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CN201270095Y - Massage manipulation training system - Google Patents

Massage manipulation training system Download PDF

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Publication number
CN201270095Y
CN201270095Y CNU2008201320647U CN200820132064U CN201270095Y CN 201270095 Y CN201270095 Y CN 201270095Y CN U2008201320647 U CNU2008201320647 U CN U2008201320647U CN 200820132064 U CN200820132064 U CN 200820132064U CN 201270095 Y CN201270095 Y CN 201270095Y
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massage
pressure
manipulation
training
expert
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张军
胡磊
韩磊
匡绍龙
宋铁兵
于兵
王芃
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WANGJING HOSPITAL OF CHINA ACADEMY OF CHINESE MEDICAL SCIENCES
Beihang University
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Beihang University
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Abstract

一种推拿手法培训系统,该系统运用推拿手法的压力采集装置采集测量专家在临床上规范化手法操作的动力学信息,利用计算机技术将采集的数据可视化,直观、定量地反映推拿手法变化及操作全过程,建立专家推拿手法标准操作数据库,并以此为标准培训指导学员的手法操作训练,学员在实施推拿手法时能够直观地观察专家手法的变化,实时调整自己手法作用力的大小、频率等,做到与专家手法操作基本一致,以达到临床培训的要求和效果。

Figure 200820132064

A massage manipulation training system, the system uses the pressure acquisition device of the massage manipulation to collect the dynamic information of the standardized manipulation performed by measurement experts in clinic, uses computer technology to visualize the collected data, and intuitively and quantitatively reflects the change of the massage manipulation and the overall operation During the process, a standard operation database of expert massage techniques is established, and this is used as a standard to train and guide the trainees' manipulation training. When implementing massage techniques, students can intuitively observe the changes of expert manipulations and adjust the force and frequency of their own manipulations in real time. It should be basically consistent with the operation of experts to meet the requirements and effects of clinical training.

Figure 200820132064

Description

一种推拿手法培训系统 A massage training system

技术领域 technical field

本实用新型涉及一种中医推拿手法的培训系统,特别是涉及治疗颈椎病、腰椎病等推拿手法的培训系统。The utility model relates to a training system for massage techniques of traditional Chinese medicine, in particular to a training system for massage techniques for treating cervical spondylosis and lumbar spondylosis.

背景技术 Background technique

中医推拿手法是祖国医学特色治疗技术之一,在骨伤科领域中的应用深受广大医生和患者的欢迎。颈、腰椎推拿手法是颈椎病、腰椎病非手术治疗中重要而有效的方法。TCM massage technique is one of the characteristic treatment techniques of Chinese medicine, and its application in the field of orthopedics and traumatology is welcomed by doctors and patients. Cervical and lumbar spine manipulation is an important and effective method in the non-surgical treatment of cervical and lumbar spondylosis.

长期以来,著名中医骨伤专家丰富的手法临证经验多以师传口授的形式得以延续,而缺乏对骨伤专家手法操作直观、定量的研究,不能将这些宝贵经验客观地保存下来,使后学者学有所宗。因此成长为一个优秀中医推拿医生仍需要大量临床经验的积累,所需时间过长,无法满足现阶段患者对中医推拿手法的需求。临床上迫切需要一种中医推拿手法的培训系统,能够根据专家的手法操作,客观、定量地指导临床医生规范手法操作。For a long time, the rich clinical experience of orthopedics and traumatology experts in traditional Chinese medicine has been continued in the form of oral instruction from teachers, but there is a lack of intuitive and quantitative research on the manipulations of orthopedics experts. Scholars learn something. Therefore, it still requires a lot of clinical experience to grow into an excellent TCM massage doctor, and the time required is too long to meet the current needs of patients for TCM massage techniques. Clinically, there is an urgent need for a training system for TCM massage techniques, which can objectively and quantitatively guide clinicians to standardize manipulations based on expert manipulations.

