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CN119499543A - A respiratory nerve muscle stimulation control method and system - Google Patents

A respiratory nerve muscle stimulation control method and system
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CN119499543A
CN119499543ACN202411629424.4ACN202411629424ACN119499543ACN 119499543 ACN119499543 ACN 119499543ACN 202411629424 ACN202411629424 ACN 202411629424ACN 119499543 ACN119499543 ACN 119499543A
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CN119499543B (en
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文晖龙
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Guangzhou Red Elephant Medical Technology Co ltd
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Guangzhou Red Elephant Medical Technology Co ltd
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Abstract

Translated fromChinese

本发明公开了一种呼吸神经肌肉刺激控制方法及系统,涉及医疗技术领域,该方法包括:采集用户的身体参数信息;根据身体参数信息以及数据库中存储的参数,确定用户的刺激参数;在对用户身体进行电刺激之前,通过信号处理模块对从治疗终端获取到的初始肌肉收缩信号进行处理,得到初始肌肉收缩滤波信号;其中,初始肌肉收缩信号为贴合在用户身体上的治疗终端感知到的;根据用户的刺激参数、初始肌肉收缩滤波信号、实时肌肉收缩滤波信号以及实时呼吸情况,通过训练优化完成的自适应电流调整模型对设置在用户身体上的治疗终端产生的电刺激的电流进行实时控制。本申请提高了电刺激的效率。

The present invention discloses a respiratory nerve muscle stimulation control method and system, which relates to the field of medical technology. The method includes: collecting user's body parameter information; determining the user's stimulation parameters according to the body parameter information and the parameters stored in the database; before electrically stimulating the user's body, processing the initial muscle contraction signal obtained from the treatment terminal through a signal processing module to obtain an initial muscle contraction filter signal; wherein the initial muscle contraction signal is sensed by the treatment terminal attached to the user's body; according to the user's stimulation parameters, the initial muscle contraction filter signal, the real-time muscle contraction filter signal and the real-time breathing situation, the adaptive current adjustment model completed by training optimization performs real-time control on the current of the electrical stimulation generated by the treatment terminal set on the user's body. The present application improves the efficiency of electrical stimulation.

Description

Respiratory neuromuscular stimulation control method and system
Technical Field
The application relates to the technical field of medical treatment, in particular to a respiratory neuromuscular stimulation control method and system.
Background
Muscle atrophy is common in people who are injured, post-operative, bedridden for a long period of time, or post-exercise waste. When muscle atrophy occurs to some extent, many activities in daily living are difficult for a person to complete.
Neuromuscular stimulation is a method of stimulating motor nerves and muscles using low frequency pulsed current to cause muscle contraction. When the electric stimulus is applied to the muscle, the motor nerve is activated first, and when the motor nerve is activated by the electric stimulus, nerve impulse is generated, and the nerve impulse is transmitted to the muscle to cause the muscle to shrink.
When treating a user with an electro-stimulation device, the stimulation time of the electro-stimulation device is typically set by a healthcare worker according to the severity of the user's respiratory muscle weakness or fatigue. That is, in the prior art, when muscle atrophy is treated by using an electrical stimulation device, the treatment mode is single, and only the stimulation time is set according to the medical experience before the electrical stimulation treatment.
In view of the above problems, no effective solution has been proposed at present.
Disclosure of Invention
The embodiment of the application provides a respiratory neuromuscular stimulation control method and system, which aim to solve the technical problems.
The application provides a respiratory neuromuscular stimulation control method, which comprises the following steps:
determining the stimulation parameters of the user according to the body parameter information and parameters stored in a database;
Before the user body is electrically stimulated, an initial muscle contraction signal obtained from a treatment terminal is processed through a signal processing module to obtain an initial muscle contraction filtering signal, wherein the initial muscle contraction signal is perceived by the treatment terminal attached to the user body;
According to the stimulation parameters of the user, the initial muscle contraction filtering signals, the real-time muscle contraction filtering signals and the real-time breathing conditions, the current of the electric stimulation generated by the treatment terminal arranged on the body of the user is controlled in real time through a self-adaptive current adjustment model which is completed through training optimization;
Wherein the real-time breathing condition comprises the inspiration time and the breathing frequency of the user, and the electric current of the electric stimulus acts on the nerve or the muscle of the user, the muscle comprises a single muscle group or a multi-muscle group, and the nerve comprises the phrenic nerve.
Further, the adaptive current adjustment model is constructed and train optimized based on the following manner:
Acquiring historical user stimulation data, historical muscle contraction signals, historical respiration data and real-time electric stimulation current data, wherein the historical muscle contraction signals comprise initial muscle contraction signals and real-time stimulation muscle contraction signals, and the historical respiration data comprise initial respiration data and real-time stimulation respiration data;
determining a set of stimulus factors for the historical user stimulus data;
Determining weight vectors and membership vectors of all the stimulus factors in the stimulus factor set;
Performing fuzzy transformation on the weight vector and the membership vector of each stimulus factor to obtain a first fuzzy judgment matrix;
Performing fuzzy operation and normalization on the first fuzzy judgment matrix and the weight vector of each stimulus factor to obtain a second fuzzy judgment matrix;
The deep neural network is constructed according to the second fuzzy evaluation matrix and comprises an input layer, a basic network and an adaptive weight layer, wherein the basic network comprises six convolution layers, three full-connection layers and a pooling layer, the pooling layer is connected behind the convolution layers and is used for polymerizing adjacent area values, the three full-connection layers comprise a first full-connection layer, a second full-connection layer and a third full-connection layer, and the adaptive weight layer is used for completing adaptive adjustment of current parameters through back propagation;
Performing feature extraction on the initial respiratory data and the real-time stimulated respiratory data to obtain an initial respiratory feature vector and a real-time stimulated respiratory feature vector;
calculating a distance between the initial respiratory feature vector and the real-time stimulated respiratory feature vector;
And carrying out optimization training on the depth neural network obtained by construction according to the distance between the initial respiration characteristic vector and the real-time stimulation respiration characteristic vector, an initial muscle contraction signal, a real-time stimulation muscle contraction signal, the initial respiration characteristic vector, the real-time stimulation respiration characteristic vector and the real-time electrical stimulation current data until a loss function converges.
