CN108938331B - Intelligent tongue muscle training ware - Google Patents

Intelligent tongue muscle training ware Download PDF

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CN108938331B
CN108938331B CN201810846185.6A CN201810846185A CN108938331B CN 108938331 B CN108938331 B CN 108938331B CN 201810846185 A CN201810846185 A CN 201810846185A CN 108938331 B CN108938331 B CN 108938331B
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tongue
sleeve
intelligent
muscle trainer
tongue muscle
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CN108938331A (en
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王曦璠
李家宇
李博贤
肖小芹
邓桂明
成绍武
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Hunan University of Chinese Medicine
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0157Constructive details portable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1238Driving means with hydraulic or pneumatic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses an intelligent tongue muscle trainer, which comprises a tongue sleeve for tongue tip adsorption and a manual air pump for generating negative pressure, wherein the tongue sleeve is communicated with the air pump; the middle part of the ventilation catheter is connected with a driving mechanism to drive the tongue sleeve to do linear reciprocating motion. Has the advantages of portability, durability, safety and the like; the patient can use the rehabilitation device by himself without manual operation, so that the labor cost is saved, the convenience and the flexibility of use are improved, and the risk caused by operation of other people is avoided; the rehabilitation effect using the apparatus is greatly optimized.

Description

Intelligent tongue muscle training ware
Technical Field
The invention relates to a rehabilitation training device for tongue muscle function, which belongs to the field of medical rehabilitation and is mainly used for treating dysphagia caused by stroke.
Background
Swallowing dysfunction is a neurological disease, especially true and pseudobulbar paralysis, which is more common in stroke. The morbidity is as high as 62.6 percent, and 50 percent of the patients still can not recover the normal swallowing function after 6 months of morbidity, thereby further causing various complications to the patients and even influencing the lives of the patients, such as drinking water choking cough, dysphagia, language barrier, dehydration and malnutrition, and causing aspiration pneumonia and even suffocation. Therefore, early rehabilitation training is performed on patients with swallowing dysfunction in time, and reconstruction of swallowing function is very necessary.
In order to replace the traditional complex tongue muscle rehabilitation method, the rehabilitation training needs to be performed by means of a tongue muscle training appliance. In the prior art, the tongue muscle rehabilitation training device is structured as a tongue muscle rehabilitation device disclosed in chinese patent application CN 101518475A. The existing appliance has the disadvantages that the appliance can not be trained by a patient by self, the manual trainer of medical personnel is needed to carry out rehabilitation work, the use is not convenient enough, the labor cost is high, and the rehabilitation effect is to be improved.
Disclosure of Invention
In order to solve the above disadvantages, the present invention provides a tongue muscle training device with convenient use and good rehabilitation effect. In order to solve the technical problems, the invention adopts the technical scheme that the intelligent tongue muscle trainer comprises a tongue sleeve for tongue tip adsorption and a manual air pump for generating negative pressure, wherein the tongue sleeve is communicated with the air pump; the middle part of the ventilation catheter is connected with a driving mechanism to drive the tongue sleeve to do linear reciprocating motion.
The motion force of the tongue sleeve is soft, the rhythm is smooth, and the rehabilitation is facilitated. Preferably, the middle part of the ventilation catheter is of an annular frame structure, a cam mechanism is arranged in the annular frame and connected with a motor, and the cam mechanism drives the tongue sleeve to linearly reciprocate through the annular frame under the driving of the motor.
Preferably, the middle part of the ventilation catheter is divided into two branch passages, the middle of the two branch passages forms a flexible annular frame structure, and a cam driven by an eccentric wheel is arranged in the annular frame. When the cam rotates, the extruding tongue sleeve side forms linear reciprocating motion.
When the appliance is used, air in the air pump is firstly slightly extruded out, then the tongue sleeve is sleeved on the tongue of a patient, the air pump is loosened, the power switch of the motor is turned on after the fixation is confirmed, and the appliance can normally work.
