KR20180041345A - Training device for intensifying laryngeal pressure - Google Patents

Abstract

The present invention relates to a bio-feedback training device for measuring jaw resistive exercise to strengthen larynx rise by using a resistive exercise tension bar. The training device is lowered below the jaw to induce larynx rise, and resistive exercise is induced. After pressure of a film-type pressure sensor attached to the resistive exercise tension bar is measured and analyzed, bio-feedback is possible through a game. More specifically, after the resistive exercise tension bar is attached to the bottom of the jaw, force of a resistive exercise change for lowering the resistive exercise tension bar is measured by the pressure sensor and is converted into a digital value to recognize a pressure change of the jaw in a control module. The control module measures the pressure and then transfers data in a measuring and displaying program of an android environment. A measuring and evaluating program measures and evaluates the intensity of pressure for lowering the training device below the jaw.

Description

{Training device for intensifying laryngeal pressure}

The present invention relates to a jaw resistance exercise measurement and biofeedback training apparatus for enhancing the laryngeal elevation by using a resistance exercise tension bar, which induces resistance movement downward from the jaw to induce laryngeal elevation, The present invention relates to a training device capable of biofeeding through a game after measuring and analyzing pressure of a film type pressure sensor, and more particularly, to a training device capable of biofeedback through a game, The control module converts the pressure change into a digital value so that the control module can recognize the pressure change of the rear jaw. The control module measures the pressure and transmits the data in the measurement and display program of the Android environment. The measurement and evaluation program relates to a device for measuring and evaluating the intensity of pressure dropping down the jaw, and also capable of biofeedback through a game.

As disclosed in Korean Patent Application No. 2011-0077503, dysphagia is a term collectively referred to as a difficulty in eating a food, and includes a stroke, a degenerative disease of the central nervous and peripheral nerves, a traumatic brain Diseases, head and neck tumors, and muscle disorders.

In stroke patients, up to 29% and as many as 64% of patients have swallowing difficulties, and Parkinson's patients have up to 81% of swallowing disorders. In addition, even in the case of diseases that do not directly cause swallowing disorders, swallowing difficulties can occur due to external influences such as general cognition and physical condition of the patient, or airway intubation or tracheostomy. In such cases, there is a degree of difference according to the disease and the cause, but in case of swallowing disorder, it causes aspiration, pneumonia, dehydration, malnutrition, etc., and these problems can lead to death.

Dysphagia is an oral phase in which food is put into the mouth, chewed, mixed with acupuncture to form a mass, which is pushed into the mouth of the pharynx, and the food introduced into the pharynx is called the hyo-laryngeal The pharyngeal stage, which leads to the esophagus entry through a series of coordinated movements of the pharyngeal internal structures of the pharynx, including excursions, pharyngeal peristalsis, and upper esophageal sphincter relaxation, And an inflow phase in which the food enters the esophagus through the relaxation of the upper esophageal sphincter.

In the oral phase, the oral phase can be observed with the naked eye, so that it can be evaluated relatively accurately without special equipment. However, in the case of the pharyngeal phase, there is only the movement of the throat that looks and feels fine on the surface during swallowing. can confirm.

Conventional general dyspnea measuring devices include Video Fluoroscopic Swallowing Study (VFSS) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). The video fluoroscopic examination apparatus records an image that is viewed on a fluorescent screen using an x-ray, and can visually confirm the anatomy involved in swallowing. And is used to evaluate whether or not it is abnormal. Video endoscopy has a disadvantage in that the function of the oral and pharyngeal muscles can not be confirmed when actual swallowing is performed by inserting a flexible endoscope through the nose to observe the structure of the pharyngeal cavity before and after swallowing food .

Such a conventional apparatus for measuring swallowing disturbance has some limitations in clinical use. First, the conventional swallowing disturbance measuring device is large in size and extremely expensive, and is not a device for measuring only the swallowing disorder of the main purpose. It is difficult to construct and use the device without collaboration with the department of radiology and otorhinolaryngology. Due to the inability to carry out proper swallowing disorder tests in small hospitals or institutions dealing with swallowing disorders, many patients with swallowing disorders are often overlooked or have only swallowing disorder treatment without accurate evaluation.

