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CN107088264A - It is mandatory to learn electric stimulation rehabilitation training system and training method again - Google Patents

It is mandatory to learn electric stimulation rehabilitation training system and training method again Download PDF

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Publication number
CN107088264A
CN107088264A CN201610090185.9A CN201610090185A CN107088264A CN 107088264 A CN107088264 A CN 107088264A CN 201610090185 A CN201610090185 A CN 201610090185A CN 107088264 A CN107088264 A CN 107088264A
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China
Prior art keywords
control signal
module
electric stimulation
mandatory
patient
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CN201610090185.9A
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Chinese (zh)
Inventor
代丁
代一丁
高强
李程
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Individual
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Priority to CN201610090185.9A priority Critical patent/CN107088264A/en
Publication of CN107088264A publication Critical patent/CN107088264A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36189Control systems using modulation techniques
    • A61N1/36196Frequency modulation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention discloses one kind it is mandatory learn electric stimulation rehabilitation training system and training method again, be related to technique of medical rehabilitation field.It passes through the control signal generation module, the control command that the hemiplegic patient of collection is good for into side is converted to remote signal and sent, pass through described control signal receiving module, activate its corresponding electro photoluminescence passage, generate low frequency pulse signal, by the corresponding hemiplegia Ipsilateral muscle of electrode stimulating and shrink it, so as to produce corresponding actions.It is stronger to adjust being actively engaged in for hemiplegic patient's affected limb compared with existing routine techniques, effectively improve the therapeutic effect to hemiplegic patient.

