WO2017200286A1

WO2017200286A1 - Electrical stimulation treatment device and swallowing stimulation method using same

Info

Publication number: WO2017200286A1
Application number: PCT/KR2017/005100
Authority: WO
Inventors: 류주석
Original assignee: 서울대학교산학협력단
Priority date: 2016-05-20
Filing date: 2017-05-17
Publication date: 2017-11-23
Also published as: KR101798365B1

Abstract

The present invention relates to an electrical stimulation treatment device and a treatment method using the same. An electrical stimulation treatment device, according to one embodiment of the present invention, comprises: a stimulation unit for stimulating the suprahyoid muscles and infrahyoid muscles; and a processor for generating control instructions which operate the stimulation unit, wherein the stimulation unit comprises at least four channels so as to simulate the thyrohyoid muscle, sternohyoid muscle, sternothyroid muscle, and suprahyoid muscle, respectively.

Description

Electric Stimulation Therapy Apparatus and swallowing Stimulation Method

The present invention relates to an electric stimulation treatment device and a swallowing stimulation method using the same, and more particularly, to an electric stimulation treatment device and a swallowing stimulation method using the same, which induce a normal swallowing process by setting a stimulation period for muscles in addition to strengthening muscle strength. It is about.

The swallowing disorder becomes difficult to swallow when eating and drinking, and in many cases, it is necessary to give up food intake and nutrition in the mouth, which is a big problem from the point of view of QOL. At the same time, the mental and physical stress is too great for those who care to eat and drink. In addition, although the rate of pneumonia rapidly increases as a cause of death in the elderly, most of it is regarded as aspiration pneumonia due to dysphagia.

Symptoms of dysphagia include cerebral vascular disorders, Parkinson's disease, aging, dementia, head and neck cancer, radiation therapy, and cerebral palsy, as well as muscles in the mouth, pharynx, and esophagus. Dysphagia may occur due to various causes, including abnormalities of the nerves and abnormalities of the central nervous system that control them. Thus, improvement of swallowing reflex is of great importance in improving QOL and reducing burden of nursing, or preventing concomitant pneumonia (pneumonia) of pneumonia.

As a conventional treatment for swallowing disorders, various rehabilitation treatment methods have been implemented. However, rehabilitation may not be as effective in some cases, or may require coordination. Therefore, in order to increase the effectiveness of rehabilitation treatment, it is necessary to select the subjects who can see the greatest effect among these treatment techniques, and to develop various treatment techniques with high therapeutic effect.

The problem to be solved by the present invention is as follows.

First, strengthen your nerves and muscles to induce normal swallowing.

Second, to induce swallowing process through electrical stimulation.

The objects of the present invention are not limited to the above-mentioned objects, and other objects that are not mentioned will be clearly understood by those skilled in the art from the following description.

Electrical stimulation treatment apparatus according to an embodiment for realizing the object of the present invention is a stimulator for stimulating the upper and lower hyoid muscles, a processor for generating a control command to drive the stimulation and the pressing or hyoid bone of the tongue It includes a sensor member for detecting the contraction. The stimulator is composed of at least four channels to stimulate the thyrohyoid muscle, the sternohyoid muscle, the sternothyroid muscle and the suprahyoid muscle, respectively, and the sensor member And a first sensor for sensing the contact of the tongue in the adjacent section of the study area and a second sensor for sensing the movement of the hyoid bone.

In one embodiment of the invention, the processor may drive the stimulation unit to stimulate the thyroid bone after 50 ~ 200ms elapsed after the start of stimulation for the hyoid bone.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the thyroid muscles for 1000 ~ 1100ms.

In one embodiment of the present invention, the processor may drive the stimulator to stimulate the sternohyoid muscle and the sternothyroid muscle after 200-400 ms after the start of the stimulation for the hyoid bone. Can be.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the sternal osteotomy and the sternal thyroid muscle for 900 ~ 1100ms.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the suprahyoid muscle for 1300 ~ 1400ms from the start of stimulation for the hyoid bone.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the pharyngeal constrictor muscle after 30-180 ms after the start of stimulation for the hyoid bone.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the pharyngeal contraction muscle for 800 ~ 1000ms.

In one embodiment of the present invention, the processor after 1300 ~ 1400ms elapsed from the start of stimulation for the ulnar muscles, the ulnar muscles, thyroid muscles, pharyngeal contractions, sternal talus muscles and sternal thymus muscles at the same time The driving of the magnetic pole part may be terminated to terminate.

In one embodiment of the present invention, the processor may drive the stimulation unit to stimulate the hyoid bone muscles when the sensor member senses the pressing of the tongue or contraction of the hyoid bone muscles.

Electro stimulation treatment apparatus according to an embodiment for realizing another object of the present invention is a sensor member for detecting the pressing of the tongue or contraction of the hyoid bone, when the sensor member detects the pressing of the tongue or contraction of the hyoid bone And a processor configured to generate the control command to drive the stimulus by receiving data sensed by the sensor member. The stimulator comprises a first channel that simultaneously stimulates both suprahyoid muscles, a second channel that stimulates the thyrohyoid muscle, a third channel that stimulates the pharyngeal constrictor muscle, and the sternal osteotomy a fourth channel that simultaneously stimulates the sternohyoid muscle and the sternothyroid muscle. The sensor member includes a first sensor unit for sensing the contact of the tongue between adjacent sections of the palate and the study palate, and a second sensor unit for sensing the movement of the upper hyoid muscle.

The swallowing stimulation method using the electrical stimulation treatment device according to an embodiment for realizing another object of the present invention, the first stimulation step, the first stimulation step of electrically stimulating at least one of the maxillary muscles and abdominal muscles A second stimulus step of stimulating the thyroid bone after starting the third stimulation step and stimulating the pharyngeal constrictor muscle after 30-180 ms after the start of the first stimulation step Detecting contraction or squeezing of the tongue in the oral cavity. The sensor member may detect contraction of the hyoid bone of the hyoid bone or pressurization of the tongue in the oral cavity, in which the first sensor part senses that the tongue contacts the adjacent section of the palate and the study palate, and the second sensor part senses the movement of the upper hyoid bone. It includes a step.

In one embodiment of the present invention, the first stimulation step may be performed for 1300 ~ 1400ms.

In one embodiment of the present invention, the second stimulation step may be performed for 1000 ~ 1100ms after 50 ~ 200ms elapses after the start of the first stimulation step.

In one embodiment of the present invention, the swallowing stimulation method using the electrical stimulation treatment device may further comprise the step of the sensor member to detect the contraction of the upper hyoid bone or the pressing of the tongue in the oral cavity. The first stimulating step may be performed when the sensor member detects contraction of the hyoid bone of the hyoid bone or the pressing of the tongue in the oral cavity.

