CN109938987A - It is placed in the tic disorder therapeutic equipment of cavity interior - Google Patents
It is placed in the tic disorder therapeutic equipment of cavity interior Download PDFInfo
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- CN109938987A CN109938987A CN201910197837.2A CN201910197837A CN109938987A CN 109938987 A CN109938987 A CN 109938987A CN 201910197837 A CN201910197837 A CN 201910197837A CN 109938987 A CN109938987 A CN 109938987A
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- tongue
- tic disorder
- fixed part
- contact
- therapeutic equipment
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- 208000016686 tic disease Diseases 0.000 title claims abstract description 24
- 230000001225 therapeutic effect Effects 0.000 title claims abstract description 20
- 210000000214 mouth Anatomy 0.000 claims abstract description 28
- 210000002050 maxilla Anatomy 0.000 claims abstract description 7
- 210000003205 muscle Anatomy 0.000 abstract description 21
- 230000000638 stimulation Effects 0.000 abstract description 15
- 210000004556 brain Anatomy 0.000 abstract description 12
- 230000000694 effects Effects 0.000 abstract description 11
- 230000033001 locomotion Effects 0.000 abstract description 7
- 230000035807 sensation Effects 0.000 abstract description 7
- 230000036461 convulsion Effects 0.000 abstract description 6
- 210000005036 nerve Anatomy 0.000 abstract description 5
- 230000015572 biosynthetic process Effects 0.000 abstract description 4
- 230000002490 cerebral effect Effects 0.000 abstract description 3
- 210000004400 mucous membrane Anatomy 0.000 abstract description 3
- 230000003068 static effect Effects 0.000 abstract description 3
- 210000002435 tendon Anatomy 0.000 abstract description 3
- 230000008602 contraction Effects 0.000 abstract 1
- 238000011282 treatment Methods 0.000 description 14
- 238000000034 method Methods 0.000 description 9
- 201000010099 disease Diseases 0.000 description 8
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 8
- 239000000164 antipsychotic agent Substances 0.000 description 5
- 229940005529 antipsychotics Drugs 0.000 description 5
- 230000004007 neuromodulation Effects 0.000 description 5
- 208000000323 Tourette Syndrome Diseases 0.000 description 4
- 230000006399 behavior Effects 0.000 description 4
- 238000001671 psychotherapy Methods 0.000 description 4
- 238000012549 training Methods 0.000 description 4
- 238000011491 transcranial magnetic stimulation Methods 0.000 description 4
- 208000016620 Tourette disease Diseases 0.000 description 3
- 238000009227 behaviour therapy Methods 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 210000003128 head Anatomy 0.000 description 3
- 206010067484 Adverse reaction Diseases 0.000 description 2
- 201000004311 Gilles de la Tourette syndrome Diseases 0.000 description 2
- 230000006838 adverse reaction Effects 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 238000009225 cognitive behavioral therapy Methods 0.000 description 2
- 230000003137 locomotive effect Effects 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 238000013546 non-drug therapy Methods 0.000 description 2
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- 206010019233 Headaches Diseases 0.000 description 1
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- JTVPZMFULRWINT-UHFFFAOYSA-N N-[2-(diethylamino)ethyl]-2-methoxy-5-methylsulfonylbenzamide Chemical compound CCN(CC)CCNC(=O)C1=CC(S(C)(=O)=O)=CC=C1OC JTVPZMFULRWINT-UHFFFAOYSA-N 0.000 description 1
- 208000029726 Neurodevelopmental disease Diseases 0.000 description 1
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- 230000007613 environmental effect Effects 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 210000001097 facial muscle Anatomy 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 230000036039 immunity Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
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Landscapes
- Orthopedics, Nursing, And Contraception (AREA)
- Finger-Pressure Massage (AREA)
Abstract
The present invention relates to medical instruments fields, provide a kind of tic disorder therapeutic equipment for being placed in cavity interior.The fixed part being in U-shape including two sections being set on maxilla or lower jaw two sides tooth and/or gum, two opposite sides of fixed part are connected with interconnecting piece, the shape of part oral cavity wall between the shape of interconnecting piece and two fixed parts is adapted, if interconnecting piece is equipped with dry contact towards the side of tongue.Using these contacts, pressure sensation can be formed to tongue surface, when oral cavity is static, the stimulation of formation constantly regulate the Muscle tensility degree of cerebral dominance;When oral cavity activity, the stimulus signal intensity that contact is formed increases, and increases the adjusting to brain to Muscle tensility degree;The generation of " of short duration, rapidly, repeat muscle and twitch " is reduced with this;Muscle, tendon, mucous membrane, excited brain centres are moved by maxillomandibular biting force and skeleton buccale, active feedback adjusts the output of nerve information, adjusts the motion tension and contraction frequency of tic disorder muscle group.
