CN104887254A - Integrated intelligent system visualizing functional evaluation and rehabilitation training for levator ani muscle - Google Patents

Integrated intelligent system visualizing functional evaluation and rehabilitation training for levator ani muscle Download PDF

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Publication number
CN104887254A
CN104887254A CN201510268928.2A CN201510268928A CN104887254A CN 104887254 A CN104887254 A CN 104887254A CN 201510268928 A CN201510268928 A CN 201510268928A CN 104887254 A CN104887254 A CN 104887254A
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module
training
client
levator ani
rehabilitation training
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CN104887254B (en
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王薇
张江辉
丁莉
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Zhejiang University ZJU
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Zhejiang University ZJU
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224Measuring muscular strength
    • A61B5/227Measuring muscular strength of constricting muscles, i.e. sphincters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1107Measuring contraction of parts of the body, e.g. organ, muscle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

The invention discloses an integrated system visualizing functional evaluation and rehabilitation training for levator ani muscle. A biological feedback signal of crissum muscle of a user is received by the integrated system through a bi-directional electrode plate and is transmitted to a mobile client after being analyzed by an information processing module. The user evaluates the contraction function of the levator ani muscle and selects whether release a corresponding low-frequency pulse current order or not through the mobile client according to the display of the mobile client. A rehabilitation training component can release the current after receiving the order, and the current acts on the crissum muscle through the bi-directional electrode plate, so that the integrated system is used for rehabilitation training of pelvic floor muscle for uroclepsia patients after prostate operations and pelvic cavity operations and functional rehabilitation training of the pelvic floor muscle for women after delivery, especially for the rehabilitation training of the pelvic floor muscle for women stress urinary inconvenience patients. The ingenuity of the integrated system for visualizing functional evaluation and rehabilitation training for the levator ani muscle is that the functional evaluation and rehabilitation training for the levator ani muscle are integrated through the mobile client, exercise of the levator ani muscle and a current stimulation are combined effectively, the universality is strong, and the use is convenient.

Description

Visual levator ani functional assessment rehabilitation training integrative intelligent system
Technical field
The present invention relates to a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system, belong to the exercising device technical field of human body specific part.
Background technology
Stress incontinence (stress urinary incontinence, SUI) occurs that involuntary urine spills from external orifice of urethra when referring to that the abdominal pressures such as sneeze, cough or motion increase.Symptoms is the abdominal pressures such as sneeze, cough, motion autonomous leakage of urine when increasing.Sign is when increasing abdominal pressure, can observe urine and independently not spill from urethral orifice.When urodynamics test shows as filling cystometry, to increase and without occurring nonvoluntary leakage of urine when detrusor contractions at abdominal pressure.The principal element of its morbidity comprises age factor, breeds factor and the past gynecilogical operation etc.Chinese adult women SUI prevalence is up to 18.9%, the highest 50 years old ~ 59 years old age bracket SUI prevalence, is 28.0%.It not only has significant impact to female life quality, even has a strong impact on female mental health.
Pelvic floor training (pelvic floor muscle training, PFMT) by United Kingdom National health and clinical optimizing research institute (NICE, National Institute for Health and Clinical Excellence) be recommended as the first-line treatment of SUI patient, the shortest 3 months by a definite date (recommendation of A level).Its contraction by autonomous, repeatedly pelvic diaphragm muscle group and diastole, strengthen Pelvic floor tension force, recover Pelvic floor function, strengthen urethral resistance, can reach the object of prevention and therapy urinary incontinence.Particularly puerperal and the capable effective Pelvic floor training of pregnancy duration, effectively can reduce incidence rate and the order of severity of stress incontinence.
Levator ani m. is the muscle playing main support effect in pelvic muscles, is also the synonym of pelvic muscles.It terminates in forward the back side of pubis, and both sides are attached to the dorsal part of ischium ridge.The muscle fiber being attached to pubis constitutes the mid portion of levator ani m..Usually be attached between pubis and perineal body at prostatic dorsal part at this part muscle fiber of male, form levator prostatae prostate being had to supporting role; And terminate in vaginal sidewall at this part muscle fiber of women, form pubovaginalis or be referred to as vaginal sphincter.Pelvic organ can be shifted to forward pubic symphysis place during contraction of levator ani muscle, and urethra can be squeezed in pubic symphysis dorsal part by this effect, will the effect of closing urethra be played.Therefore, female stress urinary incontinence Diagnosis and Treat guide proposes Pelvic floor training and with reference to contracting anus exercise, can be mainly levator ani functional exercise.
