CN115969686A - Perineum vibration coupling type pelvic floor muscle group function rehabilitation training instrument - Google Patents
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Abstract
Translated fromChinese
Description
Translated fromChinese技术领域technical field
本发明涉及压力性尿失禁康复训练技术，尤其是一种会阴部振动偶联式盆底肌群功能康复训练仪。The invention relates to stress urinary incontinence rehabilitation training technology, in particular to a perineum vibration-coupled pelvic floor muscle function rehabilitation training instrument.
背景技术Background technique
压力性尿失禁是指喷嚏、咳嗽、大笑或运动等腹压增高时出现不自主的尿液自尿道口漏出。该病多发于中老年女性，我国成年女性的患病率为 18.9%；在50～59岁年龄段，患病率为28.0%。女性压力性尿失禁虽然不会直接威胁生命，但会严重影响患者的生活质量，乃至引起焦虑、抑郁和心理障碍，给家庭和社会带来巨大的经济负担，是中老年女性身心健康的重要问题。我国目前有约8000万女性压力性尿失禁患者，康复治疗市场需求巨大。Stress urinary incontinence is the involuntary leakage of urine from the urethral opening when abdominal pressure increases, such as sneezing, coughing, laughing, or exercising. The disease mainly occurs in middle-aged and elderly women. The prevalence rate of adult women in my country is 18.9%; among the 50-59 age group, the prevalence rate is 28.0%. Although female stress urinary incontinence does not directly threaten life, it will seriously affect the quality of life of patients, and even cause anxiety, depression and psychological disorders, and bring huge economic burdens to families and society. It is an important issue for the physical and mental health of middle-aged and elderly women. . There are currently about 80 million female stress urinary incontinence patients in my country, and the market demand for rehabilitation treatment is huge.
国际权威医疗机构建议对压力性尿失禁患者首先应进行非手术治疗，非手术治疗效果不佳的患者以及重度患者可选择手术治疗，手术治疗效果不稳定，且有出现并发症的风险。目前，非手术疗法主要包括生活方式干预、盆底肌群训练、盆底肌群电刺激治疗、全身振动疗法、中医针灸以及药物治疗等。其中，以改善盆底肌群功能的康复训练疗法最为重要。International authoritative medical institutions recommend that patients with stress urinary incontinence should first be treated with non-surgical treatment. Patients with poor non-surgical treatment and severe patients can choose surgical treatment. The effect of surgical treatment is unstable and there is a risk of complications. At present, non-surgical therapy mainly includes lifestyle intervention, pelvic floor muscle training, pelvic floor muscle electrical stimulation therapy, whole body vibration therapy, traditional Chinese medicine acupuncture and drug therapy, etc. Among them, rehabilitation training therapy to improve the function of pelvic floor muscles is the most important.
盆底肌为骨骼肌，可随意运动，即在意识支配下受大脑皮层运动区直接控制的肌肉舒缩运动。其功能与个体后天学习和训练密切相关，具有条件反射性质。当盆底肌群与盆底组织受到损伤出现病理变化时，可导致盆底功能障碍性疾病，中老年女性多发。临床常见疾病包括：压力性尿失禁、子宫脱垂、性功能障碍以及盆腔疼痛等。其中，女性压力性尿失禁的发病率尤为突出。我国，45岁已生育女性中压力性尿失禁发病率高达40%，且20%症状严重，影响正常生活，应该接受系统的康复治疗。The pelvic floor muscles are skeletal muscles that can move freely, that is, the muscle contraction and contraction movements that are directly controlled by the motor areas of the cerebral cortex under the control of consciousness. Its function is closely related to individual acquired learning and training, and has the nature of conditioned reflex. When the pelvic floor muscles and pelvic floor tissue are damaged and pathological changes occur, it can lead to pelvic floor dysfunction, which is more common in middle-aged and elderly women. Common clinical diseases include: stress urinary incontinence, uterine prolapse, sexual dysfunction, and pelvic pain. Among them, the incidence of female stress urinary incontinence is particularly prominent. In my country, the incidence of stress urinary incontinence among 45-year-old women who have given birth is as high as 40%, and 20% of them have severe symptoms that affect their normal life. They should receive systematic rehabilitation treatment.
