Auxiliary training instrument for stroke dysphagia

Abstract

The utility model discloses a stroke dysphagia aided training instrument, including sheet mask and neckband, the mask is provided with eye open pore, nose open pore, ear open pore and lower jaw open pore, the bottom of the mask is connected with the top of the neckband, the two sides of the mask are provided with mask connecting piece, the mask connecting piece is connected with the mask connecting piece, and the mask connecting piece is connected with the neck band. The mask is fixed through the mask connecting piece after surrounding the head by a circle from the two sides of the face towards the back of the brain, neck band connecting pieces are arranged on the two sides of the neck band, the neck band is fixed through the neck band connecting piece after surrounding the neck by a circle from the lower portion of the lower jaw backwards, and a plurality of electrode plates are installed on the mask and the neck band in an embedded mode respectively. And a massage device is detachably mounted above each ear opening of the mask. Electrical stimulation and massage are combined, comprehensive treatment is achieved for dysphagia of a patient, the rehabilitation training effect is good, comfort is good, operation is easy and convenient, cost is low, and the rehabilitation training device is suitable for household rehabilitation training.

Description

TECHNICAL FIELD

[0001] The utility model relates to a kind of auxiliary training instruments for dysphagia of cerebral apoplexy, specifically, it is a kind of instrument to improve dysphagia of cerebral apoplexy by the way of combination of electric stimulation and massage. BACKGROUND

[0002] Dysphagia can be caused by stroke patients, and improving dysphagia is a key link for patient rehabilitation. The methods currently widely used mainly include neuromuscular electrical stimulation, transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and acupuncture and acupoint stimulation. These methods improve the swallowing ability of patients to some extent, but each has its own shortcomings, as described below:

[0003] Neuromuscular electrical stimulation can promote the contraction of related muscle groups by applying low-frequency current to the electrode and directly acting on muscle nerves to maintain or improve the muscle capacity of dysphagia patients. It usually uses a pair of patches with electrodes installed on the patient's neck to achieve this. In actual implementation, its shortcomings are that it is limited to a single muscle group in the neck, and the improvement effect needs to be combined with other parts that can improve swallowing ability to coordinate the physiological structures involved in swallowing to achieve the effect of improvement. In addition, it is not firmly attached to the patient's neck, and the treatment effect is affected to some extent.

[0004] Transcranial direct current stimulation and repetitive transcranial magnetic stimulation are two methods that promote the recovery of neural function by adjusting the excitability of the cerebral cortex. Transcranial direct current stimulation uses low-intensity direct current and has a long action time, while repetitive transcranial magnetic stimulation generates current through rapid switching of the magnetic field, which is more accurate. They can both improve the neural function of stroke patients, but the equipment is expensive, the operation is complex, and professional guidance is required. In addition, the treatment is limited to the cerebral cortex, and the improvement effect needs to be improved.

[0005] Acupuncture and acupoint stimulation improve the function of nerves and muscles related to swallowing by stimulating key acupoints on the face and neck of the patient. From the actual implementation, the effectiveness of this method is subject to the skill level of the doctor, and the acupuncture process may cause discomfort and is not easily accepted by patients.

[0006] In addition, the above methods are mostly used in hospitals, and patients cannot operate at home for rehabilitation training, resulting in high time and treatment costs. INVENTION CONTENTS

[0007] The utility model aims to provide a kind of dysphagia of cerebral apoplexy auxiliary training instrument, it is combined with electric stimulation and massage, and comprehensive treatment is realized for the swallowing disorder of patient, and rehabilitation training effect is good, comfortable feeling is good, operation is simple and convenient, cost is low, and it is suitable for popularization.

[0008] In order to achieve the above purpose, the utility model adopts the following technical solutions:

[0009] The utility model discloses a cerebral apoplexy deglutition disorder auxiliary training appearance, including sheet mask and neck band, the mask is seted up with eye opening, nose opening, ear opening and lower jaw opening, the bottom of mask is connected with the top of neck band, the both sides of mask are equipped with mask coupling piece, when the mask is from the both sides of face to the back around the head, and then is fixed through the mask coupling piece, the both sides of neck band are equipped with neck band coupling piece, when the neck band is from the lower jaw below to the back around the neck, and then is fixed through the neck band coupling piece, wherein: the mask, neck band are installed with a plurality of electrode piece respectively inlay, the ear opening of mask is detachably installed with massage device.

