WO2019047291A1 - 用于监控口面肌训练的装置及方法 - Google Patents

用于监控口面肌训练的装置及方法 Download PDF

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Publication number
WO2019047291A1
WO2019047291A1 PCT/CN2017/103659 CN2017103659W WO2019047291A1 WO 2019047291 A1 WO2019047291 A1 WO 2019047291A1 CN 2017103659 W CN2017103659 W CN 2017103659W WO 2019047291 A1 WO2019047291 A1 WO 2019047291A1
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Prior art keywords
sensor
muscle training
monitoring
training
facial
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PCT/CN2017/103659
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English (en)
French (fr)
Inventor
黄雷
周可拓
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无锡时代天使医疗器械科技有限公司
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Publication of WO2019047291A1 publication Critical patent/WO2019047291A1/zh

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/025—Exercising apparatus specially adapted for particular parts of the body for the head or the neck
    • A63B23/03—Exercising apparatus specially adapted for particular parts of the body for the head or the neck for face muscles
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F3/00—Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
    • G06F3/01—Input arrangements or combined input and output arrangements for interaction between user and computer
    • G06F3/011—Arrangements for interaction with the human body, e.g. for user immersion in virtual reality
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment

Definitions

  • the present application generally relates to apparatus and methods for monitoring oral muscle training.
  • Oral facial myofunctional therapy is a multidisciplinary treatment method for the evaluation, diagnosis, prevention and treatment of patients with abnormal facial and facial muscles and their functions.
  • the mechanism is to re-educate the nerve-muscle of the oral and maxillofacial region to promote the normal development of the craniofacial structure and the coordination and stability of the function of the oral and maxillofacial system. It is a treatment method focusing on the cause.
  • the treatment method requires the patient to perform the corresponding facial muscle function training action, and can select a suitable exerciser to use.
  • An aspect of the present application provides an apparatus for monitoring oral muscle training, comprising a body and a sensor, the body being structured such that it can be worn on an oral surface, the sensor being disposed on the body
  • the arrangement of the sensor on the body is such that when the body is worn on the mouth and face, the sensor can sense the movement of the orthodontic muscle to be trained in a predetermined manner.
  • “perceiving the movement of the orthodontic muscle to be trained in a predetermined manner” may be a predetermined motion trajectory of a part related to the facial muscle to be trained or reaching a predetermined target position or the like, wherein if the mouth is to be trained The movement of the facial muscle in a predetermined manner causes the relevant portion to move according to the predetermined trajectory or to reach the predetermined target position.
  • “perceive the movement of the trained orthopaedic muscles in a predetermined manner” may include all possible manifestations of "the movement of the facial muscles to be trained in a predetermined manner”.
  • the facial muscles can be oral and facial muscles.
  • the facial muscles may be oral and facial muscles that have an effect on dental treatment.
  • the senor can be one of: a pressure sensor, a strain sensor, a pressure sensor, a myoelectric sensor, and any combination of the above.
  • the body is constructed such that when it is worn on the mouth and face, it is at least partially located within the oral cavity.
  • the body includes opposing tongue and lip screens with an upper groove and a lower groove therebetween for receiving the upper and lower jaw rows, respectively.
  • the senor is disposed on the lingual side of the lip screen.
  • the apparatus for monitoring facial muscle training further includes a battery and a wireless communication device disposed on the body, the battery being coupled to the sensor and the wireless communication device to supply power thereto,
  • the wireless communication device is configured to send the information collected by the sensor to the outside.
  • the apparatus for monitoring facial muscle training further comprises: being disposed on the body And a battery connected to the sensor for supplying power thereto, the storage device being coupled to the sensor for storing information collected by the sensor.
  • Yet another aspect of the present application provides a method for monitoring oral muscle training, comprising: computer acquiring data collected by a sensor in a facial muscle training; and determining the oral muscle training based on the data and a preset criterion Qualified, the first judgment result is obtained; and the first judgment result is output.
  • the facial muscles can be oral and facial muscles.
  • the facial muscles may be oral and facial muscles that have an effect on dental treatment.
  • the senor can be one of: a pressure sensor, a strain sensor, a pressure sensor, a myoelectric sensor, and any combination of the above.
  • the senor is disposed on a body, the body is structured such that it can be worn on the oral surface, and the sensor is disposed on the body such that when the body is worn At the mouth and mouth, the sensor is capable of sensing the movement of the orthodontic muscle to be trained in a predetermined manner.
  • the first determination result is output in one of the following ways: image, sound, and combinations thereof.
  • the computer acquires the data in real time as the sensor collects the data.
  • the method of monitoring facial muscle training further comprises: generating a picture simulating a corresponding portion of the motion of the mouth portion based on the data.
  • the method for monitoring facial muscle training further comprises: determining which portion of the facial muscle training is unqualified based on the data, obtaining a second determination result; and outputting the second determination result.
  • the second determination result is output in one of the following ways: image, sound, and combinations thereof.
  • the method of monitoring facial muscle training further comprises: selecting the facial muscle training from the plurality of facial muscle training types and the predetermined one corresponding thereto according to a user instruction. standard.
  • the method of monitoring facial muscle training can be compatible with a variety of different facial muscle training.
  • the data content received by the computer and the pre-set criteria used to determine whether the facial muscle training is acceptable may be different. Therefore, when the method of monitoring the oral muscle training starts running, the user can select the corresponding oral muscle training, and the computer can adopt the corresponding data processing method according to the user's choice and the pre-determination for whether the oral muscle training is qualified.