The tongue muscle trainer has the advantages of portability, durability, safety and the like; the medical staff does not need to manually train the device for rehabilitation, so that the labor cost is saved, and the convenience and the flexibility in use are improved; the patient can operate and use by himself, the patient can carry out rehabilitation training by simply moving left and right by holding the patient by hand, convenience, flexibility and treatment are improved, and meanwhile risks caused by operation of other people are avoided; the rehabilitation effect using the instrument is greatly optimized: can effectively relieve the hypersensitive state of the oral cavity and increase the feelings of lips, tongue, mucous membrane parts of cheeks and the oral cavity; the tongue activity range is enlarged, the tongue muscle strength and flexibility are enhanced, and the control and transmission capacity of the tongue on the bolus is increased; enhancing the functions and the movement coordination of the orbicularis oris muscles, the buccinator muscles, the adductor muscles of the throat, the masseter muscles and the like, reducing the salivation and enhancing the control capability of the oral cavity on the food mass; relieving dysphagia, and promoting nerve function recovery.
Preferably, the tongue sleeve is further provided with two tongue side auxiliary suction cups, and the tongue side auxiliary suction cups are communicated with the inner cavity of the tongue sleeve through thin guide pipes. Furthermore, the thin catheter is arc-shaped, and the root of the thin catheter is connected to the two symmetrical side parts of the tongue sleeve. The tongue is prevented from slipping from the tongue sleeve, and the rehabilitation effect is improved.
Preferably, the annular frame structure is arranged in an outer sleeve, a transverse handle is arranged on the side face of the outer sleeve, and a battery and a motor are arranged in an inner cavity of the transverse handle. The equipment integration is improved, and the user experience is optimized through the humanized design of the transverse handle. Furthermore, an anti-slip sleeve with a fixing ring is sleeved on the transverse handle. If the patient can not operate by oneself, can fix intelligent tongue muscle training ware on bedside support or on the infusion support, overlap the tongue cover on patient's tongue, turn on the power and make its automatic work.
Because the equipment is in the wet environment in oral cavity for a long time, the patient is because of the sialorrhea that the difficulty of swallowing leads to simultaneously, the accident that the interface that sets up charges probably leads to takes place. Preferably, the motor is a rechargeable battery-powered dc motor, and the battery is charged in the following manner: the electromagnetic coupling principle is utilized, energy is transferred in a non-contact coupling induction charging mode, and charging is achieved. So as to improve the safety and avoid safety accidents. The USB mode can also be adopted to charge with 5V direct current voltage.
Preferably, the tongue muscle trainer adopts a PID closed loop control mechanism. So as to realize the accurate control of the tongue sheath movement. The PID method can also be replaced by other control methods such as lead-lag control and the like.
Preferably, the tongue muscle trainer adopts a photoelectric encoder as a speed measuring module. The photoelectric encoder measures speed by utilizing the principle of a generator, a speed measuring generator is connected to a rotating shaft of a direct current motor, the direct current motor rotates the speed measuring motor to generate induction voltage changing along with the speed of the direct current motor according to the power generation principle, the voltage is converted into digital pulses to be sent to a single chip microcomputer, and therefore the precision is high. A Hall sensor can also be used as a speed measuring module.
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein.
Drawings
FIG. 1 is a schematic front view of a cross-sectional structure according to an embodiment of the present invention;
FIG. 2 is a schematic left-side cross-sectional view of an embodiment of the present invention;
FIG. 3 is a functional block diagram of a control system according to an embodiment of the present invention;
FIG. 4 is a circuit diagram of a driver circuit, L298N, according to an embodiment of the present invention;
FIG. 5 is a schematic diagram of a PID closed loop control of an embodiment of the invention;
FIG. 6 is a flowchart of a control procedure according to an embodiment of the present invention;
FIG. 7 is a diagram of an SAE J1773 resonant conversion circuit according to an embodiment of the present invention;
fig. 8 is a schematic structural diagram of a charging platform with magnetic lines of force 14 vertically distributed according to an embodiment of the present invention.
