A device for patient-specific Schroth exercises to be used in scoliosis treatment, and how this device works.

Abstract

The invention relates to a device and its operating method for prescribing patient-specific Schroth exercises for scoliosis treatment, providing the patient with real-time feedback via sensor data on whether they are performing the exercise correctly, showing the patient where the error is if any, and sharing the exercise recordings with a specialist.

Description

1 TARIFF SCHROTH TECHNIQUES CUSTOMIZED FOR SCOLIOSIS TREATMENT. A DEVICE FOR EXERCISES AND HOW THIS DEVICE WORKS Technical Field to Which the Invention Relates 5 The invention prescribes patient-specific Schroth exercises to be used in the treatment of scoliosis. to check whether the patient is performing the exercise correctly. Providing real-time feedback based on data from sensors, identifying where any errors may be. to show the patient and to share the recordings of the exercises performed with the specialist. It relates to the device and how that device operates. 10 State of the Art Scoliosis is a skeletal condition characterized by a sideways curvature of the spine. It is a disorder. The spine, which normally appears as a straight line when viewed from the front, In scoliosis, the curve bends to the right or left, forming an "S" or "C" shape. 15 This condition usually appears during childhood or adolescence. And if left unnoticed, it can progress. The symptoms of scoliosis are usually seen in the body. It occurs due to a disruption of symmetry. One shoulder is higher than the other. It is possible that one side of the waist or back may appear more prominent than the other, and bending forward may cause discomfort. In this position, the curvature in the spine becomes more pronounced. In some patients, 20 Back or lower back pain may occur, while in advanced cases it can be due to compression of the rib cage. Shortness of breath may occur. These symptoms are particularly relevant to aesthetic concerns and It can cause physical discomfort. Scoliosis affects the patient's quality of life. Its effect can vary. Mild scoliosis is generally not a serious condition. While it does not cause health problems, moderate and severe curvatures can cause both physical and other health issues. This can also lead to psychological problems, especially in early childhood. Diagnosis and regular follow-up are of great importance in preventing the progression of scoliosis. It carries. Treatment methods currently applied in scoliosis involve 30 centimeters of the spine. depending on the degree of curvature, the patient's age, and the risk of disease progression This is determined. While regular follow-up is usually sufficient for mild curvatures, moderate curvatures... In cases of graded scoliosis, brace treatment is commonly used. This corsets prevent further curvature of the spine in growing children. 2 It is designed to prevent this. Physical therapy and special exercises are also included. It plays an important role in the management of scoliosis. Maintaining muscle balance and posture are crucial. exercises to correct and strengthen the supporting muscles around the spine It is applied in cases of advanced curvature or when controlled with conservative methods. In cases where treatment is not possible, surgical intervention is resorted to; this is usually spinal cord injury. It is performed using fusion surgery. Physical therapy approaches in the treatment of scoliosis aim to slow the progression of spinal curvature. to prevent, correct posture, restore muscle balance and improve the patient's quality of life These approaches are applied with the aim of increasing [the ability to treat] scoliosis, curvature 10 It is personalized according to the degree and age of the patient. The most common methods are: One of the methods is Schroth exercises; this three-dimensional therapy method focuses on the spine. Specialized positioning for curvatures, breathing exercises, and muscle strengthening. It includes techniques. The main goal of Schroth exercises is to correct the spine. realigning in the direction, reducing body asymmetry, increasing lung capacity 15 and to correct posture. During exercises, the patient is given specific instructions according to the direction of the curvature. Positions and movements are taught. These movements help correct the conditions caused by scoliosis. It attempts to reverse rotations and lateral tilting. The most important One of its components is the "rotational breathing" technique. In this technique, the patient's chest Taking a deep breath towards the flattened and cramped side of the cage, that area 20 It also enables expansion and increases lung capacity. The patient gains body awareness and correct posture in daily life. They learn to maintain their habits. Schroth therapy is individualized. Because it is planned, each patient has a special program according to their type and curvature of scoliosis. It is being prepared. When applied regularly, it can slow the progression of the curvature, even 25 In some cases, it is possible to reverse the effects. Therefore, non-surgical, conservative treatment is preferred. Schroth exercises are an important alternative for patients seeking this. There are various challenges in performing Schroth exercises, and these Therefore, it is generally performed under the supervision of a specialist physiotherapist. 30 It is recommended. One of the most fundamental challenges is that these exercises are tailored to each patient. It needs to be adapted because each case of scoliosis has a different curvature pattern and rotation. This includes angle and postural imbalance. This condition requires the patient to correct it on their own. This makes it difficult for them to determine the correct positions and perform the exercises effectively. 3 Furthermore, Schroth exercises are not only designed to work the muscles, but also... Because it includes three-dimensional breathing techniques, it helps with the correct breathing rhythm. Learning takes time, and without professional guidance, mistakes can occur. It is possible to implement this. Regular exercise is another challenge; because It requires consistency and discipline, which is especially important in child and adolescent patients. 