  • the set standard is
  • Figure 1A schematically illustrates an apparatus for monitoring facial muscle training in one embodiment of the present application
  • Figure 1B schematically illustrates the shell-like body of the device for monitoring facial muscle training shown in Figure 1;
  • Figure 1C schematically illustrates the suspension of the device for monitoring oral muscle training shown in Figure 1;
  • FIG. 2 is a schematic block diagram of a system for monitoring oral muscle training in an embodiment of the present application
  • FIG. 3 is a schematic flowchart of a method for monitoring oral muscle training in an embodiment of the present application
  • Figure 4 is a schematic illustration of an apparatus for monitoring facial muscle training in yet another embodiment of the present application.
  • Figure 5A schematically illustrates an apparatus for monitoring facial muscle training in yet another embodiment of the present application
  • Figure 5B schematically illustrates the apparatus for monitoring oral muscle training shown in Figure 5A.
  • the inventors of the present application have developed a device and method for monitoring oral muscle training through a large amount of research to enable others (such as doctors). Parents, family members, etc. can effectively supervise the patient's oral muscle function training, and enable the patient to supervise the completion of the prescribed facial muscle function training, so as to better coordinate and consolidate orthodontic treatment. It can be understood that the monitoring device and method for the oral muscle training of the present application are not only applicable to orthodontic treatment, but also to other situations in which training of the orbicular muscle is required.
  • the orbicular muscles include the muscles of the mouth and face. Further, the orbicular muscle may be a muscle that has an effect on dental treatment. Further, the orbicular muscle may be a muscle that affects orthodontics.
  • oral muscle training is based on neural plasticity (the brain has the ability to adapt to changes with physiological or pathological afferent signals), re-education of the neuro-muscle system, and ultimately prevention of craniofacial deformities , blocking and treatment.
  • a device 200 for monitoring oral muscle training worn on the upper dentition 100 in one embodiment of the present application is schematically illustrated, which can be used to monitor N-point training and tongue-stretching training.
  • Tongue strap stretching training is to start the back and forth movement from the incisor nipple along the upper jaw (ie, starting from the incisor, the tongue as far as possible backwards) Roll to the soft and hard ⁇ junction).
  • Each training time is 5 seconds, 50 times for a group, and 2 groups of training are performed every day. This training stimulates the base muscles of the tongue and helps the patient to lift the tongue.
  • the device 200 for monitoring oral muscle training comprises a shell-shaped body 201 and a suspension member 203, wherein the suspension member 203 is detachably mounted on the lingual side of the shell-shaped body 201 corresponding to the upper incisor and extends toward the lingual side,
  • the body of the device 200 for monitoring oral muscle training is constructed.
  • FIG. 1B schematically illustrates a shell-like body 201
  • FIG. C schematically illustrates a suspension member 203.
  • the shell-shaped body 201 has an integral shell shape and forms a cavity for accommodating the dentition so that it can be worn on the dentition.
  • the geometry of the cavity may substantially conform to the dentition.
  • the cavity has a geometry that repositions the dentition from the first portion to the predetermined second layout.
  • the shell-like body 201 can be fabricated by a hot press film forming process.
  • the shell-shaped body 201 may be fabricated by a digital model control device of the shell-like body 201, such as a 3D printing device or a numerically controlled machine tool. The method of making the shell-like body is well known in the art and will not be described in detail herein.
  • the hanging member 203 is substantially Y-shaped, and the middle portion thereof is provided with a buckle 2031 to cooperate with the card slot 2011 on the shell-shaped main body 201, and the ends 2033 and 2035 of the bifurcated member 203 are respectively respectively on the shell-shaped main body 201.
  • the card slots 2013 and 2015 cooperate to mount and fix the suspension member 203 on the shell-shaped body 201.
  • a pressure sensor (not shown) may be enclosed in the suspension member 203, such that when the N-point training or the tongue-stretching training is performed, when the tongue tip abuts the corresponding portion of the suspension member 203 against the upper jaw, the suspension member 203 The pressure sensor inside can sense the corresponding pressure, thus monitoring the N-point training.
  • the pressure sensor encapsulated in the suspension member 203 may be a film strip pressure sensor, such as the A201 sensor provided by Flexiforce, and the RP-L series thin film resistive pressure sensitive sensor provided by Shenzhen Lishen Technology.
  • the pressure sensing packaged within the suspension 203 may be one or more single-point pressure sensors distributed in a certain manner, such as the IMS series single point sensor provided by Aidong Technology.
  • the types of sensors that can be used are various, and are not limited to the above, and are not described herein again.
  • FIG. 2 is a schematic block diagram of a system 20 for monitoring facial muscle training in an embodiment of the present application.
  • System 20 for monitoring facial muscle training includes apparatus 200 and computer 205 for monitoring facial muscle training.
  • the pressure sensor 2037, the wireless communication device 2039, and the power source 2041 can be packaged within the suspension member 203, and the three can constitute a sensing device.
  • Power source 2041 can power pressure sensor 2037 and wireless communication device 2039.
  • the power source 2041 can be a power source that supports wireless charging for ease of use.
  • the wireless communication device 2039 receives the pressure information it has collected from the pressure sensor 2037 and transmits it wirelessly (eg, Bluetooth or WiFi).
  • Computer 205 includes a wireless communication device 2051 that is capable of receiving signals from wireless communication device 2039.
  • the computer 205 can be installed with a computer program for monitoring facial muscle training that, after being executed, can control the computer 205 to process the signals received by the wireless communication device 2051 to obtain the condition of the facial muscle training and pass The human-computer interaction interface is presented to the user.
  • Computer 205 can be any suitable computer, such as a personal computer, smart phone, tablet, and the like.
  • a storage device (not shown) may be packaged in the suspension member 203, and pressure information collected by the pressure sensor 2037 is stored in the storage device.
  • the device 200 for monitoring the training of the facial muscles is removed from the oral cavity, and then the data stored in the storage device is transmitted to the computer 205 by wire or wirelessly. These data are then processed by computer 205 to obtain a situation of oral muscle training and presented to the user via a human-computer interaction interface.