目前盆底肌群功能康复锻炼疗法主要针对盆底肌群局部，且多为被动方式治疗，没有针对高级神经中枢的训练手段。成年人的正常排尿功能是在高级中枢神经调控下的高度整合与协调的生理过程，压力性尿失禁的病因不仅仅局限于盆底肌群。新近研究显示，高级中枢神经系统对盆底肌群的调控能力减弱，在压力性尿失禁的病理机制中可能起着更为重要的作用。临床上急需针对病因以及高级中枢神经系统调控功能的技术和设备。The current pelvic floor muscle function rehabilitation exercise therapy mainly targets the local pelvic floor muscles, and most of them are treated in a passive way. There is no training method for the advanced nerve center. The normal voiding function of adults is a highly integrated and coordinated physiological process under the control of the high-level central nervous system. The cause of stress urinary incontinence is not limited to the pelvic floor muscles. Recent studies have shown that the weakened ability of the higher central nervous system to regulate the pelvic floor muscles may play a more important role in the pathological mechanism of stress urinary incontinence. Clinically, there is an urgent need for techniques and equipment aimed at etiology and advanced central nervous system regulation functions.
发明内容Contents of the invention
本发明所要解决的技术问题是：提供一种会阴部振动偶联式盆底肌群功能康复训练仪，从而符合人体生理特性的会阴部振动刺激，生成作为盆底肌群舒缩活动的触发因素或作为伴随盆底肌群功能活动的反馈刺激。The technical problem to be solved by the present invention is to provide a perineum vibration coupling type pelvic floor muscle functional rehabilitation training instrument, so that the perineal vibration stimulation in line with the physiological characteristics of the human body can be generated as a triggering factor for the contraction and contraction of the pelvic floor muscles Or as a feedback stimulus accompanying the functional activities of the pelvic floor muscles.
为解决上述技术问题，本发明采用如下技术方案：In order to solve the problems of the technologies described above, the present invention adopts the following technical solutions:
一种会阴部振动偶联式盆底肌群功能康复训练仪，包括扁平状的主机，主机含语音功能并且通过腰带式附件一佩戴于人体的下腹部，主机配有可充电电池驱动并且通过功能按键调控会阴部组件，主机与会阴部组件之间通过右导线和左导线连接，主机内置盆底肌群功能训练程序并且设有程序更新接口，主机生成的音频信号可与振动同步或分别出现，主机和会阴部组件可以用于站姿、坐姿、仰卧以及侧卧的体位使用。A perineal vibration coupling type pelvic floor muscle function rehabilitation training instrument, including a flat host, the host has a voice function and is worn on the lower abdomen of the human body through a belt-type accessory, the host is equipped with a rechargeable battery and is driven by a function The buttons control the perineum components. The host and the perineum components are connected by the right wire and the left wire. The host has a built-in pelvic floor muscle function training program and a program update interface. The audio signal generated by the host can be synchronized with the vibration or appear separately. The host and perineum components can be used in standing, sitting, supine and side lying positions.
进一步地，会阴部组件包括压力传感器和振动电机，振动电机振动刺激会阴部，从而刺激触发盆底肌群运动，也可作为盆底肌群舒缩活动的功能反馈。Further, the perineum component includes a pressure sensor and a vibration motor, and the vibration of the vibration motor stimulates the perineum, thereby stimulating and triggering the movement of the pelvic floor muscles, and also serving as functional feedback for the stretching and contracting activities of the pelvic floor muscles.
进一步地，压力传感器通过腰带式附件二连接腰带式附件一，压力传感器监测盆底肌群舒缩功能，用于标识盆底肌群舒缩运动周期。Further, the pressure sensor is connected to the belt-
进一步地，主机设有功能按键一、功能按键二和功能按键三。Further, the host is provided with a
进一步地，主机设有振动触发模式，振动触发模式用于振动触发盆底肌群收缩。Further, the host is provided with a vibration trigger mode, which is used for vibration to trigger the contraction of the pelvic floor muscles.
