NL1012018C2 - Computer controlled system for registering mobility data for individual patients and producing individual and group reports - Google Patents

Abstract

The patient is asked to carry out exercises which test his muscles and joints, such as sitting, walking, lifting, etc. Data on the exercises is input to the system via a keyboard (1) and an electronic camera (12). Reports are generated from encoded mobility data (9), photographs (13) and information from a read-only database (8). Reports can be for individuals (16) or can be spreadsheet analysis (17) for groups.

Description

System of Movement Registration Application (B.R.A.) for registering, analyzing and reporting human movement behavior

Field of the invention The invention relates to an instrument with which a structural individual approach can be generated to complaints as a result of incorrect use of the support and musculoskeletal system.

State of the art 10 The assembly of bones, joints and muscles with which the joints can be mutually moved is generally referred to as the support and movement apparatus, usually abbreviated as s.b.a. Disorders of this s.b.a. generally lead to a long-term disease process, especially since many of these disorders are chronic in nature and recurrences are frequent.

Applicants have come to the understanding that the current strategies and the accompanying instruments to curate and prevent disorders of the s.b.a. to focus unilaterally on external factors that lie in working conditions. Moreover, the instruments are, without exception, based on average values. A broader perspective is needed to be able to develop an accurate preventive and curative strategy. In order to formulate a problem definition that takes into account all influencing factors, applicants have broadened working conditions to environmental factors as only one of the parameters of individual movement behavior. If all parameters of the movement behavior are discounted and related to each other in the problem definition, a thorough observation and analysis of the movement behavior per individual is required. Until now, such a systematic analysis has been lacking. As a reason for this, one can point to the fact that such observations and analyzes are costly and labor-intensive and also presuppose cooperation between various disciplines. This cooperation encounters coordination problems due to differences in focus, competences and privacy legislation. The main reason, however, lies in the fact that no suitable instrument is available to carry out such observation and analysis.

Applicants have established the following basic principles for the development of such an instrument T012018 2: a) disorders of the support and musculoskeletal system are mainly caused by sub-optimal movement behavior b) movement behavior is influenced by three objectively recorded parameters: 1 the physique 2. the typical control of the movement behavior 3. the movement compulsion in the environment c) the hereditary and psychological parameters of the movement behavior are left out of the registration because they are not used in an objective, reliable and valid manner with the instrument to be developed can be measured d) to generate a surefire strategy for prevention and cure of sba diseases an individual approach is needed e) the start of prevention and curation lies in individual physical awareness 15 which forms the basis for a learning process to improve movement behavior.

Object of the invention.

Applicants have now set themselves the objective of providing a system with which individual observation, analysis and reporting of human movement behavior and the associated parameters can be carried out in an objective, valid, fast and reproducible (reliable) manner and in which the skills of various disciplines can be performed. integrated, so that the above-mentioned problems of cooperation and coordination have been eliminated.

Brief description of the invention.

In accordance with this objective, the invention provides a system for recording, analyzing and reporting the individual observations of human movement behavior. To this end, the system is provided with: a) means for recording the observation data relating to the movement behavior and the associated parameters: 1. the physique 2. the typical control of the movement behavior 3. the movement force in the environment.

1012018 3 b) means for analyzing the movement behavior per individual for any activity such as walking, sitting, standing, lifting, etc.

c) means for reporting the observed movement behavior.

5 Ad a) Exercise is a series of changes in the positions of the joints controlled by the muscles. From relevant literature, belonging to the prior art, a standard can be derived per activity for the optimal use of the s.b.a., which manifests itself in symmetrical movement behavior. An individual who behaves entirely in accordance with this standard and who only performs movements 10 that fit within the standard for the relevant activity, makes optimal use of the s.b.a. and will generally not develop complaints. Complaints from the s.b.a. created by an asymmetrical movement behavior. The degree of asymmetry is determined in detail during observation by comparing the position of the individual joints with the standard.

15 In order to record and analyze the total movement behavior, the movement behavior must be recorded for various activities such as standing, walking, sitting, bending over, lifting, etc. As indicated, an optimal situation can be established that can serve as standard. for typing the actual movement behavior during the activity in question.

20 The symmetry of the movement behavior can vary under the influence of the parameters For example:

Ad. al) Someone with a different physique from the standard, for example a strengthening of the natural curves in the back, a leg length difference or a worn hip, cannot naturally meet the standard.

25 Ad. a2) In the typical control of the movement behavior, one should think of all kinds of ingrained and unconscious or symmetrical patterns that lie under the largely automated control process.

