Objective measurement tool for evaluating medical therapy outcome in accordance with quantified physical therapy data

• US 5,524,645 A
• Filed: 03/22/1995
• Issued: 06/11/1996
• Est. Priority Date: 03/22/1995
• Status: Expired due to Fees

• Current Assignee: Bruce R. Wills
• Original Assignee: Bruce R. Wills
• Inventors: Wills, Bruce R.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): HUANG, STEPHEN D
• Application Number:
  US08/407,961
• Time in Patent Office: 447 Days
• Field of Search: 128/898, 128/774, 128/782
• US Class Current: 128/898
• CPC Class Codes: A61H 1/02 Stretching or bending or torsioning apparatus for exercising
• 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

Abstract

A medical condition quantification and dysfunction-reduction therapy evaluation process enables a health care service provider to monitor the improvement of a patient'"'"'s condition, as well as the efficiency of the rehabilitation process employed to achieve a patient improvement objective. Based upon initial patient examination data, one or more sets of parameters associated with respective body regions, for which dysfunction-reducing therapy is to be carried out, are provided. For each parameter, a data value is generated. The magnitude of the data value is based upon the condition of the body region associated with the parameter. All of the data values of the parameters of a body region are combined, to quantify the overall condition or dysfunction of the body region. Periodically, during the course of the patient therapy program, the physical condition of the body region being treated is re-examined. Based upon each re-examination, the numerical data value of each parameter is updated to reflect the current condition of body region, and the updated values are combined to thereby quantify the current dysfunction of the body region being treated. By graphically recording both the original quantification of the dysfunction and the iteratively updated quantification results of the therapy session, the progress of the patient therapy program in reducing dysfunction of the body region can be readily tracked, so as to enable the health care service provider to monitor whether the therapy is reducing the dysfunction, and how efficiently it is doing so.

Claims

1. A method of evaluating progress of a patient therapy program, through which dysfunction of a body region of said patient may be reduced, comprising the steps of:

(a) providing a plurality of of respectively different parameters representative of respectively different physical attributes of said body region for which dysfunction-reducing therapy is to be carried out;

(b) for each respectively different parameter of said plurality, generating a respective numerical data value that represents a condition of a respectively different physical attribute of said body region associated with said each respectively different parameter, and combining numerical data values of said respectively different parameters, so as to quantify said dysfunction of said body region;

(c) conducting a patient therapy program for reducing said dysfunction of said body region;

(d) during said patient therapy program conducted in step (c), re-evaluating a physical condition of said body region, and for each respectively different parameter of said plurality, generating an updated numerical data value that represents a current condition of said respectively different attribute of said body region associated with said each respectively different parameter, and combining updated numerical data values, so as to quantify a current dysfunction of said body region; and

(e) deriving a measure of progress of said patient therapy program in reducing dysfunction of said body region in accordance with differences in dysfunction of said body region as quantified in steps (d) and (b).

2. A method according to claim 1, wherein step (d) comprises, during said patient therapy program conducted in step (c), successively re-evaluating said dysfunction of said body region and, for each successive re-evaluation, generating an updated numerical data value for each respectively different parameter of said plurality, which updated numerical value represents a current condition of said respectively different attribute of said body region associated with said each respectively different parameter, and combining updated numerical values, so as to quantify said current dysfunction of said body region, and wherein step (e) comprises deriving a measure of the progress of said patient therapy program in reducing dysfunction of said body region in accordance with changes in quantified dysfunction of said body region.

3. A method according to claim 2, wherein step (a) comprises providing a plurality of respectively different orthopaedic parameters associated with respectively different orthopaedic attributes of said body region, for which orthopaedic dysfunction-reducing therapy is to be carried out, and wherein step (b) comprises, for each respectively different orthopaedic parameter of said plurality, generating a numerical data value that represents a condition of said respectively different orthopaedic attribute, and combining numerical data values of respectively different parameters of said plurality, so as to quantify an orthopaedic condition of said body region.