5 It can be hampered by a lack of motivation. The technical complexity of some movements. Therefore, its application in a home environment may be limited and incorrect applications may occur. risk of ineffectiveness or further deterioration of postural balance in this situation For all these reasons, Schroth therapy is usually performed by an experienced practitioner. It should be started with the guidance of a physiotherapist and gradually become a routine that the individual can continue at home. It should be converted into a program. Current scoliosis treatment methods, especially those based on physical therapy... There are some important shortcomings and limitations: commonly used in physical therapy The Schroth exercises used are 15 and should be planned individually for each patient. It involves complex, three-dimensional movements and specialized breathing techniques. However, this For the exercises to be performed effectively, positions appropriate to the direction of the curvature must be adopted. the correct identification and especially the flawless execution of rotational breathing techniques This makes supervision by a specialist physiotherapist essential. This situation necessitates treatment. This makes the process both costly and limited in terms of accessibility. 20 In addition, performing the exercises regularly and correctly at home provides motivation. due to reasons such as shortcomings, technical complexity, and difficulty in monitoring, it is not sustainable. This is not the case. In this context, patients need to be able to independently, accurately and Schroth aims to enable the individual to perform the exercises in a personalized way. Developing a device that guides exercises and provides positioning support 25 It has become an important necessity. Brief Description and Objectives of the Invention The invention involves the Schroth test, a treatment method used in the treatment of scoliosis and determined on a patient-specific basis. a wearable device that supports the execution of exercises and 30 of those exercises The working method is explained. The device in question is used by the patient. By monitoring the exercise movements performed through sensors, the movement It instantly evaluates whether something is being done correctly and identifies erroneous practices. 4 by providing the user with visual or auditory feedback and all exercise data. It offers a system that records data and makes it shareable with healthcare professionals. The invention is a custom-made Schroth scanner, determined by a specialist doctor for the treatment of scoliosis. The aim is to enable the description of exercises on a digital platform. In this way, each of the 5 Parameters such as the direction of the exercise, angles, number of repetitions, and duration are electronically controlled. The details are determined in the environment. Exercise instructions in the traditional method. It is mostly transmitted through oral presentations or printed materials, and this affects the patient This can lead to misunderstanding or incomplete application of the actions. Digital With the identification, the exercise program is uploaded to the patient's device in a standardized manner. 10 And the patient is able to follow the program prepared for them in a clear and consistent manner. This technical approach ensures that the exercises are correctly transmitted to the patient and that the treatment protocol is followed. It makes it possible to personalize it with precision. The invention enables the real-time monitoring of a patient's movements during exercise using sensors. It aims to perform the monitoring. The position, acceleration, or By continuously monitoring the patient's posture and movements through speed sensors It is compared with predefined correct positions. This is real-time monitoring. thanks to this, the patient can perform the exercise with correct form even outside of a clinical setting. It has been determined that it is not being done. In the current methods, home exercises are 20. Because there is no monitoring during the procedure, the patient is in an incorrect posture or angle. It can continue to operate; however, the invention's sensor-based control system By monitoring each repetition of the patient's work, it immediately identifies any potential errors. Result In this way, the correct execution of the exercises is ensured and The effectiveness of the treatment is increased. 25 Another purpose of the invention is to identify faulty exercise practices detected by sensors. The aim is to provide immediate warning and guidance to the patient. The device detects a movement in the patient. When a deviation or inaccuracy is detected, a visual is displayed simultaneously on the patient's screen. warnings (e.g., an animation or sign showing correct posture) and / or auditory cues 30 It provides notifications (alert sound or verbal commands). This is real-time feedback. Thanks to the notification, the patient has the opportunity to immediately realize and correct their mistake. In traditional home exercise practices, the patient usually points out the mistakes they make. They couldn't notice it until the next doctor's visit. With the discovery, the specialist in the clinic Similar to working under supervision, by providing immediate corrective feedback. This ensures that exercises are performed with correct form and that incorrect practices are avoided. The risk of accumulation and resulting harm is eliminated. The invention allows for the exercise program to be geographically adjusted by an expert when deemed necessary. It allows for updates regardless of distance. Expert The physician connects to the system via a computer or mobile device and accesses the patient's digital data. can make changes to the exercise prescription; for example, a new Schroth You can add exercises, change the number of repetitions or the duration of an existing exercise. They can adjust the settings. These updates are instantly transmitted to the patient's device and 10 The patient can begin implementing the new program during the next exercise session. In traditional practice, to make changes to an exercise program, the patient This requires the patient to come to the clinic or receive instructions via methods such as phone or email. Since remote updating is possible with the invention, the treatment program for the patient It can be adapted seamlessly and without time loss depending on the progress. 