TWI396567B - Auxiliary device for rehabilitation of kneecap pain syndrome - Google Patents
Auxiliary device for rehabilitation of kneecap pain syndrome Download PDFInfo
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- TWI396567B TWI396567B TW99119682A TW99119682A TWI396567B TW I396567 B TWI396567 B TW I396567B TW 99119682 A TW99119682 A TW 99119682A TW 99119682 A TW99119682 A TW 99119682A TW I396567 B TWI396567 B TW I396567B
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- 208000011580 syndromic disease Diseases 0.000 title claims description 29
- 208000002193 Pain Diseases 0.000 title claims description 13
- 210000004417 patella Anatomy 0.000 title claims description 6
- 210000003205 muscle Anatomy 0.000 claims description 147
- 230000003183 myoelectrical effect Effects 0.000 claims description 29
- 230000000638 stimulation Effects 0.000 claims description 29
- 208000008035 Back Pain Diseases 0.000 claims description 21
- 230000033001 locomotion Effects 0.000 claims description 15
- 238000001514 detection method Methods 0.000 claims description 9
- 238000001914 filtration Methods 0.000 claims description 8
- 230000009471 action Effects 0.000 claims description 6
- 230000035939 shock Effects 0.000 claims description 6
- 238000004891 communication Methods 0.000 claims description 4
- 230000004936 stimulating effect Effects 0.000 claims description 4
- 206010006002 Bone pain Diseases 0.000 claims description 3
- 230000005856 abnormality Effects 0.000 claims description 3
- 210000001621 ilium bone Anatomy 0.000 claims description 3
- 210000002303 tibia Anatomy 0.000 description 12
- 210000000629 knee joint Anatomy 0.000 description 7
- 230000000694 effects Effects 0.000 description 5
- 238000007918 intramuscular administration Methods 0.000 description 5
- 238000005259 measurement Methods 0.000 description 4
- 230000008602 contraction Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 210000003314 quadriceps muscle Anatomy 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 230000005540 biological transmission Effects 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 210000002758 humerus Anatomy 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 230000004118 muscle contraction Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 238000012549 training Methods 0.000 description 2
- 208000006820 Arthralgia Diseases 0.000 description 1
- 206010058314 Dysplasia Diseases 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 210000002082 fibula Anatomy 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 230000003189 isokinetic effect Effects 0.000 description 1
- 208000024765 knee pain Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 210000004285 patellofemoral joint Anatomy 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009023 proprioceptive sensation Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 230000008054 signal transmission Effects 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
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- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Description
本發明係有關於一種髕骨疼痛症候群復建輔助器，尤指一種可立即刺激緩慢運動的股內斜肌〔VMO〕或股外側肌〔VL〕動作，使股內斜肌〔VMO〕與股外側肌〔VL〕二者運動時間可以保持一致，以支撐髕骨在正常軌跡上運動，達到有效改善髕骨疼痛的髕骨疼痛症候群復建輔助器。 The invention relates to a sacral pain syndrome resuscitation aid, in particular to an intramuscular oblique muscle (VMO) or lateral femoral muscle [VL] action which can immediately stimulate slow movement, so that the internal oblique muscle (VMO) and the lateral femoral Muscle [VL] can maintain the same movement time to support the movement of the tibia on the normal trajectory, and achieve the reconstruction of the sacral pain syndrome that effectively improves the pain of the tibia.
按，膝關節主要骨骼構造包含股骨〔大腿骨〕、脛骨〔小腿骨〕以及髕骨〔膝蓋骨〕，而幫助這個關節運動的主要肌群有股內斜肌〔Vastus medialis obliquus，VMO〕與股外側肌〔Vastus lateralis，VL〕等軟組織，若圍繞在膝關節周圍的軟組織力氣不夠，或是肌肉力量失去平衡，骨骼結構也會脫離原有的運動軌跡，而造成膝蓋疼痛的症狀。 According to the main skeletal structure of the knee joint, the femur [thigh bone], the tibia [calf bone] and the tibia [knee bone], and the main muscle group that helps this joint movement has the internal oblique muscle (Vastus medialis obliquus, VMO) and the lateral femoral muscle. Soft tissues such as [Vastus lateralis, VL], if the soft tissue surrounding the knee joint is not strong enough, or the muscle strength is out of balance, the bone structure will also deviate from the original trajectory, causing symptoms of knee pain.