The method comprises the steps of constructing a depth neural network, wherein the depth neural network comprises a real-time electric stimulation current data, a distance between an initial respiration characteristic vector and a real-time stimulation respiration characteristic vector, an initial muscle contraction signal, a real-time stimulation muscle contraction signal, an initial respiration characteristic vector, a real-time stimulation respiration characteristic vector and a real-time electric stimulation current data, wherein the real-time electric stimulation current data comprises the stimulation intensity, the pulse width, the pulse frequency and the stimulation duration of the current, and the method comprises the steps of optimally training the constructed depth neural network until a loss function converges, wherein the method comprises the following steps:
constructing a time sequence sample vector according to the distance between the initial respiratory feature vector and the real-time stimulation respiratory feature vector, the initial respiratory feature vector and the real-time stimulation respiratory feature vector:
inputting the time sequence sample vector into an input layer of the deep neural network, and acquiring a respiration time sequence output data set output by the first full-connection layer;
Performing non-negative matrix factorization on the initial muscle contraction signal and the real-time stimulation muscle contraction signal based on the time sequence sample vector to obtain a signal non-negative matrix factorization set;
Performing window processing on the signal non-negative matrix factorization set to obtain a time domain sample;
Quantifying a first correlation quantity of the frequency domain sample and the real-time electric stimulation current data in an information entropy and mutual information mode, and determining a first self-adaptive loss function according to a preset first self-adaptive adjustment function in the self-adaptive weight layer;
quantizing a second correlation quantity between the frequency domain sample and the respiration time sequence output data set in an information entropy and mutual information mode, and determining a second self-adaptive loss function according to a second self-adaptive adjustment function preset in the self-adaptive weight layer;
And constructing the loss function according to the first adaptive loss function and the second adaptive loss function, and performing optimization training on the deep neural network until the loss function converges.
Further, the physical parameter information comprises age, joint mobility, muscle atrophy, spasticity parameters and lung function parameters, wherein the lung function parameters comprise lung capacity, forced lung capacity and forced breathing capacity for one second.
Further, the treatment terminal comprises a plurality of treatment electrodes, wherein the plurality of treatment electrodes comprise electrodes attached to the rear edges of left and right sternocleidomastoid muscles, left and right subclavian pectoral major muscles, oblique abdominal muscles, rectus abdominus muscles, biceps femoris muscles, anterior tibial muscle groups, total fibular nerves, anterior tibial muscles, long fibular muscles, quadriceps femoris, hip abductor muscle groups, and extensor carpi and extensor digitorum longus groups.
The application provides a respiratory nerve muscle stimulation control system, which comprises a user stimulation parameter determining unit, an initial muscle contraction filtering signal determining unit and an electric stimulation current real-time control unit,
The user stimulation parameter determining unit is used for acquiring physical parameter information of a user, and determining the stimulation parameter of the user according to the physical parameter information and parameters stored in a database;
The initial muscle contraction filtering signal determining unit is used for processing an initial muscle contraction signal acquired from a treatment terminal through the signal processing module before the user body is electrically stimulated to obtain an initial muscle contraction filtering signal, wherein the initial muscle contraction signal is perceived by the treatment terminal attached to the user body;
The electric stimulation current real-time control unit is used for controlling the electric stimulation current generated by the treatment terminal arranged on the body of the user in real time through a self-adaptive current adjustment model which is completed through training and optimization according to the stimulation parameters of the user, the initial muscle contraction filtering signal, the real-time muscle contraction filtering signal and the real-time respiration condition, wherein the real-time respiration condition comprises the inspiration time and the respiration frequency of the user, the electric stimulation current acts on the nerve or the muscle of the user, the muscle comprises a single muscle group or a multiple muscle group, and the nerve comprises a diaphragmatic nerve.
According to the embodiment of the application, body parameter information of a user is acquired, stimulation parameters of the user are determined according to the body parameter information and parameters stored in a database, an initial muscle contraction signal acquired from a treatment terminal is processed through a signal processing module before the body of the user is electrically stimulated to obtain an initial muscle contraction filtering signal, the initial muscle contraction signal is sensed by the treatment terminal attached to the body of the user, and an adaptive current adjustment model which is completed through training optimization is used for controlling current of electrical stimulation generated by the treatment terminal arranged on the body of the user in real time according to the stimulation parameters of the user, the initial muscle contraction filtering signal, the real-time muscle contraction filtering signal and real-time breathing conditions, wherein the real-time breathing conditions comprise inspiration time and breathing frequency of the user, the current of the electrical stimulation acts on nerves or muscles of the user, the muscles comprise single muscle groups or multiple muscle groups, and the nerves comprise diaphragm nerves. Therefore, the current data of the electric stimulation equipment are timely adjusted according to the body condition of the user and the response to the electric stimulation, and the action time of the electric stimulation equipment is not adjusted before the treatment is started singly according to the experience of medical staff, so that the efficiency and the accuracy of the electric stimulation are improved.
