CN110236922B - Abdominal pressure triggering type pressure urinary incontinence rehabilitation method and therapeutic apparatus - Google Patents
Abdominal pressure triggering type pressure urinary incontinence rehabilitation method and therapeutic apparatus Download PDFInfo
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- CN110236922B CN110236922B CN201910600837.2A CN201910600837A CN110236922B CN 110236922 B CN110236922 B CN 110236922B CN 201910600837 A CN201910600837 A CN 201910600837A CN 110236922 B CN110236922 B CN 110236922B
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Abstract
An abdominal pressure triggering type stress urinary incontinence rehabilitation method and therapeutic apparatus, aiming at the etiology and the regulation and control mechanism of the brain, promote the overall rehabilitation of the urination function nervous system and pelvic floor muscle group functions. The method uses a unit combination waistband to fix the main machine unit and the left, middle and right vibration units on the lower abdomen. The physical vibration conforming to the physiological characteristics of human body is used for stimulating the abdominal wall stretch (baroreceptors) and directly simulating the trigger factor (increased abdominal pressure) of the stress urinary incontinence. After receiving the incoming signal from the abdominal wall, the brain controls pelvic floor muscle contraction and relaxation. The exercise is repeated, the active regulation and control of the brain on the pelvic floor muscle group are enhanced, and the contraction function of the pelvic floor muscle group accompanied by the increase of the abdominal pressure is effectively improved. The biological feedback type combination of the method directly detects pressure change between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups through a perineum pressure sensor, triggers a perineum vibration unit, forms biological feedback information which is characterized by local somatosensory and is transmitted to the brain, and improves rehabilitation exercise effect.
Description
Technical field: the invention relates to a rehabilitation method and a therapeutic apparatus for stress urinary incontinence.
The background technology is as follows:
currently, there are two broad categories of non-operative therapies and surgical procedures for the clinical treatment of stress incontinence. The non-operative therapy mainly comprises life style intervention, pelvic floor muscle training, pelvic floor muscle electrical stimulation therapy, whole body vibration therapy, traditional Chinese medicine acupuncture, medicine therapy and the like, and the international authoritative medical institution suggests that the rehabilitation exercise therapy for improving the pelvic floor muscle function should be selected for patients suffering from stress urinary incontinence. For severe patients, surgical treatment may be preferred. The effect of the surgical treatment is unstable and complications often occur.
It is considered that current pelvic floor muscle function rehabilitation exercise therapies mainly aim at pelvic floor muscle parts and are mainly treated in a passive mode, lack of training means aiming at advanced nerve centers and have no method aiming at stress incontinence trigger factors (abdominal pressure increase). Normal urination function in adults is a highly integrated and coordinated physiological process under the control of the advanced central nervous system, and the etiology of stress incontinence is not limited to pelvic floor muscle sites. Recent studies have shown that attenuation of the regulatory capacity of the advanced central nervous system may play a more important role in the pathological mechanisms of stress urinary incontinence. Clinically, there is an urgent need for techniques and equipment for etiology and advanced central nervous system regulation in rehabilitation exercises of pelvic floor muscle function in stress urinary incontinence.
The invention comprises the following steps:
the invention directly aims at the existing problems, simulates the trigger factor of the stress urinary incontinence (the increase of the abdominal pressure), further activates the sensory and motor regulation mechanism of the brain, enhances the contraction function of pelvic floor muscle groups when the abdominal pressure is increased, and realizes more effective rehabilitation exercise effect.
An abdominal pressure triggering type stress urinary incontinence rehabilitation method comprises the following steps:
directly stimulating the abdominal wall stretch receptor by using mechanical vibration applied to the lower abdomen to meet physiological characteristics, and simulating a trigger factor of stress urinary incontinence;
(2) Training brain sensitivity and active regulation:
after receiving vibration signals from the abdominal wall, the brain controls pelvic floor muscle to shrink, improves the contraction function accompanying pelvic floor muscle groups after the abdominal pressure is increased, improves the recognition and judgment of the brain on the abdominal wall afferent signals, enhances the active regulation and control mechanism of the brain, and promotes the integral regulation and control of urination function nerves and muscles;
(3) Forming biofeedback information featuring localized somatosensory
Detecting pressure changes between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups through a pressure sensor, triggering vibration units near perineum of buttocks on two sides to vibrate, forming biofeedback information characterized by local somatosensory, and feeding back to the brain;
(4) The number of exercise cycles per day and the number of repeated exercises per day are set as clinically required.