近年来,在本领域中已有适合在课堂教学上推广应用的“中医推拿传统手法技能智能教学测评系统”,该系统通过一种推拿手法力学测试仪器采集专家手法力学数据,经筛选后,建立滚法等手法的动力学技术标准,并使用计算机测评软件完成对学生手法动力学的评估,帮助提高学生的手法技能。In recent years, there has been an "Intelligent Teaching and Evaluation System for Traditional Chinese Medicine Tuina Skills Skills Evaluation System" suitable for classroom teaching in this field. Kinetic technical standards of techniques such as rolling method, and use computer evaluation software to complete the evaluation of students' technique dynamics to help improve students' technique skills.

然而该测评系统,不适合用来培训临床医生,因为它不能反映专家在临床推拿过程中手法的变化,无法探究手法临证的经验,而且在推拿手法力学测试仪器上进行手法操作,与临床操作仍有很大的差别。However, this evaluation system is not suitable for training clinicians, because it cannot reflect the changes of experts' manipulations in the clinical massage process, and cannot explore the clinical experience of manipulations. There are still big differences.

因此,借助计算机技术、力学技术等现代技术手段直观、定量反映推拿手法在临床上的操作过程,认识推拿手法特征,再现专家手法的变化,帮助临床医生掌握推拿手法操作技能特点,迅速提高手法的技能水平和效果,缩短成才之路,已是中医推拿手法临床培训中急待解决的现实问题。Therefore, with the help of computer technology, mechanical technology and other modern technical means, it can intuitively and quantitatively reflect the clinical operation process of massage manipulation, understand the characteristics of massage manipulation, reproduce the changes of expert manipulation, help clinicians master the characteristics of manipulation skills of massage manipulation, and quickly improve the accuracy of manipulation. The level of skill and effect, shortening the road to success, has become a realistic problem to be solved urgently in the clinical training of TCM massage techniques.

有鉴于此,本实用新型研制开发出一种测定、描述、评价推拿手法操作技术的培训系统,达到了临床培训的目的和良好的效果。In view of this, the utility model develops a training system for measuring, describing, and evaluating manipulation techniques of massage manipulations, which achieves the purpose of clinical training and good results.

发明内容 Contents of the invention

本实用新型提出了一种推拿手法培训系统,该系统运用颈椎、腰椎推拿手法的压力采集装置测量专家在临床上规范化手法操作的动力学信息,利用计算机技术直观、定量地反映推拿手法操作全过程,将采集的数据可视化,再现专家在操作过程中推拿手法的变化,建立专家推拿手法标准操作数据库,并以此为标准,培训指导学员的手法操作训练,临床医生在实施推拿手法时能够直观观察专家手法的变化,实时调整自己手法作用力的大小、频率等,做到与专家手法基本一致,以达到临床培训的要求。The utility model proposes a massage technique training system. The system uses the pressure acquisition device of the cervical and lumbar spine massage techniques to measure the dynamic information of the expert's standardized manipulation in clinical practice, and uses computer technology to intuitively and quantitatively reflect the whole process of the massage manipulation. , to visualize the collected data, to reproduce the changes of the expert's massage technique during the operation, to establish a database of expert massage technique standard operation, and to use this as a standard to train and guide the trainees in the manipulation training, and the clinician can visually observe when implementing the massage technique Changes in the expert's technique, real-time adjustment of the size and frequency of the force of the own technique, so as to be basically consistent with the expert's technique, so as to meet the requirements of clinical training.

