人体坐下站起过程中平衡功能评估及训练系统软件的设计与实现
|
摘要
本研究针对脑卒中偏瘫患者的平衡功能定量评估的需求,设计一种针对坐下站起过程中各阶段平衡功能评估及训练的系统软件,该软件配合坐位站起平衡功能训练仪使用。软件采用面向对象编程技术,应用VS2010(Microsoft Visual Studio2010)开发平台编写,可实时获得人体在坐下站起过程中的各评估参数,包括左右臀前后最大压力、左右足底平均压力、伸展期时间、伸展前期时间、左右侧最大和平均压力及站起时的最大加速度等。结合图形和数字实时显示及虚拟现实技术,对人体坐下站起的各阶段进行平衡功能评估和训练,通过视觉、听觉反馈,使训练更具趣味性。经过测试应用,结果表明,该系统软件运行稳定可靠,具有针对性的评估并结合实时可观测的压力曲线及大量的评估参数,可使评估结果更快速更有效。
Based on the quantitative evaluation needs of balance function of stroke patients with hemiplegia,this study designed a software system which focused on the evaluation and training of balance function during the process of human body standing up and sitting down,and it was used in conjunction with the standing-up and sitting-down balance function training instrument. The software system used object-oriented programming techniques and was programmed by using the VS2010(Microsoft Visual Studio 2010) development platform. With the help of the two techniques,the system was able to obtain real time evaluating parameters during the process of human body standing up and sitting down. Specifically,the parameters included the maximum pressure on both sides of the buttock,average pressure on pelma,time period prior to extension,time period of extension,maximum and average pressure on the left and right foot,and the maximum acceleration of standing up. Balance function of human body during the standing up and sitting down process was trained and evaluated by combining graphical and digital real time display and virtual reality technology,and the training became more interesting by providing visual and audio feedbacks. The results of the application tests demonstrated the stability and reliability of this software system. The targeted assessment,combined with the real-time observable pressure curve and a large number of evaluation parameters,can make the evaluation result more rapid and effective.
Based on the quantitative evaluation needs of balance function of stroke patients with hemiplegia,this study designed a software system which focused on the evaluation and training of balance function during the process of human body standing up and sitting down,and it was used in conjunction with the standing-up and sitting-down balance function training instrument. The software system used object-oriented programming techniques and was programmed by using the VS2010(Microsoft Visual Studio 2010) development platform. With the help of the two techniques,the system was able to obtain real time evaluating parameters during the process of human body standing up and sitting down. Specifically,the parameters included the maximum pressure on both sides of the buttock,average pressure on pelma,time period prior to extension,time period of extension,maximum and average pressure on the left and right foot,and the maximum acceleration of standing up. Balance function of human body during the standing up and sitting down process was trained and evaluated by combining graphical and digital real time display and virtual reality technology,and the training became more interesting by providing visual and audio feedbacks. The results of the application tests demonstrated the stability and reliability of this software system. The targeted assessment,combined with the real-time observable pressure curve and a large number of evaluation parameters,can make the evaluation result more rapid and effective.
引文
[1]王陇德,王金环,彭斌,等.中国脑卒中防治报告2016[J].中国脑血管病杂志,2017,14(4):217-224.DOI:10.3969/j.issn.1672-5921.2017.04.010.WANG Longde,WANG Jinhuan,PENG Bin,et al.Chinese stroke prevention and control report 2016[J].Chinese Journal of Cerebrovascular Diseases,2017,14(4):217-224.DOI:10.3969/j.issn.1672-5921.2017.04.010.
[2]WU X,ZHU B,FU L,et al.Prevalence,incidence,and mortality of stroke in the Chinese island populations:A systematic review[J].Plos One,2014,8(11):78629-78629.DOI:10.1371/journal.pone.0078629.
[3]YU L,DONG Q,SONG Y,et al.An updated definition of stroke for the 21st century:a statement for healthcare professionals from the American heart association/American stroke association[J].Stroke,2013,44(7):2064-2089.DOI:10.1161/STR.0b013e3181fcb238.
