SYSTEM AND A METHOD FOR SCORING FUNCTIONAL ABILITIES OF A PATIENT

• US 20110004126A1
• Filed: 02/19/2009
• Published: 01/06/2011
• Est. Priority Date: 02/21/2008
• Status: Active Grant

• Current Assignee: Motorola, Inc. (Motorola Solutions, Inc.)
• Original Assignee: Motorola, Inc. (Motorola Solutions, Inc.)
• Inventors: Yoely, Doron, Geva, Dikla, Kerzhner, Marina, Einav, Omer
• Granted Patent: US 9,460,266 B2
• Time in Patent Office: Days
• US Class Current: 600/595
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

A method for scoring one or more functional abilities of a patient that comprises exercising a patient according to an exercising pattern, using at least one sensor for sensing one or more manipulations of the patient during the exercising, and scoring the one or more functional abilities according to the sensed manipulations. The scoring is performed according to a visual rehabilitation evaluation scale for scoring the one or more functional abilities.

Claims

1. A method for scoring at least one functional ability of a patient, comprising:

a) exercising a patient according to an exercising pattern;

b) using at least one sensor for sensing at least one manipulation of the patient during said exercising; and

c) scoring said at least one functional ability according to said at least one sensed manipulation, said scoring being performed according to a visual rehabilitation evaluation scale for scoring the at least one functional ability.

2. The method of claim 1, further comprising generating a single functional evaluation score according to said scoring.

3. The method of claim 1, further comprising diagnosing said patient with regard to said functional ability according to said visual rehabilitation evaluation scale.

4. The method of claim 1, further comprising using said visual rehabilitation evaluation scale for monitoring a therapy given to said patient with regard to said functional ability.

5. The method of claim 2, wherein said functional evaluation score is a neuromuscular evaluation.

6. The method of claim 1, wherein said scoring comprises giving a rehabilitation score to said functional ability, said exercising pattern comprising a plurality of rehabilitation exercises.

7. The method of claim 1, wherein said exercising pattern define a member selected from a group consisting of:

a Pinch exercise, a Grip exercise, a force-star (F-Star) exercise, a wrist range of motion (WROM) exercise, a forward thrust (FT) exercise, an elbow extension/flexion (ELB) exercise, a reach waist level (RWL) exercise, a reach shoulder level (RSL) exercise, and a horizontal abduction (HAB) exercise.

8. The method of claim 1, wherein said visual rehabilitation evaluation scale comprising a member selected from a group consisting of:

an action research arm test (ARAT), a stroke impact scale (SIS), Fugl-Meyer assessment (FMA), motor assessment scale (MAS), wolf motor function test (WMFT), motor status score for the Upper Extremity (MSS), manual function test (MFT).

9. The method of claim 1, further comprising repeating a) and b) after said c) with an adjusted exercising pattern and adjusting said scoring according to said at least one sensed manipulation performed of said repeated b), said exercising pattern being adjusted according to said scoring.

10. The method of claim 9, wherein said adjusted exercising pattern comprises at least one rehabilitation evaluation exercise for evaluating the progress of said patient with regard to said functional ability.

11. The method of claim 10, wherein said evaluating comprises evaluating a rehabilitation re-evaluation score according to said at least one sensed manipulation.

12. The method of claim 10, wherein said evaluating comprises evaluating a progress of said patient according to said at least one sensed manipulation.

13. The method of claim 9, wherein said adjusting allows the overcoming at least one of a ceiling effect and a floor effect.

14. The method of claim 9, wherein said at least one functional ability comprises a plurality of abilities, said exercising pattern being adjusted according to scoring at least some of said plurality of abilities according to the score of at least one of the others of said plurality of abilities.

15. The method of claim 1, wherein said scoring is performed according to medical information pertaining to the patient.

16. The method of claim 15, wherein said medical information is selected from a member of a group consisting of:

a laboratory result, a therapeutic procedure record, a clinical evaluation, age, gender, a medical condition, genetic information, a patient medical record, a metabolism related data, a blood pressure, a sensitivity, an allergy, a population relevance, a treatment, a treatment outcome, an epidemiologic classification, comorbidity, a treatment history.

