Rehabilitation systems and methods

Abstract

The present invention integrates an actuated tilting rehabilitation table, video tracking of the patient arm and opposite shoulder, a low-friction forearm support with grasping force sensing, remote data transmission and additional weighing means, one or more large displays, a computer and a plurality of simulation exercises, such as video games. The patient can be monitored by a local or remote clinician. The table tilts in order to increase exercise difficulty due to gravity loading on the patients arm and shoulder. In one embodiment, the present the invention includes an actuated tilting table which tilts in four degrees of freedom.

1 . A system for rehabilitation comprising:
 a tilting table, said tilting table adapted to be movable at a tilt angle in one or more degrees of freedom;   a forearm support adapted for receiving a forearm of a user, said forearm support being movable on said tilting table;   an animated or virtual reality sequence forming an exercise simulation being displayed on a display; and   tracking means for tracking movements of said forearm upon interaction of said user with said exercise simulation.   
   
   
       2 . The system of  claim 1  wherein said tilting table has a top surface having a U-shape. 
   
   
       3 . The system of  claim 1  wherein said tracking means comprises a video camera and tracking software for tracking output from said video camera. 
   
   
       4 . The system of  claim 1  wherein said tilting table is movable in four degrees of freedom. 
   
   
       5 . The system of  claim 1  wherein said tilting table has a top surface and said display is part of said top surface of said tilting table. 
   
   
       6 . The system of  claim 5  further comprising a touch sensitive layer in said display. 
   
   
       7 . The system of  claim 5  wherein said tracking means comprises a video camera, said video camera is positioned beneath said display. 
   
   
       8 . The system of  claim 1  further comprising:
 one or more actuators connected to said tilting table, said one or more actuators moving said tilting table at said tilt angle.   
   
   
       9 . The system of  claim 1  wherein said actuators are connected to an underside of a top surface of said tilting table with a top joint assembly, said top joint assembly including a horizontal rotating joint and a vertical rotation joint to produce two degrees of freedom. 
   
   
       10 . The system of  claim 1  wherein said actuators are connected to an underside of a bottom surface of said tilting table with a bottom joint assembly, said bottom joint assembly including a horizontal rotating joint and a vertical rotation joint to produce two degrees of freedom. 
   
   
       11 . The system of  claim 1  further comprising:
 a hollow compliant element and pressure sensor means for measuring grasping forces of the user when grasping said hollow compliant means.   
   
   
       12 . The system of  claim 1  wherein said video camera is mounted with a vertical support to provide the same relative orientation regardless of the tilt angle and further comprising:
 one or more LEDs coupled to a respective corner of a top surface of said tilting table for providing calibration of said video camera.   
   
   
       13 . The system of  claim 12  further comprising:
 a pair of second LEDs positioned on said forearm support for providing data on arm movements and rotation.   
   
   
       14 . The system of  claim 1  further comprising:
 a harness assembly adapted for attachment to a shoulder of a user, a LED being coupled to said harness assembly, said LED providing data on compensatory movements of the arm of the user.   
   
   
       15 . The system of  claim 1  wherein a pair of said forearm supports are used in said system, each said forearm support receiving a respective forearm of the user. 
   
   
       16 . The system of  claim 15  wherein one or more first LEDs are positioned in a first forearm support of said pair and one or more second LEDs are positioned on a second forearm support of said pair, wherein the number of said first LEDs is different than the number of said second LEDs. 
   
   
       17 . The system of  claim 1  wherein said exercise simulation includes an avatar and further comprising:
 means for measuring a baseline of said user; and   means for mapping said measured baseline with said exercise for tuning said exercise simulation and providing mapping between real movement of said user and movement of said avatar during said exercise simulation.   
   
   
       18 . The system of  claim 17  wherein said exercise simulation includes a virtual representation of a rehabilitation surface, the arm of the user is adapted to move in circles over said virtual rehabilitation surface wherein a corresponding colored area is displayed on said virtual rehabilitation surface. 
   
   
       19 . The system of  claim 17  wherein said exercise simulation includes a virtual sphere and a virtual target area, the arm of the user picks up the virtual sphere and places it in the virtual target area, the arm of the user is moved to the extent of the baseline. 
   
   
       20 . The system of  claim 19  wherein a trace of the arm movements of the user is displayed in the exercise simulation. 
   
   
       21 . The system of  claim 17  wherein the exercise simulation includes virtual objects in the shape of the baseline, virtual targets are uncovered by moving the arm of the user. 
   
   
       22 . The system of  claim 17  wherein the exercise simulation includes a virtual reality array of cubes, virtual reality ball and virtual reality paddle, the user hits the virtual reality ball towards the virtual reality cubes with the virtual reality paddle, each said virtual reality cube is destroyed for each bounce of said virtual reality ball on said virtual reality cube. 
   
   
       23 . A method for rehabilitation comprising the steps of:
 providing a forearm support adapted for receiving a forearm of a user on a tilting table, said tilting table adapted to be movable in one or more degrees of freedom;   displaying an animated or virtual reality sequence on a display; and   tracking movements of the forearm interaction with said exercise simulation.