[4]BREWER L,HORGAN F,HICKEY A,et al.Stroke rehabilitation:recent advances and future therapies[J].Qjm Monthly Journal of the Association of Physicians,2013,106(1):11.DOI:10.1093/qjmed/hcs174.
[5]LANGHORNE P,BERNHARDT J,KWAKKEL G.Stroke rehabilitation[J].Journal of the Royal College of Physicians of London,2005,33(5):703-720.DOI:10.1016/S0140-6736(11)60325-5.
[6]STOLZE H,KLEBE S,ZECHLIN C,et al.Falls in frequent neurological diseases——Prevalence,risk factors and aetiology[J].Journal of Neurology,2004,251(1):79-84.DOI:10.1007/s00415-004-0276-8.
[7]王盛,杨菊,朱奕,等.平衡反馈训练仪用于脑损伤偏瘫患者静态平衡测试的信度与效度研究[J].中国康复医学杂志,2011,26(11):1035-1038.DOI:10.3969/j.issn.1001-1242.2011.11.010.WANG Sheng,YANG Ju,ZHU Yi,et al.Reliability and validity of static balance measures in hemiplegic patients using balance feedback training equipment[J].Chinese Journal of Rehabilitation Medicine,2011,26(11):1035-1038.DOI:10.3969/j.issn.1001-1242.2011.11.010.
[8]林源,钮美娥,王丽.脑卒中患者平衡功能评定方法的应用进展[J].中国康复理论与实践,2016,22(06):667-671.DOI:10.3969/j.issn.1006-9771.2016.06.009.LIN Yuan,NIU Mei’e,WANG Li.Advancement of balance function assessment for stroke patients(review)[J].Chinese Journal of Rehabilitation Theory and Practice,2016,22(06):667-671.DOI:10.3969/j.issn.1006-9771.2016.06.009.
[9]王益平,冯莉,戢美英,等.卒中单元的护理管理模式探讨[J].泸州医学院学报,2012,35(3):331-332.DOI:10.3969/j.issn.1000-2669.2012.03.031.WANG Yiping,FENG Li,JI Meiying,et al.Discussion on nursing management mode of stroke unit[J].Journal of Luzhou Medical College,2012,35(3):331-332.DOI:10.3969/j.issn.1000-2669.2012.03.031.
[10]黄萍,丁玲.中西医结合护理对脑卒中偏瘫患者恢复期康复效果评价[J].中医药导报,2014,(3):120-122.DOI:10.13862/j.cnki.cn43-1446/r.2014.03.053.HUANG Ping,DING Ling.Evaluation of the effect of integrated traditional chinese and western medicine on rehabilitation of stroke patients with hemiplegia[J].Guiding Journal of Traditional Chinese Medicine and Pharmacy,2014,(3):120-122.DOI:10.13862/j.cnki.cn43-1446/r.2014.03.053.
[11]都玉珍.三级康复护理训练对脑卒中偏瘫患者肢体功能及生活质量的影响[J].国际护理学杂志,2014,33(2):251-254.DOI:10.3760/cma.j.issn.1673-4351.2014.02.002.DU Yuzhen.Effect of three-grade rehabilitation nursing on the limb function and life quality in patients with hemiplegia after stroke[J].International Journal of Nursing,2014,33(2):251-254.DOI:10.3760/cma.j.issn.1673-4351.2014.02.002.
[12]王惠娟,张盛全,刘夏,等.动态平衡仪与Berg量表用于评定偏瘫患者平衡功能的相关性分析[J].中国康复医学杂志,2013,28(4):339-343.DOI:10.3969/j.issn.1001-1242.2013.04.013.WANG Huijuan,ZHANG Shengquan,LIU Xia,et al.Application of dynamic balance instrument and berg balance scale in assessing balance function of hemiplegic patients and analysis of its'correlation[J].Chinese Journal of Rehabilitation Medicine,2013,28(4):339-343.DOI:10.3969/j.issn.1001-1242.2013.04.013.
