The present invention relates to the technical field of medical devices and, in particular, to a mirror therapy device and a mirror therapy system.
With the acceleration of our pace of life and the aging of the population, the incidence of stroke is increasing year by year, and 75% of poststroke patients remain with limb dysfunction. Apart from limb paralysis caused by brain damage itself, complications such as shoulder pain, shoulder-hand syndrome and spasticity can also affect limb functional recovery. For limb functional recovery of stroke patients, upper limb function is particularly important because it is closely related to the patients' activities of daily living (ADLs) and upper limb functional recovery is directly related to the patients' quality of life and return to the society.
Mirror therapy, also known as mirror visual feedback therapy, which was first proposed by Ramachandran and other scholars in 1995, is used in the practice of rehabilitation medicine and neuroscience research. It mainly consists of separating the healthy arm of a patient from the affected arm with a mirror so that when the patient is moving the healthy hand, he/she will imagine, based on the arm's image in the mirror, that the affected hand is actually also moving. This can promote the patient's nerve recovery.
With the development of robotics in recent years, robot and vision technologies are being gradually applied to mirror therapy devices. Through robot and vision technologies, motor perception and proprioception are introduced to enhance the effect of mirror therapy. That is, by means of electric motor drive and myoelectric signal detection, and through detecting healthy limb movements, the affected limb is driven to make the same movements to accomplish nerve recovery for the patient's vision, motor perception and proprioception. However, due to inaccuracy and latency in signal detection, the patient will perceive obvious asynchrony in movements of the affected limb, and it is impossible to achieve synchronous motor-perceptive and proprioceptive stimulation of the healthy and affected limbs as required for better promotion of the patient's nerve recovery.
It is an aim of the present invention to provide a mirror therapy device and mirror therapy system, which address the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches.
In pursuit of the above aim, the present invention provides a mirror therapy device including a first positioning assembly, a second positioning assembly and a transmission assembly connecting the first and second positioning assemblies,
the first and second positioning assemblies arranged in opposition to each other in such a manner that both are able to reciprocate, the first positioning assembly adapted for positioning of a healthy limb of a patient, the second positioning assembly adapted for positioning of an affected limb of the patient,
the transmission assembly adapted for power transmission between the first and second positioning assemblies so that the second positioning assembly moves in synchronization with the first positioning assembly.
Optionally, the first positioning assembly may include at least one first finger ring and the second positioning assembly may include at least one second finger ring each arranged in correspondence with a respective one of the at least one first finger ring, with the transmission assembly including at least one set of transmission elements each adapted to maintain a respective one of the at least one first finger ring and a respective one of the at least one second finger ring that is arranged in correspondence with the respective finger ring in synchronous movement.
Optionally, the transmission elements may include a transmission cord capable of reciprocating and tied together at both ends to form a loop, wherein the first finger ring is attached to a first cord segment of the transmission cord and the second finger ring is attached to a second cord segment of the transmission cord, and wherein the first cord segment to which the first finger ring is attached is made in the same movement state as the second cord segment to which the second finger ring is attached.
Optionally, the first cord segment to which the first finger ring may be oriented at a first angle with respect to a horizontal plane and the second cord segment to which the second finger ring may be oriented at a second angle with respect to the horizontal plane, both the first and second angles being greater than 0° and less than 90°.
Optionally, the first finger ring may include, connected to each other, a first ring body and a first connecting member and the second finger ring may include, connected to each other, a second ring body and a second connecting member, with the transmission cord including a first transmission cord body and a second transmission cord body, the first transmission cord body connected to the first ring body at one end and to the second connecting member at the other end, the second transmission cord body connected to the second ring body at one end and to the first connecting member at the other end.
Optionally, the transmission element may further include a plurality of first guide elements and a plurality of second guide elements, the plurality of first guide elements arranged in correspondence with the first finger ring, the plurality of second guide elements arranged in correspondence with the second finger ring, wherein the transmission cord is successively wound on the plurality of first guide elements and the plurality of second guide elements so as to form the loop and be able to reciprocate relative to the first and second guide elements.
Optionally, the first and second guide elements may all be pulleys.
Optionally, the mirror therapy device may further include at least one displacement sensor arranged in correspondence with, and adapted to measure displacement of, the transmission cord.
Optionally, the displacement sensor may be a photoelectric displacement sensor, wherein the transmission cord is provided thereon with a mark corresponding to the displacement sensor.
