Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
  • A61B5/224—Measuring muscular strength
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
  • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
  • A61B5/683—Means for maintaining contact with the body
  • A61B5/6831—Straps, bands or harnesses
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/36003—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
  • A61B5/0816—Measuring devices for examining respiratory frequency
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
  • A61B5/097—Devices for facilitating collection of breath or for directing breath into or through measuring devices
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
  • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
  • A61B5/113—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing
  • A61B5/1135—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing by monitoring thoracic expansion
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/02—Details
  • A61N1/04—Electrodes
  • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
  • A61N1/0521—Genital electrodes
  • A61N1/0524—Vaginal electrodes
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control

Definitions

• the present invention relates to an apparatus for assessing the muscular capacity of the abdominal strap of a subject, and to a weight training and abdominal training kit comprising such apparatus.
• the abdominal strap formed of the abdominal muscles, is the natural means of compression of the viscera of the abdomen.
• This abdominal strap has an important role in the equilibration of the pelvis and spine, and also for respiratory movements that break down into a succession of inspirations and expirations.
• the abdominal muscles are indeed expiratory muscles, in contrast to the diaphragm which is an inspiratory muscle. Relaxation or muscular relaxation of the abdominal strap, in particular following childbirth, leads to a decrease in expiratory capacity and balance in the subject.
• the object of the present invention is to provide an apparatus that makes it possible to carry out this evaluation.
• an apparatus for evaluating the muscular capacity of the abdominal strap of a subject comprising:
• a means for controlling the means for measuring the abdominal pressure designed to:
• the apparatus according to the invention makes it possible to achieve the purpose mentioned above by appreciating the abdominal response to a coughing effort, and comparing it to the abdominal response in normal breathing phase.
• step a) The actuation of the means for measuring the abdominal pressure during step a), before the coughing effort in step b), is performed for a zeroing by asking for a series of inspirations and instructions. normal expirations without effort. It is then during step b) that a coughing effort is required and that the orientation and the value of these pressures are appreciated.
• the means for measuring the abdominal pressure of the subject comprises:
• At least one fluid bag and in particular an air bag, designed to bear against the abdominal strap of the subject;
• At least one pressure sensor provided for measuring the pressure reflected by said fluid bag.
• the fluid pocket allows abdominal pressure to be collected over a wide abdominal area, making the measurement more relevant to the overall muscular capacity of the subject's abdominal strap.
• the clamping means comprises means for adjusting the clamping pressure around the abdominal strap, advantageously allowing the apparatus to be more or less tightened around the abdominal strap of the subject.
• the apparatus comprises means for displaying the result of the measurement of the means for measuring the abdominal pressure, the result of the comparison of the cough abdominal pressure and the mean abdominal pressure and the orientation. abdominal pressure caused by coughing during step b).
• the practitioner or sports trainer can immediately visualize the result and know the abdominal and expiratory quality of the subject, namely to establish whether the abdomen is competent or not, and if necessary quantified if the abdomen is more or less incompetent .
• the good or bad orientation of the abdominal pressure caused by a coughing effort can be symbolized by a negative sign, when the pressures are well directed inwards (as in the case of Figure 2b) and effective in terms of coughing , and by a positive sign when the pressures are outwards, otherwise misdirected and provocative of the abdomen, perineum or spine.
• the invention also relates to a bodybuilding and abdominal training kit comprising an apparatus according to the invention, and a muscular electrostimulation device comprising an electrostimulator connected to at least one electrode and capable of generating electrical signals.
• the muscular electrostimulation device comprises an exsufflation endpiece provided with means capable of generating, under the action of the subject's breath, a sound wave in a given frequency range corresponding to a control signal
• the electrostimulator comprises a sound wave sensor responsive to said frequency range and adapted to trigger the generation of said electrical signals as a function of said control signal received from the tip.
• This device is particularly advantageous for being able to model the electrostimulation on the breath of the subject and thus optimize the abdominal reeducation from a respiratory point of view.