本实用新型的推拿手法培训系统,包括有:The massage technique training system of the utility model includes:

推拿压力采集装置,所述推拿压力采集装置上固定安装有压力传感器及其连接线,通过所述推拿压力采集装置采集推拿手法操作过程中的压力变化和信号特征信息;A massage pressure acquisition device, a pressure sensor and its connecting wires are fixedly installed on the massage pressure acquisition device, and pressure changes and signal characteristic information during the massage manipulation operation process are collected by the massage pressure acquisition device;

压力转换装置,所述压力传感器通过其连接线与所述压力转换装置相连,该压力转换装置将所述压力传感器采集的压力信号转换为电信号;A pressure conversion device, the pressure sensor is connected to the pressure conversion device through its connection line, and the pressure conversion device converts the pressure signal collected by the pressure sensor into an electrical signal;

装有培训测评软件系统的计算机,所述压力转换装置通过数据线与所述计算机连接,将转换的电信号数据传输到所述培训测评软件系统中,输入的培训人员手法的数据以实时记录的波形图的形式显示在系统的界面中,所述培训测评软件系统包括有专家推拿手法标准操作数据库,其中的专家手法数据以标准波形图的形式显示。A computer equipped with a training evaluation software system, the pressure conversion device is connected to the computer through a data line, and the converted electrical signal data is transmitted to the training evaluation software system, and the input data of the trainer's technique is recorded in real time. The wave form is displayed on the system interface, and the training evaluation software system includes a database of expert massage manipulation standard operations, in which the expert manipulation data is displayed in the form of a standard wave form.

所述推拿压力采集装置为手套,所述压力传感器包括指压力传感器和掌压力传感器,所述指压力传感器固定在手套的指尖部,所述掌压力传感器固定在手套的掌根部。The massage pressure acquisition device is a glove, and the pressure sensor includes a finger pressure sensor and a palm pressure sensor, the finger pressure sensor is fixed on the fingertip of the glove, and the palm pressure sensor is fixed on the heel of the glove.

所述推拿压力采集装置为肘套,所述压力传感器的固定位置与手法的施力部位相对应。The massage pressure collection device is an elbow cuff, and the fixed position of the pressure sensor corresponds to the force application part of the manipulation.

所述推拿手法培训系统,还包括有与所述压力转换装置相连的疼痛报警装置。The massage manipulation training system also includes a pain alarm device connected with the pressure conversion device.

本实用新型的有益效果是:实时采集在临床操作推拿手法时作用力的大小,提取手法操作的压力特征信息,通过培训测评软件系统将采集的数据可视化,并建立专家推拿手法标准操作数据库,为临床推拿医生提供客观的、可视化的力学波形图进行推拿手法的学习和训练,使临床医生做到与专家手法基本一致,达到了临床培训的要求和效果。The beneficial effects of the utility model are: real-time collection of the magnitude of the force during the clinical operation of massage manipulations, extraction of pressure characteristic information of manipulation manipulations, visualization of the collected data through the training and evaluation software system, and establishment of an expert massage manipulation standard operation database, for Clinical massage doctors provide objective and visualized mechanical waveforms for learning and training of massage techniques, so that clinicians can basically agree with expert techniques and meet the requirements and effects of clinical training.

附图说明 Description of drawings

图1为本实用新型推拿手法培训系统硬件的立体示意图;Fig. 1 is the three-dimensional schematic diagram of the hardware of the massage manipulation training system of the present invention;

图2为本实用新型推拿手法培训系统的连接结构示意图;Fig. 2 is a schematic diagram of the connection structure of the massage manipulation training system of the present invention;

图3为本实用新型推拿压力采集装置的一个实施例手套的结构示意图;Fig. 3 is a structural schematic diagram of a glove of an embodiment of the massage pressure acquisition device of the present invention;

图4为本实用新型推拿压力采集装置的另一个实施例肘套的结构示意图;Fig. 4 is a structural schematic diagram of another embodiment of the elbow sleeve of the massage pressure acquisition device of the present invention;

图5为本实用新型培训测评软件系统的结构示意图;Fig. 5 is the structural representation of the utility model training evaluation software system;

图6为本实用新型培训测评软件系统建立专家手法标准操作数据库的操作流程示意图;Fig. 6 is the schematic diagram of the operation process of setting up the expert technique standard operation database for the training evaluation software system of the present utility model;

图7为本实用新型培训测评软件系统采集的手法力学数据波形图;Fig. 7 is the waveform diagram of the technique data collected by the training evaluation software system of the utility model;

图8为本实用新型培训测评软件系统的培训操作流程示意图。Fig. 8 is a schematic diagram of the training operation flow of the training evaluation software system of the present invention.

