System and method to support multiple rehabilitation exercise assistance services

Abstract

A system supporting a multi-rehabilitation exercise assistance service according to an embodiment of the present invention comprises: a patient terminal that measures and provides at least one of the following biometric information, such as heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG), of a patient exercising according to a customized rehabilitation exercise program suitable for the patient's condition and disease supported by an open API; a medical staff terminal that creates a customized rehabilitation exercise program suitable for the patient using the open API, and evaluates and monitors the patient's condition based on the patient's heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG) while the patient performs the customized rehabilitation exercise program; and an API service server that supports the customized rehabilitation exercise program creation tool to the medical staff terminal, provides a warning notification to the patient terminal and the medical staff terminal via message or voice when a danger signal is detected among the patient's biometric information, and corrects the rehabilitation exercise evaluation parameters of the customized rehabilitation exercise program according to the conversion of the patient's biometric information.

Description

Technology Field

[0001] The present invention relates to a system and method for supporting a multi-rehabilitation exercise assistance service that provides a program enabling patients to exercise in their individual hospital rooms in line with the changing paradigm of hospitals, and assists in safely providing exercise to patients in their hospital rooms when they are unable to come down to the rehabilitation therapy room due to various causes. Background Technology

[0003] Exercise limits are set by considering medical exercise prescription elements according to the disease, based on the patient's biorhythm information obtained using wearable devices such as smart bands or smart watches used in daily life and the patient's personal information entered through an app.

[0004] Subsequently, it is algorithmized to provide a customized exercise program based on the analyzed information, utilizes various means during exercise to provide feedback to the patient to ensure effective and safe continuation of exercise, and guides them to stop exercising in case of danger.

[0005] Medical staff can monitor the conditions of multiple patients simultaneously through the app, and it plays a role in assisting decision-making by enabling the rapid determination of appropriate exercise prescriptions for each disease and patient through algorithmic exercise programs.

[0006] In addition, exercise capabilities such as walking speed and balance are evaluated using GPS and accelerometer sensors, and maximum oxygen consumption and cardiorespiratory function are assessed through an estimation formula.

[0007] On the other hand, conventional apps simply provide current heart rate and oxygen saturation levels, but they do not offer patients information on whether they should continue or stop exercising based on this data. Furthermore, while exercise intensity and methods should vary depending on the patient's exercise capacity and condition, there is a limitation in that current apps cannot provide algorithm-based exercise programs tailored to individual patients.

[0008] Furthermore, simultaneous monitoring of multiple patients is difficult, and currently, there are no rehabilitation treatment fees provided by the National Health Insurance Service for patients in intensive care units or those with severe conditions. Moreover, most rehabilitation treatment fees applicable to patient groups with specific diseases are low and based on the principle of one-on-one treatment, making them practically difficult to apply.

[0009] In addition, purchasing monitoring equipment for every patient room or for each individual is so expensive that it is difficult even for tertiary hospitals, and there is a severe shortage in general rehabilitation hospitals or nursing hospitals. Therefore, there is a problem in that it is difficult to detect and respond to potential risks that may occur when patients exercise simultaneously in a room, and it is difficult to respond to dangerous situations that may occur simultaneously. Prior art literature

[0011] Published Patent Application No. 10-2011-0102043 The problem to be solved

[0012] The purpose of the present invention is to provide a multi-rehabilitation exercise assistance system and method capable of solving conventional problems. means of solving the problem

[0014] A system supporting a multi-rehabilitation exercise assistance service according to an embodiment of the present invention for solving the above problem comprises: a patient terminal that measures and provides at least one of the following biometric information, such as heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG), of a patient exercising according to a customized rehabilitation exercise program suitable for the patient's condition and disease supported by an open API; a medical staff terminal that creates a customized rehabilitation exercise program suitable for the patient using the open API, and evaluates and monitors the patient's condition based on the patient's heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG) while the patient performs the customized rehabilitation exercise program; and an API service server that supports the customized rehabilitation exercise program creation tool to the medical staff terminal, provides a warning notification to the patient terminal and the medical staff terminal via message or voice when a danger signal is detected among the patient's biometric information, and corrects the rehabilitation exercise evaluation parameters of the customized rehabilitation exercise program according to the conversion of the patient's biometric information.

[0015] In one embodiment, it further includes an electronic rehabilitation exercise device connected to the patient terminal and having its operating speed adjusted according to a device setting value set in the customized rehabilitation exercise program.

[0016] In one embodiment, the electronic rehabilitation exercise device is characterized by controlling the operation speed or operation execution according to control signals from the medical staff terminal and the API service server.

[0017] In one embodiment, the API service server is characterized by sending a warning message to the patient terminal in response to at least one of the following cases while the rehabilitation patient is performing rehabilitation exercises: when the rehabilitation exercise performed by the rehabilitation patient does not match the rehabilitation exercise type of the rehabilitation exercise program; when the exercise intensity by the rehabilitation patient exceeds a limited intensity; when the exercise time by the rehabilitation patient exceeds a limited time; and when biometric information detected for the rehabilitation patient exceeds a limited biometric level.

[0018] In one embodiment, the API service server compares the biometric information (e.g., heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) of a rehabilitation patient performing rehabilitation exercises according to the customized rehabilitation exercise program for each session, and if the comparison result value is maintained for a preset period, adjusts the exercise ability evaluation parameters and risk zone values ​​of the customized rehabilitation exercise program to be added or subtracted.

