WO2013100776A1 - Procédé d'électrostimulation autonome programmée des muscles et dispositif de mise en œuvre - Google Patents

Procédé d'électrostimulation autonome programmée des muscles et dispositif de mise en œuvre Download PDF

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Publication number
WO2013100776A1
WO2013100776A1 PCT/RU2011/001031 RU2011001031W WO2013100776A1 WO 2013100776 A1 WO2013100776 A1 WO 2013100776A1 RU 2011001031 W RU2011001031 W RU 2011001031W WO 2013100776 A1 WO2013100776 A1 WO 2013100776A1
Authority
WO
WIPO (PCT)
Prior art keywords
sensors
channel
stimulation
patient
synchronization
Prior art date
Application number
PCT/RU2011/001031
Other languages
English (en)
Russian (ru)
Inventor
Дмитрий Вячеславович ИШУТИН
Дмитрий Владимирович СКВОРЦОВ
Original Assignee
Ishutin Dmitrij Vjachyeslavovich
Skvortsov Dmitrij Vladimirovich
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ishutin Dmitrij Vjachyeslavovich, Skvortsov Dmitrij Vladimirovich filed Critical Ishutin Dmitrij Vjachyeslavovich
Priority to PCT/RU2011/001031 priority Critical patent/WO2013100776A1/fr
Publication of WO2013100776A1 publication Critical patent/WO2013100776A1/fr

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Classifications

    • 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
    • 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
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/3603—Control systems
    • A61N1/36031—Control systems using physiological parameters for adjustment