In one embodiment of the present invention, the swallowing stimulation method using the electrical stimulation treatment device may further comprise a fourth stimulating step of stimulating at least one of the sternal skeletal muscle and sternal thyroid muscle.

In one embodiment of the present invention, the fourth stimulation step may be performed for 900 ~ 1100ms after 200 ~ 400ms elapses after the start of the first stimulation step.

In one embodiment of the present invention, the first stimulating step, the second stimulating step, the third stimulating step and the fourth stimulating step may be terminated at the same time.

Electro stimulation treatment apparatus according to an embodiment for realizing another object of the present invention is a sensor member for detecting the pressing of the tongue or contraction of the hyoid bone, when the sensor member detects the pressing of the tongue or contraction of the hyoid bone And a processor configured to generate the control command for driving the stimulus by receiving data sensed by the sensor member. The stimulator may include a first channel that stimulates the left suprahyoid muscle, a second channel that stimulates the right suprahyoid muscle, a third channel that stimulates the thyrohyoid muscle, and a pharyngeal muscle. and a fourth channel that stimulates the constrictor muscle and a fifth channel that simultaneously stimulates the sternohyoid muscle and the sternothyroid muscle. The sensor member includes a first sensor unit for sensing the contact of the tongue between adjacent sections of the palate and the study palate, and a second sensor unit for sensing the movement of the upper hyoid muscle.

According to the present invention has the following effects.

First, muscles and nerves can be stimulated to strengthen muscles and nerves to induce normal swallowing.

Second, electrical stimulation can induce swallowing process.

The effects of the present invention are not limited to the above-mentioned effects, and other effects not mentioned will be clearly understood by those skilled in the art from the description of the claims.

1 is a schematic diagram showing a human oral cavity structure for explaining an electrical stimulation treatment device according to an embodiment of the present invention.

Figure 2 is a block diagram schematically showing an electrostimulation treatment device according to an embodiment of the present invention.

3 is an exemplary view showing a position where the stimulation unit is installed in order to explain the electro-stimulation treatment device according to an embodiment of the present invention.

Figure 4 is an exemplary view showing the trajectory to move the hyoid bone when a normal person swallows food in order to explain the electrostimulation treatment device according to an embodiment of the present invention.

5 is a view illustrating a method of treating a swallowing disorder by an electrostimulation treatment device according to an embodiment of the present invention, and is a flowchart of a method of treating a swallowing disorder by an electrostimulation treatment device.

Figure 6 is an exemplary view showing the displacement of the muscles over time when a normal person swallows food in order to explain the electrostimulation treatment device according to an embodiment of the present invention.

7 is a block diagram of an electrical stimulation device having a four-channel magnetic pole part in one embodiment of the present invention.

8 is a block diagram of an electrical stimulation device having a six-channel magnetic pole part in one embodiment of the present invention.

9 is a view showing the position of attaching the magnetic pole of the four channels of the electrical stimulation apparatus according to an embodiment of the present invention.

FIG. 10 illustrates an attachment example different from that of FIG. 9 with respect to an electric stimulation device according to an embodiment of the present invention.

FIG. 11 illustrates the attachment position of the stimulation unit for stimulating pharyngeal contraction muscle in FIG. 10.

12 is a view showing a position to attach the six-pole magnetic pole portion of the electrical stimulation device according to an embodiment of the present invention.

FIG. 13 illustrates an attachment example different from that of FIG. 12 with respect to an electric stimulation device according to an embodiment of the present invention.

FIG. 14 illustrates an attachment position of a stimulus part for stimulating pharyngeal contraction muscle in FIG. 13.

15 is a timetable showing an operation example of the electrical stimulation apparatus according to an embodiment of the present invention.

16 is a flowchart illustrating a treatment method using an electrical stimulation device according to an embodiment of the present invention.

17 is a utilization of the electrical stimulation device according to an embodiment of the present invention.

Advantages and features of the present invention, and methods for achieving them will be apparent with reference to the embodiments described below in detail in conjunction with the accompanying drawings.

However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various forms, and only the embodiments of the present invention make the disclosure of the present invention complete and the general knowledge in the technical field to which the present invention belongs. It is provided to fully convey the scope of the invention to those skilled in the art, and the present invention is defined only by the scope of the claims. Like reference numerals refer to like elements throughout.

Hereinafter, the present invention will be described with reference to the drawings.

Figure 1 schematically shows a human oral structure for explaining the treatment device according to an embodiment of the present invention.

As shown in Figure 1, the portion of the human oral cavity associated with swallowing may be oral dog (HP), soft palate (SP), upper hyoid bone and lower hyoid muscle.

The hard palate (HP) and soft palate (SP) are present in the upper part of the tongue (T) as part of the palate, and the soft palate (SP) is located between the tongue base (TB) and the pharyngeal wall (PW). It extends rearward in the direction of the trailing end (TE) to form a bow. In addition, the palate (HP) is a hard part of the palate is connected to the soft palate (SP) and extends toward the lips. When swallowing food, the soft dog (SP) rises to block the nasal passages and prevent food from going to the nasal passages. The hyoid bone (HB) is present near the lower part of the tongue adjacent to the epiglottis (E). Lower jaw or jaw bone (JB) is in front of the tongue (T).

The upper hyoid bone is a muscle included in the upper portion of the muscles connected with the hyoid bone (HB), and specifically, may include a digastric muscle and a myelohyoid muscle. On the other hand, the lower hyoid muscle is a muscle included in the lower part of the muscles connected with the hyoid bone, and may include a sternohyoid muscle, a sternothyroid muscle, and a thyrohyoid muscle.

When swallowing food, the upper hyoid muscle contracts and after a certain period of time, the lower hyoid muscle connected to the upper hyoid muscles are contracted, through which the irritation of the pharynx contracts.

The electrostimulation treatment apparatus 100 may include a fixing part (not shown) to synchronize the movement of the soft palate SP, the upper hyoid bone and the lower hyoid muscle with the electrostimulation treatment apparatus.

Fixing portion (not shown) is fastened to one side of the oral cavity, it is removable. The fixing part (not shown) may have a structure corresponding to the internal structure of the oral cavity so that the outer circumferential surface thereof can be fastened with the oral cavity shown in FIG. 1. At this time, the fixing portion (not shown) may be standardized to fit the shape of the oral cavity. For example, the mouthpiece engaging the teeth, dentures, etc. may be a fixed part, but is not limited thereto. The fixing part (not shown) can be manufactured into a shape that precisely engages the teeth and the oral cavity using 3D printing technology or molding.

Figure 2 is a block diagram schematically showing a treatment apparatus according to an embodiment of the present invention, Figure 3 is an illustration showing a position where the stimulation unit is installed to explain the electrical stimulation treatment apparatus according to an embodiment of the present invention It is also.