Current Pelvic floor training method has multiple, and normal method is trained and medical personnel and family members' supplemental training voluntarily for patient.Patient's Pelvic floor voluntarily training method is: patient gets erect-position, seat and clinostatism.First anus is shunk, then slack vagina contraction urethra, produce the sensation that Pelvic floor is put forward; When anus, vagina, urethral contraction, thigh and abdominal muscles keep loosening; Contracts last Pelvic floor is no less than 3 seconds, and lax rest 2 ~ 6 seconds, does 15 ~ 30 minutes, every day 3 times continuously, amounts to and does 150 ~ 200 times every day.The shortest 3 months by a definite date.Medical personnel and family members assist Pelvic floor training method to be: patient gets erect-position, seat and clinostatism.Forefinger is gently inserted patient's anus by nurse or family members, advises patient to do anus, perineum contractile motion, and sensation anus shrinks strong and powerful, and each contracts last is no less than 3 seconds, lax rest 2 ~ 6 seconds, advises early, middle and late each exercise patient's every day 1 time, each contracting anus more than 50 times continuously.These two kinds of equal Shortcomings of training method.Patient's Pelvic floor voluntarily training method lacks effect of visualization and supervision, and patient exists the irregular and training process of training, especially trains the problems such as later stage patient short wind.Medical personnel and family members assist Pelvic floor training method because forefinger being inserted patient's anus, and therefore implementation of conditions are poor.
In order to solve the deficiency of common Pelvic floor training method, medical worker has carried out multinomial patent research.
The patent No. is the health body that ZL 200520120390.2 discloses a kind of exercising vagina, anus pelvis muscle, it is by filling in vagina or anal by the health body of constant weight, and patient firmly shrinks Pelvic floor to reach and tempers the effect of pelvic diaphragm muscle for not allowing it drop out.Due to vagina muscle-training device at the bottom of basin in training process lead-in wire easy fracture or come off, therefore publication number be CN 201855531 U disclose a kind of vaginal pelvic floor muscle exerciser lead-in wire clamp device, in order to head it off.Although vaginal pelvic floor muscle exerciser meets the demand of pelvic diaphragm muscle exercise to a certain extent, but they are different for pelvic diaphragm muscle relax level, use is restricted, publication number is that CN 204017290 U discloses a kind of pelvic floor muscle exerciser on this basis, it passes through one group of water droplet spline structure body as pelvic floor muscle exerciser, feature is that volume increases gradually, and weight alleviates gradually, more to adapt to the needs of patient in various degree.Although vagina muscle-training device is of value to the exercise of pelvic diaphragm muscle to a certain extent at the bottom of above three kinds of basins, Pelvic floor is trained as the strong rehabilitation training of a kind of craftsmenship, and a lot of patient can not grasp this training method effectively.Therefore, publication number is that CN 202230621 U discloses a kind of Simple pelvic floor muscle training instrument, and it guides user to train by sound and picture, and operation is simple, and easy to carry.But more than study the timely supervision trained in all unresolved Pelvic floor training process and effect of visualization.
In order to solve the timely supervision and effect of visualization trained in Pelvic floor training process, publication number is that CN 202801637 U discloses a kind of portable equipment for Pelvic floor force estimation, training, its by gasbag-type probe carry out Pelvic floor power quantitative evaluation and training rehabilitation, and by CPU processing module by information data store and be presented on liquid crystal display screen to instruct medical worker proper use of.Publication number is that CN 204133483 U discloses a kind of Pelvic floor training aids, it inserts probe by anal, pressure receptor is provided with in probe, probe tail end is connected with display screen by holding wire, patient directly observes the size of Pelvic floor contraction power by display screen, thus plays directly supervision and instruct the effect of training.Publication number is that CN 203507439 U discloses a kind of interactive Pelvic floor convalescence device based on biofeedback technology, it gathers the Pelvic floor signal of telecommunication by vagina electric shock baton, and the real-time myoelectrical activity state of current trainee's pelvic diaphragm muscle is shown by electromyographic signal feedback system, trainee carries out pelvic diaphragm muscle exercise according to voice message.Although more than research to make in training process training effectively be supervised and training effect is visual, there is the problem of patient's short wind in the irregular and training process of training in unresolved patient.
