CN102526874A - Wearable auxiliary electrical stimulation system capable of precisely controlling finger movement - Google Patents
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- 230000005057 finger movement Effects 0.000 title description 3
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- 210000003811 finger Anatomy 0.000 description 33
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- 208000005392 Spasm Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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Abstract
本发明公开了一种精确控制手指活动的佩戴式辅助电刺激系统,包括电刺激脉冲输出装置和佩戴式结构,其中,电刺激脉冲输出装置与佩戴式结构相连接;电刺激脉冲输出装置,接收控制方指令输入产生相应电刺激脉冲;佩戴式结构,与前臂皮肤相连并输出电刺激脉冲控制骨骼肌收缩。本发明改进了已有的电刺激模式,增加了刺激精度,能够精确控制各手指指间关节活动,不具可以通过刺激大面积肌肉群进行握爪等基本动作,还可以对前臂肌肉群进行精细刺激,控制各手指活动或者做出不同手势;病人在穿戴本辅助系统的情况下,无需药物治疗和前期训练,依靠特定的电刺激模式可以完成较为复杂的手指活动;本发明方便易用,安全有效,成本较低。
The invention discloses a wearable auxiliary electrical stimulation system for precisely controlling finger activities, comprising an electrical stimulation pulse output device and a wearable structure, wherein the electrical stimulation pulse output device is connected to the wearable structure; the electrical stimulation pulse output device receives The command input of the control side generates corresponding electrical stimulation pulses; the wearable structure is connected to the skin of the forearm and outputs electrical stimulation pulses to control the contraction of skeletal muscles. The present invention improves the existing electrical stimulation mode, increases the stimulation accuracy, and can accurately control the interphalangeal joint activities of each finger. It does not have basic actions such as gripping claws by stimulating large-area muscle groups, and can also perform fine stimulation on forearm muscle groups. , to control the activities of each finger or to make different gestures; when the patient wears this auxiliary system, no drug treatment and pre-training are required, and a relatively complex finger activity can be completed by relying on a specific electrical stimulation mode; the invention is convenient and easy to use, safe and effective , the cost is lower.
Description
技术领域 technical field
本发明涉及的是一种辅助医疗技术领域的系统,具体是一种精确控制手指活动的佩戴式辅助电刺激系统。The invention relates to a system in the field of auxiliary medical technology, in particular to a wearable auxiliary electrical stimulation system for precisely controlling finger activities.
背景技术 Background technique
世界卫生组织统计全球有1324.37万人患有脊髓疾病,而美国每年就有11000例新增脊髓损伤案例,另据不完全统计,中国大陆各类脊髓损伤患者已达110万人。这个数字还有日趋上升趋势。脊髓损伤后,虽然瘫痪病人的肌肉仍具有收缩功能,但由于大脑和肌肉间的神经通路被切断而丧失自主运动能力。除了脊髓疾病,脑卒中(中风)等神经系统疾病也产生了大量的瘫痪病人。目前市面上针对瘫痪病人的运动辅助系统中,较为流行的电刺激治疗仪是利用人工弱电流脉冲信号刺激瘫痪病人的骨骼肌,从而使病人的骨骼肌产生收缩,使肢体产生期望的运动。但是,目前的表面电刺激系统只能对大块肌肉进行刺激,实现上肢屈伸、抓握及下肢行走、站立等基本的粗糙动作。人体中负责手指运动控制的肌肉比较纤细,排列紧密,所以对手指活动的精确人工电刺激控制还未能实现。但手指的运动对于病人来说特别重要,如果希望患者能继续进行精细活动(如写字、打字、做手势、弹奏乐器等),就需要对指间关节及相关肌群进行精确控制。另外,由于病人体型的不同,电刺激的贴片位置难以确定,对于每一个患者都需进行单独设定。本发明将解决上述问题。According to the statistics of the World Health Organization, there are 13.2437 million people suffering from spinal cord diseases in the world, and there are 11,000 new cases of spinal cord injuries in the United States every year. According to incomplete statistics, there are 1.1 million people with various types of spinal cord injuries in mainland China. This number is still on the rise. After spinal cord injury, although the muscles of paralyzed patients still have contraction function, they lose the ability of voluntary movement because the nerve pathway between the brain and muscles is cut off. In addition to spinal cord diseases, neurological diseases such as stroke (stroke) also produce a large number of paralyzed patients. Among the sports assisting systems for paralyzed patients currently on the market, the more popular electrical stimulation therapy device uses artificial weak current pulse signals to stimulate the skeletal muscles of the paralyzed patients, thereby causing the patient's skeletal muscles to contract and the limbs to produce desired movements. However, the current surface electrical stimulation system can only stimulate large muscles to realize basic rough movements such as flexion and extension of upper limbs, grasping, walking and standing of lower limbs. The muscles responsible for finger movement control in the human body are relatively slender and closely arranged, so precise artificial electrical stimulation control of finger movement has not yet been realized. However, the movement of fingers is particularly important for patients. If patients are expected to continue fine activities (such as writing, typing, gesturing, playing musical instruments, etc.), precise control of the interphalangeal joints and related muscles is required. In addition, due to the different body sizes of patients, it is difficult to determine the patch position for electrical stimulation, which needs to be set individually for each patient. The present invention will solve the above-mentioned problems.
