CN113274025B - Adjusting system and method based on pelvic floor muscle symmetry test - Google Patents

Adjusting system and method based on pelvic floor muscle symmetry test Download PDF

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CN113274025B
CN113274025B CN202110541869.7A CN202110541869A CN113274025B CN 113274025 B CN113274025 B CN 113274025B CN 202110541869 A CN202110541869 A CN 202110541869A CN 113274025 B CN113274025 B CN 113274025B
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pelvic floor
electrode
muscle
test
data
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CN113274025A (en
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史志怀
杨瑞嘉
范璐
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Nanjing Medical Technology Co ltd
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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
    • A61B5/221Ergometry, e.g. by using bicycle type apparatus
    • 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
    • A61B5/221Ergometry, e.g. by using bicycle type apparatus
    • A61B5/222Ergometry, e.g. by using bicycle type apparatus combined with detection or measurement of physiological parameters, e.g. heart rate
    • 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
    • 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
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/20Exercising apparatus specially adapted for particular parts of the body for vaginal muscles or other sphincter-type muscles
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0075Means for generating exercise programs or schemes, e.g. computerized virtual trainer, e.g. using expert databases
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0087Electric or electronic controls for exercising apparatus of groups A63B21/00 - A63B23/00, e.g. controlling load
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06Indicating or scoring devices for games or players, or for other sports activities
    • A63B71/0619Displays, user interfaces and indicating devices, specially adapted for sport equipment, e.g. display mounted on treadmills
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06Indicating or scoring devices for games or players, or for other sports activities
    • A63B71/0619Displays, user interfaces and indicating devices, specially adapted for sport equipment, e.g. display mounted on treadmills
    • A63B71/0622Visual, audio or audio-visual systems for entertaining, instructing or motivating the user
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2230/00Measuring physiological parameters of the user
    • A63B2230/08Measuring physiological parameters of the user other bio-electrical signals
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02PCLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
    • Y02P90/00Enabling technologies with a potential contribution to greenhouse gas [GHG] emissions mitigation
    • Y02P90/30Computing systems specially adapted for manufacturing

Abstract

An adjustment system and method based on pelvic floor muscle symmetry testing, comprising: the system comprises a symmetrical electrode, a signal transmission unit, an analog-to-digital conversion unit, an information verification unit, a mobile hard disk, a main control unit and a touch screen; the symmetric electrode comprises two electrodes, each electrode is provided with a pair of positive electrode plates and a pair of negative electrode plates, the two electrodes are respectively and symmetrically arranged at the left side and the right side of the inner wall of the pelvic floor muscle, the symmetric electrode is connected with the analog-to-digital conversion unit through an electrode wire, the symmetric electrode is used for collecting electromyographic signals collected from the inner wall of the pelvic floor muscle, and the electromyographic signals are converted into digital signals through analog-to-digital conversion performed by the analog-to-digital conversion unit. The defect that misleading test results obtained by testing personnel with pelvic floor disorder in the prior art can influence the identification of conditioning personnel on a conditioning scheme is effectively avoided.

Description

Adjusting system and method based on pelvic floor muscle symmetry test
Technical Field
The invention relates to the technical field of pelvic floor muscle symmetry testing, in particular to an adjusting system and method based on pelvic floor muscle symmetry testing.
Background
Pelvic floor dysfunction is a phenomenon that the support of a female pelvic floor support tissue is weak due to degeneration, trauma and other factors, so that the pelvic floor dysfunction occurs. Whether the conditioning of pelvic floor dysfunction is dependent on whether the quality of life of the person whose pelvic floor dysfunction is to be tested is affected. Specifically, pelvic floor dysfunction mainly refers to pelvic floor related muscle relaxation or tension, or pelvic floor muscle injury caused by lumbar, sacral caudal or hip joint lesions, so that muscle function is reduced, namely, a series of problems caused by pelvic floor muscular dysfunction and pelvic floor support structure change and injury are not dysfunction caused by pelvic organ injury. Pelvic floor dysfunction aims at researching the measurement and treatment of inconvenience caused by the defect, damage and dysfunction of a pelvic floor supporting structure, and can realize early discovery, early intervention and early conditioning of problems such as vaginal relaxation through the test of pelvic floor muscles.
At present, the measurement of female pelvic floor muscles in the market is carried out by taking a vaginal electrode as a carrier and collecting myoelectric signal data of a female natural cavity channel such as vagina so as to judge the injury degree of the female pelvic floor muscles with different degrees or the related disorder of the pelvic floor muscles after sexual life or natural delivery; most of these electrodes are single channel vaginal or rectal electrodes, or pressure balloons, and the pelvic floor muscles are measured using Glazer's evaluation template.
In specific practice, it was found that some individuals with pelvic floor disorders such as urinary incontinence, when using this type of pelvic floor muscle evaluation, were either negative or weakly positive, and the Glazer evaluation module had the following measurement: the normal indexes of the front and back rest, the rapid contraction, the slow muscle and the like are all the normal indexes, and the indexes of endurance test are weaker; such misleading test results may affect the judgment of the management program by the nursing staff, and such staff with the pelvic floor disorder such as urinary incontinence, and some of the patients with the disorder improvement of urinary incontinence after 2 procedures of pelvic floor nursing are not ideal.
On the other hand, chinese patent with publication No. CN110916656a presents a multi-channel pelvic floor muscle measurement system, which has many channels, and the collected pelvic floor muscle groups are abundant, but the data collection and deduction modes are too simple, so that it is difficult to accurately locate the situation of the occurrence of the barrier muscle groups, and no intelligent advice is given to the conditioning personnel or the tested person after the actual use of each measurement result as a specific parameter and the evaluation of the measurement are finished.
Disclosure of Invention
In order to solve the problems, the invention provides the adjusting system and the adjusting method based on the pelvic floor muscle symmetry test, which effectively avoid the defect that misleading test results obtained by testing personnel to be tested for pelvic floor disorders in the prior art influence the identification of adjusting personnel on the adjusting scheme.
In order to overcome the defects in the prior art, the invention provides a solution of an adjusting system and method based on pelvic floor muscle symmetry test, which comprises the following specific steps:
an adjustment system based on pelvic floor muscle symmetry testing, comprising:
the system comprises a symmetrical electrode, a signal transmission unit, an analog-to-digital conversion unit, an information verification unit, a mobile hard disk, a main control unit and a touch screen;
the symmetric electrode comprises two electrodes, each electrode is provided with a pair of positive electrode plates and a pair of negative electrode plates, the two electrodes are respectively and symmetrically arranged at the left side and the right side of the inner wall of the pelvic floor muscle, the symmetric electrode is connected with the analog-to-digital conversion unit through an electrode wire, the symmetric electrode is used for collecting electromyographic signals collected from the inner wall of the pelvic floor muscle, and the electromyographic signals are converted into digital signals through analog-to-digital conversion performed by the analog-to-digital conversion unit;
An EEPROM memory chip is arranged in the symmetrical electrode, the EEPROM memory chip is also connected with a main control unit through a signal transmission unit, and the information verification unit operates on the main control unit;
after the primary regulation based on pelvic floor muscle symmetry test is executed, the main control unit encrypts the residual use times of the symmetry electrode through the information verification unit and transmits the encrypted residual use times into an EEPROM memory chip in the symmetry electrode through the signal transmission unit.
The main control unit is electrically connected with the analog-to-digital conversion unit, so that the electromyographic signals can be converted into digital signals through analog-to-digital conversion performed by the analog-to-digital conversion unit and then sent to the main control unit for processing conversion;
the mobile hard disk and the touch screen are electrically connected with the main control unit, so that the processing conversion result can be sent to the mobile hard disk for storage, and the mobile hard disk comprises a database which is used for recording data generated in the adjusting process based on pelvic floor muscle symmetry test in the processing conversion result, a measurement result serving as an evaluation result and training scheme suggestion information;
the touch screen is used for providing a man-machine interaction page based on adjustment of pelvic floor muscle symmetry test;
A method of adjusting a system based on pelvic floor muscle symmetry testing, comprising:
step 1: entering information of personnel to be tested for pelvic floor disorders;
the method for inputting information of personnel to be tested for pelvic floor disorders comprises the following steps: inputting basic information of a person to be tested for pelvic floor disorder on a touch screen, wherein the basic information comprises hand detection data, and the hand detection data comprises POP-Q data of the person to be tested for pelvic floor disorder and muscle strength grade data of pelvic floor muscles, which are detected by hands of a coordinating person;
step 2: checking the symmetry electrode;
the method for checking the symmetrical electrode comprises the following steps: the main control unit reads information in each electrode in the symmetrical electrodes through the information verification unit, wherein the information in each electrode comprises the following components: factory numbers, electrode types and user identity information of the electrodes serving as unique numbers; if the electrode is a repetitive electrode, the information in the electrode also comprises the allowable maximum use times and the use times of the electrode; the user identity information is empty, which indicates that the electrode is not used, and whether the factory number serving as the unique number is used by other people or not is searched in the data storage unit through the factory number serving as the unique number, and if the factory number serving as the unique number is used by the other people, verification fails; if the user identification information is not used by other people and matched with the user, the user identification information of the corresponding user is written into an EEPROM storage chip in the electrode through the signal transmission unit, so that the user identification information can be used for special identification of the special person;
The electrode type indicates whether the electrode is a disposable or reusable type, and the electrode type is used for identifying whether the electrode is disposable or reusable; the disposable electrode is mainly used for testing pelvic floor muscles; the reusable electrode is mainly provided for users to use when doing training, and can be used for a long time in the effective period and within the specified repetition times, so that the effective period and the use times of the electrode need to be controlled; the information checking unit checks whether the information is valid or not before each test, and the information checking unit can enter the subsequent steps after checking the information is valid;
after the electrode is used once, the main control unit can automatically subtract and encrypt the using times information of the electrode through the signal transmission unit and then write the information back into the EEPROM memory chip in the electrode.