  • the flying member 203 can be coupled to the computer 205 via a cable (eg, a USB cable, an IEEE 1394 cable, a Lightning cable, etc.) in use.
  • a cable eg, a USB cable, an IEEE 1394 cable, a Lightning cable, etc.
  • the suspension member 203 can be The built-in power supply is not required, and the collected data can be transmitted to the computer 205 in real time.
  • the computer 205 can be controlled to perform a facial muscle training monitoring method.
  • FIG. 3 is a schematic flowchart of a method for monitoring a facial muscle training in an embodiment of the present application.
  • the computer can receive the data collected in the oral muscle training from the device for monitoring the oral muscle training in real time, or from the device for monitoring the oral muscle training after the oral muscle training is completed. Receives the data it collects in the training of the facial muscles.
  • the N-point training is taken as an example to describe the oral muscle training monitoring method 300.
  • a single-point pressure sensor can be packaged at the appropriate location of the Y-shaped body of the suspension member 203 such that when the tongue tops the suspension member 203 at the correct position of the upper jaw, the package is enclosed within the suspension member 203.
  • the sensor detects the pressure exerted by the tongue.
  • the basic data units acquired during training may include sensor identification, force values, and sampling time.
  • a qualified N-point training is 5 seconds after the apex is 5 mm behind the upper incisor.
  • a threshold of force such as 1N
  • the criteria for judging whether a orthognathic muscle training is qualified can be determined according to specific situations and needs. For example, if a certain percentage (such as 90%) of the force values obtained by continuous sampling within 10 seconds is greater than 1N, it is considered complete.
  • a qualified N-point training if a certain percentage (such as 90%) of the force values obtained by continuous sampling within 10 seconds is greater than 1N, it is considered complete.
  • computer 205 can determine whether a sufficient number of trainings have been completed on the day based on data collected by sensing device 203.
  • computer 205 can control the output device to output the result of the determination.
  • the output device can be a display, a speaker, a printer, etc., and any combination thereof.
  • the computer program can control the computer 205 to provide a human-computer interaction interface through which the user can control the operation of the computer program, and the computer 205 can provide relevant information to the user.
  • the computer program can be used to monitor different facial muscle training.
  • different devices for monitoring oral muscle training may be required, and the data collected during monitoring and the criteria for judging whether the training is acceptable may also be different.
  • the computer program can include a plurality of modules to correspond to different facial muscle training, respectively.
  • a module can include criteria for its unique data processing and corresponding oral muscle training.
  • the computer program can control the computer 205 to generate a simulated picture of the corresponding portion of the patient's motion based on the received data, and can be based on the received data.
  • the patient is pointed out the inadequacies of the training, for example, which action is not done or the strength is insufficient. This can improve the fun of oral muscle training and help correct oral muscle training.
  • a pressure sensor that collects data at multiple points may be employed, for example, a plurality of collection points may be distributed substantially evenly over the vacant member 203 along a straight line.
  • a threshold of 0.5 N can be set and recorded only if the force at the collection point is greater than 0.5N. If the corresponding collection point on the suspended member 203 is recorded to be subjected to a force greater than 0.5 N in sequence, then a qualified tongue-stretching training can be performed manually.
  • a device 400 for monitoring facial muscle training in one embodiment of the present application is schematically illustrated.
  • the device 400 for monitoring facial muscle training includes a body 401, wherein the body 401 has substantially the same structure as the exerciser, and includes a tongue screen 403 and a lip screen 405, which are sandwiched to form a lower groove 407 and an upper groove 409. , respectively, for accommodating the mandibular dentition and the maxillary dentition.
  • the apparatus 400 for monitoring oral muscle training further includes two single-point pressure sensors 411a and 411b disposed on the lingual side of the upper cheek screen 405 corresponding to the two upper incisors.
  • the exerciser can separate the upper and lower teeth, causing the alveolar process to grow to the buccal side; when swallowing, the tongue is lifted at a higher part of the upper jaw, causing lighter pressure on both sides, transmitted to The trainer, which in turn is passed to the supporting tissue of the teeth, helps the teeth move toward the buccal side, thereby expanding the arch.
  • the exerciser can guide the new permanent teeth through the arch track (lower groove 407 and upper groove 409) to better align the deciduous teeth and the mixed dentition, avoiding masseter muscles,
  • the abnormal pressure of the buccal muscles or the labial muscles causes the teeth to erupt more freely.
  • the device 400 for monitoring facial muscle training can be used to monitor massage upper lip training.
  • massage upper lip training closed Lips, the patient's index finger is placed on the upper lip of the nose, and slowly massage down to pull the lips. It is required to do 1 group every day, 20 times in each group, 15 seconds each time. This training can help the patient's nose to open.
  • the single point pressure sensors 411a and 411b are capable of sensing the pressure during the massage upper lip training.
  • a threshold of 1 N may be set, and if the single point pressure sensors 411a and 411b simultaneously sense a force greater than 1 N and last for 15 seconds, then a qualified massage upper lip training is considered complete.
  • the configuration of the sensors disposed on the body 401 is varied depending on the specific application and different needs.
  • a single point pressure sensor may be provided for each tooth, and for example, a segment type sensor may be provided at a corresponding position according to requirements, and for example, a strip shape may be provided on the lingual side of the lip pad screen 405 in the upper groove 409.
  • the strain sensor covers the entire length of the upper trench 409 and will not be enumerated here.
  • an apparatus 500 for monitoring facial muscle training in one embodiment of the present application is schematically illustrated.
  • the device 500 for monitoring oral muscle training includes a lip block 501, a clamping portion 503, and a pull ring 505.
  • the clamping portion 503 and the pull ring 505 are respectively located at two sides of the lip block 501, and the clamping portion 503 is substantially flat, and is filled with a pressure sensing device (not shown).