Second, even if it is possible to utilize a video fluoroscopic examination apparatus or a video endoscopic examination apparatus, it is an invasive method in which a video fluoroscopic examination apparatus is exposed to radiation and a video endoscopic examination apparatus is inserted into a nose endoscope, , It is difficult to grasp the characteristics of swallowing disorder in daily life of each patient.

On the other hand, transcutaneous electrical stimulation (TES) and neuropsychiatric treatment have been reported as methods of treating electrical disturbance in patients with swallowing impairment with hydrocephalus- Neuromuscular Electrical Stimulation (NES).

Percutaneous electrical stimulation is a rehabilitative medical therapy method that performs functional tasks while stimulating the underlying nerves and muscles by applying electrical stimulation to the damaged skin. This percutaneous electric stimulation method is to treat swallowing by inducing swallowing by giving electrical stimulation to the neck surface. However, percutaneous electrical stimulation can be used to treat atrophied or nerve injured muscles, but it does not cause actual contraction of these muscles.

Neuromuscular electrical stimulation is a method of stimulating muscle contraction by acting on the muscles that have neurologically damaged muscles and the muscles that have some function of nerve distribution and their function. This neuromuscular electrical stimulation method is applied to the treatment of swallowing disorder, and it attaches electrodes to the outer neck of swallowing, and repeats the swallowing action and improves muscle movement when swallowing. Chattanooga Vital STim is a treatment device for swallowing disorders, which is designed to stimulate muscles or stimulate in any pattern in the neck of the throat, which is involved in swallowing for the purpose of treating swallowing disorder by neuromuscular electrical stimulation.

However, such conventional percutaneous electric stimulation and neuromuscular electrical stimulation treatment methods for treating swallowing disorders can not monitor the adequacy and effect of the treatment method, and thus, in the case of patients having oral phase problems, The patient's response and target function improvement can be visually confirmed. However, in the case of swallowing disorders caused by disorders of the pharyngeal stroma, whether the treatment has a proper effect on the pharyngeal function, There is a problem that can not be immediately confirmed during the treatment process.

And, in addition, 1. difficulty in swallowing

- It is a series of functions to deliver food in the oral cavity to the gastrointestinal tract. It is caused by various causes such as neurological diseases, structural problems of soft tissues, and mental problems.

- Dysphagia frequency occurred in 32% of hospitalized patients in rehabilitation department

- 50 to 75% of stroke patients have dysphagia

- Known as one of the most serious and common problems

2. For the diagnosis of dysphagia patients, detailed history and physical examination on the bed are most important

3. More objective and quantitative tests are needed to determine which foods are most likely to be ingested and which treatment is most appropriate.

4. There are various methods such as video surveillance, nuclear medical examination, endoscopy, electromyography, motion analyzer

5. Of these, video fluoroscopy is the most accurate and objective test widely used

- All facilities need to be inspected and the risk of radiation exposure

- Sometimes it is difficult to examine patients who have difficulty in moving.

6. Swallowing disorders are common in patients with neurological abnormalities due to stroke, central nervous system tumors, inflammation, degenerative changes, and so on.

7. It usually occurs in patients who have peripheral nerve abnormalities due to various accidents, metabolic diseases, endocrine system disorders, or patients who have undergone surgery due to tumors of the head and neck, such as mouth or throat.

8. Patients with dysphagia also increased with various diseases

9. The swallowing process consists of the oral cavity, the iron, and the esophagus.

10. The iron moves to the esophagus without leaving food in the pharynx.

- Laryngeal elevation plays an important role at this time.

11. If the laryngeal elevation is reduced and there is a dysphagia, the following problems may occur.

- Central nervous system patients, such as stroke patients,

- frequent swallowing disorders

- Frequent occasions when decreased laryngeal elevation is observed

- Reduction of laryngeal elevation is caused by weakening of laryngeal muscles.

- In this case, upper esophageal sphincter could not be opened

- larynx lid not closed

- The ability of airway protection to deteriorate resulting in pneumonia complications

- In most patients who underwent surgery for head and neck cancer,

- These patients will naturally adapt to the disability over time

- In many cases, it is not possible to eat a meal through the mouth for a lifetime, and the tube feed should be maintained.

12. The function of airway protection to prevent aspiration of food into the lungs during swallowing is very important, especially when the movement of the laryngeal elevation is decreased, resulting in pneumonia complications.