The problem of training irregular and training process patient short wind is there is in order to solve patient, publication number is that CN 101146478 A discloses a kind of device for checking and treat urinary incontinence and exercise women vagina muscles biofeedback, its action principle is insert in vagina by probe, by probe to vagina muscles carry out thermotherapy, infrared ray treatment, magnetic therapy, vibration massage therapy carry out exercising vagina muscle, utilize biofeedback apparatus vagina muscles information displaying is at the display screen of controller when training simultaneously, and patient selects Therapeutic Method by controller.Publication number is that CN 101421004 A discloses a kind of self-contained equipment with electrical stimulation current treatment cycle, its action principle is for be configured in vagina or anal endocavity by electrical stimulation apparatus, by boost pulse periodically electric shock vagina or the anal neuromuscular treatment pelvic diaphragm muscle dysfunction of programming in advance, main feature is completely self-holding.Publication number is that CN 202161687 U discloses bio-feedback therapeutic apparatus at the bottom of a kind of basin, it detects Pelvic floor contractility by gas rod, carry out electronic stimulation according to biological feedback system, guarantee that medical worker is proper use of by liquid crystal display screen and respective image explanatory note simultaneously.Publication number is that CN 202822489 U discloses a kind of interactively pelvic diaphragm muscle convalescence device, it is by gathering the electromyographic signal of vagina muscles, and processor applies specific pulsewidth microelectric current to promote the recovery of muscle contraction dynamics by interactive multi-channel armarium.But above research all needs connection between training body and processor.In order to solve in present stage electronic stimulation the problem needing wired connection, publication number is that CN 104436544 A discloses a kind of intelligent wireless Kegel pelvic diaphragm muscle training devices and control method thereof, it uses diaphragm pressure sensor to gather pelvic diaphragm muscle pressure, and the size according to pressure carries out biofeedback, utilize wireless intelligent control terminal to adjust the oscillation intensity of pelvic diaphragm muscle training, thus reach rehabilitation efficacy.It is a kind of based on biofeedback rehabilitation training devices at the bottom of the Portable basin of mobile intelligent terminal that publication number is that CN 203971196 U discloses, it is popped one's head in by anal muscular training and myoelectricity sensing module sends electromyographic signal to mobile intelligent terminal, mobile intelligent terminal produces pumping signal according to electromyographic signal, thus promotes rehabilitation training.But above research all needs probe to be inserted into patient's anus or intravaginal.
In order to avoid when solving Pelvic floor exercises that probe is inserted anus or vagina, can bring discomfort to patient, it is a kind of for stimulating the method and apparatus of Pelvic floor that publication number is that CN 102300602 A discloses.It, by applying the outside of at least one electrode to the every side in patient body pelvis area, then applies horizontal mobility by the muscular irritation electric current through patient at the bottom of patient's basin to electrifying electrodes, thus reaches the object of training Pelvic floor.Although the method avoids the needs of intrusive mood electrode, it lacks specificity.
In sum, still there is following problem in current Pelvic floor training correlational study: 1. training method is single, only rely on vaginal pelvic floor muscle exerciser to carry out training or rely on the method such as electricity irritation, vibratory stimulation, patient self is not taken exercise and combine with galvanism, vibratory stimulation etc.; 2. electrifying electrodes stimulates shortage specificity, need apply electrode outside to every side of patient's pelvis area; 3. wireless intelligent control terminal is as independent adnexa, needs ancillary cost and easily loses; 4. mobile intelligent terminal only can show electromyographic signal, cannot give electricity irritation order.
Summary of the invention
The object of the invention is to for the deficiencies in the prior art, a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system is provided.