[0019] A multi-rehabilitation exercise assistance method according to an embodiment of the present invention for solving the above problem comprises: a step of confirming whether an API is executed on a rehabilitation patient's user terminal at an API service server, and then providing a customized rehabilitation exercise program suitable for the rehabilitation patient's condition and disease provided by a medical staff terminal to the user terminal; a step of inputting information about the relevant rehabilitation exercise device or configuring the device to be linked if the customized rehabilitation exercise program at the user terminal requires an electronic rehabilitation exercise device; a step of collecting the rehabilitation patient's biometric information (e.g., heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) and providing it to an API service server when the customized rehabilitation exercise program is executed at the user terminal; a step of the API service server providing the biometric information collected during exercise performance collected from the user terminal to a medical staff terminal, and evaluating the rehabilitation patient's physical condition results before and after rehabilitation exercise through an evaluation program based on the biometric information collected during exercise performance. The API service server provides biometric information collected during exercise performance from the user terminal to the medical staff terminal, and monitors whether the biometric information collected during exercise performance is located in a risk zone individualized for each rehabilitation patient set by the medical staff terminal; and if the biometric information collected during exercise performance reaches or is located in the risk zone, the step of sending a warning message to the user terminal and the medical staff terminal (300) is included.

[0020] In one embodiment, the API service server further includes a process of adding or subtracting values ​​of exercise ability evaluation parameters of a rehabilitation patient according to the evaluation results of the rehabilitation exercise ability evaluation unit, wherein the process of adding or subtracting is characterized by a step of adjusting values ​​such as a reference value for maximum oxygen consumption and a reference value for walking distance such that, in the case of a rehabilitation patient capable of walking, the values ​​are increased by a predetermined amount when the rehabilitation patient's exercise ability evaluation increases and decreased by a predetermined amount when it decreases. Effects of the invention

[0022] By using a system and method that support a multi-rehabilitation exercise assistance program according to one embodiment of the present invention, an exercise program can be algorithmized based on information measured and input prior to exercise to assist medical staff in making decisions when prescribing exercise. Additionally, it supports a function to set an alarm for detecting danger signals during exercise tailored to the individual patient's condition, assists in the control and progress of the exercise program using voice, messages, and vibration during exercise, and simultaneously supports a service that can provide feedback on the patient's condition to medical staff through voice recognition and messages.

[0023] Furthermore, after exercise, it stores and analyzes risk events that occurred during the workout, processes them into meaningful information, and provides it to medical staff in real time. It assists medical personnel in conducting and monitoring rehabilitation exercises for multiple patients simultaneously in various locations without having to remain constantly by the patient's side, thereby offering the advantage of enabling immediate exercise modifications anytime and anywhere.

[0024] Through the aforementioned advantages, the present invention links a smart exercise device (bicycle, stepper, treadmill, etc.) with a medical professional app, thereby enabling not only feedback on danger signals but also direct wireless control of the exercise device to allow for a more immediate response.

[0025] Furthermore, in the future, this invention can be utilized as a means for patients with various diseases to safely maintain exercise at home or near their home after discharge, thereby helping with health management.

[0026] Furthermore, if this technology is extended to severely ill inpatients to gradually adjust the exercise load, exercise stress tests—previously conducted in hospital exercise testing rooms—can be safely performed in the ward for inpatients requiring bed immobilization. Additionally, demand can be increased by expanding the target population to include patients with various diseases through future updates.

[0027] Furthermore, it has the advantage of being able to develop into a health management program that provides exercise programs for the elderly and the general public to exercise at home. Brief explanation of the drawing

[0029] FIG. 1 is a network configuration diagram of a system supporting multiple rehabilitation exercise assistance services according to one embodiment of the present invention. Figure 2 is a device configuration diagram of the API service server shown in Figure 1. Figures 3 to 6 are execution screens of an open API running on a medical staff terminal shown in Figure 1. Figure 7 is an example diagram illustrating the safe exercise zones supported by the open API presented herein. Figure 8 is a table of motion perception (RPE) displayed on the user terminal shown in Figure 1. FIG. 9 is a flowchart illustrating a method for supporting a multiple rehabilitation exercise assistance service according to an embodiment of the present invention. Figure 10 is a detailed flowchart of S730 shown in Figure 9. Specific details for implementing the invention

[0030] Hereinafter, embodiments of the present specification are described with reference to the accompanying drawings. However, this is not intended to limit the technology described in the present specification to specific embodiments and should be understood to include various modifications, equivalents, and / or alternatives to the embodiments of the present specification. In relation to the description of the drawings, similar reference numerals may be used for similar components. In the present specification, expressions such as “have,” “may have,” “include,” or “may include” indicate the presence of the relevant feature (e.g., numerical, functional, operational, or component, etc.) and do not exclude the presence of additional features.

[0031] In this specification, expressions such as “A or B,” “at least one of A or / and B,” or “one or more of A or / and B” may include all possible combinations of items listed together. For example, “A or B,” “at least one of A and B,” or “at least one of A or B” may refer to cases including (1) at least one A, (2) at least one B, or (3) both at least one A and at least one B.