[13]齐素兰,邓祖丽蕊.动态姿态平衡仪训练对脑卒中患者平衡功能、肢体功能及血清学指标的影响[J].中国现代医学杂志,2015,25(16):104-107.DOI:10.3969/j.issn.1005-8982.2015.16.024.QI Sulan,DENG Zulirui.Effect of dynamic postural balance training on balance function,limb function and serological indicator of stroke patients[J].China Journal of Modern Medicine,2015,25(16):104-107.DOI:10.3969/j.issn.1005-8982.2015.16.024.
[14]张萍,杨宇.脑卒中患者平衡功能评定和康复训练研究进展[J].中国康复,2016,31(6):469-472.DOI:10.3870/zgkf.2016.06.021.ZHANG Ping,YANG Yu.Research progress on balanced function evaluation and rehabilitation training in stroke patients[J].Chinese Journal of Rehabilitation,2016,31(6):469-472.2016(06).DOI:10.3870/zgkf.2016.06.021.
[15]胡晓辉,徐秀林,朱政康,等.坐下-站立功能测试训练系统数据采集与无线通讯模块的开发[J].中国康复医学杂志,2012,27(10):934-937.DOI:10.3969/j.issn.1001-1242.2012.10.010.HU Xiaohui,XU Xiulin,ZHU Zhengkang,et al.The development of data collection and wireless communication of the sit-to-stand function measurement system[J].Chinese Journal of Rehabilitation Medicine,2012,27(10):934-937.DOI:10.3969/j.issn.1001-1242.2012.10.010.
[16]安美君,胡秀枋,刘颖,等.人体平衡功能测试评估和训练系统软件的设计[J].中国医学物理学杂志,2011,3(28):2550-2557.DOI:10.3969/j.issn.1005-202X.2011.02.024.AN Meijun,HU Xiufang,LIU yin,et al.Development of software for human body balance test and training[J].Chinese Journal of Medical Physics,2011,3(28):2550-2557.DOI:10.3969/j.issn.1005-202X.2011.02.024.
[2]WU X,ZHU B,FU L,et al.Prevalence,incidence,and mortality of stroke in the Chinese island populations:A systematic review[J].Plos One,2014,8(11):78629-78629.DOI:10.1371/journal.pone.0078629.
[3]YU L,DONG Q,SONG Y,et al.An updated definition of stroke for the 21st century:a statement for healthcare professionals from the American heart association/American stroke association[J].Stroke,2013,44(7):2064-2089.DOI:10.1161/STR.0b013e3181fcb238.
[4]BREWER L,HORGAN F,HICKEY A,et al.Stroke rehabilitation:recent advances and future therapies[J].Qjm Monthly Journal of the Association of Physicians,2013,106(1):11.DOI:10.1093/qjmed/hcs174.
[5]LANGHORNE P,BERNHARDT J,KWAKKEL G.Stroke rehabilitation[J].Journal of the Royal College of Physicians of London,2005,33(5):703-720.DOI:10.1016/S0140-6736(11)60325-5.
[6]STOLZE H,KLEBE S,ZECHLIN C,et al.Falls in frequent neurological diseases——Prevalence,risk factors and aetiology[J].Journal of Neurology,2004,251(1):79-84.DOI:10.1007/s00415-004-0276-8.
[7]王盛,杨菊,朱奕,等.平衡反馈训练仪用于脑损伤偏瘫患者静态平衡测试的信度与效度研究[J].中国康复医学杂志,2011,26(11):1035-1038.DOI:10.3969/j.issn.1001-1242.2011.11.010.WANG Sheng,YANG Ju,ZHU Yi,et al.Reliability and validity of static balance measures in hemiplegic patients using balance feedback training equipment[J].Chinese Journal of Rehabilitation Medicine,2011,26(11):1035-1038.DOI:10.3969/j.issn.1001-1242.2011.11.010.
[8]林源,钮美娥,王丽.脑卒中患者平衡功能评定方法的应用进展[J].中国康复理论与实践,2016,22(06):667-671.DOI:10.3969/j.issn.1006-9771.2016.06.009.LIN Yuan,NIU Mei’e,WANG Li.Advancement of balance function assessment for stroke patients(review)[J].Chinese Journal of Rehabilitation Theory and Practice,2016,22(06):667-671.DOI:10.3969/j.issn.1006-9771.2016.06.009.
