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WO2011110553A1 - Dispositif de traitement assisté par ordinateur d'informations de flexion d'un corps humain ou animal, en particulier d'un dos - Google Patents

Dispositif de traitement assisté par ordinateur d'informations de flexion d'un corps humain ou animal, en particulier d'un dos Download PDF

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Publication number
WO2011110553A1
WO2011110553A1 PCT/EP2011/053461 EP2011053461W WO2011110553A1 WO 2011110553 A1 WO2011110553 A1 WO 2011110553A1 EP 2011053461 W EP2011053461 W EP 2011053461W WO 2011110553 A1 WO2011110553 A1 WO 2011110553A1
Authority
WO
WIPO (PCT)
Prior art keywords
bending
information
occurring
speeds
range
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2011/053461
Other languages
German (de)
English (en)
Inventor
Rene Pompl
Dirk David Goldbeck
Andreas Kercek
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Siemens AG
Siemens Corp
Original Assignee
Siemens AG
Siemens Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Siemens AG, Siemens Corp filed Critical Siemens AG
Priority to EP11709078A priority Critical patent/EP2533690A1/fr
Publication of WO2011110553A1 publication Critical patent/WO2011110553A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1077Measuring of profiles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4561Evaluating static posture, e.g. undesirable back curvature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0261Strain gauges
    • A61B2562/0266Optical strain gauges

Definitions

  • the invention relates to a device for computer-aided processing of bending information of a human or animal body, in particular a back.
  • the concept of the body can also comprise only a body part of a Men ⁇ rule or an animal.
  • the back function may be assessed by a treadmill analysis, in which a running patient is filmed and the film is subsequently evaluated by a physician.
  • EMG electromyography
  • the curvature of the spine is a fiber optic Bie ⁇ gesensor which is attached to the spine of a patient is detected.
  • the bending sensor is glued to the skin of the patient by means of an adhesive tape along the spinal column. It is subdivided longitudinally into several measuring segments which cover one or more vertebrae or several vertebrae of the spinal column. Each measuring segment measures corresponding bending angles of the segment, whereby the bending angles are detected by light-conducting fibers with a special surface treatment. Depending on the bending radius loses at a predetermined length position or wins the fiber to transmission, so that from this the bending in different back sections can be measured.
  • the apparatus of this publication allows an analysis of the spine as to whether the measured values of the bending sensor to describe a good or a bad location and / or Be ⁇ movement of the spinal column and thus a correct but errors ⁇ exemplary posture of the patient. A further analysis of the state of health of the spine does not take place.
  • the document WO 2008/052682 A1 describes a method for measuring the torsion of a patient's body, which uses fiber-optic bending sensors in the measurement.
  • the known fiber optic methods for measuring a human or animal body have the disadvantage that the measurement data are not processed in such a way that an information about the condition of the measured body which can be used for diagnostic purposes and is easy to understand is generated.
  • the object of the invention is therefore to provide a device for computer-assisted processing of bending information of a body and in particular of a back, which generates for a user, and in particular the doctor quickly sensing ⁇ bare and meaningful information about the condition of the body.
  • the inventive device for computer-aided processing of bending information of a human or animal body comprises a data recording device for detecting bending information and / or for reading recorded bending information from a memory, wherein the detected bending information measurement data of a bending sensor device represent and bends of the body in a measurement period.
  • the data recording device can thus comprise the bending sensor device itself or be designed such that it only serves to read out measured data from a memory, wherein the measurement data were previously detected by means of a bending sensor device.
  • the inventive device further comprises a Auswer ⁇ te founded for evaluating the measurement data, which is configured such that it in at least determined in operation from the measurement data corresponding to a portion of the measurement period in one or more body portions, and more particularly back portions bending angle and bending speeds occurring and from a respective back section calculates a movement information which contains the bending range of bending angles occurring in at least part of the measurement period and the speed range of bending speeds occurring in at least part of the measurement period. Possibly. may represent at least the ge ⁇ entire measurement period of a portion of the measurement period.