[0032] Expressions such as “first,” “second,” “first,” or “second” used in this specification may modify various components regardless of order and / or importance, and are used only to distinguish one component from another and do not limit said components. For example, a first user device and a second user device may represent different user devices regardless of order or importance. For example, without departing from the scope of rights described in this specification, a first component may be named a second component, and similarly, a second component may be renamed a first component.

[0033] When it is stated that a component (e.g., a first component) is "(operatively or communicatively) coupled with" or "connected to" another component (e.g., a second component), it should be understood that the component may be directly connected to the other component or connected through another component (e.g., a third component). On the other hand, when it is stated that a component (e.g., a first component) is "directly connected" or "directly connected" to another component (e.g., a second component), it may be understood that no other component (e.g., a third component) exists between the component and the other component.

[0034] As used herein, the expression “configured to” may be replaced, depending on the context, with, for example, “suitable for,” “having the capacity to,” “designed to,” “adapted to,” “made to,” or “capable of.” The term “configured to” may not necessarily mean only “specifically designed to” in hardware. Instead, in some situations, the expression “device configured to” may mean that the device is “capable of” together with other devices or components.

[0035] For example, the phrase “a processor configured (or set) to perform A, B, and C” may mean a dedicated processor for performing said operations (e.g., an embedded processor), or a generic-purpose processor (e.g., a CPU or an application processor) capable of performing said operations by executing one or more software programs stored in a memory device.

[0036] The terms used in this specification are used merely to describe specific embodiments and are not intended to limit the scope of other embodiments. A singular expression may include a plural expression unless the context clearly indicates otherwise. Terms used herein, including technical or scientific terms, may have the same meaning as generally understood by those skilled in the art described in this specification. Terms used in this specification that are defined in a general dictionary may be interpreted as having the same or similar meaning as they have in the context of the relevant technology, and are not to be interpreted in an ideal or overly formal sense unless explicitly defined in this specification. In some cases, even terms defined in this specification may not be interpreted to exclude the embodiments of this specification.

[0038] Hereinafter, a system and method supporting a multi-rehabilitation exercise assistance service according to an embodiment of the present invention will be described in more detail based on the attached drawings.

[0039] FIG. 1 is a network configuration diagram of a system supporting multiple rehabilitation exercise assistance services according to one embodiment of the present invention.

[0040] As illustrated in FIG. 1, a system (100) supporting a multi-rehabilitation exercise assistance service according to one embodiment of the present invention includes a patient terminal (200), a medical staff terminal (300), and an API service server (400).

[0041] Each component communicates via a network, and the network refers to a connection structure capable of exchanging information between each node, such as multiple terminals and servers. Examples of such networks include, but are not limited to, RF, 3GPP (3rd Generation Partnership Project) networks, LTE (Long Term Evolution) networks, 5GPP (5th Generation Partnership Project) networks, WIMAX (World Interoperability for Microwave Access) networks, the Internet, LAN (Local Area Network), Wireless LAN (Wireless Local Area Network), WAN (Wide Area Network), PAN (Personal Area Network), Bluetooth networks, NFC networks, satellite broadcasting networks, analog broadcasting networks, and DMB (Digital Multimedia Broadcasting) networks.

[0042] In the following, the term "at least one" is defined as a term including both singular and plural forms, and it will be obvious that even if the term "at least one" does not exist, each component may exist in a singular or plural form and may mean singular or plural. Furthermore, whether each component is provided in a singular or plural form may be changed according to the embodiment.

[0043] The above patient terminal (200) may be a wearable terminal (smart band or smart watch) or a smartphone that communicates with a wearable terminal.

[0044] The above patient terminal (200) may be configured to have an open API (app) installed for measuring the heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc. of a rehabilitation patient, and to provide the measured measurement information to a medical staff terminal (300) through an API service server (400) described later.

[0045] The above patient terminal (200) may be configured to collect biometric information (such as the patient's heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) when the patient is in a stable state using an open API provided by an API service server (400), and to set the initial setting value and exercise intensity of the rehabilitation exercise program based on the collected biometric information.

[0046] For reference, exercise intensity can be determined based on initial settings, such as heart rate and oxygen saturation.

[0047] For example, if the patient's resting heart rate is 70, the intensity during exercise is adjusted by subtracting the patient's resting heart rate (e.g., 70) before exercise from 150, which is the maximum heart rate (e.g., 220) that may occur during rehabilitation exercise minus the patient's age (e.g., 70).

[0048] Example) Assuming 150-70 = 80 is the heart rate reserve, the calculation is performed by multiplying this reserve value—the amount a patient can reach from rest to maximum heart rate—by the exercise intensity.

[0049] In addition, the patient terminal (200) may be a terminal that automatically records and stores exercise event information and an alarm function when it detects a preset risk event.

[0050] Additionally, the patient terminal (200) may be configured to measure the patient's motor awareness (RPE) using voice and messages (vibrations).

[0051] The above exercise awareness (RPE) measurement service may be a service that provides voice and text guidance on a band or smartwatch at a set time during exercise, asking, “How hard is it for you right now?”

[0052] In addition, it may be a service that recognizes the patient's response as a motor awareness (RPE) score. For example, a patient who has difficulty responding by voice can input and check a motor awareness (RPE) value by selecting from pre-set messages on the screen via touch.

[0053] Additionally, the patient terminal (200) may be configured to provide and display information on the exercise status performed by the patient.

