Neurological conflict diagnostic method and apparatus

• US 6,719,690 B1
• Filed: 01/30/2002
• Issued: 04/13/2004
• Est. Priority Date: 08/13/1999
• Status: Expired due to Term

• Current Assignee: Interactive Metronome, Inc.
• Original Assignee: Synaptec, LLC
• Inventors: Cassily, James F.
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): McCrosky, David J.
• Application Number:
  US10/048,505
• Time in Patent Office: 804 Days
• Field of Search: 600/300, 600/301, 705/2, 705/3, 128/920-925, 434/116, 434/258, 434/236
• US Class Current: 600/300
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/162 Testing reaction times
• CPC Class Codes: A61B 5/4082 Diagnosing or monitoring movement diseases, e.g. Parkinson, Huntington or Tourette
• CPC Class Codes: A61B 5/6806 Gloves
• CPC Class Codes: A61B 5/6896 Toys

Abstract

A timing assessment tool (12) is provided that is manipulatable by a user (8) in response to the user'"'"'s expected occurrence of a rhythmic reference signal. The timing assessment tool derives a rhythmic assessment from a pattern of user responses to the user'"'"'s expected occurrence of the rhythmic reference signal. An analyzer (14), which may include a database (30), is provided to respond to the rhythmic assessment to indicate a diagnosis and/or corrective intervention,

Claims

1. A neurological conflict diagnostic apparatus, comprising

a timing assessment tool manipulatable by a user in response to the user'"'"'s expected occurrence of a rhythmic reference signal;

said timing assessment tool deriving a rhythmic assessment from a pattern of user responses to the user'"'"'s expected occurrence of the rhythmic reference signal; and

an analyzer responsive to said rhythmic assessment to indicate a diagnosis or a corrective intervention.

2. The diagnostic apparatus in claim 1 wherein said rhythmic reference signal comprises a percussive tone having occurrences separated by a substantially constant time interval.

3. The diagnostic apparatus in claim 2 wherein said timing assessment tool provides said rhythmic reference signal to the user.

4. The diagnostic apparatus in claim 3 wherein said rhythmic reference signal is at least one of a non-speech tone and a speech phonetic sound.

5. The diagnostic apparatus in claim 2 wherein said timing assessment tool supplies distraction sounds to the user.

6. The diagnostic apparatus in claim 1 wherein said analyzer includes a database, said database relating rhythmic assessment and diagnosis or corrective interventions, and wherein said analyzer further includes a processor applying said rhythmic assessment to said database and retrieving a diagnosis or a corrective intervention from said database.

7. The diagnostic apparatus in claim 6 wherein said processor retrieves a corrective intervention from said database.

8. The diagnostic apparatus in claim 7 wherein the corrective intervention includes at least one chosen from neurological time sequence training, a school-based intervention, and a pharmacological intervention.

9. The diagnostic apparatus in claim 6 wherein said database is developed from rhythmic assessments for a multiplicity of users and diagnosis for the multiplicity of users.

10. The diagnostic apparatus in claim 9 wherein said rhythmic assessments for said multiplicity of users are developed with said timing assessment tool.

11. The diagnostic apparatus in claim 9 wherein said diagnosis includes an indication of a level of accuracy of the diagnosis.

12. The diagnostic apparatus in claim 6 wherein said processor retrieves a diagnosis from said database.

13. The diagnostic apparatus in claim 12 wherein said diagnosis is selected from among at least Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Dyslexia, NVLD, tics, such as Tourette Syndrome (TS), Closet Head Injury (CHI), language disorder, Developmental Coordination Disorder (DCD), Deficit and Attention Motor Control and Perception (DAMP), Language Impaired (LI), Aggressive-Hyperactive-Impulsive-Inattentive behavior (AHII), autism, Parkinson'"'"'s disease, and claustrophobia.

14. The diagnostic apparatus in claim 6 wherein said processor retrieves both a diagnosis and an intervention from said database.

15. The diagnostic apparatus in claim 1 wherein said timing assessment tool includes at least one user operable trigger and a control, said control generating said reference signal and determining a temporal relationship between user manipulation of said at least one trigger and occurrences of said reference signal.

16. The diagnostic apparatus in claim 15 wherein said at least one user operable trigger includes a plurality of triggers operable by different user limbs.

17. The diagnostic apparatus in claim 16 wherein said timing assessment tool compares user manipulation of different said triggers.

