CN102871658A - Device for treating urinary incontinence by abdominal surface electromyographic feedback - Google Patents

Device for treating urinary incontinence by abdominal surface electromyographic feedback Download PDF

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Publication number
CN102871658A
CN102871658A CN2012103702596A CN201210370259A CN102871658A CN 102871658 A CN102871658 A CN 102871658A CN 2012103702596 A CN2012103702596 A CN 2012103702596A CN 201210370259 A CN201210370259 A CN 201210370259A CN 102871658 A CN102871658 A CN 102871658A
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feedback
electrode
urinary incontinence
electromyographic
treating urinary
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CN2012103702596A
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赵裕旭
姜桂娟
韩少丹
闫晋超
纪华雷
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Abstract

The invention discloses a device for treating urinary incontinence by abdominal surface electromyographic feedback. The device is provided with a physiological signal acquisition system and an electromyographic signal processing and feedback system. The physiological signal acquisition system is used for acquiring and uploading body surface electromyographic signals. The electromyographic signal processing and feedback system is sued for receiving and processing the electromyographic signals and outputting the processed electromyographic signals. The device has the advantages that the noninvasive electromyographic signal feedback device avoids injury of patients and possible cross infection; effectiveness in motion of pelvic floor muscle of a patient is fed back indirectly through abdominal electromyographic signals, direct measurement of private parts is avoided, and operation is facilitated; by applying computerized analysis technics to accuracy in traditional therapies, therapeutic accuracy is improved, and efficiency is improved; related trainings can be done according to voice prompts, a game function is available, and training tediousness is avoided.

