JP7113387B2 - Method of operating treatment and examination system, treatment and examination program of treatment and examination system, and its storage medium - Google Patents

Description

TECHNICAL FIELD The present invention relates to an operation method of a treatment/inspection system that realizes improvement of dysfunction caused by human swallowing and/or chewing movements, a treatment/inspection program for the treatment/inspection system, and a storage medium thereof.

In general, the eating and swallowing function of humans declines with aging.

Organic causes of such functional decline include weakening of masticatory muscles due to loss of teeth and alveolar bones, weakening of swallowing muscles in the oral cavity, pharynx, and esophagus, decreased taste, decreased salivary secretion, and pharyngeal pituitary gland. There is an expansion of the swallowing range due to it, and a decrease in attention and concentration.

Functional causes include cerebrovascular disorders, neurological diseases (Parkinson's disease), and the like.

Furthermore, psychological causes include dementia, anorexia, and psychosomatic disorders.

When the swallowing function declines, food and drink cannot be eaten properly and enter the respiratory tract, resulting in aspiration, which causes bacteria and viruses to propagate in the respiratory tract, resulting in aspiration pneumonia.

In addition, as dementia progresses, the swallowing function and the masticatory function deteriorate, and eating gradually becomes difficult.

Symptoms include being hungry but refusing to eat when they see food, eating again after having just eaten, reluctance to swallow food, and spitting up food. can be mentioned.

If such symptoms continue, it will cause malnutrition and dehydration.

In the early stages of dementia, people forget what they have eaten, do not know how to use dishes, and cannot concentrate on eating.

In addition, in the middle stage of dementia, brain atrophy progresses, and symptoms such as being unable to start eating, interrupting meals in the middle, disturbed eating pace, and aspiration appear.

Furthermore, in the final stages of dementia, brain atrophy becomes severe, and the swallowing function itself becomes impaired. , Inability to send food down the throat, increased risk of aspiration and suffocation, and decreased amount of food.

Thus, a phenomenon is observed in which the oral function deteriorates as the degree of dementia progresses.
A study of the state of the human brain during mastication revealed that the motor area of the cerebral cortex (located behind the temples) was more strongly activated in people who chewed their food more frequently, indicating a relationship between oral function and dementia. gender can be inferred.

It is presumed that early dementia symptoms due to aging can be suppressed by chewing well.

In addition, mastication also has an effect on the brain, and the inability to masticate is thought to be a risk factor for developing Alzheimer's disease.

Therefore, the recovery of occlusion and masticatory function in the elderly not only secures activity energy, but also enhances the ability to perform daily activities, suppresses the decline in general function and homeostasis associated with aging, and promotes longevity and independence.・It can be said that it is one of the important factors for securing QOL (quality of life), such as the quality of life.

Based on these facts, it is suggested that by making elderly people aware that they should chew their food many times before eating, they can move their jaws, increase blood flow in the brain, and improve the flow of blood in the cerebral blood vessels. It is known that it can improve and prevent dementia.
In addition, to describe the relationship between cerebral blood flow and swallowing in more detail, in recent years, it has been found that blood flow increases when effort is required for swallowing, and that aspiration occurs when blood flow is poor.
Specifically, in the cerebral cortex, it is the area related to sensation that is more likely to be damaged by aging, and the area related to movement maintains its function. It has been found that its activity is enhanced during swallowing.
In addition, areas related to sensation are also susceptible to marked damage in dementia, lacunar stroke, etc., and it has been found that cerebral blood flow in these areas is reduced in patients who repeatedly suffer from aspiration pneumonia. there is
Therefore, it is extremely important to investigate whether there is an abnormality in swallowing by observing the correlation between swallowing and cerebral blood flow.

Patent Document 1 discloses mastication detection means for detecting a physical quantity related to a chewing motion of a subject and outputting a detection result as to whether or not the subject is continuing mastication based on the physical quantity related to the chewing motion; Movement detection means for detecting a physical quantity relating to movement of the pharynx or larynx of the subject and outputting a detection result as to whether the pharynx or larynx is moving in a predetermined manner based on the physical quantity relating to the movement of the pharynx or larynx. and dysphagia determination means for outputting a determination result as to whether the subject has dysphagia based on the detection results of the mastication detection means and the motion detection means. there is

However, in the case of the dysphagia detection system of Patent Document 1, a determination result indicating that the subject has dysphagia is output based on the detection result, and training for functional impairment due to swallowing and chewing movements of the subject is performed. It is not intended to improve the patient's behavior by means of information providing means, but to monitor whether or not the patient has swallowed as instructed by the information providing means by observing the correlation between mastication and swallowing.

JP 2012-75758 A

The present invention has been made in view of the above circumstances . A method of operating a therapeutic examination system for improvement with exercise, further comprising swallowing movement detection means for detecting movement or sound in the peri-larynx region of said subject, or facial muscle movement or occlusion associated with chewing movement. A treatment comprising head blood flow detection means for measuring cerebral blood flow in consideration of the state of cerebral blood flow of the subject in one or both of masticatory motion detection means for detecting sound. A method of operating an inspection system is provided.

The present invention relates to the operation of a treatment and examination system for improving some functional disorder of a human, such as functional disorder due to dietary habits of a subject or brain dysfunction associated with aging or disease, by the subject's swallowing movement and/or chewing movement. The method further comprises swallowing motion detection means for detecting motion or sound in the perilarynx region of the subject, or chewing motion detection means for detecting facial muscle motion or bite sound associated with chewing motion. A method of operating a therapeutic examination system comprising head blood flow detection means for measuring cerebral blood flow in consideration of the state of cerebral blood flow of the subject as one or both of the detection means, wherein: generating swallowing motion data by detecting changes over time in the movement of the laryngeal prominence from one or more sensors arranged along the direction of movement of the subject; a step of detecting changes to create masticatory motion data; a step of detecting changes in blood flow from the head blood flow detection sensor for measuring cerebral blood flow to create head blood flow data; characterized by including a step of automatically monitoring whether the patient is sufficiently masticating or swallowing based on the correlation of the data, and a step of prompting improvement so that the patient can masticate or swallow until the cerebral blood flow reaches a predetermined level. and

According to the invention of claim 1 , based on the correlation of each data of chewing motion, swallowing motion, and head blood flow of the subject, it is possible to masticate or swallow until the head blood flow reaches a predetermined blood flow. A method of operating a therapeutic testing system can be provided that can prompt improvements in

According to the invention of claim 2 , based on the correlation between data on the subject's swallowing movement and head blood flow, improvement is urged so that swallowing can be performed until head blood flow reaches a predetermined blood flow, It is possible to provide a method of operating a therapeutic inspection system that is effective for monitoring or improving brain dysfunction associated with aging or disease.

According to the third aspect of the invention, based on the correlation between data on masticatory motion and blood flow in the head of the subject, improvement is urged to enable mastication until the blood flow in the head reaches a predetermined blood flow, It is possible to provide a method of operating a therapeutic inspection system that is effective for monitoring or improving brain dysfunction associated with aging or disease.