The object of the invention is to be achieved through the following technical solutions: a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system, for Pelvic floor rehabilitation training and women's Pelvic floor in puerperal functional recovery training, especially the Pelvic floor rehabilitation training of female patients with stress urinary incontinence of urine incontinence after Post-prostatectomy Urinary Incontinence and operation on pelvis; This system comprises rehabilitation training parts and mobile client, and described rehabilitation training parts comprise power module, switch module, bipolar electrode sheet, signal processing module, communication output module and communication receipt module; Described signal processing module comprises information amplification module, information analysis module and electric current release module; Described mobile client comprises client communication receiver module, client display module, client process module, client communication output module, client memory module and client voice module; Described client process module comprises client input module and client parses module; Described client memory module comprises that training guides indicating module, userspersonal information's memory module, user train progress memory module and user's cloud service module; Described power module is switch module, signal processing module, communication output module and communication receipt module are powered; Described switch module is connected with power module, controls the break-make of power module;
Described client parses module draws a class parabola that Open Side Down, be specially: bipolar electrode sheet is affixed on adult normal's crissum, advise it to do the action of levator ani functional training, do 15 minutes continuously at every turn, the all curve fittings obtained are final class parabola by 3 times on the one; At class parabola initial point, a black ball is drawn at place, and black ball slowly shifts to the parabolical top of class from initial point; When black ball arrives class parabola top, black ball becomes red, and declines after maintaining a period of time; Red globules hold time as adult normal's anus shrinks the meansigma methods of holding time; In decline process, red globules becomes green, until green globular bodies arrives transverse axis, green globular bodies disappears; The class parabola longitudinal axis represents the levator ani muscular strength of anus in user's training process, horizontal axis representing time, the meansigma methods of the levator ani maximum muscle force when vertical coordinate of red globules represents that adult normal's anus shrinks, initial point represents the meansigma methods of levator ani muscular strength when initial time adult normal anus loosens; The rising or falling speed that described class parabola sequence is drawn represents the contraction/lax time length ratio of levator ani;
Described bipolar electrode sheet receives user's crissum muscle biofeedback signals, is amplified by signal by information amplification module, removes after interfere information through information analysis module, passes to mobile client by communication output module;
The client communication receiver module of mobile client receives the signal of rehabilitation training component communication output module output, by client display module, signal is presented at mobile device screen with the first dynamical fashion; Described first dynamical fashion is specially: black ball is presented at the parabolical ascent stage of class, and the object of first display makes user understand self levator ani muscular strength at present; User starts to carry out levator ani functional training, run training and guide indicating module, start client display module and client voice module, be stored in the levator ani functional training action in training guiding indicating module with the display of the mode circular order of sound, text, animation and/or video at the appointed time; The action of described levator ani functional training is as follows:
Get erect-position, seat and clinostatism; First shrink anus, then shrink urethra, vagina, produce the sensation that levator ani is put forward; When anus, urethra and vagina contraction, thigh and abdominal muscles keep loosening; Contracts last levator ani is no less than 3 seconds, and lax rest 2 ~ 6 seconds, does 15 ~ 30 minutes, every day 3 times continuously, amounts to and does 150 ~ 200 times every day; The shortest 3 months by a definite date;
In the training process, as the black ball in fruit parabola cannot arrive top become redness time, after user produces the instruction of low frequency pulse current by the input of client input module, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is the time that black ball is reddened; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle;
If the holding time of red globules is less than adult normal's anus and shrinks the meansigma methods of holding time, after then user can produce the instruction of low frequency pulse current by the input of client input module again, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is holding time of red globules; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle.
Further, described client voice module carries out voice broadcast according to the lifting of the color of drawn bead and described class parabola sequence, when described bead is black along with contractive action is done in the parabolical rising voice message of described class; When described bead becomes redness, voice message maintains current action; When described bead becomes green, along with lax rest is carried out in the parabolical decline voice message of class.
Further, training time every day point in described client input module, can be set, arrive the sound prompt function that this time point then starts client voice module, and point out user to carry out levator ani functional training by modes such as alarm clock, encouragement voice.
Further, userspersonal information can be inputted in described client input module, described userspersonal information comprises: name, sex, age and the scoring of SEAPI urinary incontinence, userspersonal information's memory module stores after receiving userspersonal information, after storing first, if user is without change, then without the need to again inputting userspersonal information when next time logs in.
Further, described user trains progress memory module stored user training information, described user's training information comprises: the assessment result of training natural law, frequency of training, training process, each training, and shown by client display module in the mode of curve chart or broken line graph, carry out levator ani functional training to instruct user better.
Further, userspersonal information and user's training information are uploaded to high in the clouds by described user's cloud service module, and user can carry out information inspection at different mobile device whenever and wherever possible by cloud service after training.