Step 3: executing an evaluation flow and obtaining an evaluation result;
the method for executing the evaluation flow comprises the following steps:
step 3-1: a warm-up stage;
the warm-up phase is divided into two parts:
one part of the warm-up phase is: pelvic floor muscles are distinguished and positioned; the method for distinguishing and positioning pelvic floor muscles comprises the following steps: the main control unit issues a first command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the left side through the signal transmission unit, then gradually increases current to a person with the pelvic floor disorder to be tested so as to feel that the left muscle has a contraction feeling, and then issues a second command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the right side through the signal transmission unit so as to gradually increase current to a person with the pelvic floor disorder to be tested so as to feel that the right muscle has a contraction feeling; after a person to be tested for pelvic floor disorder senses pelvic floor muscles, disconnecting the output of the electric stimulation signals; thus, a person to be tested for pelvic floor disorder can know that the position of pelvic floor muscles can actively mobilize the pelvic floor muscles in the test stage;
Another part of the warm-up phase is: pelvic floor muscle contraction exercise; the pelvic floor muscle contraction exercise gives a preset warm-up template; performing pelvic floor muscle contraction exercise in 2 minutes in a circulating manner according to a preset warming template, and directly entering into formal evaluation after 2 minutes; if the person to be tested for pelvic floor disorder has mastered the pelvic floor muscle contraction and relaxation skills within 2 minutes, the person to be conditioned can be informed to stop warming at any time, and the subsequent formal evaluation stage is entered.
Step 3-2: testing front rest;
the front rest test is a continuous 1-minute front rest test, wherein the first 30 seconds is used for rest after the heat of a person to be tested for pelvic floor disorder and is not used for record evaluation; the main control unit calculates the average value of myoelectricity digital signals transmitted to the main control unit within 30 seconds, and the calculation formula is shown in the following formula group (1), so that front rest data corresponding to the myoelectricity signals collected by the two electrodes at the left and right sides are respectively obtained:
Figure SMS_1
Figure SMS_2
(1)
EMG2avg (Left) and EMG2avg (Right) are respectively the front rest data corresponding to the electromyographic signals collected by the two electrodes on the Left and Right sides;
step 3-3: MVC collection test;
the MVC collection test method comprises the following steps: the person to be tested for pelvic floor disorder rapidly contracts the pelvic floor muscle continuously for 4 times, the time interval between each contraction is 10 seconds, the time of each rapid contraction lasts for 1 second, and the resting value of the pelvic floor muscle is relaxed; then the main control unit calculates the electromyographic signals collected by the two electrodes at the left side and the right side during the period of continuously and rapidly contracting the pelvic floor muscles for 4 times for the personnel to be tested for pelvic floor disorders, and the way for calculating the electromyographic signals collected by the electrodes at each side comprises the following steps:
The main control unit firstly obtains the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of 4 myoelectric digital signals in four rapid contraction stages, and then respectively obtains the average value MEG3Max of the maximum value EMG3Max [ 1-4 ] and the average value MEG3Min of the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals according to the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals, wherein the average value MEG3Min is shown in the following formula (2) and the formula (3):
EMG3Max = (Max(Data[62* FS ]~ Data[66* FS ])+ Max(Data[67* FS ]~ Data[71* FS ])+ Max(Data[72* FS ]~ Data[76* FS ])+ Max(Data[77* FS ]~Time Data[81* FS ]))/4 (2)
EMG3Min = (Min(Data[62* FS ]~ Data[66* FS ])+ Min(Data[67* FS ]~ Data[71* FS ])+ Min(Data[72* FS ]~ Data[76* FS ])+ Min(Data[77* FS ]~Time Data[81* FS ]))/4 (3)
wherein, EMG3Max is the maximum value of the subsequent stage MVC, and EMG3Min is the minimum value of the subsequent stage MVC.
Step 3-4: performing a endurance test to maintain shrinkage;
the endurance test for performing the keeping shrinkage is to continuously shrink the pelvic floor muscles of the person to be tested for pelvic floor disorder for 60 seconds from the 90 th second of the formal evaluation stage, and then the main control unit calculates the electromyographic signals collected by the left electrode and the right electrode during the endurance test for the person to be tested for pelvic floor disorder, wherein the calculation method of the electromyographic signals collected by the electrodes on each side comprises the following steps:
the main control unit firstly obtains a endurance maximum value EMG4Max in the endurance test for executing the keeping shrinkage, wherein the endurance maximum value EMG4Max is the maximum value of myoelectricity digital signals transmitted to the main control unit in the endurance test for executing the keeping shrinkage;
Calculating the time from the rise of the endurance muscle to EMG4 Max;
dividing the process of executing the endurance test of keeping shrinkage into 3 sections, namely a front section, a middle section and a rear section;
respectively calculating the average value of myoelectric digital signals of the front section, the middle section and the rear section, wherein the average value of the myoelectric digital signals of the front section, the middle section and the rear section is EMG4avgAS, EMG4avgMS and EMG4avgPS respectively;
step 3-5: continuous 5 slow muscle contraction tests;
the method for continuously testing the slow muscle contraction for 5 times comprises the following steps: after the endurance test for keeping the shrinkage is finished, the personnel to be tested for pelvic floor disorder rest for 10 seconds, the personnel to be tested for pelvic floor disorder starts to perform shrinkage relaxation test for 5 times continuously from 160 th seconds in the formal evaluation stage, the cycle of one shrinkage relaxation test is 10 seconds, each shrinkage state is kept for 5 seconds, the interval time between every two adjacent shrinkage relaxation tests is 4s, then the main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 5-time slow muscle shrinkage test for the personnel to be tested for pelvic floor disorder, and the manner for calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
the main control unit records the effective shrinkage times EMG5Count; the effective shrinkage is defined as: the average value of myoelectric digital signals of the endurance test for which the holding shrinkage is performed is taken as reference data EMG4avgAS, and more than 75% of the myoelectric digital signals are held above 70% of the EMG4avgAS in the duration of shrinkage of 5 seconds.
Step 3-6: 10 consecutive fast muscle contraction tests;
the method for continuously testing the rapid muscle contraction for 10 times comprises the following steps: the method comprises the steps of resting for 10 seconds after the continuous 5 times of slow muscle contraction test is finished, performing continuous 10 times of rapid contraction relaxation test from 216 th second in a formal evaluation stage, wherein a rapid contraction relaxation period is 5 seconds, a person to be tested for pelvic floor disorders finishes contraction relaxation actions as much as possible within 1 second, each contraction template has an interval of 4 seconds, then a main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 10 times of rapid muscle contraction test for the person to be tested for pelvic floor disorders, and the manner of calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
the main control unit records the effective shrinkage times EMG6Count; the effective shrinkage is defined as: the maximum value EMG6Max of the electromyographic signals in each rapid contraction stage is calculated by taking the electromyographic signals collected in each rapid muscle contraction test as reference data, and EMG6Max > =85% EMG3Max is an effective contraction.
Step 3-7: cough reflex test was performed 3 times in succession;
the method for continuously testing the cough reflex comprises the following steps: the method comprises the steps of resting 10 seconds after the end of continuous 10 times of fast muscle contraction tests, and conducting cough reflex tests continuously 3 times from the 272 th second of a formal evaluation stage, namely playing voice prompts as touch screens of a human-computer interaction system in the 273 th second, 278 th second and 283 th second of the formal evaluation process to cough people with pelvic floor disorders, then calculating electromyographic signals collected by two electrodes on the left side and the right side of the period of the continuous 3 times of cough reflex tests for the people with pelvic floor disorders by a main control unit respectively, wherein the mode of calculating the electromyographic signals collected by the electrodes on each side comprises obtaining maximum values EMG7Max1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test according to a formula group (4), and obtaining maximum values EMG7MaxAvg 1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test:
EMG7Max1 = Max(Data[273* FS ]~ Data[277* FS ]);
EMG7Max2= Max(Data[278* FS ]~ Data[282* FS ]);
EMG7Max3= Max(Data[283* FS ]~ Data[287* FS ]);
EMG7MaxAvg = (EMG7Max1+ EMG7Max2+ EMG7Max3)/3 (4);
The EMG7MaxAvg includes a maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode and a maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, and whether the left pelvic floor muscle and the right pelvic floor muscle have active contraction phenomenon or not is checked according to the maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode of the EMG7MaxAvg and the maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, respectively, if the active contraction is obvious, the pelvic floor muscle support function is normal when the cough or the general body is active, so that the contraction reflection is obvious, the condition of cough leakage may not occur, if the active contraction is not obvious, the reflection of the pelvic floor muscle on the cough is weak, and the occurrence probability of urinary incontinence in life is obviously increased.
Step 3-8: post-rest testing;
the method of the post-rest test is the same as that of the pre-rest test, so that post-rest data EMG8Avg is obtained, the post-rest data EMG8Avg comprises EMG8avgEMG2Avg (Left) and EMG2Avg (Right), and the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the post-rest data corresponding to the electromyographic signals collected by the two electrodes on the Left side and the Right side, namely the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the average value of the electromyographic signals collected by the two electrodes on the Left side and the Right side in the post 30 seconds of the post-rest test stage.
Step 3-9: giving an evaluation result.
The evaluation result includes:
a resting average value comprising: front rest data EMG2avg (Left) and EMG2avg (Right), rear rest data EMG8avg (Left) and EMG8avg (Right);
the MVC collection test stage, the execution of the endurance test of the holding shrinkage and the EMG3Max as the maximum value of the MVC in the subsequent stage among the continuous 10 times of the fast muscle shrinkage test, the EMG3Min as the minimum value of the MVC value in the subsequent stage, the time when the endurance muscle strength rises to EMG4Max, the number of valid shrinkage EMG6Count;
number of effective contractions in 5 consecutive slow muscle contraction tests EMG5Count;
average values of myoelectric digital signals of three sections, namely a front section, a middle section and a rear section, for evaluating endurance performance are respectively EMG4avgAS, EMG4avgMS and EMG4avgPS;
maximum average EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and maximum average EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode in the consecutive 3 cough reflex test phases.
Step 4: and evaluating the data on the adjusting unit flow of the nursing scheme.
The method for adjusting the system based on pelvic floor muscle symmetry test further comprises the following steps: and adjusting the nursing scheme according to the evaluation result.