15 As a result, the patient-specific treatment program can be maintained in a dynamic manner, and The most appropriate exercise plan is maintained through immediate intervention when needed. The device described in the invention collects data on all exercise sessions performed by the patient. (for example, the duration of each movement, angle, number of repetitions, correct / incorrect performance, etc.) (information) is automatically recorded. This data will protect patient privacy. It is stored securely in encrypted form on a secure storage unit and is not accessible over the internet. It is transmitted to the expert periodically or instantly in encrypted form. Thus The specialist physician monitors the patient's exercise performance at home with objective data. This provides an opportunity. In traditional methods, experts determine the extent to which the patient can stay at home. and how it works can only be determined based on the patient's statements or infrequent check-up sessions. It can be evaluated based on this. Thanks to this invention, data can be obtained remotely and Because it can be shared securely, the treatment process is transparent and traceable. It is increasing. The specialist evaluates the patient's compliance and progress based on concrete data. can evaluate and, if necessary, develop a treatment plan by conducting scientific analyses. 30 It can optimize performance. In addition, the digital guidance offered by the device is sensor-based. Monitoring and real-time feedback features make exercising at home easier. It ensures that each exercise movement is carried out in accordance with standards. Because the treatment program is carried out according to the determined correct form and sequence, the patient's treatment program is clinically effective. 6 It can be maintained at home with a consistency close to the quality in the environment. The invention Thanks to the standardization it brought, different patients can do their home exercises differently. Inconsistencies arising from its implementation can be eliminated; this technical advantage, by increasing the effectiveness and safety of exercises, achieving the targeted therapeutic results each time. It helps in obtaining the benefit. 5 Brief Description of the Figures Figure 1. Subcomponents of the device subject to the invention. Figure 2. Sensor suit of the device subject to the invention. 10 Figure 3. Control unit subcomponents of the device subject to the invention. Figure 4. Sensor unit subcomponents of the device subject to the invention. Figure 5. Gimbal sphere. Explanation of References in Figures 1. Control unit 2. Sensor unit 3. Connection cable 4. Client software module 20 5. Sensor suit 6. Garment compression buckle 7. Sensor and control unit pocket 8. Flexible cable channel with Velcro fasteners 9. Control unit top cover 25 10. On / off switch 11. LED light 12. Illuminated battery indicator 13. Control unit front cover 14. Sensor unit connector connection 30 15. Control unit right cover 16. Control unit left cover 17. Control unit rear cover 18. Control unit product label 7 19. Charging port 20. Control unit bottom cover 21. Control unit cover screw 22. Battery charging module 23. Microprocessor circuit 5 24. Rechargeable battery 25. Sensor channel selector (multiplexer) 26. Internal gyroscope circuit 27. Internal antenna 28. LED connector 10 29. External sensors connection pin 30. On / off switch connection connector 31. Sensor unit top cover 32. Sensor unit power indicator LED 33. Sensor unit front cover 15 34. Connection cable connector connection 35. Sensor unit right cover 36. Sensor unit left cover 37. Sensor unit rear cover 38. Sensor unit product label 20 39. Sensor unit bottom cover 40. Sensor unit cover screw 41. Control unit connection pin 42. Server software module Detailed Description of the Invention The invention prescribes patient-specific Schroth exercises to be used in the treatment of scoliosis. to check whether the patient is performing the exercise correctly. Providing real-time feedback based on data from sensors, identifying where any errors may be. to show the patient and share the records of the exercises performed with the specialist and 30 a device to transmit the movements prescribed by the specialist to the patient and the bet It relates to the operating method of the device. 8 The device sub-components subject to the invention are shown in Figure 1 as the control unit (1), connection cable (3), These are shown as the sensor unit (2) and the client / server software unit (4). The control unit (1) houses the main processor of the device. The function of this unit is to store information. To identify the 9-axis motion sensor to be read, activate the relevant connection. to bring, receive the information obtained from the sensor via the connection cable (3), time 5 and to stamp the data according to the selected sensor, sensor suit (5) placement points processing it by combining it with the information, from this information obtained instantly and in 3 axes to calculate the current and real-time position information of the sensors from direction and speed information and This information is transmitted over time via BLE (low energy Bluetooth) and / or wireless network. Exercise control software 10 along with stamp and sensor stamp information The goal is to send it to the tablet on which it is run. Optionally, a smartphone can be used instead of a tablet. It can be used. At least six different sensors can be used simultaneously on the control unit (1). at least six numbered cables to enable connection External sensors have connection pins (29). Four of these connection points are on the front. On the cover, one is on the right cover and the other is on the left cover. Check the connection points 15 The placements on unit (1) are according to the physical position directions of the sensors. It has been determined that there is also at least one embedded sensor in the control unit (1). There is unit (2). This unit gets its energy from the internal rechargeable battery (24), It has at least four LEDs that indicate the charging status, and a power switch. It has a power switch (10) and provides the necessary energy to the sensors via connection 20 It transmits through the cables (3). When the device is switched on with the on / off switch The LED light (11) on the device is lit. The unit is lit during exercise for the patient. To avoid being affected by possible liquid contact in case of sweating, it has an IP65 dust and moisture rating. It is resistant to liquids and its dimensions are 50+ / -1 mm x 50+ / -1 mm x 20+ / -1 mm. Its weight is less than 150 + / - 5 grams. 