TW201615148A - Swallow training equipment featuring biofeedback - Google Patents

Abstract

A swallow training equipment featuring biofeedback is provided to detect swallow motions of a patient, comprising a detection system for detecting swallow motions of the patient, and a data processing system for receiving measurement results of the detection system and processing the same to produce output. The detection system comprises a first detection device for measuring the movement of muscles under the tongue, and a second detection device for measuring the movement of throat. Because the first detection device can detect the state of muscles under the tongue of the patient, and the second detection device can detect the throat movement of the patient, swallow reflex time and other relevant information can be obtained to facilitate the clinical treatment.

Description

Swallowing biological feedback training instrument

The invention relates to a swallowing biological feedback training device, in particular to a swallowing biological feedback training device which can know the time of the patient's swallowing reflex and other related information.

The so-called dysphagia refers to eating difficulties, common in patients with abnormal neurological functions, such as stroke and Bajin's disease. With the acceleration of aging in Taiwan, the problem of dysphagia has become increasingly serious. Therefore, the evaluation and treatment of dysphagia has become a common problem in elderly and stroke clinics. Although biofeedback training is an important technique in clinical treatment, it is rarely used in swallowing treatment. This phenomenon is caused by the lack of appropriate auxiliary training equipment, such as traditional TV fluorescence photography, which is a dysphagia. Standard examination, but due to its radiation exposure and expensive price, it is limited in clinical utility, and can not be used for regular biofeedback training, while endoscope swallowing inspection and still immature 3D ultrasonic examination Invasiveness is too high, only for research and less for clinical evaluation, so the aforementioned instruments and techniques are very limited in clinical treatment.

Accordingly, it is an object of the present invention to provide a swallowing biofeedback exerciser capable of detecting a swallowing condition of a patient.

Therefore, the swallowing biological feedback training device of the present invention detects the swallowing motion of the patient, and includes a detecting system for detecting the swallowing motion of the patient, and a data receiving the measurement result of the detecting system and processing and outputting the data. Processing system. The detection system includes a first detecting device for measuring the movement of the muscles under the tongue, and a second detecting device for measuring the movement of the throat.

The effect of the invention is that the first detecting device can detect the motion state of the patient's sublingual muscle, and the second detecting device can detect the motion state of the patient's throat, thereby knowing the time of the patient's swallowing reflex And other relevant information to help with clinical treatment.

2‧‧‧Swallowing Biofeedback Trainer

3‧‧‧Detection system

31‧‧‧First detection device

32‧‧‧Second detection device

4‧‧‧Data Processing System

5‧‧‧Feedback training system

51‧‧‧Electrical stimulation device

52‧‧‧Virtual reality device

521‧‧‧Sensor unit

522‧‧‧Interactive unit

6‧‧‧Outer throat

61‧‧‧颔

62‧‧‧ thyroid cartilage

Other features and effects of the present invention will be apparent from the following description of the drawings, wherein: FIG. 1 is a schematic diagram illustrating an embodiment of the swallowing biofeedback training apparatus of the present invention; and FIG. 2 is a flow chart The biological feedback training process of this embodiment will be described.

Referring to FIG. 1 , an embodiment of a swallowing biological feedback training device of the present invention includes a detecting system 3 for detecting a swallowing motion of a patient, and a measurement result of receiving the detecting system 3 . A data processing system 4 for processing and outputting, and a feedback training system 5 for receiving biofeedback training for the patient after receiving the signal output by the data processing system 4. The detection system 3 includes a first detecting device 31 fixed to the outer throat portion 6 of the patient with an adhesive patch and located under the armpit 61, and fixed by an adhesive patch. The second detecting device 32 is located on the lateral throat 6 of the patient and is located at the upper edge of the thyroid cartilage 62. The feedback training system 5 includes an electrical stimulation device 51 disposed on the outside of the patient's throat 6 and located outside of the thyroid cartilage 62, and a virtual reality device 52 that receives the signal from the data processing system 4 and interacts with the patient. The virtual reality device 52 has a sensing unit 521 that senses the movement of the patient's head, and an interactive unit 522 for the patient to play an interactive game.

In this embodiment, the first detecting device 31 is an electromyograph, the second detecting device 32 is an accelerometer, and the data processing system 4 is LabVIEW (Laboratory Virtual Instrumentation Engineering Workbench). Platform) is a 16-bit data acquisition module (16-bit data acquisition, 16-bit DAQ), but not limited to this.

In swallowing assessment, the reflection time of swallowing and the action of the patient's throat rise are important indicators of swallowing function. The reflex time of swallowing refers to the time difference between the movement of the tongue caused by the bolus and the rise of the throat to produce swallowing action. Referring to FIG. 1 and FIG. 2, when the patient is swallowing, the first detecting device 31 detects the movement state of the sublingual muscle and inputs it into the data processing system 4, when the movement strength of the sublingual muscle does not reach the set standard, The data processing system 4 outputs an activation signal to the electrical stimulation device 51 to cause the electrical stimulation device 51 to turn on and generate current to assist the patient in swallowing. The second detecting device 32 detects the movement state of the throat and inputs it into the data processing system 4, if the movement condition of the sublingual muscle is in accordance with the standard, but the second detecting device 32 within 2 seconds after the sublingual muscle activity When the patient's throat is still not detected, the data processing system 4 outputs an opening signal to the electrical stimulation device 51 to make the electrospin The activation device 51 is turned on to generate a current to assist the patient in swallowing and complete the swallowing feedback training. The electrical stimulation device 51 automatically turns off after receiving the activation signal to generate a current-triggered swallowing reflex, to avoid excessive electrical stimulation, increase patient comfort and improve usage efficiency.