Further, mobile device input through keyboard, handwriting input, phonetic entry are supported in the input of described client input module.
Further, the connected mode between described rehabilitation training parts and mobile client comprises: 3G, 4G, bluetooth, WIFI.
The invention has the beneficial effects as follows: 1. mobile client is wirelessly connected with rehabilitation training parts, avoid connection problem.2. user when self levator ani functional training cannot reach the meansigma methods of levator ani maximum muscle force when adult normal's anus shrinks, can control the release of low frequency pulse current stimulation by mobile client, realizes patient self exercise and is effectively combined with galvanism.3. user can assess Pelvic floor contractility by mobile terminal, and levator ani function rehabilitation training is carried out in the release also stimulated by low frequency pulse current, achieves levator ani functional assessment rehabilitation training integration.
Accompanying drawing explanation
Fig. 1 is the structured flowchart of rehabilitation training parts;
Fig. 2 is mobile client composition composition;
Fig. 3 is the class parabola schematic diagram that client parses module is drawn;
Fig. 4 is visual levator ani functional assessment rehabilitation training integrative intelligent system operation workflow figure.
Detailed description of the invention
Embodiments of the invention are further illustrated below in conjunction with accompanying drawing.
A kind of visual levator ani functional assessment rehabilitation training integrative intelligent system of the present invention, for Pelvic floor rehabilitation training and women's Pelvic floor in puerperal functional recovery training, especially the Pelvic floor rehabilitation training of female patients with stress urinary incontinence of urine incontinence after Post-prostatectomy Urinary Incontinence and operation on pelvis; This system comprises rehabilitation training parts and mobile client, and as shown in Figure 1, described rehabilitation training parts comprise power module, switch module, bipolar electrode sheet, signal processing module, communication output module and communication receipt module; Described signal processing module comprises information amplification module, information analysis module and electric current release module; As shown in Figure 2, described mobile client comprises client communication receiver module, client display module, client process module, client communication output module, client memory module and client voice module; Described client process module comprises client input module and client parses module; Described client memory module comprises that training guides indicating module, userspersonal information's memory module, user train progress memory module and user's cloud service module; Described power module is switch module, signal processing module, communication output module and communication receipt module are powered; Described switch module is connected with power module, controls the break-make of power module;
Described client parses module draws a class parabola that Open Side Down, as shown in Figure 3, be specially: bipolar electrode sheet is affixed on adult normal's crissum, it is advised to do the action of levator ani functional training, do 15 minutes continuously at every turn, the all curve fittings obtained are final class parabola by 3 times on the one; At class parabola initial point, a black ball is drawn at place, and black ball slowly shifts to the parabolical top of class from initial point; When black ball arrives class parabola top, black ball becomes red, and declines after maintaining a period of time; Red globules hold time as adult normal's anus shrinks the meansigma methods of holding time; In decline process, red globules becomes green, until green globular bodies arrives transverse axis, green globular bodies disappears; The class parabola longitudinal axis represents the levator ani muscular strength of anus in user's training process, horizontal axis representing time, the meansigma methods of the levator ani maximum muscle force when vertical coordinate of red globules represents that adult normal's anus shrinks, initial point represents the meansigma methods of levator ani muscular strength when initial time adult normal anus loosens; The rising or falling speed that described class parabola sequence is drawn represents the contraction/lax time length ratio of levator ani;
As shown in Figure 4, described bipolar electrode sheet receives user's crissum muscle biofeedback signals, is amplified by signal by information amplification module, removes after interfere information through information analysis module, passes to mobile client by communication output module;
The client communication receiver module of mobile client receives the signal of rehabilitation training component communication output module output, by client display module, signal is presented at mobile device screen with the first dynamical fashion; Described first dynamical fashion is specially: black ball is presented at the parabolical ascent stage of class, and the object of first display makes user understand self levator ani muscular strength at present; User starts to carry out levator ani functional training, run training and guide indicating module, start client display module and client voice module, be stored in the levator ani functional training action in training guiding indicating module with the display of the mode circular order of sound, text, animation and/or video at the appointed time; The action of described levator ani functional training is as follows:
Get erect-position, seat and clinostatism; First shrink anus, then shrink urethra, vagina, produce the sensation that levator ani is put forward; When anus, urethra and vagina contraction, thigh and abdominal muscles keep loosening; Contracts last levator ani is no less than 3 seconds, and lax rest 2 ~ 6 seconds, does 15 ~ 30 minutes, every day 3 times continuously, amounts to and does 150 ~ 200 times every day; The shortest 3 months by a definite date;
In the training process, as the black ball in fruit parabola cannot arrive top become redness time, after user produces the instruction of low frequency pulse current by the input of client input module, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is the time that black ball is reddened; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle;
If the holding time of red globules is less than adult normal's anus and shrinks the meansigma methods of holding time, after then user can produce the instruction of low frequency pulse current by the input of client input module again, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is holding time of red globules; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle.
