Tongue muscle vibration and electrical stimulation composite therapeutic apparatus

Abstract

The invention relates to the technical field of medical apparatus and instruments, and discloses a tongue muscle vibration and electrical stimulation composite therapeutic apparatus, which comprises a main body unit and a tongue body therapeutic head which are assembled together, and is characterized in that the main body unit is a handheld main body unit; the main body unit is provided with a main control unit, and a power supply management module, a vibration driving module, an electrical stimulation generation module and a control module which are connected with the main control unit; a vibration array and an electrode array are arranged on the tongue body treatment head, the vibration array is composed of a plurality of resonant motors, and the electrode array is composed of a plurality of surface electrode points. According to the invention, professional tongue muscle electrical stimulation and physical vibration functions are integrated in a portable device which can be safely operated by a non-professional person for the first time, and peripheral sensory input enhancement (vibration) and central movement path activation (electrical stimulation) can be synchronously realized through space-time cooperation of physical vibration and neuromuscular electrical stimulation. The proprioceptive feeling, the muscle strength and the coordination of the tongue muscle are improved.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of medical devices, in particular to a tongue muscle vibration and electric stimulation combined therapeutic instrument. BACKGROUND

[0002] Swallowing dysfunction and tongue movement disorder are common sequelae of patients with cerebral apoplexy, neurodegenerative diseases, and postoperative patients of head and neck tumors, which can seriously affect the quality of life and nutrient intake of patients. Tongue muscle, as the key muscle for swallowing initiation and bolus propulsion, its functional rehabilitation is crucial.

[0003] At present, the training of tongue muscle is mainly based on conventional manual therapy, which requires high operation technology and must be implemented by professional medical personnel (such as speech therapists and rehabilitation therapists) in medical institutions, and the treatment frequency and duration are limited. For patients with long course and continuous rehabilitation (such as patients with progressive tongue muscle fibrosis and atrophy after head and neck tumor radiotherapy), the conventional manual therapy mode is difficult to meet the long-term and high-frequency home rehabilitation needs of the patients, resulting in an increased risk of functional regression. In addition, manual therapy completely depends on manpower, and the standardization degree is low, and the accessibility is poor.

[0004] In the prior art, there are also professional intraoral electric stimulation devices for tongue muscle training. Such devices are mostly professional devices in hospitals, which are complex to operate, and the parameter setting depends on the experience of therapists, and the devices are expensive and bulky, which are also not suitable for home scenarios, and patients cannot use them at home, resulting in poor treatment continuity.

[0005] The tongue muscle trainers recorded in CN208065440U, CN205672197U and other Chinese utility model patents have single functions, lack the synergistic effect of neuromuscular electrical stimulation, lack a special contact interface that conforms to the anatomical form of the tongue and is comfortable and safe, and affect the treatment effect and patient compliance. For progressive functional decline caused by fibrosis after radiotherapy and neurodegenerative diseases, there is a lack of effective rehabilitation tools that can be used for a long time, safely and at home in the prior art.

[0006] Therefore, it is of great practical significance to develop and design a tongue muscle rehabilitation device that has professional efficacy and family usability, reduces the dependence on professional manpower, and provides a sustainable home treatment solution for patients with progressive diseases. SUMMARY

[0007] The purpose of the present application is to provide a tongue muscle vibration and electric stimulation combined therapeutic instrument, which has professional efficacy and family usability, reduces the dependence on professional manpower, and is convenient for providing a sustainable home treatment solution for patients with progressive diseases.

[0008] To achieve the above purpose, the technical scheme adopted by the present application is as follows.

[0009] A tongue muscle vibration and electric stimulation combined treatment instrument comprises a main unit and a tongue treatment head assembled together, the main unit is a handheld main unit, a main control unit is arranged on the main unit, and a power management module, a vibration driving module, an electric stimulation generation module and a control module connected with the main control unit are arranged on the main unit; a vibration array and an electrode array are arranged on the tongue treatment head, the vibration array is composed of a plurality of resonance motors, and the electrode array is composed of a plurality of surface electrode points.

[0010] The main control unit provides a system voltage to the vibration driving module through the power management module, and outputs an alternating voltage with a specific frequency and amplitude to the vibration array through the vibration driving module; the main control unit raises the voltage to tens of volts to the electric stimulation generation module through the power management module, the electric stimulation generation module has a constant current control and waveform generation circuit, and a coupling current is output to the electrode array through the constant current control and waveform generation circuit.