进一步地，主机设有振动反馈模式，振动反馈模式用于盆底肌群收缩期伴随会阴部振动。Further, the host is provided with a vibration feedback mode, which is used for the contraction of the pelvic floor muscles to accompany the vibration of the perineum.
进一步地，主机设有音频同步模式，会阴部振动与音频同步出现。Furthermore, the host is equipped with an audio synchronization mode, and the vibration of the perineum occurs synchronously with the audio.
进一步地，主机设有音频触发模式，音频触发模式用于音频触发盆底肌群收缩。Further, the host is provided with an audio trigger mode, which is used for audio triggering of contraction of the pelvic floor muscles.
进一步地，主机设有音频反馈模式，音频反馈模式用于盆底肌群收缩期伴随音频信号。Further, the host is provided with an audio feedback mode, which is used to accompany audio signals during contraction of the pelvic floor muscles.
本发明的有益效果是：The beneficial effects of the present invention are:
（1）训练大脑对盆底肌群功能的调控功能：大脑收到会阴部振动信号后主动作出收缩盆底肌的反应，能增强大脑的主动调控作用，会阴部局部振动刺激集中作用于盆底肌群局部感受器，通过特定感觉传入神经，激活大脑皮层盆底肌群感觉代表区和运动代表区，实现调节盆底肌群功能，当会阴部局部振动作为伴随的生物反馈刺激时，其局部特征能最大程度地反馈盆底肌群功能。(1) Train the brain to regulate the function of the pelvic floor muscles: After the brain receives the perineal vibration signal, it actively responds by contracting the pelvic floor muscles, which can enhance the active regulation of the brain, and the local vibration stimulation of the perineum will concentrate on the pelvic floor The local receptors of the muscle group, through the specific sensory afferent nerve, activate the sensory representative area and motor representative area of the pelvic floor muscle group in the cerebral cortex, and realize the adjustment of the function of the pelvic floor muscle group. When the local vibration of the perineum is used as the accompanying biofeedback stimulation, its local characteristics Can maximize the feedback of pelvic floor muscle function.
（2）通过会阴部压力传感器检测盆底肌群舒缩功能：分析压力变化和反应时间等指标评价康复训练效果，并可用于调整相关参数，通过会阴部压力检测技术监测盆底肌群舒缩功能，标识盆底肌群运动周期，实现振动偶联式盆底肌群功能训练，直观、简便、可靠、易用。(2) Detect the relaxation and contraction function of the pelvic floor muscles through the perineal pressure sensor: analyze the indicators such as pressure changes and reaction time to evaluate the effect of rehabilitation training, and can be used to adjust relevant parameters, and monitor the relaxation and contraction of the pelvic floor muscles through the perineal pressure detection technology Function, marking the exercise cycle of the pelvic floor muscles, realizing vibration-coupled pelvic floor muscle functional training, intuitive, simple, reliable, and easy to use.
（3）适合家用：可以快速佩戴，进行多体位康复训练，没有不适感，容易操作。(3) Suitable for home use: It can be worn quickly for multi-position rehabilitation training without discomfort and easy to operate.
附图说明Description of drawings
图1是本发明实施例会阴部振动偶联式盆底肌群功能康复训练仪的主视图；Fig. 1 is the front view of the perineum vibration coupling type pelvic floor muscle group functional rehabilitation training instrument according to the embodiment of the present invention;
图2是本发明实施例会阴部振动偶联式盆底肌群功能康复训练仪的后视图。Fig. 2 is a rear view of the perineum vibration-coupled pelvic floor muscle function rehabilitation training instrument according to the embodiment of the present invention.
附图标记：1-腰带式附件一、2-主机、3-功能按键一、4-功能按键二、5-功能按键三、6-右导线、7-振动电机、8-左导线、9-腰带式附件二、10-压力传感器。Reference signs: 1-
实施方式Implementation
需要说明的是，在不冲突的情况下，本申请中的各实施例及实施例中的特征可以相互结合，下面结合附图和具体实施例对本发明作进一步详细说明。It should be noted that, in the case of no conflict, the various embodiments in the present application and the features in the embodiments can be combined with each other. The present invention will be further described in detail below in conjunction with the drawings and specific embodiments.