  • the device 500 for monitoring facial muscle training can be used to monitor lip training.
  • the clamping portion 503 is clamped between the upper and lower lips, and the lip 501 is located outside the mouth and close to the lips.
  • the pull ring 505 is used by the user to take the device 500 for monitoring the facial muscle training to facilitate the removal.
  • Lip training is to cover your lips and try not to show lip red. A group of training is required every day, 25 times in each group, for 5 seconds each time. Lip training is the training of the upper and lower lip muscles, which can stimulate the diaphragm muscles and contract the diaphragm muscles, helping to form the habit of closing the lips.
  • a threshold 1N can be set so that a qualified lip training can be done manually as long as the grip 503 is subjected to a force greater than 1 N for 5 seconds.
  • the device for monitoring facial muscle training in the above embodiments is at least partially worn in the oral cavity, it is understood by the present application that, in some cases, the device for monitoring the oral muscle training is also Can be worn on the face.
  • the shape, structure, and mounting manner of the device for monitoring the oral muscle training are various, and can be designed according to the specific training and the type of the sensor.
  • any other suitable sensor can be used to collect data of the facial muscle training, such as a pressure sensor, a myoelectric sensor, and a strain sensor.
  • An electromyography sensor is a sensor that senses the action potential waveform of muscle fiber cells and converts them into usable output signals.
  • a strain sensor is a sensor that produces a small, resilient deformation under pressure or motion and converts it into an available output signal, such as strain rate.
  • passive sensors can be used in addition to active sensors (which require external power to operate). It enables non-contact acquisition of sensing energy and non-contact data output.
  • energy and output signals can be obtained by coupling external RF electromagnetic waves through a device having frequency selective characteristics.
  • SAW surface acoustic wave
  • piezoelectric sensors piezoelectric sensors
  • SAW-RFID SAW-RFID
  • the apparatus, system and method for monitoring oral muscle training of the present application are not only applicable to oral muscle training in the dental field, but also to oral muscle training for any other purpose.
  • various diagrams may illustrate exemplary architectures or other configurations of the disclosed methods and systems that facilitate understanding of features and functionality that may be included in the disclosed methods and systems.
