居家手部康复监测系统

R. Ciorap, D. Andritoi, M. Ciorap, M. Munteanu
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引用次数: 3

摘要

本文提出了一种家庭手部康复过程中心血管参数监测的解决方案。在欧洲,导致长期残疾的最重要原因是脑血管意外(CVA)或中风。中风的影响可以在短时间内消失,也可以持续一生,这取决于治疗方案。为本研究开发的系统不仅是一种治疗设备,可以通过肌电图(EMG)控制手部运动进行体育锻炼,而且还可以记录一个或多个生物医学参数,如:肌电图(EMG)、心电图(ECG)、脉搏波、心率(HR)、温度、呼吸频率、无创血压(NIBP)或血液中氧浓度(SpO2)。这些生理参数是根据医生的处方和病人的需要来选择的。本文介绍了它在脑卒中后手部康复中的应用。观察心血管系统状态,分析心率变异性。在治疗过程中记录心电图(1导联)和脉搏波(使用耳垂传感器)。然后计算每个信号的HRV。结果用于确定康复计划引起的应激水平。
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Monitoring System for Home-Based Hand Rehabilitation
The paper proposes a solution for monitoring of cardiovascular parameters during home-based hand rehabilitation. The most important cause of long-term disability in Europe is cerebral vascular accident (CVA) or stroke. The effects of stroke can vanish after a short period or can remain for the rest of the life depending on therapeutic program. The system developed for this study is not only therapeutically devices that allow the movement of hand for physical exercises controlled by electromyography (EMG) but also record one or more biomedical parameters such as: electromyogram (EMG), electrocardiogram (ECG), pulse wave, heart rate (HR), temperature, respiration rate, non-invasive blood pressure (NIBP) or oxygen concentration in the blood (SpO2). These physiological parameters are selected according to the physician’s prescription and the patient needs. In this paper it is presented an application that refers to the hand rehabilitation of post-stroke. It was observed the cardiovascular system status, analyzing the heart rate variability. During therapeutic procedure it was recorded ECG (1 lead) and pulse wave (using an ear lobe sensor). After that HRV was calculated for each signal. The results were used to determine the stress level induced by the rehabilitation program.
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