Description

A kind of device by abdominal muscle surface myoelectric feedback treating urinary incontinence
Technical field
The present invention relates to a kind of muscle electricity biofeedback instrument, relate in particular to and to allow that user in propria persona checks and treats urinary incontinence and can utilize the function of rectus abdominis m. surface myoelectric biofeedback scientifically and exactly to strengthen the device of pelvic diaphragm muscle and vagina by integration.
Background technology
Urinary incontinence is to lose the self-control of urinating owing to sphincter vesicae damage or delayed ischemic neurological deficits, and urine is not independently flowed out.
Urinary incontinence can be divided into overflow incontinence, non-resistance urinary incontinence, REFLEX INCOMTINENCE, urge incontinence and stress incontinence 5 classes according to symptom.The cause of disease of urinary incontinence can be divided into following several: 1. inborn illness, and such as epispadias.2. wound, the wound when producing such as the women, fracture of pelvis etc.3. operation, being grown up is operation on prostate, urethral stricture kposthesis etc.; The child is posterior urethral valve operation etc.4. the neurogenic bladder that causes of a variety of causes.
Urinary incontinence can occur in any Age and sex, especially women and old people.Urinary incontinence the more important thing is that except making us uncomfortable its understands the Long-term Effect Quality of Life, is having a strong impact on patient's mental health, is called as " nonlethal social cancer ".Aspect economic loss, the report that the U.S. in 1989 delivers is mentioned the cost more than $ 10 billion for the treatment of urinary incontinence, and this is than higher in the cost aspect the treatment AIDS patient.
In addition, urinary incontinence is so that pudendum is always moist, and this has just brought skin problem and infection.In addition, the anxiety that abnormal smells from the patient causes, anxiety and poverty-stricken inter personal contact and the social activity of having worsened, this can damage self-confidence, causes alienation, even causes for example depression of mental sickness.
In addition, pelvic cavity has weakened pelvic muscle (or vagina muscles) and has caused urinary incontinence and sexual dysfunction at the overdistension of gestation and farrowing interval.In an investigation, 90% surveyee reports that they once had sexual intercourse because urinary incontinence is escaped at least one times.Particularly, the 80% complete avoidance of women surveyee of suffering from serious urinary incontinence is lived.Urinary incontinence is a kind of serious pathological changes, and it is so that the inconvenience that is difficult to the maintenance relation and has caused daily life.
The inspection of urinary incontinence can comprise such as interview, questionnaire, uroflometry, residual urine inspection, urodynamics test, cystoscopy, X-ray and ultrasonic examination, record urinate daily record, feminine napkin inspection, use the medical inspections such as perineometer.Perineometer is divided into manual type and power type.The research center of hospital and university mainly uses perineometer to measure contractility and the persistent period of pelvic diaphragm muscle, so that assess incontinence and pelvic diaphragm muscle are strengthened the effect of tempering (Kegel exercise).But this equipment is a kind of special equipment on the one hand, and the patient is difficult in person use this equipment; On the other hand, this equipment has partial devices need to invade human body when using, and can cause cross infection; If select disposablely, cost is higher, also might cause damage to human body simultaneously.
The therapeutic treatment of urinary incontinence can comprise for example Drug therapy, surgical operation and non-surgery operation.
Wherein comprise the Kai Geer drill method in the non-surgery operation, it is found by American Psychologist Kai Geer research.This drill method not only can be treated urinary incontinence, but also can recover the tension force of pelvic muscle, stimulates simultaneously the genitals district, increases the blood flow of genital area, thereby improves sexual function.Treatment mechanism with the inner perineum contractility skill of generally using of going to the hospital namely is this drill method.
EMG feedback is belong to biofeedback a kind of, refers to faint electromyographic signal is amplified, and feeds back to testedly with the form of sound or light, testedly handles musculation according to this feedback signal, thereby makes a kind of feedback system of loosening all muscles or enhancing.EMG feedback can be divided into two kinds of situations: a kind of is to feed back to the myofibrillar potential change of minority tested.This feedback is to utilize the needle electrode that inserts muscle to carry out.The second situation is, utilizes surface electrode that the muscle contracting situation of relaxing is carried out feedback training, and purpose is to make loosening all muscles, or muscle contraction strength is increased.Compare and descend, the first situation is owing to need to insert in the skin, and itself will be to certain infringement of human body generation.
Summary of the invention
The present invention is directed to above problem, proposed a kind of device by surface myoelectric feedback treating urinary incontinence, have:
Gather and upload Physiological Signal Acquiring System and the reception of human body human body surface electromyogram signal and process described electromyographic signal, export the electromyographic signal of treated electromyographic signal and process feedback system;
Described Physiological Signal Acquiring System has: the myoelectricity harvester of the human abdomen's muscle of directly fitting, be connected with this myoelectricity harvester, amplify gain adjustable amplifier, MP150 acquisition system and the database of record of the electromyographic signal of described myoelectricity harvester transmission;
Described myoelectricity harvester has: be fixed on the spacer at tested umbilicus place, the electrode of two direct applying human abdomen muscle during use: proximal electrode and remote electrode, described spacer is connected by connector with described electrode, this connector has the head rod that connects described spacer and electrode, the second connecting rod that connects described two electrodes, described head rod and the second connecting rod are flexibly connected; During use, according to the EMG feedback intensity of tested abdominal muscle zones of different, regulate the relative position of the relative position of described proximal electrode and remote electrode and described spacer, obtain best electromyographic signal feedback.
Described MP150 system has: multichannel filtering and amplifying circuit and A/D change-over circuit.Described MP150 system also has the adjustable amplifying circuit of gain.Described proximal electrode and remote electrode are the one pole surface electrode.Described proximal electrode and remote electrode are floating electrodes.Process the central processing unit of electromyographic signal, this processor carries out the analysis of time domain, frequency domain based on MATLAB to signal, extracts feature, processes.Also have the FLASH memory module, tested voice and the picture cues of providing is provided in therapeutic process for display, audio output unit and control unit; Store in the FLASH module for tested video-game, this game can be such as the effect that can decide its inside to reach by the difference of the signal of telecommunication that gathers.
Owing to adopted technique scheme, the present invention to have following advantage:
1, the electromyographic signal feedback device of non-intrusion type has been avoided damage and contingent cross infection to patient.
2, indirectly feed back the effectiveness of patient's pelvic diaphragm muscle motion by the abdominal part electromyographic signal, avoided the direct measurement of privacy places, thus handled easily.
3, the computer analysis technology is applied in the traditional therapy, improved the accuracy of its treatment, raise the efficiency.
4, in the therapeutic process, the training that can be correlated with according to voice suggestion can be set game function simultaneously, the exercise of avoiding dull.
Description of drawings
Technical scheme for clearer explanation embodiments of the invention or prior art, the below will do one to the accompanying drawing of required use in embodiment or the description of the Prior Art and introduce simply, apparently, accompanying drawing in the following describes only is some embodiments of the present invention, for those of ordinary skills, under the prerequisite of not paying creative work, can also obtain according to these accompanying drawings other accompanying drawing.
Fig. 1 is module diagram of the present invention
Fig. 2 is the structural representation of myoelectricity harvester of the present invention
Among the figure: 1. spacer, 2. near-end click, 3. remote electrode, 4. head rod, 5 second connecting rods.
The specific embodiment
For the purpose, technical scheme and the advantage that make embodiments of the invention is clearer, below in conjunction with the accompanying drawing in the embodiment of the invention, the technical scheme in the embodiment of the invention is known complete description:
Such as Fig. 1-shown in Figure 2: a kind of device by surface myoelectric feedback treating urinary incontinence has:
Gather and upload Physiological Signal Acquiring System and the reception of human body human body surface electromyogram signal and process described electromyographic signal, export the electromyographic signal of treated electromyographic signal and process feedback system;
Described Physiological Signal Acquiring System has: consider the electromyographic signal feedback device of traditional non-intrusion type, avoided damage and contingent cross infection to patient.Preferably, the present invention adopted direct applying human abdomen muscle the myoelectricity harvester, be connected with this myoelectricity harvester, amplify gain adjustable amplifier, MP150 acquisition system and the database of record of the electromyographic signal of described myoelectricity harvester transmission;
Consider, the zone of the EMG feedback intensity of each tested abdominal part is long different, but all be in a general band of position, preferably, described myoelectricity harvester has: be fixed on the spacer at tested umbilicus place, the electrode of two direct applying human abdomen muscle during use: proximal electrode and remote electrode, described spacer is connected by connector with described electrode, this connector has the head rod that connects described spacer and electrode, the second connecting rod that connects described two electrodes, described head rod and the second connecting rod are flexibly connected; During use, at first spacer is covered the umbilicus place of human body, follow the EMG feedback intensity according to tested abdominal muscle zones of different, regulate behind the relative position of relative position of described proximal electrode and remote electrode and described spacer fixing, in order to continually in ensuing detection therapeutic process obtain best electromyographic signal feedback.
Further, consider that electromyographic signal is usually all very faint, so described MP150 system has at least: multichannel filtering and amplifying circuit and electromyographic signal is converted into the A/D change-over circuit of the signal of telecommunication.If the MP150 system can not detect the faint signal of telecommunication effectively, so preferred, described MP150 system also has the adjustable amplifying circuit of gain.
Further, in order to strengthen the accuracy of detection of described electromyographic signal, described proximal electrode and remote electrode are selected the one pole surface electrode.Consider, in the whole test-and-treat process, the tested complete transfixion of health that unlikely always guarantees, so preferred, described proximal electrode and remote electrode adopt floating electrodes.
Electromyographic signal is processed feedback system and had: process the central processing unit of electromyographic signal, this processor carries out the analysis of time domain, frequency domain based on MATLAB to signal, extracts feature, processes.
The process of considering whole checking with EMG method and treatment is long, and the tested lying status that is in, also be integrated with the FLASH memory module in described feedback system, tested voice and the picture cues of providing is provided in therapeutic process for display, audio output unit and control unit.Simultaneously, store for tested video-game in the FLASH module.
The above; only be the better specific embodiment of the present invention; but protection scope of the present invention is not limited to this; anyly be familiar with those skilled in the art in the technical scope that the present invention discloses; be equal to replacement or change according to technical scheme of the present invention and inventive concept thereof, all should be encompassed within protection scope of the present invention.