[0010] The utility model has the advantages of:

[0011] The utility model combines electric stimulation and massage, realizes comprehensive treatment for the head, face and neck of the patient, significantly improves the improvement effect of swallowing function, and the patient can freely select and switch between electric stimulation and massage, and the use feeling is good. BRIEF DESCRIPTION OF DRAWINGS

[0012] Figure 1 It is the structure schematic diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model (not show massage device).

[0013] Figure 2 It is the fixed band dismounting schematic diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model (not show massage device)

[0014] Figure 3 It is from the face, the use schematic diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model.

[0015] Figure 4 It is from the back of the brain, the use schematic diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model.

[0016] Figure 5 It is from the side of the head, the use schematic diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model.

[0017] Figure 6 It is the schematic diagram of massage device dismounting.

[0018] Figure 7 It is the structure schematic diagram of electrode piece one instance.

[0019] Figure 8 It is the control circuit block diagram of cerebral apoplexy deglutition disorder auxiliary training appearance of the utility model. DETAILED DESCRIPTION

[0020] As Figures 1 to 8The utility model provides a kind of cerebral apoplexy swallowing disorder auxiliary training instrument, including sheet mask 10 and sheet neckband 20, two eye openings 11, nose opening 12, two ear openings 13 and lower jaw opening 14 are set on mask 10, mask 10 bottom and neckband 20 top are connected, mask 10 two sides are equipped with mask connecting piece 40, when mask 10 is fixed after being around head from the two sides of face to back, neckband 20 two sides are equipped with neckband connecting piece 50, when neckband 20 is fixed after being around neck from below lower jaw to back, wherein: multiple electrode sheet 60 are respectively inlaid on mask 10, neckband 20;The upper side of each ear opening 13 of mask 10 is detachably installed with a massage device 70.

[0021] In actual design, mask 10 and neckband 20 can be integrally formed, or the bottom of mask 10 and the top of neckband 20 are sewn together, of course, the connection mode is not limited.

[0022] As Figure 1 , preferably, mask 10 and neckband 20 are approximately rectangular in shape, and their upper and lower edges are designed to conform to the physiological curvature of the human face, of course, not limited to. In practice, mask 10 is used to wear around the lower part of the head, and the lower part of mask 10 should cover the lower jaw, so that part of the lower jaw is exposed.

[0023] As Figure 1 , eye opening 11 is used to expose the eyes, nose opening 12 is used to expose the nose, ear opening 13 is used to expose the ear, and lower jaw opening 14 is used to expose part of the lower jaw. Here, the arrangement of eye opening 11, nose opening 12, ear opening 13 and lower jaw opening 14 on mask 10 can be designed according to the physiological structure of human face.

[0024] In actual design, mask connecting piece 40 is magic tape, that is, one side of mask 10 is male magic tape and the other side is female magic tape, similarly, neckband connecting piece 50 is magic tape, that is, one side of neckband 20 is male magic tape and the other side is female magic tape. As Figure 1 , the blank part indicated by reference numerals 40 and 50 in the figure is male magic tape, and the X hatched part indicated by reference numerals 40 and 50 is female magic tape. Of course, other connection forms such as snaps can also be designed, not limited to.

[0025] In actual design, as Figure 1 , a rectangular first electrode sheet is provided on mask 10 corresponding to the position below the median line of the occiput and the occipital protuberance, and the first electrode sheet includes two sub-electrode sheets 61, wherein, when mask 10 is fixed around the head, the two sub-electrode sheets 61 are combined to form the first electrode sheet. As Figure 1 , a rectangular second electrode sheet 62 is provided on neckband 20 corresponding to the position below the median line of the neck and the thyroid cartilage.

[0026] In addition to the first and second electrode pieces 62, the other electrode pieces 60 on the mask 10 and the neck strap 20 are circular electrode pieces 63, and the area of the circular electrode pieces 63 is much smaller than that of the first and second electrode pieces 62. That is, the other electrode pieces are generally designed as circular electrode pieces 63, which are not limited to the following acupoints: Houguan, Dicang, Fengchi, Jiache, Lianquan and the sublingual muscle group.