The adjusting process of the nursing scheme according to the evaluation result comprises the following steps:
firstly, a ratio of one RatioEMG4avg and a ratio of two RatioEMG3Max are obtained through a formula (5) and a formula (6): ratio EMG4 avg=avg (EMG 4avgAS (left), EMG4avgMS (left), EMG4avgPS (left))/Avg (EMG 4avgAS (right), EMG4avgMS (right), EMG4avgPS (right)); (5)
RatioEMG3Max = EMG3Max(left)/EMG3Max(right); (6)
If RatioEMG4avg is more than 1.2 or RatioEMG4avg is less than 0.8, the left-right symmetry of the muscle force of the class I is poor, and if RatioEMG3Max is more than 1.2 or RatioEMG3Max is less than 0.8, the left-right symmetry of the muscle force of the class II is poor;
when the bilateral symmetry of the type I muscle and the type II muscle is outside the normal value, training a fast muscle template and a slow muscle template by using the Kegel template in the first 5 times in the first nursing process, or training slow muscle and fast muscle by combining the templates with a preset multimedia game for optimizing vision and interaction on a touch screen, wherein the calculation mode of the slow muscle time proportion t is shown as a formula (7), a formula (8) and a formula (9):
if ratio emg4avg < = 1.2 and ratio emg4avg > = 0.8, keeping the original care plan unchanged;
if ratio g4avg >1.2 and ratio g4avg < = 2, then t = 30 x (2-ratio g4 avg) minutes; (7)
If ratio of 4avg <0.8 and ratio of 4avg > =0.5, then t=30 (1-ratio of 4 avg) minutes; (8)
If ratio emg4avg <0.5 or ratio emg4avg >2, then t=30 minutes; (9)
Then the initial fast muscle template height, i.e. the first round fast muscle training value EMGMax (1) is obtained by formula (10):
EMGMax(1) = Max(EMG3Max(left), EMG3Max(right)) (10);
thus, the first fast muscle template height is 60% EMGMax, the second fast muscle template height = 70% EMGMax, and the third fast muscle template height = 80% EMGMax; the middle interval of the fast muscle template is 8 seconds; rising for 1 second, and recovering for 1 second;
the initial slow muscle template height is then obtained by equation (11) as the first-round slow muscle training value EMGAvg (1):
EMGAvg(1)= Max(Avg(EMG4avgAS(left), EMG4avgMS(left), EMG4avgPS(left)) ,Avg(EMG4avgAS(right), EMG4avgMS(right), EMG4avgPS(right))) (11)
thus, the first slow muscle template height is 40% EMGAvg, the second slow muscle template height = 50% EMGAvg, and the third slow muscle template height = 60% EMGAvg; the middle of the template is spaced 8 seconds apart; rising for 1 second, and recovering for 1 second;
after one round of training, the next round of training value is adjusted according to the last training value, namely, the n-th round of fast muscle training value EMGMax (n) =EMGMax (n-1) ×1.2; EMGAvg (n) =emgavg (n-1) ×1.2, where n is a positive integer greater than 2.
The beneficial effects of the invention are as follows:
the defect that misleading test results obtained by testing personnel with pelvic floor disorder in the prior art can influence the identification of conditioning personnel on a conditioning scheme is effectively avoided.
Drawings
FIG. 1 is a partial flow chart of a method of the pelvic floor muscle symmetry test-based conditioning system of the present invention.
Fig. 2 is a schematic diagram of the endurance of the present invention performing endurance test of holding shrinkage.
Detailed Description
In specific practice, it was found that some individuals with pelvic floor disorders such as urinary incontinence, when using this type of pelvic floor muscle evaluation, were either negative or weakly positive, and the Glazer evaluation module had the following measurement: the normal indexes of the front and back rest, the rapid contraction, the slow muscle and the like are all the normal indexes, and the indexes of endurance test are weaker; such misleading test results may affect the judgment of the management program by the nursing staff, and such staff with the pelvic floor disorder such as urinary incontinence, and some of the patients with the disorder improvement of urinary incontinence after 2 procedures of pelvic floor nursing are not ideal.
From the structural point of view of the pelvic floor muscle, one of the most important functions of the pelvic floor muscle: organ support functions. The pelvic floor muscles support pelvic organs just like a hammock, so that the pelvic floor muscles support the pelvic organs, the bladder, the uterus and the rectum in a relatively stable structure can be maintained, and the pelvic organs, the bladder, the uterus and the rectum can not fall out of the body under the action of the gravity of the earth; the pelvic floor disorder is just like urinary incontinence, organ prolapse, but not the pelvic floor muscles at both sides are damaged to cause abnormal functions, most of the pelvic floor muscles are willing to be weak in functions of one of the two sides, the traditional single-channel electrode or multi-channel electrode is used for testing, the muscle expressive ability of the problematic part is covered by one healthy side, the phenomenon is unclear, the conditioning scheme determined by conditioning personnel is deviated, and the conditioning effect is unsatisfactory, so the two-channel symmetrical electrode provided by the invention is used for evaluating the left and right muscle force values of the pelvic floor muscles at one time, and more accurate measurement and evaluation indexes of the pelvic floor muscles at both sides are obtained through a set of data analysis and calculation system.
The invention will be further described with reference to the drawings and examples.
As shown in fig. 1 and 2, the pelvic floor muscle symmetry test-based conditioning system comprises:
the system comprises a symmetrical electrode, a signal transmission unit, an analog-to-digital conversion unit, an information verification unit, a mobile hard disk, a main control unit and a touch screen;
the symmetric electrode comprises two electrodes, each electrode is provided with a pair of positive electrode plates and a pair of negative electrode plates, the two electrodes are respectively and symmetrically arranged at the left side and the right side of the pelvic floor muscle inner wall of a person to be tested for pelvic floor disorder, the symmetric electrode is connected with the analog-to-digital conversion unit through an electrode wire, the symmetric electrode is used for collecting electromyographic signals collected from the pelvic floor muscle inner wall, and the electromyographic signals are converted into digital signals through the analog-to-digital conversion unit;
an EEPROM memory chip is arranged in the symmetrical electrode, the EEPROM memory chip is also connected with a main control unit through a signal transmission unit, and the information verification unit operates on the main control unit; the main control unit reads the unique code corresponding to the symmetric electrode through the information verification unit, and verifies the related information of the symmetric electrode through the information verification unit, wherein the related information comprises the following components: factory number, electrode type, maximum permitted number of uses and rechecking the number of residual uses of the symmetric electrode; the master control unit can be a single chip microcomputer. The signal transmission unit can be a signal line.
After the primary regulation based on pelvic floor muscle symmetry test is executed, the main control unit encrypts the residual use times of the symmetry electrode through the information verification unit and transmits the encrypted residual use times into an EEPROM memory chip in the symmetry electrode through the signal transmission unit. The encryption method can be a DES algorithm.
The main control unit is electrically connected with the analog-to-digital conversion unit, so that the electromyographic signals can be converted into digital signals through analog-to-digital conversion performed by the analog-to-digital conversion unit and then sent to the main control unit for processing conversion;
the mobile hard disk and the touch screen are electrically connected with the main control unit, so that the processing conversion result can be sent to the mobile hard disk for storage, and the mobile hard disk comprises a database which is used for recording data generated in the adjusting process based on pelvic floor muscle symmetry test in the processing conversion result, a measurement result serving as an evaluation result and training scheme suggestion information;
the touch screen is used for providing a man-machine interaction page based on adjustment of pelvic floor muscle symmetry test;
a method of adjusting a system based on pelvic floor muscle symmetry testing, comprising:
using a symmetric electrode as a dual-channel electrode to perform an adjusting flow based on pelvic floor muscle symmetry test:
Step 1: entering information of personnel to be tested for pelvic floor disorders;
the method for inputting information of personnel to be tested for pelvic floor disorders comprises the following steps: inputting basic information of a person to be tested for pelvic floor disorder on a touch screen, wherein the basic information comprises hand detection data, and the hand detection data comprises POP-Q data of the person to be tested for pelvic floor disorder and muscle strength grade data of pelvic floor muscles, which are detected by hands of a coordinating person;
step 2: checking the symmetry electrode;
the method for checking the symmetrical electrode comprises the following steps: the symmetrical electrodes are connected with an information verification unit through a signal transmission unit, and the information verification unit is connected with a main control unit; the main control unit reads information in each electrode in the symmetrical electrodes through the information verification unit, wherein the information in each electrode comprises the following components: the electrode is used as the factory number, the electrode type and the user identity information of the unique number; if the electrode is a repetitive electrode, the information in the electrode also comprises the allowable maximum use times and the use times of the electrode; the user identity information is empty, which indicates that the electrode is not used, and whether the factory number serving as the unique number is used by other people or not is searched in the data storage unit through the factory number serving as the unique number, and if the factory number serving as the unique number is used by the other people, verification fails; if the user identification information is not used by other people and matched with the user, the user identification information of the corresponding user is written into an EEPROM storage chip in the electrode through the signal transmission unit, so that the user identification information can be used for special identification of the special person; the adjusting system based on pelvic floor muscle symmetry test further comprises a server in the WLAN, the main control unit is also in the WLAN, the main control unit is connected with the WIFI module, the main control unit is connected with the server through the WIFI module, a data storage unit is arranged in the server, and information on whether a factory number is used by a person or not is arranged in the data storage unit.
The electrode type indicates whether the electrode is a disposable or reusable type, and the electrode type is used for identifying whether the electrode is disposable or reusable; the disposable electrode is mainly used for testing pelvic floor muscles, and is disposable to avoid cross infection; the reusable electrode is mainly provided for users to use when doing training, and can be used for a long time in the effective period and within the specified repetition times, so that the effective period and the use times of the electrode need to be controlled; the information checking unit checks whether the information is valid or not before each test, and the information checking unit can enter the subsequent steps after checking the information is valid; the method for checking whether the information is valid is to compare the valid period of the electrode with the current time, and if the valid period of the electrode does not exceed the current time, the valid period of the electrode is indicated; and comparing whether the use times of the electrodes are zero, and if the use times are greater than zero, indicating that the use times of the electrodes are effective.
After the electrode is used once, the main control unit can automatically subtract and encrypt the information of the using times of the electrode through the signal transmission unit and then write the information back into the EEPROM memory chip in the electrode.