Described client voice module carries out voice broadcast according to the lifting of the color of drawn bead and described class parabola sequence, when described bead is black along with contractive action is done in the parabolical rising voice message of described class; When described bead becomes redness, voice message maintains current action; When described bead becomes green, along with lax rest is carried out in the parabolical decline voice message of class.
Training time every day point can be set in described client input module, arrive the sound prompt function that this time point then starts client voice module, and point out user to carry out levator ani functional training by modes such as alarm clock, encouragement voice.
Userspersonal information can be inputted in described client input module, described userspersonal information comprises: name, sex, age and the scoring of SEAPI urinary incontinence, userspersonal information's memory module stores after receiving userspersonal information, after storing first, if user is without change, then without the need to again inputting userspersonal information when next time logs in.
Described user trains progress memory module stored user training information, described user's training information comprises: the assessment result of training natural law, frequency of training, training process, each training, and shown by client display module in the mode of curve chart or broken line graph, carry out levator ani functional training to instruct user better.
Userspersonal information and user's training information are uploaded to high in the clouds by described user's cloud service module, and user can carry out information inspection at different mobile device whenever and wherever possible by cloud service after training.
Mobile device input through keyboard, handwriting input, phonetic entry are supported in the input of described client input module.
Further, the connected mode between described rehabilitation training parts and mobile client comprises: 3G, 4G, bluetooth, WIFI.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, for a person skilled in the art, the present invention can have various change, combination and change.Within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included in right of the present invention.

Claims (8)

1. a visual levator ani functional assessment rehabilitation training integrative intelligent system, it is characterized in that, comprise rehabilitation training parts and mobile client, described rehabilitation training parts comprise power module, switch module, bipolar electrode sheet, signal processing module, communication output module and communication receipt module; Described signal processing module comprises information amplification module, information analysis module and electric current release module; Described mobile client comprises client communication receiver module, client display module, client process module, client communication output module, client memory module and client voice module; Described client process module comprises client input module and client parses module; Described client memory module comprises that training guides indicating module, userspersonal information's memory module, user train progress memory module and user's cloud service module; Described power module is switch module, signal processing module, communication output module and communication receipt module are powered; Described switch module is connected with power module, controls the break-make of power module;
Described client parses module draws a class parabola that Open Side Down, be specially: bipolar electrode sheet is affixed on adult normal's crissum, advise it to do the action of levator ani functional training, do 15 minutes continuously at every turn, the all curve fittings obtained are final class parabola by 3 times on the one; At class parabola initial point, a black ball is drawn at place, and black ball slowly shifts to the parabolical top of class from initial point; When black ball arrives class parabola top, black ball becomes red, and declines after maintaining a period of time; Red globules hold time as adult normal's anus shrinks the meansigma methods of holding time; In decline process, red globules becomes green, until green globular bodies arrives transverse axis, green globular bodies disappears; The class parabola longitudinal axis represents the levator ani muscular strength of anus in user's training process, horizontal axis representing time, the meansigma methods of the levator ani maximum muscle force when vertical coordinate of red globules represents that adult normal's anus shrinks, initial point represents the meansigma methods of levator ani muscular strength when initial time adult normal anus loosens; The rising or falling speed that described class parabola sequence is drawn represents the contraction/lax time length ratio of levator ani;
Described bipolar electrode sheet receives user's crissum muscle biofeedback signals, is amplified by signal by information amplification module, removes after interfere information through information analysis module, passes to mobile client by communication output module;