• the exsufflation tip comprises: an intraoral portion comprising a cylinder of predetermined internal diameter and having a first end in which the subject can blow a flow of air and an opposite second end; and
• an outer portion delimiting an elongate cavity whose first end is open and a second end closed, said external part comprising an inner wall dividing said cavity into two sub-cavities over its entire length between the first and second ends, and two openings; opening into the cavity on either side of the inner wall,
• the second end of the cylinder of the intra-oral portion opens into the cavity of said outer portion at its first end, and wherein the inner wall is disposed facing this second end of the cylinder to divide the air flow entering the cavity in two distinct streams that emerge from the cavity via the corresponding openings.
• Such a tip is particularly suitable for producing a sound wave in a frequency range of little annoying or inaudible to the subject, so as not to disturb, while being detectable by a sound wave sensor.
• the internal diameter of the cylinder of the intra-oral portion is less than 8 mm in order to physically respond to certain breathing and exhalation conditions, for example breathing in children and small or expiration in a woman's labor.
• the internal diameter of the cylinder of the intra-oral portion is of the order of 5 mm.
• This so-called “relaxation” tip is used to physically answer the glottic parameter of the child or adults of very small size and expresses its interest to be concerned about the diaphragm during the breath under certain conditions.
• the expiration spun via the relaxation tip allows the relaxation of the diaphragm and the recovery of a calm breath.
• the relaxation tip can also be advantageously used in the fight against drowsiness driving. Hypovigilance is usually expressed by a decrease in attention and physical fatigue.
• the awakening of dynamic synergies, the muscular oxygenation, the feedback effect of the sound in the relaxation tip are all positive criteria for its regular use during long journeys or at the appearance of signs of relaxation of awakening.
• the internal diameter of the cylinder of the intra-oral portion is of the order of 3 mm. This tip says “push on the expire” also benefits from mathematical and physical research and scientific studies that support this validated practice of increasing expiratory flow and therefore breath.
• the practical purpose of the expiratory tip is of interest in two particular situations: the delivery of the baby in the final stages of the expulsion phase and the exoneration of stool in cases of difficulty. evacuation of the rectal contents.
• the use of the thrust tip on the expire by the woman who gives birth can advantageously follow that of the aforementioned relaxation tip.
• the principle remains the same, that is to say, to solicit a deep inspiration from the resumption of the contractions then to exhale in the tip of push on the expir to brake the diaphragm and the high organs located there related and to assure in the same time a well directed push on the uterus to clear the baby.
• the expiratory tip on the expir is used under the same well directed thrust conditions in the case of difficulty exoneration stool.
• the air intake always precedes the expiration in the thrust tip on the expir and the inhalation / expiration cycle in the tip is reproduced until evacuation of the organ concerned.
• the electrostimulator is connected to two linear and parallel electrodes, each electrode comprising two linear and aligned sub-electrodes separated from each other by an insulating component.
• these electrodes called “diastasis” can be advantageously positioned in parallel, horizontally, on each side of the umbilicus , so that the positioning of its electrodes finely represents four stimulation zones ensuring a horizontal and vertical stimulating effect, which advantageously allows the approximation of the separated zones forming this diastasis.
• FIG. 1 is a schematic front view of a subject carrying an apparatus for assessing the muscular capacity of the abdominal strap according to the invention
• FIGS. 2a and 2b are diagrammatic side views of a subject carrying an evaluation apparatus according to the invention in situations of inspiration and expiration respectively of the subject;
• FIG. 3 is a schematic view of an electro-stimulator for the kit according to the invention.
• FIGS. 4a and 4b are schematic perspective views of an exsufflation tip, respectively assembled and disassembled, for the kit according to the invention
• FIGS. 5a to 5c diagrammatic views of the external part of an exsufflation nozzle for the kit according to the invention, in which FIGS. 5a and 5d are sectional views along the AA and BB axes, respectively, of the FIGS. 5b and 5c respectively;
• FIGS. 6a and 6b are diagrammatic perspective views, respectively rear and front, of the intra-oral part of an exsufflation end piece intended for the kit according to the invention.
