Physical function exercise provision processing system

Abstract

This will further promote improvement in the daily living activities of trainees. [Solution] When the initial training begins, the processing device generates a movement task achievement evaluation program that adopts a basic sequence of four types of movements, determines the training subject's achievement score based on the positive or negative judgment for each acquired movement obtained by screening the acquired movements based on this evaluation program, determines the highest priority control phase out of the first, second, third and fourth control phases as the target phase based on the achievement score, and provides the training subject with physical function exercises for training four specific categories of physical function according to the movement tasks of the control phase corresponding to the determined target phase by displaying and processing specific reference images.

Description

[Technical Field]

[0001] The present invention relates to a processing system for providing physical function exercises, and more particularly to a processing device, a processing method, and a processing program. [Background technology]

[0002] In recent years, as the population structure has become an inverted pyramid and we are moving towards a super-aging society, there is a demand for technology to support the improvement of daily living activities of trainees, including those requiring care.

[0003] Examples of such improvement support technology are proposed in, for example, Patent Documents 1 and 2. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Patent No. 6,901,809 [Patent Document 2] Patent No. 7,036,484

[0005] Patent Document 1 discloses an invention relating to a process for supporting the improvement of activities of daily living, which quickly screens the movements that a training recipient must currently acquire and prescribes appropriate training content for the movements that must be acquired. Patent Document 2 also discloses a care support technology that supports the planning of effective care services for maintaining and improving activities of daily living (ADL), which leads to outcomes of supporting the independence of care recipients and preventing their condition from worsening, and that supports efficient information sharing for collaboration between various professionals. Summary of the Invention [Problem to be solved by the invention]

[0006] However, the above Patent Documents 1 and 2 do not disclose a physical function exercise provision processing technology that adopts a new design concept (architecture) that includes the hierarchical and stepwise elements necessary to further promote improvement in the daily living activities of the person being trained.

[0007] The object is to provide a physical function exercise providing processing technology that can further promote improvement in the daily living activities of a trainee. [Means for solving the problem]

[0008] In order to solve the above problem, a processing device according to one embodiment includes: A processing device that provides physical function exercises to a training subject aiming to improve daily living activities, at least by means of images; Identification information for first, second, third, and fourth control phases representing four types of movement transitions related to the movements and sequences of at least four stages of human development; A first reference image for a movement task represented by three sub-movements of different difficulty levels related to each of the four types of movements; A reference score for evaluating the independence achievement level of the training subject based on the movement tasks corresponding to the three categories of sub-movements with different levels of difficulty; A second reference image for a physical task that is positioned at a lower level of the movement task and represents four sections of physical functions for each of the four types of movement; a definition setting processing unit that stores definition information including at least the above in a storage unit for each of the first, second, third, and fourth control phases; a first generation processing unit that generates a first movement task achievement evaluation program that employs the basic sequence of the four types of movements when an initial training session for the trainee is started; a first display processing unit that processes and displays the generated first movement task achievement evaluation program on a display unit; a first determination processing unit that determines a first achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the first acquired movement based on the first movement task achievement evaluation program; a second display processing unit that processes and displays the determined first achievement score on the display unit for each of the first, second, third, and fourth control phases; a first setting processing unit that stores the determined first achievement score in a storage area corresponding to the training subject in the storage unit for each of the first, second, third, and fourth control phases; a first target phase determination processing unit that determines, based on the first achievement score, a control phase with the highest priority among the first, second, third, and fourth control phases as a first target phase; a first exercise provision processing unit that provides the training subject with a first physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined first target phase by displaying the second reference image on the display unit; Equipped with.

[0009] In the above aspect, the processing device a second generation processing unit that generates a second movement task achievement evaluation program that employs one of the basic order and the modified order of the four types of movements, when continuous training for the trainee is started; a third display processing unit that processes and displays the generated second movement task achievement evaluation program on the display unit; a second determination processing unit that determines a second achievement score for the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the second acquired movement based on the second movement task achievement evaluation program; a fourth display processing unit that processes and displays the determined second achievement score on the display unit for each of the first, second, third, and fourth control phases; a second setting processing unit that stores the determined second achievement score in a corresponding storage area of ​​the storage unit for the training subject for each of the first, second, third, and fourth control phases; a second target phase determination processing unit that determines, based on the second achievement score, the control phase with the highest priority among the first, second, third, and fourth control phases as a second target phase; a second exercise provision processing unit that provides the training subject with second physical function exercises for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined second target phase by displaying the same second reference image or another second reference image on the display unit; Further provided with:

[0010] In the above aspect, the first determination processing unit determines the first achievement score of the training subject by automatically comparing the first reference image with the first captured image acquired by the imaging unit using image analysis technology during screening of the first acquisition movement.

[0011] In the above aspect, the second determination processing unit determines the second achievement score of the training subject by automatically comparing the first reference image with the second captured image acquired by the imaging unit using image analysis technology during screening of the second acquisition movement.

[0012] In the above aspect, the processing device is provided in a training location in a training facility together with physical aids including at least a chair with a backrest and a support; The physical aid interferes with the training subject's first achievement score in performing the screening of the first acquired movement.

[0013] In the above aspect, the processing device is provided in a training location in a training facility together with physical aids including at least a chair with a backrest and a support; The physical aid interferes with the training subject's second achievement score in performing the screening of the second acquired movement.

[0014] In the above aspect, the first, second, third, and fourth control phases are, in increasing order of difficulty, supine, sitting, standing, and single leg control phases.

[0015] In the above aspect, when the first, second, third, and fourth control phases are supine, sitting, standing, and single-leg control phases in increasing order of difficulty, The supine control phase includes, as the physical tasks, the four physical functions of abdominal breathing function, head control function, trunk flexion function, and hip flexion function, The sitting control phase includes, as the physical tasks, the four physical functions of a sitting position maintaining function, a trunk extension function, a trunk lateral bending function, and a trunk rotation function, The standing control phase includes, as the physical tasks, the four categories of physical functions: a function of shifting the center of gravity from a sitting position to the feet, a function of bidirectionally transforming between a sitting position and a standing position, a function of maintaining a standing position, and a squat function; The single-leg control phase includes, as the physical tasks, the four categories of physical functions: a function of shifting the center of gravity to one leg, a single-leg standing function, a level function, and a lunge function for restoring balance.

[0016] In the above aspect, the movements and sequences of the four stages of growth and development correspond to the basic movement patterns inherent in humans, and include abdominal pressure and pelvic stability, trunk stability, center of gravity shift and bilateral support, and left-right asymmetry and single-leg support.

[0017] In the above aspect, the four types of movements are fundamental movements for daily living activities, and include pelvic stabilization lower limb lift, sitting position shoulder lift, standing up from a chair, and standing on one leg as the first, second, third, and fourth control phases.

[0018] In the above aspect, the basic order of the four types of actions is the order of the first, second, third, and fourth control phases in increasing order of difficulty.

[0019] In the above aspect, the change order of the four types of actions is an order in which at least one lower phase of the first, second, third and fourth control phases in ascending order of difficulty is omitted.

[0020] In the above aspect, when the first, second, third, and fourth control phases of the four types of movements all have a low second achievement score, the second movement task achievement evaluation program is generated in the basic order.

[0021] In the above aspect, when the first, second, third, and fourth control phases of the four types of movements have the same second achievement score in adjacent order, the second movement task achievement evaluation program is generated in a modified order that adopts the control phases with lower orders.

[0022] In the above aspect, when there is an assessment of a difference between the left and right sides of the body of the training subject in the first, second, third, and fourth control phases of the four types of movements, the second movement task achievement assessment program is generated in a modified order that adopts the control phase with the lower second achievement score.

[0023] The features of the processing device of each aspect described above may be implemented as a processing method, or may be implemented as a processing program that causes a processor to execute the processing method. [Effects of the Invention]

[0024] The disclosed technology can provide a physical function exercise provision processing technology that adopts a new design concept (architecture) that includes the hierarchical and stepwise elements necessary to further promote improvement in the daily life activities of the person being trained.