具体实施方式 Detailed ways

下面参照附图详细说明本实用新型推拿手法培训系统的具体实施方式,特别是以腰椎手法为例。The specific implementation of the massage manipulation training system of the present invention will be described in detail below with reference to the accompanying drawings, especially taking the lumbar spine manipulation as an example.

参见图1和图2,本实用新型的推拿手法培训系统主要包括有:推拿压力采集装置1和2;固定安装在该压力采集装置上的压力传感器3及引出的连接线,压力传感器3的连接线与压力转换装置4相连。压力转换装置4上设有用于连接电源、压力传感器3、计算机6和疼痛报警装置按钮7的插口。压力转换装置4将压力传感器3所采集的压力信号转换为电信号,并通过数据线5与计算机6相连,将转换输出的电信号数据传输到计算机6中。Referring to Fig. 1 and Fig. 2, the massage technique training system of the present utility model mainly comprises: massage pressure acquisition device 1 and 2; The line is connected with the pressure conversion device 4. The pressure conversion device 4 is provided with a socket for connecting a power supply, a pressure sensor 3 , a computer 6 and a pain alarm device button 7 . The pressure conversion device 4 converts the pressure signal collected by the pressure sensor 3 into an electrical signal, and is connected to the computer 6 through the data line 5 , and transmits the converted electrical signal data to the computer 6 .

针对腰椎手法的培训,本实用新型的推拿手法培训系统可以采集和分析实际做指揉法、掌压法、侧卧旋扳法等推拿手法操作过程中指端部、掌根部或者肘部的压力信息。For the training of lumbar manipulations, the massage manipulation training system of the utility model can collect and analyze the pressure information of finger tips, palm bases or elbows during the actual massage manipulations such as finger kneading, palm pressing, and side-lying rolling. .

参见图3,所述推拿压力采集装置的一种实施方式为手套1,压力传感器3分为指压力传感器和掌压力传感器,分别固定在手套1内侧的手指端部和掌根部。另外,压力采集装置也可以是手指套形式,将压力采集传感器3固定在手指套上,例如缝制在用布制做的手指套上。进行手法操作时,先将手指套套在大拇指(也可以是其它参与手法的手指)的指端部,然后将医用手套戴在手上,这样在操作时压力传感器3的位置相对比较固定。Referring to FIG. 3 , one embodiment of the massage pressure collection device is a glove 1 , and the pressure sensor 3 is divided into a finger pressure sensor and a palm pressure sensor, which are respectively fixed at the end of the finger and the heel of the palm inside the glove 1 . In addition, the pressure acquisition device can also be in the form of a finger cot, and the pressure acquisition sensor 3 is fixed on the finger cot, for example, sewn on the finger cot made of cloth. When performing the manual operation, first put the finger cover on the finger end of the thumb (also can be other fingers participating in the manual), and then put the medical gloves on the hand, so that the position of the pressure sensor 3 is relatively fixed during operation.

参见图4,所述推拿压力采集装置的另一种实施方式为肘套2,将压力传感器3(旋扳力传感器)固定在肘套2内侧上。进行手法操作时,将肘套2套在术者的肘关节上,压力传感器3的固定位置与手法的施力部位相对应。Referring to FIG. 4 , another embodiment of the massage pressure acquisition device is an elbow sleeve 2 , and a pressure sensor 3 (rotation force sensor) is fixed on the inner side of the elbow sleeve 2 . During the manipulation operation, the elbow cuff 2 is put on the elbow joint of the operator, and the fixed position of the pressure sensor 3 corresponds to the force application part of the manipulation.