  • the term of the bending angle in the sense of the invention is to be understood broadly and can generally represent a measure of the size of the bending of the body, ie the bending angle need not necessarily be indicated as an angle value.
  • bending speed is to be understood as meaning the degree of change in the bending angle, it being possible for this size to be determined, for example, by deriving the temporally successive bending angles.
  • the motion information detected by the Ausireein ⁇ direction may include the bending area and speed range both explicitly and implicitly. That is, the motion information can optionally also be designed such that the bending ⁇ range or speed range can be seen from this information, although it is not explicitly indicated in the information.
  • the inventive device further comprises a Benut ⁇ cut spot, which is designed such that it at least partially outputs the motion information that has been previously determined by the evaluation device, for a user, in particular on a suitable display device visualized.
  • the invention is based on the finding that on simp ⁇ che, the mobility and thus the function of the pERSonal pers or of the back or spine through the span of the Wegverbiegonne occurring and the range of velocities of these Whyverbiegonne can be represented.
  • a user and in particular a doctor is simply and intuitively taught how flexible the body of a patient is. Based on this information, the physician can easily make a diagnosis and track the effectiveness of a treatment.
  • different bending angle and thus bending of the body and in particular the Rü ⁇ ckens can be detected.
  • the bending angle are detected by the bending sensor means, which are caused by a flexion and extension movement of the Rü ⁇ ckens and by a torsional movement.
  • the measured data processed in the device according to the invention come from a fiber-optic bending sensor device.
  • a fiber-optic bending sensor device can be used which measure the deformation of the body in other ways, such as strain gauges or position sensors.
  • the bending sensor device comprises one or more bending sensor strips which can be positioned on the body, in particular on or adjacent to the spinal column, and which detect the measurement data for the respective body sections when they are positioned on the body. The bending sensor strips are preferably adhered to the body.
  • the bending sensor strip or strips comprise one or more optical fibers with bend-sensitive sections, one or more light sources at one end of the fiber or fibers for feeding light into the fiber or fibers and at the other end of the fiber or fibers several Detetation- DEVICES are provided for the detection of through the fiber or fibers of transmitted light, wherein the Intensi ⁇ tuschsagonist of the transmitted light depend through the fiber or fibers of the bending of the bending-sensitive portions and represent the measured values of the bending sensor device.
  • the evaluation device uses the intensity values to determine the bending angles occurring in the measurement period and, therefrom, the bending speeds.
  • the evaluation device is designed such that drove the loading from the erstoff for a respective body portion ⁇ th bend angle and / or bending speeds a proportion of the largest and / or smallest values of the bend angle and / or bending speeds discards in particular a ⁇ percent set of the largest and / or smallest values of all the values of the bending angle and / or bending speeds, preferably a percentage of 10% or less, more preferably a percentage of 5%.
  • the proportion of rejected bending angles and / or bending speeds may optionally be chosen differently for each body section.
  • the bending portion and the VELOCITY ⁇ keits Symposium is determined from the bending angles and bending speeds, which no longer contain the discarded values.
  • the evaluation device is designed such that it contains as at least determines a part of the motion information for a respective body portion of a two-dimensional histogram, which corresponds the frequency distribution of the bending speeds occurring for the respective bending angle for the measurement period occurring defects ⁇ Tenden bending angle holds.
  • a histogram includes as information also the bending range and the bending speed range.
  • the user interface is designed such that it can visualize the one or two-dimensional histograms on a display device.
  • the visualization of a two-dimensional histogram is preferably the ⁇ art configured such that for the histogram is a graph with two mutually perpendicular axes on a Anzei- is reproduced organization used wherein an axis of the passing on ⁇ bending angle and the other axis represents the bending speeds occurring.