• Figure 6c is a longitudinal sectional view of the intraoral portion illustrated in Figures 6a and 6b; - Figures 7 and 8 are schematic front views of a subject carrying electrodes for the kit according to the invention;
• FIG. 9 is a schematic view of an electrode intended for the kit according to the invention.
• FIGS. 10 and 11 are schematic perspective views of the electrode illustrated in Figure 9 in situation respectively a woman and a man.
• FIGS 1, 2a and 2b illustrate an apparatus 1 according to the invention for evaluating the muscular capacity of the abdominal strap of a subject.
• This apparatus 1 comprises:
• clamping means 10 around the abdominal strap of the subject, wherein the clamping means 10 is in the form of a belt tightened around the waist of the subject;
• a housing 11 connected to the belt 10, for example by being fixed or slidably mounted on the belt 10;
• a means of control 14 of the measuring means 12, 13 of the abdominal pressure designed to:
• the belt 10 may be made in part of fabric. In order to be able to adjust the tightening pressure around the lap strap, this belt 10 may be equipped with a fastening system such as a hook and loop fastener or a Velcro TM fastener, and the application tension on the abdomen may be effected at the same time. means of an adjustable elastic band.
• a fastening system such as a hook and loop fastener or a Velcro TM fastener
• the means for measuring the abdominal pressure of the subject include: a fluid pocket 12, and more particularly an air pocket, bearing against the abdominal strap of the subject once the belt 10 is tightened around the subject, said fluid pocket 12 being disposed on the rear face of the casing 11; and
• the fluid bag 12 is of suitable shape and size in order to be able to transmit the intra-abdominal pressure to the pressure sensors 13 and thus to make a relevant measurement of the abdominal pressure of the subject.
• the apparatus 1 includes a display screen of the result of the measurement of the abdominal pressure and the result of the comparison of the abdominal pressure of PT cough and the mean abdominal pressure MP.
• This display screen 15 is disposed on the front face of the housing 11 opposite to the fluid bag 12.
• the control means 14 can be implemented in the form of a microcontroller disposed in the housing 11 and which processes the information coming from the pressure sensors 13 to present it on the display screen 15, for example of the display type seven segments, in the form of a numerical value.
• the belt 10 When placing the belt 10 on the subject, the belt 10 is tightened around the subject until reaching a predetermined clamping pressure threshold. In other words, the belt 10 and therefore the fluid bag 12 are tightened up to display on the screen 15 abdominal pressure equivalent to this predetermined threshold clamping pressure.
• the belt 10 is placed on either side of the housing 11 and will allow the visualization of the clamping pressure threshold.
• the housing 11 will advantageously include a button for starting and resetting the value, the shutdown of the device can be performed automatically after a certain delay without action.
• the apparatus 10 also comprises a battery for supplying the sensors 13, the control means 14 and the screen 15, in order to have a self-contained apparatus 1.
• the device 1 can be connected to a data printer after analysis of these data (orientation and result of the comparison between the pressures) by computer and specific software.
• this device 1 allows the evaluation of the muscular motor of the breath that represents the abdominal strap. Muscular and respiratory evaluation is performed by manometrically assessing the Abdominal response has a cough effort compared to a mean breathing effort.
• the method of evaluating the muscular capacity of the abdominal strap of the subject is carried out in the following manner, after having previously tightened the belt 10 as indicated above:
• a mean abdominal pressure MP over a sequence of several respiratory movements of the subject, for example over a given period of time or a given number of calm breathing movements where each breathing movement comprises an inspiration followed by an expiration ;
• coughing PT measuring an abdominal pressure called coughing PT on a coughing sequence of the subject, for example over a given period of time or a given number of coughs;
• the screen 15 displays a negative or positive numerical value depending on the orientation of the pressure of the abdomen.
• the coughing effort generates counter-sense pressures that deserve the implementation of bodybuilding and abdominal training sessions.