[0011] More preferably, the tongue treatment head comprises a tongue contact layer, a device layer, a circuit layer and a support layer, the tongue contact layer is used for transmitting mechanical vibration and electric current, the device layer is used for arranging the vibration array and the electrode array, the circuit layer is used for realizing power supply circuit wiring of the vibration array and the electrode array, and the support layer is used for forming structural support; the tongue contact layer is integrally formed by using a silica gel process, and the device layer, the circuit layer and the support layer are fixed by being wrapped by the tongue contact layer through embedded injection molding.

[0012] More preferably, a communication module is arranged on the main unit, and the main unit is connected with a mobile phone or a computer through the communication module; a therapist or a senior user adjusts working parameters of the vibration array and the electrode array through a mobile phone APP or computer software.

[0013] More preferably, the combined treatment instrument is connected with a rehabilitation management system based on a cloud platform through a network, a therapist remotely sets and adjusts a scheme for a family patient through the rehabilitation management system, and patient data is automatically uploaded for efficacy evaluation.

[0014] More preferably, a surface of the tongue contact layer is designed in imitation of a physiological curvature of an anterior 2 / 3 of a tongue dorsum of an adult or a child, and is spoon-shaped with a slightly concave middle part and smoothly raised two sides.

[0015] More preferably, the electrode array is arranged in a central area and a front part of the tongue treatment head, corresponding to a main function area of a tongue muscle, and electrode points of the electrode array are arranged in a matrix or a specific target manner; the vibration array is arranged in a corresponding area of a tongue root.

[0016] More preferably, the tongue body contact layer is a medical grade conductive silicone layer or a conductive thermoplastic polyurethane layer; the electrode array and the vibration array are fixed in the device layer by embedded injection molding, and the metal parts of the electrode array and the vibration array are covered with a thin layer of insulating material, only exposing the working surface of the electrode and the fixed contact of the vibration motor; the circuit layer is a flexible printed circuit board, and the wires of all electrode arrays and the wires of all vibration arrays are routed through the circuit layer on the flexible printed circuit board; the support layer is a medical plastic part, and the support layer has a wire channel inside and a standardized electrical interface at the end for detachable connection with the main unit.

[0017] More preferably, the tongue muscle vibration and electric stimulation composite therapeutic instrument adopts double key control to start electric stimulation, and only when two safety keys are pressed at the same time can the electric stimulation mode be started; after the electric stimulation is started, the electric stimulation intensity is controlled to rise and fall slowly, and the electric stimulation intensity automatically rises and falls slowly at the beginning and the end; the main control unit has a treatment time limit, and when the single treatment time or the daily cumulative use time reaches the set upper limit value, the main control unit automatically controls the composite therapeutic instrument to automatically stop working; the main control unit also monitors the contact impedance of the electrode and the skin in real time, and continuously monitors the contact impedance of the electrode and the skin before and during treatment, and automatically pauses the electric stimulation and alarms when the contact is poor.

[0018] More preferably, the main unit is in a neck hanging structure, and a surface electromyographic sensor in contact with the skin of the pharynx is arranged on the main unit, and the electromyographic signal detected by the surface electromyographic sensor is used to judge whether the patient tries to make tongue movement, and auxiliary electric stimulation is given when it is judged that the patient tries to make tongue movement, so that trigger type stimulation is realized.

[0019] More preferably, the main unit is in the form of an oral appliance, which is worn at night for low-intensity, long-duration neuromuscular stimulation and slight vibration for muscle tension maintenance.

[0020] The tongue muscle vibration and electric stimulation composite therapeutic instrument provided by the application has the following technical advantages.

[0021] I. For the first time, professional tongue muscle electric stimulation and physical vibration functions are integrated into a portable device that can be safely operated by non-professionals, breaking down the barriers between hospital treatment and home rehabilitation. Through the spatiotemporal coordination of physical vibration and neuromuscular electric stimulation, "peripheral sensory input enhancement" (vibration) and "central motor pathway activation" (electric stimulation) can be realized simultaneously, which can theoretically more effectively promote neural plasticity and improve the proprioception, muscle strength and coordination of the tongue muscle, and the efficacy is better than that of a single mode.