According to the fourth aspect of the present invention, it is possible to provide a program that can be applied to the medical examination system of the present invention to realize the operating method of any one of the fifteenth to seventeenth aspects.

According to the invention of claim 5 , the operation method of any one of claims 15 to 17 is realized by reading and using the program stored in the storage medium in the therapeutic examination system of the present invention. It is possible to provide a storage medium capable of

FIG. 1 is a schematic configuration diagram showing a state in which main parts of a medical examination system according to an embodiment of the present invention are attached to the head and neck of a subject and information providing means is visually recognized. FIG. 2 is a schematic block diagram showing the overall configuration of the treatment/examination system according to this embodiment. FIG. 3 is a schematic configuration diagram showing a state in which a neckband-type head-mounted frame and a laryngeal-mounted frame are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 4 is a schematic configuration diagram showing a state in which a headband-type head-mounted frame and a laryngeal-mounted frame are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 5 is a schematic configuration diagram showing a state in which a headband-shaped head-mounted frame and a laryngeal/jaw-mounted frame are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 6 is a schematic configuration diagram showing a headband-type head-mounted frame and a laryngeal/jaw-mounted frame attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 7 is a schematic configuration diagram showing a state in which a neckband-type head-mounted frame and a laryngeal/jaw-mounted frame are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 8 is a schematic configuration diagram showing a state in which a hair band-type head-mounted frame and a larynx-mounted frame are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 9 is a schematic configuration diagram showing a state in which a neckband-type head-mounted frame and a laryngeal patch are attached to a subject in the therapeutic examination system according to the present embodiment. FIG. 10 is a schematic plan view showing a state of communication between a pair of masticatory motion detection sensors, a head blood flow detection sensor, a head-mounted frame provided with a calculation means, and an information provision means in the therapeutic examination system according to the present embodiment. . FIG. 11 is a schematic plan view showing a configuration example of a head-mounted frame provided with a mastication motion detection sensor, a head blood flow detection sensor, and a calculation means in the medical examination system according to this embodiment. FIG. 12 is a schematic plan view showing a configuration example of a head-mounted frame provided with a masticatory motion detection sensor, a head blood flow detection sensor, a computing means, and a plurality of types of information providing means in the therapeutic examination system according to this embodiment. FIG. 13 is a schematic cross-sectional view showing a specific structural example of the mastication motion detection sensor in the medical examination system according to this embodiment. FIG. 14 is a schematic diagram showing a configuration example of a laryngeal mounting frame in the therapeutic examination system according to this embodiment. FIG. 15 is an explanatory view of the schematic arrangement of three sensors, which constitute the swallowing motion detection sensor provided on the laryngeal mounting frame, with respect to the larynx of the subject in the therapeutic examination system according to this embodiment. FIG. 16 is a schematic block diagram showing the system configuration when carrying out the operation method related to the subject's chewing motion and swallowing motion in the therapeutic examination system according to this embodiment. FIG. 17 is a schematic block diagram showing the system configuration when carrying out the operation method related to the subject's masticatory movement and head blood flow in the therapeutic examination system according to this embodiment. FIG. 18 is a schematic block diagram showing the system configuration when implementing the subject's swallowing movement and head blood flow-related subject's operation method in the therapeutic examination system according to the present embodiment. FIG. 19 is a schematic block diagram showing the system configuration when carrying out the operation method related to the subject's chewing motion, swallowing motion, and head blood flow in the therapeutic examination system according to this embodiment. FIG. 20 is a flow chart showing the process of determining the number of chews from one swallow to the next swallow in the operating method of the treatment/examination system according to the present embodiment. FIG. 21 is a flow chart showing the process of determining whether the swallowing cycle and the number of mastications are appropriate in the treatment and examination method for a subject by the treatment and examination system according to the present embodiment. FIG. 22 is a flow chart showing the process of determining whether the head blood flow (cerebral blood flow) is appropriate from one swallow to the next swallow in the operation method of the treatment/examination system according to the present embodiment. FIG. 23 is a flow chart showing the process of determining whether the blood flow to the head is appropriate during continuous mastication, in the operation method of the treatment/examination system according to the present embodiment. FIG. 24 is a flow chart showing the process of determining whether the mastication/swallowing function is appropriate and whether the blood flow to the head is appropriate in the operation method of the treatment/examination system according to the present embodiment. FIG. 25 is a schematic block diagram showing the overall configuration of a medical examination system according to another embodiment of the present invention. FIG. 26 shows a configuration in which a detection signal is wirelessly transmitted with a neckband-type head-mounted frame and a laryngeal patch attached to a subject based on the therapeutic examination system according to another embodiment. 1 is a schematic diagram showing the configuration of FIG.

The purpose of the present invention is to improve some functional disorders of humans, such as functional disorders due to dietary habits of subjects or brain functional disorders associated with aging and diseases, by means of swallowing movements and / and mastication movements of said subjects. The method of operating the system, further comprising swallowing motion detection means for detecting movement or sound in the perilarynx region of the subject, or chewing motion detection means for detecting facial muscle motion or bite sound associated with chewing motion. A method of operating a treatment and examination system comprising head blood flow detection means for measuring cerebral blood flow in consideration of the state of cerebral blood flow of the subject in either or both of the detection means, a step of detecting temporal changes in the movement of the laryngeal prominence from one or more sensors arranged along the direction of movement of the laryngeal prominence to create swallowing motion data; a step of detecting changes over time to create masticatory motion data; and a step of detecting changes in blood flow from the head blood flow detection sensor that measures cerebral blood flow to create head blood flow data. , from the correlation of the detection data, automatically monitoring whether the mastication or swallowing is sufficient, and the step of prompting improvement so that the cerebral blood flow reaches a predetermined blood flow so that it can be masticated or swallowed. A method of operating a therapeutic testing system for monitoring or improving brain dysfunction associated with aging or disease characterized by:

A medical examination system, an operation method of the medical examination system, a medical examination program, and a storage medium according to embodiments of the present invention will be described below in detail with reference to the drawings.

A basic configuration of a treatment/examination system 1 according to this embodiment will be described with reference to FIGS. 1 and 2. FIG.
FIG. 1 shows a treatment and examination system 1 according to this embodiment, which is composed of a band-like elastic material that can be attached to the head of a subject M in a neckband-type or headband-type manner, and has a substantially U shape as a whole. A curved head-mounted frame 2 is attached, and a laryngeal-mounted frame 3 (Fig. 14) is attached, and the subject M visually recognizes the screen of a tablet computer 72, which is one of the information providing means 71. FIG. It shows the overall configuration.

The head-mounted frame 2 also serves as masticatory muscle attachment means in which a masticatory motion detection sensor 22 for detecting the masticatory motion of the subject M is arranged, and the head blood flow (hereinafter referred to as "cerebral blood flow" of the subject M). ), which also serves as a head-mounted means in which a head blood flow detection sensor 42 is arranged.