随着科技进步,很多国家和公司已经开发出基于功能性电刺激的商业产品。如NESSH200 Hand Rehabilitation System。但是,该系统尽管可以帮助病人进行握爪、手掌翻动等动作,但是对于手指的精确控制还没有实现,而且功能较为单一,无法使手指活动达到应有的灵活性。With the advancement of science and technology, many countries and companies have developed commercial products based on functional electrical stimulation. Such as NESSH200 Hand Rehabilitation System. However, although this system can help patients to perform actions such as gripping claws and flipping palms, the precise control of fingers has not been realized, and the function is relatively single, which cannot make the finger activities reach the desired flexibility.
经对已有的文献检索发现,现有的功能性电刺激辅助系统选用的基本都是较大尺寸的电极贴片进行控制,从而使控制精度受到了限制,并且单一固定的电刺激模式也使相关功能无法拓展。After searching the existing literature, it is found that the existing functional electrical stimulation auxiliary systems basically use larger-sized electrode patches for control, which limits the control accuracy, and the single fixed electrical stimulation mode also makes the Related functions cannot be expanded.
发明内容Contents of the invention
本发明针对现有技术中存在的上述不足,提供了一种精确控制手指活动的佩戴式辅助电刺激系统。。本发明通过提供更为精细的刺激模式,实现瘫痪病人对手指的精确控制,从而帮助病人在没有理疗师的训练下能够使各手指独立地运动。The present invention aims at the above-mentioned deficiencies in the prior art, and provides a wearable auxiliary electrical stimulation system that precisely controls finger activities. . The invention realizes the precise control of the fingers of the paralyzed patient by providing a finer stimulation mode, thereby helping the patient to move each finger independently without the training of a physiotherapist.
本发明是通过以下技术方案实现的:The present invention is achieved through the following technical solutions:
一种精确控制手指活动的佩戴式辅助电刺激系统,其特征在于,包括电刺激脉冲输出装置和佩戴式结构,其中,电刺激脉冲输出装置与佩戴式结构相连接;A wearable auxiliary electrical stimulation system for precisely controlling finger activities, characterized in that it includes an electrical stimulation pulse output device and a wearable structure, wherein the electrical stimulation pulse output device is connected to the wearable structure;
-电刺激脉冲输出装置,接收控制方指令输入产生相应电刺激脉冲;- The electrical stimulation pulse output device receives the command input from the controller to generate corresponding electrical stimulation pulses;
-佩戴式结构,与前臂皮肤相连并输出电刺激脉冲控制骨骼肌收缩。-Wearable structure, connected with forearm skin and output electrical stimulation pulse to control skeletal muscle contraction.
所述电刺激脉冲输出装置包括:指令接收器、控制器和电刺激器,其中,指令接收器与控制器相连接并输送动作指令,控制器和电刺激器相连接并传输电刺激模式信息,电刺激器和佩戴式结构相连接并传输电刺激脉冲。The electrical stimulation pulse output device includes: a command receiver, a controller and an electrical stimulator, wherein the command receiver is connected to the controller and transmits action instructions, and the controller is connected to the electrical stimulator and transmits electrical stimulation mode information, An electrical stimulator is connected to the wearable structure and delivers electrical stimulation pulses.
所述动作指令与电刺激模式信息具有对应关系;The action instruction has a corresponding relationship with the electrical stimulation mode information;
所述对应关系为:控制器分析动作指令后,同时选取若干对佩戴式结构的电极贴片并调整各对电极贴片的输入电刺激脉冲特性,相对独立地控制前臂的屈指深肌、屈指浅肌、伸指肌群的收缩以及各指间关节的弯曲角度,从而控制各手指活动或具体手势。The corresponding relationship is: after the controller analyzes the action command, simultaneously selects several pairs of wearable electrode patches and adjusts the input electrical stimulation pulse characteristics of each pair of electrode patches, and relatively independently controls the deep flexor muscles and superficial flexor muscles of the forearm. The contraction of muscles and extensor muscles and the bending angle of each interphalangeal joint control the activities of each finger or specific gestures.