Step 3: executing an evaluation flow;
the method for executing the evaluation flow comprises the following steps:
step 3-1: a warm-up stage;
it may not be clear to the user who first performed the pelvic floor screening of the pelvic floor muscle position, and how to use the pelvic floor muscle for contraction and relaxation, it is necessary to perform the warming up phase; the warm-up phase is divided into two parts:
one part of the warm-up phase is: pelvic floor muscles are distinguished and positioned; the method for distinguishing and positioning pelvic floor muscles comprises the following steps: the main control unit issues a first command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the left side through the signal transmission unit, then gradually increases current to a person with the pelvic floor disorder to be tested so as to feel that the left muscle has a contraction feeling, and then issues a second command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the right side through the signal transmission unit so as to gradually increase current to a person with the pelvic floor disorder to be tested so as to feel that the right muscle has a contraction feeling; after a person to be tested for pelvic floor disorder senses pelvic floor muscles, disconnecting the output of the electric stimulation signals; thus, a person to be tested for pelvic floor disorder can know that the position of pelvic floor muscles can actively mobilize the pelvic floor muscles in the test stage; all of the gradual increases here are increases of 0.5mA per second.
Another part of the warm-up phase is: pelvic floor muscle contraction exercise; the pelvic floor muscle contraction exercise gives a preset warming template, the warming template comprises a template for quickly contracting and quickly expanding the pelvic floor muscle and a template for slowly contracting and slowly expanding the pelvic floor muscle, and the template for quickly contracting and quickly expanding the pelvic floor muscle and the template for slowly expanding the pelvic floor muscle are respectively used for quickly contracting and quickly expanding the pelvic floor muscle and slowly expanding the pelvic floor muscle according to the set frequency for zooming the pelvic floor muscle; performing pelvic floor muscle contraction exercise in 2 minutes in a circulating manner according to a preset warming template, and directly entering into formal evaluation after 2 minutes; if the person to be tested for pelvic floor disorder has mastered the pelvic floor muscle contraction and relaxation skills within 2 minutes, the person to be conditioned can be informed to stop warming at any time, and the subsequent formal evaluation stage is entered.
Step 3-2: testing front rest;
the front rest test is a continuous 1-minute front rest test, wherein the first 30 seconds is used for rest after the heat of a person to be tested for pelvic floor disorder and is not used for record evaluation; the main control unit calculates the average value of myoelectric digital signals transmitted to the main control unit within 30 seconds (Time 30-Time 60), wherein the myoelectric digital signals are myoelectric signals of a person to be tested for pelvic floor disorder, collected by two electrodes in the symmetrical electrodes, converted into digital signals by the analog-to-digital conversion unit, and the front rest data corresponding to the myoelectric signals collected by the two electrodes at the left and right sides are respectively obtained as shown in the following formula (1):
Figure SMS_3
Figure SMS_4
(1)
EMG2avg (Left) and EMG2avg (Right) are respectively the front rest data corresponding to the electromyographic signals collected by the two electrodes on the Left and Right,Time60-Ttime 30 represents the number of sampling data from 30 th to 60 th seconds;Ttime 30 represents the 30 th second,Ttime 60 represents the 60 th second,iis a positive integer which is used for the preparation of the high-voltage power supply,
Figure SMS_5
the sum of the sampled data of the left electrode from the 30 th second to the 60 th second is shown, dataLeft #i) A time period from 30 seconds to 60 seconds for sampling the left electrodeiData of->
Figure SMS_6
The sum of the sampled data of the period from 30 seconds to 60 seconds of the right electrode is shown, dataRight #i) A time period from 30 seconds to 60 seconds is represented as a time period for sampling the right electrodeiData;
step 3-3: MVC collection test;
the MVC collection test method comprises the following steps: the personnel to be tested for pelvic floor disorder continuously and rapidly shrink the pelvic floor muscles for 4 times, the time interval between every two contractions is 10 seconds, and the time of each rapid contraction lasts for 1 second, so that the pelvic floor muscles can be forcefully and rapidly shrunk, the maximum value of myoelectric digital signals can be reached at the fastest speed, and the resting value of the pelvic floor muscles can be further relaxed; then the main control unit calculates the electromyographic signals collected by the two electrodes at the left side and the right side during the period of continuously and rapidly contracting the pelvic floor muscles for 4 times for the personnel to be tested for pelvic floor disorders, and the way for calculating the electromyographic signals collected by the electrodes at each side comprises the following steps:
The main control unit firstly calculates the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of 4 myoelectric digital signals in four rapid contraction stages, and then calculates the average value MEG3Max of the maximum value EMG3Max [ 1-4 ] and the average value MEG3Min of the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals according to the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals respectively, wherein the average value MEG3Min is shown in the following formula (2) and the formula (3):
EMG3Max = (Max(Data[62* FS ]~ Data[66* FS ])+ Max(Data[67* FS ]~ Data[71* FS ])+ Max(Data[72* FS ]~ Data[76* FS ])+ Max(Data[77* FS ]~Time Data[81* FS ]))/4 (2)
EMG3Min = (Min(Data[62* FS ]~ Data[66* FS ])+ Min(Data[67* FS ]~ Data[71* FS ])+ Min(Data[72* FS ]~ Data[76* FS ])+ Min(Data[77* FS ]~Time Data[81* FS ]))/4 (3)
wherein, EMG3Max is the maximum value of the subsequent stage MVC, and EMG3Min is the minimum value of the subsequent stage MVC. MVC represents a maximum value and a minimum value. Data [ k x FS ] represents the set of electromyographic signals collected by the electrodes within one second from the kth second of the whole formal evaluation phase, k represents the kth second of the whole formal evaluation phase, FS is the sampling rate of electrodes per second; k is a positive integer. The Max function represents the maximum value of the data in brackets, and the Min function represents the minimum value of the data in brackets.
Step 3-4: performing a endurance test to maintain shrinkage;
the endurance test for performing the keeping shrinkage is to continuously shrink the pelvic floor muscles of the person to be tested for pelvic floor disorder for 60 seconds from the 90 th second of the formal evaluation stage, and then the main control unit calculates the electromyographic signals collected by the left electrode and the right electrode during the endurance test for the person to be tested for pelvic floor disorder, wherein the calculation method of the electromyographic signals collected by the electrodes on each side comprises the following steps:
The main control unit firstly calculates and obtains a endurance maximum value EMG4Max in the endurance test for executing the keeping shrinkage, wherein the endurance maximum value EMG4Max is the maximum value of myoelectricity digital signals transmitted to the main control unit in the endurance test for executing the keeping shrinkage;
calculating the time from the rise of the endurance muscle to EMG4 Max;
as shown in fig. 2, between AB is type II muscle performance, while BC phase plateau is type I muscle performance; time4Max endurance stage rise Time is the reaction rate of type II muscle; the type II muscle refers to fast muscle which is mainly muscle fiber for controlling the fast movement of pelvic floor muscles, and the fiber has high pumping speed and instant strength foot; type I muscle refers to slow muscle, also known as excitatory muscle fiber;
the procedure of performing the endurance test of keeping shrinkage is divided into 3 sections, namely, a front section (the procedure from 93 th to 112 th of the formal evaluation stage), a middle section (the procedure from 112 th to 131 th of the formal evaluation stage), and a rear section (the procedure from 131 th to 150 th of the formal evaluation stage);
respectively calculating the average value of myoelectric digital signals of the front section, the middle section and the rear section, wherein the average value of the myoelectric digital signals of the front section, the middle section and the rear section is EMG4avgAS, EMG4avgMS and EMG4avgPS respectively;
After long-time contraction, the contraction capacity of the muscle can be reduced along with the time, and the reduction trend of insufficient muscle strength is obvious; EMG4avgAS, EMG4avgMS and EMG4avgPS respectively represent the average value of muscle strength in the front, middle and rear stages of the endurance stage, and if the EMG4avgAS, the EMG4avgMS and the EMG4avgPS show obvious muscle strength reduction, the pelvic floor muscle has muscle fatigue in the endurance stage;
for example, pelvic floor muscle input obtained during the performance of the endurance test herein to maintain contractility is shown in table 1 below:
TABLE 1
Figure SMS_7
In this table, the reference value indicates a normal value, and after performing the endurance test for keeping the contraction, it can be concluded that the right pelvic floor muscle is more normal than the left pelvic floor muscle in the endurance test phase for keeping the contraction.
Step 3-5: continuous 5 slow muscle contraction tests;
the method for continuously testing the slow muscle contraction for 5 times comprises the following steps: after the endurance test for keeping the shrinkage is finished, the personnel to be tested for pelvic floor disorder rest for 10 seconds, the personnel to be tested for pelvic floor disorder starts to perform shrinkage relaxation test for 5 times continuously from 160 th seconds in the formal evaluation stage, the cycle of one shrinkage relaxation test is 10 seconds, each shrinkage state is kept for 5 seconds, the interval time between every two adjacent shrinkage relaxation tests is 4s, then the main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 5-time slow muscle shrinkage test for the personnel to be tested for pelvic floor disorder, and the manner for calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
The main control unit records the effective shrinkage times EMG5Count; the effective shrinkage is defined as: the average value of myoelectric digital signals of the endurance test for which the holding shrinkage is performed is taken as reference data EMG4avgAS, and more than 75% of the myoelectric digital signals are held above 70% of the EMG4avgAS in the duration of shrinkage of 5 seconds.
For example, the results of the 5 consecutive slow muscle contraction tests are shown in table 2 below:
TABLE 2
Figure SMS_8
In this table, the reference value represents a normal value, and after performing the slow muscle contraction test 5 times in succession, it can be concluded that the right pelvic floor muscle is more normal than the left pelvic floor muscle in the slow muscle contraction test period 5 times in succession.
Step 3-6: 10 consecutive fast muscle contraction tests;
the method for continuously testing the rapid muscle contraction for 10 times comprises the following steps: the method comprises the steps of resting for 10 seconds after the continuous 5 times of slow muscle contraction test is finished, performing continuous 10 times of rapid contraction relaxation test from 216 th second in a formal evaluation stage, wherein a rapid contraction relaxation period is 5 seconds, a person to be tested for pelvic floor disorders finishes contraction relaxation actions as much as possible within 1 second, each contraction template has an interval of 4 seconds, then a main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 10 times of rapid muscle contraction test for the person to be tested for pelvic floor disorders, and the manner of calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
The main control unit records the effective shrinkage times EMG6Count; the effective shrinkage is defined as: the maximum value EMG6Max of the electromyographic signals in each rapid contraction stage is calculated by taking the electromyographic signals collected in each rapid muscle contraction test as reference data, and EMG6Max > =85% EMG3Max is an effective contraction.