The therapeutic apparatus is of an abdominal pressure triggering type and comprises a unit combination waistband 1, a main unit 2, a vibration unit and a power supply, wherein the main unit 2 and the vibration unit are arranged in the unit combination waistband 1 and are fixed on corresponding body surface parts of the lower abdomen; the host unit 2 controls the vibration unit to vibrate; the vibration unit can generate mechanical vibration simulating stress incontinence, and the frequency and the amplitude can be adjusted; after the brain receives vibration signals from the abdominal wall, the pelvic floor muscles are controlled to contract and relax, the contraction function accompanying the pelvic floor muscle group after the abdominal pressure is increased is improved, the recognition and judgment of the brain on the abdominal wall afferent signals are improved, the active regulation and control mechanism of the brain is activated, and the integral regulation and control of the urination function nerves and muscles is promoted.
The therapeutic apparatus is a abdominal pressure triggering type pressure urinary incontinence rehabilitation therapeutic apparatus, which is an abdominal pressure triggering biofeedback type combination and comprises a unit combination waistband 1, a main machine unit 2, a vibration unit, a perineum sensor accessory 10, a perineum pressure sensor 11, a perineum vibration unit 12 and a power supply;
the main unit 2 and the vibration unit are arranged in the unit combination waistband 1 and are fixed on the corresponding body surface part of the lower abdomen; the perineum pressure sensor 11 and the perineum vibration unit 12 are respectively arranged in the perineum sensor attachment 10 and are fixed at the positions of the buttocks cleft near the body surface of the perineum at two sides; the two ends of the perineum sensor accessory 10 are detachably connected with the unit combination waistband 1; the host unit 2 controls the vibration unit and the perineum vibration unit 12 to vibrate; the vibration unit can generate mechanical vibration simulating stress incontinence, and the frequency and the amplitude can be adjusted; after receiving vibration signals from the abdominal wall, the brain controls pelvic floor muscles to contract and relax, and pressure changes between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups are directly detected through a perineum pressure sensor 11 and transmitted to a host unit 2 to trigger a perineum vibration unit 12 to vibrate, so that biofeedback information characterized by local somatic sensation is formed and fed back to the brain.
The vibration units are three vibration units in the left, middle and right directions; the vibration mode is independent vibration, combined vibration or random vibration.
The power supply is an external power supply or a battery.
The host unit 2 may communicate with the computer system by wireless means.
The beneficial effects are that:
(1) Direct simulation of etiology: current pelvic floor muscle function rehabilitation exercise techniques are primarily directed to pelvic floor muscle portions, and there is no way to address stress incontinence triggers (i.e., increased abdominal pressure). The technology simulates the process of triggering rehabilitation exercise by increasing the abdominal pressure.
(2) Training brain sensitivity: the selective individual or combined stimulation of different parts of the abdominal wall can improve the sensitivity of the brain to the information transmitted from the stretch receptors at different parts of the abdominal wall, and the clinical technology is not the same.
(3) Strengthening brain active regulation: the brain is trained to respond to the etiology (abdominal pressure increase) judgment and then the pelvic floor muscle is contracted, so that the active regulation and control effect of the brain is enhanced, and the method is superior to the current clinical passive stimulation therapy and the training means which are not related to the abdominal pressure.
(4) Sensory feedback reinforcement: synchronizing auditory and perineal vibration feedback information may facilitate the ability of the brain to integrate the afferent information of the abdominal wall receptors and the pelvic floor muscle contractile function.
(5) Pelvic floor muscle contraction function detection long-term meaning: the function detection result can be used for evaluating the rehabilitation effect and can also be used as a basis for regulating system parameters.
(6) Domestic wearable: the product is portable, wearable and easy to operate, is convenient for users to repeatedly use in a home environment for a long time, meets the rehabilitation treatment requirement of patients with stress incontinence.