Definitions

  • the invention relates to medicine, in particular, traumatology, orthopedics and neuropathology, prosthetics, angiology, rehabilitation and can be
  • radio channel (RF patent N2 2126276, 1999).
  • the use of the radio channel makes the patient autonomous, but on the other hand, independent movement of the patient can lead to the fact that he will be outside the coverage of the transceiver.
  • This device has the ability to select the installation
  • the technical design does not allow the stimulator unit to be carried out in one housing adapted to be worn by the patient, therefore, the unit was divided into stationary and wearable.
  • This device is designed for electrical stimulation of muscles when walking, has eight channels muscle stimulation and a goniometric sensor for the knee joint and is a stand-alone device that is connected to a computer only to download the stimulation program.
  • Autonomous operation of the device is one of
  • This device has rough settings for stimulation modes and the most important drawback is the inaccurate setting of the temporary stimulation program.
  • the step cycle in the program of this device is divided into only 16 parts. Therefore, the maximum, theoretically possible installation accuracy
  • the temporary work program of the muscle is much lower than the permissible level.
  • a significant disadvantage of this device is that it allows synchronization from only one knee motion sensor, i.e. both sides (right and left) are synchronized from the sensor located on one of the sides.
  • the indicated design feature significantly limits the possibility of using this device, which can only be used for almost periodic walking, provided that the knee joint is intact.
  • the device itself consists of a battery-worn unit on the belt, stimulating electrodes and a motion sensor in the knee joint.
  • the closest solution selected for the prototype is a method and device for programmed electrical stimulation of muscles (RF Patent N2 2265461).
  • the device allows for accurate, metered electrical stimulation with the possibility of preliminary biomechanical diagnostics and stimulation control in real time. This is the most perfect complex of analogues. However, in it communication with the patient is carried out by cable, which significantly limits his freedom.
  • the traditional biomechanical sensors and electrodes used require the installation of a significant number of squeezing limbs or the body of elastic cuffs. Each electrode or
  • a synchronizing biomechanical sensor is connected to the stimulating unit by cable, so that the maximum number of cables on a patient can reach up to 20 pieces.
  • any of the above devices has common features for the claimed device: the presence in the design of the actual stimulator block, electrodes mounted on the muscles, synchronizing biomechanical sensors, a computer with a control program, trunks, and accessories.
  • Each sensor requires the use of a special mount on the patient's body and the presence of a long cable connecting it to the stimulation unit. Mounts of goniometric sensors compress the limb and interfere with its normal blood supply. The long cable of the synchronizing biomechanical sensor also requires special laying on the body in order to allow the limbs to move freely and not to touch outside obstacles. 3. The inability to use for synchronization of biomechanical events associated with the movement of various segments of the body.
  • Each electrode has its own cable, which must be mounted on the patient so that it does not interfere with movement and cannot be touched and pulled out of the socket.
  • the number of stimulating channels is fixed and is determined by the design of the stimulating block (usually not more than 8), so their number cannot be changed.
  • the technical result of the present invention is the ability to provide accurate programmable electrical stimulation of muscles and movement correction in various periodic locomotions and conducting locomotor-oriented stimulation for immobilized patients, both in a medical institution and outside it by the patient himself.
  • Figure 1 shows the principle of operation of the device for electrical stimulation of muscles, where 1 is the patient’s muscle, 2 is the channel of electrical stimulation in a separate building, 3 is the control computer, 4 is a wireless communication device.
  • Figure 2 shows the structural device of the electrostimulation channel (a - block diagram of the internal device, b - bottom view, c - side view), where 5 is the power source, 6 are synchronization sensors, 7 is the registration channel of the electromyogram, 8 is a two-way channel data transmission (wireless device), 9 - control processor, 10 - electrical contacts on the housing, 11 - adhesive electrodes.
  • periodic locomotion other than walking including locomotion of the upper limbs and trunk, made autonomous in one building (2) with a power source (5), a control processor (9), inertia-type synchronization sensors (6) (accelerometers and gyroscopes), a recording channel electromyograms (7), a two-way channel (8) for transmitting data via radio and control from a software package over a radio channel from a control computer (3) through a wireless device (4) connected to it.
  • the number of simultaneously used autonomous channels can increase arbitrarily.
  • the method of programmed muscle electrical stimulation during periodic patient locomotion which consists in the fact that muscle electrical stimulation is performed
  • stimulating pulses from electrodes mounted on predefined muscle groups stimulating pulses are synchronized with
  • biomechanical inertial sensors characterized in that the moment
  • synchronization is determined by the phase and amplitude of each type of biomechanical inertial sensors, and three-component accelerometers and gyroscopes are used as biomechanical sensors, and adhesive electrodes connected to the housing of the stimulating device, in which
  • the moment of synchronization is determined by the phase and amplitude of movement, rotation, tilt. Quantity at the same time
  • the setting of stimulation modes is carried out taking into account the result of the registration of an electromyogram.
  • the stimulation channel is built into the body of the stimulating device, which is equipped with its own power supply, a control processor and built-in synchronization sensors, and the mode of its operation is set by the doctor.
  • the control of the stimulation procedure and the necessary correction of its parameters is carried out by means of communication via the radio channel of the device with
  • a device for autonomous programmable electrical stimulation of a patient’s muscles comprising a unit including a stimulation channel, a recording channel
  • electromyograms inertial biomechanical sensors, two-way radio communication channel, power supply, electrodes mounted on the patient’s muscles, a computer with a control program and a wireless device,
  • the device is arranged to independent synchronization from own sensors or from similar sensors of another of the same device with the implementation of data transmission over the air, the device is placed in a separate compact housing and is configured to be attached to the patient’s body by means of adhesive electrodes located on the outside of the housing.
  • the stimulating channel can be made in one housing with synchronizing sensors, a power source and a control processor.
  • the device as an option contains inertial sensors three-component gyroscopes and accelerometers, the function of which is synchronization.
  • the sequence of the stimulation procedure consists of:
  • the inertial sensors proposed in this device respond to the movement of this body segment independently of other segments. This is most important for the operation of the autonomous channel, since in normal mode it is necessary to use to synchronize the movement of the same segment of the body where this device is located.
  • a smooth installation of the intensity of the stimulating impulse from the control software package is provided. If it is necessary to change the intensity of stimulation by the patient himself, this can be done using the control buttons on the device itself or via a radio channel.
  • the device can conduct rhythmic stimulation in accordance with the established time program.
  • radio channel stimulation for example, in walking mode or other rhythmic movements.
  • the proposed complex is a diagnostic device and programmable electrical stimulation of muscles and consists of equipment installed on the patient and equipment mounted separately.
  • An autonomous device (2) is fixed directly on the patient’s muscle (1) by means of two adhesive electrodes (11).
  • an electrical stimulation session is carried out, as a rule, daily, lasting 20-60 minutes.
  • the total number of procedures is up to 10 or more to achieve the desired effect.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Electrotherapy Devices (AREA)