The client communication receiver module of mobile client receives the signal of rehabilitation training component communication output module output, by client display module, signal is presented at mobile device screen with the first dynamical fashion; Described first dynamical fashion is specially: black ball is presented at the parabolical ascent stage of class, and the object of first display makes user understand self levator ani muscular strength at present; User starts to carry out levator ani functional training, run training and guide indicating module, start client display module and client voice module, be stored in the levator ani functional training action in training guiding indicating module with the display of the mode circular order of sound, text, animation and/or video at the appointed time; The action of described levator ani functional training is as follows:
Get erect-position, seat and clinostatism; First shrink anus, then shrink urethra, vagina, produce the sensation that levator ani is put forward; When anus, urethra and vagina contraction, thigh and abdominal muscles keep loosening; Contracts last levator ani is no less than 3 seconds, and lax rest 2 ~ 6 seconds, does 15 ~ 30 minutes, every day 3 times continuously, amounts to and does 150 ~ 200 times every day; The shortest 3 months by a definite date;
In the training process, as the black ball in fruit parabola cannot arrive top become redness time, after user produces the instruction of low frequency pulse current by the input of client input module, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is the time that black ball is reddened; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle;
If the holding time of red globules is less than adult normal's anus and shrinks the meansigma methods of holding time, after then user can produce the instruction of low frequency pulse current by the input of client input module again, adopt biofeedback technology to determine the size and the persistent period that need stimulating current by client parses module, the described persistent period is holding time of red globules; The data that client parses module obtains are sent to the communication receipt module of rehabilitation training parts by client communication output module; The signal of reception is sent to electric current release module by communication receipt module, produces corresponding low frequency pulse current act on bipolar electrode sheet by electric current release module, thus stimulates perianal muscle.
2. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, described client voice module carries out voice broadcast according to the lifting of the color of drawn bead and described class parabola sequence, when described bead is black along with contractive action is done in the parabolical rising voice message of described class; When described bead becomes redness, voice message maintains current action; When described bead becomes green, along with lax rest is carried out in the parabolical decline voice message of class.
3. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, training time every day point can be set in described client input module, arrive the sound prompt function that this time point then starts client voice module, and point out user to carry out levator ani functional training by modes such as alarm clock, encouragement voice.
4. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, userspersonal information can be inputted in described client input module, described userspersonal information comprises: name, sex, age and the scoring of SEAPI urinary incontinence, userspersonal information's memory module stores after receiving userspersonal information, after storing first, if user is without change, then without the need to again inputting userspersonal information when next time logs in.
5. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, described user trains progress memory module stored user training information, described user's training information comprises: the assessment result of training natural law, frequency of training, training process, each training, and shown by client display module in the mode of curve chart or broken line graph, carry out levator ani functional training to instruct user better.
6. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, userspersonal information and user's training information are uploaded to high in the clouds by described user's cloud service module, and user can carry out information inspection at different mobile device whenever and wherever possible by cloud service after training.
7. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, is characterized in that, mobile device input through keyboard, handwriting input, phonetic entry are supported in the input of described client input module.
8. a kind of visual levator ani functional assessment rehabilitation training integrative intelligent system according to claim 1, it is characterized in that, the connected mode between described rehabilitation training parts and mobile client comprises: 3G, 4G, bluetooth, WIFI.