The method has the advantages of being beneficial to personalized treatment, being capable of providing customized treatment plans for each user by collecting detailed body data of the individual, improving treatment effects, being beneficial to more accurately evaluating treatment requirements and adjusting treatment schemes by accurate body parameter information, improving safety, being capable of preventing potential treatment risks by knowing body conditions of the user, ensuring treatment safety, being beneficial to improving treatment effects by determining stimulation parameters of the user according to body parameter information and parameters stored in a database, being capable of optimizing treatment decisions, combining historical data and real-time parameters, being capable of more scientifically determining stimulation parameters, being capable of adjusting stimulation parameters dynamically according to changes of the user conditions, being capable of adapting to changes of the treatment effects and the user comfort, being capable of processing initial muscle contraction signals by a signal processing module, being capable of removing noise and interference by means of removing more accurate muscle contraction signals, being capable of accurately controlling electric stimulation currents, being beneficial to improving treatment effects by accurate control, being capable of controlling initial and muscle contraction signals, being used for carrying out control, being capable of adjusting the electric stimulation parameters, being capable of being adjusted in real time, being matched with the breathing control parameters, being capable of achieving real-time, being adjusted according to changes of the user conditions, being capable of adjusting the breathing control parameters, being capable of being adjusted to be capable of achieving breathing effects, and being adjusted in real-time, and being adjusted to the breathing control parameters, being adjusted to be capable of breathing parameters are adjusted to be appropriate to the user conditions, the method can customize more personalized schemes for different users, the electric stimulation current acts on nerves or muscles of the users, targeted treatment is carried out, the electric stimulation can directly act on target nerves or muscles to provide targeted treatment, muscle functions are enhanced, muscle strength and functions can be enhanced by stimulating specific muscle groups, muscle atrophy or dysfunction is improved, the electric stimulation current generated by a treatment terminal is controlled in real time, accurate dosage is controlled in real time, the user can be ensured to receive treatment with proper intensity, excessive or insufficient stimulation is avoided, the curative effect is improved, the accurate current control is beneficial to improving the treatment effect, side effects are reduced, and the overall treatment experience of the users is improved.
Drawings
The accompanying drawings, which are included to provide a further understanding of embodiments of the application and are incorporated in and constitute a part of this specification, illustrate embodiments of the application and together with the description serve to explain the application and without limitation to the application. In the drawings:
FIG. 1 is a flow chart of an alternative respiratory neuromuscular stimulation control method according to an embodiment of the present application;
fig. 2 is a block diagram of an alternative respiratory neuromuscular stimulation control system according to an embodiment of the present application.
The achievement of the objects, functional features and advantages of the present invention will be further described with reference to the accompanying drawings, in conjunction with the embodiments.
Detailed Description
In order to enable those skilled in the art to better understand the present application, the following description will make clear and complete descriptions of the technical solutions according to the embodiments of the present application with reference to the accompanying drawings.
Optionally, as shown in fig. 1, the present application provides a respiratory neuromuscular stimulation control method, including:
S101, acquiring physical parameter information of a user, and determining stimulation parameters of the user according to the physical parameter information and parameters stored in a database;
S102, before the user body is electrically stimulated, processing an initial muscle contraction signal acquired from a treatment terminal through a signal processing module to obtain an initial muscle contraction filtering signal, wherein the initial muscle contraction signal is perceived by the treatment terminal attached to the user body;
And S103, performing real-time control on electric stimulation current generated by a treatment terminal arranged on the body of the user through a self-adaptive current adjustment model which is completed through training according to the stimulation parameters, the initial muscle contraction filtering signals, the real-time muscle contraction filtering signals and the real-time respiration conditions of the user, wherein the real-time respiration conditions comprise the inspiration time and the respiration frequency of the user, the electric stimulation current acts on the nerve or the muscle of the user, the muscle comprises a single muscle group or a multiple muscle group, and the nerve comprises the phrenic nerve.
According to the embodiment of the application, body parameter information of a user is acquired, stimulation parameters of the user are determined according to the body parameter information and parameters stored in a database, an initial muscle contraction signal acquired from a treatment terminal is processed through a signal processing module before the body of the user is electrically stimulated to obtain an initial muscle contraction filtering signal, the initial muscle contraction signal is sensed by the treatment terminal attached to the body of the user, and an adaptive current adjustment model which is completed through training optimization is used for controlling current of electrical stimulation generated by the treatment terminal arranged on the body of the user in real time according to the stimulation parameters of the user, the initial muscle contraction filtering signal, the real-time muscle contraction filtering signal and real-time breathing conditions, wherein the real-time breathing conditions comprise inspiration time and breathing frequency of the user, the current of the electrical stimulation acts on nerves or muscles of the user, the muscles comprise single muscle groups or multiple muscle groups, and the nerves comprise diaphragm nerves. Therefore, the electric stimulation equipment is timely adjusted according to the body condition of the user and the response to the electric stimulation, and the efficiency and the accuracy of the electric stimulation are improved.
