The present invention relates to the assessment technology of muscle tension, in particular to a muscle tone assessment device and an assessment method thereof.
Spasticity is a disorder of muscle movement, usually caused by damage to the brain or spinal cord that controls voluntary movement, such as cerebral palsy, multiple sclerosis, stroke, or amyotrophic lateral sclerosis. These injuries cause changes in the balance of signals between the nervous system and muscles, increasing muscle tone. If the muscle tension is too high, the movement angle of the joint may be limited, which will not achieve a good rehabilitation effect. Therefore, before the patient uses the lower limb training machine for rehabilitation, the physical therapist usually massages the affected limb with bare hands to reduce the muscle tension of the affected limb. However, the above methods completely depend on the experience and subjective feeling of the physical therapist, and it is difficult to accurately assess whether the patient is suitable for rehabilitation and the degree of rehabilitation that can be carried out.
On the one hand, the ankle joint rehabilitation device disclosed in TW M311442 uses a rotating plate to fix the foot, and on the other hand, uses a first support member and a second support member to fix the thigh and calf respectively. The torque value of the transmission shaft is sensed by the torque sensor arranged between the rotating plate and the actuator, so as to evaluate the maximum range of motion of the foot joint and whether the muscle tension is too high. However, the aforementioned ankle joint rehabilitation device must keep the patient in a sitting position during use, and the patient needs to be moved when using the lower limb training machine for rehabilitation training, which is inconvenient to use and consumes rehabilitation time.
The affected limb training device disclosed in the CN 102614066 B uses a controller to detect the current change of the motor driving unit, then estimates the tension change of the affected limb according to the detected current change, and adjusts the speed of movement and the range of motion at the same time. However, the distance from the ankle joint to the bottom of the foot varies from different patients, so the current change detected by the control unit may be inaccurate. In addition, the aforementioned affected limb training device can only keep the patient in a sitting or lying position when in use. If the lower limb training machine is to be used continuously for rehabilitation training, the patient needs to be moved, which is inconvenient to use and consumes rehabilitation time.
The present invention has been accomplished under the circumstances in view. It is the main object of the present invention to provide a muscle tone assessment device, which can accurately determine whether a patient's muscles are in a state of high tension, and can perform subsequent gait training without moving the patient.
To achieve this and other objects of the present invention, the muscle tone assessment device of the present invention comprises a calf support unit, an actuating unit, a sensing unit, and a judgment unit. The calf support unit is used to support a lower leg. The calf support unit comprises a pedal. The pedal comprises a pedaling area. The pedaling area is used to carry the foot. The actuating unit is adapted for driving the pedal to rotate. The sensing unit comprises at least one front force sensor and at least one back force sensor. The at least one front force sensor is embedded in the pedal and located in a front side relative to the pedaling area for sensing a front pedaling force and correspondingly sending a front force signal. The at least one back force sensor is embedded in the pedal and located in an opposing rear side relative to the pedaling area for sensing a back pedaling force and correspondingly sending a back force signal. The judgment unit is electrically connected to the sensing unit. Before the actuating unit drives the pedal, the judgment unit calculates a front force standard deviation and a back force standard deviation respectively according to several force values of the front force signal and the back force signal in a first time interval and also calculates a first threshold value and a second threshold value according to the front force standard deviation and the back force standard deviation. After the actuating unit drives the pedal, the judgment unit respectively calculates a front force deviation and a back force deviation of the front force signal and the back force signals in each second time interval relative to the first time interval where the second time interval is less than said first time interval; when said front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it means that a state of high tension occurs in the muscles of the lower leg.
It can be seen from the above that the muscle tone assessment device of the present invention depends on whether the front force deviation is greater than the first threshold value and whether the back force deviation is greater than the second threshold value to determine whether the state of high tension of the muscles of the lower leg occurs.
Preferably, when the judgment unit determines that the front force signal is greater than the back force signal and the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it indicates that the state of high tension occurs in the muscles of the lower leg during dorsiflexion of the foot; when the judgment unit determines that the front force signal is smaller than the back force signal and the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it indicates that the state of high tension occurs in the muscles of the lower leg during plantar flexion of the foot.
Preferably, the front force standard deviation is defined as
the back force standard deviation is defined as
N is the number of data collected in the first time interval, ƒƒi is the force value of the ith data of the front force signal in the first time interval, μƒ is the average value of N numbers of ƒƒi, ƒbi is the force value of the ith data of the back force signal in the first time interval, μb is the average value of N numbers of ƒbi, the front force deviation is defined as
the back force deviation is defined as
Nt is the number of data collected in the second time interval, ƒtƒi is the force value of the ith data of the front force signa in the second time interval 1, ƒtbi is the force value of the ith data of the back force signal in the second time interval.