Detailed Description
Referring to the attached drawings, the specific structure of the intelligent tongue muscle trainer disclosed by the invention is reflected, the intelligent tongue muscle trainer comprises a tongue sleeve 6 for tongue tip adsorption and a manual air pump 1 for generating negative pressure, the tongue sleeve 6 is made of medical rubber, the texture is soft, and the tongue can not be painful when being adsorbed on the tongue; the tongue sheath 6 is detachable, has small volume, is easy to store, is convenient to clean and replace, and is not easy to breed bacteria. The tongue cover 6 is communicated with the air pump 1 through an air duct 8. One end of the ventilation catheter 8 is connected with the tongue sheath 6, and the other end is connected with the air pump 1, and the function of physical connection is also achieved. The tongue sheath 6 is also provided with two tongue-side auxiliary suction cups 5, and the tongue-side auxiliary suction cups 5 are communicated with the inner cavity of the tongue sheath 6 through thin guide pipes 7 to obtain negative pressure. The thin catheter 7 is arc-shaped to surround the tongue body, and the root of the thin catheter 7 is connected to the two symmetrical side parts of the tongue sheath 6. The tongue sleeve 6 and the two tongue side auxiliary suckers 5 act on the tongue tip and the side surface of the tongue body together under negative pressure, so that the tongue sleeve 6 is tightly fixed with the tongue body, and the tongue is prevented from slipping from the tongue sleeve 6 in operation, thereby improving the rehabilitation effect.
The middle part of the ventilation catheter 8 is provided with two branch passages 2, the middle parts of the two branch passages 2 form a flexible annular frame structure, and a cam 9 driven by an eccentric shaft 10 is arranged in the annular frame. Under the drive of the DC motor 11, the cam 9 passes through the tongue sleeve side of the annular frame when rotating, and the squeezing tongue sleeve 6 performs linear reciprocating motion.
The annular frame structure is arranged in the outer sleeve 4, a transverse handle 13 is arranged on the side surface of the outer sleeve 4, and a rechargeable battery 12 and a direct current motor 11 are arranged in an inner cavity of the transverse handle 13. The transverse handle 13 is sleeved with an anti-slip sleeve (not shown in the figure) with a fixing ring. The intelligent tongue muscle trainer can be fixed on a bedside support or an infusion support through the fixing ring and the anti-slip sleeve on the transverse handle 13, and the intelligent tongue muscle trainer can be free of hand-held work.
The dc motor is widely used in the mechanical manufacturing, medical and light industries, etc. because it has easy speed control, good start and brake performance, and smooth speed regulation in a wide range, etc., the dc motor is selected as the driving element in this example. In the design of the embodiment, an STC80C51 microcontroller is used as a main control unit, a motor driver adopts L298N, a direct current motor adopts PWM pulse width modulation control, the speed is measured through a photoelectric encoder, a PID closed loop feedback control system is used for achieving rotating speed measurement and accurate control of the direct current motor, and a speed regulating gear is arranged for regulating and displaying the rotating speed of the direct current motor 11.
The motor control system adopts a modular design, the hardware circuit comprises a power circuit, a control circuit, a rotating speed measuring circuit, a motor driving circuit, a key circuit and a display circuit, and the whole system forms a closed-loop control system.
Designing a driving circuit: the L298N contains two H-bridges, which are high voltage and large current full-bridge drivers, and can be used to drive two dc motors or stepping motors. Since L298N is at 5V logic level and the power circuit and control circuit need to be isolated during operation, some necessary peripheral circuits such as optical coupling isolation, level conversion, etc. need to be added, and the L298N circuit is shown in fig. 4.
Designing a speed measuring module: the speed measuring module adopts a photoelectric encoder 3, the speed is measured by utilizing the principle of a generator, a speed measuring generator is connected to a rotating shaft of the direct current motor, according to the power generation principle, the direct current motor rotates the speed measuring motor to generate induction voltage changing along with the speed of the direct current motor, and the voltage is converted into digital pulses to be sent to the single chip microcomputer, so the precision is higher. The tachometric method uses the T method, also called periodic method, to calculate the speed of rotation by measuring the time interval between 2 adjacent pulses of the encoder. The T method can obtain high measurement precision in a low-speed stage, and meets the design requirement of the product. The rotating speed per minute of the motor is as follows:
Figure BDA0001746677940000051
in the formula DPIs the inverse of the position pulse frequency division, DCTo capture the inverse of the timer clock division number, CSTo a system clock, QCIs the value in the register.
And (3) control design: PID is a linear control algorithm based on deviation control, a proportion (P), an integral (I) and a differential (D) of a deviation e (t) are linearly combined to form a control quantity u (t), a control object is controlled, and the control rule of PID is as follows:
Figure BDA0001746677940000061
the computer control is a sampling control system, and can only calculate the control quantity according to the deviation value of the sampling moment, so the continuous PID control algorithm can not be directly used in the microcontroller, a discretization method is needed, the commonly used incremental PID is adopted, and the control rule is as follows:
Δu(k)=u(k)-u(k-1)
Δu(k)=kp[e(k)-e(k-1)]+kie(k)+kd{[e(k)-e(k-1)]-[e(k-1)-e(k-2)]}
Δu(k)=kp[e(k)-e(k-1)]+kie(k)+kd[e(k)-2e(k-1)+e(k-2)]
wherein KP、Ki、KdThe adjustment and determination are needed in the product development process according to the actual situation. Closed loop control schematic as shown in FIG. 5
The software design is shown in the program flow of fig. 6.