[0025] Other objects, features and advantages will become apparent from a reading of the following detailed description when taken in conjunction with the drawings and claims. [Brief explanation of the drawings]

[0026] [Figure 1] 1 is a diagram for explaining the configuration of a physical function exercise provision processing system according to an embodiment; [Figure 2] 1 is a diagram for explaining the general configuration of a physical function exercise providing processing device according to an embodiment; [Figure 3] FIG. 2 is a diagram for explaining an ADL pyramid according to an embodiment. [Figure 4] FIG. 2 is a diagram for explaining first, second, third, and fourth control phases in one embodiment. [Figure 5] FIG. 1 is a diagram for explaining the similarity relationship between growth kinesiology and daily living activity science in one embodiment. [Figure 6] FIG. 10 is a diagram for explaining the relationship between the control phase and developmental movement in one embodiment. [Figure 7] FIG. 10 is a diagram for explaining a supine position control phase according to one embodiment. [Figure 8] FIG. 10 is a diagram for explaining a sitting control phase in one embodiment. [Figure 9] FIG. 10 is a diagram for explaining a standing control phase according to an embodiment. [Figure 10] FIG. 10 is a diagram illustrating a single-leg control phase according to an embodiment.

[0027] [Figure 11] FIG. 10 is a diagram for explaining the results of screening of acquisition actions in one embodiment. [Figure 12] 1 is a diagram illustrating an exercise table EX-TB1 according to an embodiment. [Figure 13] FIG. 2 is a diagram illustrating an exercise table EX-TB2 according to an embodiment. [Figure 14] FIG. 2 is a diagram illustrating an exercise table EX-TB3 according to an embodiment. [Figure 15] FIG. 2 is a diagram illustrating an exercise table EX-TB4 according to one embodiment.

[0028] [Figure 16] FIG. 10 is a diagram for explaining screening of acquisition operations in one embodiment. [Figure 17] FIG. 10 is a diagram for explaining screening of acquisition operations in one embodiment. [Figure 18] FIG. 10 is a diagram for explaining screening of acquisition operations in one embodiment. [Figure 19] FIG. 10 is a diagram for explaining screening of acquisition operations in one embodiment. [Figure 20] FIG. 10 is a diagram for explaining screening of acquisition operations in one embodiment. [Figure 21] FIG. 10 is a diagram showing an example of a sequence of a process for providing physical function exercises according to an embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0029] The present invention will now be described more fully with reference to the accompanying drawings, in which preferred embodiments are shown, but which may be embodied in many different forms and are not limited to the embodiments set forth herein.

[0030] [Physical function exercise provision processing system] [Processing system overview] Referring to FIG. 1, a physical function exercise provision processing system 1 according to one embodiment is constructed in a training facility 1A, and includes a physical function exercise provision processing device 2 and a physical assisting tool 3.

[0031] In this physical function exercise providing processing system (sometimes simply referred to as the processing system) 1, a physical function exercise providing processing device (sometimes simply referred to as the processing device) 2 is deployed together with physical assistive devices 3 in a training location (training area) 1B within a training facility 1A. The physical assisting device 3 includes, for example, at least a chair 31 with a backrest and a support 32. The physical assisting device 3 functions to assist the movements of the trainee, including those requiring care, when screening of acquired movements is performed in the physical function exercise providing and processing device 2. The usage status of the physical assisting device 3 affects the achieved score of the trainee.

[0032] The physical function exercise providing processing device 2 is installed either fixedly or movably at the training location 1B depending on the deployment type and usage type, and provides a movement task achievement evaluation program to support the improvement of the activities of daily living (ADL) of the trainees using this training facility 1A.

[0033] 1, the physical function exercise providing processing device 2 is shown in a standalone state where it is installed alone at the training location 1B in the training facility 1A, but this is not limited to this. That is, the physical function exercise providing processing device 2 may be installed at each of the multiple training locations 1B in the training facility 1A. When multiple physical function exercise providing processing devices 2 are provided, each processing device 2 at each training location 1B is connected to a central server via a communication network such as a LAN (Local Area Network), and the storage unit of this server can be shared as a database. Each of the multiple physical function exercise providing processing devices 2 shares functions with this server. This modified configuration is easily understandable and implementable by those skilled in the art, so illustrations and detailed explanations are omitted here.

[0034] The inventor of the physical function exercise provision processing system 1 disclosed herein, which is equipped with a physical function exercise provision processing device 2 and a physical support device 3, has already proposed a processing technology to support the improvement of daily living activities in his company's prior application, the above-mentioned Patent Document 1 (Patent Publication No. 6,901,809). When proposing this processing technology, the inventors recognized through training (prescription) of a large number of training subjects, including those requiring care, that in order to improve the training subjects' activities of daily living (sometimes simply referred to as ADL), it is necessary to improve not only partial motion but also movement. In the physical function exercise provision processing technology, the inventors have adopted the ADL pyramid as a new design concept (architecture) including viewpoints and processes that will be described in detail later.

[0035] [Overview of the physical function exercise providing processing device] 2, the physical function exercise providing processing device 2 in the processing system 1 can be realized by an information processing device such as a tablet device, a laptop personal computer, or a desktop personal computer, and includes the following elements as its hardware configuration: The physical function exercise providing processing device 2 includes a CPU (Central Processing Unit) 20 as a processor, a RAM (Random Access Memory) 21 as working memory, and a ROM (Read Only Memory) 22 that stores a boot program for startup.

[0036] In addition, the physical function exercise providing processing device 2 is equipped with a disk (sometimes referred to as a memory unit or external storage device) serving as a non-volatile flash memory 23 that rewritably stores an OS (Operating System), application programs, and various information (including data).

[0037] The physical function exercise providing processing device 2 further includes a communication control unit 24 that performs wired or wireless communication depending on the deployment form and usage form, a communication interface (IF) unit 25 such as a NIC (Network Interface Card), and an imaging unit (image capture device) 26 including a camera.

[0038] The physical function exercise providing processing device 2 further includes a display unit 27 including a display (LCD: Liquid Crystal Display), a display control unit 28, and an information input / designation unit 29 including a numeric keypad, various function buttons (keys), a pointing unit, a cursor feed unit, etc. Although not shown here, the processing device 2 may further include a print output unit including a printer and a print output control unit.

[0039] Furthermore, the physical function exercise provision processing device 2 includes functional components, which will be described in detail later, such as a definition setting processing unit 201, a first generation processing unit 202, a first display processing unit 203, a first determination processing unit 204, a second display processing unit 205, a first setting processing unit 206, a first target phase determination processing unit 207, a first exercise provision processing unit 208, a second generation processing unit 210, a third display processing unit 211, a second determination processing unit 212, a fourth display processing unit 213, a second setting processing unit 214, a second target phase determination processing unit 215, and a second exercise provision processing unit 216.

[0040] As an example, to logically realize the above-mentioned functional components in the body function exercise provision processing device 2, a body function exercise provision processing program is installed as an application program in the flash memory 23. Then, in the processing device 2, in response to an instruction from a trainer or when the power is turned on, the processor (CPU) 20 loads and executes the body function exercise provision processing program in the RAM 21. This program works in conjunction with the above-mentioned hardware components to perform the body function exercise provision processing described in detail below.

[0041] [Composition of the ADL pyramid] The body function exercise providing processing device 2 in the processing system 1 described above employs a new design concept (architecture) including the following viewpoints and processes. In other words, referring to Figure 3, which shows an overview of the new design concept, the ADL pyramid includes the hierarchical and stepwise elements of "control phase," "ADL tasks," "movement tasks," and "physical tasks (physical function tasks)," which are necessary elements for improving and becoming independent in activities of daily living (ADL) in accordance with the Barthel Index BI (Barthel Index).

[0042] In Figure 3, the first, second, third, and fourth control phases for the four types of movement shown as being at the top level of the ADL pyramid correspond to the four phases of the movement (posture) to be controlled, specifically, the supine, sitting, standing, and single-leg control phases (CP1, CP2, CP3, and CP4) in increasing order of difficulty (see Figure 4). At each phase, the specific goals to be achieved become increasingly clear, so that not only the trainee (user) but also the trainer can grasp specific approaches to improving ADL by understanding this flow.

[0043] Here, the supine control phase (CP1) is a phase for evaluating and judging the ability to perform movements while lying down. The sitting control phase (CP2) is a phase for evaluating and judging the ability to maintain stability and perform movements while sitting. The standing control phase (CP3) is a phase for evaluating and judging the ability to maintain balance and perform movements while standing. Furthermore, the single-leg control phase (CP4) is a phase for evaluating and judging the ability to maintain advanced balance and perform movements while standing on one leg (sometimes written as one foot).

[0044] The motor control of these four types of movements becomes more difficult in the order of supine, sitting, standing, and single-leg control phases.The process of achieving the movement task is then classified and evaluated in stages to determine which control phases the subject can perform and which control phases they cannot.

[0045] The ADL tasks in the ADL pyramid are classified into 12 items of independence assessment content based on ADL science, and include "sitting up," "turning over," "defecating / urinating," "dressing," "grooming," "eating," "sitting," "transferring (from wheelchair to bed, etc.)," ​​"toileting," "bathing," "walking," and "climbing stairs," which correspond to either the lying, sitting, standing, or single-leg control phase. These independence assessment content are indicators for assessing the degree of independence on several levels, such as independent, partial assistance, and full assistance.