• the bodybuilding and abdominal training kit according to the invention comprises:
• a muscular electrostimulation device comprising an electrostimulator 2 connected to at least one electrode 30, 31, 32 and capable of generating electrical signals, the muscular electrostimulation device being designed to implement weight training sessions and abdominal rehabilitation by electrostimulation according to the result of the comparison of the abdominal pressure of PT cough and the mean abdominal pressure MP.
• the muscular electrostimulation device comprises: an exsufflation tip 4, visible in FIGS. 4a and 4b, provided with means capable of generating, under the action of the subject's breath, a sound wave in a given frequency range corresponding to a control signal; and
• the electrostimulator 1 which comprises a sound wave sensor (not shown) responsive to said frequency range and adapted to trigger the generation of said electrical signals as a function of said control signal received from the nozzle 4.
• FIG. 3 illustrates the electrostimulator 2 which is in the form of a housing 20 of shape and dimensions adapted to a grip by the user (the subject or a sports practitioner or trainer) to facilitate adjustments or orders.
• the part for receiving the signal is in the upper half of the housing.
• the "Sound” option is selected by pressing the corresponding "Mode” button.
• the detection of the sound wave emitted by the tip 4 is done by virtue of the presence of the sound wave sensor, for example of the electronic microphone type, integrated into the case 20.
• the microphone may for example be covered with a screen protection.
• the electrostimulator 2 can be used in manual mode, by pressing the "Mode” button to switch to this mode with a stimulation not accompanied by the breath of the subject. In this mode, it is convenient to press the "Man” button to generate the electrical signals to the electrodes 30, 31, 32 for the desired duration of the current delivery.
• An adjusting knob 21 of the intensity of the electrical signals to be delivered is located on the front face of the housing 20.
• the intensity adjustment is carried out by the user so as to achieve an effective, pleasant and comfortable intensity for the subject.
• the rear face of the electrostimulator 2 not visible in FIG. 1, comprises an input plug for connecting the cables making it possible to feed the electrodes 30, 31, 32. Moreover, and by access to a trapdoor, a location is reserved for the positioning of a battery and includes adjustment buttons allowing, for example, to modify certain parameters of the current (frequency and width of the pulse waves).
• the electrostimulator 2 is perfectly and specifically adapted to the tip 4 described below, with its microphone responsible for capturing the frequency of the sound resulting from the blast in the tip 4.
• the device for muscle electrostimulation with tip 4 and electrostimulator 2 therefore allows to remove any physical connection between these two entities.
• the electro-stimulator 2 In use, in response to the sound wave perceived by the microphone, the electro-stimulator 2 generates electrical signals for the electrodes 30, 31, 32 visible in FIGS. 7 to 11.
• the stimulating current is a rectangular zero-average bipolar current, the bipolar character guaranteeing the use of stimulation even in the presence of osteosynthesis equipment (plate, screw, prosthesis ...) or IUD.
• the current parameters of the electrostimulator 2 are variable and adapted to the cutaneous sensitivity of the subject or function of the location of the stimulation and the proprioceptive objective; the proprioceptivity representing the capacity to appreciate and evaluate a muscular activity, in a particularly sensitive way, visual or auditory.
• the other current parameters are adaptable, horned by the one and / or the other of the following parameters: the frequency, for example between 100 Hz and 10 Hz;
• the width of a pulse wave (adapted to the frequency), for example between 1 ms and 0.1 ms;
• the signal intensity for example between 0 and 80 mA.
• the aim of the method is to awaken and stimulate the abdominal musculature, in first intention, then possibly the perineal musculature, by associating prophoceptive stimulation and regulated breath, the parameters of the current do not have a significant importance. It is however possible to modify these parameters for targeted therapeutic purposes.
• the triggering electric signals are delivered at the level of the microphone located on the electrostimulator 2 which picks up the sound wave emitted by the tip 4, provided that it corresponds to the frequency recognized by the microphone. The deletion of these electrical signals is maintained as long as the sound wave emanates from the subject's breath in the mouthpiece 4.