Optionally, the mirror therapy device may further include a first support pad for supporting the healthy limb and a second support pad for supporting the affected limb, the first support pad arranged in correspondence with the first positioning assembly, the second support pad arranged in correspondence with the second positioning assembly.
Optionally, the first support pad may be provided with a first concave surface on its side intended to be brought into contact with the healthy limb, and the second support pad may be provided with a second concave surface on its side intended to be brought into contact with the affected limb.
Optionally, the mirror therapy device may further include at least one first camera and at least one second camera, the first camera arranged in correspondence with the first positioning assembly, the second camera arranged in correspondence with the second positioning assembly.
Optionally, the mirror therapy device may further include a lighting lamp.
Optionally, the mirror therapy device may further include a box body defining an internal cavity where the first positioning assembly, the second positioning assembly and the transmission assembly are all disposed.
Optionally, the box body may include a support frame and, all mounted on the support frame, a first side plate, a second side plate, a top plate, a back panel and a bottom plate.
Optionally, a gap may be left between the bottom plate and the bottom of the support frame so that the bottom plate is raised above the bottom of the support frame.
Optionally, the box body further may include a front panel mounted on the support frame, the front panel arranged in opposition to the back panel, the front panel provided therein with a first aperture adapted for passage of the healthy limb therethrough and a second aperture adapted for passage of the affected limb therethrough, the first aperture arranged in correspondence with the first positioning assembly, the second aperture arranged in correspondence with the second positioning assembly.
In pursuit of the above aim, the present invention also provides a mirror therapy system including the mirror therapy device as described above and a display device, the display device adapted to display images of movements of the healthy and affected limbs.
The mirror therapy device and system provided in the present invention has the following advantages over the prior art:
1) The mirror therapy device provided in the present invention includes a first positioning assembly, a second positioning assembly and a transmission assembly connecting the first and second positioning assemblies, the first and second positioning assemblies arranged in opposition to each other in such a manner that both are able to reciprocate, the first positioning assembly adapted for positioning of a healthy limb of a patient, the second positioning assembly adapted for positioning of an affected limb of the patient, the first and second positioning assemblies relying on the transmission assembly for power transmission therebetween so that the second positioning assembly is able to move in synchronization with the first positioning assembly under the action of the transmission assembly. Therefore, with the mirror therapy device provided in the present invention, the healthy limb can drive the affected limb under the action of the transmission assembly to enable the affected limb to synchronously repeat the same movements as the healthy limb to establish neural connections for synchronous vision, motor perception and proprioception of the patient's healthy and affected sides and better stimulate nerve recovery of the patient, thus addressing the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches.
2) The mirror therapy device provided in the present invention employs a transmission cord as a transmission element in lieu of a motor transmission system. As a result, not only the mirror therapy device can be fabricated at significantly reduced cost, but it can also be ensured that the affected and healthy limbs move in synchronization, thus effectively avoiding asynchronous movements of the affected and healthy limbs due to inaccuracy and latency in signal detection.
3) The mirror therapy device provided in the present invention employs pulleys as guide elements for the transmission cord. This can not only effectively reduce friction of the transmission cord and hence discomfort of the patient during limb training but also further ensure synchrony of movement of the affected and healthy limbs.
4) The mirror therapy device provided in the present invention employs a photoelectric displacement sensor for movement and displacement measurement of the transmission cord. Compared with conventional inertial sensors, the photoelectric displacement sensor provides faster response and higher measurement accuracy, less suffers from zero shifting and is more reliable. It can measure limb movements in real time, providing a basis for interesting rehabilitation.
5) The mirror therapy device provided in the present invention employs a first camera capable of capturing movements of the healthy limb in real time and a second camera capable of capturing movements of the affected limb in real time. Moreover, it employs an image compensation algorithm for processing the captured images to remove the first positioning assembly, the second positioning assembly and the transmission assembly therefrom, thus avoiding the patient from knowing the transmission mechanism and enabling mirror therapy to provide an increased “sense of reality”. Further, tactile differences perceived by the patient during transmission can be compensated for by adding immersion from interesting training, in order to further enhance the patient's nerve recovery.
6) Since the mirror therapy system provided in the present invention includes the mirror therapy device as described above, it has all the advantages of the mirror therapy device. The mirror therapy system provided by the present invention enables the healthy limb to drive the affected limb to allow the affected limb to repeat the same movements as the healthy limb, thus establishing neural connections for the patient's vision, motor perception and proprioception and better stimulating nerve recovery of the patient.