Further, the head-mounted frame 2 is provided with a computing means 11 .

The swallowing motion detection sensor 52 is connected to the computing means 11 by an electric cable 4 .

The calculation means 11 may be configured separately from the head-mounted frame 2 and arranged at a position separate from the head-mounted frame 2 . The same applies to each example described below.

The laryngeal mounting frame 3 is configured to function as a laryngeal mounting means in which a swallowing motion detection sensor 52 for detecting the swallowing motion of the subject M is arranged.

The masticatory motion detection sensor 22 and the head-mounted frame 2 constitute masticatory motion detection means 21, the head blood flow detection sensor 42 and the head-mounted frame 2 constitute head blood flow detection means 41, Further, the swallowing motion detection sensor 52 and the laryngeal mounting frame 3 constitute swallowing motion detection means 51 .

The mastication motion detection sensor 22 or the swallowing motion detection sensor 22 is selected from, for example, an air pressure sensor, a displacement sensor, a vibration sensor, an acceleration sensor, a sensory sensor, an optical sensor, or an electromyograph. Specific examples include microphones, pharynx microphones, bone conduction microphones, acceleration sensors, pressure sensors, and myoelectric sensors.

The masticatory motion detection sensor 22 is configured to detect movement of facial muscles or bite sounds associated with masticatory motion, and the swallowing motion detection sensor 52 is configured to detect movement or sound of the laryngeal region of the subject M. is doing.

Examples of the head blood flow detection sensor 42 include a laser Doppler blood flowmeter manufactured by Kokyo Co., Ltd., a laser blood flowmeter manufactured by Omega Wave Co., Ltd., and an ultrasonic transit blood flowmeter manufactured by Nihon Kohden Kogyo Co., Ltd. An example of adopting the technique can be given, and the degree of freedom in selecting the head blood flow detection sensor 42 can be increased.

Next, referring to FIG. 2, the overall configuration of the treatment/examination system 1 of this embodiment will be described in detail.
The therapeutic examination system 1 of this embodiment includes a detection signal from the masticatory motion detection sensor 22 of the masticatory motion detection means 21, a detection signal from the head blood flow detection sensor 42 of the head blood flow detection means 41, and Each detection signal from the swallowing motion detection sensor 52 of the swallowing motion detection means 51 is transmitted to the calculation unit 15, and based on a treatment and examination program stored in advance, the signals related to mastication, swallowing, and head blood flow of the subject M are detected. It has an arithmetic means 11 that performs arithmetic processing and inspection processing, which will be described later in detail, and outputs inspection processing results to information providing means 71 consisting of a plurality of types.

More specifically, the detection signal from the mastication motion detection sensor 22 and the detection signal from the swallowing motion detection sensor 52 are amplified by the amplifiers 12, 12, respectively, filtered by the frequency filter 13, and then filtered by the frequency filter 13. The digital signal is converted into a digital signal by the /D converter 14 and transmitted to the calculating section 15 constituting the calculating means 11 .

A detection signal from the head blood flow detection sensor 42 is also transmitted to the calculation unit 15 .

In addition, the computing means 11 is provided with a drive motor 74 (vibration of the head-mounted frame 2), a buzzer 75 (ringing), a driving motor 74 (vibration of the head-mounted frame 2), a buzzer 75 (rubbing), etc. An information providing means driving unit 16 for driving any one of a voice generator 76 (pronunciation of voice) and a display 77 (display of character information, etc.) or a plurality of elements composed of any combination of these elements, and the inspection processing result is transmitted to the tablet computer 72 or smartphone 73 that constitutes the information providing means 71 by wireless communication (either method of infrared communication, Bluetooth (registered trademark) communication, or wireless LAN (Wi-Fi) communication), A wireless communication means 17 is provided for providing the examination processing result to the subject M himself or the doctor.

Instead of the buzzer 75, an LED element (not shown) that emits LED light may be used.

The treatment examination system 1 of the present embodiment further connects the tablet computer 72 and the smartphone 73 to a cloud computer system 81 via a wireless LAN (Wi-Fi) and the Internet N, and the big data in the cloud computer system 81 is It includes a configuration that allows access to the database 82 and teacher data database 83 .

That is, a large amount of treatment examination data can be obtained by using the treatment examination system 1 of this embodiment for many patients. Also, from the treatment examination data and the patient's symptoms, a large number of treatment examination data can be constructed for each symptom.

In addition, treatment test data can be obtained to show how much improvement has been achieved by continuing treatment for improvement.

A large number of patients, doctors, nurses, and caregivers all over the country using the treatment inspection system 1 conduct treatment inspections, and based on this, treatment improvement result data (teacher data) is sent to the cloud computer system 81 on the Internet. It is accumulated in the big data database 82 of, and from a lot of treatment examination data, statistics are taken by artificial intelligence, and deep learning is used to analyze that such a treatment method is optimal for patients with such symptoms. , and the optimum teacher data is generated and stored in the teacher data database 83 .

Optimal teacher data accumulated in the teacher data database 83 is released to patients, doctors, nurses, caregivers, etc. who use the treatment and examination system 1 of this embodiment through the Internet N.

As a result, treatment is performed by extracting the most suitable treatment method for the patient from the released optimum teaching data.

Next, various configuration examples of the head mounting frames 2, 2A, and 2B, the laryngeal mounting frame 3, and the laryngeal/jaw mounting frame 3A, and arrangement examples for the subject M in this embodiment will be described with reference to FIGS. 9 for a separate description.

FIG. 3 shows a neckband-type head-mounted frame 2 mounted with a mastication motion detection sensor 22, a head blood flow detection sensor 42, and a calculation means 11 in the therapeutic examination system 1 according to the present embodiment. It shows a state in which the laryngeal attachment frame 3, which is attached to the head and has a swallowing motion detection sensor 52 mounted thereon, is connected to the head attachment frame 2 from the larynx of the subject M through the vicinity of the ear.

3, illustration of the electric cable 4 is omitted.

FIG. 4 shows the masticatory motion detection sensor 22, the head blood flow detection sensor 42, and the computing means 11 in the treatment and examination system 1 according to the present embodiment. The laryngeal attachment frame 3 mounted with the swallowing motion detection sensor 52 is connected to the head attachment frame 2 from the larynx of the subject M through the rear side of the ear.

4, illustration of the electric cable 4 is omitted.

FIG. 5 shows a head-mounted head-mounted frame 2A that constitutes the head blood flow detection means 41 mounted on the head of the subject M and also mounts the calculation means 11 in the therapeutic examination system 1 according to the present embodiment. , and a laryngeal/jaw mounting frame 3A constituting a swallowing movement detection means 51 and a mastication movement detection means 21 are respectively attached to a subject M and connected by an electric cable 4. FIG. .