The electrical stimulation treatment apparatus 100 may include

sensor members

10 and 20 as shown in FIG. 2. The

sensor members

10 and 20 may include a sensor capable of sensing a predetermined movement. In addition, the

sensor members

10 and 20 may transmit and receive a sensing signal to at least one of the communication unit 50 and the

magnetic pole units

30 and 40. In detail, the

sensor members

10 and 20 may sense a predetermined movement generated from a part of the body and transmit a sensing signal. For example, the predetermined movement may be a contact between the palate (HP) and the tongue.

In another example, the predetermined movement may be contact of the tongue with the adjacent parts of the palate (HP) and soft palate (SP), or may be contraction of the upper hyoid muscle. The

sensor members

10 and 20 for sensing the predetermined movement may include a first sensor unit 10 and a second sensor unit 20. Specifically, the first sensor unit 10 may sense the contact between the palate (HP) and the tongue to transmit and receive the sensing signal to the stimulation unit (30, 40) through the communication unit 50.

In addition, the first sensor unit 10 may sense that the tongue contacts the adjacent sections of the palate (HP) and soft palate (SP) to transmit and receive to the stimulation unit (30, 40) through the communication unit 50. The first sensor unit 10 may be implemented by, for example, a proximity sensor, a contact sensor, etc., which is merely an example, and the first sensor unit of the present invention is not limited to the example.

In addition, the second sensor unit 20 may sense the movement (eg, contraction) of the upper hyoid bone and transmit and receive the

stimulation unit

30 or 40 through the communication unit 50. The second sensor unit 20 may be implemented by, for example, a motion sensor, a displacement sensor, an EMG sensor, and the like, which is merely an example, and the second sensor unit of the present invention is not limited thereto.

On the other hand, the electrical stimulation treatment device 100 may further include a stimulation unit (30, 40). The

magnetic pole parts

30 and 40 include members that can give a physical or electrical magnetic pole to a predetermined position. For example, the

stimulation unit

30, 40 may be an electrode for the purpose of treatment, but is not limited thereto.

The present invention may include

magnetic poles

30 and 40 that receive a sensing signal from the

sensor members

10 and 20 using such

magnetic poles

30 and 40 to give a physical or electrical stimulus to a designated location. In addition, the stimulation unit of the present invention may give a physical or electrical stimulation at the position specified by the wearer's input without the sensing signal. The designated position may be at least one of the upper hyoid muscle, the lower hyoid muscle, and the pharyngeal contraction muscle.

The

stimulator

30 or 40 may include at least one of the first stimulator 30 for stimulating the upper hyoid bone and the second stimulator 40 for stimulating the lower hyoid muscle. For example, according to an embodiment of the present invention, receiving the sensing signal from the first sensor unit 10 or the second sensor unit 20, the first stimulator 30 stimulates the upper hyoid muscle and the second stimulus The portion 40 may stimulate the lower hyoid muscle.

In addition, the wearer uses the first magnetic pole portion 30 and the second magnetic pole portion 40 to perform physical or electrical stimulation at a designated position without the sensing signal of the first sensor portion 10 or the second sensor portion 20. Can also give

When a physical or electrical stimulus is applied to a designated position by using the first magnetic pole portion 30 and the second magnetic pole portion 40 that give a stimulus without a sensing signal, the wearer uses a button or the like to apply the first magnetic pole portion 30. Stimulate the upper hyoid muscles and after a predetermined time using the second stimulation portion 40 can stimulate the lower hyoid muscles.

On the other hand, when the

magnetic poles

30 and 40 give a physical or electrical stimulus to a designated position, it may take a predetermined time for the designated position to respond to the stimulus. For example, when the first stimulator 30 stimulates the upper hyoid muscle, it may take 0.3 seconds for the upper hyoid muscle to contract. Similarly, when the second magnetic pole portion 40 stimulates the lower hyoid muscle, it may take 0.3 seconds for the lower hyoid muscle to contract. Therefore, in installing a stimulation part, it can install in consideration of the time interval which a muscle operates.

Meanwhile, the first magnetic pole part 30 and the second magnetic pole part 40 may be configured to include a plurality of channels, respectively. For example, the

stimulator

30, 40 includes a first stimulator 30 including a plurality of channels attached to the upper hyoid bone and a second stimulator 40 including a plurality of channels attached to the lower hyoid muscle. ) May be included.

Specifically, when one closed circuit including a power source is formed and a current flows in the closed circuit, a passage through which the current flows may be referred to as a channel. For example, it can be set to one channel including a power supply, two electrodes (cathode and anode) connected to the power supply, and a muscle connecting the electrodes. At this time, the channel is configured to give an electrical stimulation, each channel may include two electrodes (anode and cathode).

As shown in FIG. 3, the

magnetic pole portions

30 and 40 may use (eight electrodes) including the first magnetic pole portion 30 and the second magnetic pole portion 40. When using the four-channel stimulator 40, four electrodes (two channels) may be attached to the upper hyoid muscle and four electrodes (two channels) may be attached to the lower hyoid muscle.

The criterion on which the electrode included in the first magnetic pole part 30 for stimulating the upper hyoid bone is disposed is a position capable of stimulating at least one of the muscles included in the upper hyoid bone. For example, the first magnetic pole portion 30 may be disposed on the outer side of the skin covering the upper hyoid bone.

As another example, in the case of the first magnetic pole part 30 which stimulates the upper hyoid bone, one electrode (cathode or positive pole) is attached to the abdominal muscle, one of the muscles constituting the upper hyoid bone, and the other electrode is It may also be attached to the lateral side of the skin covering the mylohyoid muscle.

In addition, the second magnetic pole portion 40 may be disposed on an outer surface of the skin covering the lower hyoid muscle. For example, a channel that stimulates the lower hyoid muscles has an electrode attached to the outer surface of the skin corresponding to the thyroid muscles, and is vertically downward from the position where the electrode is installed and on the outer surface of the skin corresponding to the sternal One electrode may be attached.

In another example, a channel that stimulates the lower hyoid muscles has an electrode attached to the outer surface of the skin corresponding to the thyroid muscles, and is vertically downward from the position where the electrode is installed, and on the outer surface of the skin corresponding to the sternum osteotomy. One electrode may be attached. It is also possible to attach a magnetic pole to the pharyngeal contractile muscle. .

If the first magnetic pole portion 30 can stimulate the hyoid bone, the first magnetic pole portion 30 may be installed at any position. In addition, if the second magnetic pole portion 40 can stimulate the lower hyoid muscle, the second magnetic pole portion 40 may be installed at any position.