[0022] II. The bionic flexible tongue body treatment head is designed creatively, and the bionic fitting contact surface greatly improves the comfort; meanwhile, the vibration array and the electrode array are conformally integrated on the three-dimensional curved surface, so that comfortable, effective and non-invasive composite treatment is realized.

[0023] III. Safety and reliability: multiple insulation design, real-time impedance monitoring, constant current source output and other multiple safety protection mechanisms ensure the electrical safety and biological safety of the oral cavity.

[0024] Some other beneficial effects of the present application will become more apparent or appreciated in the following description. BRIEF DESCRIPTION OF DRAWINGS

[0025] Figure 1 The structure schematic diagram of the tongue muscle vibration and electric stimulation composite treatment instrument in the application is shown.

[0026] Figure 2 The driving control schematic diagram of the main control unit is shown.

[0027] Figure 3 The structure schematic diagram of the tongue body treatment head is shown.

[0028] Figure 4 The partial cutaway schematic diagram of the tongue body treatment head is shown.

[0029] Explanation of reference signs.

[0030] 1: main body unit, 2: tongue body treatment head, 3: main control unit, 4: power management module, 5: vibration driving module, 6: electric stimulation generation module, 7: control module, 8: resonant motor, 9: surface electrode point.

[0031] 201: tongue body contact layer, 202: device layer, 203: circuit layer, 204: support layer. DETAILED DESCRIPTION

[0032] In order to make the purpose, technical scheme and advantages of the present application more clear, the present application is further described in detail below in combination with examples. It should be understood that the specific examples described herein are only used to explain the present application and are not used to limit the present application.

[0033] Example 1.

[0034] Reference Figure 1 , Figure 3As shown, a tongue muscle vibration and electric stimulation combined treatment instrument, comprising a main unit 1 and a tongue treatment head 2 assembled together, a main control unit 3 is arranged on the main unit 1, and a power management module 4, a vibration driving module 5, an electric stimulation generation module 6 and a control module 7 connected with the main control unit 3, a vibration array and an electrode array are arranged on the tongue treatment head, the vibration array is composed of several resonance motors 8, and the electrode array is composed of several surface electrode points 9.

[0035] Referring to Figure 4 , the tongue treatment head 2 comprises a tongue contact layer 201, a device layer 202, a circuit layer 203 and a support layer 204, the tongue contact layer 201 is used for transmitting mechanical vibration and electric current, the device layer 202 is used for arranging the vibration array and the electrode array, the circuit layer 203 is used for realizing the power supply circuit wiring of the vibration array and the electrode array, and the support layer 204 is used for forming structural support.

[0036] In the embodiment, the tongue contact layer 201 is preferably a medical-grade conductive silicone layer, which has high elasticity, low allergenicity and good surface touch, and protects the oral mucosa; in some embodiments, a conductive thermoplastic polyurethane layer can be used instead of the conductive silicone layer. At the same time, the outer surface of the tongue contact layer 201 is designed to accurately imitate the physiological curvature of the anterior 2 / 3 of the tongue dorsum of an adult or a child, which is “spoon-shaped” or “saddle-shaped” with a slightly concave middle part and smoothly raised sides, so as to ensure extensive, uniform and comfortable surface contact with the tongue surface, rather than point contact.

[0037] In the embodiment, the tongue contact layer 201 is overmolded, the device layer 202, the circuit layer 203 and the support layer 204 are embedded and fixed by the tongue contact layer 201, which ensures overall waterproofness (IPX7 level), can withstand high-temperature and high-pressure disinfection, all materials meet the ISO10993 biocompatibility standard, and electrical safety meets the IEC60601-1 medical electrical equipment standard.

[0038] The electrode array is preferably arranged in the central region and the front part of the tongue treatment head 2, corresponding to the main functional regions of the tongue muscles (such as genioglossus, tongue vertical muscle, etc.), so as to optimize the stimulation efficiency of electric current on the core muscle groups. The electrode points of the electrode array can be arranged in a matrix or a specific targeted manner.

[0039] The vibration array is preferably arranged around and between the electrode array, and can be additionally arranged in the corresponding area of the tongue root, so as to ensure uniform conduction of vibration and avoid “vibration dead angle”.

