System and method for automated biomechanical analysis and the detection and correction of postural deviations

• US 20030181830A1
• Filed: 11/29/2002
• Published: 09/25/2003
• Est. Priority Date: 11/17/2000
• Status: Abandoned Application

• Current Assignee: Alfonso Lombardi, David H. Mcfarland, Martin C. Normand, Sylvain Guimond
• Original Assignee: Alfonso Lombardi, David H. Mcfarland, Martin C. Normand, Sylvain Guimond
• Inventors: Guimond, Sylvain, McFarland, David H., Normand, Martin C., Lombardi, Alfonso
• Application Number:
  US10/306,840
• Publication Number:
  US 20030181830A1
• Time in Patent Office: Days
• US Class Current: 600/587
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/1127 using markers
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4561 Evaluating static posture, e.g. undesirable back curvature A61B5/1116 takes precedence
• CPC Class Codes: A61B 5/68335 including release sheets or liners

Abstract

The present invention relates to a method of acquiring biomechanical position data for use in postural analysis, the method comprising the steps of:

a) selecting a plurality of marker positions referenced with respect to the anatomy of a patient by one of:

skin surface features having minimal variability from one patient to the next; and

skeletal features palpable from a skin surface of the patient;

b) attaching a scanable marker on the patient at each of the marker positions, the step of attaching including palpating the patient to define at least some of the marker positions;

c) instructing the patient introduced to stand relaxed and in normal posture; and

d) scanning the markers attached to the patient to obtain position data for each of the marker positions.

Claims

1. A method of acquiring biomechanical position data for use in postural analysis, the method comprising the steps of:

a) selecting a plurality of marker positions referenced with respect to an anatomy of a patient by one of;

skin surface features having minimal variability from one patient to the next; and

skeletal features palpable from a skin surface of the patient;

b) attaching a scanable marker on the patient at each of the marker positions, the step of attaching including palpating the patient to define at least some of the marker positions;

c) instructing the patient to stand relaxed and in normal posture; and

d) scanning the markers attached to the patient to obtain position data for each of the marker positions.

2. The method as claimed in claim 1, wherein the patient is scanned from a front, side and rear viewpoint.

3. The method as claimed in claim 2, wherein the step of scanning comprises photographing the patient against a backdrop, the markers comprising contrasting visual markers, the backdrop including a plurality of scale and orientation reference marker points.

4. The method as claimed in claim 3, wherein the markers comprise an adhesive layer for sticking to the patient.

5. The method as claimed in claim 4, wherein the step of photographing comprises using a digital camera with a flash to obtain digital images, the markers comprising retroreflective markers.

6. The method as claimed in claim 5, wherein some of the markers are scanned from more than one of the viewpoints and comprise retroreflective spheres.

7. The method as claimed in claim 3, wherein the step of instructing the patient to stand relaxed and in normal posture comprises requesting the patient to walk in place prior to standing still.

8. The method as claimed in claim 5, wherein the step of scanning comprises automatically recognizing the markers and the reference marker points in the digital images using a computer.

9. The method as claimed in claim 8, wherein the computer comprises a user interface and, when the computer recognizes too many or too few of the markers, input is accepted via the user interface to remove or add, with reference to the digital images, the position coordinates of the markers which the computer incorrectly recognized or failed to recognize.

10. A method for calculating postural deviation values in a patient comprising the steps of:

a) obtaining position data identifying a position in space of body segments of the patient while standing relaxed and in normal posture, the body segments comprising head-shoulders, shoulders-pelvis, pelvis-hips, hips-knees and knees-ankles;

b) obtaining weight data of the patient;

c) calculating vertical and horizontal plumb line using the position data;

d) calculating for at least some of the body segments an angle of deviation value and distance of deviation value with respect to the plumb line position value using the position data.

11. The method as claimed in claim 10, wherein the angle and distance of deviation values are referenced with respect to average or normal values.

12. The method as claimed in claim 10, further comprising a step of calculating an effective weight or stress of at least one of the body segments using an estimated weight of the at least one body segment and the deviation values.

13. The method as claimed in claim 10, wherein the deviation values are calculated for all of the body segments.

14. A method of selecting exercises for improving tonicity and correcting posture in a patient, the method comprising the steps of:

a) obtaining biomechanical position data of the patient while standing relaxed and in normal posture, the position data indicative of postural problems requiring correction;

b) ranking the postural deviations by severity and priority;

c) correlating the position data with exercises for strengthing or stetching specific muscles or muscle groups to obtain ranking data for the exercises;

d) compiling an exercise program for the patient based on the ranking data.

15. The method as claimed in claim 14, wherein the step of compiling comprises manually selecting exercises from a ranked list of exercises.

16. The method as claimed in claim 15, wherein the exercises are grouped in sets of exercises each attempting to correct a specific postural deviation, the step of correlating comprising correlating the position data with the sets of exercises, and the exercise program comprising a series of the sets of exercises.