[0054] The above patient terminal (200) may be a terminal that supports a service that allows visual confirmation of the inactive state and active state through an open API.

[0055] Additionally, the patient terminal (200) may be a terminal that receives a push alarm according to the increase in the patient's total exercise time through an open API.

[0056] Additionally, the patient terminal (200) may be a terminal that receives feedback on the patient's exercise status (on a daily or monthly basis) and assists in and stops exercise progress through an open API.

[0057] Additionally, the patient terminal (200) may be a terminal that receives and executes programs and videos related to exercise designated by the medical staff terminal described later through an open API.

[0058] Additionally, the patient terminal (200) may be a terminal that supports a service enabling video calls with medical staff during exercise.

[0060] Next, the medical staff terminal (300) may be a terminal that monitors the patient's condition based on the biometric information (patient's heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) measured by the patient terminal (200) of a designated patient from the API service server (400) described later.

[0061] Additionally, the medical staff terminal (300) may be a terminal that supports the function of planning and creating a customized exercise program suitable for the patient's disease and condition using a medical staff-exclusive API.

[0062] Here, the customized exercise program sets individualized risk zones for each patient, and is designed to output a warning sound or message related to stopping exercise when a biosignal corresponding to the risk zone is detected.

[0063] For reference, in a customized exercise program, appropriate values ​​for heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc., are set for the patient during exercise according to their age and risk level based on their disease.

[0064] When classified by risk level based on age, a customized exercise program may be one that takes into account factors such as maximum heart rate and heart rate reserve.

[0065] Here, maximum heart rate is 220 minus age, heart rate reserve is maximum heart rate minus resting heart rate, and low-intensity exercise is indicated as heart rate reserve < 40%, moderate-intensity exercise as 40 to < 60%, and high-intensity exercise as 60% or more.

[0066] If classified by risk level based on the disease, the customized exercise program may vary depending on the type of disease.

[0067] For example, if the patient has heart disease, the following inpatient exercise program may be provided.

[0069] Inpatient Exercise Program for Heart Disease Patients

[0070] - After heart surgery: Resting heart rate +30 or less

[0071] - Myocardial infarction [MI]: Resting heart rate + 20 or less

[0072] - Patients with implanted defibrillators: Threshold -15 or lower

[0073] - Heart transplant: Heart rate cannot be used, RPE technique within the range of 11 to 15

[0074] - Frequency: 2-4 sessions per day for the first 3 days, then increase duration and decrease frequency thereafter.

[0075] - Time: 3-5 minutes per session -> gradually increase to 10-15 minutes,

[0076] - Rest time setting: 2:1 exercise / rest ratio

[0077] - Types of exercise: Walking, cycling, bed exercises and stretching, strength training (lower limbs)

[0078] - Resistance training: Maintain RPE 6 ~ 14

[0080] Outpatient Exercise Program for Heart Disease Patients

[0081] - Exercise experience in the past month - Exercise experience of 30 minutes or more in the past month

[0082] (0 times per week: Low intensity, 2-3 times per week: Low intensity, 5 or more times per week: Moderate intensity (after assessment))

[0084] Outpatient Program for Parkinson's Disease Patients

[0085] - Exercise Intensity: Age-based Heart Rate Reserve (HRR) 40–<60% and RPE 11–13

[0086] - Total time: 30 minutes of continuous or accumulated exercise

[0087] - Exercise program

[0088] Aerobic exercise (walking, cycling)

[0089] : Resistance Training - List provided via video, 8 reps, 1 set -> Gradual increase

[0090] : Flexibility Exercises - List provided via video

[0092] Multiple Sclerosis Outpatient Program

[0093] - Aerobic exercise intensity: Age-based Heart Rate Reserve (HRR) 40–<70% and RPE 11–14

[0094] - Total time: The first session is set to 10 minutes, and after completion, the time increases manually up to a maximum of 30 minutes.

[0095] - Exercise program

[0096] Aerobic exercise (walking, cycling)

[0097] : Resistance Training - List provided via video, 8 reps, 1 set -> Set rest time to 2 minutes or more

[0098] Flexibility Exercises - Static Stretching, 30 seconds, 2 repetitions, list provided via video

[0100] <Program for Cancer Patients Who Have Completed Treatment (Classified by Cancer Type)>

[0101] - Frequency: Aerobic exercise 3-5 times, resistance exercise 2 times

[0102] - Aerobic exercise intensity: 40–60% of heart rate reserve or perceived exertion 12–13

[0103] - Flexibility exercises: Limited joints and muscles in specific areas treated with radiation or surgery (video)

[0104] - Aerobic exercise: Increases in 10-minute increments (gradually increases after checking fatigue) Max. 30 minutes per day

[0106] Additionally, the medical staff terminal (300) may be a terminal that supports an exercise evaluation function for evaluating the patient's exercise information performed according to a customized exercise program.

[0107] Unable to walk (critically ill) Maximum heart rate assessment (performed at bedside) Bed bicycle Evaluation of maximum oxygen uptake Bed bicycle Walking Maximum Oxygen Consumption Assessment (1 mile, 1.5 miles, 6 minutes, 12 minutes) pedestrian track Walking ability assessment (10m, TUG) Speed ​​and Balance Stair usage (due to walking ability)

[0108] For example, the motor ability assessment function can be evaluated separately for cases where walking is impossible and cases where walking is possible. In addition, electronic rehabilitation exercise devices (e.g., bedside bicycles) can have their movements controlled according to a customized rehabilitation exercise program.