所述佩戴式结构包括:若干对电极贴片和特制固定绑带,其中,电极贴片分别与特制固定绑带和电刺激脉冲输出装置的电刺激器相连接。The wearable structure includes: several pairs of electrode patches and special fixing straps, wherein the electrode patches are respectively connected with the special fixing straps and the electrical stimulator of the electrical stimulation pulse output device.
所述佩戴式结构还包括电极子母扣,所述电极贴片通过电极子母扣与特制固定绑带固定连接。The wearable structure also includes an electrode snap-in buckle, and the electrode patch is fixedly connected with a special fixing strap through the electrode snap-in snap.
所述特制固定绑带为两条,分别放置于前臂的近端与远端,作为正负电极绑带。There are two special fixed straps, which are respectively placed on the proximal end and the far end of the forearm as positive and negative electrode straps.
所述电极贴片为可重复使用的凝胶电极贴片。The electrode patch is a reusable gel electrode patch.
所述凝胶电极贴片规格为20mm×35mm。The specification of the gel electrode patch is 20mm×35mm.
和现有的技术相比,本发明的有益效果是:提高了电刺激脉冲的控制精度,不仅仅可以实现通过对大面积肌肉群的刺激进行粗略的期望动作控制,也可以对手指指间关节进行精细复杂的控制。大大帮助了瘫痪病人对其手指的灵活掌控和使用,能够进行对手指灵活度要求较高的相关活动,例如书写、弹奏乐器和手势等。同时可以保持病人不同深度的手指肌群活力,防止肌肉萎缩,减少痉挛,使病人的康复效果更为理想。另外,佩戴式结构和可拆卸的电极贴片的特殊设计也使本发明能够简单方便地调整,从而适合不同体型的病人穿戴。Compared with the existing technology, the beneficial effect of the present invention is: the control precision of the electrical stimulation pulse is improved, not only can realize the rough expected action control through the stimulation of large-area muscle groups, but also can control the interphalangeal joints of the fingers. Get fine-grained and sophisticated controls. It greatly helps paralyzed patients to flexibly control and use their fingers, and can perform related activities that require high finger flexibility, such as writing, playing musical instruments, and gestures. At the same time, it can maintain the vitality of the finger muscles at different depths of the patient, prevent muscle atrophy, reduce spasm, and make the patient's rehabilitation effect more ideal. In addition, the special design of the wearable structure and the detachable electrode patch also enables the present invention to be easily and conveniently adjusted, so that it is suitable for wearing by patients of different sizes.
附图说明 Description of drawings
图1为辅助系统构成示意框图;Figure 1 is a schematic block diagram of the auxiliary system;
图2为电极贴片示意图;Figure 2 is a schematic diagram of the electrode patch;
图3为佩戴式结构的示意图;Fig. 3 is a schematic diagram of a wearable structure;
图中,3为特制固定绑带,4为凝胶电极贴片,5为电极子母扣;In the figure, 3 is a special fixed strap, 4 is a gel electrode patch, and 5 is an electrode buckle;
图4为辅助系统结构示意图;Figure 4 is a schematic structural diagram of the auxiliary system;
图中,1为电刺激脉冲输出装置;2为佩戴式结构;In the figure, 1 is an electrical stimulation pulse output device; 2 is a wearable structure;
图5为功能性电刺激精确控制示意图;Figure 5 is a schematic diagram of precise control of functional electrical stimulation;
图中,6为电极贴片,7为肌肉,8为正(负)极电极绑带,9为负(正)极电极绑带。In the figure, 6 is an electrode patch, 7 is a muscle, 8 is a positive (negative) electrode band, and 9 is a negative (positive) electrode band.
具体实施方式 Detailed ways
下面对本发明的实施例作详细说明:本实施例在以本发明技术方案为前提下进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The embodiments of the present invention are described in detail below: the present embodiment is implemented under the premise of the technical solution of the present invention, and detailed implementation and specific operation process are provided, but the protection scope of the present invention is not limited to the following implementation example.
本实施例提供的精确控制手指活动的佩戴式辅助电刺激系统用于精确控制手掌上各手指的弯曲、伸展以及简单手势。The wearable auxiliary electrical stimulation system provided in this embodiment to precisely control finger activities is used to precisely control the bending, stretching and simple gestures of each finger on the palm.