  • the frequencies occurring at respective bending angles bending speeds are encoded, for example, based on a solid color coding, different Far ⁇ ben different frequencies indicate. In this way, a simple and intuitive representation of occurring Bie ⁇ gewinkel and bending speeds and thus the Biegebe ⁇ Empire and the speed range is reached.
  • the motion information determined by the evaluation device can also be the entropy of a respective two-dimensional histogram and / or comprise one or more moments of the respective two-dimensional histogram, in particular the variance and / or standard deviation and / or the skewness of the respective two-dimensional histogram
  • Histogram The user interface is designed in such a way that it can at least partially also output these variables.
  • the evaluation device is designed such that it determines in operation for a respective body portion of the maximum value and minimum value of the bending angle and the Biegege ⁇ speeds and therefrom, ie in particular by forming the difference between the maximum value and minimum value, the bending area and determines the speed range.
  • Maximum value and minimum value can be directly determined from the determined by the evaluation bending angles and bending speeds in at least a portion of the measurement period be ⁇ be true. If a proportion of the greatest and / or smallest values of the bending angles and / or bending speeds has been rejected, the maximum value and minimum value relate to bending angles and / or bending speeds without the rejected values.
  • the apparatus determined as the motion information of a two-dimensional histogram for the respective body portion, there is also the possibility that the ma- ximalwert and minimum values from the respective saudimensiona ⁇ len histogram are determined.
  • the user interface is configured such that it visualizes on a display device for one or more body sections the bending area and the speed area via a bar whose width and height represent the size of the bending area and the speed area, in particular represents the width of the beam, the size of the bending area and in particular the height of the bar ⁇ sondere the size of the speed ⁇ range.
  • a representation of the condition or the mobility that can be quickly grasped by a physician is displayed. of the body.
  • While several ⁇ re beams for different body areas on the IDEein ⁇ direction above one another or next to one another are preferably arranged, preferably with a higher arranged bar represents one arranged in the direction of the spine above the body portion in the form of a back portion.
  • the maximum value and minimum value of the bending area and / or the speed range will give comfortablege ⁇ by the position of the beam with respect to at least one reference line.
  • the movement information may contain as further information eg a measure of the quality of the movement with regard to whether the movement is being performed by a healthy or sick body.
  • the quality of the movement can be coded, for example, by the color of the bars.
  • the movement information determined with the device according to the invention may contain further information in addition to the bending range and the speed range.
  • the movement information may include information about a normal range of the bending portion and the speed ⁇ area and / or the information, how large the deviation of the bending area and the speed range of a normal range, wherein this standard range and in particular an average mobility of a Kör ⁇ pers refers.
  • This additional information may at least partially output through the user interface ⁇ to.
  • the standard range is visualized by additional bars on the display device, which are superimposed, for example, with the already existing bar.
  • the deviation from the normal range can be visualized on the display device via color coding of the bars.
  • the data recording device, the evaluation device and the user interface of the device according to the invention can be implemented in a suitable manner by hardware, software or a combination of hardware and software.
  • An exemplary implementation is achieved on a microprocessor with connected memory module and display device, said program code is stored to perform the functionali ⁇ capacities of the data recording device or the evaluation device or the user interface in the storage module, and read by the microprocessor from there to the processing.
  • the bending information detected via the bending sensor device can be stored in the memory module in an organized manner for processing by the microprocessor.
  • the user interface comprises a display device which visually displays the results after processing by the data recording device and evaluation device.
  • the invention further comprises a method for computer-aided processing of bending information of a back with the aid of this device.
  • bending information is detected by means of a data recording device and / or detected bending information is read from a memory, wherein the detected bending information represents measurement data of a bending sensor device and represents bends of the body in a measuring period.
  • the measurement data are evaluated by an evaluation device such that the bending angle and bending speeds occurring in at least a portion of the measurement period in one or more Whyabschnit ⁇ th are determined from the measurement data and therefrom for a respectiveêtab ⁇ cut a motion information is calculated, which contains the bending range of bending angles occur in at least a portion of the measurement period and the speed range of occurring in at least a portion of the measurement period bending ⁇ speeds.