18. The diagnostic apparatus in claim 16 wherein said plurality of triggers are operable by the user'"'"'s hands and feet.

19. The diagnostic apparatus in claim 15 wherein said control provides to the user a guidance signal that is a function of said temporal relationship.

20. The diagnostic apparatus in claim 19 wherein said guidance signal is one of an aural signal and a visual signal.

21. The diagnostic apparatus in claim 19 wherein said guidance signal is an aural signal.

22. The diagnostic apparatus in claim 15 wherein said pattern of user responses is chosen from at least one of user response time, user response variability, break in user response sequence, out-of-phase user response, erratic user responses, user responses before the reference signal, user responses after the reference signal and multiple responses.

23. The diagnostic apparatus in claim 1 wherein the rhythmic assessment is one of disassociative, contraphasic, hyperballistic, hypoanticipatory, hypermiticipatory or auditory hypersensitivity.

24. The diagnostic apparatus in claim 1 wherein said pattern of user manipulations of said timing assessment tool is chosen of at least one of response time, response variability, break in response sequence, out-of-phase responses, erratic responses, early responses, late responses and multiple responses.

25. A diagnostic apparatus, comprising:

at least one user operative trigger;

a control generating a reference signal having occurrences separated by predetermined time intervals, said control measuring a temporal relationship between user manipulation of said trigger and occurrences of said reference signal and determining a pattern of the temporal relationships; and

a database comprising a plurality of said patterns of temporal relationships and diagnosis or corrective interventions relating to the temporal relationships;

wherein said control applies the pattern of temporal relationships to said database.

26. The diagnostic apparatus in claim 25 wherein said control measures said temporal relationship for user manipulation of different said triggers.

27. The diagnostic apparatus in claim 26 wherein said plurality of triggers are operable by the user'"'"'s hands and feet.

28. The diagnostic apparatus in claim 25 wherein said control provides to the user a guidance signal th is a function of said temporal relationship.

29. The diagnostic apparatus in claim 28 wherein said guidance signal is one of an aural signal and a visual signal.

30. The diagnostic apparatus in claim 29 wherein said guidance signal is an aural signal.

31. The diagnostic apparatus in claim 25 wherein said control provides said reference signal to the user.

32. The diagnostic apparatus in claim 31 wherein said reference signal is at least one of a non-speech tone and a speech phonetic sound.

33. The diagnostic apparatus in claim 25 wherein said patterns of temporal relationships are made up of at least one chosen from user response time, user response variability, break in user response sequence, out-of-phase user responses, erratic user responses, user responses before the reference signal, user responses after the reference signal and multiple responses each reference signal.

34. The diagnostic apparatus in claim 25 wherein said patterns of temporal relationships comprise one chosen from disassociative, contraphasic, hyperballistic, hypoanticipatory, hyperanticipatory or auditory hypersensitivity.

35. The diagnostic apparatus of claim 25 wherein said database comprises corrective interventions for the patterns of temporal relationships, wherein the corrective interventions include at least one of training programs with said at least one user operable trigger and said control, a school-based intervention, and a pharmacological intervention.

36. The diagnostic apparatus of claim 25 wherein said database is developed from said patterns of temporal relationships for a multiplicity of users and diagnosis for said multiplicity of users.

37. The diagnostic apparatus in claim 36 wherein said patterns of temporal relationships for said multiplicity of users arc developed with at least one said user operable trigger and a said control.

38. The diagnostic apparatus in claim 36 wherein said patterns of temporal relationships for said multiplicity of users are developed with said timing assessment tool.

39. The diagnostic apparatus in claim 36 including applying statistical analysis to the pattern of temporal relationships of the multiplicity of users and the diagnosis for the multiplicity of users.

40. The diagnostic apparatus in claim 25 wherein said database comprises diagnosis related to the temporal relationships.

41. The diagnosis apparatus in claim 40 wherein said diagnosis includes an indication of a level of accuracy of the diagnosis in the database.

42. The diagnosis apparatus in claim 40 wherein said diagnosis is selected from among at least Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Dyslexia, NVLD, tics, such as Tourette Syndrome (TS), Closed Head Injury (CHI), language disorder, Developmental Coordination Disorder (DCD), Deficit and Attention Motor Control and Pereeption (DAMP), Language Impaired (LI), Aggressive-Hyperactive-Impulsive-Inattentive behavior (AHII), autism, Parkinson'"'"'s disease, and claustrophobia.

