Comprehensive neuromuscular profiler

• US 8,323,190 B2
• Filed: 07/09/2004
• Issued: 12/04/2012
• Est. Priority Date: 07/09/2003
• Status: Expired due to Fees

• Current Assignee: Med-Tek LLC
• Original Assignee: Med-Tek LLC
• Inventors: Vitiello, Marco N., Cyphery, Charles Dean, Butler, Lance H.
• Primary Examiner(s): Yao, Sam
• Assistant Examiner(s): Soriano, Bobby
• Application Number:
  US10/504,031
• Publication Number:
  US 20060058699A1
• Time in Patent Office: 3,070 Days
• Field of Search: 600300-301, 600/547, 600587-595, 32420711-20726, 7337901-37902
• US Class Current: 600/301
• CPC Class Codes: A61B 2503/40 Animals
• 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 5/1123 Discriminating type of movement, e.g. walking or running A61B5/1116, A61B5/112 take precedence
• CPC Class Codes: A61B 5/1127 using markers
• CPC Class Codes: A61B 5/224 Measuring muscular strength
• CPC Class Codes: A61B 5/225 of the fingers, e.g. by monitoring hand-grip force
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• 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

Abstract

A Comprehensive Neuromuscular Profiler (CNMP) allows the observation of human and equine muscle functionality and characteristics. The CNMP consists of an integrated system which combines EMG technology, electromagnetic range-of-motion (ROM) technology, and functional capacity sensors. Output signals from the devices are digitized and stored in computer memory. The data may be transmitted to a server computer for further analysis. The server computer examines the data to determine patterns and consults an expert database to determine a diagnosis based on the patterns and combinations of patterns detected.

Claims

1. An apparatus for generating neuromuscular profile data for a patient, the apparatus comprising:

an EMG device for generating an EMG signal for a patient;

a ROM device for generating a ROM signal for a patient, said ROM device utilizing a remote sensing technology;

a signal processing unit including a ROM signal processing device for converting the ROM signal into ROM data and a signal processing device for converting the EMG signal to EMG data the signal processing unit further including a first data output terminal for outputting the EMG data and a second data output terminal for outputting the ROM data, the first data output terminal being separately provided in the signal processing unit from the second data output terminal;

a client computer having a computer memory, said client computer being operatively connected to said EMG device and said ROM device via said signal processing unit, said client computer being configured to receive said EMG data and said ROM data and to store said EMG data and said ROM data in said computer memory; and

a server computer including an expert system configured to evaluate said EMG data and said ROM data and an expert database, the expert system utilizing a pattern comparison method, wherein;

in the pattern comparison method, the server computer is configured to extract patterns from said EMG data and said ROM data and to compare the extracted patterns with patterns in the expert database, and

the client computer is configured to receive said ROM data output from the second data output terminal via a channel different from a channel for receiving said EMG data output from the first data output terminal.

2. The apparatus of claim 1, wherein said remote sensing technology comprises a pulsed DC electromagnetic field technology, an AC electromagnetic field technology or an optical technology.

3. The apparatus of claim 1, wherein said remote sensing technology comprises a pulsed DC electromagnetic field technology.

4. The apparatus of claim 3, wherein said ROM device utilizing the pulsed DC electromagnetic field technology comprises a ROM transmitter and a ROM sensor,

said ROM transmitter adapted to be placed in a predetermined relationship with a body of the patient and further adapted to generate an electromagnetic field,

said ROM sensor adapted to be attached to said body of the patient,

said ROM sensor being adapted to generate the ROM signal in response to a location of said ROM sensor within said electromagnetic field.

5. The apparatus of claim 1, further comprising:

an isometric function measurement device for generating an isometric function signal for the patient, wherein;

said client computer is operatively connected to said isometric function measurement device via the signal processing device.

the signal processing device converts the isometric function signal to isometric function data, and

said client computer is configured to receive said isometric function data output from the first data output terminal and to store said isometric function data in said computer memory.

6. The apparatus of claim 1, further comprising:

a grip strength measurement device for generating a grip strength signal for the patient, wherein;

said client computer is operatively connected to said grip strength measurement device via the signal processing device,

the signal processing device converts the grip strength signal to grip strength data, and

said client computer is configured to receive said grip data output from the first data output terminal and to store said grip data in said computer memory.

7. The apparatus of claim 1, further comprising:

a finger pinch measurement device for generating a finger pinch signal for the patient, wherein;

said client computer is operatively connected to said finger pinch measurement device via the signal processing device,

the signal processing device converts the finger pinch signal to finger pinch data, and

said client computer is configured to receive said finger pinch data output from the first data output terminal and to store said finger pinch data in said computer memory.

8. The apparatus of claim 1, further comprising:

an image input device for generating video information, wherein;

said client computer is operatively connected to said image input device, and

said client computer is configured to receive said video information and to store said video information in said computer memory.

9. The apparatus of claim 1, further comprising:

a protocol stored in said computer memory;

said protocol comprising an instruction for a task to be performed by the patient,

said protocol further comprising a specification for protocol data to be collected during performance of said task by the patient, wherein

said client computer is configured to collect and to record said protocol data to said computer memory.

10. The apparatus of claim 9, wherein:

said protocol data relates to one or more of said EMG data, said ROM data, isometric function data, grip data, pinch data or video information.

11. The apparatus of claim 10, wherein said client computer is configured to provide to a user said instruction for said task to be performed by the patient.

12. The apparatus of claim 1, wherein:

the server computer is configured to receive said EMG and ROM data via a computer network,

the server computer is configured to compare said EMG data and ROM data with the expert database for generating a patient profile, and

the server is further configured to send the patient profile to the client computer.