The virtual reality device 52 interacts with the patient in a game manner in the aforementioned feedback training to increase the patient's willingness to accept the feedback training. In this embodiment, the game is played by the frog swallowing mosquito. When the first detecting device 31 detects the signal that the tongue is stimulated, the signal is transmitted to the data processing system 4, and the data processing system 4 Sending a signal causes the frog in the game to spit out the tongue to prey on the mosquito. When the second detecting device 32 detects that the patient's throat is rising and completes the swallowing signal, the signal is transmitted to the data processing system 4, and the data processing system 4 Signaling is made to synchronize the frogs in the game to swallow the mosquitoes and obtain a bonus score. If the electrical stimulation device 51 is not turned on during the swallowing process, a higher bonus score can be obtained. The sensing unit 521 can transmit the motion signal of the patient's head to the interaction unit 522 to synchronize the movement of the frog's head in the game to achieve the virtual reality effect to enhance the interaction. Other information obtained by the detection system 3 can also be applied to the game, for example, the intensity of the sublingual muscles can affect the range of the frog's tongue. Enhance the patient's will and motivation through instant animation effects, interactive gameplay, and virtual reality effects for better healing results.

It should be noted that the data processed by the data processing system 4 can be output to the interactive unit 522 for display in the game, or can be additionally output to the screen display. In addition to the first detecting device 31 and the second detecting device 32, a high-speed camera or other instrument can be set up as needed. Information is entered into the data processing system 4 for further evaluation and data collection.

The first detecting device 31 and the second detecting device 32 can detect the movement state of the sublingual muscles and the throat of the patient, and send them to the data processing system 4 for processing, and can immediately use the electrical stimulation device 51. The bio-feedback training is performed, and the sensing unit 521 and the interactive unit 522 are combined to enable the patient to treat the virtual reality interactive game, thereby increasing the patient's willingness and effect, and also matching other detecting instruments or outputs according to the needs of the situation. The device is further applied to improve versatility.

In summary, the first detecting device 31 and the second detecting device 32 can collect relevant information when the patient swallows, and use the electrical stimulation device 51 to perform biofeedback training immediately, which is beneficial to clinical treatment, and The virtual reality interactive game increases the patient's willingness to treat, so it is indeed possible to achieve the object of the present invention.

However, the above is only the embodiment of the present invention, and the scope of the present invention is not limited thereto, that is, the simple equivalent changes and modifications made by the patent application scope and the patent specification of the present invention are still It is within the scope of the patent of the present invention.

2‧‧‧Swallowing Biofeedback Trainer

3‧‧‧Detection system

31‧‧‧First detection device

32‧‧‧Second detection device

4‧‧‧Data Processing System

5‧‧‧Feedback training system

51‧‧‧Electrical stimulation device

52‧‧‧Virtual reality device

521‧‧‧Sensor unit

522‧‧‧Interactive unit

6‧‧‧Outer throat

61‧‧‧颔

62‧‧‧ thyroid cartilage

Claims (10)

A swallowing biological feedback training device for detecting a swallowing motion of a patient includes: a detecting system for detecting a swallowing motion of the patient, and including a first detecting device for measuring the movement of the sublingual muscle, and a quantity a second detecting device for measuring the movement of the throat; and a data processing system for receiving the measurement result of the detecting system and processing and outputting the same. The swallowing biological feedback training device according to claim 1, further comprising: a feedback training system for receiving bio-feedback training for the patient after receiving the signal output by the data processing system, the feedback training system includes a receiving signal to assist in triggering the swallowing reflection Electrical stimulation device. The swallowing biological feedback training device of claim 1, further comprising: a feedback training system for receiving bio-feedback training for the patient after receiving the signal output by the data processing system, the feedback training system comprising a signal for receiving the data processing system And a virtual reality device interacting with the patient, the virtual reality device having an interactive unit for the patient to perform an interactive game, and a sensing unit for sensing the movement of the patient's head, the interactive unit being based on the signal of the data processing system The game produces a corresponding performance, and the signal measured by the sensing unit is input to the interactive unit to operate the game. The swallowing biological feedback training device of claim 2, wherein the feedback training system further comprises a virtual reality device that receives the signal of the data processing system and interacts with the patient, the virtual reality device having a The interactive unit of the interactive game and the sensing unit for sensing the movement of the patient's head. The interactive unit generates a corresponding performance according to the signal of the data processing system, and the signal measured by the sensing unit is inputting the interaction. The unit operates on the game. The swallowing biological feedback training device according to claim 2, wherein the electrical stimulation device controls the opening of the current according to the signal output by the data processing system, and is disposed on the outer throat and located outside the thyroid cartilage. The swallowing biological feedback training device of claim 1, wherein the first detecting device is an electromyograph and the second detecting device is an accelerometer. The swallowing biological feedback training device according to claim 1, wherein the first detecting device is disposed on the outer throat and located under the armpit, and is used for measuring the electromyogram signal of the sublingual muscle. The swallowing biological feedback training device according to claim 1, wherein the second detecting device is disposed on the outer throat and located at an upper edge of the thyroid cartilage, and is used for measuring a signal of the throat ascending motion. The swallowing biological feedback training device of claim 2, wherein when the first detecting device detects that the patient's sublingual muscles are insufficiently applied, the data processing system outputs a start signal to activate the electrical stimulation device. The electrical stimulation device is turned off immediately after the output current. The swallowing biological feedback training device according to claim 2, wherein when the data processing system calculates that the patient swallowing time exceeds a standard value, an activation signal is output to turn on the electrical stimulation device, and the electrical stimulation device immediately after outputting the current shut down.