13. Currently, in Korea, the larynx is strengthened and the shaker exercise is carried out by lying on the bed. However, this exercise is a difficult exercise for elderly patients and patients with severe swallowing difficulties (tracheostomy patients) and reports that new posture and exercise are needed. In addition to the shaker movement in Korea, studies on the lower jaw resistance exercise that can be conveniently performed for elderly patients and patients with severe swallowing difficulties have been progressing actively. . When the laryngeal enhancement therapy is developed in Korea, it can be used as an assistant method to diagnose and treat the laryngeal elevation disorder of the patients by using the lower jaw resistance exercise.

14. Currently developed overseas, the lower extremity strengthening therapy through the lower jaw resistance exercise is difficult to perform the lower jaw resistance exercise for the severe patients with constant resistance, and it is necessary to know whether the patient maintains the correct lower jaw movement and how much it has improved quantitatively Can not confirm.

15. It is expected that the patient will be able to perform the exercise more easily and precisely by setting up a more variable resistance stage and producing a numerically ascertainable laryngeal enhancement treatment device. In the future, when a device capable of outputting the pressure of the lower jaw to the monitor in real time can be developed, the laryngeal elevation effect can be achieved through the biofeedback method for visually confirming the lower jaw pressure.

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems of the related art, and it is an object of the present invention to provide a method of measuring pressure of a film type pressure sensor attached to a resistance movement tension bar More particularly, the present invention relates to a bio-feedback training apparatus capable of measuring the force of a resistance movement change which is applied to a lower portion of a resistance exercise tension bar, And the control module measures the pressure and transmits the data to the measurement and display program of the Android environment. The measurement and evaluation program is for measuring and evaluating the intensity of pressure dropping down the jaw, and also for providing a biofeedback through game.

The swallow reflection stimulating stimulating device according to the first embodiment of the present invention is comprised of a handle which is a main body for controlling a vibration stimulation and a mouth stick of stainless steel which is detachably connected to one end via a vibration stimulation transmission shaft in the handle .

The handle is provided with a vibration intensity control button for vibrating the solenoid and the solenoid vibration axis at 8 Hz, 16 Hz, and 24 Hz, and a power button for applying power.

The oral stimulation stick comprises a conical detachable attachment portion, a wire extending outwardly from the inside of the detachable attachment portion, and a ball having a diameter of 10 mm or 12 mm, which is connected to one end of the wire and is touched by a tongue in the mouth .

According to the larynx-based strengthening training apparatus of the present invention, after the pressure of the resistance movement change force which is applied to the lower part of the lower limb after attaching the resistance movement tension bar to the lower limb is measured by the pressure sensor, a digital value And the control module measures the pressure and transmits the data to the measurement and display program of the Android environment. The measurement and evaluation program measures and evaluates the intensity of the pressure dropping down the jaw, and also enables biofeedback through the game.

1 is a photograph showing a jaw resistance exercise measurement and biofeedback training apparatus for strengthening the larynx using the resistance exercise tension bar of the present invention,
FIG. 2 is a photograph showing a tension bar device for each size for adjusting the tension of the resistance movement tension bar of the present invention,
3 is a view showing the principle of measurement of the pressure sensor for measuring the jaw resistance movement of the present invention,
4 is a diagram showing a jaw resistance exercise measurement program and analysis algorithm for enhancing the laryngeal elevation of the present invention,
5 is a diagram showing an isochronous game program of the biofeedback training apparatus for enhancing the larynx elevation of the present invention,
6 is a diagram showing an isometric game program of the biofeedback training apparatus for enhancing the larynx elevation of the present invention.

Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings so that those skilled in the art can easily carry out the present invention. It should be noted that the drawings denoted by the same reference numerals in the drawings denote the same reference numerals whenever possible, in other drawings. In the following description of the present invention, a detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear. And certain features shown in the drawings are to be enlarged or reduced or simplified for ease of explanation, and the drawings and their components are not necessarily drawn to scale. However, those skilled in the art will readily understand these details.

Terms including ordinals such as "first", "second", etc. may be used to describe various elements, but the elements are not limited to these terms. The terms are used only for the purpose of distinguishing one component from another. For example, without departing from the scope of the present invention, the first component may be referred to as a second component, and similarly, the second component may also be referred to as a first component. The term " and / or " includes any combination of a plurality of related listed items or any of a plurality of related listed items.