25 Connection cable (3) for connection between control unit (1) and sensor unit (2) It is used. One end is connected to the control unit (1) and the other end to the sensor unit (2). The connected cable contains three multi-core wires. These are the communication data channel. The communication channel is the timing channel and the positive power channel. The magnetic field outside the cable is 30°. It has a shield to block noise and also protects against battery negative. It is the connector end. Its length, excluding the connector ends, is 300 + / -5 mm, and its diameter is 3 + / -0.2 mm. It is mm. 9 Each sensor unit (2) contains 1 9-axis sensor circuit (26) and power supply. There is one illuminated indicator (12) to indicate that the voltage is connected. There is one connection cable (3) to be made on the sensor box It has a cable connection point. Dimensions: 30+ / -1 mm x 30 + / -1 mm x 12+ / -1 mm It is mm in diameter. Its weight is less than 50+ / -5 grams. The unit is responsible for the patient's sweating during exercise (5). to avoid being affected by possible liquid contact in this situation and to protect against other possible liquid contact. It has an IP65 rating for dust and liquid resistance. The software system developed within the scope of this invention is based on a client-server architecture. It has been configured by taking into account the client software module (4) within the system, Android 10 or user interface running on mobile devices with iOS operating system and includes communication infrastructure. The server software module (42) is used by the specialist physician. to be used on personal computers or servers It is designed. Data transfer between the client unit and the control unit (1) is via Bluetooth. or via a local wireless network (Wi-Fi) connection; client and 15 Data transmission between server units requires end-to-end encryption of at least 256-bit. It is provided over the internet using algorithms. The software system is multi-faceted. It has language support, and the user interface can be customized to the patient's or physician's preferred language. It can be adapted dynamically. The basic functions of the client software module (4) are as follows:  To ensure data flow with the server software module (42).  Check for and update the software for the control unit (1).  The requirements of the exercise program, which is tailored specifically to the patient by the specialist physician, are explained to the patient. Start privately. 25  Using the values ​​from the control unit (1) software, the given data of the patient to check if they are doing the exercises correctly, in case of mistakes To inform the patient visually and audibly about the procedure to be performed.  To securely record the generated exercise logs and allow the expert to access them remotely. Send to the system server. 30  To receive exercise modifications made by the expert via a remote system and Updating the recorded exercise guidelines accordingly. The basic functions of the server software module (42) are as follows:  To respond to requests from the client software module (4).  Services for opening / modifying and deleting patient records for specialist physicians. to present.  Creating, modifying, and saving patient-specific exercises, providing the client with 5 Send these.  Maintaining exercise records with historical data and generating reports on them. In the invention, the sensor suit (5) is made of flexible fabric, the control unit (1) and a 10 that ensures sensors are positioned in securely defined locations It is a garment. The garment has at least 2 garment compression buckles (6) for ease of use. For the sensors and control unit (1) on the garment, at least 6 sensors and 1 control unit The unit pocket (7) is located. The cables between the sensor and the control unit (1) It must have at least 3 Velcro straps to stay securely in place without restricting movement. It has a flexible cable channel (8). The garment can be washed if necessary. 15 The control unit (1) monitors the device's operation, power management, connection and sensor data. It is the central component that performs basic functions such as processing. Its external structure and mechanical properties... to ensure durability and protect internal components from environmental factors It is structured with a segmented housing system. Control unit top cover (9), 20 It protects the top of the control unit from external factors by covering it, while opening- the power switch (10) allows the device to be manually activated or deactivated. This makes it possible. The LED light (11) and illuminated battery indicator (12) inform the user of the device. It provides visual information about the operating status and charge level. Control unit front cover (13), sensor unit connector connection point (14) together with sensor 25 It includes the input interface that enables the connection of the units. Right (15), left (16) and rear covers (17) secure the side surfaces of the device, ensuring the stability of the internal components. and supports its physical integrity. The control unit located on the rear surface of the product The label (18) indicates the device identity and is used for tracking systems. USB The charging port (19) enables the internal battery to be charged with an external power supply. 30 The control unit bottom cover (20) and cover screws (21) cover the entire housing system. It provides fixation and opening capability. The battery charging module is located inside the unit. (22) regulates the charging cycle of the device; the microprocessor (23) receives information from the sensors. It processes the data and transfers it to the software. The charger acts as the power source. 