Ad. a3) All kinds of external factors can influence movement behavior. Often these factors are related to the circumstances under which the individual concerned lives, works and recreates. An example in the working environment is office staff, who use incorrectly sized furniture, incorrectly positioned screens and keyboards, and the like while working. In the living environment, for example, an incorrect attitude can be pointed out when washing dishes, caused by, for example, a too low countertop. In the recreational sphere, attention can be drawn to, for example, the consequences of practicing an asymmetrical sport such as hockey, which in combination with reinforced curvatures in the back can lead to complaints.

The system according to the invention now makes it possible on the one hand to record and record deviations from the standard and on the other hand to record which parameters play a role in this.

Ad b) In order to enable the analysis of the stored data with regard to the movement behavior, the system is provided with a fixed database 10 of sufficient size. This permanent database contains per activity an overview of all possible movement profiles in both the sagital, frontal and transverse planes. These motion profiles are preferably stored in coded form, such that a code is included per code on which, per activity, in addition to the graphically displayed standard, the movement behavior associated with the motion profile is graphically displayed in the relevant plane. In addition, a textual explanation is given per page. The detected motion profiles can be easily coded by comparison with the saved profiles in the entire collection.

In fact, an analysis is given per page of one of the possible movement profiles with which any three-dimensional movement behavior per activity can be compiled.

Re c) In order to facilitate the preparation of a number of individual reports, it is preferred that the system is provided with a report generator. Preferably, the photos of the individual movement behavior per activity per plane are placed in the correct place in the selected pages next to the graphical representation of the actual movement behavior and the standard for the movement behavior. In addition, aggregated project data can be graphed using the report generator and a spreadsheet for reporting to the client.

30 Designation of the figures.

The invention will be discussed in further detail below with reference to the accompanying figures.

Figure 1 shows the schematic embodiment of the system according to the invention.

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Figure 2 shows a possible configuration of the memory structure 6 which is representative of the memories within the system.

Figure 3 shows an example of a page compiled by the report generator.

5

Detailed description of the figure.

Figure 1, schematic embodiment

Figure 1 generally shows a schematic embodiment of the system according to the invention. The system includes both hardware and software such that the desired functions can be performed. The necessary data are entered in preparation for the registration via suitable input means 1 in the form of a keyboard, a mouse or the like. Project data 2 regarding the organization, the functions, the activities per function, the distribution and frequency of the activities per function and the personal data can be entered. With the expand function 3, this data can be linked to the following system memories 4: joints, range of motion per joint, parameters of physique, steering and force of movement, activities, standard per activity, movement variants per activity, coded movement profiles, photo overview and possibly the protractor to show the position of the joints in degrees.

The device further comprises means 5 for registering the individual movement behavior and the associated parameters in comparison with the standard, which is based on an optimal movement behavior per activity.

The device is further provided with a unit 6 with which possible movement profiles per activity in the sagital, frontal and transverse plane are displayed in a list.

In order to check the completeness and accuracy of the registration, the system is provided with a registration memory 7 with which it can be checked whether the registration has been completely carried out on the following points: • the movement behavior of all persons has been registered 30 · all activities have been registered per person • have the necessary photos been taken? • have all suspicions regarding physique been converted into conclusions?

The registered profiles are then coded per area with memory 9 in order to retrieve the corresponding coded pages from the fixed database 8. The dotted line from entry 1 to database 8 indicates that the database can be expanded if an as yet unanalysed motion profile is detected.

The device transfers the overview of the selected pages 11 to the report generator 14 and thereby gives an overview of the photos associated with these pages from memory 10. The photos are registered in a memory 10. It will be clear that in this application a digital camera 12 is preferred. In all cases, the photos are stored in memory 10 so that they can be retrieved per individual and per activity.

10 The report generator 14 compiles a report per individual with a number of pages in which the determined physique, the detected movement behavior per activity and the detected movement compulsion are presented in a graphic manner with photos and text. The comparison of the photos with the graphical representation per page and the comparison of the photos in the total report provide a double check on the correct composition of the individual report.

The generator compiles a readable and self-explanatory report for the average individual that is printed out or made visible in any other suitable way, registered, transferred via communication links to elsewhere, etc. The result is that the individual in question receives a clear and comprehensible report for every layperson, which on the one hand shows where his movement behavior deviates from the standard and also indicates what this deviation may possibly have for complaints.

In the manner indicated above, the system according to the invention can be used to provide individual reports for several individuals about his or her movement behavior.

If these multiple individuals all have a common characteristic, for example they all work for the same company, if they perform similar activities, if they all have the same hobby, if they all practice the same sport, then statistical data determined for all individuals 30 draws are made.

The report generator 14 can transport the aggregated data to a spreadsheet 15 with which graphs for the report for the client can be compiled.

