Systems, devices, and methods for providing foot loading feedback to patients and physicians during a period of partial weight bearing

• US 10,595,748 B2
• Filed: 02/01/2013
• Issued: 03/24/2020
• Est. Priority Date: 07/09/2010
• Status: Active Grant

• Current Assignee: University of Utah Research Foundation (State of Utah)
• Original Assignee: University of Utah Research Foundation (State of Utah)
• Inventors: Kubiak, Erik N., North, Kylee, Petelenz, Tomasz, Hitchcock, Robert W.
• Primary Examiner(s): Henson, Devin B
• Application Number:
  US13/757,559
• Publication Number:
  US 20130150755A1
• Time in Patent Office: 2,608 Days
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/0252 Load cells
• 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 5/1036 Measuring load distribution, e.g. podologic studies
• CPC Class Codes: A61B 5/1038 Measuring plantar pressure during gait
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/4833 Assessment of subject's compliance to treatment
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: A61B 5/6807 Footwear
• CPC Class Codes: A61B 5/6829 Foot or ankle
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick

Abstract

Systems, devices, and methods for providing user feedback regarding compliance with a set of partial weight bearing (PWB) criteria are described. A computer system receives force data from a non-compressible force transmitter that is assigned to a user, and accesses the force data received from the non-compressible force transmitter to determine whether the user is within a predefined pressure compliance range. The pressure compliance range specifies a prescribed range of pressure that is to be applied during a PWB period. The computer system then receives a compliance data request from the user or the user'"'"'s physician and communicates compliance data representing the user'"'"'s compliance with the prescribed range of pressure during the PWB period to the user and/or the user'"'"'s physician.

Claims

1. A system for providing user feedback regarding compliance with a set of partial weight bearing (PWB) criteria including a load compliance range, the system including:

a single load profile monitoring device that receives force data from a pressure sensor positioned adjacent to a substantially non-compressible pressure transmitter, wherein the single load profile monitoring device is sized and configured to measure a load profile in both a ball region of a foot and a heel region of the foot;

the substantially non-compressible pressure transmitter being configured to transfer force to the pressure sensor, wherein;

the substantially non-compressible pressure transmitter is positioned within a cavity of a housing,

the pressure sensor is configured to float or otherwise move within the substantially non-compressible pressure transmitter to change location and/or orientation,

the pressure sensor positioned;

at a non-parallel angle with respect to a bottom surface of the housing, and

offset from a line-of-action of a force applied to the housing; and

the housing comprises an aperture that provides a reference atmospheric pressure to the pressure sensor;

a processing module that accesses the force data received from the pressure sensor to determine whether the user is within a predefined load compliance range, the load compliance range specifying a prescribed range of load that is to be applied during a PWB period; and

a communications module that, upon receiving a compliance data request, communicates compliance data representing the user'"'"'s compliance with the prescribed range of load during the PWB period to at least one of the user and the user'"'"'s physician, wherein the user'"'"'s compliance is determined at a rate that is specified by a medical professional.

2. The system of claim 1, wherein:

the housing is configured to be oriented with respect to the user, said housing including a flexible upper surface, said flexible upper surface defining at least a portion of the cavity of the housing;

the pressure sensor configured to monitor a load profile of the user during the PWB period, the pressure sensor being located at least partially within the cavity; and

the substantially non-compressible pressure transmitter positioned within the cavity and adjacent to the pressure sensor to transmit pressure within the housing to the pressure sensor.

3. The system of claim 1, wherein the aperture provides a pathway for a communication between the pressure sensor and a storage device.

4. The system of claim 3, wherein the substantially non-compressible pressure transmitter further includes an accelerometer that monitors limb acceleration.

5. The system of claim 1, wherein a wireless communications module communicates at least one of raw and processed compliance data to at least the user in response to the compliance data request.

6. The system of claim 5, wherein the compliance data is displayed in a graphical user interface (GUI) that includes a chart showing the user'"'"'s compliance over a specified period of time.

7. The system of claim 6, wherein the chart displayed in the GUI shows the user'"'"'s level of compliance with the predefined compliance range over a specified period of time.