[0040] In this embodiment, the electrode array and the vibration array are fixed in the device layer 202 by embedded injection molding. In order to improve the insulation effect in the layer, a thin layer of insulating material (such as polyimide film, food-grade insulating paint) is preferably coated on the metal parts of the electrode array and the vibration array, and only the working surface of the electrode and the fixed contact of the vibration motor are exposed.

[0041] The circuit layer 203 is a flexible printed circuit board (FPC), and the wires of all electrode arrays and the wires of all vibration arrays are routed through different circuit layers on the FPC, fundamentally achieving circuit isolation.

[0042] The support layer 204 is a medical plastic part (such as an ABS part or a PEEK part), which forms the skeleton of the tongue treatment head 2. The support layer 204 has a wire channel inside and a standardized electrical interface such as a magnetic contact or a waterproof plug at the end, which is used for detachable connection with the main unit 1; so that different shapes of tongue treatment heads 2 can be replaced according to different user groups.

[0043] In this embodiment, the vibration array is composed of a plurality of linear resonant actuators (LRA), and the electrode array uses medical-grade stainless steel or gold-plated electrode points arranged in a matrix or target manner. The composite treatment instrument provided by the present application is powered by a lithium battery, such as a 3.7V, 500mAh or more rechargeable lithium battery. The power supply systems of the vibration array and the electrode array are independently designed but coordinated and managed by the same main control unit, which is preferably a micro control unit (MCU).

[0044] Referring to Figure 2 As shown, the power supply mode of the vibration array is that the main control unit 3 provides a system voltage of 3.3V or 5V to the vibration driving module 5 through the power management module 3, and outputs an alternating voltage of a specific frequency and amplitude to the linear resonant actuator (LRA) through the vibration driving module 5. In this embodiment, the vibration driving module 5 is preferably a DRV2605 haptic driving chip, which is controlled by the I2C or SPI bus of the MCU and can accurately output complex vibration waveforms such as continuous, pulse, and gradual change.

[0045] The power supply mode of the electrode array is that the main control unit 3 raises the voltage to tens of volts through the boost circuit of the power management module 3 to provide the electric stimulation generation module 6 with sufficient voltage margin to overcome the skin impedance, and the electric stimulation generation module 6 has a constant current control and waveform generation circuit to output a coupling current. In this embodiment, the use of a constant current control and waveform generation circuit to output a coupling current can ensure stable current output and avoid burning due to the dramatic fluctuation of the current output with the change of the skin impedance.

[0046] It should be noted that the specific circuit diagram in the power management module, the peripheral circuit diagram of the DRV2605 tactile driving chip, and the circuit diagram of the constant current control and waveform generation circuit are ordinary technical knowledge mastered by those skilled in the art, and will not be described here.

[0047] In this embodiment, the main unit 1 is set as a handheld type, which is convenient for carrying and operation. In some embodiments, the main unit 1 can also be set as a neck hanging type or a small desktop type.

[0048] The tongue muscle vibration and electric stimulation combined therapeutic instrument provided in this embodiment has a simple mode and a professional mode. In the simple mode, several commonly used treatment programs are preset: 1) a pure vibration program for muscle relaxation and proprioceptive stimulation; 2) a pure electric stimulation mode for neuromuscular activation and muscle strength training; and 3) a combined mode in which vibration and electric stimulation are performed synchronously or alternately in a preset sequence to achieve synergistic effect. In the professional mode, a therapist or a senior user can finely adjust all parameters (frequency, pulse width, intensity, timing, etc.) through a special mobile phone APP or computer software connected through Bluetooth, so as to realize targeted exercise at home. In particular, the main control unit can store multiple user profiles and corresponding exercise programs through a storage device, which facilitates multi-user use at home or individual disease management.

[0049] In some embodiments, the combined therapeutic instrument is connected to a rehabilitation management system based on a cloud platform through a network, and a therapist remotely sets and adjusts a program for a home patient through the rehabilitation management system, and patient data is automatically uploaded for efficacy evaluation.

[0050] In some embodiments, the main control and calculation functions are borne by a mobile phone APP.

[0051] In some embodiments, the tongue muscle vibration and electric stimulation combined therapeutic instrument also has a unilateral mode, in which the vibration array and the electrode array on the tongue treatment head are designed to be independently controlled in left and right zones, which is used for targeted training of unilateral tongue muscle weakness patients.