Description
Technical field
The present invention relates to medical instruments fields, and in particular to a kind of tic disorder therapeutic equipment for being placed in cavity interior.
Background technique
Tic disorder (Tic Disorder, TD) is one group of onset in the most commonly seen nerve in Children and teenager period
Developmental disorder.Clinic can be divided into 3 seed types: transience tic disorder (also known as Gilles de la Tourette's syndrome), chronic exercise or sounding twitch,
Tourette syndrome (Tourette Syndrome, TS, tourette's syndrome) i.e. sounding combines twitch with multi-motion
Obstacle, wherein the most typical with TS.Be mainly shown as it is involuntary, repeatedly, a quick position or multiple location muscle fortune
Dynamic property is twitched and/or sounding twitches (including dry cough sound, sound of clearing one's throat, inhale twang etc.), can with it is absent minded, more it is dynamic,
Mandatory movement or thinking and other behavior symptoms.Be mainly shown as it is not autonomous, without purpose, repetition, quick contractive action;Hair
Interpretation of the cause, onset and process of an illness system is not yet clear.Disease incidence is 0.5-1/10 ten thousand, and the ratio between men and women is 3-5:1.The disease course of disease is long, generally at 1 year or more,
Be 10 years or more long, and fluctuation be strong, when it is hidden when it is aobvious, but disappear after preadolescence mostly.Continue to adult person, takes out
Dynamic seriousness also mitigates.
The disease bring family and burden on society are huge, while bringing huge psychological burden to children and youth,
It is unfavorable for the growth of infant and becomes a useful person.
The cause of disease of this disease not yet illustrates, newest research prompt, the obstacle may with inherent cause, neural biochemical factors,
Nerve immunity factor, stress and the result that interacts during child development such as environmental factor.
Lack effective therapeutic agent and means at present.
The current treatment of the disease include the antipsychotics such as Tiapride, Aripiprazole, psychotherapy, behaviour therapy, with
And neuromodulation treatment.The use of antipsychotics from initial dose, therapeutic dose, maintenance dose, to decrement until drug withdrawal,
It must be executed in accordance with doctor's advice.Non-drug therapy more needs the cooperation and investment of guardian.
Nevertheless, the therapeutic effect for TD is limited.Outstanding behaviours are as follows:
1, parent has many doubts in growth stage Taking Antipsychotics for child, including influences normal growth hair
Educate and antipsychotics caused by adverse reaction.And the antipsychotics as prescription drug, it is often necessary to band infant
Go to a doctor in insane asylum, and go to a doctor in insane asylum can allow the people around child and family members be considered " infant or oneself with essence
Refreshing disease " and feel " shame ".Therefore many infants are in the state of no any treatment.
2, as a kind of most commonly seen neurodevelopmental disorder, existing non-drug effect is extremely limited.
Current non-drug therapy, mainly psychotherapy, behaviour therapy and neuromodulation treatment, including educate, practise
It is used to reverse training, callisthenics set to rhythmic music practice, positive reinforcement, relaxation training, negative exercise method, self-supervision method, cognitive behavioral therapy etc.
Various Psychology and behavior treatment methods and transcranial magnetic stimulation treatment.
2.1 psychotherapy
Intervene including supportive psychotherapy, Familial intervention and school.