Preferably, the first threshold value is defined as δƒ,δƒ=2*δfront*δfactor, the second threshold value is defined as δb,δb=2*δback*δfactor,δfactor is the sensitivity; when δfactor=1, the first threshold value is 2 times the front force standard deviation, and the second threshold value is 2 times the back force standard deviation. In other words, if the sensitivity is less than 1, the first threshold value and the second threshold value will become smaller, indicating that that it is easier to determine the state of high tension of the muscle. If the sensitivity is greater than 1, the first threshold value and the second threshold value will become larger, indicating that it is not easy to determine the state of high tension of the muscle.
Preferably, the calf support unit further comprises an upper support and a lower support. The lower support has a top end thereof pivotally connected to a bottom end of the upper support. The pedal is fixed at an opposing bottom of the lower support. The actuating unit comprises a cylinder and a piston rod. The cylinder has a top end thereof pivotally connected to the upper support. The piston rod is linearly displaceable on the cylinder and has a bottom end thereof pivoted on the pedal. The pivot angle of the lower support is defined as θ1,θ1=180°−θt−θ2−θ3,θt is the angle formed between L1 and
L1 is the straight-line distance between the pivot axis of the lower support and the pivot axis of the cylinder, L2 is the straight-line distance between the pivot axis of the lower support and the pivot axis of the piston rod, L3 is the straight-line distance between the pivot axis of the cylinder and the pivot axis of the piston rod, θ2 is the angle formed between A2 and L2, A2 is the axis passing through the pivot axis of the lower support and is perpendicular to the pedal, θ3 is the angle formed between A1 and L1, A1 is the axis passing through the fixed axis of the upper support and the pivot axis of the lower support. With the above-mentioned technical features, after the state of high tension is released, the foot is driven to the target angle gradually in a manner of increasing a specific angle according to the above-mentioned pivot angle.
Preferably, the sensing unit comprises two front force sensors and two back force sensors. The two front force sensors are located at left and right corners in the front side relative to the pedaling area. The two back force sensors are located at left and right corners in the opposing rear side relative to the pedaling area.
It is another object of the present invention to provide a muscle tone assessment method suitable for the aforementioned muscle tone assessment device. The muscle tone assessment method comprises the steps of: a) before the actuating unit driving the pedal, the judgment unit calculating a front force standard deviation and a back force standard deviation respectively according to several force values of the front force signal and the back force signal within a first time interval, and calculating a first threshold value and a second threshold value according to the front force standard deviation and the back force standard deviation, respectively; b) the actuating unit driving the pedal, so that the pedal drives the foot to move within a target angle; and c) during the movement of the foot, the judgment unit respectively calculating a front force deviation and a back force deviation of the front force signal and the back force signal relative to the first time interval at each second time interval, where the second time interval is less than the first time interval, wherein a state of high tension occurs in the muscles of the lower leg, and the actuating unit stops driving the pedal when the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value.
Preferably, in step c), when the judgment unit determines that the front force signal is greater than the back force signal and the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it indicates that the state of high tension occurs in the muscles of the lower leg during dorsiflexion of the foot, and the actuating unit stops driving said pedal; when the judgment unit determines that the front force signal is smaller than the back force signal and the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it indicates that the state of high tension occurs in the muscles of the lower leg during plantar flexion of the foot, and the actuating unit stops driving the pedal.
Preferably, when the pedal stops moving until the state of high tension is released, the actuating unit continues to drive the pedal, so that the pedal drives the foot to the target angle.
Preferably, after the pedal stops moving, calculate the pivot angle of the lower support. When the muscles of the lower leg are released from the high tension state, the foot is driven to the target angle gradually in a manner of increasing a specific angle according to the pivot angle of the lower support.
The detailed structure, characteristics, assembly or usage of the muscle tone assessment device and its assessment method provided by the present invention will be described in the detailed description of the subsequent preferred embodiment. However, those with ordinary knowledge in the field of the present invention should be able to understand that this detailed description and the specific preferred embodiment enumerated for implementing the present invention are only used to illustrate the present invention, and are not intended to limit the scope of the patent application of the present invention.
The applicant first explains here that throughout the specification, including the embodiments described below and the claims in the scope of the patent application, the nouns related to directionality are based on the directions in the drawings. Secondly, in the embodiments and drawings that will be introduced below, the same element numbers represent the same or similar elements or their structural features.
Please refer to
Please also refer to
As shown in
The actuating unit 30 of this embodiment is a linear actuator (but not limited to this), comprising a cylinder 32 and a piston rod 34. The top of the cylinder 32 is pivoted on the upper support 22 by a third shaft P3. The piston rod 34 can be linearly displaced on the cylinder 32. The bottom end of the piston rod 34 is pivoted to the pedal 26 with a fourth shaft P4.