  • this movement Information output at least partially via a user interface ⁇ .
  • Fig. 1 is a schematic representation of one embodiment of the inventive
  • FIGS. 2 and 3 show a first example of a visualization of a movement information for a healthy or a sick subject according to the invention
  • FIG. 4 and FIG. 5 show a second example of a visualization according to the invention of a movement information for a healthy or a sick test subject.
  • the device described below with reference to FIG. 1, which is explained using the example of the measurement of a human back, comprises a data acquisition device DA which contains a fiber-optic bending measurement system comprising one or more bending sensors in the form of bending sensor strips BS. Bend sensor strips for measuring bending information are known per se from the prior art. In particular, in the bending measuring system of the document WO
  • the bending sensor strip forms a sensor band with a plurality of optical fibers, wherein the respective fibers in different areas along the length of the
  • Bend sensor strip include bending-sensitive sections.
  • the ⁇ se sections are designated in Fig. 1 by the reference numeral 1, 2, n.
  • the bending sensor strip is detected during the measurement adhered to the back of a patient in the direction along the spinal column, so that each bending-sensitive section also corresponds with a corresponding back section at different heights, starting from the lumbar vertebra of the spinal column.
  • the bending-sensitive portions are formed, for example, by a plurality of notches in the respective optical fibers.
  • Bend sensor strips sensitive to bending of the spine due to flexion or extension movements of the patient as well as torsional movements (ie, torsion of the upper body). These movements lead to a bending of bending-sensitive sections in the bending sensor strip by corresponding bending angles, which can be determined by the device described below ⁇ .
  • a bending angle can be specified in any unit of measure. In particular, it is not necessary that the bending angle also represents an actual angle. Rather, it is sufficient that is the bending angle is a measure comfortablege give ⁇ which rep ⁇ räsentiert the size of the deflection of the respective fibers and thus of the corresponding back portion.
  • the bending speeds determined by the device which are explained in more detail below, do not have to correspond to actual speeds. Rather, what matters is that a bending Speed is a measure of the size of the temporal changes ⁇ tion of the corresponding bending angle represents.
  • the strips BS are attached to the back of a patient, for example starting from the spinal column to the left and right in the region of the Len ⁇ denwirbelklale up to higher segments.
  • the data ⁇ consumption [T 0] are then for a measurement period for a plurality of times t determined within the measuring period ent ⁇ speaking measurement data of the bending sensor strip for the different bending-sensitive regions and thus for the different backrest portions.
  • bending information is measured spatially and temporally resolved.
  • these measured data represent corresponding intensity values of the transmitted light in the respective fibers of the bending sensor strips.
  • the data acquisition can be done in different ways.
  • the patient may, on whose back the bending sensor strips BS are mounted in a predetermined movement sequence (choreography) in the presence of a physician or perform predetermined movements of medical personnel, said caused thereby bending the spine detected by the bending sensor strip be and an evaluation device A are supplied.
  • a predetermined movement sequence Choreography
  • the bending sensor strips are connected to a tienten from patent entrained memory means which the stores sensed within the period of measurement data kon ⁇ continuously. Via an appropriate interface then the stored measurement data can be read out and fed to the evaluation unit A.
  • the calculated bending angles ⁇ (t) and bending speeds vi (t) are subjected to a cut-off operation in an optional processing step CO.
  • This operation serves to bend angle or Biegegeschwin ⁇ speeds which indicate short-term abnormal movements of the patient, to remove from the acquired measurement data.
  • both ⁇ determined from all bend angles (t) as well as from all determined bending speeds vi (t) of the respective land portions are discarded and the highest nied ⁇ rigsten values.
  • the proportion of discarded values can be determined arbitrarily.