2.2 behaviour therapy
A variety of behavior intervention methods have been applied to treat TD, and have obtained good efficacy.Mainly include positive reinforcement, subside
Method, intensive practice, relaxation training, self-supervision, reversed based on function or context management method, habit it is trained, response prevention
Exposure, cognitive behavioral therapy.
The treatment of 2.3 neuromodulations
The neuromodulations such as EEG feedback, deep brain stimulation, transcranial magnetic stimulation treatment method is just being increasingly subject to both at home and abroad
The concern of many researchers, but its curative effect is still uncertain.And deep brain stimulation is invasive technology, cost is high, and curative effect needs to be seen
It examines, infant and family members are generally difficult to receive.
It to sum up analyzes, is directed to the treatment of TS at present, at present still in the treatment technology that shortage is effective and is easily accepted by.
Currently, the neuromodulations treatment method such as EEG feedback, deep brain stimulation, transcranial magnetic stimulation controlling for TS
It treats.The curative effect of EEG Biofeedback Training TS is extremely limited, and effect is not yet by internal authority mechanism --- using psychology physiological with
Biofeedback association (AAPB) and international neural biofeedback research association (ISNR) --- approve.
Deep brain stimulation is invasive technology, spends high, and curative effect has to be seen, and infant and family members are generally difficult to receive.
Stimulation location, frequency of stimulation, stimulus intensity, the stimulation course for the treatment of of transcranial magnetic stimulation treatment TS is still not clear, and needs to suffer from
Er Lai medical institutions are treated, it is important to the adverse reactions such as big, headache, dizziness that there are also noises, be clinically difficult to by infant with
Family members receive.
Summary of the invention
In order to solve the above-mentioned technical problem or it at least is partially solved above-mentioned technical problem, this application provides one kind to put
It is placed in the tic disorder therapeutic equipment of cavity interior.
A kind of tic disorder therapeutic equipment being placed in cavity interior provided by the invention, including it is set in maxilla or lower jaw two
The fixed part that two sections on side tooth and/or gum are in U-shape, two fixed parts are connected between opposite side
The shape of socket part, the part oral cavity wall between the shape of the interconnecting piece and two fixed parts is adapted, the connection
If at least one of portion and two fixed parts are equipped with dry contact.
Optionally, if the interconnecting piece is equipped with dry contact towards the side of tongue.
Optionally, if the interconnecting piece is equipped with dry contact backwards to the side of tongue
Optionally, if outer wall of at least one described fixed part backwards to the side of tongue is equipped with dry contact.
Optionally, the interconnecting piece is connected to the U-shaped edge of two fixed parts, at least one described fixed part direction
If the side of tongue is equipped with dry contact.
Optionally, at least partly described fixed part is set on gum, in fixed part part corresponding with gum
If wall is equipped with dry contact.
Optionally, the contact is salient point.
Optionally, at least one described fixed part is equipped with backwards to the one side edge of tongue to the bottom of the fixed part U-shaped
The contact that direction extends, if side of the contact backwards to tongue and/or the side towards tongue are equipped with dry contact.
Optionally, the length that the contact extends is greater than the height of the fixed part.
Optionally, the contact has elasticity.
If using in the upper dry contact being arranged of at least one of interconnecting piece and two fixed parts, can to tongue and/or
Oral cavity wall forms pressure sensation, and when oral cavity is static, these contacts form tactile and pressure sensation to tongue and/or oral cavity muscle " active "
Tension, these tension constantly regulate the Muscle tensility degree of cerebral dominance as stimulation;When oral cavity activity or movement, these are convex
The stimulus signal intensity that tactile caused by rising and pressure are felt increases, to increase adjusting of the brain to Muscle tensility degree;Pass through
Adjusting of the brain to Muscle tensility degree reduces the generation of " of short duration, rapidly, repeat muscle and twitch ", the especially expression of Head And Face
The activity of flesh and skeletal muscle;By maxillomandibular biting force, skeleton buccale locomotor stimulatory muscle, tendon, mucous membrane excitement brain centres,
Active feedback adjusts the output of nerve information, adjusts mouth movements tension, adjusts the motion tension and receipts of tic disorder muscle group
Contracting frequency.