Description

It is mandatory to learn electric stimulation rehabilitation training system and training method again
Technical field
The present invention relates to technique of medical rehabilitation field, it is related to and a kind of mandatory learns electric stimulation rehabilitation training system and training again Method.
Background technology
With social development, the aging of traffic, the increase of industrial accident, and society, the stroke hemiplegia caused is suffered from Person progressively turns into the common colony of society now.This kind of patient is in addition to drug therapy or operative treatment, the rehabilitation training of science Improve extremely important for patient motion function.
" constraint-induce movement therapy " (constraint-induced movement therapy, CIMT) is in recent years The characteristics of to be directed to a kind of new treatment technology of the heatstroke nervous system disease such as cerebral apoplexy, the technology is to cerebral apoplexy or brain trauma The hemiplegic upper limb of patient limited while the rehabilitation training of big intensity the activity of healthy side upper limb, is formed with overcoming after brain damage Learned appraxia, and then improve patient paralyse side upper limbs function.This is that one kind is proved to be effective but and seldom For clinical treatment technology.Its limiting factor is:
(1) cure from property:For the use of its remedy measures includes " limitation use strong side " and " forced use Ipsilateral " two. Wherein healthy side upper limb is fixed on rest position by " limitation uses strong side " requirement with clamping plate or suspender belt, and the set time is no less than clear daily The 90% of the time of waking up, continues more than 2 weeks.Therefore, during training herein, patient brakes strong limb because of long-time, it will cause pain Bitterly, stiff many malaise symptoms;Importantly, patient will face further " hypofunction " in life, cause passiveness Mood, causes doctor low from property, it is difficult to complete treatment plan;
(2) limitation:Constraint-induce movement therapy requires that patient's ipsilateral upper limb at least possesses that " 20 ° are stretched wrist and 10 ° Stretch finger ", will not have popularization for hemiplegia early stage patient.
" motor relearning technology " is main based on biomethanics, kinematics, neurology, behaviouristics etc., is emphasizing On the premise of patient is actively engaged in, using task or function to be oriented to, patient is carried out again according to the technical performance preparation method of science Educate to recover its motor function.But the female aspect showed due to hemiplegic patient's acute stage, it is impossible to complete corresponding actions, patient In the level that " Intentionality training " can only often be rested on, it is difficult to reach expected therapeutic effect.
The functional property low-frequency electrostimulating of physical therapy method commonly used at present.Low-frequency electrostimulating functional training is clinically a kind of ratio Comparatively ideal method of rehabilitation.But most functional electrostimulation is all single electro photoluminescence at present, thus in rehabilitation course this The validity for planting training is substantially reduced, and fails to reach expected rehabilitation goal.
The content of the invention
Based on this, the present invention provide it is a kind of it is mandatory learns electric stimulation rehabilitation training system and training method again, its can gram The defect of prior art is taken, is capable of the therapeutic action of effective function electro photoluminescence, and improves the participation of patient simultaneously, is reached To good therapeutic effect.
Its technical scheme is as follows:
It is a kind of it is mandatory learn electric stimulation rehabilitation training system, including muscle electric stimulation module again, control signal generation module, Control signal collection module;Wherein control signal generation module produces remote signal, and control signal receiving module receives remote signal; The mandatory electric stimulation rehabilitation training system that learns again is provided with a forced use device, and the use for limiting strong limb reaches To constraint-induce movement therapy (constraint-induced movement therapy, CIMT) effect;The device is one Cavity structure, it is relatively restricted space that it is interior, and the forced use device is placed in hemiplegic patient and is good on the forearm of side;The control The controlling switch of signal generator module processed is in cavity, the control command for the patient of collection to be good for side, and healthy side hand is by opening Enter at mouthful in cavity, inside and the palmistry of cavity are adapted to, its size allows the freely activity of wrist joint and its distal joint, and It is easy to strong hand manipulation control signal generation module to produce remote signal;The muscle electric stimulation module contains multigroup low-frequency electrostimulating passage, It is associated with control signal receiving module, when control signal receiving module receives remote signal, the synchronous corresponding electricity thorn of activation Swash passage, low frequency pulse signal is generated, by being affixed on the electrode stimulating respective muscle of ipsilateral upper limb and shrinking it, so as to produce Corresponding actions.
Further technical scheme is illustrated below;
In one of the embodiments, the system also includes low-frequency electrostimulating control module:For logical to each group low frequency stimulating Road carries out packet selection, different stimulated muscle groups is participated in jointly, cooperative motion completes training.
In one of the embodiments, the system also includes parameter adjustment and storage module, for adjusting described low-frequency electrical The parameter of stimulation pulse signal, the parameter includes:Pulse frequency, pulse width and pulse strength, and it is stored.