[0110] Unable to walk

[0111] The maximum heart rate is assessed by starting the load of the bed bike at 20W and increasing the load by 10W every minute, and by assessing the maximum heart rate at the time of patient request or medical staff stopping.

[0112] Maximum oxygen uptake is assessed by reflecting the patient's gender, body weight, and the maximum wattage reached during the exercise evaluation, and the results are compared before and after exercise.

[0113] man 1.76* [Watts*6.12 / body weight (kg)] + 3.5 female 1.65* [Watts*6.12 / body weight (kg)] + 3.5

[0114] Walking possible

[0115] Maximum oxygen uptake is assessed by performing a simple exercise test prior to exercise prescription to obtain a predicted value of the patient's maximum oxygen uptake and evaluate exercise capacity.

[0116] In addition, maximum oxygen uptake is calculated through various methods depending on the patient's condition.

[0117] In addition, AD is measured based on the patient's walking distance and time, and the minimum value among them is selected.

[0118] a. 1.5-mile run test (=2.4km)

[0119] : VO2max = 3.5 + 483 / time(time taken to walk 1.5 miles, minutes)

[0120] b. 12-minute walking test

[0121] : VO2max = (Distance (m) - 504.9) / 44.73

[0122] c. Rockport 1-mile walk test (1.6 km)

[0123] : VO2max = 132.853 - (0.1692 x Weight (kg)) - (0.3877 x Age) + (6.315 x Gender) - (3.2649 x Hours (min)) - (0.1565 x HR)

[0124] * Gender: Female = 0, Male = 1.

[0125] d. 6-minute walk test

[0126] : VO2peak = (0.02 x distance (m)) - (0.191 x age) - (0.07 x weight (kg)) + (0.09 x height (cm)) + (0.26 x HR x SBP / 1000) + 2.45

[0127] e. Queens College Step Test (= McArdle Step Test) - Walking ability

[0128] - Men climb up and down a 41.25cm box at a rate of 24 times per minute and women at a rate of 22 times per minute for 3 minutes

[0129] : (Male)VO2max = 111.33 - (0.42 x HR)

[0130] : (Female) VO2max - 65.81 - (0.1847 x HR)

[0132] Walking ability assessment (gyro sensor, accelerometer, GPS)

[0133] a. 6-minute walk test

[0134] - Measures the time taken to walk a distance of 6 minutes with a start voice signal.

[0135] - Automatic recording of oxygen saturation and heart rate before and after exercise, maximum heart rate during exercise

[0136] b. 10m walk test

[0137] Start walking with the voice signal “Start.”

[0138] - When walking continuously in a straight line, measure the speed over the 10m section excluding the first 2m.

[0139] - After walking a total of 14m, a voice and vibration notification saying “Please stop”

[0140] - Record average speed after 3 repetitions

[0141] c. Timed up and go (TUG)

[0142] - Materials: Chair with handles, turning points (cones), 3m track (conducted only in designated areas of the hospital)

[0143] - Stand up from the chair, go around the cone, and return to sit back down at the voice signal “Start.”

[0144] - Sensing: Measures upon the start of acceleration via the gyroscope sensor, ends at the point of zero acceleration.

[0145] - Measures the time from start to finish, and records occurrence time, rotation time, and flat sections separately via GPS.

[0147] Next, the API service server (400) may be configured to support the customized rehabilitation exercise program creation tool to the medical staff terminal, provide a warning notification to the patient terminal and the medical staff terminal as a message or voice when a danger signal is detected among the patient's bio-information, and correct the rehabilitation exercise evaluation parameters of the customized rehabilitation exercise program according to the conversion of the patient's bio-information.

[0148] More specifically, the API service server (400) includes a rehabilitation patient record management unit (410), a rehabilitation exercise program tool support unit (420), a rehabilitation exercise evaluation unit (430), an exercise evaluation parameter correction unit (440), and an alarm unit (450).

[0149] The above rehabilitation patient record management unit (410) may be configured to store and register medical record information of a rehabilitation patient (condition at the time of admission, disease / disease, type of surgery, etc.) from a medical staff terminal (300).

[0150] The above rehabilitation patient record management unit (410) may be configured to receive biometric information (e.g., heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) measured by a wearable device issued to each rehabilitation patient during rehabilitation exercise, and to record and manage it on a daily basis.

[0151] Additionally, the rehabilitation patient record management unit (410) may be configured to record and manage the results of the rehabilitation exercise evaluation evaluated by the rehabilitation exercise evaluation unit (430) described later.

[0152] Additionally, the rehabilitation patient record management unit (410) may be configured to receive a customized rehabilitation exercise program prescribed for each rehabilitation patient from a medical staff terminal (300) and to record and manage whether the rehabilitation exercise has been performed according to the rehabilitation patient's customized rehabilitation exercise program.

[0153] Next, the rehabilitation exercise program tool support unit (420) may be configured to support a rehabilitation exercise program tool for generating a rehabilitation exercise program suitable for the patient's disease and condition using a medical staff terminal (300).