Meanwhile, the magnetic pole part may be implemented by only one of the first magnetic pole part 30 and the second magnetic pole part 40. For example, a patient with swallowing disorder in which the upper hyoid muscle contracts normally does not need to sense the movement of the palate, so only the second stimulation part 40 composed of a plurality of channels may be installed to contract the lower hyoid muscle. In addition, if necessary, even patients with swallowing disorders in which the upper hyoid muscles are normally contracted may install both the first and second

stimulating parts

30 and 40 to stimulate both upper and lower hyoid muscles with four to six channels. It may be.

The electrical stimulation treatment apparatus 100 may use the electrical stimulator as the

stimulator

30, 40. Meanwhile, a predetermined time delay may be set until the

sensor members

10 and 20 sense the magnetic pole and the first magnetic pole unit 30 gives the electrical magnetic pole. For example, the first magnetic pole part 30 receives a sensing signal from at least one of the first sensor part 10 and the second sensor part 20 to give a stimulus to contract the upper hyoid bone after a predetermined time delay. Can be.

The time delay may be set differently according to the wearer. Specifically, by using a time and a predetermined time delay until the stimulated hyoid upper and lower hyoid muscles contract, it is possible to implement the movement of the hyoid bone such as a normal person swallows food. In other words, it is possible to synchronize the movement of the hyoid bone of a normal person. For example, if the tongue is in contact with the palate, 0.5 seconds after the upper muscles of the hyoid bone contraction, if the stimulation of the muscles of the patient, if the muscle contracts after 0.3 seconds, the first stimulation part 30 is If the signal is received from the first sensor unit 10 and the time delay is set to 0.2 seconds, the patient may receive the signal from the first sensor unit 10 and the upper hyoid bone may contract after 0.5 seconds.

On the other hand, a time delay may not be set until the

sensor members

10 and 20 sense the magnetic pole and the first magnetic pole unit 30 gives the electrical magnetic pole. For example, the first magnetic pole part 30 may give a stimulus to contract the upper hyoid muscle immediately after receiving the sensing signal from the second sensor part 20.

After the first stimulator 30 gives a stimulus to contract the upper hyoid muscle, the second stimulator 40 may give a stimulus to contract the lower hyoid muscle. A series of processes in which the first stimulus stimulates the upper hyoid muscles to contract and the second stimulus stimulates the lower hyoid muscles to treat the hyoid movement of the patient's hyoid bone when the normal person swallows food and This is for synchronizing. This can help normalize hyoid movements and improve swallowing.

In addition, after the first stimulation part 30 gives a stimulus to contract the upper hyoid muscle, a time delay may also be set for the second stimulating part 40 to contract the lower hyoid muscle. The time delay may be set differently according to the wearer, and the time delay may not be set if necessary.

Meanwhile, the electrical stimulation treatment apparatus 100 transmits and receives signals from the

sensor members

10 and 20 to stimulate the upper hyoid bone and the lower hyoid muscle using the

stimulator

30, 40. , 40 may include a communication unit 50 for transmitting and receiving.

Meanwhile, the communication unit 50 may transmit a signal by at least one of wireless and wired methods. That is, the communication unit 50 may exchange signals with the

sensor members

10 and 20 and the

magnetic pole units

30 and 40 through at least one of wired and wireless.

According to one embodiment of the present invention, when the tongue stimulates the oral dog (HP) and the adjacent or palatal dog (HP) of the soft palate (SP), the first sensor unit 10 for sensing the stimulus at least of the wire and wireless The signal is transmitted to the communication unit 50 in one or more ways, and when the signal reaches the communication unit 50, the communication unit 50 transmits the sensing result signal to the

stimulation unit

30 or 40 by at least one of wired and wireless methods. The delivery unit, the stimulation unit (30, 40) can solve the swallowing disorder by giving an electrical stimulation to a predetermined position.

In addition, according to another embodiment of the present invention, as the upper hyoid muscle contracts, the second sensor unit 20 which senses the contraction of the upper hyoid bone is connected to the communication unit 50 by at least one of wired and wireless. When a signal is received and the signal reaches the communication unit 50, the communication unit 50 communicates to the

magnetic pole units

30 and 40 by at least one of wired and wireless, and the

magnetic pole units

30 and 40 The electrical stimulation is given to the set position can solve the swallowing disorder.

In order to apply the electrical stimulation treatment device 100 to the patient, it is necessary to check the movement of the hyoid bone when a normal person swallows food.

4 is an exemplary diagram showing the trajectory of the hyoid bone when a normal person swallows food.

When swallowing food, the hyoid bone is placed in the highest position (B) after about 0.3 seconds after being stimulated. Then, after about 0.3 seconds (for example, 0.33 seconds), the hyoid bone returns to its original height, at which time the position is farthest in the horizontal direction from the initial position (A) of the hyoid bone ( Located at C).

At this time, the hyoid bone spends about 0.3 seconds (for example, 0.33 seconds) at the C position, and the force must be maintained for this time to swallow.

The hyoid bone then moves toward the initial position of the hyoid bone again for about 0.15 seconds (eg, 0.13 seconds) and is located at the lowest point (D).

As shown in FIG. 4, when a normal person swallows food, it is necessary to contract the larynx and the pharyngeal contraction muscle according to the movement of the hyoid bone and the thyroid bone at a predetermined time. According to one embodiment of the present invention, it is possible to induce a normal swallowing process by contracting contractions in these muscles and nerves. However, in order for the hyoid bone (HB) of the patient with swallowing disorder to move as shown in FIG. 4, it is necessary to stimulate the upper hyoid muscle and the lower hyoid muscle of the patient at a predetermined time. That is, the hyoid bone (HB) of the patient with a swallowing disorder may be applied to the upper hyoid bone and lower hyoid muscle at a predetermined time to move as shown in FIG. 4. The set time may vary depending on the oral structure of the patient and the degree of training of the patient.

For example, if the patient with the movement of the hyoid bone (HB) as shown in FIG. 4 is normal, the upper hyoid bone contracts when the swallowing disorder occurs, and the upper hyoid bone and lower hyoid muscles contract in 0.3 seconds. If there is a stimulus to move the hyoid bone as shown in FIG.

Meanwhile, FIG. 5 is a view illustrating a method of treating a swallowing disorder by the electrostimulation treatment apparatus 100 according to an embodiment of the present invention, and is a flowchart of a treatment method using the electrostimulation treatment apparatus 100. 6 is an exemplary view showing displacement of muscles over time when a normal person swallows food in order to explain the apparatus for treating electrical stimulation according to an embodiment of the present invention.

The electrostimulation treatment device may determine the wearer's intention to swallow for operation. For example, the wearer may input into the electro-stimulation treatment device 100 such that the first stimulus contracts the hyoid bone muscle only when the wearer is willing to swallow a predetermined food. The wearer can activate the electrostimulation therapy device by pressing a button or entering a swallow intent on an external server.