在股內斜肌〔VMO〕肌力不足情況下，會減少髕骨內側的支撐力，導致髕骨往外移位，對於股內斜肌肌力不足情形，以往多認為其股內斜肌可能因為萎縮或發育不良，無法產生足夠的力量以抵抗股外側肌〔VL〕及髂脛束ITB〔Iliotibial band，ITB〕將髕骨外移而產生疼痛。然，隨著臨床試驗，逐漸發現髕骨疼痛症候群〔Patellofemoral pain syndrome，PFPS〕患者在動作時，其股內斜肌相對於股外側肌收縮時間較慢或強度減少。 In the case of insufficient muscle strength in the internal oblique muscles (VMO), it will reduce the supporting force on the medial aspect of the tibia, causing the humerus to shift outward. For the lack of muscle strength of the internal oblique muscle, it has been thought that the internal oblique muscle may be atrophied or Dysplasia, unable to produce enough strength to resist the lateral femoral muscle [VL] and the bundle of ITB (Iliotibial band, ITB) to move the humerus to produce pain. However, with clinical trials, it has been gradually found that patients with Patellaofemoral pain syndrome (PFPS) have a slower or lesser contraction time with respect to the lateral femoral muscle during exercise.
為了改善或增進股內斜肌的功能，現在對於髕骨疼 痛症候群〔PFPS〕患者，有使用如下數種治療方法，以訓練影響股內斜肌的收縮；其中：a.閉鎖鏈式運動［Close-chain exercises〕：它能引起股四頭肌和膝屈曲肌共同收縮，降低脛骨股骨關節的位移及關節間的壓力，增加關節穩定性；b.等長收縮運動〔Isometric exercises〕：以等長收縮方式做髖部內收〔hip adduction〕動作，促進股內斜肌收縮，維持股四頭肌的平衡；c.等速肌力運動：能增加整個膝關節周圍肌群的肌力與肌耐力並增加本體感覺，增加膝關節穩定性而減少壓力，進而使疼痛減低。 In order to improve or enhance the function of the internal oblique muscle, now for the sacral pain In patients with pain syndrome (PFPS), there are several treatments that use training to affect the contraction of the internal oblique muscles; among them: a. Close-chain exercises: it can cause quadriceps and knee flexion Muscle contraction, reduce the displacement of the patellofemoral joint and the pressure between the joints, increase joint stability; b. Isometric exercises: Hip adduction action in isometric contraction, promote the femoral The oblique muscle contractes to maintain the balance of the quadriceps muscle; c. Isokinetic muscle exercise: can increase the muscle strength and muscular endurance of the muscles around the entire knee joint and increase the proprioception, increase the stability of the knee joint and reduce the pressure, thereby enabling The pain is reduced.
然，上述方法在訓練股內斜肌收縮的效果上，或有作用不夠直接直接，或有療效不夠顯著，或有施做困難等缺失，另也有於施做過程中會造成患者血壓升高的情形，亦有在器材設備上過於昂貴，無法適用各個階層民眾使用的弊失。 However, the above method has the effect of training the internal oblique muscle contraction, or the effect is not direct or direct, or the effect is not significant, or there are difficulties in the operation, and the blood pressure of the patient is increased during the application process. In other cases, it is too expensive in equipment and equipment, and it cannot be applied to the disadvantages of people at all levels.
緣是，本發明人有鑑於現有髕骨疼痛症候群的治療方法，有上述諸多缺失，乃藉其多年於相關領域的製造及設計經驗和知識的輔佐，並經多方巧思，針對髕骨疼痛症候群患者提供一種有效、便利且低廉的設備，而研創出本發明。 Therefore, the present inventors have in view of the existing treatment methods for the sacral pain syndrome, and have many of the above-mentioned defects, and have been assisted by the manufacturing and design experience and knowledge of the related fields for many years, and have been ingeniously provided for patients with sacral pain syndrome. An effective, convenient and inexpensive device has been developed to create the present invention.
本發明係有關於一種髕骨疼痛症候群復建輔助器，其主要目的係為了提供一種可立即刺激緩慢運動的股內斜肌〔VMO〕或股外側肌〔VL〕動作，使股內斜肌〔VMO〕與股外側肌〔VL〕二者運動時間可以保持一致，以支 撐髕骨在正常軌跡上運動，達到有效改善髕骨疼痛的髕骨疼痛症候群復建輔助器。 The invention relates to a sacral pain syndrome resuscitation aid, the main purpose of which is to provide an internal oblique muscle (VMO) or lateral femoral muscle [VL] action which can immediately stimulate slow movement, and make the internal oblique muscle (VMO) 〕 and the lateral femoral muscle [VL] can be consistent in exercise time, to support The patella is moved on a normal trajectory to achieve a reconstruction of the sacral pain syndrome that effectively improves the pain of the tibia.
