and causes the generated determination result information to be displayed on the display unit 2 as a determination result presentation screen G1 as shown in Fig. 14 (step S110), thereby completing the rehabilitation support process. Fig. 14 is a diagram showing an example of the determination result presentation screen G1 including a message M1 indicating the determination result.

[0077] [Effects of the embodiment] As described above, according to this embodiment, the results of the comparison between the desired goal line and the challengeable line are output. Therefore, the rehabilitation recipient and the rehabilitation staff can understand the gap between the desired goal line and the challengeable line from the judgment result information. Based on this result, the rehabilitation recipient can carry out rehabilitation with content that satisfies the rehabilitation recipient. Therefore, the rehabilitation can be supported while maintaining the rehabilitation recipient's motivation.

[0078] Furthermore, according to this embodiment, by making the desired goal line a dimension that can be compared and evaluated with the challengeable line, the rehabilitation recipient can easily imagine the connection with the training content for improving physical abilities that constitutes the rehabilitation plan, and rehabilitation can be carried out with a joint understanding between the rehabilitation recipient and the rehabilitation staff in charge of rehabilitation. As a result, rehabilitation can be supported while maintaining the rehabilitation recipient's motivation.

[0079] Furthermore, according to this embodiment, the physical ability score is obtained based on a basic score that quantifies the state without disease and an action score that quantifies the actions that the rehabilitation subject can perform, thereby improving the accuracy of the physical ability score.

[0080] Furthermore, since the movement score is obtained based on the disease of the rehabilitation recipient and the movements that the rehabilitation recipient can perform before rehabilitation is started, the accuracy of the physical ability score can be improved.

[0081] [Another embodiment] In addition to the above-described embodiments, the present invention may be configured as follows (components having the same functions as the embodiments are given the same numbers and symbols as the embodiments). (1) In addition to the judgment result information, the information generation unit 56 may generate suggested information that brings the desired goal line above the challengeable line, and display the suggested information on the display unit 2. In particular, when the judgment unit 55 judges that the desired goal line is higher than the challengeable line, the information generation unit 56 generates suggested information that brings the desired goal line below the challengeable line, and displays the suggested information on the display unit 2. On the other hand, when the judgment unit 55 judges that the desired goal line is below the challengeable line, the information generation unit 56 generates rehabilitation plan information that indicates a rehabilitation plan to be carried out by the rehabilitation subject, and displays the rehabilitation plan information on the display unit 2. Note that the information generation unit 56 may generate information indicating the rehabilitation plan using a predefined function or a trained model (AI) that has been trained in advance based on information indicating the disease, information indicating the contents of the rehabilitation plan, etc.

[0082] Specifically, as shown in Fig. 15, when the determination unit 55 determines that the desired goal line is higher than the challengeable line (step S401; Yes), the information generation unit 56 executes a suggested information presentation process (see Fig. 16) for generating suggested information (step S403). Note that Fig. 15 differs from the rehabilitation support process described with reference to Fig. 11 in the processes from step S109 onwards.

[0083] In the proposed information presentation process shown in FIG. 16, the information generation unit 56 determines whether the desired goal line will be equal to or less than the challengeable line by improving the environmental score (step S501). When the information generation unit 56 determines that the desired goal line will be equal to or less than the challengeable line by improving the environmental score (step S501; Yes), the information generation unit 56 generates proposed information for improving the environmental score (information proposing at least one of a change in staff attributes, a change in floor plan, a change in cane type, and a change in time period that will improve the environmental score), and displays a first proposed information display screen G2 on the display unit 2 as shown in FIG. 17 (step S503). Note that FIG. 17 is a diagram illustrating an example of the first proposed information display screen G2 including a message M2 indicating the proposed information. The message M2 indicates information proposing at least one of a change in staff attributes, a change in floor plan, a change in cane type, and a change in time period that will improve the environmental score. The rehabilitation recipient or the rehabilitation staff member can select an item that they consider to be changed from at least one item displayed as the proposed information. When the rehabilitation subject or rehabilitation staff selects an item that they think may be changed from at least one item displayed as suggested information and selects the OK button, the suggested information presentation process ends, and the rehabilitation support process shown in Fig. 15 returns to step S103. As a result, the challengeable line and desired goal line are acquired (calculated) again for the selected item.

[0084] On the other hand, if the information generator 56 determines that improving the environmental score will not cause the desired goal line to fall below the challengeable line (step S501; No), i.e., if lowering the rehabilitation recipient's desired goal line will cause the desired goal line to fall below the challengeable line, the information generator 56 generates suggested information for lowering the desired goal line (information proposing to lower at least one value of the factors determining the desired goal line: "what," "when," "where," "with whom," "why," and "how"). The second suggested information display screen G3 is displayed on the display unit 2 (step S505), as shown in FIG. 18. Note that FIG. 18 is a diagram illustrating an example of the second suggested information display screen G3 including a message M3 indicating the suggested information. The message M3 indicates information proposing to lower at least one value of the factors determining the desired goal line: "what," "when," "where," "with whom," "why," and "how." The rehabilitation recipient or rehabilitation staff member can select an item they consider to change from among at least one item displayed as suggested information. When the rehabilitation subject or rehabilitation staff selects an item that they think may be changed from at least one item displayed as suggested information and selects the OK button, the suggested information presentation process ends, and the rehabilitation support process shown in Fig. 15 returns to step S103. As a result, the challengeable line and desired goal line are acquired (calculated) again for the selected item.