The following is a list of reference numerals used in the drawings:
100—First Finger Ring; 200—Second Finger Ring; 310—Transmission Cord; 311—First Cord Segment; 312—Second Cord Segment; 110—First Ring Body; 120—First Connecting member; 210—Second Ring Body; 220—Second Connecting member; 313—First Transmission Cord Body; 314—Second Transmission Cord Body; 320—First Guide Element; 330—Second Guide Element; 400—Displacement Sensor; 510—First Support Pad; 520—Second Support Pad; 511—First Concave Surface; 521—Second Concave Surface; 610—First Camera; 620—Second Camera; 700—Box Body; 710—Support Frame; 720—First Side Plate; 730—Second Side Plate; 740—Top Plate; 750—Back Panel; 760—Bottom Plate; 770—Front Panel; 771—First Aperture; 772—Second Aperture; 340—Support Mount; 711—Support Element; 712—First Support Pillar; 713—Second Support Pillar; 761—First Cutout; 762—Second Cutout; 741—First Through Hole; 742—Second Through Hole; 810—First Glove; 820—Second Glove.
The mirror therapy device and system proposed in the present invention will be described in greater detail below with reference to
It is to be noted that, as used herein, relational terms such as first and second, etc., are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply these entities having such an order or sequence. Moreover, the terms “include,” “including,” or any other variations thereof are intended to cover a non-exclusive inclusion within a process, method, article, or apparatus that includes a list of elements including not only those elements but also those that are not explicitly listed, or other elements that are inherent to such processes, methods, goods, or equipment. In the case of no more limitation, the element defined by the sentence “includes a . . . ” does not exclude the existence of another identical element in the process, the method, or the device including the element.
In the description herein, it would be appreciated that the orientational or positional relationships described by the terms “central”, “longitudinal”, “transverse”, “length”, “width”, “thickness”, “upper”, “lower”, “front”, “rear”, “left”, “right”, “vertical”, “horizontal”, “top”, “bottom”, “inner”, “outer”, “axial”, “radial”, “circumferential”, etc. are based on the orientations or positions shown in the accompanying drawings. They are intended merely to facilitate and simplify the explanation of the invention and do not indicate or imply that the stated components or elements have to assume, or be constructed or operated in, particular orientations. Therefore, they are not to be construed as limiting the invention. In the description herein, unless otherwise specified, the meaning of “plurality” is two or more.
In the description herein, unless otherwise expressly specified and defined, the terms “mounting”, “coupling”, “connection” and “securing” should be interpreted in a broad sense. For example, a connection may be a permanent, detachable or integral connection, or a mechanical or electrical connection, or a direct or indirect connection with one or more intervening media, or an internal communication or interaction between two components. Those of ordinary skill in the art can understand the specific meanings of the above-mentioned terms herein, depending on their context.
In the description herein, unless otherwise expressly specified and defined, when a first feature is described as being “on” or “under” a second feature, it can be in direct contact with the second feature, or intervening feature(s) may also be present. Moreover, when a first feature is described as being “over”, “overlying” or “above” a second feature, it may either be situated normally or obliquely over the second feature, or it may only be located at a horizontal height higher than a horizontal height at which the second feature is located. When a first feature is described as being “under”, “underlying” or “beneath” a second feature, it may either be situated normally or obliquely under the second feature, or it may only be located at a horizontal height lower than a horizontal height at which the second feature is located.
The core concept of the present invention is to provide a mirror therapy device and a mirror therapy system, which address the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches.
According to the above concept, the present invention provides a mirror therapy device. Reference is now made to
The first and second positioning assemblies are arranged in opposition to each other so that both can reciprocate. The first positioning assembly is adapted for positioning of a healthy limb of a patient, and the second positioning assembly is adapted for positioning of an affected limb of the patient. Power is transmitted between the first and second positioning assemblies by the transmission assembly. Under the action of the transmission assembly, the second positioning assembly is able to move in synchronization with the first positioning assembly. During a rehabilitation therapy, the patient first puts the healthy limb and the affected limb on the first and second positioning assemblies, respectively, and then makes movements of the healthy limb. Under the action of the transmission assembly, the second positioning assembly can move in synchronization with the first positioning assembly, enabling the affected limb to repeat the same movements as the healthy limb. Taking hand rehabilitation as an example, during a hand rehabilitation therapy, the patient first puts the healthy and affected hands on the first and second positioning assemblies, respectively, and then makes a flexion movement of the healthy hand, which cause a movement of the first positioning assembly. Under the action of the transmission assembly, the second positioning assembly moves in synchronization with the first positioning assembly, enabling the affected hand to make a synchronous flexion movement. Likewise, when the healthy hand is making an extension movement, under the action of the transmission assembly, the affected hand will make a synchronous extension movement. It is to be noted that, although the description herein is made in the context of the hand being taken as an example of an object of rehabilitation, as would be appreciated by those skilled in the art, the object of rehabilitation may also be another limb than the hand, and the present invention is not limited thereto.