The invention represents the latest progress of stress incontinence rehabilitation treatment technology and equipment, and has wide clinical application value and profound social benefit. Related search shows that there is no similar technology and product at home and abroad.
Description of the drawings:
FIG. 1 is a schematic block diagram of an abdominal pressure trigger;
FIG. 2 is a schematic block diagram of an abdominal pressure triggered biofeedback type combination;
FIG. 3 is a schematic diagram of an abdominal pressure triggering type structure;
FIG. 4 is a schematic view of the front and back wearing of an abdominal pressure triggered therapeutic apparatus;
fig. 5 is a schematic structural diagram of an abdominal pressure triggering biofeedback type combination.
FIG. 6 is a schematic view of the front and back wearing of an abdominal pressure triggering biofeedback combination therapeutic instrument;
wherein: 1. a unit combination waistband; 2. a host unit; 3. a right vibration unit key; 4. middle or combined vibration unit keys; 5. a left vibration unit key; 6. a left vibration unit; 7. an intermediate vibration unit; 8. a right vibration unit; 9. a perineum sensor button and a buzzer; 10. perineum sensor attachment; 11. a perineal pressure sensor; 12 perineal vibration unit.
The specific embodiment is as follows:
the present invention will be described in detail with reference to the following examples.
1. The invention has the main functions of:
basic functional process:
the abdomen wall vibration unit vibrates, the brain receives the incoming information and sends out a motion instruction, the pelvic floor muscle group contracts, the vibration feedback of the auditory sense or the perineum after the contraction is finished, the intermittent time (the pelvic floor muscle group expands), and the cycle … … is sequentially carried out;
the single cycle time setting, the number of cycles per workout, the number of repeated workouts per day, etc. may be selected as desired clinically.
2. Basic function setting:
1) Independent vibration unit triggering type: the left, middle or right vibration unit is triggered independently;
2) Combined vibration unit triggering type: the three vibration units are combined and triggered simultaneously;
3) Random vibration unit triggering type: randomly selecting vibration units to trigger singly or in combination;
4) Pelvic floor muscle contractile function feedback: auditory feedback or perineum vibration feedback;
the product of the invention has two structural and functional combination modes, namely, abdominal pressure triggering type and abdominal pressure triggering biofeedback type combination. The product is wearable, rechargeable battery drive, easy operation, convenience of customers uses. The upgraded product has a wireless signal transmission function, realizes signal transmission with a computer system, and is used for evaluating rehabilitation exercise effects, adjusting parameters of an exercise method and processing big data in the future.
1) Abdominal pressure triggering type:
as shown in fig. 1, the unit combination waistband 1, a main unit 2, vibration units and a power supply, wherein the unit combination waistband 1 carries the main unit and the left, middle and right vibration units of the lower abdomen; the unit combination waistband 1 is embedded with signal connection lines among all functional units at the same time;
the main unit 2 and the vibration unit are arranged in the unit combination waistband 1 and are fixed on the corresponding body surface part of the lower abdomen; the main unit can respectively or simultaneously regulate and control the vibration of the three vibration units, the vibration units can generate physical vibration to stimulate the abdominal wall stretch receptors and generate mechanical vibration simulating the cause of the stress urinary incontinence (the increase of abdominal pressure), and the frequency and the amplitude can be regulated; after the brain receives vibration signals from the abdominal wall, the pelvic floor muscles are controlled to contract and relax, the contraction function accompanying the pelvic floor muscle group after the abdominal pressure is increased is improved, the recognition and judgment of the brain on the abdominal wall afferent signals are improved, the active regulation and control mechanism of the brain is activated, and the integral regulation and control of the urination function nerves and muscles is promoted.