11 The rechargeable battery (24) makes the device portable and allows for continuous operation. The channel selector (25) manages multiple sensor connections and queues the data flow. By placing it, the internal sensor (26) ensures that the processor processes the correct data. located within the unit and provides reference position and motion data for the system. It produces. Internal antenna (27) provides signal for Bluetooth and wireless network communication. It undertakes the task of receiving / sending. Led connection connector (28), device the electrical connection that enables the visual displays on it to function when creating; sensor connection connector (29), sensor unit connector It ensures that it connects to the connections (14). Finally, a second LED connection connector (30) enables independent control of multiple LED systems 10 It enables. All these components work together to control the unit (1) It performs the tasks of monitoring, evaluating, and transmitting data on scoliosis exercises. It enables the delivery. The sub-components of the sensor unit (2) shown in Figure 4 are structural components of the device. to ensure integrity and the collection, processing and control of sensor data enabling the performance of basic functions such as transmitting data to the unit It is structured. The sensor unit top cover (31) contains the electronic components inside the unit. while providing protection from external environmental conditions, it also offers mechanical assembly. It supports its integrity. It informs the user whether the device is active or not within 20 seconds. The working LED indicator (32) is placed on the front surface as a visual interface element. It is positioned. The front cover (33) covers the front surface of the device. Integration of the control unit into the device via the connector port (34) It includes the physical connection area that will provide the sensor unit right cover (35), sensor unit left cover (36) and sensor unit rear cover (37), internal components horizontal 25 While maintaining its stability on the axis, it also performs the function of protecting against impacts. It brings. The product label (38) on the back cover indicates the model and of the sensor unit. It carries identification information such as serial numbers, which is important for traceability. The sensor unit bottom cover (39) covers the bottom surface of the device, providing both mechanical stability. It also helps protect internal components from dust and liquid contact. 30 Cover screws (40) secure all housing parts. This ensures that the device is detachable but has a robust structure. Inside The sensor circuit (26) in the structure performs the data collection function of the device. It is a basic electronic subsystem and, through its sensor components, measures angular velocity, 12 It collects acceleration, orientation, and temperature data. Control unit connection. pin (41) transmits data between the sensor circuit control unit or client software unit. electrical connection interface to the connector connection (34) that enables the purchase It consists of the LED connection connector (28) which is the indicators on the device. Data and power line that enables monitoring (operating status, charge level, etc.) 5 All these sub-components ensure the functional integrity of the sensor unit (2). designed to provide ergonomics, durability, data security and maintenance. It has been designed taking criteria such as ease of use into consideration. In the system developed within the scope of the invention, the patient is examined by a specialist physician in 10 Exercise movements customized to their needs, with a control unit located inside. This is determined based on a reference point. In this context, the sensors... Target Pitch (elevation), Yaw (deviation), and for the anatomical regions where it is positioned. Roll angles and tolerance ranges are defined. For example, for the right shoulder. The specified angles can be 8–12° Pitch, 7–13° Yaw, and 5–10° Roll. Additionally, the daily repetition should be 15. number of repetitions (e.g., 20 repetitions) and time held in the position (e.g., 10 seconds) Once identified, the exercise is recorded in the system with a unique name ("e.g., exercise1"), and The data is entered into the patient's record with the "send" command. After this process, the exercise program is... running on the user's tablet or mobile device over a wireless network (Wi-Fi) The information is transmitted to the client software, and the patient receives a new exercise notification via the client software. The patient receives a warning via the device. Before starting exercise, the patient checks the device's charge status. It monitors both the physical display and the client software interface; low battery In this case, it charges the device. Then, the control unit (1) and sensors, sensor suit (5) Place them in the special pockets on the device and connect them with connecting cables. It is activated with the on / off switch (10) and the sensor connection lights 25 The system is checked to confirm it's ready. The garment is fitted to the body. And if necessary, the tightness is optimized with the help of adjustable buckles. On the tablet When the client software module is activated for the first time, it works with the server software. by contacting them, they check if there is a new exercise defined for the patient. and updates the local program if available. New embedded software is available for the hardware if applicable. 30 It is then uploaded to the system with the patient's consent. The patient then performs the exercise using client software. It starts by selecting from the interface. The control unit (1) receives direction, speed and from the connected sensors. It collects acceleration data and analyzes this data relative to a reference sensor. calculated and structured as timestamps in data packets. 13 It transmits the data to the client software. The client software module receives the data packets via Bluetooth or It receives samples over the wireless network at a rate of 1 to 100 samples per second. Initially... The calibration process is initiated; in this step, the sensors are aligned with the magnetic north reference. Directions are determined accordingly, and positions and angles are calculated based on the central sensor. Reference values ​​are updated. The patient is immobile and in a natural position during calibration. It pauses for 10 seconds. After calibration, a display appears on the screen for each sensor. Two three-axis gimbal spheres are shown. The first of these spheres represents the target, and the second one represents the target. It shows the current status. Through this interface, the patient can see how to locate the sensor points. it shows in real time how much it is moving and how close it is getting to the target position. It can track. The gimbal interface displays both the target position and the current position. 