  • the claimed content is not limited to the exemplary architecture or configuration shown, and the desired features can be implemented in various alternative architectures and configurations.
  • the order of the blocks presented herein should not be limited to the various embodiments that are implemented in the same order to perform the described functions, unless clearly indicated in the context .

Abstract

一种用于监控口面肌训练的装置（200，400，500），包括本体（401）和传感器（2037，411a，411b），本体（401）的结构如此，使得其能够佩戴于口面部，传感器（2037，411a，411b）是设置于本体（401）之上，传感器（2037，411a，411b）在本体（401）上的布局如此，使得当本体（401）佩戴于口面部时，传感器（2037，411a，411b）能够感知待训练口面肌按预定方式的运动。

Description

用于监控口面肌训练的装置及方法 技术领域
本申请总体上涉及用于监控口面肌训练的装置及方法。
背景技术
在口腔正畸治疗中，医生通常仅针对表象(例如牙齿的位置)进行治疗，极少有人关注肌肉的影响。然而，研究证明肌肉对口腔正畸治疗后的稳定性有关键影响，并且在一些情况下肌肉问题是造成口腔问题的病因，忽略肌肉问题可能会导致矫治难以奏效或者治疗后复发。
口面肌功能治疗(orofacial myofunctional therapy，简称OMT)是针对口面部肌肉及其功能存在异常的患者，进行评估、诊断、预防和治疗的多学科综合治疗方法。其机制是通过对口颌面部的神经-肌肉进行再教育，促进颅面部结构正常发育与口颌系统功能协调稳定，是一种着眼于病因的治疗方法。该治疗方法要求患者进行相应的口面肌功能训练动作，可以选择合适的训练器配合使用。
在实际临床应用中，患者良好的依从性是治疗成功的关键。医生必须有效的激发患者(尤其是青少年、儿童)的主观能动性，让他们理解训练操的重要性，才能使患者在治疗过程中很好的配合。若缺乏对口面肌功能治疗的指导、监控和评估，可能导致出现一系列问题，从而影响治疗的有效性。
鉴于以上，有必要提供一种能够对患者的口面肌功能训练进行有效监控的装置和方法，使他人(例如医生、家长、家人等)能够有效地监督患者的口面肌功能训练，也使患者能够督促自己完成规定的口面肌功能训练，从而更好地配合与巩固口腔正畸治疗。
发明内容
本申请的一方面提供了一种用于监控口面肌训练的装置，包括本体和传感器，所述本体的结构如此，使得其能够佩戴于口面部，所述传感器是设置于所述本体之上，所述传感器在所述本体上的布局如此，使得当所述本体佩戴于口面部时，所述传感器能够感知待训练口面肌按预定方式的运动。在一些实施方式中，“感知待训练口面肌按预定方式的运动”可以是感知与待训练口面肌相关的部位的预定的运动轨迹或者到达预定的目标位置等，其中，若待训练口面肌按预定方式运动，会带动该相关部位按所述预定的轨迹运动或者到达所述预定的目标位置。总之，“感知待训练口面肌按预定方式的运动”可以包括“待训练口面肌按预定方式的运动”的一切可能的表现形式。
在一些实施方式中，所述口面肌可以是口腔和面部肌肉。
在一些实施方式中，更具体地，所述口面肌可以是对牙科治疗有影响的口腔和面部肌肉。
在一些实施方式中，所述传感器可以是以下之一：压力传感器、应变传感器、压强传感器、肌电传感器以及以上的任意组合。
在一些实施方式中，所述本体的结构如此，使得当其佩戴于口面部时，其至少部分是位于口腔内。
在一些实施方式中，所述本体包括相对的舌屏和唇颊屏，两者之间形成上沟槽和下沟槽，分别用于容纳上颌牙列与下颌牙列。
在一些实施方式中，所述传感器是设置于唇颊屏的舌侧。
在一些实施方式中，所述用于监控口面肌训练的装置还包括设置于所述本体上的电池和无线通信装置，所述电池与所述传感器以及所述无线通信装置连接以为其供电，所述无线通信装置用于将所述传感器采集到的信息向外发送。
在一些实施方式中，所述用于监控口面肌训练的装置还包括设置于所述本体 上的电池和存储装置，所述电池与所述传感器连接以为其供电，所述存储装置与所述传感器连接，用于存储所述传感器采集到的信息。
本申请的又一方面提供了一种监控口面肌训练的方法，包括：计算机获取传感器在口面肌训练中采集的数据；基于所述数据以及预先设定的标准判断所述口面肌训练是否合格，得到第一判断结果；以及输出所述第一判断结果。
在一些实施方式中，所述口面肌可以是口腔和面部肌肉。
在一些实施方式中，更进一步地，所述口面肌可以是对牙科治疗有影响的口腔和面部肌肉。
在一些实施方式中，所述传感器可以是以下之一：压力传感器、应变传感器、压强传感器、肌电传感器以及以上的任意组合。
在一些实施方式中，所述传感器是设置于一本体之上，所述本体的结构如此，使得其能够佩戴于口面部，所述传感器在所述本体上的布局如此，使得当所述本体佩戴于口面部时，所述传感器能够感知待训练口面肌按预定方式的运动。
在一些实施方式中，以下列方式之一输出所述第一判断结果：图像、声音及其组合。
在一些实施方式中，所述计算机是在所述传感器采集所述数据时，实时地获取所述数据。
在一些实施方式中，所述监控口面肌训练的方法还包括：基于所述数据产生模拟口面部相应部分运动的画面。
在一些实施方式中，所述监控口面肌训练的方法还包括：基于所述数据判断所述口面肌训练的哪个部分不合格，得到第二判断结果；以及输出所述第二判断结果。
在一些实施方式中，以下列方式之一输出所述第二判断结果：图像、声音及其组合。
在一些实施方式中，所述监控口面肌训练的方法还包括：根据用户指令，从多种口面肌训练类型中选择所述口面肌训练以及与之相对应的所述预先设定的标准。换言之，所述监控口面肌训练的方法可以兼容多种不同的口面肌训练。对于不同的口面肌训练，计算机所接收到的数据内容以及用于判断口面肌训练是否合格的预先设定的标准可能不同。因此，在监控口面肌训练的方法开始运行时，用户可以选择相应的口面肌训练，计算机则可以根据用户的选择，采用相应的数据处理方式以及用于判断口面肌训练是否合格的预先设定的标准。