2) Abdominal pressure triggered biofeedback combination:
as shown in fig. 2, the therapeutic apparatus is an abdominal pressure triggering biofeedback type combination, and comprises a unit combination waistband 1, a main unit 2, a vibration unit, a perineum sensor accessory 10, a perineum pressure sensor 11, a perineum vibration unit 12 and a power supply;
the main unit 2 and the vibration unit are arranged in the unit combination waistband 1 and are fixed on the corresponding body surface part of the lower abdomen; the method comprises the steps of carrying out a first treatment on the surface of the The main unit can respectively or simultaneously regulate and control the vibration of the three vibration units, the vibration units can generate physical vibration to stimulate the abdominal wall stretch receptors and generate mechanical vibration simulating the cause of the stress urinary incontinence (the increase of abdominal pressure), and the frequency and the amplitude can be regulated; the perineum pressure sensor 11 and the perineum vibration unit 12 are respectively arranged in the perineum sensor attachment 10 and are fixed at the positions of the buttocks cleft near the body surface of the perineum at two sides; two ends of the perineum sensor accessory 10 are connected with the front middle part and the rear middle part of the unit combination waistband 1 by using buttons; the host unit 2 controls the vibration unit and the perineum vibration unit 12 to vibrate;
after receiving the vibration signal from the abdominal wall, the brain controls the pelvic floor muscles to contract and relax, and the perineum pressure sensor 11 directly detects the pressure change between the bilateral buttocks generated by the contraction and the relaxation of the pelvic floor muscles, and transmits the signal to the host unit 2 to trigger the perineum vibration unit 12 to vibrate, wherein the perineum vibration unit vibrates (1 second) to indicate that the pelvic floor muscles complete a contraction process, and generates biofeedback information which is characterized by local somatosensory (vibration sense) to the brain. Biofeedback information featuring local somatosensory is formed and fed back to the brain.
The single cycle time setting, the number of cycles per workout, the number of repeated workouts per day, etc. may be selected as desired clinically.
In combination with the specific function setting, the layout function keys of the host unit are operated to execute the following functions:
pressing the right vibration unit key 3 once: the right vibration unit triggers a preset function independently; pressing the intermediate vibrating unit key 4 once: the middle vibration unit triggers a preset function independently; pressing the left vibration unit key 5 once: the left vibration unit triggers a preset function independently; pressing the combined vibration unit key 9 once: the left, middle and right vibration units trigger a preset function at the same time; pressing the combined vibration unit key 9 twice in succession: the preset functions of the left vibration unit, the middle vibration unit and the right vibration unit are randomly triggered.
Claims (5)
1. An abdominal pressure triggering type pressure urinary incontinence rehabilitation therapeutic apparatus is characterized in that: the therapeutic apparatus is of an abdomen pressure triggering type and comprises a unit combination waistband (1), a host unit (2), a vibration unit and a power supply, wherein the host unit (2) and the vibration unit are arranged in the unit combination waistband (1) and are fixed on corresponding body surface parts of the lower abdomen; the host unit (2) controls the vibration unit to vibrate; the vibration unit can generate mechanical vibration simulating stress incontinence, and the frequency and the amplitude can be adjusted; after the brain receives vibration signals from the abdominal wall, the pelvic floor muscles are controlled to contract and relax, the contraction function accompanying the pelvic floor muscle group after the abdominal pressure is increased is improved, the recognition and judgment of the brain on the signals transmitted from the abdominal wall are improved, the active regulation and control mechanism of the brain is activated, the integral regulation and control of urination function nerves and muscles is promoted, and the power supply supplies power for the units;
the therapeutic apparatus performs rehabilitation exercise by:
(1) Simulation of etiology: the vibration unit directly stimulates the abdominal wall stretch receptor by using mechanical vibration applied to the lower abdomen and conforming to physiological characteristics, and simulates the trigger factor of stress urinary incontinence;
(2) Training brain sensitivity and active regulation: after receiving vibration signals from the abdominal wall, the brain controls pelvic floor muscle to shrink, improves the contraction function accompanying pelvic floor muscle groups after the abdominal pressure is increased, improves the recognition and judgment of the brain on the abdominal wall afferent signals, enhances the active regulation and control mechanism of the brain, and promotes the integral regulation and control of urination function nerves and muscles;
(3) Forming biofeedback information featuring local somatosensory: detecting pressure changes between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups through a pressure sensor, triggering vibration units near perineum of buttocks on two sides to vibrate, forming biofeedback information characterized by local somatosensory, and feeding back to the brain;
(4) The number of exercise cycles per day and the number of repeated exercises per day are set as clinically required.