如图1和图4所示,本实施例提供的精确控制手指活动的佩戴式辅助电刺激系统包括:电刺激脉冲输出装置1和佩戴式结构2,其中:电刺激脉冲输出装置与佩戴式结构相连接,电刺激脉冲输出装置接收控制方指令输入产生相应电刺激脉冲,佩戴式结构和前臂皮肤相连并输出电刺激脉冲控制骨骼肌收缩。As shown in Figures 1 and 4, the wearable auxiliary electrical stimulation system for precisely controlling finger activities provided by this embodiment includes: an electrical stimulation pulse output device 1 and a
电刺激脉冲输出装置包括:指令接收器、控制器和电刺激器,其中:指令接收器与控制器连接输送动作指令,控制器和电刺激器相连接传输特定的电刺激模式信息,电刺激器和佩戴式结构的各对电极贴片相连传输电刺激脉冲。The electrical stimulation pulse output device includes: a command receiver, a controller and an electrical stimulator, wherein: the command receiver is connected to the controller to transmit action instructions, the controller is connected to the electrical stimulator to transmit specific electrical stimulation mode information, and the electrical stimulator It is connected with each pair of electrode patches of the wearable structure to transmit electrical stimulation pulses.
动作指令与电刺激模式信息具有对应关系;该对应关系为:控制器分析动作指令后,同时选取若干对佩戴式结构的电极贴片并调整各对电极贴片的输入电刺激脉冲特性,相对独立地控制前臂的屈指深肌、屈指浅肌、伸指肌群的收缩以及各指间关节的弯曲角度,从而控制各手指活动或具体手势。There is a corresponding relationship between the action command and the electrical stimulation mode information; the corresponding relationship is: after the controller analyzes the action command, it simultaneously selects several pairs of wearable electrode patches and adjusts the input electrical stimulation pulse characteristics of each pair of electrode patches, which are relatively independent It precisely controls the contraction of the deep flexor, superficial flexor, and extensor muscles of the forearm and the bending angle of each interphalangeal joint, thereby controlling the activities of each finger or specific gestures.
电刺激器和控制器选用的是瑞士的Compex Motion II。The electrical stimulator and controller are Compex Motion II from Switzerland.
如图3所示,佩戴式结构包括:若干对电极贴片6和两条特制固定绑带3。其中:电极贴片6和电刺激脉冲输出装置1的电刺激器相连接,并传输电刺激脉冲,特制固定绑带3和电极贴片6相连接,并对电极贴片6的位置进行固定和调整;两条特质固定绑带3分别放置于前臂近端与远端,作为正负极电极绑带,如图5所示,8为正(负)极电极绑带,9为负(正)极电极绑带。As shown in FIG. 3 , the wearable structure includes: several counter electrode patches 6 and two
如图2所示,所述的电极贴片6为可重复使用的凝胶电极贴片4,其规格为20mm×35mm。As shown in FIG. 2 , the electrode patch 6 is a reusable gel electrode patch 4 with a specification of 20mm×35mm.
佩戴式结构还包括电极子母扣5,电极贴片6通过电极子母扣5致密地固定于特制固定绑带3上,另外一面则紧贴于皮肤表层,将电刺激信号传递给前臂各肌肉群。The wearable structure also includes the
如图5所示,本实施例的工作过程包括以下步骤:As shown in Figure 5, the working process of the present embodiment comprises the following steps:
1、将指令接收器、控制器、电刺激器及佩戴式结构相连接,根据手臂的周长选取适当的电极贴片对数,调整好两条电极绑带的长度后分别穿戴于手臂近端和远端,作为电刺激脉冲输入的正极和负极。1. Connect the command receiver, controller, electric stimulator and wearable structure, select the appropriate number of electrode patch pairs according to the circumference of the arm, adjust the length of the two electrode straps, and wear them on the proximal end of the arm respectively And the distal end, as the positive and negative poles for electrical stimulation pulse input.
2、输入动作指令“中指”,由指令接收器分析处理后,向控制器传输相应的电刺激模式信息,控制器通过分析刺激模式信息向电刺激器传输电刺激脉冲输出信号。2. The input action command "middle finger" is analyzed and processed by the command receiver, and the corresponding electrical stimulation mode information is transmitted to the controller. The controller transmits the electrical stimulation pulse output signal to the electrical stimulator by analyzing the stimulation mode information.
