Method and system for providing physical therapy services

• US 6,007,459 A
• Filed: 04/14/1998
• Issued: 12/28/1999
• Est. Priority Date: 04/14/1998
• Status: Expired due to Term

• Current Assignee: Barry Burgess
• Original Assignee: Barry Burgess
• Inventors: Burgess, Barry
• Primary Examiner(s): Richman, Glenn E.
• Application Number:
  US09/059,177
• Time in Patent Office: 623 Days
• Field of Search: 482/1-9, 482/900-902, 600/483, 600/300, 600/301, 128/904, 601/23, 364/400, 364/410.1
• US Class Current: 482/4
• CPC Class Codes: A61B 2505/07 Home care
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• 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 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/224 Measuring muscular strength
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/6814 Head
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/7465 Arrangements for interactive communication between patient and care services, e.g. by using a telephone network telemetry of measured physiological signal A61B5/0002
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A method and system for providing physical therapy to a human client having a physical condition includes the steps of providing an electronic communication link between the client and a therapist, instructing the client to move in a particular manner, or to assume a sustained posture or perform a test. Then, feedback is requested from the client. The feedback relates to bodily sensation corresponding to the movement or sustained posture and can be audio, video, and/or data type feedback. The communication link communicates the feedback to the therapist. Accordingly, the therapist utilizes the feedback to assess the physical condition of the client. The therapist also communicates remedial movements or a remedial sustained posture to the client to address the physical condition. Various postural measurements and testing devices are be used in conjunction with the present invention to facilitate assessment and help address the physical condition in accordance with accepted physical therapy techniques.

Claims

1. A method for remotely providing physical therapy services to a human client having a physical condition, comprising:

(a) providing a first terminal associated with a client, a second terminal associated with a therapist, and video communication link between the terminals;

(b) instructing the client, via the communication link, to move in a particular manner, or to assume a sustained posture;

(c) measuring client postural information with a postural measurement device coupled to the first terminal;

(d) communicating feedback, including video signals and client postural information data, via the communication link, from the first terminal to the second terminal relating to the movement or sustained posture;

(e) utilizing the feedback to assess the physical condition of the client; and

(f) communicating remedial movements or a remedial sustained posture to the client to address the physical condition.

2. A method as set forth in claim 1, wherein steps b, and c, repeat to iteratively address the physical condition.

3. A method as set forth in claim 1, wherein steps b, c, d, and e repeat to iteratively address the physical condition.

4. A method as set forth in claim 1, further comprising:

simultaneously communicating the client postural information, video data and audio data from the first terminal to the second terminal via the communication link.

5. A method as set forth in claim 1, wherein the communication link includes a satellite communication link providing sufficient bandwidth to simultaneously communicate audio, video and other data between the client and the therapist.

6. A method as set forth in claim 1, further comprising:

providing a medical history data base; and

communicating client medical history from the database to the second terminal to provide the therapist with a client medical history.

7. A method as set forth in claim 1, wherein the step of providing a communication link includes linking the first terminal and second terminals with the Internet.

8. A system for remotely providing physical therapy services to a client having a physical condition, comprising:

(a) a first terminal associated with the client having a video camera, microphone, speaker and display;

(b) a second terminal associated with a therapist having a video camera, microphone, speaker and display;

(c) a postural measurement device coupled with the first terminal for measuring client postural information; and

(d) a video communication link between the first terminal and the second terminal to communicate audio, video and postural information between the first terminal and the second terminal.

9. A system as set forth in claim 8, wherein the postural measurement device includes an inclinometer is positioned in visual communication with the first terminal camera, the inclinometer displays client postural information, the camera views the displayed postural information and communicates a video image of the inclinometer and the postural information to the second terminal.

10. A system as set forth in claim 8, wherein the postural measurement device includes an infrared transmitter;

the first terminal includes an infrared receiver; and

the postural measurement device communicates client postural information to the first terminal receiver with the infrared transmitter, the first terminal communicates the postural information to the second terminal via the communication link.

11. A system as set forth in claim 10, wherein the postural measurement device includes an inclinometer.

12. A system as set forth in claim 10, wherein the postural measurement device includes an accelerometer.

13. A system as set forth in claim 10, wherein the postural measurement device includes a goiniometer.

14. A system as set forth in claim 10, wherein the postural measurement device includes a dynamometer.

15. A system as set forth in claim 10, wherein the postural measurement device includes a sphygnomanometer.

16. A system as set forth in claim 10, wherein the postural measurement device includes a skin surface EMG measurement device to detect changes in skin surface EMG for any of a variety of postures.

17. A system as set forth in claim 10, wherein the postural measurement device includes a thermometer to measure changes in body temperature at a selected location, for any of a variety of postures.

18. A system as set forth in claim 10, wherein the postural measurement device includes a protractor positioned in visual communication with respect to the camera of the first terminal.

19. A system as set forth in claim 10, wherein the first terminal camera is remotely controllable by the second terminal.

20. A system as set forth in claim 10, wherein the first terminal camera includes a stereoscopic 3-D video camera and the first terminal display displays stereoscopic images.

21. A system as set forth in claim 10, wherein the second terminal includes a computer for processing video images to extract client postural information from the video images.