Only the head blood flow detection sensor 42 is arranged in the head mounting frame 2A, and the swallowing movement detection sensor 52 and the mastication movement detection sensor 22 are arranged in the laryngeal/jaw section mounting frame 3A.

The laryngeal/jaw attachment frame 3A can be attached along the larynx and jaw of the subject M by means similar to the laryngeal attachment frame 3. FIG.

FIG. 6 shows a headband-type treatment and examination system 1 according to the present embodiment, in which a head-mounted frame 2B equipped with a computing means 11 and a laryngeal/jaw-mounted frame 3A similar to those described above are attached to a subject. It is a schematic block diagram which shows the state attached to M. FIG.

Only the head blood flow detection sensor 42 is arranged on the head mounted frame 2 and connected by an electric cable 4 .

FIG. 7 shows a neckband-type treatment and examination system 1 according to the present embodiment, in which a head-mounted frame 2B equipped with a computing means 11 and a laryngeal/jaw-mounted frame 3A similar to those described above are examined. 2 is a schematic configuration diagram showing a state attached to a person M; FIG.

Only the head blood flow detection sensor 42 is arranged on the head mounted frame 2 and connected by an electric cable 4 .

FIG. 8 shows a head-mounted frame 2 in the treatment and examination system 1 according to the present embodiment, and a laryngeal-mounted frame 3 equipped with a swallowing motion detection sensor 52 similar to the case described above. The head-mounted frame 2 is provided with a head blood flow detection sensor 42, a mastication motion detection sensor 22, a calculation means 11, and a display 77 which is a kind of information provision means 18. is doing.

FIG. 9 shows a neckband-type head-mounted frame 2 in the treatment and examination system 1 according to the present embodiment, to which the calculation means 11 is attached, and to operate only the head blood flow detection sensor 42, and the swallowing motion detection sensor 52. FIG. 4 is a schematic configuration diagram showing a state in which a laryngeal patch 78 that constitutes the attached swallowing motion detection means 51 is attached to a subject M. FIG.

In FIG. 10, a head-mounted frame 2 is used, and this head-mounted frame 2 is mounted on the head of a subject M (not shown in the drawing), and information providing means 71 is configured by wireless communication means 17. It shows one aspect of radio communication with a tablet computer 72 and a smart phone 73 to perform therapeutic examinations on masticatory movement and head blood flow of the subject M.

The head-mounted frame 2 is provided with a calculation means 11, a head blood flow detection sensor 42, and a pair of mastication detection sensors 22, 22. These and the calculation means 11 are connected by a detection signal cable 5, 6 are connected.

FIG. 11 uses a head-mounted frame 2, which is attached to the head of a subject M (not shown in the figure), and performs chewing movements of the subject M and head blood flow. Fig. 10 shows an alternative embodiment for conducting a therapeutic test for flow;

The head-mounted frame 2 is provided with a calculation means 11, one head blood flow detection sensor 42, and one mastication motion detection sensor 22, which are connected to the calculation means 11 by detection signal cables 5 and 6. is doing.

The masticatory motion detection sensor 22 is arranged at a position corresponding to one of the temples or the temporomandibular joint in which the temporal muscle or masseter muscle of the subject M is located, and the head is positioned at a position corresponding to the other temple. A configuration in which a partial blood flow detection sensor 42 is arranged is preferable.

It is known that the more frequently a person chews and eats on a daily basis, the more strongly the motor part of the cerebral cortex (around the back of the temple) is activated. It is optimal for the person M to wear it without burden.

In FIG. 12, a head-mounted frame 2 is used, and this head-mounted frame 2 is mounted on the head of a subject M (not shown in the figure), and the mastication movement of the subject M and the head blood flow are observed. FIG. 10 illustrates yet another aspect of providing flow-related therapeutic tests and therapeutic test information.

In addition to the masticatory motion detection sensor 22 and the head blood flow detection sensor 42, the head-mounted frame 2 incorporates a drive motor 74, a buzzer 75, an audio generator 76, and a display 77 that constitute the information providing means 71. I'm in.

It is also possible to employ a configuration in which a light-emitting diode blinks or lights up instead of the buzzer 75 .

10 to 12 and the laryngeal mounting frame 3 constituting the swallowing motion detection means 51 are combined to obtain a comprehensive evaluation of the masticatory motion, swallowing motion, and head blood flow of the subject M. Of course, it is also possible to provide a configuration in which a therapeutic examination and information on the therapeutic examination are provided.

Next, an example of a specific configuration of the masticatory motion detection sensor 22 for detecting the movement of the temporal muscles on both sides of the head of the subject M during eating of the subject M in the masticatory motion detection means 21 will be described with reference to FIG. do.

The masticatory motion detection sensor 22 shown in FIG. 13 has an airtightness and consists of a tubular air pad 23. The elastic force of the air pad 23 itself holds the internal space 24, and the proximal end of the air pad 23 is attached to the base end of the air pad 23. A detection signal cable 25 for connecting to the calculation means 11 is arranged, and a transmission medium conversion means 26 for converting the air vibration in the air gap 24 in the air pad 23 caused by mastication of the subject M into a detection signal which is an electric signal. are provided.

The air pad 23 is made of, for example, a thermoplastic elastomer and has a hardness range of A20 to A60 based on the durometer hardness test type A specified in JIS K 6253. Thickness: 0.1 mm to 2.0 mm, length 50 to 100 mm.

The air pad 23 is arranged so as to be sandwiched between the head-mounted frame 2 and the temporal muscle of the subject M (strictly speaking, the scalp outside the temporal muscle).

The transmission medium converting means 26 includes an end cover 27 attached to the base end of the air pad 23, a pressure receiving electrode plate 28 made of an elastic thin plate facing the air gap 24 in the air pad 23, and a A fixed electrode plate 29 facing the electrode plate 28 on the outside thereof is held by a holding cylinder 30 to form a capacitor 31, which is arranged at the proximal end of the air pad 23 and connected to the pressure receiving electrode plate 28. 1 signal line 31a is connected to one core line of the detection signal cable 25 through the end cover body 27 and with a battery (for example, a button type battery) 34 interposed in the middle, and to the fixed electrode plate 29. The connected second signal line 31b is connected to the other core wire of the detection signal cable 25 through the end cover body 27, and the capacitor 31 and the capacitor 31 are connected between the first signal line 31a and the second signal line 31b. and a capacitor microphone 33 configured by connecting a resistor 32 in parallel connection.

Then, an electric signal from both ends of the resistor 32 corresponding to the change in the capacitance of the capacitor 33 which changes due to air vibration in the air gap 24 in the air pad 23 accompanying mastication of the subject M is transmitted to the subject M. is output to the computing means 11 via the detection signal cable 25 as a detection signal corresponding to the state of mastication.

Further, the mastication motion detection sensor 22 shown in FIG. 13 described above can also be applied as the swallowing motion detection sensor 52 .