  • the highest and lowest 5% of the values of ⁇ (t) and vi (t) are discarded. The remaining values are indicated in Fig. 2 with ai (t) and v ⁇ (t).
  • the bending angles ⁇ ⁇ (t) and bending speeds v ⁇ (t) can be based on two alternatives. terprocessed, wherein the one alternative in Fig. 1 with AI and the other alternative is indicated by A2. Both alternatives have that the result of processing is common motion information containing the bending or angular range of bending angles and occurring in the respective back portion of the speed range of occurring in the respective back portion Biegegeschwindigkei ⁇ th after the cut-off operation. This motion information is well suited for an intuitive and easily detectable by a doctor showing the state of the vertebral column of the patient ⁇ . Based on such a representation, the physician can be assisted in making his diagnosis.
  • the histogram HI can be represented as a matrix whose basis consists of all assumed bending angles ⁇ ⁇ (t) (first dimension) and all assumed bending velocities v ⁇ (t) (second dimension) at corresponding measurement times te [0, T].
  • the entries of the matrix are then the frequency of occurrence of a certain bending speed at a certain
  • the histogram HI is supplied in accordance with the alternative AI visualization based on a corresponding user interface UI, wel ⁇ che the data of the histogram suitably processed in order to reproduce graphically on a display device, in particular a display.
  • the histogram can be displayed as a diagram, where in the occurred Bie ⁇ gewinkel and along the ordinate of the diagram, the handheldtre ⁇ requested bending speeds are plotted along the abscissa of the diagram.
  • the corresponding frequencies of occurrence of bending speeds for each encountered bending angle then in the diagram coded, wherein the coding may be achieved, for example by a color ⁇ coding which reproduces via different colors, how great is the frequency which occurred bending speeds for different bending angles.
  • a user in particular a doctor, can easily recognize in which interval the bending speeds or the bending angles are moving. This gives the doctor a statement about the mobility of the patient for different back or spine sections, wherein the mobility is higher, the greater the range of the assumed bending angle and the assumed bending speeds.
  • a maximum value and minimum value of the values of bending angles and bending speeds recorded for each back section are determined directly from the determined bending angles ai (t) and bending speeds v ⁇ (t) subjected to the cut-off operation .
  • the minimum value of the bending angle is indicated in FIG. 1 for the back section i as m i n , i, whereas the maximum value of the bending angle for the back section i is indicated as max , i.
  • Analogously to the minimum value of the bending speeds for the back portion is denoted by i v m i i ni and Maxi ⁇ malwert the bending speed of the back section with i v i Maxi.
  • the difference between the maximum value and the minimum value finally determines the bending or angular range WB of the assumed bending angle, which corresponds to the value ⁇ 1.
  • the range of the ⁇ taken bending speeds is determined, which corresponds to the value ⁇ .
  • the visualization is carried out by appropriate beams, such as white ⁇ ter will be explained below referring to Fig. 2 to Fig. 5.
  • the alternatives AI and A2 can also be suitably combined.
  • the histogram formation according to the alternative AI it is also possible for the histogram formation according to the alternative AI to be carried out first and then the corresponding parameters of the alternative A2 to be derived from these histograms, these parameters resulting in a simple manner from the corresponding occurrence frequencies in the histograms.
  • FIG. 2 which is a corresponding Biegesen- at the BS is applied, which includes seven measuring zones (ie, bending-sensitive sections) for detecting successive fol ⁇ constricting land portions.
  • the visualization shown in FIG. 2, which is householdge ⁇ give in this form on a corresponding display device of the user interface UI is provided to illustrate with a plurality of reference marks, which reference characters (except for the numbers 1 to 7) in the actual visualization not included.
  • a vertical line L is provided in the left-hand area and a vertical line L 'is provided in the right-hand area, which corresponds in each case to the 0 ° line of the bending angle.
  • negative bending angles are on the right the line L and positive bending angle to the left of the line L.