[0046] The movement tasks in the ADL pyramid are tasks related to the movements required to accomplish the ADL tasks described above, and are classified into 12 items. That is, the movement tasks include sub-movements divided into three categories (three levels) with different achievement scores (scores: 0, 1, 2, 3) for each of the four types of movements: lying down, sitting, standing, and single-leg control phases. These three sub-movement categories will be described in detail later with reference to Figures 7, 8, 9, and 10.

[0047] The physical tasks in the ADL pyramid are tasks related to the physical functions necessary to achieve the above-mentioned movement tasks, and are classified into 16 items based on developmental kinesiology. In other words, the physical tasks include four categories of physical function for each of the lying, sitting, standing, and single-leg control phases of four types of movement. These four categories of physical function will be described in detail later with reference to Figures 7, 8, 9, and 10.

[0048] The movements and sequences of the four stages of growth and development illustrated in Figures 5 and 6 correspond to the basic movement patterns inherent in humans in growth kinematics, and include abdominal pressure and pelvic stability, trunk stability, center of gravity shift and bilateral support, and left-right asymmetry and single-leg support. Furthermore, the lying, sitting, standing, and single-leg control phases (CP1, CP2, CP3, and CP4) of the four types of movements associated with the four stages and sequence of growth and development are fundamental movements in activities of daily living (ADL) in the field of activities of daily living, and include pelvic-stabilized leg raise (sometimes simply referred to as A-SLR), seated shoulder raise, standing from a chair, and single-leg standing. Strictly speaking, pelvic-stabilized leg raise is active pelvic-stabilized leg raise, and single-leg standing is single-leg standing with eyes open. Furthermore, seated shoulder raise is sometimes called seated shoulder flexion.

[0049] [Details of the supine control phase] Explaining in more detail with reference to Figures 6 and 7, the supine control phase (CP1) is specifically the first stage (first phase) for evaluating and assessing the ability of the trainee to perform movements related to "sitting up" and "turning over" in activities of daily living (ADL) while lying down. The supine control phase includes the following three levels of subdivision movements as movement tasks: Level 1: The most basic and initial goal for bedside living is to acquire abdominal breathing and the ability to lift and move the neck. In Figure 7, this is simply written as "stability and mobility of the neck." Level 2: When living in bed, this involves acquiring abdominal pressure and pelvic stability to lift the legs and lift the body off the floor. In Figure 7, this is simply written as "abdominal stabilization and lower limb mobility." Level 3: This is the acquisition of daily living movements such as getting up from bed or floor and rolling over, which corresponds to the transition period from lying down to sitting in daily life. This is simply written as "trunk flexion and rotation" in Figure 7. The supine control phase includes four categories (four types) of physical functions as physical tasks: abdominal breathing function, head control function, trunk flexion function, and hip flexion function.

[0050] [Details of the sitting control phase] Referring to Figures 6 and 8, the sitting control phase (CP2) is specifically the second stage (second phase) for evaluating and assessing the trainee's ability to perform activities related to "defecation / urination," "dressing," "grooming," "eating," and "sitting" in activities of daily living (ADL) while sitting, as well as their ability to maintain stability in these activities. The sitting control phase includes the following three levels of sub-movements in three segments as movement tasks: Level 1: The patient is able to sit upright, for example, by being transferred to a wheelchair and being able to sit upright with a backrest. In Figure 8, this is simply expressed as "sitting down using a backrest." Level 2: The patient is able to sit without using a chair backrest and can easily use chairs other than wheelchairs, toilets, etc. This is simply expressed as "sitting without using a backrest" in Figure 8. Level 3: Acquisition of movements that allow for independent living while sitting, such as eating and grooming. In Figure 8, this is simply expressed as "sitting and using hands." The sitting control phase includes four categories (four types) of physical functions as physical tasks: sitting function, trunk extension function, trunk lateral flexion function, and trunk rotation function.

[0051] [Standing control phase details] Referring to Figures 6 and 9, the standing control phase (CP3) is specifically the third stage (third phase) for evaluating and assessing the trainee's ability to perform actions related to "transfers" and "toileting" in activities of daily living (ADL), as well as their ability to maintain balance. The standing control phase includes the following three levels of sub-movements, which are three-division movements, as movement tasks. Level 1: The ability to lift the buttocks by using handrails, etc., and to transfer to a toilet bowl with a little assistance. In Figure 9, this is simply expressed as "standing up and sitting down with assistance." Level 2: The patient is able to tilt their trunk from a sitting position and, if there is a handrail, can independently transfer from a wheelchair to a toilet or bed. In Figure 9, this is simply expressed as "standing up and sitting down with support." Level 3: The patient is able to stand from a sitting position without the need for a handrail and can transfer in any situation. In Figure 9, this is simply expressed as "standing up and sitting down without support." The standing control phase includes four categories (four types) of physical tasks: the function of shifting the center of gravity from a sitting position to the feet, the function of bidirectional transformation between sitting and standing (feet), the function of maintaining a standing position, and the function of squatting.

[0052] [Details of the single leg control phase] Referring to Figures 6 and 10, the single-leg control phase (CP4) is specifically the fourth stage (fourth phase) for evaluating and assessing the trainee's ability to perform advanced movements and balance while standing on one leg (sometimes referred to as one foot), that is, the ability to perform movements related to "bathing," "walking," and "climbing stairs" in activities of daily living (ADL), and their ability to maintain balance. The single-leg control phase includes the following three levels of sub-movements, each divided into three segments, as a movement task. Level 1: The patient can walk with a little assistance using handrails, etc., and can move independently. This is simply expressed as "walking while holding on to something" in Figure 10. Level 2: The patient can walk using a cane or other implement, and can move independently. This is simply expressed as "walking with a cane" in Figure 10. Level 3: Stable walking or the acquisition of movements that shift the center of gravity to one foot and maintain balance, such as stepping over a bathtub. In Figure 10, this is simply written as "walking independently." The single-leg control phase includes four categories (four types) of physical functions as physical tasks: shifting the center of gravity to one leg, standing on one leg, leveling, and lunging to regain balance.

[0053] [ADL pyramid hierarchical structure] Referring to Figures 3, 7, 8, 9, and 10 together, as mentioned above, a movement task is required to accomplish each ADL task. A movement task is a specific movement required to accomplish an ADL task. For example, if the ADL task is "transferring" from a wheelchair to a bed, an example of a movement task would be "being able to stand up and sit down with support" (see Figure 9). If you look closely at the movement tasks, you will see that they are always set to three levels, so by achieving the movements of the three levels in sequence, you can finally achieve the ADL task. For example, if the movement task is "standing up and sitting down," Level 1: Standing up and sitting down with assistance (with the support of a caregiver) Level 2: Stand up and sit down with support (while leaning your weight on a handrail, etc.) Level 3: Stand up and sit down without support (independently) By progressing through these three levels, the patient will eventually be able to stand up and sit down safely and stably without support, and will be able to accomplish ADL tasks such as transfers and toileting (see Figure 9).

[0054] What is important here is that the physical function exercise providing processing device 2 in this processing system 1 does not directly train the trainee in movement tasks, but rather adopts a hierarchical structure that strengthens the physical tasks (i.e., physical functions) that support the movement tasks, thereby ultimately achieving the movement tasks. Specifically, for example, in the case of a movement task such as "being able to stand up and sit down using support," Section 1: Shifting the center of gravity from a sitting position to the feet, 2nd section: shifting the center of gravity from the feet to the sitting position, Section 3: Maintain a stable standing position, 4th division: Perform squat movements, It is necessary to improve physical functions such as the following (see Figure 9). By improving these physical functions through appropriate exercises, movement tasks can be accomplished, and ultimately ADL tasks can be achieved. This hierarchical approach is important.

[0055] [The importance of a hierarchical approach] Next, in the above-mentioned hierarchical approach, we will explain why improving physical function allows the acquisition of movement tasks and the achievement of ADL tasks, by showing the similarities between the physical functions that human babies acquire during their developmental process and the decline in physical function that occurs when the ADL of the training recipient declines (see Figures 5, 6, 7, 8, 9, and 10).

[0056] After birth, a human baby gradually acquires physical functions, from the lying control phase, which corresponds to supporting the neck; the sitting control phase, which corresponds to raising the upper body using the hands; the standing control phase, which corresponds to standing up by holding on to furniture, etc.; and the single-leg control phase, which corresponds to supporting the body weight on one leg (see Figures 5 and 6).