One kind is mandatory to learn electric stimulation rehabilitation training method again, and this method comprises the following steps:
Step one:For patient-worn's trainer, including:For patient be good for side limbs wear the forced use device and Control signal generation module;The control signal receiving module and placement respective electrode are worn for patient's affected limb;
Step 2:Patient manipulates the corresponding remote signal of control signal generation module generation by strong side limbs and sent;
Step 3:Control signal receiving module receives remote signal, and activates its corresponding low-frequency electrostimulating passage, generates Low frequency pulse signal, stimulates corresponding hemiplegia Ipsilateral muscle and shrinks it, so as to produce corresponding actions, reaches training and treats Effect.
In one of the embodiments, different task can be used to be trained for guiding:In step one, change Ipsilateral The electrode stimulating position of limbs, is allowed to stimulate different muscle groups, completes various motion, and incorporates daily life task, completes different Task orientation training, promote motor relearning.
In one of the embodiments, repetitive cycling performs step one to step 3.
Compared with prior art, the present invention has following beneficial effect:
1st, the present invention produces signal generation low-frequency electrostimulating pulse signal by active control, can realize hemiplegic patient master Dynamic functional rehabilitation, is remarkably improved enthusiasm and training consciousness that patient independently participates in;
2nd, the present invention improves participation when Rehabilitation is trained, and the rehabilitation training of patient is no longer only based on fixation Training action, moreover it is possible to rehabilitation training is carried out using ADL as task orientation, and daily life is incorporated, when reducing Between and human cost, improve rehabilitation efficiency;
3rd, of the invention, based on constraint-induce movement therapy, with reference to the treatment thoughts of motor relearning technology, involvement is faced The practical low-frequency electrostimulating functional training of bed, reaches the effect that many technologies combine, mutually make up, mutually promote, improves rehabilitation Efficiency;
4th, it is of the invention, with relatively restricted space, existing " clamping plate or suspender belt " fixed form is substituted, patient has been liberated The scope of activities of strong side limbs, it is to avoid limbs discomfort in side is good for caused by training process, but ensure that the function of strong side limbs simultaneously Limitation, meets the thinking of " constraint-induce movement therapy ".
5th, it is of the invention, contraction of muscle is produced using by electric stimulation pulse signal, the existing function of patient is improved, makes " 20 ° actively stretch wrist, 10 ° of actives and stretch finger " no longer turn into restrictive condition, it will also apply to hemiplegia early stage patient, expand existing There is the scope of application of constraint-induce movement therapy.
Brief description of the drawings
Fig. 1 is the structural representation of " mandatory to learn electric stimulation rehabilitation training system again " described in the embodiment of the present invention;
Fig. 2 is that the structure of " the forced use device " and " control signal generation module " described in the embodiment of the present invention is shown It is intended to.
Description of reference numerals:
1st, forced use device, 2, control signal generation module, 3, control signal receiving module, 4, electrode, 5, Thread gluing, 6, card living.
Embodiment
Below in conjunction with the accompanying drawings and embodiment the present invention is further described.
One kind is mandatory to learn electric stimulation rehabilitation training system, including muscle electric stimulation module, control signal generation module again 2, control signal collection module 3;Wherein control signal generation module 2 produces remote signal, and control signal receiving module 3 is received Remote signal;The mandatory electric stimulation rehabilitation training system that learns again is provided with a forced use device 1, strong for limiting The use of limb, reaches constraint-induce movement therapy (constraint-induced movement therapy, CIMT) effect; The device is a cavity structure, is relatively restricted space in it, and cavity outward appearance can be polyhedron or spheroid, excellent in the present embodiment Elect spheroid as, as shown in Figure 2;
The material of the forced use device 1 can be plastics and light aluminum alloy, in the present embodiment preferably acrylonitrile - butadiene-styrene copolymer compound (ABS);The forced use device is placed in hemiplegic patient and is good on the forearm of side, optional Worn with set, slide fastener, thread gluing, splice a variety of wearing modes, be preferably the mode of splicing plus thread gluing 5 in the present embodiment, such as scheme Shown in 1;
The controlling switch of the control signal generation module 2 can select a variety of fixed forms, in this implementation in cavity It is preferably the fixation of card 6 living of damascene structures in example, is convenient to battery altering and maintenance of equipment;The controlling switch is used for what is gathered Patient is good for the control command of side, and the collection of control command can have various ways, is preferably the mode for pressing button in the present embodiment, Persistently pressing button will have remote signal to continuously send out, and release button then stops;The transmission of remote signal can be infra-red remote control mould Formula and wireless remotecontrol pattern, in the present embodiment preferably wireless remotecontrol pattern;Healthy side hand by opening enter cavity in, The inside of cavity is adapted to palmistry, and its size allows the freely activity of wrist joint and its distal joint, and is easy to strong hand manipulation control Signal generator module 2 produces remote signal, as shown in Figure 2;