Abstract

L'invention se rapporte au domaine de la médecine, notamment de la traumatologie, de l'orthopédie et des neuropathologies, de la pose de prothèses, de l'angiologie et de la rééducation, et peut être utilisée dans le traitement réparateur de malades souffrant de diverses affections des systèmes locomoteur, nerveux et vasculaire, comme l'ostéochondrose, les paralysies et parésies périphériques et centrales, des défauts des extrémités, des pathologies spinales, afin de traiter des enfants souffrant de paralysie cérébrale et d'autres pathologies liées. Le résultat technique de la présente invention est la possibilité d'assurer une électrostimulation précise et programmée des muscles et de corriger les mouvements de diverses locomotions périodiques, et d'effectuer une stimulation orientée sur la locomotion pour des patients immobilisés, tant dans des conditions d'exercices thérapeutiques que par le patient lui-même. A cette fin et selon la présente invention, le canal d'électrostimulation des muscles lors de la marche et lors de diverses locomotions périodiques différentes de la marche, y compris la locomotion des extrémités supérieures et du torse, comprend un processeur de commande autonome dans un boîtier avec une source d'alimentation, des capteurs de synchronisation de type inertiels (accéléromètres et gyroscopes), un canal d'enregistrement d'électromyogramme, un canal à deux voies de transmission radio de données et de commande à partir d'un jeu de logiciel par canal radio depuis un ordinateur de commande et par le biais d'un dispositif de communication sans fil connecté à ce dernier.
PCT/RU2011/001031 2011-12-28 2011-12-28 Procédé d'électrostimulation autonome programmée des muscles et dispositif de mise en œuvre WO2013100776A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/RU2011/001031 WO2013100776A1 (fr) 2011-12-28 2011-12-28 Procédé d'électrostimulation autonome programmée des muscles et dispositif de mise en œuvre

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/RU2011/001031 WO2013100776A1 (fr) 2011-12-28 2011-12-28 Procédé d'électrostimulation autonome programmée des muscles et dispositif de mise en œuvre

Publications (1)

Publication Number Publication Date
WO2013100776A1 true WO2013100776A1 (fr) 2013-07-04

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WO (1) WO2013100776A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6397151B1 (en) * 1997-06-11 2002-05-28 Casio Computer Co., Ltd. Impulse force estimating device, impulse force estimating method, and medium storing impulse force estimation program
RU2265461C1 (ru) * 2004-04-27 2005-12-10 ООО "Научно-медицинская фирма "МБН" Способ программируемой электростимуляции мышц и устройство для его осуществления
RU2009138322A (ru) * 2009-10-19 2011-04-27 Дмитрий Вячеславович Ишутин (RU) Способ автономной программируемой электростимуляции мышц и устройство для его осуществления

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6397151B1 (en) * 1997-06-11 2002-05-28 Casio Computer Co., Ltd. Impulse force estimating device, impulse force estimating method, and medium storing impulse force estimation program
RU2265461C1 (ru) * 2004-04-27 2005-12-10 ООО "Научно-медицинская фирма "МБН" Способ программируемой электростимуляции мышц и устройство для его осуществления
RU2009138322A (ru) * 2009-10-19 2011-04-27 Дмитрий Вячеславович Ишутин (RU) Способ автономной программируемой электростимуляции мышц и устройство для его осуществления

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