10 The elliptical and ring-shaped bands in the instantaneous position are used to determine the target angle. It turns green when it's reached, yellow when it's approached, and red when it's moved away. is displayed. The patient aims to turn all gimbal indicators green. It moves its body along the correct axes. When the target position is reached, the system... It informs the user and instructs them to maintain the position for the specified time. It provides guidance. At the end of the time, it returns to the natural position. Each movement... It is expected to be completed within a defined time, the system's movement duration, the target By using data such as that obtained, we can achieve the maximum degree of accuracy in this process. It records this as success data. The client software guides the patient to the prescribed number of repetitions. It guides you to repeat the relevant steps until you reach the desired result. When the exercise is complete, 20 The user can see timestamps and success records of all actions performed with a single click. The user sends the record containing the data in encrypted form to the server software. If the user sends If the user forgets the operation, the client software module temporarily stores this data on the tablet. and creates a warning notification that it was not sent. If the patient wishes, they can send it as they previously did. Exercise history records are presented as reports via the client interface. 25 can be viewed. Thanks to this structure, exercise tracking, analysis and feedback are done digitally. It is carried out in a secure, auditable and uninterrupted manner. Here, the client All communication between the patient and the server takes place using at least 256-bit encryption. Past exercise records can be viewed in report format via the client software interface. can be viewed. This two-way communication only works if the client's credentials are received by the server. 30 This happens if the device identification number defined in the software matches the device. 14 The operating principle of the device described in the invention is as follows: i. The exercises prescribed by the specialist physician for the patient will be performed. Target angles (Pitch, Yaw) between sensor points and control unit (Roll) and determining the tolerance ranges, as well as the number of exercise repetitions. and parameters such as waiting time in position are set by user 5 defined in the interface, ii. The specified parameters are entered into the server software as "exercise1", for example. a unique name is entered into the patient's record and transmitted to the client via the system. to be recorded for sending to the software module, iii. The exercise description will be delivered to the patient's tablet or 10 via a wireless network. the information is transmitted to the client software module on the mobile device and the system, exercise by the new client software module (4) sending the notification, iv. The patient can check the LED display (32) on the control unit (1) or Checking the device's charge level from the client software interface, 15 If there is a low battery warning, charge the device. v. The sensors and control unit are defined on the sensor suit (5). placed in pockets and connected to each other via connecting cables connecting, vi. Operating the control unit (1) with the on / off switch (10) and 20 The sensor connection lights will illuminate, indicating that the system is ready. verification, vii. The patient must put on the sensor suit (5) and ensure it fits snugly to the body. adjusting the buckles on the garment, viii. When the client software module is first opened, it is connected to the server software module with 25 Contact us to check if there are any new exercise definitions. and update the data if necessary, ix. The system detects an embedded software update for the control unit (1). If so, the update process should be carried out after obtaining the patient's consent. x. The patient performs the prescribed exercise via the client software interface. 30 by selecting to start the application, xi. The control unit (1) receives direction, acceleration and speed data from the connected sensors. by summing them up, it calculates their relative positions with respect to a reference sensor and this converting the data into timestamped data packets and sending them to client software. transfer, xii. The client software module receives data packets via Bluetooth or Wi-Fi taking samples at a frequency of 1–100 samples per second xiii. The client software module's alignment of the sensors relative to the world reference axis is 5 updating reference data by identifying aspects (at this step, the patient (remains motionless in a natural standing position for seconds) xiv. Displaying the three-axis gimbal sphere for each sensor on the screen and The patient can track their real-time movement and target using this visual interface. monitoring the position simultaneously, 10 xv. The target position has been reached when the gimbal bands turn green. understanding, software informing the user and within the specified time the system wants it to maintain its position, at the end of the period, maximum recording success data, xvi. The system requires the user to reach the prescribed number of repetitions, the relevant 15 to make him repeat the steps, xvii. After all exercises are completed, the user's client software By giving the "send" command, you can send your exercise recordings over time. transmitting the data and success rates to the server software, xviii. If the sending process is forgotten, the client software will transfer the data to local memory. 20 to save and send a reminder notification to the user It includes the steps involved in the process. Industrial Applicability of the Invention 25 The invention prescribes patient-specific Schroth exercises to be used in the treatment of scoliosis. to check whether the patient is performing the exercise correctly. Providing real-time feedback based on data from sensors, identifying where any errors may be. to show the patient and to share the recordings of the exercises performed with the specialist. It relates to a wearable device and is applicable to industry. 30 The invention is not limited to the above descriptions, and a person skilled in the field can easily make further discoveries. It can demonstrate different applications of the invention. These are the claims and demands of the invention. It should be evaluated within the scope of the protection granted.