Detailed description of the invention
Fig. 1 is the schematic diagram at a visual angle of the tic disorder therapeutic equipment for being placed in cavity interior of the embodiment of the present invention;
Fig. 2 is the signal at another visual angle of the tic disorder therapeutic equipment for being placed in cavity interior of the embodiment of the present invention
Figure.
Appended drawing reference:
1, fixed part;2, interconnecting piece;3, contact.
Specific embodiment
To better understand the objects, features and advantages of the present invention, with reference to the accompanying drawings and examples
The present invention is described in further detail.It is understood that described embodiment is a part of the embodiments of the present invention,
Instead of all the embodiments.Described herein the specific embodiments are only for explaining the present invention, rather than limitation of the invention.
Based on described the embodiment of the present invention, those of ordinary skill in the art's every other embodiment obtained belongs to this
Invent the range of protection.
Referring to figs. 1 and 2, a kind of tic disorder treatment being placed in cavity interior provided in an embodiment of the present invention
Device, the fixed part 1 that two sections including being set on maxilla or lower jaw two sides tooth and/or gum are in U-shape, two fixed parts
Interconnecting piece 2, the shape of the part oral cavity wall between the shape of interconnecting piece 2 and two fixed parts 1 are connected between 1 opposite side
Shape is adapted, wherein and children not yet long complete or being in the stage of picking one's teeth for tooth, a part of fixed part 1 can cover on tooth,
And another part fixed part 1 can then cover on gum;In the case of fixed part 1 is set on the tooth and/or gum of maxilla,
Interconnecting piece 2 is located at the top of tongue, in the case of fixed part 1 is set on the tooth and/or gum of lower jaw, interconnecting piece 2
In the lower section of tongue;Fixed part 1 forms certain attachment force with tooth and/or gum by way of socket, and interconnecting piece 2 is not only
It, can also be with maxilla for fixing the relative position of two fixed parts 1, and since shape and oral cavity wall are adapted
Or the inner wall fitting of lower jaw, form certain attachment force using atmospheric pressure and maxilla or lower jaw, thus make therapeutic equipment whole compared with
It is stably fixed on upper tooth or lower tooth.
Wherein, if at least one of interconnecting piece 2 and two fixed parts 1 are equipped with dry contact, contact is either outward
The salient point of protrusion, is also possible to the pit being recessed inwardly, can also be other shapes certainly, as long as can make the tongue of people therewith
When contact, the tactile with smooth surface contact facial difference can be generated.The effect of contact is the inner wall and/or tongue to oral cavity
The upper surface or lower surface of head form pressure sensation, and when oral cavity is static, these contacts are to oral cavity and/or tongue muscle " active " formation
Tactile and pressure sensation tension, these tension constantly regulate the Muscle tensility degree of cerebral dominance as stimulation;When oral cavity activity or movement
When, stimulus signal intensity caused by these protrusions increases, to increase adjusting of the brain to Muscle tensility degree;Pass through brain pair
The adjusting of Muscle tensility degree reduces the generation of " of short duration, rapidly, repeat muscle and twitch ", the especially mimetic muscle and bone of Head And Face
The activity of bone flesh;It is main by skeleton buccale locomotor stimulatory muscle, tendon, mucous membrane excitement brain centres by maxillomandibular biting force
The output of dynamic feedback adjustment nerve information, adjusts mouth movements tension.
In some embodiments, if interconnecting piece is equipped with dry contact towards the side of tongue, the part contact is to the upper of tongue
Surface or lower surface form stimulation, generate the stimulation of tactile and pressure sensation to tongue muscle with this.
In some embodiments, if interconnecting piece is equipped with dry contact backwards to the side of tongue, these contacts are used for tongue
The oral cavity wall of side or lower section forms stimulation.
In some embodiments, if outer wall of at least one fixed part 1 backwards to the side of tongue is equipped with dry contact, the touching
Point is for forming stimulation to the oral cavity wall on the outside of tooth, to stimulate more muscle groups in oral cavity.