4. A method according to claim 3, wherein step (d) comprises, during the patient therapy program conducted in step (c), successively re-evaluating said orthopaedic condition of said body region and, for each successive re-evaluation, generating an updated numerical data value for each respectively different orthopaedic parameter of said plurality, which updated numerical data value represents a on current orthopaedic condition of a respectively different orthopaedic attribute associated with said each respectively different orthopaedic parameter, and combining the updated numerical values, so as to quantify a current orthopaedic dysfunction of said body region, and wherein step (e) comprises deriving a measure of said progress of said patient therapy program in reducing said orthopaedic dysfunction of said body region in accordance with changes in quantified orthopaedic dysfunction of said body region.

5. A method according to claim 2, further including the step (f) of modifying said patient therapy program in response to a prescribed change in said quantified dysfunction of said body region.

6. A method according to claim 2, further including the step (f) of terminating said patient therapy program in response to a prescribed change in said quantified dysfunction of said body region.

7. A method according to claim 2, further including the step (f) of storing data representative of the measure of the progress of said patient therapy program derived in step (e).

8. A method according to claim 7, further including the step (g) of comparing the data stored in step (f) with other data, said other data being representative of a maximum available combination of numerical data values associated with said respectively different parameters of said plurality representative of no dysfunction of said body region, to derive a measure of the progress of said patient therapy program, and selectively modifying the patient therapy program carried out in step (c), in accordance with a prescribed relationship between the data stored in step (f) and said other data.

9. A method according to claim 7, further including the step (g) of comparing the data stored in step (f) with other data representative of the measure of the progress of another patient therapy program, and selectively modifying the patient therapy program carried out in step (c), in accordance with a prescribed relationship between the data stored in step (f) and said other data representative of the measure of the progress of said another patient therapy program.

10. A method according to claim 7, further including the step of (g) comparing the data stored in step (f) with other data representative of the measure of progress of another patient therapy program, and generating an output representative of success of the patient therapy program carried out in step (c) in reducing said dysfunction, in accordance with a prescribed relationship between the data stored in step (f) and said other data representative of the measure of the progress of said another patient therapy program.

11. A method according to claim 7, wherein said measure of the progress of said patient therapy program is derived in terms of cost of therapy and reduction in dysfunction over a number of therapy sessions of said patient therapy program.

12. A method according to claim 1, wherein the numerical data value generated in step (b) represents where, within a range of possible conditions of said respectively different physical attribute of said body region, the condition of said respectively different physical attribute of said body region occurs.

13. A method according to claim 12, wherein said range of possible conditions of said respectively different physical attribute of said body region is defined in accordance with respectively different degrees of orthopaedic capability of said body region.

14. A method according to claim 1, wherein said respectively different parameters associated with said respectively different attributes of said body region comprise codes compatible with ICD-9 type codes of the International Classification of Diseases, 9th Revision, Clinical Modification provided by the World Health Organization.

15. A method according to claim 1, wherein step (a) comprises providing said plurality of respectively different parameters associated with respectively different physical attributes of said body region for which dysfunction-reducing therapy is to be carried out, in accordance with physical therapy documentation generated as a result of an evaluation of a physical condition of said patient.

16. A method according to claim 1, wherein said body region is one selected from the group consisting of cervical spine, thoracic spine, lumbar spine, shoulder, elbow, wrist, hip, knee, ankle, and foot.

17. A method of evaluating progress of a patient therapy program, through which dysfunction of one or more body regions of said patient may be reduced, comprising the steps of:

(a) evaluating a physical condition of a patient to identify one or more body regions for which dysfunction-corrective therapy may be required and, for each identified body region, establishing a plurality of respectively different parameters representative of respectively different physical attributes of said each identified body region;

(b) for each respectively different parameter of a respective plurality established in step (a), generating a numerical data value that represents a physical condition of a respective body region, and combining the numerical values of said respective plurality, so as to quantify said physical condition of said respective body region;

(c) for each respective body region identified in step (a), conducting a patient therapy program for reducing dysfunction thereof;

(d) during the patient therapy program conducted in step (c), re-evaluating the physical condition of each respective identified body region for which dysfunction-corrective therapy has been carried out, and for each respectively different parameter of a respective plurality, generating an updated numerical data value that represents a current physical condition of said each respective identified body region, and combining updated numerical values of said respective plurality, so as to quantify the current condition of said each respective identified body region; and

(e) deriving a measure of the progress of said patient therapy program in accordance with changes in quantified condition of said each respective identified body region.