Claims

16 REQUESTS 1. A guide to patient-specific Schroth exercises to be used in the treatment of scoliosis. The device's feature is;  To identify the 9-axis motion sensor from which the information will be read, To activate the connection, the information obtained from the sensor is transferred to connection 5. to receive via cable (3), according to time and selected sensor stamping, sensor suit (5) with information on placement points Processing by combining, instantly obtaining direction and speed in 3 axes. calculating the current and real-time location information of the sensors from the data. and via BLE (low energy Bluetooth) and / or wireless network these 10 information along with timestamp and sensor stamp information. at least one check to send to the tablet on which the software is running unit (1),  at least one sensor, one of which is embedded in the control unit (1) unit (2), 15  user interface and communication infrastructure running on mobile devices containing at least one client software module (4),  Processing the data from the sensors and sending it to the server software module (42) at least one microprocessor transmitting (23),  Managing multiple sensor connections and queuing data flow 20 at least one channel selector (25) that enables the processor to process the correct data,  located inside the control unit (1), reference position for the system and at least one internal sensor that generates motion data (26),  Performs the task of receiving / transmitting signals in Bluetooth and wireless network communication. at least one internal antenna (27), 25  At least one that responds to requests from the client software module (4) server software module (42) It includes.

2. It is a device according to claim 1 and its feature is that it receives energy from a rechargeable battery (24). It must contain at least one connecting cable (3) that transmits to the sensors. 30 3. A device according to claim 1, characterized by being made of flexible fabric, controlled unit (1) and sensors in safely defined locations It includes at least one sensor suit (5) that enables their positioning. 17 4. According to claim 1, it is a device whose feature is; sensor suit (5) for ease of use. at least 2 garment compression buckles (6) and sensors and control on the garment For unit (1), at least 6 sensors and 1 control unit pocket (7) It includes.

5. According to claim 1, it is a device and its features are; sensor unit (2) and control unit (1) 5 securely so as not to hinder the movement of the cables between them It must contain at least 3 flexible cable channels with Velcro fasteners (8) to keep it in place.

6. It is a device according to claim 1 and its feature is; the upper part of the control unit (1) at least one control unit on top that provides protection against external factors by closing it. It includes a cover (9). 10 7. It is a device according to claim 1 and its feature is that the sensor unit (2) has the most It contains a small on / off switch (10).

8. According to claim 1, it is a device and its feature is; the device with an on / off switch (10). When switched on / off, at least a signal indicating whether the device is on or off is displayed. a LED light (11) and at least 15 that informs the user about the charge level of the device. It includes a battery indicator light (12).

9. A device according to claim 1, and its feature is; connector port (14) the input interface that enables the connection of sensor units together It contains a small control unit front cover (13).

10. A device according to claim 1, whose characteristic is; connecting sensor units 20 The sensor units providing this include a connector connection point (14).

11. A device according to claim 1, whose characteristic is that it closes the side surfaces of the device and closes the inside. control unit that supports the stability and physical integrity of the components right cover (15), control unit left cover (16) and control unit rear cover (17) includes. 25 12. A device according to Claim 1, whose characteristic is that it identifies the device and has tracking systems. used for, control unit product label (18) and charger located on the rear surface It includes a connection socket (19).

13. It is a device according to claim 1, and its characteristic is to secure the entire containment system. and at least one control unit bottom cover (20) and more than 30 that provides openability The control unit includes a cover screw (21).

14. A device according to claim 1, and its characteristic is that it regulates the charging cycle of the device. It contains a small battery charging module (22). 18 15. A device according to Claim 1, whose characteristic is that the device is portable and continuous. at least one charger that acts as a power source, enabling its operation. It contains a rechargeable battery (24).