8. The system of claim 1, further comprising a tracking module that tracks the number of times the user views his or her compliance data.

9. The system of claim 8, wherein the tracking module tracks the number of times each graphical display is viewed by the user.

10. The system of claim 1, wherein the compliance data sent to the user'"'"'s physician using the communications module allows the user'"'"'s physician to make informed decisions regarding the user.

11. The system of claim 1, wherein the processing module customizes the predefined load compliance range for each user.

12. The system of claim 1, wherein the force data is stored within a local, physically removable storage medium.

13. The system of claim 1, wherein the compliance data is processed at least in part by an analog envelope and peak detection circuit.

14. The system of claim 1, wherein the processing module automatically synchronizes the compliance data representing the user'"'"'s compliance with the predefined compliance range to the user'"'"'s medical records.

15. The system of claim 1, wherein the communications module automatically alerts the user'"'"'s physician if the user is outside of the predefined compliance range by a specified threshold amount.

16. A computer-implemented method for providing user feedback regarding compliance with a set of partial weight bearing (PWB) criteria, the method comprising:

receiving force data from a pressure sensor positioned in physical communication with a substantially non-compressible pressure transmitter that is assigned to a user, wherein;

the substantially non-compressible pressure transmitter is positioned within a cavity of a housing,

the pressure sensor comprises a piezoresistive pressure sensor that has been converted into a load sensor by packaging the piezoresistive pressure sensor in a silicone gel force-transduction media enclosed within a semi-rigid case,

the pressure sensor is sized and configured to measure a load profile in both a ball region of a foot and a heel region of the foot,

the pressure sensor is configured to float or otherwise move within the substantially non-compressible pressure transmitter to change location and/or orientation,

the pressure sensor is positioned;

at a non-parallel angle with respect to a bottom surface of the housing, and

offset from a line-of-action of a force applied to the housing, and

the housing comprises an aperture that provides a reference atmospheric pressure to the pressure sensor;

accessing the force data received from the pressure sensor to determine whether the user is within a predefined load compliance range, the load compliance range specifying a prescribed range of load that is to be applied during a PWB period;

receiving a compliance data request from the user or the user'"'"'s physician; and

communicating compliance data representing the user'"'"'s compliance with the prescribed range of load during the PWB period to the user or the user'"'"'s physician, wherein the user'"'"'s compliance is determined at a rate that is specified by a medical professional.

17. The computer-implemented method of claim 16, further comprising an act of dynamically generating a graphical user interface (GUI) that displays at least a portion of the accessed compliance data.

18. The computer-implemented method of claim 16, further comprising an act of receiving from the user'"'"'s physician a compliance prescription indicating an updated compliance range based on the user'"'"'s activity.

19. A computer system for gathering and storing force data to determine a user'"'"'s compliance with a predefined pressure compliance range comprising:

one or more processors;

system memory;

one or more computer-readable storage media having stored thereon computer-executable instructions that, when executed by the one or more processors, causes the computing system to perform at least the following;

receive an indication that a period of partial weight bearing (PWB) has been initiated for a user;

initiate a pressure sensor that is in physical communication with a substantially non-compressible pressure transmitter that is assigned to the user, wherein;

the substantially non-compressible pressure transmitter is positioned both within a cavity of a housing oriented with respect to the user'"'"'s leg and adjacent to the pressure sensor to transmit pressure within the housing,

the pressure sensor is configured to float or otherwise move within the substantially non-compressible pressure transmitter to change location and/or orientation,

the pressure sensor is positioned;

at a non-parallel angle with respect to a bottom surface of the housing, and

offset from a line-of-action of a force applied to the housing, and

the housing comprises an aperture that provides a reference atmospheric pressure to the pressure sensor;

store, at specified intervals, one or more portions of force data sensed by the pressure sensor, the force data indicating the user'"'"'s compliance with a predefined pressure compliance range that is to be applied during the PWB period, wherein the specified intervals are specified by a medical professional; and

upon receiving a request for stored force data, send the stored force data to the data requester.