In some embodiments, interconnecting piece 2 is connected to the U-shaped edge of two fixed parts 1, to make interconnecting piece 2 and fix
Portion 1 seamlessly transits, and sense of discomfort will not be caused to oral cavity moulding, and interconnecting piece 2 can also be made towards outside the side side wall of tongue
Dew;If thus forming pressure sensation to the side of tongue in addition, at least one fixed part 1 is equipped with dry contact towards the side of tongue
Power.
In some embodiments, at least partly fixed part 1 is set on gum, the part corresponding with gum of fixed part 1
If inner wall is equipped with dry contact, so that being formed to the part gum stimulates.
Since fixed part 1 and tooth or gum are socket relationship, so the exterior contour of fixed part 1 and tooth or gum
Profile is unanimous on the whole, if if therefore only fixed part 1 backwards to tongue side be arranged dry contact, these contacts can not be with oral cavity
The stimulation of inner wall formation larger range and larger intensity.Therefore, the present embodiment is at least one fixed part 1 backwards to the side of tongue
Edge is arranged the contact 3 extended to the bottom direction of fixed part U-shaped, and sets in contact 3 towards and/or backwards to the side of tongue
If there is dry contact, more large area can be formed with the inner wall in oral cavity using the contact 3 with contact and dynamics is stronger contacts.
Further, the length that contact 3 extends is greater than the height of fixed part 1, in this way when oral cavity is closed, on contact 3
Contact can not only the formation of corresponding with lower tooth oral cavity wall contact, but also being capable of oral cavity wall shape corresponding with upper tooth
At contact.
In addition, contact 3 preferably has elasticity, it can use elastic force in this way with oral cavity wall and form connecing for more great dynamics
Touching, nor sense of discomfort can be caused to oral cavity.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although
Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used
To modify the technical solutions described in the foregoing embodiments or equivalent replacement of some of the technical features;
And these are modified or replaceed, technical solution of various embodiments of the present invention that it does not separate the essence of the corresponding technical solution spirit and
Range.
Claims (10)
1. a kind of tic disorder therapeutic equipment for being placed in cavity interior, which is characterized in that including being set in maxilla or lower jaw two sides
The fixed part that two sections on tooth and/or gum are in U-shape, two fixed parts are connected with connection between opposite side
The shape in portion, the part oral cavity wall between the shape of the interconnecting piece and two fixed parts is adapted, the interconnecting piece
If being equipped with dry contact at least one of two fixed parts.
2. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that the interconnecting piece
If being equipped with dry contact towards the side of tongue.
3. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that the interconnecting piece
If being equipped with dry contact backwards to the side of tongue.
4. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that at least one institute
If stating outer wall of the fixed part backwards to the side of tongue is equipped with dry contact.
5. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that the interconnecting piece
It is connected to the U-shaped edge of two fixed parts, if at least one described fixed part is equipped with dry contact towards the side of tongue.
6. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that at least partly institute
It states fixed part to be set on gum, if fixed part internal partial wall corresponding with gum is equipped with dry contact.
7. the tic disorder therapeutic equipment according to claim 1 for being placed in cavity interior, which is characterized in that the contact is
Salient point.
8. the tic disorder therapeutic equipment according to any one of claims 1 to 7 for being placed in cavity interior, which is characterized in that
At least one described fixed part is equipped with the contact extended to the bottom direction of the fixed part U-shaped backwards to the one side edge of tongue,
If side of the contact backwards to tongue and/or the side towards tongue are equipped with dry contact.
9. the tic disorder therapeutic equipment according to claim 8 for being placed in cavity interior, which is characterized in that the contact prolongs
The length of stretching is greater than the height of the fixed part.
10. the tic disorder therapeutic equipment according to claim 8 for being placed in cavity interior, which is characterized in that the contact
With elasticity.
Priority Applications (1)
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CN201910197837.2A CN109938987B (en) | 2019-03-15 | 2019-03-15 | Tic disorder therapeutic device placed in oral cavity |
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CN201910197837.2A CN109938987B (en) | 2019-03-15 | 2019-03-15 | Tic disorder therapeutic device placed in oral cavity |
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CN109938987B CN109938987B (en) | 2024-06-04 |
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