17. The method of claim 1, wherein said at least one manipulation comprises a three dimensional (3D) manipulation.

18. The method of claim 1, wherein at least one of said scored functional ability is scored with a member selected from a group consisting of:

a quality of movement score, active range of motion (ROM) score, resistance score, passive ROM score, a smoothness score, a path efficiency score, a motion direction score, and a resistance to movement score.

19. The method of claim 1, wherein said exercising comprises a member selected from a group consisting of:

applying forces, pushing forces, assisting forces, reminding forces, responding forces, and resisting forces during said at least one manipulation.

20. The method of claim 1, wherein said exercising comprises adjusting said exercising pattern according to said at least one manipulation during said sensing.

21. The method of claim 20, wherein said adjusting is performed according to a member selected from a group consisting of:

the path of said at least one sensed manipulation, the velocity of said at least one sensed manipulation, the force of said at least one sensed manipulation, a compression to at least one previously sensed performance activity.

22. The method of claim 2, further comprising evaluating physiological limitations of the patient according to said functional evaluation score.

23. The method of claim 22, wherein said physiological limitations comprise a limitation selected from a group comprising:

a motor limitation, a cognitive limitation and/or a speech limitation.

24. The method of claim 2, wherein said generating comprises calculating said functional evaluation score according to medical information pertaining to the patient.

25. A method for evaluating a functional performance of a patient, comprising:

a) exercising a patient according to at least one functional exercise;

b) measuring at least one manipulation of said patient during said exercising;

c) evaluating a functional ability according to said at least one measured manipulation;

d) defining at least one new functional exercise according to said evaluation; and

e) repeating a)-c) wherein said functional exercise is said new functional exercise.

26. The method of claim 25, wherein said defining comprises adjusting said at least one functional exercise for producing said at least one new functional exercise.

27. The method of claim 25, wherein said defining comprises matching said at least one measured manipulation with a plurality of predefined manipulation patterns.

28. The method of claim 27, wherein said plurality of predefined manipulation patterns are arranged in a hierarchical database.

29. The method of claim 25, wherein said at least one functional exercise is configured for evaluating said functional ability, said at least one new functional exercise being configured for evaluating the progress of said patient with regard to said functional ability.

30. The method of claim 25, wherein said defining comprises matching between a time-lapse measured during said at least one functional exercise and a previously measured time-lapse taken during at least one respective functional exercise performed by said patient.

31. A system for evaluating at least one functional ability of a patient, comprising:

a database configured for hosting at least one preliminary exercising pattern and a plurality of adjusted exercising patterns; and

an adaptive training unit configured for exercising a patient according to said at least one preliminary exercising pattern and providing a preliminary evaluation of the at least one functional ability according to said exercising;

wherein said adaptive training unit is configured for selecting at least one of said plurality of adjusted exercising patterns according to said preliminary evaluation and exercising said patient according to said selected adjusted exercising pattern.

32. The system of claim 31, wherein said preliminary evaluation is a rehabilitation evaluation and each said adjusted exercising pattern being a rehabilitation re-evaluation exercise.

33. A system for evaluating patient performances, comprising:

a database configured for hosting at least one visual rehabilitation evaluation scale for rating a functional ability;

a training unit configured for exercising a patient according to at least one exercising pattern; and

an evaluation unit configured for scoring said exercising according to said at least one visual rehabilitation evaluation scale.

34. The system of claim 33, wherein said database is configured for hosting a plurality of visual rehabilitation evaluation scales, further comprising a user interface configured for allowing the operator of the system to select one of said plurality of visual rehabilitation evaluation scales, said evaluation unit being configured for scoring said exercising according to said selected visual rehabilitation evaluation scale.

35. The system of claim 34, wherein said at least one visual rehabilitation evaluation scale comprises a member selected from a group consisting of:

an action research arm test (ARAT), a stroke impact scale (SIS), Fugl-Meyer assessment (FMA), motor assessment scale (MAS), wolf motor function test (WMFT), motor status score for the Upper Extremity (MSS), manual function test (MFT).

36. The system of claim 33, wherein said evaluation unit is configured for measuring time during said exercising, said scoring being performed according to said measured time.