FIG. 14 shows a specific configuration example of the laryngeal mounting frame 3 functioning as the laryngeal mounting means including the swallowing motion detecting sensor 52 constituting the swallowing motion detecting means 51 .

The laryngeal attachment frame 3 includes a fitting 53 made of a band-like elastic material and formed in a substantially U shape that can be attached from the larynx to the neck of the subject M, and a substantially U-shaped portion of the fitting 53 . A swallowing motion detection sensor 52 for detecting the movement of the laryngeal region attached to the central portion of the subject M so as to face the laryngeal region, and a swallowing motion detection sensor 52 for detecting the movement of the laryngeal region. Hook-and-loop fasteners 54, 54 for fixing the fixture 53 from the larynx to the neck of the subject M, and a signal transmission cable with a terminal 56 for connecting the swallowing motion detection sensor 52 to the calculation means 11. 55 and .

As shown in FIG. 15, there are three swallowing motion detection sensors 52: an upper sensor 52a (indicated by circled number 1), a middle sensor 52b (indicated by circled number 2), and a lower sensor 52c (indicated by circled number 3). These sensors are arranged in order from top to bottom in the region of the laryngeal prominence (aqueous pharynx) of the subject M.

By arranging the upper sensor 52a, the middle sensor 52b, and the lower sensor 52c constituting the swallowing motion detection sensor 52 as described above along the moving direction of the food during swallowing, the waveform data from these sensors can be observed. It is possible to detect the amount of change over time on the laryngeal fist.

For example, by extracting the time from the behavior peak of the upper sensor 52a to the behavior peak of the middle sensor 52a, it is possible to detect the food swallowing speed (momentum).

FIG. 16 shows the masticatory movement detecting means 21, the swallowing movement detecting means 51, the computing means 11, the information processing means 21, and the operating method related to the masticatory movement and swallowing movement of the subject M in the treatment examination system 1 according to the present embodiment. It schematically shows a system configuration consisting of the providing means 71 .

FIG. 17 shows the masticatory motion detecting means 21, the head blood flow detecting means 41, and the arithmetic operation when performing the operation method related to the masticatory motion and the head blood flow of the subject M in the therapeutic examination system 1 according to this embodiment. It schematically shows a system configuration consisting of means 11 and information providing means 71 .

FIG. 18 shows the head blood flow detecting means 41, the swallowing motion detecting means 51, and the calculation when performing the operation method related to the swallowing motion of the subject M and the head blood flow in the treatment/examination system 1 according to the present embodiment. It schematically shows a system configuration consisting of means 11 and information providing means 71 .

FIG. 19 shows the masticatory movement detection means 21, the swallowing movement detection means 51, and the mastication movement detection means 51 when performing the operation method related to the mastication movement, the swallowing movement, and the head blood flow of the subject M in the treatment examination system 1 according to the present embodiment. It schematically shows a system configuration comprising a head blood flow detecting means 41, a computing means 11, and an information providing means 71. FIG.

Next, an operation method related to mastication movement, swallowing movement, and head blood flow of the subject M by the treatment/examination system 1 according to the present embodiment will be described separately for each case.

FIG. 20 shows a series of steps of an operating method related to chewing motion and swallowing motion of food of the subject M in the aspect shown in FIG.

In this case, the operator (doctor, etc.) sets the number of mastications (set number of mastications: for example, 30 times) from one swallow to the next swallow to the arithmetic unit 15 of the arithmetic means 11 mounted on the head-mounted frame 2. , and based on the detection signal of the mastication motion detection sensor 22 and the detection signal of the swallowing motion detection sensor 52 in the head-mounted frame 2 mounted on the head of the subject M shown in FIG. A treatment examination program is stored for executing a comparison between the number of mastications of the examiner M and a set number of mastications, a process for judging whether the number of mastications is appropriate, and a process for providing information to the subject M according to the appropriateness of the number of mastications. It is assumed that there is

Specifically, the calculation unit 15 of the calculation means 11 detects the swallowing motion detection sensor 52 arranged in the larynx of the subject M, that is, the three upper sensors 52a arranged along the movement direction of the laryngeal prominence. , middle sensor 52b, and lower sensor 52c.

Further, the calculation unit 15 of the calculation means 11 takes in detection signals relating to chronological changes in behavior related to mastication movement from the mastication movement detection sensor 22 placed on the head of the subject M, and creates mastication movement data.

Next, the calculation unit 15 of the calculation means 11 compares the mastication number of the subject M with the set number of mastications based on the correlation between the mastication movement data and the swallowing movement data, and determines whether the mastication number is appropriate.

That is, it automatically monitors whether the subject M is swallowing after sufficiently masticating.

When it is determined that the subject M has not swallowed after chewing sufficiently, the calculating unit 15 of the calculating means 11 prompts improvement so that the subject M can masticate and swallow until a predetermined condition is met. Information transmission is executed by operating the information transmission means 71, and information transmission to the effect that the number of mastications is normal is executed when it is determined that the patient has swallowed after sufficiently masticating.

In addition, if the number of mastications from one swallow to the next swallow is set to, for example, 30 times for the subject M, the meal is started after the setting. A warning display (information provision) is provided to the effect that the number of times of chewing (from one swallow to the next swallow) is insufficient until (swallowing).

If the subject M continues to eat after that, the number of mastications is detected from one swallow to the next swallow.

Then, when the number of mastications is less than the set value, a warning is displayed on the screen of the tablet computer 72 or smart phone 73 which is one type of the information transmission means 71 .

On the other hand, if the number of mastications is greater than the set value, it is determined that the user is chewing well, and a message indicating that the number of mastications is normal is displayed on the screen of the tablet computer 72 or smart phone 73, which is a type of the information transmission means 71.

As a result, the screen display result of the tablet computer 72 or the smartphone 73, which is a kind of the information providing means 71, can bring about the effect that the subject M becomes careful to chew and eat well. can.

In general, in the case of dementia patients, eating means chewing and swallowing properly, and specific symptoms of dementia include:
Inability to masticate well → Inability to masticate increases the risk of dementia.
It can store food in its mouth, but cannot send it down its throat.
Even if I put food in my mouth, I don't try to swallow it.
etc.

For this reason, measures to improve dementia include suppressing the progress of dementia by encouraging chewing well, and training to swallow after chewing several times.

By implementing the operation method shown in FIG. 20, symptoms of dementia can be improved.

That is, set the number of times of chewing from swallowing to the next swallowing as, for example, 30 times, start eating after setting, and if there is little chewing, it is expected that there is a risk of dementia, so until swallowing (from swallowing to the next Display a warning (provide information) that the number of times of chewing (until swallowing) is insufficient. After that, continue to eat and detect the number of chews from one swallow to the next.

When the number of mastications is less than the set value, information is provided to that effect, and when the number of mastications is greater than the set value, it is determined that the user is chewing well and information is provided to the effect that mastication is normal.