[0027] Specifically, as shown in Figures 1 to 6 , a rectangular electrode piece 60 is arranged at a position 3 cm below the occipital protuberance on the median line of the occipital region and 1.5 cm below the thyroid cartilage on the median line of the neck, wherein the electrode piece on the occipital region is the first electrode piece, which is formed by two sub-electrode pieces 61 arranged on the magic tape on both sides of the mask 10, and the electrode piece on the neck is the second electrode piece 62 arranged on the neck strap 20. In addition, a plurality of circular electrode pieces 63 are arranged on the mask 10 and the neck strap 20 corresponding to the relevant acupoints, and the area of the circular electrode pieces 63 is much smaller than that of the rectangular first and second electrode pieces 62.

[0028] In actual design, the electrode piece 60 includes a substrate 602, and a plurality of point electrodes 601 are arranged on the substrate 602 at intervals, and the point electrodes 601 are regularly arranged. As shown in Figure 7 , the arrangement of the point electrodes 601 of the second electrode piece 62 is shown in the figure.

[0029] Specifically, the electrode piece 60 can be a whole electrode piece, but in view of the fact that the acupoints of different patients have differences, in order to improve the accuracy of the electric stimulation site, avoid electric stimulation of unnecessary parts of the human body, and reduce discomfort, it can be made into a plurality of point electrodes, that is, the electrode piece 60 includes a plurality of point electrodes 601 arranged separately, and generally, all the point electrodes 601 are regularly arranged. During operation, the point electrodes 601 in a certain area on the electrode piece 60 work at the same time. Generally, one electrode piece 60 can be designed to have a plurality of working modes, that is, one large electrode piece 60 is changed into different small area electric stimulation working modes to accurately stimulate the acupoints of the patient.

[0030] As shown in Figure 5 and Figure 6The massage device 70 comprises a massager 72 fixed at one end with a fixed sheet 71, the fixed sheet 71 is provided with a slot 710, the ear portion of the mask 10 is provided with an insertion sheet 73 above the ear hole 13, the massager 72 is fixed on the mask 10 through the insertion connection between the slot 710 on the fixed sheet 71 and the insertion sheet 73, wherein: the massager 72 comprises a bendable massage rod 721, one end of the massage rod 721 is fixed to the fixed sheet 71 and the other end is provided with a massage head 722 for massage by vibration, the massage head 722 can be stretched to the required position of the face and neck for massage through the massage rod 721; after the massager 72 is fixed on the mask 10, the fixed sheet 71 can be overlapped on the ear of the patient to improve the stability, correspondingly, the insertion sheet 73 is preferably arranged at the position behind the ear.

[0031] When the mask 10 and the neck strap 20 are worn on the head, the top of the head is exposed. In order to improve the wearing stability of the utility model, the electrode sheet 60 can be more firmly attached to the head, neck and face, and when the massage device 70 is installed, the weight of the mask 10 or the face of the patient is reduced, and the stability of the massage device 70 is improved, such as Figure 2 and Figure 5 The upper part of the mask 10 is detachably connected with a fixing strap 30, when the mask 10 is fixed around the head, the fixing strap 30 extends from one side of the head to the other side of the head along the top of the head.

[0032] In actual design, the fixing strap 30 can be connected with the mask 10 through insertion buckle, wherein the fixing strap 30 is provided with female buckles 31 at both ends, the mask 10 is provided with male buckles 32 at the upper part, the fixing strap 30 is connected and fixed with the mask 10 through the insertion connection between the female buckles 31 and the male buckles 32. In addition, the length of the fixing strap 30 itself can be adjusted to adapt to the heads of different patients. Of course, the connection between the fixing strap 30 and the mask 10 can also be designed in other forms, which is not limited.

[0033] As shown in Figure 4 and Figure 6 The mask 10 is provided with a controller 80, the controller 80 comprises a control chip 81, the control chip 81 is electrically connected with the massager 72 and the electrode sheet 60 through a driving circuit 82, the control chip 81 is electrically connected with a control panel 90 through wired or wireless mode, such as Figure 8 .

[0034] In actual control, each point electrode 601 on each electrode sheet 60 is preferably connected in parallel, and a switching device is installed on the lead wire of each point electrode 601, the on-off of the switching device is controlled by the control chip 81 to control which point electrode 601 works.