The method has the advantages of being beneficial to personalized treatment, being capable of providing customized treatment plans for each user by collecting detailed body data of the individual, improving treatment effects, being beneficial to more accurately evaluating treatment requirements and adjusting treatment schemes by accurate body parameter information, improving safety, being capable of preventing potential treatment risks by knowing body conditions of the user, ensuring treatment safety, being beneficial to improving treatment effects by determining stimulation parameters of the user according to body parameter information and parameters stored in a database, being capable of optimizing treatment decisions, combining historical data and real-time parameters, being capable of more scientifically determining stimulation parameters, being capable of adjusting stimulation parameters dynamically according to changes of the user conditions, being capable of adapting to changes of the treatment effects and the user comfort, being capable of processing initial muscle contraction signals by a signal processing module, being capable of removing noise and interference by means of removing more accurate muscle contraction signals, being capable of accurately controlling electric stimulation currents, being beneficial to improving treatment effects by accurate control, being capable of controlling initial and muscle contraction signals, being used for carrying out control, being capable of adjusting the electric stimulation parameters, being capable of being adjusted in real time, being matched with the breathing control parameters, being capable of achieving real-time, being adjusted according to changes of the user conditions, being capable of adjusting the breathing control parameters, being capable of being adjusted to be capable of achieving breathing effects, and being adjusted in real-time, and being adjusted to the breathing control parameters, being adjusted to be capable of breathing parameters are adjusted to be appropriate to the user conditions, the method can customize more personalized schemes for different users, the electric stimulation current acts on nerves or muscles of the users, targeted treatment is carried out, the electric stimulation can directly act on target nerves or muscles to provide targeted treatment, muscle functions are enhanced, muscle strength and functions can be enhanced by stimulating specific muscle groups, muscle atrophy or dysfunction is improved, the electric stimulation current generated by a treatment terminal is controlled in real time, accurate dosage is controlled in real time, the user can be ensured to receive treatment with proper intensity, excessive or insufficient stimulation is avoided, the curative effect is improved, the accurate current control is beneficial to improving the treatment effect, side effects are reduced, and the overall treatment experience of the users is improved.
Further, the adaptive current adjustment model is built and optimized based on the following manner:
Acquiring historical user stimulation data, historical muscle contraction signals, historical respiration data and real-time electric stimulation current data, wherein the historical muscle contraction signals comprise initial muscle contraction signals and real-time stimulation muscle contraction signals;
determining a set of stimulus factors for the historical user stimulus data;
determining weight vectors and membership vectors of all the stimulus factors in the stimulus factor set;
performing fuzzy transformation on the weight vector and the membership vector of each stimulus factor to obtain a first fuzzy judgment matrix;
Performing fuzzy operation and normalization on the first fuzzy judgment matrix and the weight vector of each stimulus factor to obtain a second fuzzy judgment matrix;
The method comprises the steps of constructing a deep neural network according to a second fuzzy evaluation matrix, wherein the deep neural network comprises an input layer, a basic network and an adaptive weight layer, the basic network comprises six convolution layers, three full-connection layers and a pooling layer, the pooling layer is connected with the convolution layers and is used for aggregating adjacent area values, the three full-connection layers comprise a first full-connection layer, a second full-connection layer and a third full-connection layer, and the adaptive weight layer is used for completing adaptive adjustment of current parameters through back propagation;
Extracting features of the initial respiration data and the real-time stimulated respiration data to obtain an initial respiration feature vector and a real-time stimulated respiration feature vector;
Calculating a distance between the initial respiration feature vector and the real-time stimulation respiration feature vector;
And carrying out optimization training on the depth neural network obtained by construction according to the distance between the initial respiration characteristic vector and the real-time stimulation respiration characteristic vector, the initial muscle contraction signal, the real-time stimulation muscle contraction signal, the initial respiration characteristic vector, the real-time stimulation respiration characteristic vector and the real-time electric stimulation current data until the loss function converges.
The embodiment provided by the application has the beneficial effects that historical and real-time data are acquired, a self-adaptive current adjustment model can be constructed and optimized more accurately by analyzing the historical and real-time data, the generalization capability of the model is enhanced, the model can adapt to the changes of different users and different time points by combining the historical and real-time data, a stimulation factor set is determined, the comprehensiveness of the model is ensured, the prediction accuracy of treatment effect is improved by considering all relevant stimulation factors, customized treatment is performed, key stimulation factors are identified, customized treatment parameters are provided for each user, weight vectors and membership vectors are determined, the quantization influence is determined, the influence of different stimulation factors is quantized by the weight and membership, the model is more accurate, priority ordering is clear, the factors are more important, the higher priority is given to the model when the model is optimized, fuzzy conversion is performed, the fuzzy logic can process the uncertainty and the ambiguity in the data, the robustness of the model is improved, the model is allowed to make effective decisions when the model is still inaccurate or partial information is met, the self-adaptive weight vectors are identified, the key vectors can be better understood, the accuracy is better, the key characteristics can be better tracked, the user can be better calculated, and the accuracy is better calculated, and the user can track the characteristics are better.
Further, the real-time electrical stimulation current data comprises stimulation intensity, pulse width, pulse frequency and stimulation duration of the current, and the method comprises the steps of optimally training the constructed deep neural network until a loss function converges according to the distance between the initial respiration characteristic vector and the real-time stimulation respiration characteristic vector, the initial muscle contraction signal, the real-time stimulation muscle contraction signal, the initial respiration characteristic vector, the real-time stimulation respiration characteristic vector and the real-time electrical stimulation current data, and comprises the following steps:
Constructing a time sequence sample vector according to the distance between the initial respiration feature vector and the real-time stimulation respiration feature vector, the initial respiration feature vector and the real-time stimulation respiration feature vector:
Inputting the time sequence sample vector into an input layer of the deep neural network, and acquiring a respiration time sequence output data set output by a first full-connection layer;
performing non-negative matrix factorization on the initial muscle contraction signal and the real-time stimulation muscle contraction signal based on the time sequence sample vector to obtain a signal non-negative matrix factorization set;
Performing window processing on the non-negative matrix factorization set of the signal to obtain a time domain sample;
The method comprises the steps of quantizing a first correlation quantity of a frequency domain sample and real-time electric stimulation current data in an information entropy and mutual information mode, and determining a first self-adaptive loss function according to a preset first self-adaptive adjustment function in a self-adaptive weight layer;
Wherein,The method comprises the steps of obtaining a first adaptive loss function, obtaining the number of layers of an adaptive weight layer by U, obtaining the number of the adaptive weight layer by U, obtaining a first strategy of a U-th adaptive weight layer by Strat 1.1u, obtaining a first adaptive adjustment function by Ajust1 (), obtaining a regularization parameter by alpha 1, obtaining a natural constant by e, and obtaining a first correlation value by relev1;
quantizing a second correlation quantity of the frequency domain sample and the respiration time sequence output data set in an information entropy and mutual information mode, and determining a second self-adaptive loss function according to a second self-adaptive adjustment function preset in the self-adaptive weight layer;
and constructing a loss function according to the first self-adaptive loss function and the second self-adaptive loss function, and performing optimization training on the deep neural network until the loss function converges.