[9]王益平,冯莉,戢美英,等.卒中单元的护理管理模式探讨[J].泸州医学院学报,2012,35(3):331-332.DOI:10.3969/j.issn.1000-2669.2012.03.031.WANG Yiping,FENG Li,JI Meiying,et al.Discussion on nursing management mode of stroke unit[J].Journal of Luzhou Medical College,2012,35(3):331-332.DOI:10.3969/j.issn.1000-2669.2012.03.031.
[10]黄萍,丁玲.中西医结合护理对脑卒中偏瘫患者恢复期康复效果评价[J].中医药导报,2014,(3):120-122.DOI:10.13862/j.cnki.cn43-1446/r.2014.03.053.HUANG Ping,DING Ling.Evaluation of the effect of integrated traditional chinese and western medicine on rehabilitation of stroke patients with hemiplegia[J].Guiding Journal of Traditional Chinese Medicine and Pharmacy,2014,(3):120-122.DOI:10.13862/j.cnki.cn43-1446/r.2014.03.053.
[11]都玉珍.三级康复护理训练对脑卒中偏瘫患者肢体功能及生活质量的影响[J].国际护理学杂志,2014,33(2):251-254.DOI:10.3760/cma.j.issn.1673-4351.2014.02.002.DU Yuzhen.Effect of three-grade rehabilitation nursing on the limb function and life quality in patients with hemiplegia after stroke[J].International Journal of Nursing,2014,33(2):251-254.DOI:10.3760/cma.j.issn.1673-4351.2014.02.002.
[12]王惠娟,张盛全,刘夏,等.动态平衡仪与Berg量表用于评定偏瘫患者平衡功能的相关性分析[J].中国康复医学杂志,2013,28(4):339-343.DOI:10.3969/j.issn.1001-1242.2013.04.013.WANG Huijuan,ZHANG Shengquan,LIU Xia,et al.Application of dynamic balance instrument and berg balance scale in assessing balance function of hemiplegic patients and analysis of its'correlation[J].Chinese Journal of Rehabilitation Medicine,2013,28(4):339-343.DOI:10.3969/j.issn.1001-1242.2013.04.013.
[13]齐素兰,邓祖丽蕊.动态姿态平衡仪训练对脑卒中患者平衡功能、肢体功能及血清学指标的影响[J].中国现代医学杂志,2015,25(16):104-107.DOI:10.3969/j.issn.1005-8982.2015.16.024.QI Sulan,DENG Zulirui.Effect of dynamic postural balance training on balance function,limb function and serological indicator of stroke patients[J].China Journal of Modern Medicine,2015,25(16):104-107.DOI:10.3969/j.issn.1005-8982.2015.16.024.
[14]张萍,杨宇.脑卒中患者平衡功能评定和康复训练研究进展[J].中国康复,2016,31(6):469-472.DOI:10.3870/zgkf.2016.06.021.ZHANG Ping,YANG Yu.Research progress on balanced function evaluation and rehabilitation training in stroke patients[J].Chinese Journal of Rehabilitation,2016,31(6):469-472.2016(06).DOI:10.3870/zgkf.2016.06.021.
[15]胡晓辉,徐秀林,朱政康,等.坐下-站立功能测试训练系统数据采集与无线通讯模块的开发[J].中国康复医学杂志,2012,27(10):934-937.DOI:10.3969/j.issn.1001-1242.2012.10.010.HU Xiaohui,XU Xiulin,ZHU Zhengkang,et al.The development of data collection and wireless communication of the sit-to-stand function measurement system[J].Chinese Journal of Rehabilitation Medicine,2012,27(10):934-937.DOI:10.3969/j.issn.1001-1242.2012.10.010.
[16]安美君,胡秀枋,刘颖,等.人体平衡功能测试评估和训练系统软件的设计[J].中国医学物理学杂志,2011,3(28):2550-2557.DOI:10.3969/j.issn.1005-202X.2011.02.024.AN Meijun,HU Xiufang,LIU yin,et al.Development of software for human body balance test and training[J].Chinese Journal of Medical Physics,2011,3(28):2550-2557.DOI:10.3969/j.issn.1005-202X.2011.02.024.