[0035] In addition, as shown in Figure 8The controller 80 further comprises an overvoltage protection circuit 83 electrically connected with the driving circuit 82 and the control chip 81. In practice, when the overvoltage protection circuit 83 detects that the voltage in the circuit exceeds a preset threshold, it feeds back an overvoltage signal to the control chip 81, so that the control chip 81 cuts off the driving of the electrode sheet 60 and the massager 72, thereby protecting the human body and the circuit components from damage.

[0036] In the utility model, the driving circuit 82 and the overvoltage protection circuit 83 are well-known circuits in the field, and thus are not described in detail here.

[0037] In actual design, the mask 10 and the neck strap 20 are made of soft fabric, and the electrode sheet 60 mounted thereon is a soft electrode sheet. In addition, after the mask 10 is wrapped around the head and the neck strap 20 is wrapped around the neck, the user can adjust the tightness degree through the magic tape according to his / her own feeling to complete wearing, which can greatly improve the comfort.

[0038] Before actual use, the doctor can pre-set which electrode sheet 60 needs to be electrically stimulated and determine which point electrode 601 on each electrode sheet 60 to implement electrical stimulation according to the patient's own facial structure through the control panel 90, so as to effectively aim at the acupoints for electrical stimulation, significantly improve the electrical stimulation treatment effect, reduce unnecessary stimulation, and improve the use experience.

[0039] Then the patient can wear the mask 10 and the neck strap 20 on the head and the neck respectively according to the arrow shown in the figure, and install the massage device 70 and wear the fixing belt 30 according to his / her own needs in the hospital or at home. Figure 1

[0040] In actual use, the utility model can start the doctor's setting with one key, synchronously record process data, and the controller 80 can also communicate with the doctor's terminal. The doctor can adjust the position, frequency, and intensity of electrical stimulation and massage at any time according to the patient's condition. Of course, the patient can also set the position, frequency, and intensity of massage according to his / her own needs through the control panel 90.

[0041] In practice, the electrical stimulation treatment time (such as 200 ms for a single time), waveform (such as square wave), frequency (such as 0.2 Hz), and intensity (such as 0, 3, 5, 7, and 9 mA) can be set through the control panel 90, and the electrical stimulation and massage modes can be switched at any time, and the massage time, vibration frequency (such as 1-20 Hz low frequency for relaxing the body and mind and relieving tension, 20-50 Hz medium frequency for general massage needs, which can relieve fatigue and provide certain stimulation effect, and 50-100 Hz high frequency for deep massage and relieving muscle pain), and intensity (light massage for relaxing the body and mind and relieving slight fatigue, medium massage for general massage needs, and heavy massage for relieving severe muscle pain) can be set. ​

[0042] In the utility model, the massager 72 is detachable, when electric stimulation is carried out, the patient can detach the massager 72, and after electric stimulation is finished, the massager 72 is worn again, so that acupoints and facial muscles are massaged and relaxed.

[0043] The utility model liberates both hands in using, does not hinder the patient to carry out other normal activities, and can be charged and is used circularly, and the practicality is high.

[0044] The utility model mainly uses nerve muscle electric stimulation of face, throat and other positions, combines with acupoint selection of traditional Chinese medicine acupuncture, stimulates muscle nerve through pulse current, promotes muscle contraction, is a low frequency electrotherapy, and is combined with massage to better improve the swallowing function of the patient.

[0045] In the utility model, the patient's face is defined as front, and the back part of the brain is defined as back.

[0046] The utility model has the following beneficial effects:

[0047] 1, the utility model combines electric stimulation (electric stimulation is the combination of nerve muscle and acupoint electric stimulation) with massage, realizes comprehensive treatment on the head, face and neck parts (including the relevant parts corresponding to the head, face and neck in the swallowing process) of the patient, the improvement effect of swallowing function is improved obviously, and the patient can freely select and switch between electric stimulation and massage, and the use feeling is good.

[0048] 2, the electrode sheet of the utility model is closely attached to the skin through the mask and the neck strap, is stable and reliable, has no loosening problem, the treatment effect is guaranteed, and a plurality of dot electrodes are arranged on the electrode sheet, doctors can reasonably set corresponding dot electrodes for electric stimulation treatment according to the acupoints of the patient, accurate acupoint stimulation is realized, and the individualized treatment demand of the deviation of acupoint positions of different patients is met.