為了達到上述實施目的，本發明人乃研擬如下髕骨疼痛症候群復建輔助器，係包含：一肌電訊號量測單元，係設有股內斜肌〔VMO〕訊號接收部及股外側肌〔VL〕訊號接收部，再使該股內斜肌訊號接收部及股外側肌訊號接收部與高速雜訊濾波電路電性接設，另使高速雜訊濾波電路與放大倍率調整器電性連接；一電刺激控制單元，乃接續連接於肌電訊號量測單元之後，主要設有偵測及判斷電路，以與肌電訊號量測單元之放大倍率調整器電性連接，再使該偵測及判斷電路與電刺激器電性接設，又使該電刺激器與電源供應器電性連接，另使該電刺激器與股內斜肌〔VMO〕刺激部及股外側肌〔VL〕刺激部電性接設。 In order to achieve the above-mentioned implementation purposes, the inventors have developed the following iliac bone pain syndrome reconstruction aid, which includes: a myoelectric signal measuring unit, which is provided with an internal oblique muscle (VMO) signal receiving portion and a lateral femoral muscle [ VL] signal receiving unit, and then the inner oblique muscle signal receiving unit and the lateral muscle signal receiving unit are electrically connected to the high-speed noise filtering circuit, and the high-speed noise filtering circuit is electrically connected to the magnification adjuster; An electrical stimulation control unit is connected to the myoelectric signal measuring unit, and is mainly provided with a detecting and judging circuit for electrically connecting with the magnification adjusting device of the myoelectric signal measuring unit, and then the detecting and The judging circuit is electrically connected to the electric stimulator, and the electric stimulator is electrically connected to the power supply device, and the electric stimulator and the internal oblique muscle [VMO] stimulation unit and the lateral femoral muscle [VL] stimulation unit are further connected. Electrical connection.
藉此，係使股內斜肌〔VMO〕訊號接收部及股外側肌〔VL〕訊號接收部，分別接收患者股內斜肌〔VMO〕與股外側肌〔VL〕發出的訊號，再由電刺激控制單元偵測判斷該股內斜肌〔VMO〕與股外側肌〔VL〕發出的訊號是否正常，一偵測到異常即立刻發出電流電擊該緩慢運動的股內斜肌〔VMO〕或股外側肌〔VL〕動作，以使股內斜肌〔VMO〕與股外側肌〔VL〕二者運動時間可以保持一致，達到矯正患者股內斜肌〔VMO〕及股外側肌〔VL〕不協調運動的狀態，進而使髕骨內、外側的支撐力可以平均，以使患者的髕骨可以在正常的軌跡上運動，達到有效改善髕骨疼痛的效果。 In this way, the internal oblique muscles (VMO) signal receiving unit and the lateral femoral muscle [VL] signal receiving unit receive signals from the patient's internal oblique muscles (VMO) and lateral femoral muscles (VL), respectively. The stimulation control unit detects and determines whether the signal from the internal oblique muscle (VMO) and the lateral femoral muscle [VL] is normal. When an abnormality is detected, a current electric shock is immediately applied to the slow-moving internal oblique muscle (VMO) or the stock. The lateral muscle [VL] moves so that the movement time of the internal oblique muscle (VMO) and the lateral femoral muscle [VL] can be consistent, and the correction of the patient's internal oblique muscle (VMO) and lateral femoral muscle [VL] is not coordinated. The state of motion, in turn, allows the inner and outer support forces of the tibia to be averaged so that the patient's tibia can move on a normal trajectory, effectively achieving an effect of improving the pain of the tibia.
另本發明係進一步設有肌電訊號紀錄單元，以將患者運動時發出的每筆股內斜肌〔VMO〕與股外側肌〔VL〕訊號做紀錄，於此，當醫生進行診治時，便可由電腦連接該肌電訊號紀錄單元的微處理器，讀取患者每筆股內斜肌〔VMO〕與股外側肌〔VL〕的運動資料，以決定是否增加或減少電擊刺激的強度與電擊刺激的時間，藉此，以提高髕骨疼痛症候群患者的治癒效果。 In addition, the present invention further includes a myoelectric signal recording unit for recording each intra-muscular oblique muscle (VMO) and lateral femoral muscle [VL] signals issued during the movement of the patient, and when the doctor performs the diagnosis, The microprocessor of the myoelectric signal recording unit can be connected by a computer to read the movement data of each patient's internal oblique muscle (VMO) and lateral femoral muscle [VL] to determine whether to increase or decrease the intensity of the electric shock stimulation and the electric shock stimulation. The time to take this to improve the healing effect of patients with sacral pain syndrome.