Step 3-7: cough reflex test was performed 3 times in succession;
the method for continuously testing the cough reflex comprises the following steps: the method comprises the steps of resting 10 seconds after the end of continuous 10 times of fast muscle contraction tests, and conducting cough reflex tests continuously 3 times from the 272 th second of a formal evaluation stage, namely playing voice prompts as touch screens of a human-computer interaction system in the 273 th second, 278 th second and 283 th second of the formal evaluation process to cough people with pelvic floor disorders, then calculating electromyographic signals collected by two electrodes on the left side and the right side of the period of the continuous 3 times of cough reflex tests for the people with pelvic floor disorders by a main control unit respectively, wherein the mode of calculating the electromyographic signals collected by the electrodes on each side comprises obtaining maximum values EMG7Max1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test according to a formula group (4), and obtaining maximum values EMG7MaxAvg 1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test:
EMG7Max1 = Max(Data[273* FS ]~ Data[277* FS ]);
EMG7Max2= Max(Data[278* FS ]~ Data[282* FS ]);
EMG7Max3= Max(Data[283* FS ]~ Data[287* FS ]);
EMG7MaxAvg = (EMG7Max1+ EMG7Max2+ EMG7Max3)/3 (4);
Data [ k x FS ] represents the set of electromyographic signals collected by the electrodes within one second from the kth second of the whole formal evaluation phase, k represents the kth second of the whole formal evaluation phase, FS is the sampling rate of electrodes per second; k is a positive integer. The Max function represents the maximum value of the data in brackets, and the Min function represents the minimum value of the data in brackets.
The EMG7MaxAvg includes a maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode and a maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, and whether the left pelvic floor muscle and the right pelvic floor muscle have active contraction phenomenon or not is checked according to the maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode of the EMG7MaxAvg and the maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, respectively, if the active contraction is obvious, the pelvic floor muscle support function is normal when the cough or the general body is active, so that the contraction reflection is obvious, the condition of cough leakage may not occur, if the active contraction is not obvious, the reflection of the pelvic floor muscle on the cough is weak, and the occurrence probability of urinary incontinence in life is obviously increased. The mode of judging whether the left pelvic floor muscle and the right pelvic floor muscle have the active contraction phenomenon is as follows: the comparison of the maximum value average value EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and the maximum value average value EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode is not greater than the set lower limit value representing the active contraction, and if none of the maximum value average value EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and the maximum value average value EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode is less than the set lower limit value representing the active contraction, the active contraction is obvious, and if one of the maximum value average value EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and the maximum value average value EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode is less than the set lower limit value representing the active contraction, the active contraction is not obvious.
Step 3-8: post-rest testing;
the method of the post-rest test is the same as that of the pre-rest test, so that post-rest data EMG8Avg is obtained, the post-rest data EMG8Avg comprises EMG8avgEMG2Avg (Left) and EMG2Avg (Right), and the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the post-rest data corresponding to the electromyographic signals collected by the two electrodes on the Left side and the Right side, namely the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the average value of the electromyographic signals collected by the two electrodes on the Left side and the Right side in the post 30 seconds of the post-rest test stage.
Step 3-9: giving an evaluation result.
The evaluation result includes:
a resting average value comprising: front rest data EMG2avg (Left) and EMG2avg (Right); post rest data EMG8avg (Left) and EMG8avg (Right);
the main function of the resting average value is to know the fluctuation condition of the pelvic floor muscles under the quiet condition, and the back resting is slightly higher than the front resting because the muscles are influenced by the front exercise amount when the muscles are actively relaxed by the personnel to be tested for pelvic floor disorders after some rows of contraction actions are performed during the back resting; the front resting data is smaller than 2 mu V and the rear resting data is smaller than 4 mu V, which belong to the good resting function of the pelvic floor muscles. The high tension and the pelvic floor pain are not caused;
The MVC collection test stage, the execution of the endurance test of the holding shrinkage and the EMG3Max as the maximum value of the MVC in the subsequent stage among the continuous 10 times of the fast muscle shrinkage test, the EMG3Min as the minimum value of the MVC value in the subsequent stage, the time when the endurance muscle strength rises to EMG4Max, the number of valid shrinkage EMG6Count; the EMG3Max includes EMG3Max (left) and EMG3Max (right), which represent the electromyographic signals collected by the left electrode in the MVC collection test stage and the electromyographic signals collected by the right electrode in the MVC collection test stage, respectively. The MVC collecting test stage, the endurance test for keeping contracting and the continuous 10 times fast muscle contraction test stage mainly estimate the stage tic speed, analyze the fast activity muscle fiber, the muscle fiber for controlling the fast activity of pelvic floor muscle is mainly II type fiber, the fiber tic speed is high, and the instant strength is sufficient;
number of effective contractions in 5 consecutive slow muscle contraction tests EMG5Count;
slow muscle is also known as excitatory muscle fiber activity test: helping to judge the function of the fiber mainly of slow muscle;
average values of myoelectric digital signals of three sections, namely a front section, a middle section and a rear section, for evaluating endurance performance are respectively EMG4avgAS, EMG4avgMS and EMG4avgPS; the EMG4avgAS includes an electromyographic signal EMG4avgAS (left) collected by the left electrode in the front section and an electromyographic signal EMG4avgAS (right) collected by the right electrode in the front section, the EMG4avgMS includes an electromyographic signal EMG4avgMS (left) collected by the left electrode in the middle section and an electromyographic signal EMG4avgMS (right) collected by the right electrode in the middle section, and the EMG4avgPS includes an electromyographic signal EMG4avgPS (left) collected by the left electrode in the rear section and an electromyographic signal EMG4avgPS (right) collected by the right electrode in the rear section;
The average value of myoelectric digital signals of the front section, the middle section and the rear section for evaluating endurance performance is used for evaluating the continuous contraction capacity of pelvic floor muscles, observing the change of muscle strength in the contraction process and determining the muscle fatigue degree;
maximum average value EMG7MaxAvg (left) in electromyographic signals collected from the left electrode and maximum average value EMG7MaxAvg (right) in electromyographic signals collected from the right electrode in consecutive 3 cough reflex test phases;
the maximum value average value EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and the maximum value average value EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode are mainly used for checking whether the pelvic floor muscles have active contraction phenomenon or not during the cough, the active contraction is obvious, the support function of the pelvic floor muscles is normal during the cough or general body movement, the contraction reflection is obvious, the condition of cough and urine leakage can not occur, the reflection of the pelvic floor muscles on the cough is weaker, and the occurrence probability of urinary incontinence in life can be obviously increased.
The method for adjusting the system based on pelvic floor muscle symmetry test further comprises the following steps: and adjusting the nursing scheme according to the evaluation result.
The adjusting process of the nursing scheme according to the evaluation result comprises the following steps:
Firstly, a ratio of one RatioEMG4avg and a ratio of two RatioEMG3Max are obtained through a formula (5) and a formula (6): ratio EMG4 avg=avg (EMG 4avgAS (left), EMG4avgMS (left), EMG4avgPS (left))/Avg (EMG 4avgAS (right), EMG4avgMS (right), EMG4avgPS (right)); (5)
RatioEMG3Max = EMG3Max(left)/EMG3Max(right); (6)
If RatioEMG4avg is more than 1.2 or RatioEMG4avg is less than 0.8, the left-right symmetry of the muscle force of the class I is poor, and if RatioEMG3Max is more than 1.2 or RatioEMG3Max is less than 0.8, the left-right symmetry of the muscle force of the class II is poor;
when the bilateral symmetry of the type I muscle and the type II muscle is outside the normal value, training a fast muscle template and a slow muscle template by using the Kegel template in the first 5 times in the first nursing process, or training slow muscle and fast muscle by combining the templates with a preset multimedia game for optimizing vision and interaction on a touch screen, wherein the calculation mode of the slow muscle time proportion t is shown as a formula (7), a formula (8) and a formula (9):
if ratio emg4avg < = 1.2 and ratio emg4avg > = 0.8, keeping the original care plan unchanged;
if ratio g4avg >1.2 and ratio g4avg < = 2, then t = 30 x (2-ratio g4 avg) minutes; (7)
If ratio of 4avg <0.8 and ratio of 4avg > =0.5, then t=30 (1-ratio of 4 avg) minutes; (8)
If ratio emg4avg <0.5 or ratio emg4avg >2, then t=30 minutes; (9)
Then setting the initial fast muscle template height, namely obtaining a first fast muscle training value EMGMax (1) through a formula (10):
EMGMax(1) = Max(EMG3Max(left), EMG3Max(right)) (10);
thus, the first fast muscle template height is 60% EMGMax (1), the second fast muscle template height = 70% EMGMax (1), the third fast muscle template height = 80% EMGMax (1); the middle interval of the fast muscle template is 8 seconds; rising for 1 second, and recovering for 1 second;
then setting the initial slow muscle template height, namely obtaining a first slow muscle training value EMGAvg (1) through a formula (11):
EMGAvg(1)= Max(Avg(EMG4avgAS(left), EMG4avgMS(left), EMG4avgPS(left)) ,Avg(EMG4avgAS(right), EMG4avgMS(right), EMG4avgPS(right))) (11)
thus, the first slow muscle template height is 40%. EMGAvg (1), the second slow muscle template height = 50%. EMGAvg (1), the third slow muscle template height = 60%. EMGAvg (1); the middle of the template is spaced 8 seconds apart; rising for 1 second, and recovering for 1 second;
after one round of training, the next round of training value is adjusted according to the last training value, namely, the n-th round of fast muscle training value EMGMax (n) =EMGMax (n-1) ×1.2; EMGAvg (n) =emgavg (n-1) ×1.2, where n is a positive integer greater than 2.
Comparative examples of specific methods of the invention are shown in Table 3:
TABLE 3 Table 3
Figure SMS_9
A set of symmetry assessment results; when a set of myoelectric data is obtained by using the electrode of the traditional method, the evaluation result is as follows: the weak positive index is the person to be tested for pelvic floor disorder without the relevant symptoms of pelvic floor diseases, but the reason for the person to be tested for pelvic floor disorder is urinary incontinence, the patient is not improved after two treatment courses, and the patient is evaluated by using a symmetry evaluation method, so that the obvious left-right asymmetry of pelvic floor muscles of the person to be tested for pelvic floor disorder can be obviously seen. The training scheme is adjusted, enough active training is added before passive stimulation, the problem of asymmetric muscle force on the left side and the right side is treated, the urine leakage disorder is obviously improved after one nursing period, and then the passive electric stimulation or the pelvic floor magnetic stimulation is further used for nursing.