Designing an induction charging technology: inductive couplers are a key part of inductive charging systems, allowing power and battery status information to be transmitted through a compact unit. Due to the air gap formed by air between the primary and the secondary, the excitation inductance between the couplers is small due to the large air gap, and therefore the electric energy transmission efficiency is low. The energy of the alternating current can be efficiently transferred from the primary to the secondary by the principle of electromagnetic induction only when the two stages of the coupler are close to each other to a certain distance. Based on the consideration of safety, reliability and the like, the product uses a resonant power variation circuit scheme designed by SAE J1773 standard, and the specific structure is shown in FIG. 7.
A charging platform: the charging platform matched with the product design uses a multi-layer planar coil array (multi-layer planar winding array), and the surface of the whole platform generates almost uniform electromagnetic flux 14 as a main energy transmission channel and a secondary energy transmission channel. When the charging platform is used, a product to be charged is flatly placed in the surface of the platform, and an induction loop can be formed for charging. Wherein the electromagnetic shield 15 is designed to prevent the charging platform from generating current when placed on a conductor (e.g., a metal table), thereby resulting in abnormal energy transfer. The charging platform structure is shown in fig. 8.
Intelligent tongue muscle trainer instructions:
first, oral sensory stimulation
The purpose is as follows: relieving hypersensitive state of oral cavity, and increasing lip, tongue, buccal mucosa and oral cavity feeling
The using method comprises the following steps:
(1) put the outside of tooth in the entry with intelligent tongue muscle training ware tongue cover, turn on switch, adjust the speed gear and be low-grade, rub gum and the buccal mucosa portion in oral cavity both sides molar area gently. The preparation is administered 3 times daily, and 10-20 times.
(2) Put intelligent tongue muscle training ware tongue cover in the entry, turn on switch, adjust speed gear and be low-grade, rub tongue face and upper jaw portion gently. The preparation is administered 3 times daily, and 10-20 times.
(3) If the machine does not move and displays a red light after the power switch is turned on, please place the intelligent tongue muscle trainer on the charging induction platform for charging.
Second, tongue muscle exercise training
The purpose is as follows: expand the tongue's range of motion, strengthen the tongue's muscle strength and flexibility, and increase the tongue's ability to control and convey the bolus
The using method comprises the following steps:
(1) firstly, slightly extruding the air in the air pump, then sleeving the tongue sleeve of the intelligent tongue muscle trainer on the tongue of a patient, loosening the air pump, turning on a power switch after fixing, adjusting the speed gear (automatically adjusting according to the fitting degree), and enabling the tongue to move back and forth and move around the lip by using the intelligent tongue muscle trainer. The preparation is repeated 20 times 3 times daily.
(2) Firstly, slightly extruding the air in the air pump, then sleeving the tongue sleeve of the intelligent tongue muscle trainer on the tongue of a patient, loosening the air pump, turning on a power switch after fixing, adjusting the speed gear (automatically adjusting according to the adaptive degree), and resisting the tongue from extending and retracting by means of the intelligent tongue muscle trainer and resisting the tongue from moving around the lip. The preparation is administered 3 times daily, and 10-20 times.
(3) If the machine does not move and displays a red light after the power switch is turned on, please place the intelligent tongue muscle trainer on the charging induction platform for charging.
Three, orofacial muscle group exercise training
The purpose is as follows: enhancing the functions and movement coordination of orbicularis oris, buccinator, laryngeal adductor and masseter, reducing salivation, and enhancing the control ability of oral cavity to bolus
First, the orbicularis oris muscle, the buccinator muscle and the laryngeal adductor muscle move
The using method comprises the following steps:
(1) the tongue sleeve of the intelligent tongue muscle trainer is placed in front of incisors (between two lips), the tongue sleeve is extruded by the two lips, meanwhile, the mouth corner upwarps (smiles) for 5 seconds, and then the tongue sleeve is relaxed. 3 times daily for 30 seconds.