[0057] Similarly, when trainees, such as those requiring care, regain independence in their daily lives, they are required to improve their physical functions in a step-by-step manner. By systematically acquiring physical tasks such as muscle strength to support the body and balance ability, trainees can achieve movement tasks such as getting up from a bed, transferring to a wheelchair, standing up and walking, and changing direction while supporting their weight on one leg, ultimately improving their ability to perform ADL tasks such as eating and using the toilet.

[0058] In this way, acquiring physical tasks modeled on the growth and development process of a human baby serves to awaken the necessary functions at the necessary time. In order for training participants whose activities of daily living (ADL) have declined to be able to live independently again, it is important to first improve their body control ability starting from the lying-down stage, then enable them to stably maintain a sitting and standing position, and finally build up their physical function to the point where they can firmly support their weight on one leg. By applying an approach similar to that used for baby growth to individuals requiring care, it is possible to gradually improve their physical function and effortlessly acquire the movements necessary for daily life. The hierarchical approach described above is a method for organizing the order in which these physical tasks are acquired and for structuring exercises more effectively.

[0059] [Method for determining target phase] Next, a method for determining the target phase will be described with reference to FIG. In the physical function exercise providing processing device 2, the trainee must determine the control phase that has the highest priority to be tackled at the current stage among the lying down, sitting down, standing up, and single leg control phases (CP1, CP2, CP3, and CP4) for the four types of movement as the target phase.

[0060] The physical function exercise providing and processing device 2 performs a movement evaluation to determine the level to which the trainee can achieve 12 movement tasks, including three sub-movement categories, for each of the lying, sitting, standing, and single-leg control phases. This movement evaluation is called the acquired movement screening, or sometimes simply referred to as screening. Details of the screening will be described later.

[0061] As a result of screening the acquired movements, an achievement score (score: 0, 1, 2, 3) is presented for each control phase, and the control phase with the lowest score is determined as the target phase. Here, if the achievement scores of the screening results for the lying, sitting, standing, and single-leg control phases are all the same or any of them are the same, the target phases are determined in this order based on the principle that the difficulty of motor control of movements increases in the order of lying, sitting, standing, and single-leg standing. FIG. 11 illustrates an example in which the supine control phase is determined as the target phase in preference to the sitting control phase, which has the same achievement score. The results of the acquisition behavior screening shown in FIG. 11 include an overall evaluation section including text data explaining the results and a radar chart showing the achievement scores for each control phase.

[0062] [Physical Function Exercises] As described above, the physical function exercise providing processing device 2 screens the acquired movements of the training subject (movement evaluation), and for the movement tasks identified as the target phase, physical function exercises (sometimes referred to as base 16 exercises) are applied to improve and enhance the physical tasks, i.e., physical functions, which is a shortcut to improving ADL.

[0063] These base 16 exercises are automatically suggested by the physical function exercise providing processing device 2 to improve and enhance 16 physical tasks, including four categories of physical function for each of the supine, sitting, standing, and single-leg control phases, which are derived from the results of screening of acquired movements.

[0064] As shown in Figures 12, 13, 14, and 15, the Base 16 Exercises are characterized by incorporating the physical functions that a human baby needs to acquire during its growth and development in response to ADL tasks for each of the lying, sitting, standing, and single-leg control phases. By performing the exercises in the appropriate order, the trainee can gradually improve their physical functions.

[0065] In detail, Figure 12 shows in table form the characteristics of the first exercise Ex of the four items related to the supine control phase of the physical function exercises (base 16 exercises). The Base 16 Exercises include four first exercises (Ex): abdominal breathing, neck range of motion increase, trunk flexion, and leg raising, which correspond to four categories of physical function for accomplishing the movements of "sitting up" and "rolling over" in activities of daily living (ADL), namely abdominal breathing, head control, trunk flexion, and hip flexion. This exercise table EX-TB1 includes an exercise (Ex) purpose column that describes the purpose of the first exercise Ex of four items.

[0066] To elaborate on the purpose of the first exercise, Ex, in the four sections, improving abdominal breathing function is essential during the supine control phase. "Abdominal breathing Ex" emphasizes trunk stability and aims to reacquire correct breathing, which is the basis of movement. This will improve the internal core function, or inner unit function, which is the basis of movement. Strengthening head control is crucial as it is the first step in achieving a goal. For this reason, the "Neck Range of Motion Expansion Ex" is provided, which develops coordination between neck movement and eyes, improving gaze stability. Trunk flexibility and stability as trunk flexion functions are strengthened through "trunk flexion exercises," promoting the spinal flexion ability and rib internal / external rotation movements required for daily activities. Hip flexion function is developed through the "Leg Raising Exercise," which strengthens the connection with the core required to lift the lower limbs and supports the ability to perform this movement as an integrated movement with the upper and lower limbs.

[0067] Figure 13 also shows in table form the characteristics of the four second exercises Ex related to the sitting control phase of the base 16 exercises. The base 16 exercises include four second exercises Ex: sitting position maintenance Ex, trunk extension Ex, unilateral ischial weighting Ex, and trunk rotation Ex, which correspond to four categories of physical functions for accomplishing the movements of "eating," "dressing (changing clothes)," "excretion (defecation / urination)," "grooming," and "sitting" in activities of daily living (ADL), namely, sitting position maintenance function, trunk extension function, trunk lateral flexion function, and trunk rotation function. This exercise table EX-TB2 also includes an exercise (Ex) purpose column that describes the purpose of the four items of the second exercise Ex.

[0068] To elaborate on the purpose of the four-item second exercise Ex, in the sitting control phase, the task is to perform basic daily activities such as eating, dressing, toileting, grooming, and sitting in a stable sitting position, and the ability to maintain a sitting position is essential to support this. "Sitting Ex" maintains the trunk vertically while supporting the free movement of the upper limbs, strengthening trunk control ability to smoothly perform activities such as eating and dressing. Next, trunk extension function is important for facilitating reaching and stretching movements in daily life. "Trunk Extension Ex" strengthens the antigravity function that supports forward reaching, while at the same time improving trunk stability in the back. This makes it easier to perform movements such as reaching for something from a high shelf. Lateral movement of the body requires the development of lateral trunk flexion, and the "unilateral ischial weighting exercise" improves the lateral stability of the trunk when reaching to the side, which makes movements such as reaching for an object next to you smoother. Twisting movements require trunk rotation, and "Trunk Circuit Exercise" strengthens the antigravity function of applying weight to one side of the trunk and reaching laterally using the opposite upper limb, strengthening back stability while rotating the trunk. This is effective for many everyday movements that can be performed in a seated position.

[0069] In addition, Figure 14 shows in table form the characteristics of the four items of the third exercise Ex related to the standing control phase of the BASE 16 exercises. The Base 16 Exercises include four third exercises Ex: forward trunk lean Ex, standing and sitting Ex, standing Ex, and squatting Ex, which correspond to four categories of physical functions for achieving the movements of "transfer" and "toileting" in activities of daily living (ADL), namely, the function of shifting the center of gravity from a sitting position to the feet, the function of bidirectional transformation between sitting and standing, the function of maintaining a standing position, and the function of squatting. This exercise table EX-TB3 also includes an exercise (Ex) purpose column that describes the purpose of the third exercise Ex of the four items.

[0070] To elaborate on the purpose of the third exercise (Ex.) of the four items, the standing control phase focuses on basic movements in daily life, such as transferring and going to the toilet. The "forward trunk leaning exercise" develops the ability to smoothly shift the center of gravity from the ischial tuberosity to the feet when in a seated position. This exercise enables the center of gravity to be shifted from a seated position to a standing position. "Standing and Sitting Ex" makes everyday standing and sitting movements easier by developing the ability to control the center of gravity to smoothly transition from a sitting position to a standing position and vice versa. "Standing Ex" strengthens the ability to maintain postural stability and balance while standing, providing support for maintaining a stable standing position during daily activities. Squat Ex strengthens your ability to safely and effectively shift your center of gravity from a high position to a low position, helping you move to the floor and perform tasks at low positions, increasing your confidence and safety in all aspects of your daily life.

[0071] Furthermore, Figure 15 shows in table form the characteristics of the fourth exercise Ex, which is one of the four items related to the single-leg control phase of the base 16 exercises. The Base 16 Exercises include four fourth exercises Ex: lateral center of gravity shift Ex, single-leg standing Ex, stepping Ex, and lunging Ex, which correspond to four categories of physical functions for accomplishing the actions of "bathing," "walking," and "stair climbing" in activities of daily living (ADL), namely, the function of shifting the center of gravity to one leg, the function of standing on one leg, the function of stepping, and the function of lunging. This exercise table EX-TB4 also includes an exercise (Ex) purpose column that describes the purpose of the fourth exercise Ex for four items.