[0154] Next, the rehabilitation exercise ability evaluation unit (430) may be configured to evaluate the exercise ability (aerobic exercise ability) of a rehabilitation patient based on bio-information (e.g., heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) of a rehabilitation patient performing rehabilitation exercises according to a rehabilitation exercise program.

[0155] For reference, the evaluation factors for exercise ability in rehabilitation patients may vary depending on the patient's condition and disease.

[0156] Next, the exercise evaluation parameter correction unit (440) may be configured to add or subtract the values ​​of the exercise ability evaluation parameters of the rehabilitation patient according to the evaluation results of the rehabilitation exercise ability evaluation unit (430).

[0157] For example, in the case of a rehabilitation patient capable of walking, the configuration may be such that values ​​such as the reference value for maximum oxygen consumption and the reference value for walking distance are adjusted to increase by a predetermined amount when the rehabilitation patient's exercise ability assessment increases, and decrease by a predetermined amount when it decreases.

[0158] At this time, the exercise evaluation parameter correction unit (440) sets a value within the correction range of the exercise ability evaluation parameter provided by the medical staff terminal as a boundary value.

[0159] Next, the alarm unit (450) may be configured to provide a warning sound or warning message related to stopping exercise to the rehabilitation patient's terminal when the biometric information detected during rehabilitation exercise exceeds the standard biometric information value of the safe exercise zone set in the customized exercise program provided to the rehabilitation patient (a risk zone individualized for each patient).

[0160] Meanwhile, additionally, the API service server (400) may further include an exercise equipment monitoring unit (460) that monitors the operating status of aerobic exercise equipment (indoor bicycle, treadmill, treadmill, etc.) installed in a hospital room.

[0161] The above exercise equipment monitoring unit (460) may be configured to collect information in real time regarding whether electronically controllable exercise equipment (indoor bicycle, treadmill, treadmill, etc.) installed in a hospital room is operating and the operating status.

[0162] In addition, the exercise equipment monitoring unit (460) can provide operation information of the exercise equipment (indoor bicycle, treadmill, treadmill, etc.) being used by a rehabilitation patient designated by the medical staff terminal (300) to the medical staff terminal (300) of the medical staff.

[0163] Additionally, the exercise equipment monitoring unit (460) may be configured to provide a control signal to stop the operation of the corresponding exercise equipment in response to a “stop request” from the medical staff terminal (300).

[0165] FIG. 9 is a flowchart illustrating a method for supporting a multi-rehabilitation exercise assistance service according to an embodiment of the present invention, and FIG. 10 is a detailed flowchart of the S730 process illustrated in FIG. 9.

[0166] Referring to FIG. 9, a method (S700) for supporting a multi-rehabilitation exercise assistance service according to one embodiment of the present invention provides (S710) a customized rehabilitation exercise program suitable for the condition and disease of the rehabilitation patient provided by the medical staff terminal (300) from the API service server (400) to the user terminal (200) when an API is executed on the user terminal (200) of the rehabilitation patient.

[0167] Afterwards, if the exercise in the customized rehabilitation exercise program on the user terminal (200) requires an electronic rehabilitation exercise device, the information of the corresponding rehabilitation exercise device is entered or the device is configured to be linked (S720).

[0168] Next, when a customized rehabilitation exercise program is executed on the user terminal (200), the biometric information of the rehabilitation patient (e.g., heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG), etc.) is collected and provided to the API service server (400) (S730).

[0169] Here, referring to FIG. 10, the above S730 process may include collecting bio-information when the rehabilitation patient is in a stable state, setting an initial rehabilitation exercise value based on the collected bio-information when the patient is in a stable state, and then collecting bio-information according to the intensity of the rehabilitation exercise in the rehabilitation exercise state of the rehabilitation patient.

[0170] The API service server (400) provides biometric information collected during exercise performance from the user terminal (200) to the medical staff terminal (300), and also evaluates the physical condition results before and after rehabilitation exercise through an evaluation program based on the biometric information collected during exercise performance to assess the rehabilitation exercise ability of the rehabilitation patient (S740).

[0171] Subsequently, the API service server (400) provides the biometric information collected during exercise performance from the user terminal (200) to the medical staff terminal (300), and also monitors (S750) whether the biometric information collected during exercise performance is located in a risk zone individualized for each rehabilitation patient set by the medical staff terminal (300), and if the biometric information collected during exercise performance reaches or is located in the risk zone, it sends a warning message (S760) to the user terminal (200) and the medical staff terminal (300).

[0172] Meanwhile, the API service server (400) can perform the process of adding or subtracting (S770) the values ​​of the rehabilitation patient's exercise ability evaluation parameters according to the evaluation results of the rehabilitation exercise ability evaluation unit (430).

[0173] The above S770 process may be a process of adjusting values ​​such as the reference value of maximum oxygen consumption and the reference value of walking distance for a rehabilitation patient capable of walking, such that they increase by a predetermined amount when the rehabilitation patient's exercise ability assessment increases and decrease by a predetermined amount when it decreases.

[0174] The correction range of the API service server (400) is a value within the correction range of the exercise ability evaluation parameter provided by the medical staff terminal as a boundary value.

[0175] Meanwhile, the above S700 process may include a step of providing a stop signal to stop the operation of an electronic rehabilitation exercise device designated or linked from a user terminal (200) at a medical staff terminal (300) or an API service server (400).