In addition, the present invention is intended to synchronize the movement of the hyoid bone when a normal person swallows a predetermined food and the patient swallows a prescribed food bar, the electrical stimulation treatment device 100 is based on the premise of stimulating the upper hyoid muscles The wearer's intention to swallow can also be determined through the sensor.

As can be seen in Figure 5, the electrical stimulation treatment apparatus 100 according to an embodiment of the present invention senses a predetermined movement such as pressure by using the first sensor unit (10). (S1001).

Normally, the tongue pushes the mass back to send the mass to the oral cavity, and then to the pharynx. The first sensor unit 10 detects such a pressure.

The predetermined movement sensed by the first sensor unit 10 may include a tongue contacting the palate HP. In addition, the predetermined movement sensed by the first sensor unit 10 may include touching the tongue in the vicinity of the palate SP and the palatal HP.

When the first sensor unit 10 senses a predetermined movement, the sensing stimulus may be transmitted / received through the communication unit 50 to the

stimulation units

30 and 40. When the first sensor unit 10 transmits and receives the sensing stimulus, the first sensor unit 10 may transmit and receive only the sensing stimulus having a predetermined value or more. For example, the first sensor unit 10 may transmit and receive a sensing stimulus to at least one of the communication unit 50 and the

stimulation unit

30 and 40 even if the tongue touches the palate (HP). Only when the above force is sensed may be transmitted and received to the stimulation unit (30, 40) through the communication unit 50.

On the other hand, the electrical stimulation treatment device 100 may sense a predetermined movement by using the second sensor unit 20 (S1002). The predetermined movement sensed by the second sensor unit 20 may include contraction of the upper hyoid bone.

When the second sensor unit 20 senses contraction of the upper hyoid bone, the sensing stimulus may be transmitted and received to the

stimulation unit

30 or 40 through the communication unit 50.

When the second sensor unit 20 transmits and receives the sensing stimulus, the second sensor unit 20 may transmit and receive only the sensing stimulus having a predetermined value or more. For example, the first sensor unit 10 may transmit and receive the sensing stimulus to the

stimulator

30 and 40 through the communication unit 50 even if the upper hyoid muscle is moved, but only when the contraction of the upper hyoid muscle is sensed. It may be transmitted and received to the

magnetic poles

30 and 40 through the communication unit 50.

The electrical stimulation treatment device 100 according to an embodiment of the present invention may contract the upper hyoid bone using the first stimulation part 30 (S1003). The electric stimulation treatment apparatus 100 may check the swallowing intention of the wearer pressing a button or inputting to an external server, so that the electric stimulation treatment apparatus 100 may contract the upper hyoid bone.

The first magnetic pole part 30 may receive a sensing signal from at least one of the first sensor part 10 and the second sensor part 20 to contract the upper hyoid bone. Meanwhile, a predetermined time delay may be set until the

sensor members

10 and 20 sense a movement of pressure or the like and the first stimulator 30 gives an electrical stimulus. For example, the first magnetic pole portion 30 receives a sensing signal from at least one of the first sensor portion 10 and the second sensor portion 20 to stimulate the contraction of the upper hyoid muscles after a predetermined time delay. Can give

The time delay may be set differently according to the wearer. For example, if the patient's tongue stimulates the oral palate (HP) and soft palate (HP), it takes about 0.5 to 1 second to stimulate the upper hyoid muscles. In the present invention, by applying this, the time it takes for the stimulus is sensed in the first sensor unit 10 and the first stimulus 30 is stimulated, the first stimulus stimulates and the upper hyoid muscle contracts. In consideration of the time required, a time delay of about 0.2 to 0.7 seconds can be set.

In another example, the patient may be trained to swallow after a certain amount of time pressing on the tongue.

On the other hand, a time delay may not be set until the

sensor members

10 and 20 sense the stimulus and the first stimulator 30 gives the electrical stimulus. For example, the first magnetic pole part 30 may give a stimulus to contract the upper hyoid muscle immediately after receiving the sensing signal from the second sensor part 20. In order to contract the upper hyoid muscles, the first magnetic pole part 30 may be attached to the outer surface of the skin covering the upper hyoid muscles.

The first magnetic pole part 30 may be configured by connecting two electrodes and a power source. For example, the first magnetic pole part 30 may be attached to an outer surface of the skin covering at least one of the gastrocnemius muscle and the sublingual muscle, which constitute the upper hyoid muscle in a form in which two electrodes and a power source are connected.

In addition, the first stimulator 30 may be attached to other sites in addition to the upper hyoid muscle to stimulate the upper hyoid muscle. For example, the first magnetic pole part 30 may be attached to the neck by being spaced apart from the upper hyoid muscle at a predetermined distance and may stimulate the upper hyoid muscle. In addition, the electrical stimulation treatment apparatus 100 may contract the lower hyoid muscle using the second stimulation part 40 (S1004). Specifically, the second stimulator 40 is a thyrohyoid muscle, sternohyoid muscle, sternothyroid muscle constituting the lower hyoid muscle in the form that the two electrodes and the power supply is connected At least one may be irritating.

In order to stimulate the second stimulator 40 to at least one of the sternohyoid muscle, the sternothyroid muscle, and the thyrohyoid muscle, the second stimulator 40 is the sternum It may be attached to the outer surface of the skin covering a position corresponding to at least one of the sternal, thyroid and thyroid muscles. In addition, the second stimulator 40 may be attached to the pharyngeal contractor muscle in addition to the lower hyoid muscle to stimulate the lower hyoid muscle.

After the upper hyoid muscle is contracted, a predetermined time delay may be set until the lower hyoid muscle is contracted using the second magnetic pole portion 40. For example, when a normal person swallows food, the upper hyoid muscle contracts and the lower hyoid muscle contracts after 0.3 seconds, so that the second stimulus contracts the upper hyoid muscle to contract the lower hyoid muscle, and a predetermined time delay may be set. . In addition, if necessary, a predetermined time delay may not be set. For example, if a normal person swallows food, the upper hyoid muscle contracts and after 0.3 seconds the lower hyoid muscle contracts, if the second stimulus stimulates the lower hyoid muscle and the lower hyoid muscle contracts 0.3 seconds, The second stimulus may confirm that the upper hyoid muscle contracts and at the same time stimulate the lower hyoid muscle.

After stimulating the lower hyoid muscles, the second stimulation part 40 checks whether there is food to be swallowed further and determines whether to terminate the electric stimulation treatment device 100 according to the presence or absence of food (S1005). If there is no food to be swallowed as a result of the determination, the electrical stimulation treatment device 100 ends.

6, a treatment method using the electrostimulation treatment apparatus 100 according to an embodiment of the present invention will be described.