附图说明
以下将结合附图及其详细描述对本申请的上述及其他特征作进一步说明。应当理解的是，这些附图仅示出了根据本申请的若干示例性的实施方式，因此不应被视为是对本申请保护范围的限制。除非特别指出，附图不必是成比例的，并且其中类似的标号表示类似的部件。
图1A示意性地展示了本申请一个实施例中的用于监控口面肌训练的装置；
图1B示意性地展示了图1所示的用于监控口面肌训练的装置的壳状主体；
图1C示意性地展示了图1所示的用于监控口面肌训练的装置的悬空件；
图2为本申请一个实施例中用于监控口面肌训练的系统的示意性模块图；
图3为本申请一个实施例中的口面肌训练监控方法的示意性流程图；
图4示意性地展示了本申请又一实施例中的用于监控口面肌训练的装置；
图5A示意性地展示了本申请又一实施例中的用于监控口面肌训练的装置；以及
图5B示意性地展示了图5A所示的用于监控口面肌训练的装置。
具体实施方式
以下的详细描述中引用了构成本说明书一部分的附图。说明书和附图所提及的示意性实施方式仅仅出于是说明性之目的，并非意图限制本申请的保护范围。在本申请的启示下，本领域技术人员能够理解，可以采用许多其他实施方式，并且可以对所描述实施方式做出各种改变，而不背离本申请的主旨和保护范围。应当理解的是，在此说明并图示的本申请的各个方面可以按照很多不同的配置来布置、替换、组合、分离和设计，这些不同配置都在本申请的保护范围之内。
鉴于口面肌训练在口腔正畸中的关键作用与不可忽视的影响，本申请的发明人经过大量的研究开发出了一种用于监控口面肌训练的装置及方法，使他人(例如医生、家长、家人等)能够有效地监督患者的口面肌功能训练，也使患者能够督促自己完成规定的口面肌功能训练，从而更好地配合与巩固口腔正畸治疗。可以理解，本申请的口面肌训练的监控装置及方法不仅适用于口腔正畸治疗，也适用于其他需要对口面肌进行训练的情况。
口面肌包括口腔和面部的肌肉。进一步地，口面肌可以是对牙科治疗有影响的肌肉。更进一步地，口面肌可以是对口腔正畸有影响的肌肉。
对于口腔正畸，口面肌训练是基于神经可塑性(大脑具有随着生理或病理传入信号发生适应性改变的能力)，对神经-肌肉系统进行再教育，最终对颅颌面畸形起到预防、阻断和治疗的作用。
请参图1A，示意性地展示了本申请一个实施例中佩戴于上颌牙列100的用于监控口面肌训练的装置200，其可用于监控N点训练和舌系带拉伸训练。
请参人民卫生出版社于2016年出版的由史真编写的《口面肌功能治疗临床诊疗手册》(以下称《诊疗手册》)第三章第七节第二部分(p59)，N点训练是舌尖顶在上切牙后约5mm处，即英文字母“N”发音结束时舌尖的位置，保持口微张，唇肌无运动。每次训练保持10秒，5次为1组，每天进行3组训练。该训练能够帮助患者记忆正确的舌位，纠正低舌位的习惯。
请再参《诊疗手册》第三章第七节第二部分(p61)，舌系带拉伸训练是舌尖沿上腭从切牙乳头开始做前后运动(即从切牙开始，舌头尽量向后卷到软硬腭交界处)。每次训练时间5秒，50次为一组，每天进行2组训练。该训练能够刺激舌基底部肌肉，帮助患者舌上抬。
用于监控口面肌训练的装置200包括壳状主体201以及悬空件203，其中，悬空件203是可拆卸地安装于壳状主体201对应上切牙处的舌侧并向舌侧延伸，两者构成用于监控口面肌训练的装置200的本体。
请再参图1B与图1C，其中，图1B示意性地展示了壳状主体201，图C示意性地展示了悬空件203。
壳状主体201为一体的壳状，形成容纳牙列的空腔，使其能够佩戴于牙列。在一个实施例中，所述空腔的几何形状可以与牙列基本相符。在又一实施例中，所述空腔具有将牙列从第一局部重新定位到预定的第二布局的几何形状。
在一个实施例中，可以热压膜成型工艺制作壳状主体201。在又一实施例中，可以壳状主体201的数字模型控制设备，例如3D打印设备或者数控机床等，制作壳状主体201。壳状主体的制作方法已为业界所熟知，此处不再进行详细描述。
悬空件203大致为Y字形，其中间部位设有卡扣2031，以与壳状主体201上的卡槽2011相配合，悬空件203分叉的末端2033和2035则分别与壳状主体201上的卡槽2013和2015相配合，从而将悬空件203安装固定在壳状主体201上。
悬空件203内可以封装压力传感器(图中未示)，这样，在进行N点训练或舌系带拉伸训练时，当舌尖把悬空件203的相应部分顶抵在上腭时，悬空件203内的压力传感器能感知到相应的压力，从而实现对N点训练的监控。
在一个实施例中，封装在悬空件203内的压力传感器可以是薄膜带状压力传感器，例如Flexiforce公司提供的A201传感器，又例如深圳力感科技提供的RP-L系列薄膜电阻式压敏传感器。在又一实施例中，封装在悬空件203内的压力传感 器可以是按一定方式分布的一个或多个单点压力传感器，例如艾动科技提供的IMS系列单点传感器。在本申请的启发下可知，可采用的传感器的种类繁多，并不限于以上所列举，此处不再赘述。
请参图2，为本申请一个实施例中用于监控口面肌训练的系统20的示意性模块图。
用于监控口面肌训练的系统20包括用于监控口面肌训练的装置200与计算机205。
在一个实施例中，悬空件203内可以封装压力传感器2037、无线通信装置2039以及电源2041，三者可以构成传感装置。电源2041可以为压力传感器2037和无线通信装置2039供电。在一个实施例中，电源2041可以是支持无线充电的电源，以便于使用。无线通信装置2039从压力传感器2037接收其采集到的压力信息，并通过无线的方式(例如蓝牙或WiFi)向外发送。
计算机205包括无线通信装置2051，其能够接收无线通信装置2039发出的信号。计算机205可以安装用于监控口面肌训练的计算机程序，该计算机程序被运行后，能够控制计算机205对无线通信装置2051所接收到的信号进行处理，以获得口面肌训练的情况，并通过人机交互界面展示给用户。
计算机205可以是任何适用的计算机，例如个人计算机、智能手机、平板电脑等等。