As shown in
The judgment unit 50 is electrically connected to the sensing unit 40. Before the actuating unit 30 drives the pedal 26, the judgment unit 50 calculates a front force standard deviation and a back force standard deviation respectively according to the several force values of the front force signals S4, S3 and the back force signals S1, S2 in a first time interval. After the actuating unit 30 drives the pedal 26, the judgment unit 50 respectively calculates a front force deviation and a back force deviation of the front force signals S4, S3 and the back force signals S1, S2 in each second time interval relative to the first time interval, where the second time interval is less than the first time interval, the front force standard deviation is defined as
the back force standard deviation is defined as
N is the number of data collected in the first time interval, ƒƒi is the force value of the ith data of the front force signal S3, S4 in the first time interval, μƒ is the average value of N numbers of ƒƒi, ƒbi is the force value of the ith data of the back force signal S1, S2 in the first time interval, μb, is the average value of N numbers of ƒbi, the front force deviation is defined as
the back force deviation is defined as
Nt is the number of data collected in the second time interval, ƒtƒi is the force value of the ith data of the front force signal S3, S4 in the second time interval, ƒtbi is the force value of the ith data of the back force signal S1, S2 in the second time interval.
When the patient stands on the gait training machine 12, the lower leg 14 and the foot 16 are supported by the calf support unit 20, before the actuating unit 30 drives the pedal 26, take
The judgment unit 50 further calculates a first threshold value and a second threshold value according to the front force standard deviation and the back force standard deviation, respectively. When the judgment unit 50 determines that the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, it means that a state of high tension occurs in the muscles of the lower leg 14, that is, the muscles of the lower leg 14 are in a state of high tension. In this embodiment, the first threshold value is defined as δƒ,δƒ=2*δfront*δfactor, the second threshold value is defined as δb,δb=2*δback*δfactor,δfactor is the sensitivity. When δfactor=1, the first threshold value is 2 times the front force standard deviation, and the second threshold value is 2 times the back force standard deviation. However, in fact, the sensitivity can be adjusted according to actual needs. If the sensitivity is less than 1, the first threshold value and the second threshold value will become smaller, which means that it is easier to determine the state of high tension. On the contrary, if the sensitivity is greater than 1, the first threshold value and the second threshold value will become larger, indicating that it is difficult to determine the state of high tension.
When the judgment unit 50 determines that the front force signals S3, S4 are greater than the back force signals S1, S2, and the front force deviation is greater than the first threshold value and the back force deviation is greater than the second threshold value, as shown in
The above are the structural features of the muscle tone assessment device 10 of the present invention. The muscle tone assessment method of the present invention will be further described below, as shown in
L1 is the straight-line distance between the pivot axis of the lower support 24 (i.e. the second shaft P2) and the pivot axis of the cylinder 32 (i.e. the third shaft P3), L2 is the straight-line distance between the pivot axis of the lower support 24 (i.e. the second shaft P2) and the pivot axis of the piston rod 34 (i.e. the fourth shaft P4), L3 is the straight-line distance between the pivot axis of the cylinder 32 (i.e. the third shaft P3) and the pivot axis of the piston rod 34 (i.e. the fourth shaft P4), θ2 is the angle formed between A2 and L2, A2 is the axis passing through the pivot axis of the lower support 24 (i.e. the second shaft P2) and is perpendicular to the pedal 26, θ3 is the angle formed between A1 and L1, A1 is the axis passing through the fixed axis of the upper support 22 (i.e. the first shaft P1) and the pivot axis of the lower support 24 (i.e. the second shaft P2).
After obtaining the aforementioned angle θ1, wait for a period of time (about 30 seconds) from the judgment unit 50 to confirm whether the muscles of the lower leg 14 are released from the state of high tension. If the state of high tension is not released, it means that the lower leg 14 is abnormal. The operation must be stopped first, and the patient must be moved to a suitable place to confirm the physical condition. On the contrary, if the state of high tension has been released, according to the pivoting angle θ1 of the lower support 24, drive the foot 16 to the target angle gradually by increasing a specific angle (in this embodiment, the specific angle is 1 degree, but not limited to 1 degree in practice). Then, the foot 16 is driven to repeatedly perform plantar flexion and dorsiflexion movements by following the above steps. Until it is confirmed that the muscles of the lower leg 14 are not in the state of high tension during the plantar flexion and dorsiflexion movements of the foot 16 within the target angle, the foot 16 can then be moved back and forth within the target angle to complete the relief of muscle tension.
To sum up, the muscle tone assessment device 10 of the present invention depends on whether the front force deviation is greater than the first threshold value and whether the back force deviation is greater than the second threshold value to determine whether the muscles of the lower leg 14 are in the state of high tension. Once the state of high tension has occurred, the actuating unit stops driving the pedal to reduce the risk of injury. After the tension of the muscles of the lower leg 14 is relieved, the following gait training can be performed immediately. Therefore, there is no need to move the patient and spend extra effort by physical therapists or trainers to relieve the tension of the muscles of the lower leg 14 of the patient, so as to improve the training efficiency.