参照图1-2，本发明公开了一种会阴部振动偶联式盆底肌群功能康复训练仪，包括扁平状的主机2，主机2含语音功能并且通过腰带式附件一1佩戴于人体的下腹部，主机2配有可充电电池驱动并且通过功能按键调控会阴部组件，主机2与会阴部组件之间通过右导线6和左导线8连接，主机2内置盆底肌群功能训练程序并且设有程序更新接口，主机2生成的音频信号可与振动同步或分别出现，主机2和会阴部组件可以用于站姿、坐姿、仰卧以及侧卧的体位使用。Referring to Figures 1-2, the present invention discloses a perineum vibration-coupled pelvic floor muscle function rehabilitation training instrument, which includes a
具体地，会阴部组件以会阴部体表振动刺激作为盆底肌群功能训练的触发因素（条件刺激）或作为伴随刺激（生物反馈），安全、卫生、易于应用。该刺激属于人体生理性刺激，且置于体表，为无创、非侵入性刺激，有别于目前临床应用的阴道内振动或通过阴道内置电极的电刺激。Specifically, the perineal component uses vibration stimulation of the perineal body surface as a triggering factor (conditional stimulation) for functional training of the pelvic floor muscles or as an accompanying stimulation (biofeedback), which is safe, hygienic, and easy to apply. The stimulation belongs to the physiological stimulation of the human body and is placed on the body surface. It is non-invasive and non-invasive stimulation, which is different from the current clinical application of intravaginal vibration or electrical stimulation through vaginal built-in electrodes.
具体地，会阴部局部振动刺激集中作用于盆底肌群局部感受器，通过特定感觉传入神经，激活大脑皮层盆底肌群感觉代表区和运动代表区，实现调节盆底肌群功能。当会阴部局部振动作为伴随的生物反馈刺激时，其局部特征能最大程度地反馈盆底肌群功能。Specifically, the local vibration stimulation of the perineum concentrates on the local receptors of the pelvic floor muscles, and activates the sensory representative area and the motor representative area of the pelvic floor muscles of the cerebral cortex through specific sensory afferent nerves to realize the regulation of pelvic floor muscle functions. When the local vibration of the perineum is used as the accompanying biofeedback stimulus, its local characteristics can maximize the feedback on the function of the pelvic floor muscles.
具体地，在盆底肌群收缩与舒张运动的不同周期，选择性地通过顺时相或反时相会阴部振动偶联，激活高级中枢神经系统的主动参与程度，增强高级神经中枢对盆底肌群的调控能力。Specifically, during the different cycles of contraction and relaxation of the pelvic floor muscles, the active participation of the high-level central nervous system is activated selectively through perineal vibration coupling in the clockwise or anti-phase phase, and the effect of the high-level nerve center on the pelvic floor is enhanced. Muscle control ability.
具体地，通过会阴部压力检测技术监测盆底肌群舒缩功能，标识盆底肌群运动周期，实现振动偶联式盆底肌群功能训练，直观、简便、可靠、易用，有别于阴道内盆底肌群功能的肌电检测或压力检测技术。Specifically, through the perineal pressure detection technology to monitor the contraction function of the pelvic floor muscles, identify the movement cycle of the pelvic floor muscles, and realize the functional training of the vibration-coupled pelvic floor muscles, which is intuitive, simple, reliable, and easy to use, which is different from EMG or stress testing techniques for intravaginal pelvic floor muscle function.
本发明主要用于女性压力性尿失禁康复训练，也可用于孕产妇盆底肌功能锻炼、子宫脱垂、性功能障碍以及盆腔疼痛等，具有广泛的推广及应用价值。The invention is mainly used for rehabilitation training of female stress urinary incontinence, and can also be used for functional exercise of pelvic floor muscles of pregnant women, uterine prolapse, sexual dysfunction and pelvic pain, etc., and has wide promotion and application value.