43. The diagnosis apparatus in claim 25 wherein said database comprises a plurality of temporal relationships and both diagnosis and corrective interventions relating to the temporal relationships.

44. The diagnosis apparatus in claim 25 wherein said control also generates distraction sounds.

45. A method of determining a diagnosis or a corrective intervention for a person having a neurological conflict, comprising:

providing a database of rhythmic assessments and diagnosis or corrective interventions;

measuring a pattern of user responses to expected occurrences of a rhythmic reference signal and determining a rhythmic assessment for that user from the pattern of user responses oft that user; and

applying the rhythmic assessment of that user to the database and retrieving a diagnosis or a corrective intervention from said database.

46. The method of determining a therapeutic intervention or corrective intervention of claim 45 wherein said rhythmic reference signal comprises a percussive tone having occurrences separated by a substantially constant time interval.

47. The method of determining a therapeutic intervention or corrective intervention of claim 45 wherein said measuring includes providing a timing assessment tool and having the user manipulate the timing assessment toot to develop the pattern of user responses of that user.

48. The method of determining a therapeutic intervention or corrective intervention of claim 47 wherein said timing assessment tool includes at least one user operable trigger and a control generating said reference signal and determining a temporal relationship between user manipulation of said at least one trigger and occurrences of said reference signal.

49. The method of determining a therapeutic intervention or corrective intervention of claim 48 wherein said at least one user operable trigger includes a plurality of triggers operable by different user limbs.

50. The method of determining a therapeutic intervention or corrective intervention of claim 49 including manipulating said plurality of triggers by different limbs of the person to determine said rhythmicity.

51. The method of determining a therapeutic intervention or corrective intervention of claim 48 including providing the reference signal to the user.

52. The method of determining a therapeutic intervention or corrective intervention of claim 48 including providing a distraction signal to the user.

53. The method of determining a therapeutic intervention or corrective intervention of claim 47 wherein said pattern of user responses includes at least one chosen from the user'"'"'s response time, response variability, break in response sequence, out-of-phase responses, erratic responses, early responses, and late responses.

54. The method of determining a therapeutic intervention or corrective intervention of claim 45 wherein said pattern of user responses includes at least one chosen from the user'"'"'s response time, response variability, break in response sequence, out-of-phase responses, erratic responses, early responses, late responses and multiple responses.

55. The method of determining a therapeutic intervention or corrective intervention of claim 45 wherein said rhythmic assessment is chosen from one of disassociative, contraphasic, hyperballistic, hypoanticipatory, hyperanticipatory or auditory hypersensitivity.

56. The method of determining a therapeutic intervention or corrective intervention of claim 45 including applying the rhythmic assessment to the database and retrieving a corrective intervention from said database, wherein said corrective intervention comprisesis chosen from at least one of a neurological time sequence training, a school-based intervention and a pharmacological intervention.

57. The method of determining a therapeutic intervention or corrective intervention of claim 45 including developing the database by determining a rhythmic assessment of a multiplicity of persons and recording the rhythmic assessment and a diagnosis for the multiplicity of users.

58. The method of determining a therapeutic intervention or corrective intervention of claim 57 including determining the rhythmic assessment of said multiplicity of persons with at least one user operable trigger and generating a reference signal, the reference signal having occurrences separated by a predetermined time interval and determining a temporal relationship between user manipulation of said at least one trigger and occurrences of said reference signal.

59. The method of determining a therapeutic intervention or corrective intervention of claim 57 wherein said developing the database includes recording an indication of a level of accuracy of the diagnosis.

60. The method of determining a therapeutic intervention or corrective intervention of claim 45 including applying the determined rhythmic assessment to the database and retrieving a diagnosis from the database.

61. The method of determining a therapeutic intervention or corrective intervention of claim 60 including retrieving diagnosis from among at least Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Dyslexia, NVLD, tics, such as Tourette Syndrome (TS), Closed Head Injury (CHI), language disorder, Developmental Coordination Disorder (DCD), Deficit and Attention Motor Control and Perception (DAMP), Language Impaired (LI), Aggressive-Hyperactive-Impulsive-Inattentive behavior (AHII), autism, Parkinson'"'"'s disease, and claustrophobia.

62. The method of determining a therapeutic intervention or corrective intervention of claim 45 including applying the determined rhythmic assessment to the database and retrieving a diagnosis and a corrective intervention from the database.