[0072] To elaborate on the purpose of the fourth exercise (Ex.), in the single-leg control phase, the challenge is to shift the center of gravity to one leg, which is essential for activities such as bathing, walking, and climbing stairs. The "lateral center of gravity shift Ex. " supports a smooth transition from standing to walking, enabling stable lateral movement while placing weight on one leg. "Single Leg Stand Ex" strengthens balance while standing on one leg and develops the ability to maintain that position for long periods of time. This particularly improves postural control while standing on one leg, which can be applied to walking and straddling movements. "Step Ex" aims to improve walking ability by cultivating the ability to take a step with one leg raised and shifting the center of gravity in various directions. Lunge Ex progresses from a single leg position to a more dynamic movement, developing balance and stability, especially during step-off and landing, and increasing the efficiency and safety of the overall movement.

[0073] The above-mentioned exercise tables EX-TB1, EX-TB2, EX-TB3, and EX-TB4 are created as templates for reference by trainers and the like in the pre-setting stage of the movement task achievement evaluation program. The exercise tables EX-TB1, EX-TB2, EX-TB3, and EX-TB4 are stored (registered) in advance in a storage unit as definition files FL written in a predetermined markup language (e.g., HTML (Hyper Text Markup Language)).

[0074] [Physical function exercise provision processing] Next, the operation of the above-mentioned body function exercise providing processing device 2 will be described with reference to Figures 1, 2 and related figures. Figure 21 shows an example of the sequence of the body function exercise providing process in the body function exercise providing processing device 2.

[0075] In the physical function exercise provision processing device 2, when the trainee (including a qualified therapist and his / her assistant) turns on the power, a computer-executable processing program, a physical function exercise provision processing program, is started, and the processor (CPU) 20 performs the physical function exercise provision processing described below mainly in cooperation with the hardware components and functional components described above.

[0076] [Definition setting process] After starting the physical function exercise provision processing program, the trainee operates the information input / designation unit 29 to input various definition information, including image data and text data, that will be required when the physical function exercise provision processing is executed in the physical function exercise provision processing device 2, via a pre-setting screen (not shown) displayed on the display unit 27 in accordance with the control of the processor 20.

[0077] The inputted various definition information is stored (registered) as various definition files FL in the flash memory 23 constituting the storage unit via the definition setting processing unit 201. Here, the various definition files FL are written in a predetermined markup language (for example, HTML) and generated as HTML files. The images may be either schematic images or actual images.

[0078] The definition setting processing unit 201 in the processing device 2 stores the following various definition information in the storage unit (flash memory 23) for each of the lying position, sitting position, standing position, and single leg control phase (see process S211 in FIG. 21). (a) Identification information (index information) of the lying, sitting, standing, and single-leg control phases as the first, second, third, and fourth control phases representing four types of movement transitions related to the movements and sequences of at least four stages of human growth and development (see Figures 4, 5, and 6). (b) First reference image for 12 movement tasks represented by three sub-movements of varying difficulty related to each of four types of movement (see Figures 6, 7 to 10). (c) Reference scores for assessing the trainee's level of independence based on movement tasks corresponding to three sub-movements of varying difficulty (see Figure 6). (d) Second reference images for 16 physical tasks positioned at a lower level of the movement tasks and representing four categories of physical function for each of four types of movement (see Figures 7 to 10).

[0079] The definition setting processing unit 201 also stores the above-mentioned exercise tables EX-TB1, EX-TB2, EX-TB3, and EX-TB4 as a definition file FL in the flash memory 23 (see FIGS. 12 to 15). Furthermore, the definition setting processing unit 201 stores definition information including image data and text data related to the screening of acquisition actions, which will be described in detail later, as a definition file FL in the flash memory 23 (see FIGS. 16 to 20).

[0080] The definition information in the various definition files FL is stored in flash memory 23 so that they are linked to each other, and therefore can be mutually referenced by specifying (e.g., double-clicking) any of the identification information for the lying, sitting, standing, and single-leg control phases.

[0081] [Initial training: Screening of acquired behavior] The first generation processing unit 202 in the processing device 2 generates a first movement task achievement evaluation program that adopts a basic sequence of four types of movements when the first training of the trainee begins (see process S212 in Figure 21). Here, the first generation processing unit 202 can determine whether the training for the trainee is the first training based on, for example, history information in a storage area (a training result table to be described later) corresponding to the trainee in the flash memory 23 constituting the storage unit. However, the first generation processing unit 202 may be triggered by a trainer specifying the trainee by name or identification information (ID) and pressing a start first training button on a training execution screen (not shown) displayed on the display unit 27.

[0082] The first display processing unit 203 performs processing to display the generated first movement task achievement assessment program on the display unit 27 (see processing S213 in FIG. 21).

[0083] The first determination processing unit 204 automatically determines the first achievement score of the training subject based on a positive or negative judgment regarding each acquired movement obtained by conducting screening of the first acquired movement based on the first movement task achievement evaluation program (see process S214 in Figure 21). Here, in screening of the first acquisition movement, the first determination processing unit 204 determines the first achievement score of the trainee by automatically comparing the first reference image in the flash memory 23 with the first captured image acquired by the imaging unit 26 using image analysis technology. However, in screening of the first acquisition movement, the first determination processing unit 204 may also determine the first achievement score of the trainee by comparing the first reference image in the flash memory 23 with the first captured image acquired by the imaging unit 26 through visual confirmation (knowledge) by the trainer.

[0084] The second display processing unit 205 processes and displays the determined first achievement score on the display unit 27 for each of the first, second, third, and fourth control phases (lying, sitting, standing, and single-leg control phases) (see process S215 in Figure 21).

[0085] The first setting processing unit 206 stores the determined first achievement score in the corresponding memory area (training result table) of the training subject in the memory unit (flash memory 23) for each of the first, second, third, and fourth control phases (see process S216 in Figure 21).

[0086] [First training: Target phase determination process] The first target phase determination processing unit 207 determines the control phase with the highest priority among the first, second, third, and fourth control phases as the target phase based on the first achievement score (see process S217 in FIG. 21).

[0087] [Initial Training: Exercise Provision Processing] The first exercise provision processing unit 208 provides the training subject with a first physical function exercise for training (strengthening) four specific sections of physical function according to the movement task of one of the first, second, third, and fourth control phases corresponding to the determined first target phase by displaying a second reference image on the display unit 27 (see process S218 in Figure 21).

[0088] [Continuous training: Screening of acquired behavior] Next, the second generation processing unit 210 in the processing device 2 generates a second movement task achievement evaluation program that adopts either the basic order or the modified order of the four types of movements, triggered by the start of continuous training for the training subject (see process S220 in Figure 21).

[0089] Here, the second generation processing unit 210 can determine whether the training for the trainee is continuous training based on, for example, history information in a storage area (training result table) corresponding to the trainee in the flash memory 23. However, the second generation processing unit 210 may be triggered by a trainer specifying the trainee by name or identification information (ID) and pressing a continuous training start button on a training execution screen (not shown) displayed on the display unit 27.

[0090] The third display processing unit 211 performs processing to display the generated second movement task achievement assessment program on the display unit 27 (see processing S221 in FIG. 21).

[0091] The second determination processing unit 212 automatically determines the second achievement score of the training subject in accordance with a positive or negative judgment regarding each acquired movement obtained by conducting screening of the second acquired movement based on the second movement task achievement evaluation program (see process S222 in Figure 21). Here, in screening the second acquisition movement, the second determination processing unit 212 determines the second achievement score of the trainee by automatically comparing the first reference image in the flash memory 23 with the second captured image acquired by the imaging unit 26 using image analysis technology. However, in screening the second acquisition movement, the second determination processing unit 212 may also determine the second achievement score of the trainee by comparing the first reference image in the flash memory 23 with the second captured image acquired by the imaging unit 26 through visual confirmation (knowledge) by the trainer.

[0092] The fourth display processing unit 213 performs processing to display the determined second achievement scores on the display unit 27 for each of the first, second, third, and fourth control phases (see processing S223 in FIG. 21).

[0093] The second setting processing unit 214 stores the determined second achievement score in the corresponding memory area (training result table) of the training subject in the memory unit (flash memory 23) for each of the first, second, third, and fourth control phases (see process S224 in Figure 21).

[0094] [Continuous Training: Target Phase Determination Process] The second target phase determination processing unit 215 determines the control phase with the highest priority among the first, second, third, and fourth control phases as the second target phase based on the second achievement score (see process S225 in Figure 21).