18. A method according to claim 17, wherein step (a) comprises identifying one or more body regions for which orthopaedic dysfunction-corrective therapy of said patient may be required and, for each identified body region, establishing a respective plurality of respectively different orthopaedic parameters associated with respectively different orthopaedic attributes thereof.

19. A method according to claim 18, wherein step (b) comprises, for each respectively different orthopaedic parameter of a respective plurality established in step (a), generating a numerical data value that represents a condition of an associated orthopaedic attribute, and combining numerical values of said respective plurality, so as to quantify an orthopaedic condition of said each respective identified body region.

20. A method according to claim 19, wherein step (d) comprises re-evaluating said orthopaedic condition of said each respective identified body region for which orthopaedic dysfunction-corrective therapy has been carried out, and for each respectively different orthopaedic parameter of a respective plurality, generating an updated numerical data value that represents a current orthopaedic condition of a respectively associated orthopaedic attribute, and combining updated numerical values of said respective plurality, so as to quantify a current orthopaedic condition of said each respective identified body region.

21. A method according to claim 17, wherein the numerical data value generated in step (b) represents where, within a range of possible physical conditions of a respective body region, the condition of said respective body region occurs.

22. A method according to claim 21, wherein said range of possible conditions of said respective body region is defined in accordance with respectively different degrees of orthopaedic capability of said respective body region.

23. A method according to claim 17, further including the step (f) of modifying said patient therapy program in response to a prescribed change in a quantified condition of said each respective identified body region.

24. A method according to claim 17, further including the step (f) of terminating said patient therapy program in response to a prescribed change in a quantified condition of said each respective identified body region.

25. A method according to claim 17, further including the step (f) of storing data representative of the measure of the progress of said patient therapy program derived in step (e).

26. A method according to claim 25, further including the step (g) of comparing the data stored in step (f) with other data, said other data being representative of a maximum available combination of numerical data values associated with the respectively different parameters of said respective plurality representative of no dysfunction of said respective body region, to derive a measure of the progress of said patient therapy program, and selectively modifying the patient therapy program carried out in step (c), in accordance with a prescribed relationship between the data stored in step (f) and said other data.

27. A method according to claim 25, further including the step (g) of comparing the data stored in step (f) with other data representative of a measure of progress of another patient therapy program, and selectively modifying the patient therapy program carried out in step (c), in accordance with a prescribed relationship between the data stored in step (f) and said other data representative of the measure of the progress of said another patient therapy program.

28. A method according to claim 25, further including the step of (g) comparing the data stored in step (f) with other data representative of a measure of progress of another patient therapy program, and generating an output representative of the success of the patient therapy program carried out in step (c) in reducing said dysfunction, in accordance with a prescribed relationship between the data stored in step (f) and said other data representative of the measure of the progress of said another patient therapy program.

29. A method according to claim 25, wherein said measure of the progress of said patient therapy program is derived in terms of cost of therapy and a reduction in dysfunction over a number of therapy sessions of said therapy program.

30. A method according to claim 17, wherein said respectively different parameters representative of respectively different physical attributes of a respective identified body region comprise codes compatible with ICD-9 type codes of the International Classification of Diseases, 9th Revision, Clinical Modification provided by the World Health Organization.

31. A method according to claim 17, wherein step (a) comprises establishing a plurality of respectively different parameters representative of respectively different physical attributes of a body region, for which dysfunction-reducing therapy is to be carried out, in accordance with physical therapy documentation generated as a result of an evaluation of a physical condition of said patient.

32. A method according to claim 17, wherein a respective body region is one selected from the group consisting of cervical spine, thoracic spine, lumber spine, shoulder, elbow, wrist, hip, knee, ankle, and foot.