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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106420315A (en) * 2016-11-08 2017-02-22 江苏德尔福医疗器械有限公司 Intelligent vagina exercising instrument
WO2017133689A1 (en) * 2016-02-05 2017-08-10 微传智能科技(上海)有限公司 Prostate physiotherapy equipment for an intelligent prostate physiotherapy system
CN107510465A (en) * 2017-09-29 2017-12-26 中国医学科学院生物医学工程研究所 A kind of lip muscular strength amount sieve surveys instrument, instrument for training and diagnosis and therapy system
CN107822648A (en) * 2017-09-07 2018-03-23 华南理工大学 A kind of non-intrusion type intelligence basin bottom rehabilitation system
CN108495684A (en) * 2016-06-07 2018-09-04 东莞艮顺电子科技有限公司 A kind of urinary incontinence management system
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CN111899840A (en) * 2020-07-30 2020-11-06 南京麦豆健康管理有限公司 Pelvic floor muscle training system and training method
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CN113288182A (en) * 2021-07-09 2021-08-24 深圳京柏医疗科技股份有限公司 Pelvic floor muscle fatigue judgment method and pelvic floor muscle rehabilitation training method and device
CN113425301A (en) * 2021-06-28 2021-09-24 杭州市妇产科医院 Closestool-based basin bottom health management system and management method and intelligent closestool
CN114305425A (en) * 2021-08-03 2022-04-12 南京伟思医疗科技股份有限公司 Non-invasive muscle force detection method and detection system for pelvic floor magnetic stimulation
CN114343646A (en) * 2021-04-28 2022-04-15 南京麦澜德医疗科技股份有限公司 Multi-source fusion muscle force evaluation method, training method and multi-source fusion probe
CN114917554A (en) * 2022-05-09 2022-08-19 郑州大学 Gynaecology and obstetrics's postpartum training system of looking after based on big data
CN115814359A (en) * 2022-11-17 2023-03-21 首都医科大学附属北京潞河医院 Pelvic floor muscle training guidance system and method and electronic equipment

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5277197A (en) * 1986-12-08 1994-01-11 Physical Health Device, Inc. Microprocessor controlled system for unsupervised EMG feedback and exercise training
US5423329A (en) * 1994-04-15 1995-06-13 Rehab Centers Of America, Inc. Method of treatment for urinary incontinence
WO2005057175A3 (en) * 2003-12-09 2005-09-01 Dexcom Inc Signal processing for continuous analyte sensor
WO2007143300A3 (en) * 2006-05-31 2008-04-17 Koninkl Philips Electronics Nv Display of trends and anticipated trends from mitigation
CN102596311A (en) * 2009-11-05 2012-07-18 皇家飞利浦电子股份有限公司 Electrical muscle stimulation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5277197A (en) * 1986-12-08 1994-01-11 Physical Health Device, Inc. Microprocessor controlled system for unsupervised EMG feedback and exercise training
US5423329A (en) * 1994-04-15 1995-06-13 Rehab Centers Of America, Inc. Method of treatment for urinary incontinence
WO2005057175A3 (en) * 2003-12-09 2005-09-01 Dexcom Inc Signal processing for continuous analyte sensor
WO2007143300A3 (en) * 2006-05-31 2008-04-17 Koninkl Philips Electronics Nv Display of trends and anticipated trends from mitigation
CN102596311A (en) * 2009-11-05 2012-07-18 皇家飞利浦电子股份有限公司 Electrical muscle stimulation

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017133689A1 (en) * 2016-02-05 2017-08-10 微传智能科技(上海)有限公司 Prostate physiotherapy equipment for an intelligent prostate physiotherapy system
CN107041836A (en) * 2016-02-05 2017-08-15 微传智能科技(上海)有限公司 Intelligent health care system and its health care facility control method
CN108495684A (en) * 2016-06-07 2018-09-04 东莞艮顺电子科技有限公司 A kind of urinary incontinence management system
CN106420315A (en) * 2016-11-08 2017-02-22 江苏德尔福医疗器械有限公司 Intelligent vagina exercising instrument
CN108871636A (en) * 2017-05-09 2018-11-23 北京华信诚达科技有限公司 A kind of gynaecology's basin bottom medical data acquisition terminal
CN107822648A (en) * 2017-09-07 2018-03-23 华南理工大学 A kind of non-intrusion type intelligence basin bottom rehabilitation system
CN107510465A (en) * 2017-09-29 2017-12-26 中国医学科学院生物医学工程研究所 A kind of lip muscular strength amount sieve surveys instrument, instrument for training and diagnosis and therapy system
CN108635199A (en) * 2018-02-12 2018-10-12 广州日建医疗科技有限公司 A kind of basin bottom therapeutic equipment
CN109044360A (en) * 2018-07-24 2018-12-21 东华大学 A kind of postpartum abdomen recovery auxiliary monitoring abdomen support
CN111899840A (en) * 2020-07-30 2020-11-06 南京麦豆健康管理有限公司 Pelvic floor muscle training system and training method
CN114343646A (en) * 2021-04-28 2022-04-15 南京麦澜德医疗科技股份有限公司 Multi-source fusion muscle force evaluation method, training method and multi-source fusion probe
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CN113425301A (en) * 2021-06-28 2021-09-24 杭州市妇产科医院 Closestool-based basin bottom health management system and management method and intelligent closestool
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CN114305425A (en) * 2021-08-03 2022-04-12 南京伟思医疗科技股份有限公司 Non-invasive muscle force detection method and detection system for pelvic floor magnetic stimulation
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