  • the ⁇ opposite are in the right area R2 positive bending angle to the right of the line L 'and negative bending angle to the left of the line L'.
  • the angle scale is indicated by vertical, color different zones, which are separated in Fig. 2 by parallel dashed lines and the lines L and L 'from each other.
  • the width of a zone ent ⁇ speaks a bending angle range of 10 °.
  • the individual, indicated in the vertical direction measuring zones 1, 2, 7 correlate with back portions, wherein the measurement zone 1 is the lumbar region and the wide ⁇ ren measuring zones 2 to 7 in the vertical direction of the spine extending upwardly.
  • a corresponding beam is shown both for the left region R as well as for the right region R2, which represents the angular range orpermeabilsbe determined for the back portion ⁇ rich.
  • the individual bars for the measuring zones 1 to 7 on the left of the spinal column are labeled B1, B2,..., B7, whereas the individual bars of the measuring zones 1 to 7 on the right of the spine are labeled Bl ', B2', B7 ' are.
  • the bars Bl to B7 have a different color (eg red) than the bars Bl 'to B7' (eg green).
  • the vertical edges of bars represent in the representation of FIG. 2 where the minimum value and maximum value of which occurred in the corresponding back portion bending angle, so that the width of each bar represents the angle ⁇ range of occurred bending angle.
  • the heights of the individual beams represent the bending speeds which have occurred in the respective back section, ie the higher a bar is, the greater the span of the bending speeds that has occurred.
  • WB the angle range for the bar Bl 'in FIG. 2
  • GB the speed range for the bar B3'
  • FIG. 2 In the illustration of FIG. 2, a healthy patient without back problems is reproduced. This results from the fact that the individual bars represent a relatively large area.
  • Fig. 3 which illustrates the same capitalization as visualization ⁇ Fig. 2, the measurement data of a diseased subjects with spinal problems. It will be used to designate the same visualized components, the same reference numerals. It can clearly be seen in FIG. 3 that the mobility of the spinal column of the ill subject is considerably lower in comparison to the healthy subject, because a large number of the bars in FIG. 3, in particular the bars relating to the lower area of the spinal column, have a substantial effect smaller area than the entspre ⁇ sponding bars in Fig. 2.
  • FIGS. 4 and 5 show a visualization slightly modified relative to FIGS. 2 and 3, wherein visualized components which correspond to the components of FIGS. 2 and 3 are provided with the same reference numerals.
  • the visualization of Fig. 4 is again based on the representation of the mobility of the spine over corresponding bars Bl to B7 for the left area Rl of the spine and the bars Bl 'to ⁇ 7 'for the right area R2 of the spine.
  • corresponding reference bars RB are also reproduced which, for reasons of clarity, are only partially designated in FIG. 4 with the reference symbol RB.
  • the single ⁇ NEN reference beams are all within the other beams Bl to B7 or Bl 'to B7'.
  • Each of the reference bars represents a standard range that reflects the average mobility of a healthy spine for the corresponding measurement zone.
  • the standard angle range is indicated by the width RWB of the bar for the reference bar of the measuring zone 1 in the left-hand area Rl.
  • the reference speed range is indicated by the height RGB of the bar.
  • the individual reference bars are placed symmetrically over the bars B1 to B7 or Bl 'to B7' measured for the patient. If the area of the reference beam is similar to the area of the measured bar or larger, it can be assumed that the subject is healthy or has above-normal mobility. Furthermore, the absolute width, the absolute height, the position of the bars and the symmetry of the bars in the right and left areas provide information on the state of health of the back. If the corresponding mobility is within the norm, this can be indicated by a color coding of the bar (eg green). If the mobility is much higher than the norm, this can also be indicated by a corresponding color coding of the beam (eg blue). Fig. 4 shows a healthy subjects with athletic, ie highly mobile, spine.