本实用新型的计算机中装有记录、分析、评价力学数据的培训测评软件系统,其结构如图5所示。该系统主要分为四部分,各部分的界面功能为:系统的受试者信息管理功能,专家手法标准操作数据库的建立和管理功能,培训人员手法动力学数据的采集和分析功能,以及培训人员推拿手法操作训练及培训效果评估功能。下面结合附图具体描述本实用新型培训测评软件系统的功能及操作方法:The computer of the utility model is equipped with a training evaluation software system for recording, analyzing and evaluating mechanical data, and its structure is as shown in Figure 5. The system is mainly divided into four parts, and the interface functions of each part are: the system’s subject information management function, the establishment and management function of the expert’s standard operation database, the collection and analysis function of the training staff’s manual dynamics data, and the training staff’s Tuina manipulation training and training effect evaluation function. Describe the function and operation method of the utility model training evaluation software system in detail below in conjunction with accompanying drawing:

1.在受试者信息管理操作界面中,描述受试者局部软组织紧张度情况、记录压痛点疼痛度(痛阈值)等,掌握受试者的受试部位状况,完成对受试者信息的记录与存储功能。1. In the subject information management operation interface, describe the tension of the subject's local soft tissue, record the pain degree of tenderness point (pain threshold), etc., grasp the condition of the subject's test site, and complete the information of the subject. Recording and storage functions.

2.在专家数据采集界面中,采集并分析专家的手法动力学数据,提出手法力学特征,建立专家推拿手法标准操作数据库,形成客观化、可视化的手法标准波形图,完成专家数据的采集、可视化及存储功能。2. In the expert data collection interface, collect and analyze the dynamic data of the expert's manipulation, propose the mechanical characteristics of the manipulation, establish the standard operation database of the expert's massage manipulation, form an objective and visualized standard wave diagram of the manipulation, and complete the collection and visualization of the expert data and storage function.

专家数据存放在一个固定文件中,并与适应症选择功能、手法类型和操作部位选择功能、疼痛度选择功能实现对应链接,即建立专家推拿手法标准操作数据库。The expert data is stored in a fixed file, and is linked with the indication selection function, manipulation type and operation site selection function, and pain degree selection function to establish a standard operation database for expert massage manipulation.

如图6所示,在本实用新型的培训测评软件系统中建立专家推拿手法标准操作数据库的操作流程为:运行培训测评软件系统;选择手法类型和操作部位;实时采集专家进行手法操作的动力学数据,绘制出标准数据曲线形成客观化、可视化的手法标准波形图;并储存记录,建立专家推拿手法标准操作数据库。As shown in Figure 6, the operation process of establishing the expert massage manipulation standard operation database in the training evaluation software system of the present utility model is as follows: run the training evaluation software system; select the type of manipulation and the operation position; collect the dynamics of the manipulation performed by the expert in real time Data, draw the standard data curve to form an objective and visualized standard wave diagram of the technique; and store records to establish a standard operation database of expert massage techniques.

3.在培训手法数据采集操作界面中,可选择适应症、手法类型和操作部位、疼痛度等,并实时记录手法动力学数据,以波形图的形式直观显示出来,即时反映手法操作实际压力的大小,完成数据采集、可视化及存储功能。3. In the operation interface of training manipulation data collection, you can select indications, manipulation type, operation site, pain degree, etc., and record the manipulation dynamics data in real time, and display them intuitively in the form of waveform diagrams, instantly reflecting the actual pressure of the manipulation operation Size, complete data collection, visualization and storage functions.