(2) Firstly, slightly extruding the air in the air pump, then sleeving the tongue sleeve of the intelligent tongue muscle trainer on the tongue of a patient, loosening the air pump, turning on a power switch after fixing, adjusting the speed gear to be a low gear, and stretching and retracting the tongue and the cheek by means of the intelligent tongue muscle trainer. The preparation is administered 3 times daily, and 10-20 times.
(3) If the machine does not move and displays a red light after the power switch is turned on, please place the intelligent tongue muscle trainer on the charging induction platform for charging.
(II) masticatory muscle movement
The using method comprises the following steps:
(1) the patient repeatedly and alternately bites the tongue sleeve of the intelligent tongue muscle trainer by using incisors, canine teeth and molar teeth on two sides. 3 times daily for 30 seconds.
(2) The patient repeatedly and alternately bites the tongue sleeve of the intelligent tongue muscle trainer by using incisors, canine teeth and molar teeth on two sides, a power switch is turned on, the speed regulating gear is low, and the tongue sleeve is prevented from being drawn out while being drawn out. The preparation is administered 3 times daily, and 10-20 times.
(3) If the machine does not move and displays a red light after the power switch is turned on, please place the intelligent tongue muscle trainer on the charging induction platform for charging.
Clinical experiments are as follows: the invention will be further explained in combination with the clinical application effect of the intelligent tongue muscle trainer.
The first hospital affiliated to the Hunan university of traditional Chinese medicine is used for treating the patient with the brain stroke dysphagia by using the intelligent tongue muscle trainer to be different from the patient treated by the traditional manual tongue muscle rehabilitation device. 200 cerebral apoplexy dysphagia patients are divided into two groups, 100 patients are treated in a treatment group, 100 patients are treated in a control group, the control group is treated by a traditional manual tongue muscle rehabilitation device, the treatment group is trained by an intelligent tongue muscle training device, and the treatment period is 4 weeks. The treatment results of the treatment groups are obviously better than those of the control group, and compared with the control group, the difference has statistical significance (P < 0.05). The intelligent tongue muscle trainer has a significantly higher curative effect on tongue muscle training of stroke dysphagia patients than the traditional manual trainer, and is worthy of popularization and application to clinical treatment.
The first hospital affiliated to the Hunan university of traditional Chinese medicine carries out tongue muscle training on stroke dysphagia patients by using an intelligent tongue muscle training device, the curative effect is very obvious, and the method is as follows:
1 data and method
1.1 general data
200 patients are hospitalized patients in department of neurology, acupuncture and massage rehabilitation department and intensive care unit in 2017-2018.2 months in the first hospital affiliated to the university of traditional Chinese medicine in Hunan, the diagnosis accords with the Chinese cerebrovascular disease prevention and treatment guideline of 2005, and the patients are confirmed by skull CT or MR scanning, and comprise 46 cases of cerebral hemorrhage and 154 cases of cerebral infarction. The patient has clear consciousness and stable life sign, and the swallowing difficulty is accompanied. The treatment groups were randomly divided into 100 cases in the control group and 100 cases in the treatment group. In the treatment group, 65 men and 35 women aged (64.5 + -12.3 years), and in the control group, 63 men and 37 women aged (66.1 + -10.2 years). The difference between the two groups of patients is not statistically significant (P >0.05) compared in terms of sex, age and the like, and the difference is comparable.
1.2 methods
The treatment group trains patients with the intelligent tongue muscle trainer on the basis of conventional treatment such as nasal feeding nursing, eating nursing, rehabilitation training, psychological nursing, health education and the like. The control group treated the patients with a conventional manual tongue muscle rehabilitative apparatus. Other treatment medications and possible results-observing medications were discontinued during treatment for both groups of patients, and efficacy was assessed after 4 weeks for both groups.
1.3 therapeutic efficacy determination
Has obvious effect that symptoms and physical signs basically disappear, and normal eating and speaking can be realized.
Has the effects of improving symptoms and physical signs, simplifying speech, and allowing fluid diet.
The disease condition is worsened and the psychological burden of the patient is increased.
1.4 statistical methods
SPSS22.0 statistical software is used for data analysis, x2 test is adopted, t test is adopted in intervals, and P <0.05 is the difference with statistical significance.