In this way, the dementia symptoms of the subject M can be improved by the operation method shown in FIG.
In the operating method shown in FIG. 20, the setting of the number of times of chewing (setting of the number of times of chewing from swallowing to the next swallowing) is input to the tablet computer 72 in the treatment examination system 1 according to the present embodiment (type of food , etc.), and based on this, the required number of times of mastication is automatically set, and based on this, an instruction such as giving an instruction to swallow when the required number of times is reached is displayed on the screen of the tablet computer 72. can also be configured.

FIG. 21 shows another example of a series of steps of the operation method related to chewing motion and swallowing motion of food of the subject M in the aspect shown in FIG. .

In this case, the operation unit 15 of the operation means 11 mounted on the head-mounted frame 2 is operated by an operator (doctor, etc.) to set the swallowing cycle and the upper limit of the number of continuous chewing (set number of chewing: for example, 30). times) is performed, and the detection signal of the mastication motion detection sensor 22 and the detection signal of the swallowing motion detection sensor 52 in the head-mounted frame 2 mounted on the head of the subject M shown in FIG. Determination process of the number of continuous mastications of the subject M based on, processing of comparing the number of continuous mastications of the subject M and the set number of mastications, processing of determining the cycle from swallowing of the subject M to the next swallowing, subject Comparison processing between the swallowing cycle of the subject M and the set swallowing cycle when it is determined that the number of chews of the examiner M is less than the set number of chews, and the number of chews of the subject M is less than the set number of chews, In addition, it is assumed that a treatment examination program is stored for executing information provision processing for calling attention to the subject M when it is determined that the swallowing cycle of the subject M is longer than the set swallowing cycle.

Specifically, the calculation unit 15 of the calculation means 11 detects the swallowing motion detection sensor 52 arranged in the larynx of the subject M, that is, the three upper sensors 52a arranged along the moving direction of the laryngeal prominence. , middle sensor 52b, and lower sensor 52c.

Further, the calculation unit 15 of the calculation means 11 takes in detection signals relating to chronological changes in behavior related to mastication movement from the mastication movement detection sensor 22 placed on the head of the subject M, and creates mastication movement data.

Next, the calculation unit 15 of the calculation means 11 performs a comparison process between the number of consecutive mastications of the subject M and the set number of mastications. Information provision processing is executed to call attention to M, etc. (Let's chew and swallow now, etc.).

Further, the calculation unit 15 of the calculation means 11 performs a comparison process between the number of consecutive mastications of the subject M and the set number of mastications, determines that the number of mastications is less than the set number of mastications, and Also when it is determined that the swallowing cycle of M is longer than the set swallowing cycle, information providing processing is executed to call attention to the subject M (for example, let's chew well and swallow).

Additionally, people with brain dysfunction tend not to swallow food when they put it in their mouth.

In the example shown in FIG. 21, the swallowing cycle (the time from one swallow to the next swallowing) and the upper limit of the number of chewing are set, a meal is started after the setting, and the swallowing cycle and the consecutive number of chewing are extracted.

If the number of consecutive chews is more than the set value, it is expected that the subject is just moving his/her mouth and not swallowing.

If the number of consecutive chews is less than the set value, it is expected that the food is accumulated in the mouth, so the swallowing cycle is extracted. provide information to the subject on

In addition, the subject is informed that if the swallowing cycle is shorter than the set value, it is normal.

In the example shown in FIG. 21, only the upper limit of the number of mastications and the upper limit of the swallowing cycle are set. Alternatively, information may be provided to the subject that the swallowing cycle is too early.

By the operation method as shown in FIG. 21, it is possible to optimize the state of chewing and swallowing food of the subject M, and contribute to the improvement of brain dysfunction of the subject M.

Next, a series of steps of the operation method related to chewing motion of food, swallowing motion, and head blood flow (cerebral blood flow) of the subject M will be described with reference to FIGS. 22 to 24. FIG.

If the subject M is a dementia patient, "chewing and swallowing food many times" moves the jaw, increases the blood flow in the brain, and improves the blood flow in the cerebral blood vessels. It is known that dementia can be prevented by doing so.

FIG. 24 shows a series of steps of an operation method related to chewing movement of food, swallowing movement, and cerebral blood flow of subject M in the mode shown in FIG. 19 by the therapeutic examination system 1 according to this embodiment. It is.

In this case, an operator (doctor, etc.) performs setting processing of cerebral blood flow, the number of mastications from one swallow to the next swallow (set Mastication number: 30 times, for example) is set, and the masticatory motion detection sensor 22 associated with eating of the subject M in the head-mounted frame 2 mounted on the head of the subject M as shown in FIG. and the detection signal of the swallowing movement detection sensor 52 in the laryngeal mounting frame 3, the judgment processing of the appropriateness of the masticatory/swallowing function of the subject M, and the detection signal of the head blood flow detection sensor 4 Extraction processing of cerebral blood flow based on cerebral blood flow, comparison processing of extracted cerebral blood flow and set cerebral blood flow, processing of providing information to subject M etc. when mastication/swallowing function is not normal, examination regarding suitability of cerebral blood flow It is assumed that a medical examination program for executing information provision processing for person M and the like is stored.

Specifically, the calculation unit 15 of the calculation means 11 includes a swallowing motion detection sensor 52 arranged in the larynx of the subject M, that is, three sensors 52a arranged along the movement direction of the laryngeal prominence, Swallowing motion data is created by taking in detection signals relating to changes over time in the movement of the laryngeal prominence from 52b and 52c.

Further, the computing unit 15 takes in detection signals relating to chronological changes in behavior related to masticatory motion from the masticatory motion detection sensor 22 placed on the head of the subject M, and creates masticatory motion data.

Then, function determination processing is performed to determine whether the chewing/swallowing function of the subject M is appropriate.

Further, the calculation unit 15 takes in the blood flow signal from the head blood flow non-detection sensor 42 and creates cerebral blood flow data (cerebral blood flow value data) of the subject M.

Next, the calculation unit 15 of the calculation means 11 determines whether the mastication/swallowing function of the subject M is appropriate based on the chewing motion data and the swallowing motion data. , information is provided by displaying information to the effect that "the masticatory/swallowing function is not normal" on the screen of the tablet computer 72 or smart phone 73, which is a type of the information transmission means 71.

Further, when the masticatory/swallowing function is normal, the calculation unit 15 further performs a comparison process between the created cerebral blood flow data and the set cerebral blood flow data, and the cerebral blood flow of the subject M is is normal, information to the effect that the cerebral blood flow is normal or to the effect that the cerebral blood flow is insufficient is provided on the screen of the tablet computer 72 or smart phone 73, respectively.

In this way, according to the operation method related to the chewing motion, swallowing motion, and cerebral blood flow of food of the subject M shown in FIG. , If normal, it can be confirmed whether the cerebral blood flow is greater than the set cerebral blood flow.