13. An apparatus for generating neuromuscular profile data for a patient, the apparatus comprising:

a signal conditioning and conversion circuit board;

an EMG sensor configured to be attached to the patient at a predetermined EMG sensor location,

said EMG sensor being configured to generate an EMG signal,

said EMG sensor being electrically connected to said signal conditioning and conversion circuit board,

said signal conditioning and conversion circuit board being configured to receive said EMG signal and to convert said EMG signal into EMG data, and

said conditioning and conversion circuit board including a first output terminal for outputting the EMG data;

a ROM transmitter configured to be placed in a predetermined transmitter location with respect to the patient and to generate an electromagnetic field;

a ROM sensor configured to be attached to a body of the patient at a predetermined ROM sensor location and to interact with said electromagnetic field to generate a ROM signal;

a ROM signal processor electrically connected to said ROM sensor,

said ROM signal processor being configured to receive said ROM signal and to convert said ROM signal to ROM data, and

said ROM signal processor including a second output terminal for outputting the ROM data, the second output terminal being provided separately from the first terminal;

a client computer having a computer memory,

said client computer being electrically connected to said signal conditioning and conversion circuit board and to said ROM signal processor, and

said computer being configured to receive said EMG data and said ROM data and to store said EMG data and said ROM data in said computer memory; and

a server computer including an expert system configured to evaluate said EMG data and said ROM data and an expert database, the expert system utilizing a pattern comparison method, wherein;

in the pattern comparison method, the server computer is configured to extract patterns from said EMG data and said ROM data and to compare the extracted patterns with patterns in the expert database, and

the client computer is configured to receive said ROM data output from the second data output terminal via a channel different from a channel for receiving said EMG data output from the first data output terminal.

14. The apparatus of claim 13, wherein:

the server computer is configured to receive said EMG and ROM data via a computer network,

the server computer is configured to compare said EMG data and ROM data with the expert database for generating a patient profile, and

the server is further configured to send the patient profile to the client computer.

15. The apparatus of claim 13, further comprising:

an isometric function sensor configured to generate an isometric function signal in response to a force applied by the patient,

said isometric function sensor being electrically connected to said signal conditioning and conversion circuit board,

said signal conditioning and conversion circuit board being configured to convert said isometric function signal into isometric function data, and

said client computer being configured to receive said isometric function data output from the first data output terminal and to store said isometric function data in said computer memory.

16. The apparatus of claim 15, further comprising:

a grip strength sensor configured to generate a grip signal in response to a grip of the patient,

said grip strength sensor being electrically connected to said signal conditioning and conversion circuit board,

said signal conditioning and conversion circuit board being configured to convert said grip strength signal into grip data, and

said client computer being configured to receive said grip data output from the first data output terminal and to store said grip data in said computer memory.

17. The apparatus of claim 16, further comprising:

a finger pinch strength sensor configured to generate a pinch strength signal in response to a finger pinch of the patient,

said pinch strength sensor being electrically connected to said signal conditioning and conversion circuit board,

said circuit board being configured to convert said finger pinch strength signal into pinch data, and

said client computer being adapted to receive said pinch data output from the first data output terminal and to store said pinch data in said computer memory.

18. The apparatus of claim 17, further comprising:

a video camera configured to generate video information of the patient,

said video camera being electrically connected to said client computer,

said client computer being configured to receive said video information from said signal conditioning and conversion circuit board and to store said video information in said computer memory.

19. The apparatus of claim 13, further comprising:

a protocol, said protocol being resident in said computer memory of said client computer;

said protocol comprising an instruction for a task to be performed by the patient,

said protocol further comprising a specification for protocol data to be collected during performance of said task by the patient,

said client computer being configured to administer said protocol and to collect said protocol data.

20. The apparatus of claim 19, wherein said protocol data comprises one or more of said EMG data, said ROM data, isometric function data, grip data, pinch data or video information.

21. The apparatus of claim 20, wherein said client computer is configured to provide to a user said instruction for said task to be performed by the patient.

22. A method for collecting neuromuscular data for a patient, the method comprising the steps of:

generating an EMG signal for the patient;

generating a ROM signal for the patient, said ROM data being generated using a remote sensing technology;

converting the EMG signal into EMG data and outputting the EMG data from a first data output terminal;

converting the ROM signal into ROM data and outputting the ROM data from a second data output terminal, the second output terminal being provided separately from the first terminal;

receiving the ROM data output from the second data output terminal via a channel different from a channel for receiving the EMG data output from the first data output terminal;

storing said EMG data and said ROM data in a computer memory;

comparing said EMG data and said ROM data by utilizing an expert system including an expert database, said expert database associating a profile with said combination of said EMG data and said ROM data, the expert system utilizing a pattern comparison method;

evaluating said EMG data and ROM data by consulting said expert database for generating a profile for said patient; and

communicating to a user said profile for said patient, wherein

in the step of comparing, patterns are extracted from said EMG data and said ROM data and the extracted patterns are compared with patterns in the expert database.

23. The method of claim 22, wherein said remote sensing technology is selected from the group consisting of a pulsed DC electromagnetic field technology, an AC electromagnetic field technology and an optical technology.

24. The method of claim 23, wherein said remote sensing technology comprises a pulsed DC electromagnetic field technology.

25. The method of claim 24, further comprising the steps of:

generating functional capacity data for the patient; and

recording said functional capacity data in said computer memory.

26. The method of claim 25, wherein said functional capacity data comprises pinch data, grip data and isometric function data.