2. An abdominal pressure triggering type pressure urinary incontinence rehabilitation therapeutic apparatus is characterized in that: the therapeutic apparatus is a abdominal pressure triggering biofeedback type combination and comprises a unit combination waistband (1), a host unit (2), a vibration unit, a perineum sensor accessory (10), a perineum pressure sensor (11), a perineum vibration unit (12) and a power supply;
the main unit (2) and the vibration unit are arranged in the unit combination waistband (1) and are fixed on the corresponding body surface part of the lower abdomen; the perineum pressure sensor (11) and the perineum vibration unit (12) are respectively arranged in the perineum sensor accessory (10) and are fixed at the positions of the buttocks cleft near the body surface of the perineum at two sides; both ends of the perineum sensor accessory (10) are connected with the unit combination waistband (1) in a detachable manner; the main unit (2) controls the vibration unit and the perineum vibration unit (12) to vibrate; the vibration unit can generate mechanical vibration simulating stress incontinence, and the frequency and the amplitude can be adjusted; after receiving vibration signals from the abdominal wall, the brain controls pelvic floor muscles to contract and relax, a perineum pressure sensor (11) directly detects pressure changes between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups, and transmits the signals to a host unit (2) to trigger a perineum vibration unit (12) to vibrate, so as to form biofeedback information characterized by local somatosensory, and the biofeedback information is fed back to the brain, and a power supply supplies power for the unit;
the therapeutic apparatus performs rehabilitation exercise by:
(1) Simulation of etiology: the vibration unit directly stimulates the abdominal wall stretch receptor by using mechanical vibration applied to the lower abdomen and conforming to physiological characteristics, and simulates the trigger factor of stress urinary incontinence;
(2) Training brain sensitivity and active regulation: after receiving vibration signals from the abdominal wall, the brain controls pelvic floor muscle to shrink, improves the contraction function accompanying pelvic floor muscle groups after the abdominal pressure is increased, improves the recognition and judgment of the brain on the abdominal wall afferent signals, enhances the active regulation and control mechanism of the brain, and promotes the integral regulation and control of urination function nerves and muscles;
(3) Forming biofeedback information featuring local somatosensory: detecting pressure change between bilateral buttocks generated by contraction and relaxation of pelvic floor muscle groups through the perineum pressure sensor, triggering the perineum vibration units near the perineum at the two sides of the natal cleft to vibrate, forming biofeedback information characterized by local somatosensory, and feeding back to the brain;
(4) The number of exercise cycles per day and the number of repeated exercises per day are set as clinically required.
3. An abdominal pressure triggered stress urinary incontinence rehabilitation device as claimed in claim 1 or 2, wherein: the vibration units are three vibration units in the left, middle and right directions; the vibration mode is independent vibration, combined vibration or random vibration.
4. An abdominal pressure triggered stress urinary incontinence rehabilitation device as claimed in claim 1 or 2, wherein: the power supply is an external power supply or a battery.
5. An abdominal pressure triggered stress urinary incontinence rehabilitation device as claimed in claim 1 or 2, wherein: the host unit (2) is in signal communication with the computer system either by wire or wirelessly.
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| CN201910600837.2A CN110236922B (en) | 2019-07-04 | 2019-07-04 | Abdominal pressure triggering type pressure urinary incontinence rehabilitation method and therapeutic apparatus |
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| CN201910600837.2A CN110236922B (en) | 2019-07-04 | 2019-07-04 | Abdominal pressure triggering type pressure urinary incontinence rehabilitation method and therapeutic apparatus |
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| CN110236922A CN110236922A (en) | 2019-09-17 |
| CN110236922B true CN110236922B (en) | 2024-02-02 |
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| CN112315444A (en) * | 2020-11-27 | 2021-02-05 | 刘艳娟 | Induction type nursing system for preventing stress urinary incontinence |
| CN115969686A (en) * | 2023-01-31 | 2023-04-18 | 吉林大学 | Perineum vibration coupling type pelvic floor muscle group function rehabilitation training instrument |
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