[0052] In one embodiment, the electric stimulation intensity is controlled by slow rising and slow falling, and the electric stimulation intensity is automatically slowly raised and lowered at the beginning and the end to avoid sudden stimulation.

[0053] In one embodiment, the start of electric stimulation is controlled by double keys, and only when two safety keys are pressed at the same time can the electric stimulation mode be started to prevent accidental touch.

[0054] In one embodiment, the main control unit has a treatment time limit, and when the single treatment time or the cumulative use time per day reaches the set upper limit value, the main control unit automatically controls the combined therapeutic instrument to stop working to prevent overuse.

[0055] The tongue muscle vibration and electric stimulation combined therapeutic instrument provided by the embodiment has the following technical advantages:

[0056] 1) The professional tongue muscle electric stimulation and physical vibration function are integrated in a portable device that can be safely operated by non-professionals for the first time, which breaks down the barriers between hospital treatment and home rehabilitation. Through the spatiotemporal cooperation of physical vibration and neuromuscular electric stimulation, "peripheral sensory input enhancement" (vibration) and "central motor pathway activation" (electric stimulation) can be realized simultaneously, which can theoretically more effectively promote neural plasticity and improve the proprioception, muscle strength and coordination of the tongue muscle, and the curative effect is better than that of a single mode.

[0057] 2) The bionic flexible tongue treatment head is creatively designed, and the bionic and conformal contact surface greatly improves the comfort; at the same time, the vibration array and the electrode array are conformally integrated on the three-dimensional curved surface, and the comfortable, effective and non-invasive combined treatment is realized.

[0058] 3) The simple mode and professional mode dual-mode control architecture is adopted, which guarantees the safety and convenience of home use, retains the flexibility of professional adjustment, takes into account the safety and convenience and precise treatment, makes long-term home rehabilitation possible, and specially considers the long-term, home, self-management treatment needs of patients with progressive swallowing disorders (such as fibrosis after radiotherapy). In some implementations, a miniature temperature sensor and a heating element are also integrated on the tongue treatment head 2 to provide warm stimulation and promote local blood circulation, which is especially suitable for fibrotic tissue.

[0059] 4) Safety and reliability: multiple insulation design, real-time impedance monitoring, constant current source output and other multiple safety protection mechanisms ensure the electrical safety and biological safety of oral use.

[0060] 5) Economic and social benefits: reduces the continuous dependence of patients on professionals and medical institutions, and is expected to shorten the hospitalization period and reduce the overall rehabilitation cost.

[0061] Embodiment two.

[0062] The tongue muscle vibration and electric stimulation combined therapeutic instrument provided by the embodiment is basically the same as that of embodiment one, and the difference lies in that the main unit is a neck hanging type structure, and a surface electromyography (sEMG) sensor in contact with the skin of the pharynx is arranged on the main unit. The electromyography signal detected by the surface electromyography sensor is used to judge whether the patient tries to make tongue movement, and auxiliary electric stimulation is given when it is judged that the patient tries to make tongue movement, so as to realize "triggered stimulation" and achieve better rehabilitation effect.

[0063] Embodiment three.

[0064] The tongue muscle vibration and electric stimulation combined therapeutic instrument provided by the embodiment is basically identical with the first embodiment, and the difference lies in that the main unit is in the form of an oral appliance, so that it can be worn at night to perform low-intensity and long-time neuromuscular stimulation and slight vibration for muscle tension maintenance.

[0065] In addition, it should be noted that in the present application, unless otherwise specified and limited, the terms such as "assembly", "connection" and "connection" should be understood in a broad sense. For example, it can be fixedly connected, or it can be detachably connected, or it can be integrally connected. It can also be mechanically connected. It can be directly connected, or it can be connected through an intermediate medium. It can be connected between two elements. For those skilled in the art, the specific meaning of the above terms in the present application can be understood according to the specific circumstances.

[0066] Through the description of the structure and principle above, those skilled in the art should understand that the present application is not limited to the specific embodiments described above. Improvements and substitutions of known technologies in the art based on the present application all fall within the protection scope of the present application, which is defined by the claims and their equivalents. The parts not described in the specific embodiments are all prior art or common knowledge.