本发明处于基本功能模式运行时：触发信号（会阴部振动或音频：1秒） → 大脑收到触发信号后发出运动指令→盆底肌群收缩 → 压力传感器检测收缩反应 → 系统生成生物反馈信息（振动或音频）→ 间歇（10秒） → 下一次循环 ……（治疗时间可调：5-20分钟）。When the invention is running in the basic function mode: trigger signal (perineum vibration or audio: 1 second) → the brain sends out a movement command after receiving the trigger signal → pelvic floor muscles contract → the pressure sensor detects the contraction response → the system generates biofeedback information ( Vibration or audio) → Intermittent (10 seconds) → Next cycle ... (The treatment time is adjustable: 5-20 minutes).
本发明的进一步改进在于，会阴部组件包括压力传感器10和振动电机7，振动电机7振动刺激会阴部，从而刺激触发盆底肌群运动，也可作为盆底肌群舒缩活动的功能反馈。A further improvement of the present invention is that the perineum component includes a
本发明的进一步改进在于，压力传感器10通过腰带式附件二9连接腰带式附件一1，压力传感器10监测盆底肌群舒缩功能，用于标识盆底肌群舒缩运动周期。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有功能按键一3、功能按键二4和功能按键三5。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有振动触发模式，振动触发模式用于振动触发盆底肌群收缩。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有振动反馈模式，振动反馈模式用于盆底肌群收缩期伴随会阴部振动。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有音频同步模式，会阴部振动与音频同步出现。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有音频触发模式，音频触发模式用于音频触发盆底肌群收缩。A further improvement of the present invention is that the
本发明的进一步改进在于，主机2设有音频反馈模式，音频反馈模式用于盆底肌群收缩期伴随音频信号。A further improvement of the present invention is that the
综上所述，本发明一种会阴部振动偶联式盆底肌群功能康复训练仪，以会阴部振动偶联式盆底肌群功能康复训练技术，通过振动觉触发的主动式功能训练达到强化高级神经中枢的主动调控功能，直接对压力性尿失禁患者的盆底肌群功能进行整合性功能锻炼，实现女性尿失禁患者盆底肌群功能的主动康复，符合人体生理特性的会阴部振动刺激，作为盆底肌群舒缩活动的触发因素或作为伴随盆底肌群功能活动的反馈刺激，在盆底肌群收缩与舒张运动的不同周期时相，选择性地通过顺时相或反时相会阴部振动偶联，以多神经环路动态组合，激活高级中枢神经系统，通过大脑对振动传入信号的识别与判断，促进大脑主动参与调控盆底肌群功能，会阴部压力传感器检测盆底肌群收缩功能，可同步生成音频信号，采用可佩戴、可充电、易操作设计，方便患者居家长期反复使用。In summary, a perineum vibration-coupled pelvic floor muscle function rehabilitation training instrument of the present invention uses perineal vibration-coupled pelvic floor muscle function rehabilitation training technology to achieve active functional training triggered by vibration sense. Strengthen the active regulation function of the advanced nerve center, directly perform integrated functional exercises on the pelvic floor muscles of patients with stress urinary incontinence, and realize the active rehabilitation of the pelvic floor muscles of female patients with urinary incontinence. The perineal vibration conforms to the physiological characteristics of the human body Stimulation, as a triggering factor for the contraction and contraction of the pelvic floor muscles or as a feedback stimulus accompanying the functional activities of the pelvic floor muscles, selectively through the clockwise phase or the opposite phase during the different cycle phases of the pelvic floor muscle contraction and relaxation Time-phase perineal vibration coupling, dynamic combination of multiple neural circuits, activates the advanced central nervous system, and promotes the brain's active participation in regulating the function of the pelvic floor muscles through the recognition and judgment of the incoming vibration signals by the brain. Perineal pressure sensor detection The contraction function of the pelvic floor muscles can generate audio signals synchronously. It adopts a wearable, rechargeable, and easy-to-operate design, which is convenient for patients to use repeatedly at home for a long time.
尽管已经示出和描述了本发明的实施例，对于本领域的普通技术人员而言，可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型，均应属于本申请的范围；本发明的保护范围由所附权利要求及其等同范围限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes, modifications and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. All modifications and variations shall belong to the scope of the present application; the protection scope of the present invention is defined by the appended claims and their equivalent scope.
Claims (8)
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