• the electrostimulator 2 is programmed so that the electrical signals remain a few milliseconds after stopping the emission of the wave sound at the tip 4 and therefore the capture of the sound frequency at the level of the electrostimulator 2.
• the electrostimulator 2 is connected to the electrodes by means of double electric cables (as shown in FIGS. 7 and 9 with the electrodes 30 and 32) or quadruple wires (as can be seen in FIG. 8 with the electrodes 31) as a function of the number of electrodes. used.
• the mouthpiece 4 of exsufflation, or mouthpiece can be compared to a whistle by its vocation of activator of the electrostimulation by the sound of the breath, which has the advantage of guaranteeing a constant data of the frequency of the sound which whatever the intensity of the subject's breath.
• the tip 4 comprises two distinct and dissociable parts, namely:
• the intraoral portion 6 comprises: a cylinder 60 of predetermined internal diameter and which has a first end 61 in which the subject can blow a flow of air and an opposite second end 62; and
• a security flange 63 disposed at the opposite second end 62 of the cylinder 60.
• the flange 63 forms a radial annular projection intended to bear against the subject's lips, and is thus positioned between the cylinder 60 and the outer portion 7 to guide positioning in the mouth, the collar coming into contact with the lips of the patient. user during use.
• the dimensions of the cylinder 60 have been evaluated physically and mathematically to respond in particular to the theory of slow or fast laminar flow, so never turbulent.
• the applicant has shown, through a modeling study, the physical parameters of the glottis, this anatomical part representing the narrowest place of the tracheo-oral canal and which may slow down the laminar flow.
• the optimized length of the cylinder advantageously between 30 and 40 mm and preferably of the order of 34 mm, reconciles comfort for the user and positioning in the mouth ensuring the achievement of a laminar breath.
• the inner diameter of the cylinder 60 may be equivalent to that of the glottis, estimated between 6.5 mm and 8 mm (between 6.5 mm and 7.5 mm in women and between 7 mm and 8 mm in humans) and about 5 mm in the child.
• the internal diameter of the cylinder 60 may also be of the order of 3 mm in order to be physically responsive to the glottic parameter of the child or to very small adults and to be concerned about the diaphragm during the blowing under certain conditions, as specified in the above description relating to the tip called "relaxation".
• the internal diameter of the cylinder 60 can also be of the order of 5 mm "in order to respond to different situations (delivery of the baby in the last moments of the expulsion phase and exoneration of stool in cases of difficulty of evacuation of the rectal contents) requiring an increase in expiratory flow, as specified in the description above relating to the tip called "push on the expir".
• the kit according to the invention can of course comprise different tips 4 of different sizes, in other words with cylinders 60 of different diameters, to respond to different situations and different subjects.
• the outer portion 7 defines an elongated cavity 70a, 70b, a first end 71 is open and a second end 72 is closed.
• the outer part 7 comprises:
• the second end 62 of the cylinder 60 of the intraoral portion 6 opens into the cavity 70a, 70b of the outer portion 7 at its first end 71, and the inner wall 73 is arranged in view of this second open end 62 of the cylinder 60 to be able to divide the flow of air entering the cavity into two distinct streams which circulate in the respective two cavities 70a, 70b and which emerge from the cavity via the corresponding openings 74a, 74b .
• the two openings 74a, 74b ensure the exit of the exsufflé air and causes the activating sound wave of the electrostimulator 2.
• These openings 74a, 74b are preferably two in number and allow the creation of the frequency of the sound. They are located on the upper face of the outer portion 7 of the nozzle 4 when manipulated by the subject.
• the area of the openings 74a, 74b is calculated to facilitate a regulated exhalation flow output and to obtain a stable wave, i.e. a constant frequency picked up by the microphone of the electrostimulator 2.
• the quality of the frequency (in power and volume), is calculated to avoid the disturbance of external sound influences likely to deform the sound wave.