17. The method as claimed in claim 14, wherein the exercises are grouped in sets of exercises each attempting to correct a specific postural deviation, the step of correlating comprising correlating the position data with the sets of exercises, and the exercise program comprising a series of the sets of exercises.

18. The method as claimed in claim 14, wherein the position data identifies a position in space of body segments of the patient, the body segments comprising head-shoulders, shoulders-pelvis, pelvis-hips, hips-knees and knees-ankles, and the step of correlating comprises:

a) calculating a center of mass plumb line position value using the position data and the weight data;

b) calculating for at least some of the body segments an angle of deviation value and distance of deviation value with respect to the plumb line position value using the position data;

c) comparing the deviation values to normal values for the at least some of the body segments to obtain deviation priority values;

d) ranking the deviation priority values according to an order of severity or importance; and

e) determining the ranking data based on an association of the exercises with body segment deviations in accordance with the order of severity or importance.

19. The method as claimed in claim 18, wherein the step of ranking the deviation priority values according to an order of severity or importance comprises manually selecting deviations to be corrected by the exercise program, the order of severity or importance reflecting those deviations manually selected.

20. The method as claimed in claim 19, wherein the exercises are grouped in sets of exercises each attempting to correct a specific postural deviation, and the exercise program comprising a series of the sets of exercises.

21. The method as claimed in claim 20, wherein the exercise program is limited to a maximum number of exercises, the step of manually selecting deviations is automatically restricted when a maximum number of exercises corresponding to the selected deviations exceeds the maximum number for the exercise program.

22. The method as claimed in claim 14, wherein the step of compiling comprises repeating ones of the exercises corresponding to most severe postural problems regularly throughout the exercise program and including ones of the exercises corresponding to less severe postural problems for only part of the program.

23. The method as claimed in claim 22, wherein the step of compiling comprises including ones of the exercises corresponding to moderately severe postural problems more intensively for only part of the exercise program.

24. The method as claimed in claim 18, wherein the step of compiling comprises repeating ones of the exercises corresponding to most severe postural problems regularly throughout the exercise program and including ones of the exercises corresponding to less severe postural problems for only part of the program.

25. The method as claimed in claim 24, wherein the step of compiling comprises including ones of the exercises corresponding to moderately severe postural problems more intensively for only part of the exercise program.

26. The method as claimed in claim 14, further comprising steps of:

a) obtaining, after completing of the exercise program, new biomechanical position data of the patient while standing relaxed and in normal posture;

b) evaluating an effectiveness of the exercises in the exercise program for correcting the postural problems; and

c) adjusting parameters used in the step of correlating for future patients based on the effectiveness evaluated in the previous step.

27. The method as claimed in claim 26, wherein the exercise program is repeatedly varied until the effectiveness of the exercises is optimized.

28. The method as claimed in claim 27, wherein the steps of correlating, evaluating and adjusting are carried out using a centralized shared database of the parameters used in the step of correlating for a large number of patients.

29. The method as claimed in claim 26, wherein the parameters include at least one of age, gender and an activity level of the patient.

30. A method of providing posture health care using a distributed system, the method comprising the steps of:

a) obtaining personal data of a patient, the personal data including weight, height, gender and activity data of the patient, and obtaining posture anatomical reference position data of the patient at a biomechanical measurement station;

b) processing the personal and position data using data stored in a remote central database to obtain preliminary postural deviation assessment data;

c) providing the preliminary postural deviation assessment data to one of a health-care practitioner and the patient;

d) obtaining corrected postural deviation assessment data from one of the health-care practitioner and the patient; and

e) modifying the data stored in the central database using the corrected data.

31. The method as claimed in claim 30, wherein the preliminary postural deviation assessment data comprises a ranked list of deviations and a preliminary selection of the deviations to be included in a therapeutic exercise program, and the corrected data comprises a corrected selection of the deviations to be included in a therapeutic exercise program.

32. The method as claimed in claim 30, wherein:

the preliminary postural deviation assessment data comprises a set of therapeutic exercises of an exercise program;

the corrected data comprises new posture anatomical reference position data of the patient obtained after completion of the exercise program; and

step (e) comprises processing the new reference position data to determine an effectiveness of the therapeutic exercises in correcting postural deviations and modifying accordingly the data stored in the central database.

33. The method as claimed in claim 30, wherein:

step (a) comprises validating completeness of the reference position data at the biomechanical measurement station and transmiting the personal and position data to a central server;

step (b) is a carried out at the central server;

step (c) comprises transmitting the preliminary postural deviation assessment data from the central server to one of the health-care practitioner and the patient;

step (d) comprises transmitting the corrected data to the central server; and

step (e) is carried out by the central server.

34. The method as claimed in claim 33, wherein the biomechanical measurement station includes a health-care practitioner client station in communication with the central server.

35. The method as claimed in claim 34, wherein the client station uses a web browser interface to communicate with the central server, the central server providing a secure connection to a biomechanical assessment report web document for the patient.