The control signal receiving module 3 can be mesa structure or portable construction, it is optional then many if portable construction Kind wear position and wear mode, preferably portable construction and patient's Ipsilateral upper arm is bundled in the present embodiment, such as Fig. 1 institutes Show;
The muscle electric stimulation module contains multigroup low-frequency electrostimulating passage A, B, C, D, the present embodiment preferred passage A, B It is described;The module is associated with control signal receiving module 3, when control signal receiving module receives remote signal, The synchronous corresponding electro photoluminescence passage of activation, generates low frequency pulse signal, and respective muscle is stimulated by the electrode 4 for being affixed on ipsilateral upper limb And it is shunk, so as to produce corresponding actions.
The mandatory electric stimulation rehabilitation training system that learns again also includes low-frequency electrostimulating control module:For being pierced to each group low frequency Swash passage A, B, C, D and carry out packet selection, different stimulated muscle groups is participated in jointly, cooperative motion completes training.
The mandatory electric stimulation rehabilitation training system that learns again also includes parameter adjustment and storage module, and described for adjusting is low The parameter of frequency electric stimulation pulse signal, the parameter includes:Pulse frequency, pulse width and pulse strength, and it is stored.
As shown in figure 1, the present invention provide it is described it is mandatory learn electric stimulation rehabilitation training method again, this method is included such as Lower step:
Step one:For patient-worn's trainer, including:Side limbs, which are good for, for patient wears described forced use device 1 and control signal generation module 2;The control signal receiving module 3 and placement respective electrode 4 are worn for affected limb;
Step 2:Patient produces corresponding remote signal by strong side limbs manipulation control signal generation module 2 and sent;
Step 3:Control signal receiving module 3 receive remote signal, and activate its corresponding low-frequency electrostimulating passage A, B, C, D, generate low frequency pulse signal, stimulate corresponding hemiplegia Ipsilateral muscle by electrode 4 and shrink it, so as to produce phase It should act, reach the effect of training and treatment.
The present invention provide it is described it is mandatory learn electric stimulation rehabilitation training method again, in addition to can use different task for Guiding is trained:In step one, change the stimulation sites of electrode 4 of affected limb, be allowed to stimulate different muscle groups, complete many Action is planted, and incorporates daily life task, different task orientations training is completed, promotes motor relearning.
The present invention provide it is described it is mandatory learn electric stimulation rehabilitation training method again, also comprise the following steps that repetitive cycling is held Row step one is to step 3.
More specifically, for example, " the stretching wrist grasping " that need to such as train hemiplegic patient common is difficult:
As shown in figure 1, auxiliary patient-worn's forced use device 1, control signal generation module 2, control signal connect Receive module 3.
Completion is started shooting after wearing, with parameter adjustment and storage module, the ginseng of the described low-frequency electrostimulating pulse signal of adjustment Number.
Packet selection is carried out to each stimulation channels A, B, C, D using low-frequency electrostimulating control system.Such as in the present embodiment In, selector channel A is used as " grasping " electro photoluminescence path;Selector channel B is " stretching wrist " electro photoluminescence path.Will be with passage A Connected electrode 4 is affixed on deep flexor muscle of fingers, the corresponding skin surface of musculus flexor digitorum sublimis belly of muscle;The electrode 4 being connected with passage B is affixed on oar Side wrist extensor hallucis longus, the corresponding skin surface of musculus extensor carpi radilis brevis belly of muscle.
After the completion of electrode 4 is disposed, patient uses the healthy side hand being located in forced use device 1 to manipulate control signal and produced Each control button of raw module 2.As in the present embodiment, passage B associated buttons are such as used, are allowed to send remote signal, it is incoming Control signal receiving module 3, activates passage B, and patient's hemiplegia side hand will complete " stretching wrist " action under electro photoluminescence.Similarly it is good for side Hand activates passage A, and patient's hemiplegia side hand will complete " grasping " action.Now, " wrist is stretched to grasp " action training to complete.Herein In training process, task object (such as cup), intensive training effect can be added.
When being treated, one-off does not reach therapeutic purposes, can be with repeat step one to step 3.
Each technical characteristic of embodiment described above can be combined, to make description succinct, not to above-described embodiment In each technical characteristic it is all possible combination and device structure be all described.It is to be appreciated that the invention is not limited in Above-mentioned specific device structure and embodiment, to those skilled in the art, without departing from the inventive concept of the premise, Various modifications and improvements can be made, these belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention It should be determined by the appended claims.