16. A device according to Claim 1, and its characteristic is; visual indicators on the device At least one LED connector that forms the electrical link enabling its operation 5 It includes the connector (28).

17. A device according to Claim 1, whose characteristic is; sensor units connector connections. (14) at least one sensor connection connector enabling connection (29) It includes.

18. A device according to claim 1, whose characteristic is; 10 independent LED systems. at least a second LED connection that allows it to be controlled It includes the connector (30).

19. A device according to Claim 1, whose characteristic is that the electronic components inside the unit are external. while providing protection from environmental conditions, it also offers mechanical assembly. It is essential that the top cover (31) contains at least one sensor unit supporting its integrity. 15 20. It is a device according to Claim 1, and its characteristic is that it has a visual interface element on the front. a surface-mounted device that informs the user whether the device is active or not. The working indicator includes an LED display (32).

21. It is a device according to Claim 1, and its characteristic is that it covers the front surface of the device. Integration of the control unit into the device via connector port (34) 20 It includes the front cover (33) which contains the physical connection area that will provide.

22. A device according to claim 1, whose characteristic is the fixation of its internal components on the horizontal axis. at least one that protects and also serves as a safeguard against blows. sensor unit right cover (35), sensor unit left cover (36) and sensor unit It includes the back cover (37). 25 23. A device according to Claim 1, whose characteristic is; model and serial number of the sensor unit. It must contain at least one product label (38) bearing identification information such as the number.

24. It is a device according to Claim 1, and its characteristic is that it covers the bottom surface of the device, both It provides mechanical stability and protects internal components from dust and liquid contact. at least one sensor unit contributing to its protection bottom cover (39) 30 It includes.

25. A device according to Claim 1, whose characteristic is that all its housing parts by ensuring it is secured, the device has a detachable but robust structure. The supply includes multiple sensor unit cover screws (40). 19 26. A device according to Claim 1, whose characteristic is that the sensor circuit is a control unit or a connector connection that enables data exchange with the client software unit (34) at least one control unit forming the electrical connection interface It contains connection pin (41).

27. According to Claim 1, the operating method and characteristic of a device is; 5 i. The exercises prescribed by the specialist physician for the patient will be performed. Target angles (Pitch, Yaw) between sensor points and control unit (Roll) and determining the tolerance ranges, as well as the number of exercise repetitions. and parameters such as waiting time in position are controlled by the user. Definition in the interface, 10 ii. The specified parameters are entered into the server software as "exercise1", for example. a unique name is entered into the patient's record and transmitted to the client via the system. to be recorded for sending to the software module, iii. The exercise description is delivered to the patient's tablet via wireless network. the information is transmitted to the client software module on the device and the system, 15 exercise by the new client software module (4) sending the notification, iv. The patient can check the LED display (32) on the control unit (1) or Checking the device's charge level from the client software interface, If there is a low battery warning, charge the device, 20 v. The sensors and control unit are defined on the sensor suit (5). placed in pockets and connected to each other via connecting cables connecting, vi. Operating the control unit (1) with the on / off switch (10) and The sensor connection lights will illuminate, indicating that the system is ready. verification, vii. The patient must put on the sensor suit (5) and ensure it fits snugly to the body. adjusting the buckles on the garment, viii. When the client software module is first opened, it is connected to the server software module. Check if there are any new exercise definitions by contacting us. 30 and update the data if necessary, ix. The system detects an embedded software update for the control unit (1). If so, the update process should be carried out after obtaining the patient's consent. x. The patient performs the prescribed exercise via the client software interface. by selecting to start the application, xi. The control unit (1) receives direction, acceleration and speed data from the connected sensors. by summing them up, it calculates their relative positions with respect to a reference sensor and this converting the data into timestamped data packets and sending them to client software 5 transfer, xii. The client software module receives data packets via Bluetooth or Wi-Fi taking samples at a frequency of 1–100 samples per second xiii. The client software module's alignment of the sensors with respect to the world reference axis. updating reference data by identifying the directions (patient 10 in this step) (remains motionless in a natural standing position for seconds) xiv. Displaying the three-axis gimbal sphere for each sensor on the screen and The patient can track their real-time movement and target using this visual interface. monitoring the position simultaneously, xv. The gimbal lanes turning green indicates that the target position has been reached. 15 understanding, software informing the user and within the specified time the system wants it to maintain its position, at the end of the period, maximum recording success data, xvi. The system requires the user to reach the prescribed number of repetitions. making him repeat the steps, 20 xvii. After all exercises are completed, the user's client software By giving the "send" command, you can send your exercise recordings over time. transmitting the data and success rates to the server software, xviii. If the sending operation is forgotten, the client software will send the data to local memory. 25 to save and send reminder notification to the user It includes the steps of the process.

Images