In addition, with the gradual increase of the test quantity aiming at the pelvic floor muscles, the number of systems for testing the pelvic floor dysfunction in a health care facility is also increased rapidly, and the task quantity for testing the pelvic floor dysfunction is increased, so that a large amount of measurement results are formed, but the measurement results are obtained independently by only relying on the main control units in the systems for testing the pelvic floor dysfunction, so that the important measurement results of sharing tracking among the main control units cannot be achieved, the loss of functions of sharing tracking service is caused, the measurement results of sharing different main control units among the conditioning personnel who apply different systems for testing the pelvic floor dysfunction are not facilitated, and the aim of jointly discussing the conditioning scheme is also not facilitated; therefore, the main control unit serving as a tracking device is required to track some measurement results in different places, the existing tracking mode is that the measurement results formed by a plurality of main control units are displayed through a touch screen connected with the main control unit serving as a background for tracking, if tracking under specific conditions can be achieved in general, if the tracking under specific conditions happens, the background for tracking is not only used for tracking, but also used for tracking, the background for tracking is used for a plurality of main control units, so that the measurement results to be tracked are often confused, the main control unit cannot correspond to the background for tracking, the process of transmitting the measurement results between the background for tracking and the main control units is complex, the tracking performance is very unfavorable, and the tracking is often wrong, or important measurement results to be tracked are lost.
In addition, the background for tracking is used for transmitting a plurality of measurement results during the tracking of the plurality of main control units, so that the search of the previous measurement results can be achieved, the storage of the plurality of measurement results is performed, and the mobile hard disk connected with the background for tracking is used for storage; however, in many cases, the measurement result of tracking is not large, and a mobile hard disk connected with a background for tracking is not needed; how to flexibly configure the storage of the measurement results and achieve the flexible tracking mode is also the current goal.
The adjusting system based on pelvic floor muscle symmetry test further comprises:
a treatment unit; the treatment unit can be a notebook computer within the WLAN.
Each main control unit is connected with the treatment unit respectively; the main control unit comprises a hard disk storage area scheduling unit;
the treatment unit includes: the device comprises a mark setting unit, a channel treatment unit, a channel construction unit, a parameter storage unit and a treatment unit storage area scheduling unit;
the mark setting unit is used for setting unique public address marks for each main control unit, wherein the public address marks are public addresses of WIFI modules connected with the main control units; the channel setting unit is used for setting a preset number of channels and identifying the current constructed channel condition; the channel processing unit is used for receiving the instruction requiring channel construction transmitted by the main control unit and decoding channel data to be constructed in the instruction requiring channel construction; a channel configuration unit configured to identify, in the channel setting unit, whether or not an unused channel having an instruction conforming to the current required channel configuration is present by means of the instruction requiring the channel configuration obtained by the channel handling unit; if so, constructing a corresponding channel by means of an instruction requiring channel construction;
The channel data includes: the data transmission mode (TCP or UDP) of the channel, the bandwidth maximum value of the channel transmission data, the public address mark of the tracked party, the number of the tracked parties, the time interval of the channel operation and the storage size to be allocated to the channel.
The hard disk storage area scheduling unit is used for cutting the mobile hard disk into a hard disk storage area which only allows the main control unit to read and write and stores data and a hard disk access area which allows the disposal unit to read and write and store data, and allocating the storage size of the hard disk storage area and the storage size of the hard disk access area; the processing unit storage area scheduling unit is used for cutting the parameter storage unit into a storage area of the processing unit and an access area of the processing unit, wherein the storage area of the processing unit and the access area of the processing unit are used for enabling the processing unit to read and write data only, and the storage size of the storage area of the processing unit and the storage size of the access area of the processing unit are allocated; the channel processing unit is also used for distributing the storage size of the hard disk access area and the storage size of the access area of the processing unit into the data size of the measurement result; the channel handling unit allocates a storage size to each channel by the data size of the measurement result.
The channel setting unit marks the current constructed channel condition including: unused channels and channels in use;
The master control unit can act as a tracker as well as a tracked party.
The channel in the application is a wireless transmission path, and when the link is constructed between the main control units, the channel is realized by the wireless transmission path; that is, if a tracker acting as a master unit performs tracking on a tracked party acting as a plurality of master units, the information transfer between each other is achieved on the used channel, and the transfer of the measurement result to be tracked is not performed in the channel. The channel used has a specificity, and the channel is emptied if the preset time interval is reached; naturally, if the system has several tracking parties to track concurrently, each tracking party uses a channel, and the data transfer does not interfere with each other.
The master control unit can be used as a tracker or a master control unit.
Naturally, if a master control unit is tracked by a plurality of tracking parties, the master control unit can respectively execute channel construction with each tracking party; the data transmission method of the main control unit is concurrent transmission, a plurality of data transmission channels are allocated, and each data transmission channel corresponds to a channel and does not interfere with each other.
Preferably, the channel configuration unit is configured to identify, in the channel setting unit, whether or not the channel is an unused channel having an instruction conforming to the current channel configuration by means of the instruction requiring the channel configuration by the channel handling unit; if there is no unused channel and the residual size of the data of the measurement result matches the operation amount of the unused channel newly constructed at present, the unused channel is newly constructed and the corresponding channel is constructed by the instruction requiring the channel construction.
Preferably, the channel configuration unit is configured to identify, in the channel setting unit, whether or not an unused channel having an instruction conforming to the current channel configuration is present, by means of the instruction requiring the channel configuration obtained by the channel handling unit; if the unused channel does not exist, checking the residual time interval of the channel which is used at present, and obtaining the residual time interval of the channel which is used at present and is the smallest serving as a channel construction waiting time interval, and transmitting the channel construction waiting time interval to a transmitting party of an instruction requiring the channel construction; after the waiting time interval of channel construction is spent, the channel is constructed.
In this application, the channel handling unit is further configured to receive an instruction requiring channel pre-construction transmitted by the master unit, where the instruction requiring channel pre-construction includes: the method comprises the steps of constructing a preset starting moment of a channel, a data transmission mode of the channel, a bandwidth maximum value of channel transmission data, a public address mark of a tracked party, the number of the tracked parties, a channel operation time interval and a storage size to be allocated to the channel; the channel configuration unit is further configured to determine, by means of the instruction for requesting the channel configuration obtained by the channel processing unit, whether or not the channel configuration unit is an unused channel having an instruction conforming to the current channel configuration when the channel configuration reaches a start time set in advance; if so, constructing a corresponding channel by means of an instruction requiring channel construction; and after the channel reaches the operation time interval, the channel is withdrawn, the channel is cleared back to the channel setting unit, and the channel setting unit marks the cleared channel as an unused channel.
Within this application, the treatment unit further comprises: a channel password setting unit; the channel password setting unit is used for allocating a registration password to each channel and executing information transmission by means of the registration password registration channel; the channel handling unit is also used for obtaining a registration password for registering the channel when receiving an instruction of transmitting a request for reading and writing a used channel from more than one main control units, and allowing the more than one main control units to register the channel when the registration password transmitted by the more than one main control units is matched with the registration password of the channel.
Ensuring the reliability of the channel. The registration codes assigned to the respective channels may be set by the processing unit at the time of constructing the channels, or may be set by the user of the channel to be used as required.
In the application, the channel treatment unit is further used for obtaining the storage size of the storage area of the treatment unit and the storage size of the access area of the treatment unit; detecting the storage size of the storage area of the treatment unit and the storage size of the access area of the treatment unit in real time; the method comprises the steps of allocating a preset number of variable storage areas when the used storage size of a storage area of a treatment unit or the used storage size of an access area of the treatment unit or the used storage size of the storage area of the treatment unit and the used storage size of the access area of the treatment unit are higher than a storage size critical number, setting time intervals of the variable set storage areas and the storage sizes of the variable storage areas, taking the variable storage areas as the storage sizes of the parameter storage units, and obtaining the current storage sizes of the variable storage areas in real time.
Further, the channel processing unit is further configured to detect the data size of the measurement result in real time, obtain the storage size of the hard disk access area of each master control unit when the data size of the used measurement result is higher than the critical number, and change the storage size of the hard disk access area of the master control unit into the storage size of the hard disk access area with the preset number when the storage size of the hard disk access area of more than one master control units is smaller than the critical number, so as to expand the data size of the measurement result; or when the data size of the used measurement result is higher than the critical number, the preset number of variable storage areas are allocated, the set time interval of the variable storage areas and the storage size of each variable storage area are used as the data size of the measurement result, and the current storage size of the data of the measurement result is obtained immediately.
Within this application, further include: a data storage station within the WLAN; the channel processing unit is also used for storing the data stored in the data storage area of the measurement result into the data storage station when a preset time interval passes; the channel handling unit is also used for storing the data stored in the variable storage area after the set time interval is reached to the data storage station. The data storage station can be a notebook computer.
In the present application, the channel handling unit is further configured to receive an instruction to use a channel that has been in use at the time of reception of a request for delay of the use of the channel, and to perform delay of the use time of the channel by means of a delay period within the instruction to request delay of the use of the channel; thus, the operation period of the channel is delayed, the tracking requirement is met, and the channel use has more flexibility.
The channel in the application is a wireless transmission path, and when the link is constructed between the main control units, the channel is realized by the wireless transmission path; that is, if a tracker acting as a master unit performs tracking on a tracked party acting as a plurality of master units, the information transfer between each other is achieved on the used channel, and the transfer of the measurement result to be tracked is not performed in the channel. The channel used has a specificity, and the channel is emptied if the preset time interval is reached; naturally, if the system has several tracking parties to track concurrently, each tracking party uses a channel, and the data transfer does not interfere with each other.
The background for tracking is prevented from being confused with the measurement results to be tracked by the plurality of main control units, the main control units cannot correspond to the background for tracking, the data transmission between the plurality of background for tracking and the plurality of main control units is complicated, the tracking performance is not facilitated, or the result that the measurement results to be tracked are important is lost, so that the power supply system cannot stably and normally run in the later period is avoided.