Based on the embodiment provided by the application, the method has the beneficial effects that the time sequence sample vector is constructed, and a comprehensive time sequence sample vector can be created by combining initial and real-time respiration and muscle contraction signals, so that the deep neural network is helped to capture the dynamic change of the physiological state of the user; the deep neural network is input, a time sequence sample vector is input into the network, so that the network can receive abundant physiological state information from an input layer, a foundation is laid for subsequent feature learning and state prediction, a first full-connection layer output data set can provide initial breathing mode features for the network, the initial and real-time stimulation muscle contraction signals are subjected to non-negative matrix decomposition, key features of muscle activity can be extracted, the internal structure of the muscle activity is facilitated to be understood, window processing and short-time Fourier transformation, time domain samples can be converted into frequency domain samples through window processing and short-time Fourier transformation, the frequency characteristics of the muscle activity can be analyzed, basis is provided for frequency adjustment of electric stimulation, information entropy and mutual information quantization are utilized, the relation between different physiological signals and electric stimulation effects can be evaluated by utilizing the information entropy and mutual information quantization frequency domain samples, guidance is provided for optimizing electric stimulation parameters, self-adaptive loss function determination is performed, the self-adaptive loss function is determined according to a first correlation quantity, the self-adaptive loss is enabled to be self-adaptive to a second adaptive loss model, the self-adaptive loss is enabled to be adjusted to a constant training process, the method comprises the steps of carrying out network optimization training by combining a first self-adaptive loss function and a second self-adaptive loss function, improving the robustness of a model, carrying out network optimization training by combining the first self-adaptive loss function and the second self-adaptive loss function, ensuring that the network is continuously self-adjusted in the training process so as to adapt to the change of the physiological state of a user until the loss function converges, carrying out real-time current control, namely carrying out real-time current control on the electric stimulation, so that the electric stimulation can be dynamically adjusted according to the real-time physiological state of the user, and improving the treatment effect and the comfort level of the user.
The steps together form a closed-loop self-adaptive current adjustment system which can be intelligently adjusted according to the real-time physiological data of the user so as to realize personalized and optimized electrical stimulation treatment. By this method, the effectiveness and safety of the electrical stimulation therapy can be significantly improved.
Further, the method comprises the steps of,
Wherein,The method is characterized by comprising the steps of obtaining a second adaptive loss function, obtaining the number of layers of an adaptive weight layer by U, obtaining the number of the adaptive weight layer by U, obtaining a second strategy of the adaptive weight layer of a U-th layer by Strat & lt 2 & gtu & gtand obtaining a second adaptive adjustment function by Ajust & lt 2 & gtand a regularization parameter by alpha & lt 2 & gt, obtaining a natural constant by e and obtaining a second correlation value by relev2.
Further, the sample point distance is calculated based on the following formula:
Wherein distan (X, Y) represents the distance between the initial respiratory feature vector X and the real-time stimulation respiratory feature vector Y, m is the dimension of the initial respiratory feature vector, n is the dimension of the real-time stimulation respiratory feature vector, Xi represents the coordinate value of the initial respiratory feature vector X in the dimension with the number i, Yj is the coordinate value of the real-time stimulation respiratory feature vector Y in the dimension with the number j, and t is the controllable variable parameter.
Further, the body parameter information includes age, joint mobility, muscle atrophy, spasticity parameters, and lung function parameters, wherein the lung function parameters include lung capacity, forced lung capacity, and forced breathing capacity for one second.
Further, the treatment terminal comprises a plurality of treatment electrodes, wherein the plurality of treatment electrodes comprise electrodes which are attached to the rear edges of left and right sternocleidomastoid muscles, left and right subclavian pectoral large muscles, oblique abdominal muscles, rectus abdominus muscles, quadriceps biceps, tibialis anterior muscle groups, common fibular nerve, tibialis anterior muscle, long fibular longus, quadriceps femoris, hip abductor muscle groups, and extensor carpi and extensor digitorum.