Claims (6)

1. one kind is mandatory to learn electric stimulation rehabilitation training system and training method, including muscle electric stimulation module, control signal again Generation module (2), control signal collection module (3);Wherein control signal generation module (2) produces remote signal, and control signal connects Receive module (3) and receive remote signal;It is characterized in that:The mandatory electric stimulation rehabilitation training system that learns again is provided with a pressure Property use device (1), the use for limiting strong limb;The device is a cavity structure, and it is relatively restricted space that it is interior, described strong Property use device (1) processed is placed in hemiplegic patient and is good on the forearm of side;The controlling switch of the control signal generation module (2) is located at sky Intracavitary, the control command for the patient of collection to be good for side, healthy side hand at opening by entering in cavity, the inside of cavity and hand It is adapted, its size allows the freely activity of wrist joint and its distal joint, and is easy to strong hand manipulation control signal generation module (2) Produce remote signal;The muscle electric stimulation module contains multigroup low-frequency electrostimulating passage, associated with control signal receiving module (3), When control signal receiving module (3) receives remote signal, the synchronous corresponding electro photoluminescence passage of activation generates low frequency pulse signal, By being affixed on electrode (4) the stimulation respective muscle of ipsilateral upper limb and shrinking it, so as to produce corresponding actions.
Mandatory learn electric stimulation rehabilitation training system and training method again 2. according to claim 1, it is characterised in that The system also includes low-frequency electrostimulating control module:For to each group low-frequency electrostimulating passage carry out packet selection, make it is different by Stimulation muscle group can be participated in jointly, cooperative motion completes training.
Mandatory learn electric stimulation rehabilitation training system and training method again 3. according to claim 1, it is characterised in that The system also includes parameter adjustment and storage module, the parameter for adjusting described low-frequency electrostimulating pulse signal, the parameter Including:Pulse frequency, pulse width and pulse strength, and it is stored.
4. one kind is mandatory to learn electric stimulation rehabilitation training method again, it is characterised in that this method comprises the following steps:
Step one:For patient-worn's trainer, including:Side limbs, which are good for, for patient wears the forced use device (1) and control Signal generator module (2) processed;The control signal receiving module (3) and placement respective electrode (4) are worn for patient's affected limb;
Step 2:Patient manipulates the corresponding remote signal of control signal generation module (2) generation by strong side limbs and sent;
Step 3:Control signal receiving module (3) receives remote signal, and activates its corresponding low-frequency electrostimulating passage, generates low Frequency pulse signal, stimulates corresponding hemiplegia Ipsilateral muscle by electrode (4) and shrinks it, so as to produce corresponding actions.
Mandatory learn electric stimulation rehabilitation training method again 5. according to claim 4, it is characterised in that can be using not It is trained with task for guiding:In step one, change electrode (4) stimulation sites of affected limb, be allowed to stimulate different muscle groups, Various motion is completed, different task orientation training can be completed, promote motor relearning.
Mandatory learn electric stimulation rehabilitation training method again 6. according to claim 4, it is characterised in that repetitive cycling is held Row step one is to step 3.
CN201610090185.9A 2016-02-18 2016-02-18 It is mandatory to learn electric stimulation rehabilitation training system and training method again Pending CN107088264A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111292827A (en) * 2020-01-16 2020-06-16 北京安体倍力健康科技有限公司 Electronic device, wearable device, fitness system, and computer-readable medium

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WO2015059612A1 (en) * 2013-10-23 2015-04-30 Ecole Polytechnique Federale De Lausanne (Epfl) Neuroprosthetic system restoring upper limb function through coordinated electrical stimulation
CN105148404A (en) * 2015-09-16 2015-12-16 燕铁斌 Electrical stimulation training system and training method based on health-side limb electromyographic signal trigger
CN206103118U (en) * 2016-02-18 2017-04-19 代一丁 Recovered training system of mandatory deutero learning electro photoluminescence

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015059612A1 (en) * 2013-10-23 2015-04-30 Ecole Polytechnique Federale De Lausanne (Epfl) Neuroprosthetic system restoring upper limb function through coordinated electrical stimulation
CN105148404A (en) * 2015-09-16 2015-12-16 燕铁斌 Electrical stimulation training system and training method based on health-side limb electromyographic signal trigger
CN206103118U (en) * 2016-02-18 2017-04-19 代一丁 Recovered training system of mandatory deutero learning electro photoluminescence

Non-Patent Citations (1)

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Title
杨凌佳;章晓峰;: "强制性运动疗法结合神经肌肉电刺激在脑卒中偏瘫患者上肢功能康复中的临床疗效" *

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111292827A (en) * 2020-01-16 2020-06-16 北京安体倍力健康科技有限公司 Electronic device, wearable device, fitness system, and computer-readable medium

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