2 results
2.1 Change in Pre-and post-treatment indices for two groups of patients
The clinical efficacy is shown in table 1, and after treatment, the two groups of patients have obvious efficacy, and the efficacy of the patients in the treatment group is obviously higher than that of the patients in the control group.
TABLE 1 Change in indices before and after treatment [ n (%) ]in two groups of patients
Group of Number of examples Show effect Is effective Invalidation
Treatment group 100 27(27.0) 67(67.0) 6(6.0)
Control group 100 17(17.0) 36(36.0) 47(47.0)
2.2 Nurse use tongue depressor and use the convenience of tongue muscle training ware, flexibility satisfaction compare
The satisfaction of the convenience and the flexibility of using the intelligent tongue muscle trainer and using the traditional manual tongue muscle trainer when 12 executive nurses in the department train the tongue muscles is compared, and the result is shown in table 2.
TABLE 2 Nurse use Activity satisfaction comparison (n)
Figure BDA0001746677940000111
Discussion: in this study, we conclude that the intelligent tongue muscle trainer has the following effects:
accidents possibly caused by the extra electrical connection between the salivation and the charging interface due to long-term wet environment and difficulty in swallowing are avoided and avoided; relieving oral hypersensitiveness, and increasing lip, tongue, buccal mucosa and oral feeling; the tongue activity range is enlarged, the tongue muscle strength and flexibility are enhanced, and the control and transmission capacity of the tongue on the bolus is increased; enhancing the functions and the movement coordination of the orbicularis oris muscles, the buccinator muscles, the adductor muscles of the throat, the masseter muscles and the like, reducing the salivation and enhancing the control capability of the oral cavity on the food mass; relieving dysphagia, and promoting nerve function recovery. The intelligent tongue muscle trainer has very obvious rehabilitation effect on stroke dysphagia
The result of the study shows that the total effective rate of the observation group is 94.0 percent, which is obviously higher than that of the control group by 63.0 percent, and the comparison difference of the 2 groups has statistical significance (P < 0.05). The rehabilitation effect of the therapy on the stroke dysphagia is also proved, and the intelligent tongue muscle trainer does not find adverse effects on the organism in the application process, has positive promotion effect on improving the stroke dysphagia function rehabilitation, and is worthy of popularization and application.
The above-mentioned implementation is only for clearly illustrating the technical solutions of the present invention, and is not to be construed as limiting the present invention in any way. The present invention has many known alternatives and modifications in the art, which fall within the scope of the present invention without departing from the spirit of the present invention.

Claims (3)

1. An intelligent tongue muscle trainer comprises a tongue sleeve for tongue tip adsorption and a manual air pump for generating negative pressure, wherein the tongue sleeve is communicated with the air pump; the middle part of the ventilation catheter is provided with two branch passages, the middle of the two branch passages forms a flexible annular frame structure, a cam driven by an eccentric shaft is arranged in the annular frame, and the side of the tongue sleeve is extruded to form linear reciprocating motion when the cam rotates; the tongue sleeve is also provided with two tongue side auxiliary suckers which are communicated with the inner cavity of the tongue sleeve through thin guide pipes, the thin guide pipes are arc-shaped, and the roots of the thin guide pipes are connected to the two symmetrical side parts of the tongue sleeve; the annular frame structure is arranged in an outer sleeve, a transverse handle is arranged on the side face of the outer sleeve, and a battery and a motor are arranged in an inner cavity of the transverse handle.
2. The intelligent tongue muscle trainer as claimed in claim 1, wherein the lateral handle is sleeved with an anti-slip sleeve with a fixing ring to fix the intelligent tongue muscle trainer on a bedside support or an infusion support.
3. The intelligent tongue muscle trainer as claimed in claim 1 or 2, wherein the motor is a rechargeable battery-powered dc motor, and the battery is charged by: energy is transferred by a non-contact coupling induction charging mode by utilizing an electromagnetic coupling principle, so that charging is realized; the tongue muscle trainer adopts a PID closed-loop control mechanism; the tongue muscle trainer adopts a photoelectric encoder as a speed measuring module.
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CN110755094A (en) * 2019-09-27 2020-02-07 青岛大学附属医院 Multifunctional tongue pressure feeling trainer
CN111568699B (en) * 2020-05-28 2022-10-11 京东方科技集团股份有限公司 Tongue muscle rehabilitation training device

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