In addition, relative terms described on the basis of what is shown in the drawings such as 'front', 'rear', 'top', 'under', etc. may be replaced with ordinals such as 'first', 'second'

The ordinal numbers such as 'first', 'second', and the like are arbitrarily set in the order mentioned, and the order may be arbitrarily changed as necessary.

The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. The singular expressions include plural expressions unless the context clearly dictates otherwise. In the present application, the terms "comprises" or "having" and the like are used to specify that there is a feature, a number, a step, an operation, an element, a component or a combination thereof described in the specification, But do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, or combinations thereof.

Unless defined otherwise, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Terms such as those defined in commonly used dictionaries are to be interpreted as having a meaning consistent with the contextual meaning of the related art and are to be interpreted as either ideal or overly formal in the sense of the present application Do not.

With reference to the accompanying drawings, preferred embodiments of the present invention will be described in detail. In the following description of the present invention, detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear.

[Example]

FIG. 1 is a photograph showing a jaw resistance exercise measurement and biofeedback training apparatus for enhancing the laryngeal elevation using the resistance exercise tension bar of the present invention. FIG. 3 is a view showing the principle of measurement of the pressure sensor for measuring the jaw resistance movement of the present invention. FIG. 4 is a view showing a jaw resistance exercise measurement program and analysis FIG. 5 is a diagram showing an isochronous game program of a biofeedback training apparatus for enhancing the larynx elevation of the present invention, and FIG. 6 is a graph showing an isometric view of the biofeedback training apparatus for enhancing the larynx elevation of the present invention And a game program.

1 to 6, the larynxal strengthening training device according to the first embodiment of the present invention includes a jaw pressure measurement device capable of Bluetooth communication, a film pressure sensor provided in the jaw pressure measurement device, The jaw pressure measuring device is in contact with and connected to one side of the jaw to measure the jaw pressure. The other side of the jaw pressure measuring device is made of a resistive motion tension bar having a substantially diagonal shape so as to be held by hand.

The resistance movement tension bar has a thickness of 3 mm, 5 mm, and 7 mm.

The laryngeal strengthening training apparatus according to the present invention configured as described above measures the pressure of the film type pressure sensor attached to the resistance movement tension bar by inducing resistance movement downwardly of the jaw to induce laryngeal rise, More particularly, the present invention relates to a bio-feedback capable training device capable of recognizing a change in a pressure of a jaw after measuring a force of a resistance movement change which is caused by attaching a resistance movement tension bar under the jaw and then downward, The control module measures the pressure and transmits the data to the measurement and display program of the Android environment. The measurement and evaluation program measures and evaluates the intensity of the pressure dropping down the jaw, and also enables biofeedback through the game.

FIG. 1 is a graph of the algorithm of FIG.

[Figure 1]

[Figure 2] is a description of reference numerals for the graph of Figure 4.

[Figure 2]

A process of making an isotopic game (FIG. 5) for strengthening the larynx using the above-described laryngeal strengthening training apparatus of the present invention will be described.

That is, the set value is the number of adjustable targets (default 15) and the target presentation value (%). Then, the repetition time is turned on for 2 seconds and turned off for 2 seconds.

The above target value is based on 80%, and when 100% is achieved up to the target time, it is automatically increased by 2% and adjusted up to 120%, and when the achievement rate is less than 50%, it is decreased by 2%.

The process of making an isometric game (FIG. 6) for enhancing the laryngeal elevation using the larynx elevation training apparatus of the present invention will be described.

- Set value: Target time and target present value, target time can be set to minimum 30 seconds, maximum 120 seconds. The target presentation value (%) can be set to a minimum of 30% and a maximum of 80%, based on 50%.

If a set target goal value, for example 50%, is achieved, it is automatically increased by 1% to 80%, if not achieved, by 1% decrease to a minimum of 30%.

- Improvement check: Maximum value is 50% based on maximum 60 seconds. ㅁ Success is calculated when 10% is maintained, failure is calculated when failure occurs, and scored.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is evident that many alternatives, modifications and variations will be apparent to those skilled in the art. And will be included in the described technical idea.

Claims (1)

A jaw pressure measuring device capable of Bluetooth communication, a film pressure sensor mounted on the jaw pressure measuring device, and the jaw pressure measuring device are in contact with each other so that one side is in contact with the jaw to measure the jaw pressure, Wherein the resistance exercise tension bar is formed in a substantially diagonal shape.

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