在又一实施例中，悬空件203内还可以封装存储装置(图中未示)，将压力传感器2037采集到的压力信息存储于所述存储装置。在口面肌训练结束后，把用于监控口面肌训练的装置200从口腔内摘下，然后通过有线或者无线的方式把所述存储装置内所存储的数据传输给计算机205。然后利用计算机205处理这些数据，以获得口面肌训练的情况，并通过人机交互界面展示给用户。
在又一实施例中，在使用时，悬空件203可以通过线缆(例如USB线缆、IEEE 1394线缆、Lightning线缆等)与计算机205连接。如此，悬空件203内可 以无需内置电源，并且可以实时地把采集到的数据传输给计算机205。
在一个实施例中，用于监控口面肌训练的计算机程序被执行后，能够控制计算机205执行口面肌训练监控方法。请参图3，为本申请一个实施例中口面肌训练监控方法300的示意性流程图。
在301中，获取用于监控口面肌训练的装置在口面肌训练中采集的数据。
如以上所述，计算机可以从用于监控口面肌训练的装置实时接收其在口面肌训练中采集的数据，也可以在口面肌训练结束后，从用于监控口面肌训练的装置接收其存储的在口面肌训练中采集的数据。
这里以N点训练为例，对口面肌训练监控方法300进行说明。
对于N点训练，可以把一个单点压力传感器封装在悬空件203的Y字形主体的适当位置处，使得当舌头把悬空件203顶在上腭的正确位置处时，封装在悬空件203内的传感器能探测到舌头施加的压力。
在一个实施例中，对于单点压力传感器，在训练中采集到的基本数据单元可以包括传感器标识、力值以及采样时间。
在303中，基于采集的数据以及预先设定的标准，判断口面肌训练是否合格。
对于N点训练，可以规定一次合格的N点训练是将尖顶在上切牙后越5mm处10秒钟。在一个实施例中，可以设定一个力的阈值，比如1N。若传感器在10秒内连续采样获得的力值均大于1N，那么可以认为完成了一次合格的N点训练。可以理解，判断一次口面肌训练是否合格的标准可以根据具体情况和需求来制定，例如，若10秒内连续采样获得的力值中的一定比例(比如90％)大于1N，则认为完成了一次合格的N点训练。
根据《诊疗手册》，对于N点训练，5次为1组，要求每天进行3组训练。在一个实施例中，计算机205可以基于传感装置203采集到的数据判断当天是否完成足够次数的训练。
在305中，输出判断的结果。
在一个实施例中，计算机205可以控制输出装置输出所述判断的结果。输出装置可以是显示器、音箱、打印机等及其任意组合。
在一个实施例中，所述计算机程序可以控制计算机205提供人机交互界面，通过该人机交互界面，用户能够控制所述计算机程序的运行，计算机205能够向用户提供相关信息。
在一个实施例中，所述计算机程序可以用于监控不同的口面肌训练。在本申请的启发下可知，对于不同的口面肌训练，可能需要采用不同的用于监控口面肌训练的装置，监控时采集的数据以及判断训练是否合格的标准也可能不同。在一个实施例中，所述计算机程序可以包括多个模块以分别对应不同的口面肌训练。一个模块可以包括其独特的数据处理方式和相应的口面肌训练是否合格的判断标准。通过所述人机交互界面，用户可以在运行所述计算机程序时选择需要监控的口面肌训练类型。
在一个实施例中，在计算机205能够实时接收传感器所采集的数据的情况下，所述计算机程序可以控制计算机205基于接收到的数据产生患者相应部分运动的模拟画面，并且可以基于接收到的数据在画面中向患者指出训练的不足之处，例如，哪个动作没做到位或者力度不足等。这能够提高口面肌训练的趣味性并且帮助矫正口面肌训练。
在一个实施例中，对于舌系带拉伸训练，可以采用多点采集数据的压力传感器，例如，可以沿直线基本均匀地将多个采集点分布于悬空件203。在一个实施例中，可以设置一个0.5N的阈值，只有当采集点的受力大于0.5N，才对其进行记录。若悬空件203上的相应采集点被记录依次受到大于0.5N的力，那么可以人为完成一次合格的舌系带拉伸训练。
请参图4，示意性地展示了本申请一个实施例中用于监控口面肌训练的装置400。
用于监控口面肌训练的装置400包括本体401，其中，本体401的结构与训练器基本相同，包括舌屏403和唇颊屏405，两者夹设形成下沟槽407和上沟槽409，分别用于容纳下颌牙列和上颌牙列。用于监控口面肌训练的装置400还包括两个单点压力传感器411a和411b，设置于上沟槽409内唇颊屏405的舌侧对应两颗上切牙处。
在一个实施例中，训练器可以使上、下牙齿分开，促使牙槽突向颊侧生长发育；吞咽时，舌在上腭较高部位抬起，对两侧产生较轻的压力，传递到训练器，进而再传递给牙齿的支持组织，有助于牙齿向颊侧移动，从而扩大牙弓。
在又一实施例中，训练器可以在乳牙列期和混合牙列早期，通过牙弓轨道(下沟槽407和上沟槽409)引导新萌的恒牙更好地排列，避免咬肌、颊肌或唇部肌肉异常压力的影响，使牙齿更自由地萌出。
用于监控口面肌训练的装置400能够用于监控按摩上唇训练。请参由Dr.Oscar Quirós A.所著，由AMOLCA于2016年出版的第一版《The secrets of the Trainer and Myobrace appliances and the Biofunctional System》第十四章(p116)，按摩上唇训练是：闭唇，患者食指放在鼻底部上唇处，慢慢向下按摩牵拉嘴唇。要求每天做1组，每组20次，每次15秒。该训练能够帮助患者鼻翼张开。
在进行按摩上唇训练时，单点压力传感器411a和411b能够感知到压力。在一个实施例中，可以设置一个阈值1N，若单点压力传感器411a和411b同时感知到大于1N的力，并且持续15秒，则认为完成一次合格的按摩上唇训练。
在本申请的启发下，可以理解，根据具体的应用和不同的需求，在本体401上设置传感器的配置多种多样。例如，可以对应每一颗牙齿设置一个单点压力传感器，又例如，可以根据需求在对应的位置设置片段式传感器，又例如，可以在上沟槽409内唇颊屏405的舌侧设置带状的应变传感器，覆盖整个上沟槽409的长度，此处不再一一列举。
请参图5A和图5B，示意性地展示了本申请一个实施例中用于监控口面肌训练的装置500。
用于监控口面肌训练的装置500包括唇挡501、夹持部503以及拉环505。其中，夹持部503和拉环505分别位于唇挡501的两侧，夹持部503大致为扁平状，其内封装有压力传感装置(图中未示)。用于监控口面肌训练的装置500可用于监控抿唇训练，进行训练时，将夹持部503夹在上下唇之间夹紧，唇挡501位于口腔外紧贴嘴唇。拉环505用于用户拿取用于监控口面肌训练的装置500，以便于摘戴。