而為令本發明之技術手段及其所能達成之效果，能夠有更完整且清楚的揭露，茲詳細說明如下，請一併參閱揭露之圖式及圖號： In order to make the technical means of the present invention and the effects thereof can be more completely and clearly disclosed, the following is a detailed description. Please refer to the disclosed drawings and drawings:
首先，請參閱第一、二圖所示，為本發明之髕骨疼痛症候群復建輔助器，係主要由肌電訊號量測單元(1)、電刺激控制單元(2)及肌電訊號紀錄單元(3)所組成；其中：該肌電訊號量測單元(1)，係包含股內斜肌〔VMO〕訊號接收部(11)及股外側肌〔VL〕訊號接收部(12)，再使該股內斜肌訊號接收部(11)及股外側肌訊號接收部(12)與高速1：1阻抗匹配器(13)電性連接，並使該高速1：1阻抗匹配器(13)與高速雜訊濾波電路(14)電性接設，另使高速雜訊濾波電路(14)與放大倍率調整器(15)電性連接；該電刺激控制單元(2)，乃接續連接於肌電訊號量測單元(1)之後，主要設有偵測及判斷電路(21)，以與肌電訊號量測單元(1)之放大倍率調整器(15)電性連接，再使該偵測及判斷電路(21)與電 刺激器(22)電性接設，又使該電刺激器(22)與電源供應器(23)電性連接，另使該電刺激器(22)與股內斜肌〔VMO〕刺激部(24)及股外側肌〔VL〕刺激部(25)電性接設，復使電刺激器(22)與一電擊強度調整部(26)及一電擊時間調整部(27)電性連接；該肌電訊號紀錄單元(3)，係接續連接於肌電訊號量測單元(1)之後，乃設有類比及數位轉換器(31)，以與肌電訊號量測單元(1)之放大倍率調整器(15)電性接設，再使該類比及數位轉換器(31)與微處理器(32)的訊號輸入/輸出埠(33)電性連接，並使該微處理器(32)設有電腦通訊埠(34)及記憶卡輸入/輸出埠(35)，以分別供電腦及記憶卡組接。 First, please refer to the first and second figures, which are the reconstruction aids for the sacral pain syndrome of the present invention, which are mainly composed of the myoelectric signal measuring unit (1), the electrical stimulation control unit (2) and the myoelectric signal recording unit. (3) Composition; wherein: the myoelectric signal measuring unit (1) comprises an intramuscular oblique muscle (VMO) signal receiving unit (11) and a lateral femoral muscle [VL] signal receiving unit (12), and then The internal oblique muscle signal receiving portion (11) and the lateral femoral muscle signal receiving portion (12) are electrically connected to the high speed 1:1 impedance matching device (13), and the high speed 1:1 impedance matching device (13) is The high-speed noise filtering circuit (14) is electrically connected, and the high-speed noise filtering circuit (14) is electrically connected to the magnification adjuster (15); the electrical stimulation control unit (2) is connected to the muscle telecommunication. After the measurement unit (1), a detection and determination circuit (21) is mainly provided to electrically connect with the magnification adjuster (15) of the myoelectric signal measurement unit (1), and then the detection and Judging circuit (21) and electricity The stimulator (22) is electrically connected, and the electrical stimulator (22) is electrically connected to the power supply (23), and the electrical stimulator (22) and the internal oblique muscle (VMO) stimulation unit are 24) and the lateral femoral muscle [VL] stimulation unit (25) is electrically connected, and the electrical stimulator (22) is electrically connected to a shock intensity adjustment unit (26) and a shock time adjustment unit (27); The myoelectric signal recording unit (3), which is connected to the myoelectric signal measuring unit (1), is provided with an analog and digital converter (31) to be used with the magnification of the myoelectric signal measuring unit (1). The adjuster (15) is electrically connected, and the analog and digital converter (31) is electrically connected to the signal input/output port (33) of the microprocessor (32), and the microprocessor (32) is connected Computer communication port (34) and memory card input/output port (35) are provided for computer and memory card assembly.