[0177] Accordingly, using a system and method that support multiple rehabilitation exercise assistance services according to one embodiment of the present invention provides the following advantages.

[0178] First, through a pre-exercise evaluation, an exercise program tailored to the individual patient's disease and condition is provided.

[0179] By providing personalized exercise programs tailored to each patient and disease based on exercise capacity assessments by medical professionals, rather than the conventional uniform exercise prescription, more effective and safer exercise is possible.

[0180] Second, it enables exercise to be performed at an appropriate intensity through voice and vibration.

[0181] Currently, while apps providing exercise information for patients with specific conditions have begun to be developed, apps that help maintain exercise intensity through in-workout feedback are not yet widely used. Although accurate prescriptions are important, it is time for devices that assist patients in exercising according to those prescriptions.

[0182] Third, medical staff can monitor the condition of multiple patients simultaneously from a central location, enabling safe exercise.

[0183] Medical staff apps can simultaneously monitor the vital signs of multiple patients. While current technologies incur significant costs, this device is highly effective for cost reduction as it can be used at a low cost and without additional equipment investment anywhere with wireless internet access.

[0184] Fourth, it provides a simultaneous alarm to the patient and medical staff in the event of danger, and can immediately stop the patient's exercise.

[0185] Since exercise programs are provided to patients, it is crucial to be able to respond to dangerous situations. Therefore, immediate alarms and exercise stoppages are highly helpful features for patients, for whom safety must be the top priority.

[0186] Fifth, continuous patient management is possible by storing events and exercise information that occur during exercise.

[0187] Based on stored exercise data, the type and intensity of exercise can be modified at the discretion of medical staff, and the patient's exercise status can be assessed at a glance when transitioning from inpatient to outpatient treatment or transferring to another hospital.

[0188] Sixth, by measuring exercise awareness through messages and voice recognition, it is possible to measure exercise awareness regardless of the exercise movement.

[0189] Conventional methods for measuring perceived exertion involve showing a perceived exertion chart to a patient exercising and having them point to the corresponding level with their finger. While this action may be difficult depending on the type of exercise, the perception measurement via voice recognition and messages presented in this invention allows for immediate measurement regardless of the type of exercise. Through this, the patient's condition during exercise can be more clearly identified, enabling adjustment of the exercise program.

[0190] Seventh, providing safe exercise to more patients can shorten their hospital stay and facilitate their return to daily life, which not only increases hospital revenue but also reduces socioeconomic costs at the national level.

[0191] Eighth, exercising in a private space can reduce the time spent in direct contact between medical staff and patients.

[0192] This is efficient for infection control in hospitals. Furthermore, following the coronavirus pandemic, a competition has begun in the medical field to develop technologies that reduce contact time with patients, and this can be used as a means to monitor patient exercise and assist with rehabilitation remotely by utilizing the patient's mobile phone camera.

[0193] Ninth, push alarms help patients remember to perform their exercises. Increasing exercise time can enhance the effectiveness of the exercise for the patient.

[0194] Through the aforementioned advantages, the present invention links a smart exercise device (bicycle, stepper, treadmill, etc.) with a medical professional app, thereby enabling not only feedback on danger signals but also direct wireless control of the exercise device to allow for a more immediate response.

[0195] Furthermore, in the future, this invention can be utilized as a means for patients with various diseases to safely maintain exercise at home or near their home after discharge, thereby helping with health management.

[0196] Furthermore, if this technology is extended to severely ill inpatients to gradually adjust the exercise load, exercise stress tests—previously conducted in hospital exercise testing rooms—can be safely performed in the ward for inpatients requiring bed immobilization. Additionally, demand can be increased by expanding the target population to include patients with various diseases through future updates.

[0197] Furthermore, it has the advantage of being able to develop into a health management program that provides exercise programs for the elderly and the general public to exercise at home.

[0199] The “part” used in one embodiment of the present invention may be implemented as a hardware component, a software component, and / or a combination of a hardware component and a software component. For example, the devices and components described in the embodiments may be implemented using one or more general-purpose or special-purpose computers, such as, for example, a processor, a controller, an arithmetic logic unit (ALU), a digital signal processor, a microcomputer, a field programmable array (FPA), a programmable logic unit (PLU), a microprocessor, or any other device capable of executing and responding to instructions. The processing unit may execute an operating system (OS) and one or more software applications executed on said operating system. Additionally, the processing unit may access, store, manipulate, process, and generate data in response to the execution of the software. For ease of understanding, the processing unit may be described as being used as a single unit, but those skilled in the art will understand that the processing unit may include a plurality of processing elements and / or a plurality of types of processing elements. For example, the processing unit may include multiple processors or one processor and one controller. Additionally, other processing configurations, such as parallel processors, are also possible.

[0200] Software may include computer programs, code, instructions, or a combination of one or more of these, and may configure a processing unit to operate as desired or command the processing unit independently or collectively. Software and / or data may be permanently or temporarily embodied in any type of machine, component, physical device, virtual equipment, computer storage medium or device, or transmitted signal wave so as to be interpreted by the processing unit or to provide instructions or data to the processing unit. Software may be distributed over networked computer systems and may be stored or executed in a distributed manner. Software and data may be stored on one or more computer-readable recording media.