In addition, in the case where the screen of the tablet computer 72 or the smartphone 73 is viewed by a doctor or the like instead of the subject M, if the cerebral blood flow is insufficient, the subject M is notified of the cerebral blood flow. The subject M is encouraged to masticate and swallow so that the blood flow increases, and the meal is continued, and when the cerebral blood flow exceeds the set value, the subject M is informed that an improvement effect has appeared, and the meal is finished. It is also possible to

As a result, regarding the diet of the subject M, it is possible to move the jaw a lot, increase the cerebral blood flow, improve the blood flow in the cerebral blood vessels, and prevent dementia of the subject M. can.

FIG. 22 shows a series of steps of the operation method related to cerebral blood flow from swallowing of food by subject M to the next swallowing in the mode shown in FIG.

In this case, the operator (doctor, etc.) sets the head blood flow (cerebral blood flow) from swallowing to the next swallowing to the arithmetic unit 15 of the arithmetic means 11 mounted on the head-mounted frame 2. Processing is performed, and extraction processing of the time signal from the subject M's swallowing to the next swallowing based on the detection signal of the swallowing motion detection sensor 52 in the laryngeal attachment frame 3, and the time signal attached to the subject M's head. Extraction processing of head blood flow based on the detection signal of the head blood flow detection sensor 42 accompanying a meal of the subject M in the head-mounted frame 2 of the aspect shown in FIG. If the head blood flow is normal by comparison processing of the extracted head blood flow and the set head blood flow within the time to, or by comparing the extracted head blood flow with the set head blood flow, or It is assumed that a treatment/examination program for executing information provision processing for the subject M when the head blood flow is insufficient is stored.

Specifically, the calculation unit 15 captures the blood flow signal of the head blood flow detection sensor 42 from the subject M's swallowing to the next swallowing, and obtains the cerebral blood flow data (cerebral blood flow value) of the subject M. data) is created (extracted).

It is assumed that the calculation unit 15 creates swallowing motion data based on the detection signal of the swallowing motion detection sensor 52 .

Then, the calculation unit 15 compares and determines the data of the cerebral blood flow value extracted from the swallowing of the subject M to the next swallowing and the data of the set head blood flow value, and the extracted cerebral blood flow value is If the cerebral blood flow value is higher than the set value, it means that the cerebral blood flow is normal. Information provision processing is executed for each of the subjects M to the effect that there is no such information.

According to the operation method of the processing contents shown in FIG. 22, the subject M confirms the head blood flow from one swallow to the next swallow in relation to the food swallowing movement and cerebral blood flow of the subject M. It is possible to continue eating while eating, and with regard to the meal of the subject M, it is possible to make the swallowing interval appropriate, increase the blood flow in the brain, and improve the blood flow in the cerebral blood vessels. Dementia prevention for person M can be realized.

FIG. 23 shows a series of steps of an operating method related to cerebral blood flow during continuous mastication of subject M in the mode shown in FIG.

In this case, the operator (doctor, etc.) sets the head blood flow value (cerebral blood flow value) during continuous mastication to the calculation unit 15 of the calculation means 11 mounted on the head-mounted frame 2. Processing is performed to create masticatory motion data during continuous mastication based on the detection signal of the masticatory motion detection sensor 22 associated with eating of the subject M in the head-mounted frame 2, head blood flow data extraction processing based on the detection signal of the head blood flow detection sensor 42 associated with eating; comparison processing between the head blood flow of the subject M and the set head blood flow during continuous mastication; It is assumed that a therapeutic examination program is stored for executing information provision processing for the examinee M when the blood flow in the head of the examiner M is normal or when the blood flow in the head is insufficient.

Specifically, the computing unit 15 captures blood flow signals during continuous mastication from the head blood flow detection sensor 42 and creates (extracts) cerebral blood flow data (cerebral blood flow value data) of the subject M. do.

Then, the calculation unit 15 compares and determines the set head blood flow value data during continuous mastication with the extracted cerebral blood flow value data, and the extracted cerebral blood flow value is higher than the set head blood flow value. If it is high, it means that the cerebral blood flow is normal, and if the extracted cerebral blood flow value is less than the set head blood flow value (insufficient), it means that the cerebral blood flow is insufficient. information provision processing for each.
In addition, it is known that the cerebral blood flow value does not increase significantly if only soft foods are chewed, even if the frequency of chewing is large. It is also possible to configure the configuration to be performed for
In other words, it is known that mastication causes more cerebral blood flow to increase cerebral blood flow, which indicates brain activation, than hand and finger exercise, and hard foods are more effective than soft foods. It is known.
Therefore, it can be said that incorporating crunchy foods into meals and chewing well is extremely important for activating the brain.

According to the operating method of the processing contents as shown in FIG. can be continued, and the subject M's diet can be properly masticated, the blood flow in the brain can be increased, and the blood flow in the cerebral blood vessels can be improved, and the subject M dementia prevention can be realized.

In the present embodiment described above, as the masticatory part mounting means, a frame made of an elastic member that can be mounted on the head or jaw of the subject M, or a belt is adopted, and the masticatory part mounting means supports the masticatory part mounting means. The masticatory motion detection sensor 22 can be arranged so as to face the subject's M temporal muscle or masseter muscle.

Further, in the present embodiment described above, the swallowing motion detection sensor 52 or the chewing motion detection sensor 22 is any one of an air pressure sensor, a displacement sensor, a vibration sensor, an acceleration sensor, a sound sensor, an optical sensor, and an electromyograph. Therefore, it is possible to increase the degree of freedom in selecting the swallowing motion detection sensor 52 or the chewing motion detection sensor 22 .

FIG. 25 shows the overall configuration of a therapeutic examination system 1A according to another embodiment of the present invention.

In the therapeutic examination system 1A shown in FIG. 25, the same elements as those in the therapeutic examination system 1 shown in FIG.

The therapeutic examination system 1A according to another embodiment shown in FIG. The swallowing motion detecting means 51 is provided with a swallowing motion wireless communication section 51a, and the computing means 11 is additionally provided with a detecting means wireless communication section 11a. The rest of the configuration is shown in FIG. It is the same as the case of the medical examination system 1 .

In the therapeutic examination system 1A according to another embodiment shown in FIG. 25, the detection signal of the masticatory motion detection sensor 22 is wirelessly transmitted from the masticatory motion wireless communication unit 21a to the detection means wireless communication unit 11a, and the head blood is detected. The detection signal of the flow detection sensor 42 is wirelessly transmitted from the head blood flow wireless communication unit 41a to the detection means wireless communication unit 11a. Based on the configuration in which each detection signal is wirelessly transmitted to the wireless communication unit 11a and processed by the arithmetic unit 15, it is possible to perform the same operation as in the case of the medical examination system 1 shown in FIG.

That is, according to the therapeutic examination system 1A according to another embodiment shown in FIG. Based on the configuration in which detection signals are transmitted by radio communication, the correlation between the detection signals described above is determined by one computing unit 15, and the result is transmitted to the information providing means 71 to provide information to the subject M, the doctor, and the like. can provide.