3、电刺激器接收到电刺激脉冲信号之后向佩戴式结构的电极贴片传输电刺激脉冲,分别地,使中指弯曲的屈指深肌和屈指浅肌对应的电极贴片受到电刺激脉冲。3. After the electric stimulator receives the electric stimulation pulse signal, it transmits the electric stimulation pulse to the electrode patch of the wearable structure, respectively, so that the electrode patches corresponding to the deep flexor muscle and the superficial flexor muscle of the middle finger receive the electric stimulation pulse.
4、佩戴式结构的电极贴片向前臂骨骼肌传输电刺激脉冲,控制中指弯曲的屈指深肌和屈指浅肌受到了电刺激,骨骼肌产生收缩,中指指间关节弯曲,产生期望动作即中指弯曲。另外,由于采用的电极贴片电刺激面积较小并通过特定的电刺激模式对肌肉群进行精确刺激,其他手指指节关节并未产生较大角度明显的弯曲。4. The electrode patch of the wearable structure transmits electrical stimulation pulses to the skeletal muscles of the forearm. The deep and superficial flexor muscles that control the bending of the middle finger are electrically stimulated, the skeletal muscles contract, the interphalangeal joints of the middle finger bend, and the desired action is produced. bending. In addition, due to the small electrical stimulation area of the electrode patch and the precise stimulation of the muscle groups through the specific electrical stimulation mode, the knuckle joints of other fingers did not produce significant bending at a large angle.
5、停止电刺激脉冲输入后,前臂肌肉群松弛,手掌恢复至自然状态。5. After stopping the electrical stimulation pulse input, the forearm muscle group relaxes, and the palm returns to its natural state.
6、输入动作指令“手势数字1”,由指令接收器分析处理后,向控制器传输相应的电刺激模式信息,控制器通过分析刺激模式信息后向电刺激器传输电刺激脉冲输出信号。6. The input action command "gesture number 1" is analyzed and processed by the command receiver, and then the corresponding electrical stimulation mode information is transmitted to the controller. After analyzing the stimulation mode information, the controller transmits the electrical stimulation pulse output signal to the electrical stimulator.
7、电刺激器接收到电刺激脉冲输出信号之后向佩戴式结构的电极贴片传输电刺激脉冲,分别地,使控制中指、无名指、小拇指的屈指肌群的电极贴片,控制大拇指弯曲的拇长指肌的电极贴片以及控制食指拉伸的伸指肌肉的电刺激贴片受到相应的电刺激脉冲。7. After receiving the electrical stimulation pulse output signal, the electrical stimulator transmits the electrical stimulation pulse to the electrode patch of the wearable structure, respectively, so that the electrode patch that controls the flexor muscles of the middle finger, ring finger, and little finger controls the bending of the thumb. Electrode patches on the hallucis longus muscle and electrical stimulation patches on the extensor muscles that control the stretching of the index finger receive corresponding electrical stimulation pulses.
8、佩戴式结构的电极贴片向前臂骨骼肌传输电刺激脉冲,分别使控制中指、无名指、小拇指的屈指肌群受到了刺激,骨骼肌产生收缩,各指指间关节弯曲,同时大拇指向内弯曲与中指接触,食指向外拉伸拉直,产生期望动作即“手势数字1”。8. The wearable electrode patch transmits electrical stimulation pulses to the skeletal muscles of the forearm, respectively stimulating the flexor muscles that control the middle finger, ring finger, and little finger. The skeletal muscles contract, and the interphalangeal joints of each finger bend. At the same time, the thumb points Bend inward to make contact with the middle finger, and stretch the index finger outward to produce the desired action, that is, "gesture number 1".
9、停止电刺激脉冲输入后,前臂肌肉群松弛,手掌恢复到自然状态。9. After stopping the electrical stimulation pulse input, the forearm muscle group relaxes, and the palm returns to its natural state.
本实施例通过特定的肌肉精确刺激模式和小尺寸电极贴片的脉冲输出,对前臂各手指指间关节进行精确控制,既可以单独控制单个手指的活动(屈指),也可以同时控制多对电极贴片,进行组合动作,实现不同的手势动作(如表示数字“1”)。使用方便,调节简易,安全有效,对人体造成的副作用小。In this embodiment, the interphalangeal joints of each finger of the forearm are precisely controlled through the specific muscle precise stimulation mode and the pulse output of the small-sized electrode patch, which can not only control the movement of a single finger (finger), but also control multiple pairs of electrodes at the same time Stickers, combined actions, to achieve different gestures (such as the number "1"). It is convenient to use, easy to adjust, safe and effective, and has little side effects on the human body.
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