[0201] A method according to an embodiment of the present invention may be implemented in the form of program instructions that can be executed through various computer means and recorded on a computer-readable medium. The computer-readable medium may include program instructions, data files, data structures, etc., either alone or in combination. The program instructions recorded on the medium may be those specifically designed and configured for the embodiment, or they may be those known and available to those skilled in the art of computer software. Examples of computer-readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tapes; optical recording media such as CD-ROMs and DVDs; magneto-optical media such as floptical disks; and hardware devices specifically configured to store and execute program instructions, such as ROM, RAM, and flash memory. Examples of program instructions include machine code, such as that generated by a compiler, as well as high-level language code that can be executed by a computer using an interpreter, etc. The hardware devices described above may be configured to operate as one or more software modules to perform the operation of the embodiment, and vice versa.

[0203] A person skilled in the art to which the present invention pertains will be able to make modifications and variations to the foregoing without departing from the essential characteristics of the present invention. Accordingly, the embodiments disclosed in the present invention are intended to explain, not limit, the technical concept of the present invention, and the scope of the technical concept of the present invention is not limited by these embodiments. The scope of protection of the present invention shall be interpreted by the claims below, and all technical concepts within an equivalent scope shall be interpreted as being included within the scope of rights of the present invention. Explanation of the symbols

[0205] 100: System supporting multiple rehabilitation exercise assistance services 200: Patient terminal 300: Medical staff terminal 400: API Service Server

Claims

Claim 1 A patient terminal that measures and provides at least one of the following biometric information: heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG) of a patient exercising according to a customized rehabilitation exercise program suitable for the patient's condition and disease supported by an open API; and a medical staff terminal that creates a customized rehabilitation exercise program suitable for the patient using the open API, evaluates the patient's rehabilitation exercise ability and monitors the patient's exercise intensity based on the patient's heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), and electrocardiogram (ECG) while the patient performs the customized rehabilitation exercise program. The system includes an API service server that supports the customized rehabilitation exercise program creation tool to the medical staff terminal, provides a warning notification via message or voice to the patient terminal and the medical staff terminal when a danger signal is detected among the rehabilitation patient's biometric information, and corrects the rehabilitation exercise evaluation parameters of the customized rehabilitation exercise program according to the conversion of the patient's biometric information. The API service server transmits a warning message to the patient terminal in response to at least one of the following cases while the rehabilitation patient is performing rehabilitation exercise: when the rehabilitation exercise performed by the rehabilitation patient does not match the rehabilitation exercise type of the rehabilitation exercise program; when the exercise intensity by the rehabilitation patient exceeds a limited intensity; when the exercise time by the rehabilitation patient exceeds a limited time; and when the biometric information detected for the rehabilitation patient exceeds a limited biometric level. The API service server compares the biometric information (heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG)) of the rehabilitation patient performing rehabilitation exercise according to the customized rehabilitation exercise program for each session, and if the comparison result value is maintained for a preset period, the customized rehabilitation exercise program A system supporting multiple rehabilitation exercise assistance services characterized by adjusting exercise ability evaluation parameters and risk range values ​​to be added or subtracted. Claim 2 A system supporting a multi-rehabilitation exercise assistance service according to claim 1, further comprising an electronic rehabilitation exercise device connected to the patient terminal and having its operation speed adjusted according to a device setting value set in the customized rehabilitation exercise program, wherein the operation speed or operation execution of the electronic rehabilitation exercise device is controlled according to a control signal from the medical staff terminal and the API service server. Claim 3 delete Claim 4 delete Claim 5 A step of verifying whether the API of the rehabilitation patient's user terminal is executed on the API service server, and then providing a customized rehabilitation exercise program suitable for the rehabilitation patient's condition and disease provided by the medical staff terminal to the user terminal; a step of inputting information about the relevant rehabilitation exercise device or configuring the device to be linked if the customized rehabilitation exercise program on the user terminal requires an electronic rehabilitation exercise device; a step of collecting the rehabilitation patient's biometric information (heart rate (bpm), oxygen saturation (SpO2), perceived exertion (RPE), electrocardiogram (ECG)) and providing it to the API service server when the customized rehabilitation exercise program is executed on the user terminal; a step of the API service server providing the biometric information collected during exercise performance from the user terminal to the medical staff terminal, and evaluating the rehabilitation patient's physical condition results before and after rehabilitation exercise through an evaluation program based on the biometric information collected during exercise performance; a step of the API service server providing the biometric information collected during exercise performance from the user terminal to the medical staff terminal, and monitoring whether the biometric information collected during exercise performance is located within a risk zone individualized for each rehabilitation patient set by the medical staff terminal. A method for supporting a multi-rehabilitation exercise assistance service, comprising the step of transmitting a warning message to a user terminal and a medical staff terminal when biometric information collected during exercise performance reaches or is located in a danger zone, and further comprising a process of adding or subtracting values ​​of exercise ability evaluation parameters of a rehabilitation patient according to the evaluation results of a rehabilitation exercise ability evaluation unit in the API service server, wherein the addition or subtraction process is characterized by a step of adjusting values ​​such as a reference value for maximum oxygen consumption and a reference value for walking distance such that, in the case of a rehabilitation patient capable of walking, values ​​are increased by a predetermined amount when the rehabilitation patient's exercise ability evaluation is upward and decreased by a predetermined amount when it is downward. Claim 6 delete

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