请参《诊疗手册》第三章第七节第四部分(p64)，抿唇训练是抿住双唇，尽量不露出唇红。要求每天进行1组训练，每组25次，每次保持5秒。抿唇训练是针对上、下唇部的肌肉进行训练，能够刺激口轮匝肌并收缩颏肌，有助于形成唇闭合的习惯。
在一个实施例中，可以设置一个阈值1N，只要夹持部503持续5秒受到大于1N的力，那么可以人为完成一次合格的抿唇训练。
虽然以上实施例中的用于监控口面肌训练的装置至少有部分是佩戴在口腔内，但在本申请的启发下，可以理解，在一些情况中，用于监控口面肌训练的装置也可以佩戴在面部。
在本申请的启发下，可以理解，用于监控口面肌训练的装置的形状、结构、安装方式多种多样，可以根据具体训练以及传感器的类型等进行设计。
在本申请的启发下可知，除了压力传感器，还可以采用任何其他适用的传感器来采集口面肌训练的数据，例如压强传感器、肌电传感器以及应变传感器等。肌电传感器是一种能够感受肌肉纤维细胞的动作电位波形，并转换成可用输出信号的传感器。应变传感器是一种在压力或运动的作用下产生微小的可回弹的变形，并转换成可用输出信号(比如应变率)的传感器。
在本申请的启发下可知，除了有源传感器(需要外部供电才能工作)外，还可以采用无源传感器。其可实现非接触获取传感能量和非接触数据输出。例如，可以通过具有频率选择特性的器件耦合外部射频电磁波来获得能量及输出信号。例如，声表面波(SAW)无线传感器、压电传感器、SAW-RFID等。
在本申请的启发下可知，本申请的用于监控口面肌训练的装置、系统及方法不仅适用于牙科范畴内的口面肌训练，也适用于任何其他目的的口面肌训练。
尽管在此公开了本申请的多个方面和实施例，但在本申请的启发下，本申请的其他方面和实施例对于本领域技术人员而言也是显而易见的。在此公开的各个方面和实施例仅用于说明目的，而非限制目的。本申请的保护范围和主旨仅通过后附的权利要求书来确定。
同样，各个图表可以示出所公开的方法和系统的示例性架构或其他配置，其有助于理解可包含在所公开的方法和系统中的特征和功能。要求保护的内容并不限于所示的示例性架构或配置，而所希望的特征可以用各种替代架构和配置来实现。除此之外，对于流程图、功能性描述和方法权利要求，这里所给出的方框顺序不应限于以同样的顺序实施以执行所述功能的各种实施例，除非在上下文中明确指出。
除非另外明确指出，本文中所使用的术语和短语及其变体均应解释为开放式的，而不是限制性的。在一些实例中，诸如“一个或多个”、“至少”、“但不限于”这样的扩展性词汇和短语或者其他类似用语的出现不应理解为在可能没有这种扩展性用语的示例中意图或者需要表示缩窄的情况。

Claims (20)

  1. 一种用于监控口面肌训练的装置，包括本体和传感器，所述本体的结构如此，使得其能够佩戴于口面部，所述传感器是设置于所述本体之上，所述传感器在所述本体上的布局如此，使得当所述本体佩戴于口面部时，所述传感器能够感知待训练口面肌按预定方式的运动。
  2. 如权利要求1所述的口面肌训练监控装置，其特征在于，所述口面肌是口腔和面部肌肉。
  3. 如权利要求2所述的口面肌训练监控装置，其特征在于，所述口面肌是对牙科治疗有影响的口腔和面部肌肉。
  4. 如权利要求1所述的口面肌训练监控装置，其特征在于，所述传感器是以下之一：压力传感器、应变传感器、压强传感器、肌电传感器以及以上的任意组合。
  5. 如权利要求1所述的口面肌训练监控装置，其特征在于，所述本体的结构如此，使得当其佩戴于口面部时，其至少部分是位于口腔内。
  6. 如权利要求1所述的口面肌训练监控装置，其特征在于，所述本体包括相对的舌屏和唇颊屏，两者之间形成上沟槽和下沟槽，分别用于容纳上颌牙列与下颌牙列。
  7. 如权利要求6所述的口面肌训练监控装置，其特征在于，所述传感器是设置于唇颊屏的舌侧。
  8. 如权利要求1所述的口面肌训练监控装置，其特征在于，它还包括设置于所述本体上的电池和无线通信装置，所述电池与所述传感器以及所述无线通信装置连接以为其供电，所述无线通信装置用于将所述传感器采集到的信息向外发送。
  9. 如权利要求1所述的口面肌训练监控装置，其特征在于，它还包括设置于所述本体上的电池和存储装置，所述电池与所述传感器连接以为其供电，所述存储装置与所述传感器连接，用于存储所述传感器采集到的信息。
  10. 一种监控口面肌训练的方法，包括：
    计算机获取传感器在口面肌训练中采集的数据；
    基于所述数据以及预先设定的标准判断所述口面肌训练是否合格，得到第一判断结果；以及
    输出所述第一判断结果。
  11. 如权利要求10所述的监控口面肌训练的方法，其特征在于，所述口面肌是口腔和面部肌肉。
  12. 如权利要求11所述的监控口面肌训练的方法，其特征在于，所述口面肌是对牙科治疗有影响的口腔和面部肌肉。
  13. 如权利要求10所述的监控口面肌训练的方法，其特征在于，所述传感器是以下之一：压力传感器、应变传感器、压强传感器、肌电传感器以及以上的任意组合。
  14. 如权利要求10所述的监控口面肌训练的方法，其特征在于，所述传感器是设置于一本体之上，所述本体的结构如此，使得其能够佩戴于口面部，所述传感器在所述本体上的布局如此，使得当所述本体佩戴于口面部时，所述传感器能够感知待训练口面肌按预定方式的运动。
  15. 如权利要求10所述的监控口面肌训练的方法，其特征在于，以下列方式之一输出所述第一判断结果：图像、声音及其组合。
  16. 如权利要求10所述的监控口面肌训练的方法，其特征在于，所述计算机是在所述传感器采集所述数据时，实时地获取所述数据。
  17. 如权利要求16所述的监控口面肌训练的方法，其特征在于，它还包括：基于所述数据产生模拟口面部相应部分运动的画面。
  18. 如权利要求10所述的监控口面肌训练的方法，其特征在于，它还包括：基于所述数据判断所述口面肌训练的哪个部分不合格，得到第二判断结果；以及输出所述第二判断结果。
  19. 如权利要求18所述的监控口面肌训练的方法，其特征在于，以下列方式 之一输出所述第二判断结果：图像、声音及其组合。
  20. 如权利要求10所述的监控口面肌训练的方法，其特征在于，它还包括：根据用户指令，从多种口面肌训练类型中选择所述口面肌训练以及与之相对应的所述预先设定的标准。
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