Claims (7)

1. device by abdominal muscle surface myoelectric feedback treating urinary incontinence has:
Gather and upload Physiological Signal Acquiring System and the reception of human abdomen muscle surface electromyogram signal and process described electromyographic signal, export the electromyographic signal of treated electromyographic signal and process feedback system;
Described Physiological Signal Acquiring System has: the myoelectricity harvester of the human abdomen's muscle of directly fitting, be connected with this myoelectricity harvester, amplify gain adjustable amplifier, MP150 acquisition system and the database of record of the electromyographic signal of described myoelectricity harvester transmission;
Described myoelectricity harvester has: be fixed on the spacer at tested umbilicus place, the electrode of two direct applying human abdomen muscle during use: proximal electrode and remote electrode, described spacer is connected by connector with described electrode, this connector has the head rod that connects described spacer and electrode, the second connecting rod that connects described two electrodes, described head rod and the second connecting rod are flexibly connected; During use, according to the EMG feedback intensity of tested abdominal muscle zones of different, regulate the relative position of the relative position of described proximal electrode and remote electrode and described spacer, obtain best electromyographic signal feedback.
2. a kind of device by surface myoelectric feedback treating urinary incontinence according to claim 1 is further characterized in that: described MP150 system has: multichannel filtering and amplifying circuit and A/D change-over circuit.
3. a kind of device by surface myoelectric feedback treating urinary incontinence according to claim 2 is further characterized in that: described MP150 system also has the adjustable amplifying circuit of gain.
4. a kind of device by surface myoelectric feedback treating urinary incontinence according to claim 1, be further characterized in that: described proximal electrode and remote electrode are the one pole surface electrode.
5. according to claim 1 or 4 described a kind of devices by surface myoelectric feedback treating urinary incontinence, be further characterized in that: described proximal electrode and remote electrode are floating electrodes.
6. a kind of device by surface myoelectric feedback treating urinary incontinence according to claim 1, be further characterized in that described electromyographic signal processing feedback system has: the central processing unit of processing electromyographic signal, this processor carries out the analysis of time domain, frequency domain to signal based on MATLAB, extract feature, process.
7. according to claim 1 or 6 described a kind of devices by surface myoelectric feedback treating urinary incontinence, be further characterized in that: also have the FLASH memory module, tested voice and the picture cues of providing is provided in therapeutic process for display, audio output unit and control unit; Store for tested video-game in the FLASH module.
CN2012103702596A 2012-09-27 2012-09-27 Device for treating urinary incontinence by abdominal surface electromyographic feedback Pending CN102871658A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104224168A (en) * 2014-09-16 2014-12-24 程石 Intelligent rhythm interactive electromyographic signal muscle rehabilitation treatment system
CN105769187A (en) * 2016-04-27 2016-07-20 浙江大学 Device and method for prejudging infants' micturition desire
CN111012326A (en) * 2018-10-09 2020-04-17 深圳市理邦精密仪器股份有限公司 Pelvic floor calibration method, device and computer-readable storage medium