Referring to FIG. 6, for example, when the upper hyoid muscle contracts, it takes about 0.3 seconds until the lower hyoid muscle contracts, and the upper hyoid muscle stimulates the upper hyoid muscle immediately after sensing the contraction. After that, it can stimulate the lower hyoid muscle within about 0.3 seconds. For example, the first sensor unit 10, the first magnetic pole portion 30 attached to the upper hyoid bone in the form of two channels and the second magnetic pole portion 40 attached to the lower hyoid bone in the form of two channels; In the case of a synchronized electric stimulation treatment device 100, the first sensor unit 10 senses and after 0.3 seconds the first stimulator 30 is installed in the upper hyoid muscle including the maxillary and maxillary muscles is the upper hyoid bone The contraction of the muscles and the first sensor unit 10 senses and the maximum contraction after 650ms can be stopped after approximately 1400ms. In addition, the electrical stimulation treatment apparatus 100 also contracts the lower ulnar muscle, the second stimulus 40 installed in the lower hyoid muscle including the sternal hyoid muscle, the sternal thyroid muscle, and the thyroid muscle muscle. After about 0.3 seconds later, the lower hyoid muscle contraction is started, and the first sensor unit 10 senses, and after 820 ms, the contraction peak is reached, and after about 1400 ms, the contraction can be stopped. In addition, it can also stimulate the pharyngeal contraction muscle through a plurality of stimulation unit.

As another example, the second sensor unit 20, the first magnetic pole portion 30 attached to the upper hyoid bone in the form of two channels and the second magnetic pole portion 40 attached to the lower hyoid bone in the form of two channels In the case of the synchronized electric stimulation treatment apparatus 100, the first stimulator 30 installed in the upper hyoid muscle including the maxillary abdominal muscle and the maxillary muscles immediately after the second sensor unit 20 senses the upper hyoid muscles. Contracted.

In addition, the electrical stimulation treatment device 100 also contracts the lower ulnar muscle, the second stimulus 40 installed in the lower hyoid muscle, including the sternal osteotomy, sternal thyroid muscle and thyroid muscle, etc. Approximately 0.3 seconds after the start, the lower hyoid muscle contraction begins.

On the other hand, the electrical stimulation treatment apparatus 100 includes a communication unit 50, and the step of giving a stimulus to the portion installed in the

stimulation unit

30, 40 within a predetermined time using the communication unit 50, the sensor member (10, 20) And transmitting and receiving signals to and from the

magnetic pole units

30 and 40 by wire or wirelessly.

That is, the electrical stimulation treatment device 100 is a step (S1001) after sensing the stimulation using the sensor member (10, 20) in a portion where the stimulation unit (30, 40) is installed within a predetermined time using the communication unit 50. The sensing signal may be transmitted and received by wire or wirelessly to proceed with the stimulating step (S1003). FIG. 7 is a block diagram of an electric stimulation apparatus according to an exemplary embodiment of the present invention.

Referring to Figure 7, the electrical stimulation treatment device according to an embodiment of the present invention, the sensor member 70 for detecting the pressing of the tongue in the oral cavity, when the sensor member 70 detects the pressing of the tongue and the hyoid bone And a processor 60 for generating control commands for driving the stimulation unit 80 by receiving data sensed by the sensor member 70 and stimulating the hyoid bone, and the stimulation unit 80. At least four channels to stimulate thyrohyoid muscle, sternohyoid muscle, sternothyroid muscle and suprahyoid muscle, respectively.

The hyoid bone includes the mylohyoid muscle and the diagastric muscle. Sublingual hyoid muscle includes thyrohyoid muscle, sternohyoid muscle and sternothyroid muscle.

The magnetic pole part may be configured as a single four-channel or six-channel as well as the first magnetic pole and the second magnetic pole. In other words, the first and second channels stimulate bilateral ulnar muscles, the third channel stimulates thyroid cartilage muscles, and the fourth channel combines sublingual bones (sternohyoid muscles and sternothyroid muscles). In addition, the first channel stimulates bilateral iliac muscles, the second channel stimulates pharyngeal contractions, the third channel stimulates thyroid cartilage muscles, and the fourth channel subsublingual muscles (sternal bones). It is also possible to configure the sternohyoid muscle and the sternothyroid muscle together, in addition, the first and second channels stimulate bilateral hyoid muscles (right and left), and the third channel is thyroid cartilage. Stimulate the muscles, channel 4 stimulates the sublingual bone (sternohyoid muscle, sternothyroid muscle), and channel 5 stimulates (two-sided) pharyngeal contractions. In addition, a six-channel configuration is possible in which six channels stimulate bilateral pharyngeal contractions. The moments of contraction and the duration of contraction for each board are based on the contraction algorithm of normal muscles, based on the contraction of normal muscles, and based on algorithms designed to induce normal movement.

7 is a block diagram of an electrical stimulation device having a four-channel magnetic pole portion 80 of one embodiment of the present invention. 8 is a block diagram of an electrical stimulation device having a six-channel magnetic pole portion 80 in one embodiment of the present invention.

7 and 8, the electric stimulation treatment apparatus according to an embodiment of the present invention generates a control command for driving the stimulator 80 and the stimulator 80 to stimulate the upper and lower hyoid muscles. And a processor 60, wherein the stimulator 80 is configured to stimulate at least the thyrohyoid muscle, the sternohyoid muscle, the sternothyroid muscle and the suprahyoid muscle, respectively. It is composed of 4 channels or more.

In the case of four channels, the magnetic pole unit 80 includes a first channel magnetic pole portion 80, a second channel magnetic pole portion 80, a third channel magnetic pole portion 80, and a fourth channel magnetic pole portion 80. . In the case of the six-channel configuration, the stimulator 80 may include a first channel stimulator 80, a second channel stimulator 80, a third channel stimulator 80, a fourth channel stimulator 80, and a first channel stimulator 80. And a five channel magnetic pole portion 80 and a sixth channel magnetic pole portion 80.

Figure 9 shows the position of attaching the four-pole magnetic pole portion 80 of the electrical stimulation device according to an embodiment of the present invention.

Referring to FIG. 9, an electrostimulation treatment apparatus according to an embodiment of the present invention includes four channels. The first channel stimulator 80, the second channel stimulator 80, and the third channel stimulator 80, which constitute three channels, stimulate the right hyoid muscle, the left hyoid muscle, and both thyroid cartilage muscles. . The fourth channel stimulator 80 stimulates both sternal osteotomy and sternal thymus muscle.

Referring to FIG. 10, an electrostimulation treatment apparatus according to another embodiment of the present invention is composed of four channels.