[0095] [Continuous Training: Exercise Provision Processing] The second exercise provision processing unit 216 provides the training subject with a second physical function exercise for training (strengthening) four specific sections of physical function according to the movement task of any of the first, second, third, and fourth control phases corresponding to the determined second target phase by displaying the same second reference image or a different second reference image on the display unit 27 (see process S226 in Figure 21).

[0096] [More on Acquisition Behavior Screening] The physical function exercise providing and processing device 2 screens the trainee's acquired movements using a movement task achievement evaluation program that is based on the basic movement patterns inherent to humans and adopts one of four basic and modified movement sequences that conform to these movement patterns.

[0097] As shown in Figure 16, the basic order of the four types of movements corresponds to each phase of the four movements (postures) to be controlled, specifically, in order of increasing difficulty, the order is supine control phase CP1, sitting control phase CP2, standing control phase CP3, and single-leg control phase CP4.

[0098] The change order of the four types of movements is an order in which at least one lower phase of the supine control phase CP1, the sitting control phase CP2, the standing control phase CP3, and the single-leg control phase CP4, in ascending order of difficulty, is omitted.

[0099] In each phase, the degree to which the trainee can independently perform daily living tasks is evaluated. The evaluation scores are set as follows: 3 points: Awarded if the trainee is able to independently complete the movement during the corresponding control phase, indicating accuracy and stability without the need for physical aids or additional assistance to perform the movement. 2 points: This is given when the trainee is able to perform the movement, but requires compensatory movements, the use of a physical assistive device3, or partial assistance. This indicates that the trainee can perform the movement somewhat independently, but is not completely independent. 1 point: This is awarded when, even with the aid of compensatory movements and physical assistive devices, the movement is difficult or unstable to perform and assistance is required to perform the movement safely and effectively. 0 points: Awarded when the trainee is unable to assume the starting position or experiences pain when performing the movement, making it impossible to perform the assessment.

[0100] Here, as an example, when the trainer specifies the trainee by name or identification information (ID) on the training execution screen displayed on the display unit 27 and presses the start initial training button, all of the definition information (definition contents) of the four types of movements shown in Figure 16 as an example are read from the flash memory 23 and displayed on the display unit 27 as a first movement task achievement evaluation program that adopts the basic sequence of the four types of movements.

[0101] The trainer performs screening of the first acquired movement on the trainee based on the basic sequence of four types of movements according to the displayed first movement task achievement evaluation program.

[0102] When screening the first acquisition operation, the first determination processing unit 204 automatically determines the first achievement score (score: 0, 1, 2, 3) of the training subject by automatically comparing the first reference image in the flash memory 23 with the first captured image acquired by the imaging unit 26 using image analysis technology.

[0103] The determined first achievement score is displayed on the display unit 27 for each of the supine control phase CP1, sitting control phase CP2, standing control phase CP3, and single-leg control phase CP4, and is also stored in the corresponding memory area (record) of the training subject in the training result table configured in the flash memory 23.

[0104] Although not shown in the figure, this training result table has a memory area for each training subject that includes at least the name, identification information (ID), attributes (including gender, age, address, etc.) of the training subject, information regarding the initial training (including the implementation date, type of movement task achievement evaluation program, achievement score of the movement task achievement evaluation program, target phase, type of physical function exercise, etc.), and information regarding the continued training (including the implementation date, type of movement task achievement evaluation program, achievement score of the movement task achievement evaluation program, target phase, type of physical function exercise, etc.).

[0105] The four types of movements used in the screening of the first and second acquired movements to be performed on the trainee, namely, a supine control phase CP1, a sitting control phase CP2, a standing control phase CP3, and a single-leg control phase CP4, are defined in advance as shown below as a specific example and stored in the flash memory 23 as a definition file FL (see Figures 17, 18, 19, and 20). Note that the three sub-movements with different levels of difficulty included in each of the four types of movements, namely, the supine control phase CP1, the sitting control phase CP2, the standing control phase CP3, and the single-leg control phase CP4, can be changed within the scope that does not deviate from the purpose of each screening.

[0106] Supine control phase CP1: Pelvic stability with leg lift (A-SLR) (see Figure 17) [the purpose] This screening assesses pelvic stability and mobility of the hips, knees and ankles. [procedure] (1) Can you sleep on your back? (2) Can you touch your toes on the same side with one hand? (3) Can you roll over from your back to your stomach? (4) Screening is performed on both sides of the body. [Reference Score] 3 points: Step (3) can be performed. 2 points: Step (2) can be performed. 1 point: Able to perform step (1).

[0107] Sitting control phase CP2: Sitting shoulder elevation (see Figure 18) [the purpose] This screening assesses trunk stability (sitting) and shoulder mobility. [procedure] (1) Can you sit on chair 31 (see Figure 1)? Condition (interference condition): The backrest can be used. (2) Can I sit on Chair 31? Condition: The backrest cannot be used. (3) Can you raise your shoulders more than 90 degrees? Condition: The backrest cannot be used. (4) Screening is performed on both sides of the body. [Reference Score] 3 points: Step (3) can be performed. 2 points: Step (2) can be performed. 1 point: Able to perform step (1).

[0108] Standing control phase CP3: Standing from a chair (see Figure 19) [the purpose] This screening assesses whether the patient can safely transition from a sitting position to a standing position and from a standing position to a sitting position by flexing the hip joint while controlling the trunk and smoothly shifting the center of gravity from the buttocks to the feet and from the feet to the buttocks. [procedure] (1) Can you lift your bottom off the chair? Condition (interference condition): Support 32 (see Figure 1) is used. (2) Can you smoothly shift your center of gravity from a sitting position to your feet and stand up? Condition: Use support 32. (3) Can you sit down smoothly from a standing position while keeping your center of gravity on your feet? Condition: Use support 32. (4) Can you smoothly shift your center of gravity from a sitting position to your feet and stand up? Condition: No support 32 used. (5) Can you sit down smoothly from a standing position while keeping your center of gravity on your feet? Condition: No support 32 used. [Reference Score] 3 points: Steps (4) and (5) can be performed. 2 points: Steps (2) and (3) can be performed. 1 point: Able to perform step (1).

[0109] Single-leg control phase CP4: Standing on one leg (see Figure 20) [the purpose] In this screening, the patient is placed in a static position with one leg raised and eyes open, with the foot of the supporting leg used as the support surface, and an assessment is made as to whether each part of the body can maintain static stability. [procedure] (1) Can you lift one leg for more than one second using your hands (support 32)? (2) Can you stand on one leg using your hands? Are the foot of the supporting leg and head aligned perpendicular to the floor? (3) Can you stand on one leg using your hands? Are your shoulders and pelvis parallel? (4) Can you stand on one leg without using your hands? Are the foot of the supporting leg and head aligned perpendicular to the floor? (5) Can you stand on one leg without using your hands? Are your shoulders and pelvis parallel? (6) Screen both sides of the body. [Reference Score] 3 points: Steps (4) and (5) can be performed. 2 points: Steps (2) and (3) can be performed. 1 point: Able to perform step (1).

[0110] The definitions of the above-mentioned control phases stored in the flash memory 23 (see Figs. 17, 18, 19, and 20) are associated so as to be linked with the supine control phase CP1, the sitting control phase CP2, the standing control phase CP3, and the single-leg control phase CP4 for the four types of movements exemplified in Fig. 16. Therefore, as an example, by performing a designation operation (e.g., a single click) on one of the four types of movements shown in Fig. 16 displayed on the training execution screen, the trainer can refer to the definitions of the corresponding control phase and present them to the trainee to screen the acquired movement.

[0111] When the trainee is screened for the first acquired movement based on the basic sequence of four types of movements according to the first movement task achievement evaluation program, in the physical function exercise providing processing device 2, the first determination processing unit 204 automatically determines the first achievement score of the trainee based on the positive and negative judgments of the acquired movement through the selective designation operation by the trainee for the three categories of sub-movements with different levels of difficulty.

[0112] To explain this determination method in more detail, for example, when screening the first acquired movement for the trainee using three sub-movements of varying difficulty for the pelvic stabilization and leg raise (A-SLR) in the supine control phase CP1 in the basic sequence of four types of movements, the trainer selectively designates a positive judgment (Yes) or a negative judgment (No) for the acquired movement based on the display of the processing procedure shown in Figure 17.

[0113] In the physical function exercise provision processing device 2, the first determination processing unit 204 can automatically determine the first achievement score of the trainee by tallying up the positive determinations (Yes) and negative determinations (No) of the acquired movements. For example, when the first determination DS1, the second determination DS2, and the third determination DS3 in the processing procedure for screening for pelvic stabilization and lower limb elevation shown in FIG. 17 are all positive determinations (Yes), the achievement score of the trainee is determined to be 3. When the first determination DS1 is negative determination (No), the achievement score of the trainee is determined to be 0. The determined achievement score is stored in the corresponding memory area (record) of the trainee in the training result table.