Alternatively, as shown in fig. 2, the present application provides a respiratory neuromuscular stimulation control system comprising a user stimulation parameter determining unit 201, an initial muscle contraction filtering signal determining unit 202 and an electrical stimulation current real-time control unit 203, wherein,
A user stimulation parameter determining unit 201 for acquiring physical parameter information of the user, determining stimulation parameters of the user according to the physical parameter information and parameters stored in a database;
An initial muscle contraction filtering signal determining unit 202, configured to process, by using a signal processing module, an initial muscle contraction signal obtained from a treatment terminal before electrically stimulating a user's body, to obtain an initial muscle contraction filtering signal, where the initial muscle contraction signal is perceived by the treatment terminal attached to the user's body;
The electric stimulation current real-time control unit 203 is configured to perform real-time control on an electric stimulation current generated by a treatment terminal disposed on a user's body through an adaptive current adjustment model that is completed through training and optimization according to a user's stimulation parameter, an initial muscle contraction filtering signal, a real-time muscle contraction filtering signal, and a real-time respiration condition, where the real-time respiration condition includes an inhalation time and a respiration frequency of the user, and the electric stimulation current acts on a nerve or a muscle of the user, where the muscle includes a single muscle group or a multiple muscle group, and the nerve includes a phrenic nerve.
Further, the body parameter information includes age, joint mobility, muscle atrophy, spasticity parameters, and lung function parameters, wherein the lung function parameters include lung capacity, forced lung capacity, and forced breathing capacity for one second.
Further, the treatment terminal comprises a plurality of treatment electrodes, wherein the plurality of treatment electrodes comprise electrodes which are attached to the rear edges of left and right sternocleidomastoid muscles, left and right subclavian pectoral large muscles, oblique abdominal muscles, rectus abdominus muscles, quadriceps biceps, tibialis anterior muscle groups, common fibular nerve, tibialis anterior muscle, long fibular longus, quadriceps femoris, hip abductor muscle groups, and extensor carpi and extensor digitorum.
The foregoing description is only of the preferred embodiments of the present invention, and is not intended to limit the scope of the invention, but rather is intended to cover any equivalents of the structures or equivalent processes disclosed herein or in the alternative, which may be employed directly or indirectly in other related arts.

Claims (10)

Translated fromChinese
1.一种呼吸神经肌肉刺激控制方法,其特征在于,包括:1. A respiratory nerve muscle stimulation control method, characterized in that it includes:采集用户的身体参数信息;根据所述身体参数信息以及数据库中存储的参数,确定所述用户的刺激参数;Collecting the user's body parameter information; determining the user's stimulation parameters according to the body parameter information and the parameters stored in the database;在对所述用户身体进行电刺激之前,通过信号处理模块对从治疗终端获取到的初始肌肉收缩信号进行处理,得到初始肌肉收缩滤波信号;其中,所述初始肌肉收缩信号为贴合在用户身体上的所述治疗终端感知到的;Before electrically stimulating the user's body, the initial muscle contraction signal obtained from the treatment terminal is processed by a signal processing module to obtain an initial muscle contraction filter signal; wherein the initial muscle contraction signal is sensed by the treatment terminal attached to the user's body;根据所述用户的刺激参数、所述初始肌肉收缩滤波信号、实时肌肉收缩滤波信号以及实时呼吸情况,通过训练优化完成的自适应电流调整模型对设置在所述用户身体上的所述治疗终端产生的电刺激的电流进行实时控制;According to the stimulation parameters of the user, the initial muscle contraction filter signal, the real-time muscle contraction filter signal and the real-time breathing condition, the current of the electrical stimulation generated by the treatment terminal disposed on the user's body is controlled in real time by the adaptive current adjustment model completed by training optimization;其中,所述实时呼吸情况包括所述用户的吸气时间和呼吸频率;所述电刺激的电流作用于所述用户的神经或者肌肉,所述肌肉包括单肌群或多肌群,所述神经包括膈神经。Among them, the real-time breathing condition includes the user's inhalation time and breathing frequency; the electrical stimulation current acts on the user's nerves or muscles, the muscles include single muscle groups or multiple muscle groups, and the nerves include phrenic nerves.2.