[0049] 3, the massage device of the utility model improves the stability on the mask through the design of the fixing band, the massage device is located at the two sides of the patient's cheeks, can effectively massage the patient's face and other parts, in addition, the massage device is detachable, is an effective supplement of electric stimulation rehabilitation training.

[0050] 4, the utility model is convenient and safe to operate, reliable in cost, comfortable, easy to be accepted by the patient, can be used at home in addition to being used in the hospital, reduces the treatment cost, and avoids the inconvenience of going to the hospital for a long time.

[0051] The above is the preferred embodiment of the present application and the technical principle used, for those skilled in the art, without departing from the spirit and scope of the present application, any equivalent transformation, simple replacement, etc. based on the technical scheme of the present application, obvious changes, all belong to the protection scope of the present application.

Claims

1. A stroke dysphagia auxiliary training instrument, characterized in that, The utility model provides a kind of face mask and neck strap, the face mask is provided with eye opening, nose opening, ear opening and mandibular opening, and the bottom of the face mask is connected with the top of the neck strap, the two sides of the face mask are provided with face mask connecting piece, and the neck strap is provided with neck strap connecting piece, and the face mask is fixed by face mask connecting piece after being around head, and the neck strap is fixed by neck strap connecting piece after being around neck, wherein: a plurality of electrode pieces are embedded in the face mask and the neck strap respectively;Massage device is detachably installed above the ear opening of the face mask;The electrode piece includes substrate, and a plurality of point electrodes are arranged on the substrate, and the point electrodes are regularly arranged;Each point electrode is connected in parallel, and a switch device is installed on the lead of each point electrode, and the switch device is controlled by the control chip of controller;One electrode piece is provided with multi-region working mode to effectively stimulate acupuncture points of patient.

2. The stroke dysphagia auxiliary training instrument according to claim 1, characterized in that, The face mask connecting piece is magic tape, and the neck strap connecting piece is magic tape.

3. The stroke dysphagia auxiliary training instrument according to claim 1, characterized in that, The face mask is provided with rectangular first electrode piece corresponding to the position below occipital protuberance of median line of occiput, and the first electrode piece includes two sub-electrode pieces, wherein, after the face mask is fixed around head, two sub-electrode pieces are combined to form the first electrode piece. The neck strap is provided with rectangular second electrode piece corresponding to the position below thyroid cartilage of median line of neck. In addition to the first electrode piece and the second electrode piece, other electrode pieces on the face mask and the neck strap are circular electrode pieces, and the area of the circular electrode piece is much smaller than that of the first electrode piece and the second electrode piece.

4. The stroke dysphagia auxiliary training instrument according to claim 1, characterized in that, The massage device includes massager, one end of the massager is fixed with fixed sheet, the fixed sheet is provided with slot, the ear opening of the face mask is provided with insertion piece, and the massager is fixed on the face mask through the insertion connection between the slot on the fixed sheet and the insertion piece, wherein: the massager includes bendable massage rod, one end of the massage rod is fixed to the fixed sheet, and the other end is provided with massage head;When the massager is fixed on the face mask, the fixed sheet can be overlapped on the ear of patient.

5. The stroke dysphagia auxiliary training instrument according to claim 4, characterized in that, The upper part of the face mask is detachably connected with fixing band, and when the face mask is fixed around head, the fixing band extends from one side of head to the other side of head along the top of head.

6. The stroke dysphagia auxiliary training instrument according to claim 5, characterized in that, The fixing band is connected with the face mask through insertion buckle, wherein, the two ends of the fixing band are provided with female buckle, and the upper part of the face mask is provided with male buckle.

7. The stroke dysphagia auxiliary training instrument according to any one of claims 4 to 6, characterized in that, The face mask is provided with controller, the controller includes control chip, the control chip is electrically connected with the massager and the electrode piece through driving circuit, and the control chip is electrically connected with control panel through wired or wireless mode.

8. The stroke dysphagia auxiliary training instrument according to claim 7, characterized in that, The controller includes overvoltage protection circuit, and the overvoltage protection circuit is electrically connected with the driving circuit and the control chip.

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