In addition, the storage size of the hard disk access area and the storage size of the access area of the disposal unit are distributed to be the data size of the measurement result; the channel processing unit allocates a storage size to each channel from the data size of the measurement result. Detecting the data size of the measurement result in real time, obtaining the storage size of the hard disk access areas of each main control unit when the data size of the measurement result is higher than the critical number, and converting the storage size of the hard disk access areas of one or more main control units into the storage size of the hard disk access areas with preset number when the storage size of the hard disk access areas of one or more main control units is smaller than the critical number, so as to expand the data size of the measurement result;
or when the data size of the used measurement result exceeds the critical number, the preset number of variable storage areas are allocated, the setting time interval of the variable storage areas and the storage size of each variable storage area are used as the data size of the measurement result, and the current storage size of the data of the measurement result is obtained immediately. The system can allocate the storage amplification size according to the size of the measurement result to be tracked, and ensure the storage and the application of tracking information.
Therefore, the defects that the process for transmitting the measurement results between the background for tracking and a plurality of main control units in the prior art is complex, which is not beneficial to tracking performance, tracking errors or losing important measurement results to be tracked, and the measurement results cannot be flexibly distributed and stored are effectively avoided.
While the present invention has been described by way of examples, it will be understood by those skilled in the art that the present disclosure is not limited to the examples described above, and various changes, modifications and substitutions can be made without departing from the scope of the present invention.

Claims (7)

1. A method of adjusting a system based on pelvic floor muscle symmetry testing, comprising:
step 1: entering information of personnel to be tested for pelvic floor disorders;
step 2: checking the symmetry electrode;
step 3: executing an evaluation flow and obtaining an evaluation result;
the method for adjusting the system based on pelvic floor muscle symmetry test further comprises the following steps: adjusting the nursing scheme according to the evaluation result;
the adjusting process of the nursing scheme according to the evaluation result comprises the following steps:
firstly, a ratio of one RatioEMG4avg and a ratio of two RatioEMG3Max are obtained through a formula (5) and a formula (6): ratio EMG4 avg=avg (EMG 4avgAS (left), EMG4avgMS (left), EMG4avgPS (left))/Avg (EMG 4avgAS (right), EMG4avgMS (right), EMG4avgPS (right)); (5)
RatioEMG3Max = EMG3Max(left)/EMG3Max(right); (6)
Wherein, the EMG4avgAS (left) and the EMG4avgAS (right) are respectively the average value of the electromyographic signals collected by the left electrode at the front section for evaluating the endurance performance and the average value of the electromyographic signals collected by the right electrode at the front section for evaluating the endurance performance; EMG4avgMS (left), EMG4avgMS (right) are average values of electromyographic signals collected by the left electrode in the middle section for evaluating endurance performance and average values of electromyographic signals collected by the right electrode in the middle section for evaluating endurance performance, respectively, EMG4avgPS (left), EMG4avgPS (right) are average values of electromyographic signals collected by the left electrode in the rear section for evaluating endurance performance and average values of electromyographic signals collected by the right electrode in the rear section for evaluating endurance performance, respectively, and EMG3Max (left) and EMG3Max (right) represent maximum values of electromyographic signals collected by the left electrode in the MVC collection test stage and maximum values of electromyographic signals collected by the right electrode in the MVC collection test stage, respectively;
if RatioEMG4avg is more than 1.2 or RatioEMG4avg is less than 0.8, the left-right symmetry of the muscle force of the class I is poor, and if RatioEMG3Max is more than 1.2 or RatioEMG3Max is less than 0.8, the left-right symmetry of the muscle force of the class II is poor;
When the bilateral symmetry of the type I muscle and the type II muscle is outside the normal value, training a fast muscle template and a slow muscle template by using the Kegel template in the first 5 times in the first nursing process, or training slow muscle and fast muscle by combining the templates with a preset multimedia game for optimizing vision and interaction on a touch screen, wherein the calculation mode of the slow muscle time proportion t is shown as a formula (7), a formula (8) and a formula (9):
if ratio emg4avg < = 1.2 and ratio emg4avg > = 0.8, keeping the original care plan unchanged;
if ratio g4avg >1.2 and ratio g4avg < = 2, then t = 30 x (2-ratio g4 avg) minutes; (7)
If ratio of 4avg <0.8 and ratio of 4avg > =0.5, then t=30 (1-ratio of 4 avg) minutes; (8)
If ratio emg4avg <0.5 or ratio emg4avg >2, then t=30 minutes; (9)
Then setting the initial fast muscle template height, namely obtaining a first fast muscle training value EMGMax (1) through a formula (10):
EMGMax(1) = Max(EMG3Max(left), EMG3Max(right)) (10);
thus, the first fast muscle template height is 60% EMGMax (1), the second fast muscle template height = 70% EMGMax (1), the third fast muscle template height = 80% EMGMax (1); the middle interval of the fast muscle template is 8 seconds; rising for 1 second, and recovering for 1 second;
Then setting the initial slow muscle template height, namely obtaining a first slow muscle training value EMGAvg (1) through a formula (11):
EMGAvg(1)= Max(Avg(EMG4avgAS(left), EMG4avgMS(left), EMG4avgPS(left)) ,Avg(EMG4avgAS(right), EMG4avgMS(right), EMG4avgPS(right))) (11)
thus, the first slow muscle template height is 40%. EMGAvg (1), the second slow muscle template height = 50%. EMGAvg (1), the third slow muscle template height = 60%. EMGAvg (1); the middle of the template is spaced 8 seconds apart; rising for 1 second, and recovering for 1 second;
after one round of training, the next round of training value is adjusted according to the last training value, namely, the n-th round of fast muscle training value EMGMax (n) =EMGMax (n-1) ×1.2; EMGAvg (n) =emgavg (n-1) ×1.2, where n is a positive integer greater than 2;
the method for executing the evaluation flow comprises the following steps:
step 3-1: a warm-up stage;
step 3-2: testing front rest;
step 3-3: MVC collection test;
step 3-4: performing a endurance test to maintain shrinkage;
step 3-5: continuous 5 slow muscle contraction tests;
step 3-6: 10 consecutive fast muscle contraction tests;
step 3-7: cough reflex test was performed 3 times in succession;
step 3-8: post-rest testing;
step 3-9: giving an evaluation result.
2. The method of adjusting a system based on pelvic floor muscle symmetry testing according to claim 1, wherein the method of entering information of a person to be tested for pelvic floor disorders comprises: inputting basic information of a person to be tested for pelvic floor disorder on a touch screen, wherein the basic information comprises hand detection data, and the hand detection data comprises POP-Q data of the person to be tested for pelvic floor disorder and muscle strength grade data of pelvic floor muscles, which are detected by hands of a coordinating person;
The method for checking the symmetrical electrode comprises the following steps: the main control unit reads information in each electrode in the symmetrical electrodes through the information verification unit, wherein the information in each electrode comprises the following components: factory numbers, electrode types and user identity information of the electrodes serving as unique numbers; if the electrode is a repetitive electrode, the information in the electrode also comprises the allowable maximum use times and the use times of the electrode; the user identity information is empty, which indicates that the electrode is not used, and whether the factory number serving as the unique number is used by other people or not is searched in the data storage unit through the factory number serving as the unique number, and if the factory number serving as the unique number is used by the other people, verification fails; if the user identification information is not used by other people and matched with the user, the user identification information of the corresponding user is written into an EEPROM storage chip in the electrode through the signal transmission unit, so that the user identification information can be used for special identification of the special person;
the electrode type indicates whether the electrode is a disposable or reusable type, and the electrode type is used for identifying whether the electrode is disposable or reusable; the disposable electrode is mainly used for testing pelvic floor muscles; the reusable electrode is mainly provided for users to use when doing training, and can be used for a long time in the effective period and within the specified repetition times, so that the effective period and the use times of the electrode need to be controlled; the information checking unit checks whether the information is valid or not before each test, and the information checking unit can enter the subsequent steps after checking the information is valid;
After the electrode is used once, the main control unit can automatically subtract and encrypt the using times information of the electrode through the signal transmission unit and then write the information back into the EEPROM memory chip in the electrode.
3. The method of pelvic symmetry test-based conditioning system according to claim 1, wherein the evaluation result comprises:
a resting average value comprising: front rest data EMG2avg (Left) and EMG2avg (Right), and rear rest data EMG8avg (Left) and EMG8avg (Right);
the MVC collection test stage, the execution of the endurance test of the holding shrinkage and the EMG3Max as the maximum value of the MVC in the subsequent stage among the continuous 10 times of the fast muscle shrinkage test, the EMG3Min as the minimum value of the MVC value in the subsequent stage, the time when the endurance muscle strength rises to EMG4Max, the number of valid shrinkage EMG6Count;
number of effective contractions in 5 consecutive slow muscle contraction tests EMG5Count;
average values of myoelectric digital signals of three sections, namely a front section, a middle section and a rear section, for evaluating endurance performance are respectively EMG4avgAS, EMG4avgMS and EMG4avgPS;
maximum average EMG7MaxAvg (left) in the electromyographic signals collected by the left electrode and maximum average EMG7MaxAvg (right) in the electromyographic signals collected by the right electrode in the consecutive 3 cough reflex test phases.