参见图7,实线曲线8为专家手法标准波形图,虚线曲线9为培训人员手法波形图。培训人员进行手法操作时,观察对照实时记录的波形图与专家手法标准波形图的吻合情况,及时调整自己手法作用力的大小、频率,尽可能地追踪模仿专家手法标准波形图,力求与专家的手法基本一致。受试者可以根据自己疼痛感觉,按下报警按钮,告知此时术者手法力度的轻重。若报警声响起,说明术者手法力度过重,应适度减轻手法力量。Referring to FIG. 7 , the solid line curve 8 is the standard waveform diagram of the expert's technique, and the dotted line curve 9 is the waveform diagram of the trainer's technique. When the trainers perform manipulations, observe the coincidence between the real-time recorded waveform diagrams and the standard waveform diagrams of expert manipulations, adjust the magnitude and frequency of their own manipulation force in time, track and imitate the standard waveform diagrams of expert manipulations as much as possible, and strive to match the expert's standard waveform diagrams. The methods are basically the same. Subjects can press the alarm button according to their own pain sensation to inform the operator of the strength of the technique at this time. If the alarm sounds, it means that the operator's technique is too strong, and the technique should be moderately reduced.

4.在手法效果评估界面中,通过比较专家和培训人员的两种手法曲线的动力学数据,计算曲线间的吻合度,分析出专家和培训人员手法作用力大小、频率的差异,实现培训人员手法效果评估功能。具体的方法是将相同时间段的数据进行差操作,并根据专家数据单位化,将各个时间段的误差进行平均,获得评估数据,生成客观的评价报告,提供培训人员手法技术修改和提高的建议,达到临床培训的目的及效果。4. In the manipulation effect evaluation interface, by comparing the dynamic data of the two manipulation curves of experts and trainers, the degree of agreement between the curves is calculated, and the differences in the force and frequency of manipulation by experts and trainers are analyzed, so that trainers can Manipulation effect evaluation function. The specific method is to perform difference operation on the data of the same time period, and unitize the data of experts, average the errors of each time period, obtain evaluation data, generate an objective evaluation report, and provide suggestions for training personnel to modify and improve techniques , to achieve the purpose and effect of clinical training.

如图8所示,本实用新型培训测评软件系统的培训操作流程为:运行培训测评软件系统;选择手法类型和操作部位;调出专家在特定适应症、手法类型和操作部位以及疼痛度下的推拿手法标准操作力学波形图,作为培训人员手法操作的标准;采集培训人员的手法操作时的动力学数据,绘制出数据曲线;比较专家和培训人员的手法力学数据的曲线波形图,并进行培训评估。As shown in Figure 8, the training operation process of the training evaluation software system of the present utility model is: run the training evaluation software system; select the type of manipulation and the operation site; The standard operation mechanics waveform diagram of massage manipulation is used as the standard for the manipulation of the trainers; the dynamic data of the manipulation operation of the trainers is collected, and the data curve is drawn; the curve waveform diagram of the manipulation mechanics data of the experts and the trainers is compared, and training is carried out Evaluate.

Claims (4)

1. massage manipulation training system includes:
Massage pressure acquisition device is installed with pressure transducer and connecting line thereof on the described massage pressure acquisition device, and the pressure of gathering in the massage manipulation operating process by described massage pressure acquisition device changes and signal characteristic information,
Pressure conversion device, described pressure transducer links to each other with described pressure conversion device by connecting line, and this pressure conversion device is converted to electric signal with the pressure signal of described pressure transducer collection,
It is characterized in that also comprising the computing machine that training test and evaluation software system is housed, described pressure conversion device is connected with described computing machine by data line, with the electrical signal converted data transmission in described training test and evaluation software system, the data of start-up's gimmick of input are presented in the interface of system with the form of the oscillogram of real time record, described training test and evaluation software system includes expert's massage manipulation standard operation database, and expert's gimmick data wherein show with the form of reference waveform figure.
2. massage manipulation training system according to claim 1, it is characterized in that described massage pressure acquisition device is gloves, described pressure transducer includes finger pressure force transducer and palm pressure transducer, described finger pressure force transducer is fixed on the finger tip portion of gloves, and described palm pressure transducer is fixed on the palm root of gloves.
3. massage manipulation training system according to claim 1 is characterized in that described massage pressure acquisition device is the elbow cover, and the fixed position of described pressure transducer is corresponding with the force application part of gimmick.
4. massage manipulation training system according to claim 1 is characterized in that also including the pain warning device that links to each other with described pressure conversion device.
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