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The data stored in unit 14 can also be transferred elsewhere and further processed.

Figure 2, configuration 5 The movement behavior for a certain activity can be registered by linking the relevant joint to the possibility of movement of the joint, the place where the movement takes place (left, right or both / central) and the parameter (construction, steering , coercion).

As shown schematically in Figure 2, the memory 6 can be regarded as a card box in which a number of cards is present per individual, one for each activity to be distinguished. In the figure, the maps are (partially) visible for activities 1, 2 and 3.

Each activity involves a number of joints, which are indicated in the left vertical column, and a distinction is made between a number of movement options per joint. For each combination of joint / movement option, you can choose between three options left, both / central or right. For each localized registration, it is finally indicated which of the parameters physique (B), control (S) or compulsion to move (D) determined the movement behavior. If all combinations of joint and mobility have been assessed for all activities by entering a parameter in cells L, B / C or R, then the actual movement behavior of an individual is registered. The memory means in the system are all designed in more or less the same way as the memory means 6, in other words the memory means can be regarded as a card tray in the same manner as illustrated in figure 2.

25

Figure 3, presentation

After a general introduction, the individual physique and compulsion to move are explained in the individual report. Then the movement behavior per activity is presented. The observed movement behavior can be displayed in one, two or 30 three planes. In this example, there are two planes that are required to represent the seating behavior.

101 2018 8

The way in which each plane is presented has already been taken into account when photographing. The behavior in the frontal plane can be seen on the back, the saggital plane on the side and the transverse plane on the front, side or top. In addition to the photo of the movement behavior in a certain plane, the current movement behavior and the movement behavior according to the standard are graphically displayed.

In the graphic presentations, the muscles are preferably colored. The colors stand for: unloaded gray, responsibly taxed pink, overloaded red and extra taxed purple. The places where complaints can be expected are indicated with yellow red-rimmed stars. The spine is colored green. These colors have been replaced by shades of gray in figure 3.

In the text that follows it is explained: • where the actual differences between the observed movement behavior and the standard movement behavior can be pointed out • which complaints can or will arise from this movement behavior 15 · goals for the individual learning process to improve the learning weighting behavior.

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Claims (11)

1. System for recording, analyzing and reporting the movement behavior of a human individual during various predetermined activities, such as sitting, walking, etc., which system comprises: a) means (6) for registering movement profiles per activity, namely the mutual position (s) of the joints of the individual concerned during the above-mentioned various predetermined activities b) means (8) for registering all conceivable movement profiles 10 for each of the activities concerned, together with accompanying information c) means (9) for determining per activity that movement profile in the means mentioned under b), which corresponds to the movement profile registered in the means mentioned under a) in order to obtain the accompanying information, d) means ( 14) for presenting in a suitable form the recorded exercise behavior with the accompanying information. System according to claim 1, characterized in that means are present. which, if no corresponding profile is found for the registered movement profile in the means mentioned under b), add the registered profile to the data in the means mentioned under b). System according to claim 1 or 2, characterized in that the means mentioned under a) are designed as memory means divided into memory areas, one for each activity, with per activity for each joint involved in the activity and a parameter is stored in the respective memory area for each movement option that can carry out the respective weight. System according to claim 3, characterized in that for every possible combination of joint and movement possibility, for which a parameter has been determined, it is also determined whether this parameter is caused by physique, by compulsion to move as a result of external influences, or by typical control of movement behavior. 1012018 System according to claim 1 or 2, characterized in that the means mentioned under b) are designed as memory means divided into memory areas, one for each activity, each activity for each joint that may be involved in the activity, and for each movement possibility that the relevant weight can carry out, a parameter is set which represents the respective movement behavior. System according to claim 5, characterized in that code-forming means (9) are present, with which a unique code corresponding to the code of the corresponding profile is added to each movement profile recorded in the means mentioned in c). b) said means. System according to any one of the preceding claims, characterized in that informative data is added to each movement profile in the means referred to under b), at least comprising textual information regarding complaints that may already exist or may be possible in the future. and musculoskeletal system (sba). System according to claim 7, characterized in that said informative data comprise at least graphical information with which the movement behavior of the individual is schematically presented. System according to any one of the preceding claims, characterized in that the system is provided with e) a photo camera (12) intended for taking one or more photos of the individual during certain activities, and means (10) for storing the photos taken in combination with data with which the individual can be identified in the photos System according to any one of claims 6-9, characterized in that the system further comprises a report generator (14), by means of which data comes from the means (8) for the informative data and / or from the means (10) for storing the photos are processed in a report. 101 2018 Database obtained with the aid of a system according to any one of the preceding claims, in particular according to claim 2. 5 1012018