4. A method of adjusting a system based on pelvic symmetry testing according to claim 3, wherein the warming up phase is in two parts:
one part of the warm-up phase is: pelvic floor muscles are distinguished and positioned; the method for distinguishing and positioning pelvic floor muscles comprises the following steps: the main control unit issues a first command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the left side through the signal transmission unit, then gradually increases current to a person with the pelvic floor disorder to be tested so as to feel that the left muscle has a contraction feeling, and then issues a second command to the digital-to-analog conversion unit to output an electric stimulation signal with the frequency of 5Hz and the voltage of 200 mu V from an electrode positioned at the right side through the signal transmission unit so as to gradually increase current to a person with the pelvic floor disorder to be tested so as to feel that the right muscle has a contraction feeling; after a person to be tested for pelvic floor disorder senses pelvic floor muscles, disconnecting the output of the electric stimulation signals; thus, a person to be tested for pelvic floor disorder can know that the position of pelvic floor muscles can actively mobilize the pelvic floor muscles in the test stage;
another part of the warm-up phase is: pelvic floor muscle contraction exercise; the pelvic floor muscle contraction exercise gives a preset warm-up template; performing pelvic floor muscle contraction exercise in 2 minutes in a circulating manner according to a preset warming template, and directly entering into formal evaluation after 2 minutes; if the personnel to be tested for pelvic floor disorder already has mastered the pelvic floor muscle contraction and relaxation skills within 2 minutes, informing the conditioning personnel to stop warming at any time, and entering the subsequent formal evaluation stage;
The front rest test is a continuous 1-minute front rest test, wherein the first 30 seconds is used for rest after the heat of a person to be tested for pelvic floor disorder and is not used for record evaluation; the main control unit calculates the average value of myoelectricity digital signals transmitted to the main control unit within 30 seconds, and the calculation formula is shown in the following formula group (1), so that front rest data corresponding to the myoelectricity signals collected by the two electrodes at the left and right sides are respectively obtained:
Figure QLYQS_1
Figure QLYQS_2
(1)
EMG2avg (Left) and EMG2avg (Right) are respectively the front rest data corresponding to the electromyographic signals collected by the two electrodes on the Left and Right sides;
the MVC collection test method comprises the following steps: the person to be tested for pelvic floor disorder rapidly contracts the pelvic floor muscle continuously for 4 times, the time interval between each contraction is 10 seconds, the time of each rapid contraction lasts for 1 second, and the resting value of the pelvic floor muscle is relaxed; then the main control unit calculates the electromyographic signals collected by the two electrodes at the left side and the right side during the period of continuously and rapidly contracting the pelvic floor muscles for 4 times for the personnel to be tested for pelvic floor disorders, and the way for calculating the electromyographic signals collected by the electrodes at each side comprises the following steps:
the main control unit firstly obtains the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of 4 myoelectric digital signals in four rapid contraction stages, and then respectively obtains the average value MEG3Max of the maximum value EMG3Max [ 1-4 ] and the average value MEG3Min of the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals according to the maximum value EMG3Max [ 1-4 ] and the minimum value EMG3Min [ 1-4 ] of the 4 myoelectric digital signals, wherein the average value MEG3Min is shown in the following formula (2) and the formula (3):
EMG3Max = (Max(Data[62* FS ]~ Data[66* FS ])+ Max(Data[67* FS ]~ Data[71* FS ])+ Max(Data[72* FS ]~ Data[76* FS ])+ Max(Data[77* FS ]~Time Data[81* FS ]))/4 (2)
EMG3Min = (Min(Data[62* FS ]~ Data[66* FS ])+ Min(Data[67* FS ]~ Data[71* FS ])+ Min(Data[72* FS ]~ Data[76* FS ])+ Min(Data[77* FS ]~Time Data[81* FS ]))/4 (3)
Wherein, EMG3Max is the maximum value of the subsequent stage MVC, and EMG3Min is the minimum value of the subsequent stage MVC.
5. The method of claim 1, wherein the performing the endurance test for maintaining the contraction is performed by continuously contracting the pelvic floor muscles of the person to be tested for pelvic floor disorders for a period of 60 seconds from 90 th second of the formal evaluation period, and then the main control unit calculates the electromyographic signals collected from the left and right two electrodes during the endurance test for maintaining the contraction for the person to be tested for pelvic floor disorders, respectively, and the manner of calculating the electromyographic signals collected from the electrodes on each side includes:
the main control unit firstly obtains a endurance maximum value EMG4Max in the endurance test for executing the keeping shrinkage, wherein the endurance maximum value EMG4Max is the maximum value of myoelectricity digital signals transmitted to the main control unit in the endurance test for executing the keeping shrinkage;
calculating the time from the rise of the endurance muscle to EMG4 Max;
dividing the process of executing the endurance test of keeping shrinkage into 3 sections, namely a front section, a middle section and a rear section;
respectively calculating the average value of myoelectric digital signals of the front section, the middle section and the rear section, wherein the average value of the myoelectric digital signals of the front section, the middle section and the rear section is EMG4avgAS, EMG4avgMS and EMG4avgPS respectively;
The method for continuously testing the slow muscle contraction for 5 times comprises the following steps: after the endurance test for keeping the shrinkage is finished, the personnel to be tested for pelvic floor disorder rest for 10 seconds, the personnel to be tested for pelvic floor disorder starts to perform shrinkage relaxation test for 5 times continuously from 160 th seconds in the formal evaluation stage, the cycle of one shrinkage relaxation test is 10 seconds, each shrinkage state is kept for 5 seconds, the interval time between every two adjacent shrinkage relaxation tests is 4s, then the main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 5-time slow muscle shrinkage test for the personnel to be tested for pelvic floor disorder, and the manner for calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
the main control unit records the effective shrinkage times EMG5Count; the effective shrinkage is defined as: taking the average value of myoelectric digital signals for executing the endurance test of keeping shrinkage as reference data EMG4avgAS, and keeping more than 75% of myoelectric digital signals above 70% of EMG4avgAS in the duration of 5 seconds;
the method for continuously testing the rapid muscle contraction for 10 times comprises the following steps: the method comprises the steps of resting for 10 seconds after the continuous 5 times of slow muscle contraction test is finished, performing continuous 10 times of rapid contraction relaxation test from 216 th second in a formal evaluation stage, wherein a rapid contraction relaxation period is 5 seconds, a person to be tested for pelvic floor disorders finishes contraction relaxation actions as much as possible within 1 second, each contraction template has an interval of 4 seconds, then a main control unit calculates electromyographic signals collected by two electrodes on the left side and the right side during the continuous 10 times of rapid muscle contraction test for the person to be tested for pelvic floor disorders, and the manner of calculating the electromyographic signals collected by the electrodes on each side comprises the following steps:
The main control unit records the effective shrinkage times EMG6Count; the effective shrinkage is defined as: the electromyographic signals collected by each rapid muscle contraction test are used as reference data to calculate and obtain the maximum value EMG6Max of the electromyographic signals in each rapid contraction stage, wherein EMG6Max > =85% EMG3Max is an effective contraction;
the method for continuously testing the cough reflex comprises the following steps: the method comprises the steps of resting 10 seconds after the end of continuous 10 times of fast muscle contraction tests, and conducting cough reflex tests continuously 3 times from the 272 th second of a formal evaluation stage, namely playing voice prompts as touch screens of a human-computer interaction system in the 273 th second, 278 th second and 283 th second of the formal evaluation process to cough people with pelvic floor disorders, then calculating electromyographic signals collected by two electrodes on the left side and the right side of the period of the continuous 3 times of cough reflex tests for the people with pelvic floor disorders by a main control unit respectively, wherein the mode of calculating the electromyographic signals collected by the electrodes on each side comprises obtaining maximum values EMG7Max1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test according to a formula group (4), and obtaining maximum values EMG7MaxAvg 1, EMG7Max2 and EMG7Max3 in the electromyographic signals collected by the electrodes during each cough reflex test:
EMG7Max1 = Max(Data[273* FS ]~ Data[277* FS ]);
EMG7Max2= Max(Data[278* FS ]~ Data[282* FS ]);
EMG7Max3= Max(Data[283* FS ]~ Data[287* FS ]);
EMG7MaxAvg = (EMG7Max1+ EMG7Max2+ EMG7Max3)/3 (4);
The EMG7MaxAvg includes a maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode and a maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, and whether the left pelvic floor muscle and the right pelvic floor muscle have active contraction phenomenon or not is checked according to the maximum value average value EMG7MaxAvg (left) of the electromyographic signals collected by the left electrode of the EMG7MaxAvg and the maximum value average value EMG7MaxAvg (right) of the electromyographic signals collected by the right electrode, respectively, if the active contraction is obvious, the pelvic floor muscle support function is normal when the cough or the general body is active, so that the contraction reflection is obvious, the condition of cough leakage may not occur, if the active contraction is not obvious, the reflection of the pelvic floor muscle on the cough is weak, and the occurrence probability of urinary incontinence in life is obviously increased;
the method of the post-rest test is the same as that of the pre-rest test, so that post-rest data EMG8Avg is obtained, the post-rest data EMG8Avg comprises EMG8avgEMG2Avg (Left) and EMG2Avg (Right), and the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the post-rest data corresponding to the electromyographic signals collected by the two electrodes on the Left side and the Right side, namely the EMG8Avg (Left) and the EMG8Avg (Right) are respectively the average value of the electromyographic signals collected by the two electrodes on the Left side and the Right side in the post 30 seconds of the post-rest test stage.
6. A pelvic floor symmetry test-based conditioning system, a method for implementing a pelvic floor symmetry test-based conditioning system according to any of claims 1-5, comprising:
the system comprises a symmetrical electrode, a signal transmission unit, an analog-to-digital conversion unit, an information verification unit, a mobile hard disk, a main control unit and a touch screen;
the symmetric electrode comprises two electrodes, each electrode is provided with a pair of positive electrode plates and a pair of negative electrode plates, the two electrodes are respectively and symmetrically arranged at the left side and the right side of the inner wall of the pelvic floor muscle, the symmetric electrode is connected with the analog-to-digital conversion unit through an electrode wire, the symmetric electrode is used for collecting electromyographic signals collected from the inner wall of the pelvic floor muscle, and the electromyographic signals are converted into digital signals through analog-to-digital conversion performed by the analog-to-digital conversion unit;
an EEPROM memory chip is arranged in the symmetrical electrode, the EEPROM memory chip is also connected with a main control unit through a signal transmission unit, and the information verification unit operates on the main control unit;
after the primary regulation based on pelvic floor muscle symmetry test is executed, the main control unit encrypts the residual use times of the symmetry electrode through the information verification unit and transmits the encrypted residual use times into an EEPROM memory chip in the symmetry electrode through the signal transmission unit.
7. The adjusting system based on pelvic floor muscle symmetry test according to claim 6, wherein the main control unit is electrically connected with the analog-to-digital conversion unit, so that the myoelectric signal can be converted into a digital signal by performing analog-to-digital conversion by the analog-to-digital conversion unit, and then sent to the main control unit for processing conversion;
the mobile hard disk and the touch screen are electrically connected with the main control unit, so that the processing conversion result can be sent to the mobile hard disk for storage, and the mobile hard disk comprises a database which is used for recording data generated in the adjusting process based on pelvic floor muscle symmetry test in the processing conversion result, a measurement result serving as an evaluation result and training scheme suggestion information;
the touch screen is used for providing a man-machine interaction page based on adjustment of pelvic floor muscle symmetry test.
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