根据权利要求1所述的呼吸神经肌肉刺激控制方法,其特征在于,所述自适应电流调整模型基于以下方式构建以及训练优化:2. The respiratory nerve muscle stimulation control method according to claim 1, characterized in that the adaptive current adjustment model is constructed and trained and optimized based on the following methods:获取历史用户刺激数据、历史肌肉收缩信号、历史呼吸数据以及实时电刺激电流数据;其中,所述历史肌肉收缩信号包括初始肌肉收缩信号和实时刺激肌肉收缩信号;所述历史呼吸数据包括初始呼吸数据和实时刺激呼吸数据;Acquire historical user stimulation data, historical muscle contraction signals, historical respiration data, and real-time electrical stimulation current data; wherein the historical muscle contraction signals include initial muscle contraction signals and real-time stimulated muscle contraction signals; the historical respiration data include initial respiration data and real-time stimulated respiration data;确定所述历史用户刺激数据的刺激因素集合;Determine a set of stimulus factors of the historical user stimulus data;确定所述刺激因素集合中各个刺激因素的权重向量及隶属度向量;Determining a weight vector and a membership vector of each stimulus factor in the stimulus factor set;对所述各个刺激因素的权重向量及隶属度向量进行模糊变换,得到第一模糊评判矩阵;Performing fuzzy transformation on the weight vector and the membership vector of each stimulus factor to obtain a first fuzzy evaluation matrix;将所述第一模糊评判矩阵与所述各个刺激因素的权重向量进行模糊运算并进行归一化,得到第二模糊评判矩阵;Performing fuzzy operation on the first fuzzy evaluation matrix and the weight vectors of each stimulus factor and normalizing the result to obtain a second fuzzy evaluation matrix;根据所述第二模糊评判矩阵构建深度神经网络,包括输入层,基础网络,自适应权重层;所述基础网络包括六层卷积层、三层全连接层以及池化层;其中,所述卷积层后连接所述池化层,所述池化层用于对相邻区域值做聚合;三层全连接层包括第一全连接层、第二全连接层以及第三全连接层;所述自适应权重层用于通过反向传播完成对电流参数的自适应调整;A deep neural network is constructed according to the second fuzzy evaluation matrix, including an input layer, a basic network, and an adaptive weight layer; the basic network includes six convolutional layers, three fully connected layers, and a pooling layer; wherein the convolutional layer is connected to the pooling layer, and the pooling layer is used to aggregate adjacent region values; the three fully connected layers include a first fully connected layer, a second fully connected layer, and a third fully connected layer; the adaptive weight layer is used to complete the adaptive adjustment of current parameters through back propagation;对所述初始呼吸数据和所述实时刺激呼吸数据进行特征提取,得到初始呼吸特征向量和实时刺激呼吸特征向量;Performing feature extraction on the initial breathing data and the real-time stimulated breathing data to obtain an initial breathing feature vector and a real-time stimulated breathing feature vector;计算所述初始呼吸特征向量和所述实时刺激呼吸特征向量之间的距离;Calculating the distance between the initial breathing feature vector and the real-time stimulated breathing feature vector;根据所述初始呼吸特征向量和所述实时刺激呼吸特征向量之间的距离、初始肌肉收缩信号、实时刺激肌肉收缩信号、初始呼吸特征向量、实时刺激呼吸特征向量以及实时电刺激电流数据,对构建得到的所述深度神经网络进行优化训练,直至损失函数收敛。According to the distance between the initial breathing feature vector and the real-time stimulated breathing feature vector, the initial muscle contraction signal, the real-time stimulated muscle contraction signal, the initial breathing feature vector, the real-time stimulated breathing feature vector and the real-time electrical stimulation current data, the constructed deep neural network is optimized and trained until the loss function converges.3.根据权利要求2所述的呼吸神经肌肉刺激控制方法,其特征在于,所述实时电刺激电流数据包括电流的刺激强度、脉冲宽度、脉冲频率和刺激持续时间;所述根据所述初始呼吸特征向量和所述实时刺激呼吸特征向量之间的距离、初始肌肉收缩信号、实时刺激肌肉收缩信号、初始呼吸特征向量、实时刺激呼吸特征向量以及实时电刺激电流数据,对构建得到的所述深度神经网络进行优化训练,直至损失函数收敛,包括:3. The respiratory nerve muscle stimulation control method according to claim 2 is characterized in that the real-time electrical stimulation current data includes the stimulation intensity, pulse width, pulse frequency and stimulation duration of the current; the deep neural network constructed is optimized and trained according to the distance between the initial respiratory feature vector and the real-time stimulated respiratory feature vector, the initial muscle contraction signal, the real-time stimulated muscle contraction signal, the initial respiratory feature vector, the real-time stimulated respiratory feature vector and the real-time electrical stimulation current data until the loss function converges, comprising:根据所述初始呼吸特征向量和所述实时刺激呼吸特征向量之间的距离、所述初始呼吸特征向量、所述实时刺激呼吸特征向量构建时序样本向量:A time series sample vector is constructed according to the distance between the initial breathing feature vector and the real-time stimulated breathing feature vector, the initial breathing feature vector, and the real-time stimulated breathing feature vector:将所述时序样本向量输入所述深度神经网络的输入层,获取所述第一全连接层输出的呼吸时序输出数据集。The time series sample vector is input into the input layer of the deep neural network to obtain the respiratory time series output data set output by the first fully connected layer.4.根据权利要求3所述的呼吸神经肌肉刺激控制方法,其特征在于,4. The respiratory nerve muscle stimulation control method according to claim 3, characterized in that:基于所述时序样本向量对所述初始肌肉收缩信号以及所述实时刺激肌肉收缩信号进行非负矩阵分解,得到信号非负矩阵分解集;Performing non-negative matrix decomposition on the initial muscle contraction signal and the real-time stimulated muscle contraction signal based on the time series sample vector to obtain a signal non-negative matrix decomposition set;对所述信号非负矩阵分解集进行窗处理得到时域样本;对所述时域样本进行短时傅里叶变换得到频域样本。Performing window processing on the signal non-negative matrix decomposition set to obtain time domain samples; and performing short-time Fourier transform on the time domain samples to obtain frequency domain samples.5.根据权利要求4所述的呼吸神经肌肉刺激控制方法,其特征在于,5. The respiratory nerve muscle stimulation control method according to claim 4, characterized in that:通过信息熵及互信息的方式量化所述频域样本与实时电刺激电流数据的第一相关量,根据所述自适应权重层中预设的第一自适应调整函数确定第一自适应损失函数;quantifying a first correlation between the frequency domain samples and the real-time electrical stimulation current data by means of information entropy and mutual information, and determining a first adaptive loss function according to a first adaptive adjustment function preset in the adaptive weight layer;通过信息熵及互信息的方式量化所述频域样本与所述呼吸时序输出数据集的第二相关量,根据所述自适应权重层中预设的第二自适应调整函数确定第二自适应损失函数;quantifying a second correlation between the frequency domain samples and the respiratory timing output data set by means of information entropy and mutual information, and determining a second adaptive loss function according to a second adaptive adjustment function preset in the adaptive weight layer;根据所述第一自适应损失函数和所述第二自适应损失函数构成所述损失函数,对所述深度神经网络进行优化训练,直至所述损失函数收敛。