[0114] Next, as an example, when the trainer specifies the trainee by name or identification information (ID) on the training execution screen displayed on the display unit 27 and presses the continuous training start button, a second movement task achievement evaluation program employing one of the basic order and modified order of four types of movement is created (generated) in the physical function exercise providing processing device 2. Then, the generated second movement task achievement evaluation program is displayed on the display unit 27 in order to screen the acquired movements.

[0115] Here, generating a second movement task achievement evaluation program that adopts the basic sequence of four types of movements corresponds to all of the definition contents of the four types of movements illustrated in Figure 16 being read from flash memory 23 and displayed on display unit 27.

[0116] When the lying, sitting, standing, and single-leg control phases of the four types of movements in the training result table all have low achievement scores (e.g., all scores of 0 or 1), a second movement task achievement evaluation program is generated in the basic order.

[0117] The method for screening the second acquired movement of the training subject based on the basic sequence of four types of movements according to the second movement task achievement evaluation program and determining the training subject's second achievement score (score: 0, 1, 2, 3) is the same as the processing based on the basic sequence of four types of movements according to the first movement task achievement evaluation program described above.

[0118] In addition, generating a second movement task achievement evaluation program that adopts a change order of the four types of movements corresponds to reading out from flash memory 23 in an order in which at least one sub-phase of the lying down, sitting down, standing up, and single-leg control phase in the definition contents of the four types of movements illustrated in Figure 16 is omitted, and displaying the results on display unit 27.

[0119] However, when generating a second movement task achievement evaluation program that employs a change order of four types of movement, the following rule is applied: When the lying, sitting, standing, and single-leg control phases of four types of movement in the training result table have the same second achievement score in adjacent orders, a second movement task achievement evaluation program is generated with a change order that employs a control phase with a lower order. In other words, if the second achievement scores for the lying, sitting, standing, and single-leg control phases in the training result table are, for example, 3, 2, 2, 2, it is determined that the adjacently ordered sitting and standing control phases have the same score of 2, and a second movement task achievement evaluation program is generated with a modified order (sitting, standing, and single-leg control phases) that adopts the lower-order sitting control phase.

[0120] In addition, when the lying, sitting, standing, and single-leg control phases of the four types of movements in the training result table indicate a difference in the assessment of the left and right sides of the body of the person being trained, a second movement task achievement evaluation program is generated in a modified order that adopts the control phase with the lower second achievement score. In other words, if the second achievement score for the sitting control phase in the training result table is, for example, a score of 3 for the right side of the body and a score of 2 for the left side of the body, it is determined that there is a difference between the left and right sides of the body, and the sitting control phase with the lower achievement score (score of 2 for the left side of the body) is adopted, and a second movement task achievement evaluation program is generated in a modified order that takes into account the other control phases.

[0121] When the trainee is screened for the second acquired movement based on the change order of the four types of movements according to the second movement task achievement evaluation program, in the physical function exercise providing processing device 2, the second determination processing unit 212 automatically determines the second achievement score (score: 0, 1, 2, 3) of the trainee based on the positive and negative judgments of the acquired movement through the selective designation operation by the trainee for the three categories of sub-movements with different levels of difficulty.

[0122] As described in the basic sequence of the four types of movements, when screening the acquired movements of a trainee using three sub-movements of different difficulty levels, this determination method requires the trainer to selectively specify a positive judgment (Yes) or a negative judgment (No) for the acquired movements based on the display of the processing procedure shown in Figure 17.

[0123] In the physical function exercise providing processing device 2, the second determination processing unit 212 can automatically determine the second achievement score of the trainee by tallying up the positive determinations (Yes) and negative determinations (No) of the acquired movements. The determined second achievement score is stored in the corresponding memory area (record) of the trainee in the training result table.

[0124] [Effects of one embodiment] The physical function exercise providing processing device 2 in this processing system 1 does not directly train the trainee on the movement task, but instead employs a hierarchical structure in which the movement task is ultimately achieved by strengthening the physical tasks (i.e., physical functions) that support the movement task, thereby further promoting the improvement of the trainee's daily living activities.

[0125] [Modification of one embodiment] In the above-described embodiment, the following modifications can be adopted.

[0126] (1) In the embodiment of the physical function exercise providing processing device 2 described above, the first achievement score and the second achievement score determined by screening the acquired movements are displayed on the display unit 27 for each of the first, second, third, and fourth control phases (i.e., supine, sitting, standing, and single-leg control phases), but a sheet of the screening results including the first achievement score or the second achievement score may also be printed out by the print output unit (see Figure 11).

[0127] (2) In the above-described embodiment of the physical function exercise provision processing device 2, exercise tables EX-TB1, EX-TB2, EX-TB3, and EX-TB4 containing the characteristics of four exercise items for each of the lying, sitting, standing, and single-leg control phases of the physical function exercises (base 16 exercises) are created as templates for reference by trainers and the like, and are pre-stored (registered) in the flash memory 23 in the form of a definition file (HTML file) FL (see Figures 12 to 15). These exercise tables EX-TB1, EX-TB2, EX-TB3, and EX-TB4 may be equipped with a two-dimensional barcode (QR code (registered trademark)) that allows viewing of videos of physical function exercises. This allows not only for trainers to refer to the videos, but also for trainees to refer to the printed content when studying independently at home, etc.

[0128] [Other variations] The processing in the above-described embodiment and modification is provided as a computer-executable program, and can be provided via a non-transitory computer-readable recording medium such as a CD-ROM or a flexible disk, or further via a communication line.

[0129] Furthermore, any or all of the processes in the embodiment and the modified examples described above can be selected and combined for implementation. [Explanation of symbols]

[0130] 1. Physical function exercise provision processing system 2. Physical function exercise providing processing device 3 Physical aids 31 Chair with backrest 32 Support 201 Definition setting processing section 202 first generation processing unit 203 First display processing unit 204 First decision processing unit 205 second display processing unit 206 First setting processing unit 207 First target phase determination processing unit 208 First exercise providing processing unit 210 second generation processing unit 211 third display processing unit 212 second decision processing unit 213 Fourth display processing unit 214 second setting processing unit 215 second target phase determination processing unit 216 Second exercise providing processing unit

Claims

1. A processing device for providing physical function exercises to a training subject aiming to improve daily living activities, at least by means of images; Identification information of first, second, third, and fourth control phases representing four types of movement transitions related to the movements and sequences of at least four stages of human growth and development; a first reference image for a movement task represented by three sub-movements of different difficulty levels related to each of the four types of movements; A reference score for evaluating the independence achievement level of the training subject based on the movement tasks corresponding to the three categories of sub-movements with different levels of difficulty; A second reference image for a physical task that is positioned at a lower level of the movement task and represents four sections of physical function for each of the four types of movement; a definition setting processing unit that stores definition information including at least the above in a storage unit for each of the first, second, third, and fourth control phases; a first generation processing unit that generates a first movement task achievement evaluation program that employs the basic sequence of the four types of movements when an initial training session for the trainee is started; a first display processing unit that displays the generated first movement task achievement evaluation program on a display unit; a first determination processing unit that determines a first achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the first acquired movement based on the first movement task achievement evaluation program; a second display processing unit that displays the determined first achievement score on the display unit for each of the first, second, third, and fourth control phases; a first setting processing unit that stores the determined first achievement score in a corresponding storage area of ​​the storage unit for the training subject for each of the first, second, third, and fourth control phases; a first target phase determination processing unit that determines, based on the first achievement score, a control phase with the highest priority among the first, second, third, and fourth control phases as a first target phase; a first exercise provision processing unit that provides the training subject with a first physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined first target phase by displaying the second reference image on the display unit; A processing device comprising:

2. a second generation processing unit that generates a second movement task achievement evaluation program that employs one of the basic order and the modified order of the four types of movements, when continuous training for the trainee is started; a third display processing unit that displays the generated second movement task achievement evaluation program on the display unit; a second determination processing unit that determines a second achievement score for the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the second acquired movement based on the second movement task achievement evaluation program; a fourth display processing unit that displays the determined second achievement score on the display unit for each of the first, second, third, and fourth control phases; a second setting processing unit that stores the determined second achievement score in a corresponding storage area of ​​the storage unit for the training subject for each of the first, second, third, and fourth control phases; a second target phase determination processing unit that determines, based on the second achievement score, the control phase with the highest priority among the first, second, third, and fourth control phases as a second target phase; a second exercise provision processing unit that provides second physical function exercises for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined second target phase to the trainee by displaying a second reference image that is the same as the second reference image of the previous display processing or a different second reference image on the display unit; The processing device of claim 1 further comprising:

3. the first determination processing unit, in performing screening of the first acquisition motion, automatically compares the first reference image with the first captured image acquired by the imaging unit using an image analysis technique, thereby determining the first achievement score of the training subject; The processing device according to claim 1 .