In addition, it is also possible to execute each operation method shown in FIGS.

FIG. 26 shows a specific configuration example of the treatment/examination system 1A to which the configuration shown in FIG. 9 described above is applied. , a head blood flow detection sensor 42 with a head blood flow wireless communication unit 41a (not shown in FIG. 26), and mastication with a mastication movement wireless communication unit 21a (not shown in FIG. 26). The head-mounted frame 2 with the motion detection sensor 22 attached is attached to the head of the subject M, and the swallowing motion detection sensor 52 with the swallowing motion wireless communication unit 51a (not shown in FIG. 26) is attached. The laryngeal patch 78 constituting the swallowing motion detection means 51 is attached to the larynx of the subject M, and the head blood flow detection sensor 42, the mastication motion detection sensor 22, and the swallowing motion detection sensor 52 detect each of them. A mode is shown in which a signal is wirelessly transmitted to a calculation means 11 to which a detection means wireless communication unit 11 (not shown in FIG. 26) is added.

In recent years, the swallowing motion detection sensor 52 and the like have also been miniaturized. As shown in FIG. By adopting a configuration for wirelessly transmitting the information, it is possible to realize convenience in use for long-term inpatients and long-term care patients.

1 and 3 to 8 can also be configured to wirelessly transmit detection signals similar to the case of the treatment/examination system 1A shown in FIG.

The treatment and examination system of the present invention is widely used as a measure for preventing the occurrence of dementia in healthy people, as a measure for preventing the occurrence of dementia in hospitalized patients in medical institutions, and for people requiring nursing care in nursing homes, or as a measure for preventing the progression of dementia. available for

1 treatment and examination system 1A treatment and examination system 2 head-mounted frame 2A head-mounted frame 2B head-mounted frame 3 laryngeal-mounted frame 3A laryngeal/jaw-mounted frame 4 electric cable 5 detection signal cable 6 detection signal cable 11 Calculation means 11a Detection means wireless communication unit 12 Amplifier 13 Frequency filter 14 A/D converter 15 Calculation unit 16 Information providing means driving unit 17 Wireless communication means 21 Mastication motion detection means 21a Mastication motion wireless communication unit 22 Mastication motion detection sensor 23 Air pad 24 Air gap 25 Detection signal cable 26 Transmission medium converting means 27 End cover body 28 Pressure receiving electrode plate 29 Fixed electrode plate 30 Holding tube 31 Capacitor 31a First signal line 31b Second signal line 32 Resistor 33 Capacitor microphone 34 Battery 41 Head Head blood flow detection means 41a Head blood flow wireless communication unit 42 Head blood flow detection sensor 51 Swallowing motion detection means 51a Swallowing motion wireless communication unit 52 Swallowing motion detection sensor 52a Upper sensor 52b Middle sensor 52c Lower sensor 53 Attachment 54 Surface Fastener 55 Signal transmission cable 56 Terminal 71 Information providing means 72 Tablet computer 73 Smart phone 74 Drive motor 75 Buzzer 76 Sound generator 77 Display 78 Laryngeal patch 81 Cloud computer system 82 Big data database 83 Teacher data database M Subject Person N Internet

Claims (5)

Any functional disorder in humans, functional disorder due to the subject's dietary habits, or brain dysfunction associated with aging or disease,
A method of operating a therapeutic testing system to improve swallowing and/or chewing movements of the subject, comprising:
Furthermore, detection of either one or both of swallowing motion detection means for detecting motion or sound in the perilarynx region of the subject, or chewing motion detection means for detecting facial muscle motion or bite sound associated with chewing motion. A method of operating a treatment and examination system comprising a head blood flow detecting means for measuring the cerebral blood flow in consideration of the state of the cerebral blood flow of the subject as means,
detecting temporal changes in the movement of the laryngeal prominence from one or more sensors positioned along the direction of movement of the laryngeal prominence to generate swallowing motion data;
a step of detecting chronological changes in behavior related to masticatory motion of the subject to create masticatory motion data;
From the step of detecting changes in blood flow from the head blood flow detection sensor that measures cerebral blood flow to create head blood flow data and the correlation of the detected data,
a step of automatically monitoring whether sufficient mastication or swallowing is being performed;
a step of promoting improvement in chewing or swallowing until cerebral blood flow reaches a predetermined blood flow;
A method of operating a therapeutic testing system for monitoring or improving brain dysfunction associated with aging or disease, comprising: Any functional disorder in humans, functional disorder due to the subject's dietary habits, or brain dysfunction associated with aging or disease,
A method of operating a therapeutic testing system to improve swallowing and/or chewing movements of the subject, comprising:
Furthermore, detection of either one or both of swallowing motion detection means for detecting motion or sound in the perilarynx region of the subject, or chewing motion detection means for detecting facial muscle motion or bite sound associated with chewing motion. A method of operating a treatment and examination system comprising a head blood flow detecting means for measuring the cerebral blood flow in consideration of the state of the cerebral blood flow of the subject as means,
detecting temporal changes in the movement of the laryngeal prominence from one or more sensors positioned along the direction of movement of the laryngeal prominence to generate swallowing motion data;
From the step of detecting changes in blood flow from the head blood flow detection sensor that measures cerebral blood flow to create head blood flow data and the correlation of the detected data,
automatically monitoring cerebral blood flow from one swallow to the next;
a step of promoting improvement when cerebral blood flow is insufficient to a predetermined blood flow;
A method of operating a therapeutic testing system for monitoring or improving brain dysfunction associated with aging or disease, comprising: Any functional disorder in humans, functional disorder due to the subject's dietary habits, or brain dysfunction associated with aging or disease,
A method of operating a therapeutic testing system to improve swallowing and/or chewing movements of the subject, comprising:
Furthermore, detection of either one or both of swallowing motion detection means for detecting motion or sound in the perilarynx region of the subject, or chewing motion detection means for detecting facial muscle motion or bite sound associated with chewing motion. A method of operating a treatment and examination system comprising a head blood flow detecting means for measuring the cerebral blood flow in consideration of the state of the cerebral blood flow of the subject as means,
a step of detecting chronological changes in behavior related to continuous masticatory motion of the subject to create masticatory motion data;
From the step of detecting changes in blood flow from a head blood flow detection sensor that measures the cerebral blood flow during continuous mastication to create head blood flow data, and from the correlation of the detected data,
a step of automatically monitoring cerebral blood flow during continuous mastication;
a step of promoting improvement when cerebral blood flow is insufficient to a predetermined blood flow;
A method of operating a therapeutic testing system for monitoring or improving brain dysfunction associated with aging or disease, comprising: 4. A program for executing the operation method according to any one of claims 1 to 3 by a medical examination system. 4. A computer-readable storage medium storing a program for executing the operation method according to any one of claims 1 to 3 by a medical examination system.

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