  • the bars Bl to B5 and Bl 'to B4' in this case have the same color (eg blue) and give a mobility above the normal range, because their area is significantly larger than the surface of the corre sponding ⁇ reference bar. If the mobility significantly exceeds the normal range, these bars can possibly be colored differently and thereby on indicate a pathological hypermobility.
  • the bars B6 and B7 and B5 ', B6' and B7 ' are in the normal range, ie they differ only slightly in their area from the corresponding reference bars. This is indicated by a different coloring (eg green) of the bars.
  • FIG. 5 shows the same type of visualization as FIG. 4, wherein now the measurement data of a sick subject with spinal column problems is reproduced.
  • FIG. 5 is an enlarged view, which is evident in particular from the fact that the indicated by the ge ⁇ dashed lines 10 ° sections in Fig. 5 are wider than in Fig. 4. It can be seen from Fig 5, it is clear that almost all of the bars B1 to B7 and B1 'to B7' have a smaller area than the corresponding reference bars RB. A very strong deviation of the surface of the measured bar is reproduced by a corresponding color coding of the bar.
  • bar representing an athletic movement, represented by ei ⁇ ner corresponding to different color.
  • a doctor recognizes very quickly how the mobility of the spine in the different measured back sections is.
  • the superposition of the bars with the reference bars also shows how strong the deviation of the mobility from the standard mobility is.
  • the embodiments of the device according to the invention described above have a number of advantages.
  • a simple and intuitive verururi ⁇ che visualization of functional health status of a patient's back is achieved based on the determined bending ⁇ angles and bending speeds.
  • the doctor can thus the condition of the spine diagnostizie ⁇ ren.
  • the effectiveness of back pain treatment ⁇ be made visible very quickly.
  • a quantitative and therefore meaningful representation of the condition of the back of a patient he ⁇ reaches, which is also still easy and intuitive to detect.

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Abstract

L'invention concerne un dispositif de traitement assisté par ordinateur d'informations de flexion d'un corps humain ou animal, en particulier d'un dos. Le dispositif comprend un dispositif d'enregistrement de données (DA) pour saisir des informations de flexion et/ou pour extraire d'une mémoire des informations de flexion saisies, les informations de flexion saisies représentant des données de mesure (fi (t)) d'un dispositif capteur de flexion (BS) et représentant des flexions du corps au cours d'une période de mesure. Il est également prévu un dispositif d'évaluation (A) destiné à évaluer les données de mesure (fi (t)), qui est conçu de manière à déterminer à partir des données de mesure (fx(t)) les angles de flexion (fi (t)) et les vitesses de flexion (Vi (t)) survenant au cours d'au moins une partie de la période de mesure dans une ou plusieurs parties du corps (1, 2,..., n) et à calculer à partir de là pour une partie du corps concernée (1, 2,..., n) une information de mouvement qui contient la plage de flexion (WB) d'angles de flexion (αi (t)) survenant au cours d'au moins une partie de la période de mesure et la plage de vitesse (GB) des vitesses de flexion (Vi (t) ) survenant au cours d'au moins une partie de la période de mesure. Le dispositif selon l'invention présente en outre une interface utilisateur (UI) qui est conçue de manière à produire au moins en partie l'information de mouvement.
PCT/EP2011/053461 2010-03-10 2011-03-08 Dispositif de traitement assisté par ordinateur d'informations de flexion d'un corps humain ou animal, en particulier d'un dos Ceased WO2011110553A1 (fr)

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EP11709078A EP2533690A1 (fr) 2010-03-10 2011-03-08 Dispositif de traitement assisté par ordinateur d'informations de flexion d'un corps humain ou animal, en particulier d'un dos

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DE102010010954 2010-03-10
DE102010010954.1 2010-03-10
DE102010033611A DE102010033611A1 (de) 2010-03-10 2010-08-06 Vorrichtung zur rechnergestützten Verarbeitung von Biegeinformationen eines menschlichen oder tierischen Körpers, insbesonders eines Rückens
DE102010033611.4 2010-08-06

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