4. The second determination processing unit, in performing screening of the second acquisition operation, automatically compares the first reference image with the second captured image acquired by the imaging unit using an image analysis technique, thereby determining the second achievement score of the training subject. The processing device according to claim 2 .

5. the processing device is disposed in a training location within a training facility together with physical aids including at least a chair with a backrest and a support; The physical assist device interferes with the first achievement score of the training subject in performing the screening of the first acquired movement. The processing device according to claim 1 .

6. the processing device is disposed in a training location within a training facility together with physical aids including at least a chair with a backrest and a support; The physical assist device interferes with the second achievement score of the training subject in performing the screening of the second acquired movement. The processing device according to claim 2 .

7. the first, second, third, and fourth control phases being, in increasing order of difficulty, supine, sitting, standing, and single-leg control phases; The processing device according to claim 1 .

8. wherein the first, second, third, and fourth control phases are, in increasing order of difficulty, supine, sitting, standing, and single-leg control phases; The supine position control phase includes, as the physical tasks, the four physical functions of abdominal breathing function, head control function, trunk flexion function, and hip flexion function, The sitting control phase includes, as the physical tasks, the four physical functions of a sitting position maintaining function, a trunk extension function, a trunk lateral bending function, and a trunk rotation function, The standing control phase includes, as the physical tasks, the four categories of physical functions: a function of shifting the center of gravity from a sitting position to a foot position, a function of bidirectionally transforming between a sitting position and a standing position, a function of maintaining a standing position, and a squat function; The single-leg control phase includes, as the physical tasks, the four physical functions of a body, namely, a function of shifting the center of gravity to one leg, a function of standing on one leg, a level function, and a lunge function of restoring balance. The processing device according to claim 1 .

9. The movements and sequences of the four stages of growth and development correspond to the basic movement patterns inherent in humans, and include abdominal pressure and pelvic stability, trunk stability, center of gravity shift and bilateral support, and left-right asymmetry and single-leg support. The processing device according to claim 1 .

10. The four types of movements are basic movements for daily living activities, and include pelvic stabilization lower limb lifting, sitting position shoulder lifting, standing up from a chair, and standing on one leg as the first, second, third, and fourth control phases. The processing device according to claim 1 .

11. The basic sequence of the four types of movements is the sequence of the first, second, third, and fourth control phases in increasing order of difficulty; The processing device according to claim 1 .

12. The change order of the four types of actions is an order in which at least one sub-phase of the first, second, third, and fourth control phases in ascending order of difficulty is omitted. The processing device according to claim 2 .

13. generating the second movement task achievement evaluation program in the basic order when the first, second, third, and fourth control phases of the four types of movements all have a low second achievement score; The processing device according to claim 2 .

14. When the first, second, third, and fourth control phases of the four types of movements have the same second achievement score in adjacent order, the second movement task achievement evaluation program is generated in a modified order that adopts a control phase with a lower order. The processing device according to claim 2 .

15. When there is an evaluation of a difference between the left and right sides of the body of the training subject in the first, second, third, and fourth control phases of the four types of movements, the second movement task achievement evaluation program is generated in a modified order that adopts the control phase with the lower second achievement score. The processing device according to claim 2 .

16. A processing method for providing physical function exercises to a training subject aiming to improve daily living activities, using at least images; Identification information of first, second, third, and fourth control phases representing four types of movement transitions related to the movements and sequences of at least four stages of human growth and development; a first reference image for a movement task represented by three sub-movements of different difficulty levels related to each of the four types of movements; A reference score for evaluating the independence achievement level of the training subject based on the movement tasks corresponding to the three categories of sub-movements with different levels of difficulty; A second reference image for a physical task that is positioned at a lower level of the movement task and represents four sections of physical function for each of the four types of movement; a definition setting process for storing definition information including at least the above in a storage unit for each of the first, second, third, and fourth control phases; a first generation process for generating a first movement task achievement evaluation program that employs the basic sequence of the four types of movements, when an initial training session for the trainee is started; a first display process for displaying the generated first movement task achievement evaluation program on a display unit; a first determination process for determining a first achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the first acquired movement based on the first movement task achievement evaluation program; a second display process for displaying the determined first achievement score on the display unit for each of the first, second, third, and fourth control phases; a first setting process for storing the determined first achievement score in a corresponding storage area of ​​the storage unit for the training subject for each of the first, second, third, and fourth control phases; a first target phase determination process for determining a control phase with the highest priority among the first, second, third, and fourth control phases as a first target phase based on the first achievement score; a first exercise provision process for providing the training subject with a first physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined first target phase by displaying the second reference image on the display unit; The processor performs the processing method.

17. a second generation process for generating a second movement task achievement evaluation program that employs one of the basic order and the modified order of the four types of movements, when continuous training for the trainee is started; a third display process of displaying the generated second movement task achievement evaluation program on the display unit; a second determination process for determining a second achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by conducting screening of the second acquired movement based on the second movement task achievement evaluation program; a fourth display process of displaying the determined second achievement score on the display unit for each of the first, second, third, and fourth control phases; a second setting process for storing the determined second achieved scores in the storage areas of the storage unit corresponding to the training subject for each of the first, second, third, and fourth control phases; a second target phase determination process for determining, based on the second achievement score, a control phase with the highest priority among the first, second, third, and fourth control phases as a second target phase; a second exercise provision process for providing a second physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined second target phase to the trainee by displaying a second reference image that is the same as the second reference image of the preceding display process or a different second reference image on the display unit; The processing method of claim 16 , wherein the processor executes the following:

18. A processing program that causes a processor to execute a process of providing a training subject, who aims to improve daily living activities, with physical function exercises at least by using images; Identification information of first, second, third, and fourth control phases representing four types of movement transitions related to the movements and sequences of at least four stages of human growth and development; a first reference image for a movement task represented by three sub-movements of different difficulty levels related to each of the four types of movements; A reference score for evaluating the independence achievement level of the training subject based on the movement tasks corresponding to the three categories of sub-movements with different levels of difficulty; A second reference image for a physical task that is positioned at a lower level of the movement task and represents four sections of physical function for each of the four types of movement; a definition setting process for storing definition information including at least the above in a storage unit for each of the first, second, third, and fourth control phases; a first generation process for generating a first movement task achievement evaluation program that employs the basic sequence of the four types of movements, when an initial training session for the trainee is started; a first display process for displaying the generated first movement task achievement evaluation program on a display unit; a first determination process for determining a first achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by performing screening of the first acquired movement based on the first movement task achievement evaluation program; a second display process for displaying the determined first achievement score on the display unit for each of the first, second, third, and fourth control phases; a first setting process for storing the determined first achievement score in a corresponding storage area of ​​the storage unit for the training subject for each of the first, second, third, and fourth control phases; a first target phase determination process for determining a control phase with the highest priority among the first, second, third, and fourth control phases as a first target phase based on the first achievement score; a first exercise provision process for providing the training subject with a first physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined first target phase by displaying the second reference image on the display unit; A processing program that causes a processor to execute the above.

19. a second generation process for generating a second movement task achievement evaluation program that employs one of the basic order and the modified order of the four types of movements, when continuous training for the trainee is started; a third display process of displaying the generated second movement task achievement evaluation program on the display unit; a second determination process for determining a second achievement score of the training subject in accordance with a positive or negative determination regarding each acquired movement obtained by conducting screening of the second acquired movement based on the second movement task achievement evaluation program; a fourth display process of displaying the determined second achievement score on the display unit for each of the first, second, third, and fourth control phases; a second setting process for storing the determined second achieved scores in the storage areas of the storage unit corresponding to the training subject for each of the first, second, third, and fourth control phases; a second target phase determination process for determining, based on the second achievement score, a control phase with the highest priority among the first, second, third, and fourth control phases as a second target phase; a second exercise provision process for providing a second physical function exercise for training specific four sections of physical function according to the movement task of any one of the first, second, third, and fourth control phases corresponding to the determined second target phase to the trainee by displaying a second reference image that is the same as the second reference image of the preceding display process or a different second reference image on the display unit; The processing program according to claim 18, which causes the processor to execute the following:

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