The loss function is constructed according to the first adaptive loss function and the second adaptive loss function, and the deep neural network is optimized and trained until the loss function converges.6.根据权利要求1所述的呼吸神经肌肉刺激控制方法,其特征在于,6. The respiratory nerve muscle stimulation control method according to claim 1, characterized in that:所述身体参数信息包括年龄、关节活动度、肌肉萎缩情况、痉挛状态参数以及肺功能参数;其中,所述肺功能参数包括肺活量、用力肺活量以及一秒用力呼气量。The body parameter information includes age, joint range of motion, muscle atrophy, spasticity parameters and lung function parameters; wherein the lung function parameters include vital capacity, forced vital capacity and forced expiratory volume in one second.7.根据权利要求1所述的呼吸神经肌肉刺激控制方法,其特征在于,7. The respiratory nerve muscle stimulation control method according to claim 1, characterized in that:所述治疗终端包括多个治疗电极;所述多个治疗电极包括贴合在左右胸锁乳突肌后缘、左右锁骨下胸大肌、腹斜肌、腹直肌、双下肢股四头肌、胫前肌群、腓总神经、胫前肌、腓骨长短肌、股四头肌、髋外展肌群以及伸腕和伸指肌群上的电极。The treatment terminal includes multiple treatment electrodes; the multiple treatment electrodes include electrodes attached to the posterior edges of the left and right sternocleidomastoid muscles, the left and right subclavian pectoralis major muscles, the oblique abdominal muscles, the rectus abdominis muscles, the quadriceps femoris muscles of both lower limbs, the tibialis anterior muscles, the common peroneal nerve, the tibialis anterior muscles, the peroneus longus and brevis muscles, the quadriceps femoris muscles, the hip abductor muscles, and the wrist and finger extensor muscles.8.一种呼吸神经肌肉刺激控制系统,所述系统实现如权利要求1-7所述的方法,其特征在于,包括用户刺激参数确定单元、初始肌肉收缩滤波信号确定单元以及电刺激电流实时控制单元;其中,8. A respiratory nerve muscle stimulation control system, the system implementing the method according to claims 1-7, characterized in that it comprises a user stimulation parameter determination unit, an initial muscle contraction filter signal determination unit and an electrical stimulation current real-time control unit; wherein,所述用户刺激参数确定单元,用于采集用户的身体参数信息;根据所述身体参数信息以及数据库中存储的参数,确定所述用户的刺激参数;The user stimulation parameter determination unit is used to collect the user's body parameter information; determine the user's stimulation parameters according to the body parameter information and the parameters stored in the database;所述初始肌肉收缩滤波信号确定单元,用于在对所述用户身体进行电刺激之前,通过信号处理模块对从治疗终端获取到的初始肌肉收缩信号进行处理,得到初始肌肉收缩滤波信号;其中,所述初始肌肉收缩信号为贴合在用户身体上的所述治疗终端感知到的;The initial muscle contraction filter signal determination unit is used to process the initial muscle contraction signal obtained from the treatment terminal through the signal processing module before electrically stimulating the user's body to obtain an initial muscle contraction filter signal; wherein the initial muscle contraction signal is sensed by the treatment terminal attached to the user's body;所述电刺激电流实时控制单元,用于根据所述用户的刺激参数、所述初始肌肉收缩滤波信号、实时肌肉收缩滤波信号以及实时呼吸情况,通过训练优化完成的自适应电流调整模型对设置在所述用户身体上的所述治疗终端产生的电刺激的电流进行实时控制;其中,所述实时呼吸情况包括所述用户的吸气时间和呼吸频率;所述电刺激的电流作用于所述用户的神经或者肌肉,所述肌肉包括单肌群或多肌群,所述神经包括膈神经。The electrical stimulation current real-time control unit is used to control the electrical stimulation current generated by the treatment terminal arranged on the user's body in real time according to the user's stimulation parameters, the initial muscle contraction filter signal, the real-time muscle contraction filter signal and the real-time breathing condition through an adaptive current adjustment model optimized by training; wherein the real-time breathing condition includes the user's inhalation time and breathing frequency; the electrical stimulation current acts on the user's nerves or muscles, the muscles include single muscle groups or multiple muscle groups, and the nerves include phrenic nerves.9.根据权利要求8所述的呼吸神经肌肉刺激控制系统,其特征在于,9. The respiratory nerve muscle stimulation control system according to claim 8, characterized in that:所述身体参数信息包括年龄、关节活动度、肌肉萎缩情况、痉挛状态参数以及肺功能参数;其中,所述肺功能参数包括肺活量、用力肺活量以及一秒用力呼气量。The body parameter information includes age, joint range of motion, muscle atrophy, spasticity parameters and lung function parameters; wherein the lung function parameters include vital capacity, forced vital capacity and forced expiratory volume in one second.10.根据权利要求8所述的呼吸神经肌肉刺激控制系统,其特征在于,10. The respiratory nerve muscle stimulation control system according to claim 8, characterized in that:所述治疗终端包括多个治疗电极;所述多个治疗电极包括贴合在左右胸锁乳突肌后缘、左右锁骨下胸大肌、腹斜肌、腹直肌、双下肢股四头肌、胫前肌群、腓总神经、胫前肌、腓骨长短肌、股四头肌、髋外展肌群以及伸腕和伸指肌群上的电极。The treatment terminal includes multiple treatment electrodes; the multiple treatment electrodes include electrodes attached to the posterior edges of the left and right sternocleidomastoid muscles, the left and right subclavian pectoralis major muscles, the oblique abdominal muscles, the rectus abdominis muscles, the quadriceps femoris muscles of both lower limbs, the tibialis anterior muscles, the common peroneal nerve, the tibialis anterior muscles, the peroneus longus and brevis muscles, the quadriceps femoris muscles, the hip abductor muscles, and the wrist and finger extensor muscles.
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