The first channel stimulator 80, the second channel stimulator 80, and the third channel stimulator 80, which constitute three channels, stimulate the bilateral ulnar muscles, the thyroid cartilage muscles, and the bilateral pharyngeal contractors, respectively. do. The fourth channel stimulator 80 stimulates both sternal osteotomy and sternal thymus muscle.

FIG. 11 shows the attachment position of the stimulator 80 for stimulating pharyngeal contraction muscle. Referring to FIG. 11 and FIG. 10 again, both pharyngeal contractors may be stimulated in one channel.

FIG. 12 is a view illustrating a position at which six magnetic pole parts 80 of an electric stimulation device according to an embodiment of the present invention are attached.

Referring to Figure 12, the electrostimulation treatment device according to an embodiment of the present invention is composed of six channels. The first channel stimulates the right hyoid muscle, the second channel stimulates the left hyoid muscle, the third channel stimulates the thyroid cartilage, the fourth channel stimulates the pharyngeal contractor muscle, and the fifth channel. Stimulates the right sternal talus and the sternal thymus muscle. Finally, the sixth channel stimulates the left sternal hyoid skeletal muscle, the sternal thyroid muscle.

FIG. 13 illustrates an attachment example different from that of FIG. 12 for the electric stimulation device according to the embodiment of the present invention. FIG. 14 shows the attachment position of the stimulator 80 for stimulating pharyngeal contraction muscle.

Referring to FIG. 13, the electrostimulation treatment apparatus according to another embodiment of the present invention includes six channels. The first channel stimulates the right hyoid muscle, the second channel stimulates the left hyoid muscle, the third channel stimulates the thyroid cartilage muscle, the fourth channel stimulates the right pharyngeal muscle, The channel stimulates the left pharyngeal contractor muscle, and finally the sixth channel stimulates bilateral sternal hysterectomy and sternal thyroid muscle.

Referring to FIGS. 14 and 13 again, bilateral pharyngeal contractions can be stimulated with two channels.

9 to 14, the configuration of one channel on the right side and two channels on the left side of the human body is also possible, and the form of contraction into one channel by attaching one electrode on both sides is also possible.

Referring to FIG. 15, the processor 60 drives the stimulator 80 to stimulate the thyroid cartilage after 50 to 200 ms has elapsed since the stimulation of the hyoid bone of the hyoid bone.

The processor 60 drives the stimulation unit 80 to stimulate the thyroid muscle for 1000 to 1100 ms.

The processor 60 drives the stimulation unit 80 to stimulate the sternohyoid muscle and the sternothyroid muscle after 200 to 400 ms after the stimulation of the iliac muscle.

The processor 60 drives the stimulator 80 to stimulate the sternal hyoid muscle and the sternal thyroid muscle for 900 to 1100 ms.

The processor 60 drives the stimulator 80 to stimulate the suprahyoid muscle for 1300 to 1400 ms from the time when the stimulus for the hyoid bone is started.

The processor 60 drives the stimulation unit 80 to stimulate the pharyngeal constrictor muscle after 30 to 180 ms after the stimulation of the hyoid humerus.

The processor 60 drives the stimulation unit 80 to stimulate the pharyngeal contraction muscle for 800-1000 ms.

The processor 60, after 1300 to 1400 ms has elapsed from the time when the stimulation for the hyoid bone is started, the stimulation unit 80 to terminate the stimulation for the hyoid bone, the thyroid muscle, the pharyngeal contraction muscle, the sternal talus muscle and the sternal thyroid muscle at the same time. ) Is terminated.

Electro stimulation treatment apparatus according to an embodiment of the present invention, the sensor member 70 for detecting the pressing of the tongue or contraction of the upper hyoid bone, the processor 60, the sensor member 70, the pressing of the tongue or When the contraction of the hyoid bone is detected, the stimulator 80 is driven to stimulate the hyoid bone.

Electro stimulation treatment apparatus according to an embodiment of the present invention includes a sensor member 70 for detecting the pressing of the tongue or contraction of the hyoid bone; And a stimulation unit 80 for stimulating the upper and lower hyoid muscles when the sensor member 70 senses the pressing of the tongue or the contraction of the upper hyoid bone; And a processor 60 that receives the data sensed by the sensor member 70 and generates a control command for driving the stimulator 80. The stimulator 80 includes a suprahyoid muscle and a thyroid bone. At least four channels are configured to stimulate the thyrohyoid muscle, the pharyngeal constrictor muscle, the sternohyoid muscle and the sternothyroid muscle, respectively.

16 is a flowchart illustrating a treatment method using an electrical stimulation device according to an embodiment of the present invention. 17 is a utilization of the electrical stimulation device according to an embodiment of the present invention.

16 to 17, the method for treating electrical stimulation according to an embodiment of the present invention includes: a first stimulating step (S110) of electrically stimulating at least one of the sublingual bone and the abdominal muscle; And a second stimulating step S120 of stimulating the thyroid bone after starting the first stimulating step.

The first stimulus step S110 is performed for 1300 to 1400 ms. The second stimulus step (S120) is performed for 1000 ~ 1100ms after 50 ~ 200ms elapses after the start of the first stimulation step. And a third stimulus step S130 of stimulating the pharyngeal constrictor muscle after 30 to 180 ms after the start of the first stimulus step.

Electro stimulation treatment method according to an embodiment of the present invention includes a step (S100) the sensor member 70 detects the contraction of the hyoid bone muscles or the pressing of the tongue in the oral cavity, the first stimulation step is the sensor member 70 ) Is detected when the upper extremity contractions or when the tongue is pressed in the oral cavity.

The electrical stimulation treatment method according to an embodiment of the present invention includes a fourth stimulation step (S140) of stimulating at least one of the sternal skeletal muscle and sternal thyroid muscle.

The fourth stimulus step is performed for 900 to 1100 ms after 200 to 400 ms elapses after the start of the first stimulus step.

The first stimulus step, the second stimulus step, the third stimulus step and the fourth stimulus step are terminated at the same time.

According to the electrical stimulation treatment apparatus and the treatment method using the same according to the embodiment of the present invention, if the processor 60 stimulates the hyoid muscles 0 ~ 1400ms, the thyroid muscles are stimulated after 100 ~ 150ms to about 1100 ~ 1200ms Pauses after stimulation, pharyngeal contractions start stimulation after 200-250 ms and stop after 1100-1200 ms stimulation. The sternal hyoid muscle and the sternal thyroid muscle begin stimulation after 300 ms and stop after 1100 ms stimulation. However, these stimulation algorithms may differ slightly depending on the normal person and the patient.

According to the electrical stimulation treatment apparatus and the treatment method using the same according to an embodiment of the present invention, there is an effect of stimulating the motor nerves of the neck through the electrical stimulation. In this case, the muscles related to the swallowing function react to improve the quality of the swallowing function and retrain the muscles through repeated treatments. Therefore, according to the present invention, there is an effect of activating the entire cortical neural network associated with the recovery of swallowing function through non-invasive electrical stimulation.