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US5423329A (en) * 1994-04-15 1995-06-13 Rehab Centers Of America, Inc. Method of treatment for urinary incontinence
EP0938911A2 (en) * 1998-02-25 1999-09-01 MO, Seung Kee Electrical apparatus for medical treatment using EMG envelope signal
CN1686047A (en) * 2005-05-17 2005-10-26 南京大学 Portable anus rectum muscle function biofeed back instrument
KR20060099066A (en) * 2005-03-10 2006-09-19 안홍덕 Apparatus for urinary incontinence treatment having pressure sensor
CN101569778A (en) * 2009-03-10 2009-11-04 深圳先进技术研究院 Biofeedback simulation system and biofeedback simulation method
CN102049095A (en) * 2009-11-10 2011-05-11 上海理工大学 Electromyographic feedback electrical stimulator
CN202096603U (en) * 2011-05-26 2012-01-04 沈阳助邦科技有限公司 Multifunctional depressive anxiety therapeutic apparatus
CN203000931U (en) * 2012-09-27 2013-06-19 纪华雷 Device for treating uracratia through abdominal muscle surface myoelectricity feedback

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5423329A (en) * 1994-04-15 1995-06-13 Rehab Centers Of America, Inc. Method of treatment for urinary incontinence
EP0938911A2 (en) * 1998-02-25 1999-09-01 MO, Seung Kee Electrical apparatus for medical treatment using EMG envelope signal
KR20060099066A (en) * 2005-03-10 2006-09-19 안홍덕 Apparatus for urinary incontinence treatment having pressure sensor
CN1686047A (en) * 2005-05-17 2005-10-26 南京大学 Portable anus rectum muscle function biofeed back instrument
CN101569778A (en) * 2009-03-10 2009-11-04 深圳先进技术研究院 Biofeedback simulation system and biofeedback simulation method
CN102049095A (en) * 2009-11-10 2011-05-11 上海理工大学 Electromyographic feedback electrical stimulator
CN202096603U (en) * 2011-05-26 2012-01-04 沈阳助邦科技有限公司 Multifunctional depressive anxiety therapeutic apparatus
CN203000931U (en) * 2012-09-27 2013-06-19 纪华雷 Device for treating uracratia through abdominal muscle surface myoelectricity feedback

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104224168A (en) * 2014-09-16 2014-12-24 程石 Intelligent rhythm interactive electromyographic signal muscle rehabilitation treatment system
CN105769187A (en) * 2016-04-27 2016-07-20 浙江大学 Device and method for prejudging infants' micturition desire
CN105769187B (en) * 2016-04-27 2018-08-07 浙江大学 A kind of baby's urine intention anticipation device and method
CN111012326A (en) * 2018-10-09 2020-04-17 深圳市理邦精密仪器股份有限公司 Pelvic floor calibration method, device and computer-readable storage medium
CN111012326B (en) * 2018-10-09 2022-07-05 深圳市理邦精密仪器股份有限公司 Pelvic floor calibration method, device and computer-readable storage medium

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Application publication date: 20130116