• the frequency of the sound emitted by the tip 4 under the action of the breath of the user is a unique advantage and is independent of the intensity of said breath. It is generated during the duration of the breath of the user and serves as control signal of the electrostimulator 2 during this time.
• the collar 63 has two notches 65 located on either side of the cylinder 60 and the outer portion 7 has two clipping lugs 75 projecting longitudinally from its first end 71, in order to allow the attachment of the outer portion 7 of the flange 63 of the intra-oral portion 6 by clipping.
• the intra-oral portion 6 has two guide lugs 64 projecting longitudinally from the flange 63, in a direction opposite to the cylinder 60, and arranged next to the notches 65. These guide lugs 64 are dimensioned to engage inside the respective sub-cavities 70a, 70b to ensure relative guidance of the two parts 6 and 7 during the clipping to consolidate the association of the two parts 6, 7 of the nozzle 4 once clipping performed.
• the only openings of the outer portion 7 of the nozzle 4 are constituted by the openings 74a, 74b, which may be square in shape, one of which can be defined by the flange 63
• the Applicant has also optimized the shape of the electrodes applicable to bodybuilding or abdominal and possibly perineal reeducation.
• the description of the electrodes is made with reference to FIGS. 7 to 11.
• the electrostimulation device comprises two boomerang-shaped electrodes 30 with an angulation of the order of 110 degrees.
• the first electrode 30 is positioned at the costo-xiphoid angle (insertion zones of the abdominal muscles and starting point of the breath), point directed towards the sternum, and the second electrode 30 is positioned in a vertical axis above the pubis and in an opposite direction.
• These electrodes 30 are particularly suitable for perfecting the effect of abdominal muscle stimulation, being as close as possible to the insertion of the abdominal muscles on the thorax and on the pubis.
• the electrostimulation device comprises two linear and parallel electrodes 31, each electrode 31 comprising two linear and aligned sub-electrodes 310 separated from each other by an insulating component 311.
• electrode 31 has a rectangular shape and each sub-electrode 310 has a square shape to be able to offer electrostimulation of equal magnitude to the ends of the electrodes 31.
• the positioning of its two electrodes 31 represents four stimulation zones ensuring a horizontal and vertical stimulating effect , which allows the approximation of the separated zones forming this diastasis.
• Electrodes 31 are particularly suitable in the case of correction of excessive spacing of the abdominal muscles on the line that joins the sternum of the pubis, a gap called diastasis; these electrodes 31 being advantageously positioned in parallel, horizontally, on each side of the umbilicus.
• the electrostimulation device comprises an electrode 32 in the form of butterfly wings, and which comprises two contiguous and individual sub-electrodes 320, each connected by a separate cable 5 to the electrostimulator and separated from each other by an insulating component 321.
• This electrode 32 is particularly suitable in the case of bodybuilding or perineal reeducation, the use of this electrode 32 ensuring a prophoceptive stimulation.
• this electrode 32 Correlated to the breath in the tip 4, this electrode 32 not only provides sphincter stimulation but also the entire perineal floor.
• This electrode 32 is advantageously positioned on the tendinous center of the perineum, place of concentration of all the perineal muscles, as can be seen in FIGS. 9 and 10. Other applications may find their interest with the use of this electrode 32, in treatment biofeedback for example, for the monitoring and monitoring of perineal activity on screen.
• apparatus 1 may determine the abdominal pressure value and be used in coupling with a biofeedback apparatus for the purpose of labor monitoring. muscular and expiratory performed, the electrodes 30, 31, 32 can be used with any electrostimulator, the electrostimulator 2 can be manually operated and thus dissociated exsufflation tips 4, the tips 4 can be used in some cases without stimulation , for example during pregnancy, and used to trigger any other electrical device provided with a suitable sound wave sensor.

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• 2009
  • 2009-07-17 FR FR0903533A patent/FR2948008B1/fr active Active
• 2010
  • 2010-07-15 WO PCT/FR2010/051483 patent/WO2011007101A2/fr active Application Filing
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