Although the above has been shown and described with respect to the preferred embodiments of the present invention, the present invention is not limited to the above-described specific embodiments, the present invention without departing from the spirit of the invention claimed in the claims Various modifications can be made by those skilled in the art, and these modifications should not be individually understood from the technical spirit or the prospect of the present invention.

Claims

Stimulator for stimulating the upper and lower hyoid muscles;

A processor generating a control command for driving the magnetic pole part; And

It includes a sensor member for detecting the pressing of the tongue or contraction of the hyoid bone,

The magnetic pole portion,

At least four channels each to stimulate the thyrohyoid muscle, sternohyoid muscle, sternothyroid muscle and suprahyoid muscle,

The sensor member,

A first sensor unit for sensing the contact of the tongue between adjacent sections of the palate and study palate; And

Electro stimulation treatment apparatus comprising a second sensor for sensing the movement of the hyoid bone.
The method of claim 1,

The processor,

An electrical stimulation treatment apparatus for driving the stimulation unit to stimulate the thyroid bone after 50 ~ 200ms elapsed from the start of the stimulation for the hyoid humerus.
The method of claim 2,

The processor is an electrical stimulation treatment device for driving the stimulation unit to stimulate the thyroid bone for 1000 ~ 1100ms.
The method of claim 2,

The processor,

An electric stimulation treatment device for driving the stimulation unit to stimulate the sternohyoid muscle and the sternothyroid muscle after 200-400 ms after the stimulation of the hyoid ulnar muscle.
The method of claim 4, wherein

The processor is an electrical stimulation treatment device for driving the stimulation unit to stimulate the sternal skeletal muscle and sternal thyroid muscle for 900 ~ 1100ms.
The method of claim 1,

The processor,

An electric stimulation treatment device for driving the stimulation unit to stimulate the suprahyoid muscle for 1300 ~ 1400ms from the time when the stimulation for the hyoid bone muscles.
The method of claim 4, wherein

The processor,

An electric stimulation treatment device for driving the stimulation unit to stimulate the pharyngeal constrictor muscle after 30 ~ 180ms after the start of stimulation for the hyoid bone.
The method of claim 7, wherein

The processor is an electrical stimulation treatment device for driving the stimulation unit to stimulate the pharyngeal contraction muscle for 800 ~ 1000ms.
The method of claim 8,

The processor,

Electric stimulation treatment to end the driving of the stimulation unit to terminate the stimulation for the hyoid bone, thyroid muscle, pharyngeal contraction muscle, sternal talus and sternal thyroid muscle at the same time 1300 ~ 1400ms after the stimulation of the hyoid bone Device.
The method of claim 1,

The processor,

And an electric stimulation treatment device for driving the stimulator to stimulate the hyoid bone of the tongue when the sensor member senses the depression of the tongue or the contraction of the hyoid bone of the tongue.
A sensor member for sensing pressure on the tongue or contraction of the upper hyoid muscle;

A stimulator for stimulating the upper and lower hyoid muscles when the sensor member senses a press of the tongue or contraction of the upper hyoid bone; And

And a processor configured to receive the data sensed by the sensor member and generate a control command to drive the magnetic pole part.

The magnetic pole portion,

A first channel that simultaneously stimulates both suprahyoid muscles;

A second channel that stimulates thyrohyoid muscle;

A third channel for stimulating pharyngeal constrictor muscles; And

A fourth channel that simultaneously stimulates the sternohyoid muscle and the sternothyroid muscle,

The sensor member,

A first sensor unit for sensing the contact of the tongue between adjacent sections of the palate and study palate; And

Electro stimulation treatment apparatus comprising a second sensor for sensing the movement of the hyoid bone.
A first stimulating step of electrically stimulating at least one of the sublingual muscle and the abdominal muscle;

A second stimulating step of stimulating the thyroid bone after starting the first stimulating step;

A third stimulating step of stimulating pharyngeal constrictor muscle after 30-180 ms has elapsed after the start of the first stimulating step; And

The sensor member includes the step of detecting the contraction of the upper hyoid bone or the pressing of the tongue in the oral cavity,

The sensor member to detect the contraction of the upper hyoid bone or the pressing of the tongue in the oral cavity,

Sensing the contact of the tongue between adjacent sections of the palate and study palate by the first sensor unit; And

The swallowing stimulation method using the electrical stimulation treatment device comprising the step of sensing the movement of the hyoid bone of the second sensor unit.
The method of claim 12,

The first stimulation step is swallowing stimulation method using an electrical stimulation treatment device performed for 1300 ~ 1400ms.
The method of claim 12,

The second stimulation step is a swallowing stimulation method using an electrical stimulation treatment device is performed for 1000 ~ 1100ms after 50 ~ 200ms elapses after the start of the first stimulation step.
The method of claim 12,

The sensor member further comprises the step of detecting the contraction of the upper hyoid muscle or the pressing of the tongue in the oral cavity,

The first stimulation step is a swallowing stimulation method using an electrical stimulation treatment device is performed when the sensor member detects contraction of the upper hyoid bone or pressing of the tongue in the oral cavity.
The method of claim 12,

A swallowing stimulation method using the electrical stimulation treatment device further comprising a fourth stimulation step of stimulating at least one of the sternal hyoid muscle and sternal thyroid muscle.
The method of claim 16,

The fourth stimulation step is swallowing stimulation method using an electrical stimulation treatment device is performed for 900 ~ 1100ms after 200 ~ 400ms elapses after the start of the first stimulation step.
The method of claim 16,

The swallowing stimulation method using the electrical stimulation treatment device wherein the first stimulating step, the second stimulating step, the third stimulating step and the fourth stimulating step is terminated at the same time.
A sensor member for sensing pressure on the tongue or contraction of the upper hyoid muscle;

A stimulator for stimulating the upper and lower hyoid muscles when the sensor member senses a press of the tongue or contraction of the upper hyoid bone; And

And a processor configured to receive data sensed by the sensor member and generate a control command for driving the magnetic pole unit.

The magnetic pole portion,

A first channel that stimulates the left suprahyoid muscle;

A second channel that stimulates the right suprahyoid muscle;

A third channel that stimulates thyrohyoid muscle;

A fourth channel for stimulating pharyngeal constrictor muscles; And

A fifth channel that simultaneously stimulates the sternohyoid muscle and the sternothyroid muscle,

The sensor member,

A first sensor unit for sensing the contact of the tongue between adjacent sections of the palate and study palate; And

Electro stimulation treatment apparatus comprising a second sensor for sensing the movement of the hyoid bone.