Claims

1. A combined therapy device for tongue muscle vibration and electrical stimulation, characterized in that, The device includes a main body unit and a tongue treatment head assembled together. The main body unit is a handheld main body unit. The main body unit is equipped with a main control unit, as well as a power management module, a vibration drive module, an electrical stimulation generation module and a control module connected to the main control unit. The tongue treatment head is equipped with a vibration array and an electrode array. The vibration array is composed of several resonant motors and the electrode array is composed of several surface electrode points. The main control unit provides system voltage to the vibration drive module through the power management module, and the vibration drive module outputs AC voltage with a specific frequency and amplitude to the vibration array. The main control unit boosts the voltage to tens of volts to the electrical stimulation generation module through the power management module. The electrical stimulation generation module has a constant current control and waveform generation circuit, and outputs a coupling current to the electrode array through the constant current control and waveform generation circuit.

2. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The tongue treatment head includes a tongue contact layer, a device layer, a circuit layer, and a support layer. The tongue contact layer is used to transmit mechanical vibration and current. The device layer is used to arrange the vibration array and electrode array. The circuit layer is used to realize the power supply lines of the vibration array and electrode array. The support layer is used to form structural support. The tongue contact layer is manufactured using a one-piece silicone molding process, and the device layer, the circuit layer, and the support layer are encapsulated and fixed by the tongue contact layer through embedded injection molding.

3. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, A communication module is provided on the main unit, and the main unit is connected to a mobile phone or computer through the communication module; therapists or advanced users can adjust the operating parameters of the vibration array and the electrode array through a mobile phone APP or computer software.

4. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 3, characterized in that, The composite therapy device is connected to a cloud-based rehabilitation management system via the network. Therapists can remotely set and adjust treatment plans for home patients through the rehabilitation management system, and patient data is automatically uploaded for efficacy evaluation.

5. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The surface of the tongue contact layer is designed to mimic the physiological curvature of the anterior two-thirds of the tongue dorsum of an adult or child, and is spoon-shaped with a slightly concave center and rounded, raised sides.

6. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The electrode array is arranged in the central and anterior regions of the tongue treatment head, corresponding to the main functional areas of the tongue muscles. The electrode points of the electrode array are arranged in a matrix or a specific targeted manner. The vibration array is arranged in the corresponding area of ​​the tongue root.

7. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The tongue contact layer is a medical-grade conductive silicone layer or a conductive thermoplastic polyurethane layer. The electrode array and the vibration array are fixed in the device layer by embedded injection molding. The metal parts of the electrode array and the vibration array are covered with a thin insulating material, exposing only the working surface of the electrodes and the fixed contacts of the vibration motor. The circuit layer is a flexible printed circuit board, and the wires of all electrode arrays and all vibration arrays are routed through the circuit layer on the flexible printed circuit board. The support layer is a medical-grade plastic component. The support layer has a pre-set wire channel inside and a standardized electrical interface at its end for detachable connection with the main unit.

8. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The electrical stimulation is activated by pressing two safety buttons simultaneously. After the electrical stimulation is initiated, the intensity of the electrical stimulation is controlled by a gradual increase and decrease, and the intensity of the electrical stimulation automatically and slowly increases and decreases at the beginning and end. The main control unit has a built-in treatment time limit. When the single treatment time or the cumulative daily usage time reaches the set upper limit, the main control unit automatically controls the composite therapy device to stop working. The main control unit also monitors the contact impedance between the electrode and the skin in real time. It continuously monitors the contact impedance between the electrode and the skin before and during treatment, and automatically pauses electrical stimulation and alarms when poor contact occurs.

9. The tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The main unit is a neck-mounted structure, and a surface electromyography (EMG) sensor that contacts the skin of the pharynx is provided on the main unit. The EMG signal detected by the surface EMG sensor is used to determine whether the patient is trying to make a tongue movement. When it is determined that the patient is trying to make a tongue movement, auxiliary electrical stimulation is given to achieve triggered stimulation.

10. A tongue muscle vibration and electrical stimulation combined therapeutic device according to claim 1, characterized in that, The main unit is in the form of an oral appliance, worn at night to provide low-intensity, long-term neuromuscular stimulation and slight vibration for maintaining muscle tone.

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