Thus, using the mirror therapy device provided in the present invention, the healthy limb can drive the affected limb under the action of the transmission assembly, enabling the affected limb to synchronously repeat the same movements as the healthy limb. This can establish neural connections for synchronous vision, motor perception and proprioception of the patient's healthy and affected sides and better stimulate nerve recovery of the patient, addressing the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches.
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Preferably, in order to facilitate assembly and disassembly, the first side plate 720, the second side plate 730, the top plate 740, the back panel 750 and the bottom plate 760 may be mounted on the support frame 710 using fasteners. More preferably, the first side plate 720, the second side plate 730, the top plate 740, the back panel 750 and the bottom plate 760 may be mounted on the support frame 710 using threaded fasteners.
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Preferably, the mirror therapy device further includes a lighting lamp (not shown). The lighting lamp can provide supplemental lighting. In particular, when the box body 700 includes the front panel 770, the back panel 750, the top plate 740, the bottom plate 760, the first side plate 720 and the second side plate 730, the interior of the box body 700 will be rather dark. Arranging the lighting lamp can increase brightness inside the box body 700 and enables improved imaging quality of the first camera 610 and the second camera 620. More preferably, the lighting lamp is an LED lamp. Implementing the lighting lamp as an LED lamp can additionally increase brightness inside the box body 700 and enables additionally improved imaging quality of the first camera 610 and the second camera 620, making images captured by the first camera 610 and the second camera 620 more clearly visible.
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Finger rehabilitation for the patient is largely affected by friction and extension of the transmission cord 310. Therefore, the transmission cord 310 is made of a material with a relatively low coefficient of friction, and lubricating grease is applied to the surface of the transmission cord 310 during use, in order to achieve reduced friction. In order to reduce extension of the transmission cord 310 and disable its elastic deformation under stress, preferably, according to the present invention, the transmission cord 310 may be implemented as a Dyneema yarn, a Kevlar yarn or a steel cord with a diameter of 0.1-3 mm.
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Preferably, the displacement sensor 400 is a photoelectric displacement sensor, and the transmission cord 310 is provided thereon with a mark corresponding to the displacement sensor 400. Compared with conventional inertial sensors, the photoelectric displacement sensor provides faster response and higher measurement accuracy, less suffers from zero shifting and is more reliable. It can measure finger movements in real time, providing a basis for interesting rehabilitation. Additionally, arranging the mark corresponding to the photoelectric displacement sensor on the transmission cord 310 can facilitate movement and displacement measurement of the transmission cord 310 by the photoelectric displacement sensor. In an initial configuration of the transmission cord 310, the mark is exactly aligned with the photoelectric displacement sensor, corresponding to a displacement measurement of zero. When the transmission cord 310 moves, the mark will move with the transmission cord 310, and an amount of displacement of the mark represents an amount of displacement of the transmission cord 310. Specifically, the mark may be a marking dot provided on the transmission cord 310, or a guide sheet provided on the transmission cord 310. As would be appreciated by those skilled in the art, the mark may also be another type of mark provided on the transmission cord 310, as long as it can provide a marking effect. The present invention is not limited to any particular type of mark.