[0085] Furthermore, in step S401 of the rehabilitation support processing shown in FIG. 15, if the judgment unit 55 judges that the desired goal line is not higher than the challengeable line, i.e., the desired goal line is equal to or lower than the challengeable line (step S401; No), the information generation unit 56 generates rehabilitation plan information and displays the rehabilitation plan information on the display unit 2 (step S405), and the rehabilitation support processing ends.

[0086] According to the above-described another embodiment, suggested information that brings the desired goal line below the possible challenge line (for example, information that raises the possible challenge line or information that lowers the desired goal line) is output. This provides options other than improving physical ability (for example, an option to raise the possible challenge line by changing the rehabilitation environment, or an option to lower the desired goal line by changing the lifestyle behavior that the rehabilitation recipient wishes to achieve), and the rehabilitation recipient can select suggested information at their own will, making it possible to support the rehabilitation recipient while maintaining their motivation.

[0087] In addition, since information that improves the environmental score is output as suggested information, options other than improving physical ability are available while maintaining the desired target line, so rehabilitation can be supported while maintaining the motivation of the rehabilitation recipient.

[0088] Furthermore, rehabilitation plan information is generated when the desired goal line is equal to or less than the challengeable line, so that rehabilitation can be carried out safely and effectively.

[0089] (2) The order of the rehabilitation assistance process is not limited to the order described with reference to Figures 11 and 15. For example, the order of step S101 and step S103 shown in Figures 11 and 15 can be interchanged, and the order of step S105 and step S106 can also be interchanged.

[0090] (3) The information stored in the storage unit 6 of the rehabilitation support device 100 may be stored in a storage unit included in a device other than the rehabilitation support device 100. In this case, the rehabilitation support device 100 may further include a communication device capable of communicating with the other device, and may acquire the information stored in the storage unit included in the other device via the communication device.

[0091] (4) The control program PG executed by the control unit 5 may be stored in a computer-readable non-transitory recording medium. Examples of the recording medium include a CD-ROM (Compact Disc Read-Only Memory), a DVD (Digital Versatile Disc), and an MO (Magneto-Optical Disc). The control program PG stored in the recording medium may be installed in a computer to configure a device that executes the above-described processing.

[0092] (5) The rehabilitation support device 100 (for example, the operation unit 1, the display unit 2, the control unit 5, and the memory unit 6) may be configured in a distributed manner across an electronic device such as a mobile terminal or a tablet terminal, and a server communicatively connected to the electronic device.

[0093] (6) In the present embodiment, the display unit 2 has been described as an example of an output unit, but the output unit is not limited to the display unit 2. For example, the rehabilitation assistance device 100 may further include a speaker capable of outputting sound as an output unit, and the speaker may output the assessment result information, the proposal information, and the rehabilitation plan information by sound. [Industrial Applicability]

[0094] The present invention can be used in rehabilitation support devices. [Explanation of symbols]

[0095] 100: Rehabilitation support device 2: Display unit (output unit) 53: Challengeable line acquisition section 54: Desired target line acquisition section 55: Judgment section 100: Rehabilitation support device

Claims

1. A rehabilitation support device that supports rehabilitation performed by a rehabilitation subject, a challengeable line acquisition unit that acquires a challengeable line that quantifies the physical ability that the rehabilitation subject can safely improve; a desired goal line acquisition unit that acquires a score that quantifies the physical ability necessary for the daily activities that the rehabilitation subject desires to realize as a result of the rehabilitation, and that acquires a desired goal line that can be compared with the challengeable line; a determination unit that determines whether the desired goal line is higher than the challengeable line; an output unit that outputs determination result information indicating a determination result by the determination unit.

2. The rehabilitation support device according to claim 1 , wherein the output unit outputs, when the determination unit determines that the desired goal line is higher than the challengeable line, suggestion information that will make the desired goal line equal to or lower than the challengeable line.

3. 3. The rehabilitation support device of claim 1, wherein the desired target line is obtained based on a physical ability score that quantifies the physical ability of the rehabilitation subject and a desired achievement score that quantifies the living behavior that the rehabilitation subject wishes to achieve as a result of the rehabilitation.

4. The challengeable line is obtained based on a physical ability score that quantifies the physical ability of the rehabilitation subject and an environmental score that quantifies the surrounding environment in which the rehabilitation subject performs the rehabilitation, The rehabilitation support device according to claim 2 , wherein the output unit outputs, as the suggestion information, information for improving the environmental score.

5. The rehabilitation support device according to claim 4 , wherein the physical ability score is obtained based on a basic score that quantifies a state without disease and an action score that quantifies actions that the rehabilitation subject can perform.

6. The rehabilitation support device according to claim 5 , wherein the movement score is acquired based on a disease of the rehabilitation recipient and movements that the rehabilitation recipient can perform before the rehabilitation is performed.

7. The rehabilitation support device according to claim 1 or 2, wherein the output unit outputs rehabilitation plan information indicating a rehabilitation plan to be executed by the rehabilitation subject when the judgment unit determines that the desired target line is equal to or less than the challengeable line.

Images