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According to the above concept, the present invention also provides a mirror therapy system including a display device and the mirror therapy device as described above. The display device is adapted to display images of movements of the healthy and affected limbs. Since the mirror therapy system provided in the present invention includes the mirror therapy device as described above, it enables the healthy limb to drive the affected limb to repeat the same movements as the healthy limb to establish neural connections for synchronous vision, motor perception and proprioception of the patient's healthy and affected sides and better stimulate nerve recovery of the patient, thus addressing the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches. Moreover, since the mirror therapy system provided in the present invention also includes the display device, it can display images of movements of the healthy and affected limbs on the display device to allow the patient to clearly view the limb movements. This enables mirror therapy to provide an increased sense of reality and thus promote recovery of the patient's motor perception and proprioception. Specifically, the display device may be a computer monitor capable of displaying images captured by the aforementioned at least one first camera 610 and at least one second camera 620 in real time. In order to further promote recovery of the patient's motor perception and proprioception, the display device may apply an image compensation algorithm, preferably a neural network-based image compensation algorithm, to the display of the images of movements of the healthy and affected limbs to eliminate the influence of the transmission elements on limb movements by masking the transmission elements so that the patient will only see movements of the limbs, will not know the transmission mechanism and will imagine his/her nerve recovery. This enables mirror therapy to provide an additionally increased sense of reality and achieve better therapeutic outcomes. In other embodiments, the display device may also be adapted to display only images of movements of the affected limb to achieve mirror therapy rehabilitation.
To sum up, the mirror therapy device and system provided in the present invention has the following advantages over the prior art:
(1) The mirror therapy device provided in the present invention includes a first positioning assembly, a second positioning assembly and a transmission assembly connecting the first and second positioning assemblies, the first and second positioning assemblies arranged in opposition to each other in such a manner that both are able to reciprocate, the first positioning assembly adapted for positioning of a healthy limb of a patient, the second positioning assembly adapted for positioning of an affected limb of the patient, the first and second positioning assemblies relying on the transmission assembly for power transmission therebetween so that the second positioning assembly is able to move in synchronization with the first positioning assembly under the action of the transmission assembly. Therefore, with the mirror therapy device provided in the present invention, the healthy limb can drive the affected limb under the action of the transmission assembly to enable the affected limb to synchronously repeat the same movements as the healthy limb to establish neural connections for synchronous vision, motor perception and proprioception of the patient's healthy and affected sides and better stimulate nerve recovery of the patient, thus addressing the problem of availability of only visual stimulation and absence of motor-perceptive and proprioceptive stimulation associated with conventional mirror therapy approaches.
(2) The mirror therapy device provided in the present invention employs a transmission cord as a transmission element in lieu of a motor transmission system. As a result, not only the mirror therapy device can be fabricated at significantly reduced cost, but it can also be ensured that the affected and healthy limbs move in synchronization, thus effectively avoiding asynchronous movements of the affected and healthy limbs due to inaccuracy and latency in signal detection.
(3) The mirror therapy device provided in the present invention employs pulleys as guide elements for the transmission cord. This can not only effectively reduce friction of the transmission cord and hence discomfort of the patient during limb training but also further ensure synchrony of movement of the affected and healthy limbs.
(4) The mirror therapy device provided in the present invention employs a photoelectric displacement sensor for movement and displacement measurement of the transmission cord. Compared with conventional inertial sensors, the photoelectric displacement sensor provides faster response and higher measurement accuracy, less suffers from zero shifting and is more reliable. It can measure limb movements in real time, providing a basis for interesting rehabilitation.
(5) The mirror therapy device provided in the present invention employs a first camera capable of capturing movements of the healthy limb in real time and a second camera capable of capturing movements of the affected limb in real time. Moreover, it employs an image compensation algorithm for processing the captured images to remove the first positioning assembly, the second positioning assembly and the transmission assembly therefrom, thus avoiding the patient from knowing the transmission mechanism and enabling mirror therapy to provide an increased “sense of reality”. Further, tactile differences perceived by the patient during transmission can be compensated for by adding immersion from interesting training, in order to further enhance the patient's nerve recovery.
(6) Since the mirror therapy system provided in the present invention includes the mirror therapy device as described above, it has all the advantages of the mirror therapy device. The mirror therapy system provided by the present invention enables the healthy limb to drive the affected limb to allow the affected limb to repeat the same movements as the healthy limb, thus establishing neural connections for the patient's vision, motor perception and proprioception and better stimulating nerve recovery of the patient.
The foregoing description is merely that of preferred embodiments of the present invention and is not intended to limit the scope of the invention in any sense. Any and all changes and modifications made by those of ordinary skill in the art to which the present invention pertains based on the above disclosure all fall within the scope of the appended claims. Apparently, those skilled in the art can make various modifications and variations to the present invention without departing from the spirit and scope thereof. Accordingly, the invention is intended to embrace all such modifications and variations if they fall within the scope of the appended claims and equivalents thereof.
Number | Date | Country | Kind |
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201911370483.3 | Dec 2019 | CN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CN2020/132949 | 11/30/2020 | WO |