據此，當使用實施時，請再參閱第一、二圖所示，係將肌電訊號量測單元(1)的股內斜肌〔VMO〕訊號接收部(11)與股外側肌［VL〕訊號接收部(12)分別貼設於髕骨疼痛症候群〔PFPS〕患者膝關節的股內斜肌〔VMO〕及股外側肌〔VL〕處，另再於相對股內斜肌訊號接收部(11)及股外側肌訊號接收部(12)貼設位置的上方處貼設有股內斜肌〔VMO〕刺激部(24)及股外側肌〔VL〕刺激部(25)；繼之，使用者便可進行行走、坐、臥等動作，當使用者進行動作時，貼設於使用者膝關節股內斜肌及股外側肌處的股內斜肌訊號接收部(11)及股外側肌訊號接收部(12)便會於股內斜肌〔VMO〕和股外側肌〔VL 〕產生運動之際，感測到股內斜肌〔VMO〕及股外側肌〔VL〕發出的微弱訊號，而此微弱訊號再經由電性連接的高速1：1阻抗匹配器(13)後隨即將訊號予以強化，續之，再由高速雜訊濾波電路(14)快速將股內斜肌〔VMO〕及股外側肌〔VL〕訊號中挾帶的雜訊濾除，而留下純粹的股內斜肌〔VMO〕及股外側肌〔VL〕訊號，隨之，由放大倍率調整器(15)將此純粹的股內斜肌〔VMO〕及股外側肌〔VL〕訊號再進一步放大後，分別傳輸至電刺激控制單元(2)與肌電訊號紀錄單元(3)；續之，該傳輸至電刺激控制單元(2)的股內斜肌〔VMO〕與股外側肌〔VL〕訊號係會由偵測及判斷電路(21)所接收，而偵測及判斷電路(21)係會偵測股內斜肌〔VMO〕訊號與股外側肌〔VL〕訊號傳送進來的時間差距，當該股內斜肌〔VMO〕訊號或股外側肌〔VL〕訊號傳送進來的時間差距超出偵測及判斷電路(21)內建之正常狀態的股內斜肌〔VMO〕與股外側肌〔VL〕訊號傳遞時間差時，偵測及判斷電路(21)即會判斷該髕骨疼痛症候群〔PFPS〕患者的股內斜肌〔VMO〕及股外側肌〔VL〕係處於異常的運動狀態【如第三圖所示】，而立即驅動電性連接之電刺激器(22)發出電流予該訊號傳遞過慢之股內斜肌〔VMO〕或股外側肌〔VL〕所貼設之股內斜肌〔VMO〕刺激部(24)或股外側肌〔VL〕刺激部(25)，以對該緩慢運動的股內斜肌〔VMO〕或股外側肌〔VL〕進行電擊刺激，促使其在正常的時間差內收縮運動【如第四圖所示】，藉此，使股內斜肌〔VMO〕與股外側肌〔VL〕二者運動的時間可以保持一致，以矯 正髕骨疼痛症候群患者股內斜肌〔VMO〕及股外側肌〔VL〕不協調運動的狀態，進而使髕骨內、外側的支撐力可以平均，使髕骨可以在正常的軌跡上運動，達到簡便有效改善髕骨疼痛的症狀。 Accordingly, when using the implementation, please refer to the first and second figures, the intramuscular oblique muscle [VMO] signal receiving unit (11) and the lateral femoral muscle [VL] of the myoelectric signal measuring unit (1). 〕 The signal receiving unit (12) is attached to the femoral internal oblique muscle (VMO) and the lateral femoral muscle (VL) of the knee joint of the sacral pain syndrome (PFPS), and then to the opposite lateral oblique muscle signal receiving unit (11). And the lateral femoral muscle signal receiving unit (12) is placed above the placement position of the internal oblique muscle (VMO) stimulation unit (24) and the lateral femoral muscle [VL] stimulation unit (25); followed by the user It can be used for walking, sitting, lying, etc. When the user performs the action, the internal oblique muscle signal receiving part (11) and the lateral femoral muscle signal are attached to the internal oblique and lateral femoral muscles of the user's knee joint. The receiving part (12) will be in the internal oblique muscle (VMO) and the lateral femoral muscle [VL 〕 At the time of exercise, the weak signal from the internal oblique muscle (VMO) and the lateral femoral muscle (VL) was sensed, and the weak signal was immediately followed by an electrically connected high-speed 1:1 impedance matcher (13). The signal is strengthened, and then the high-speed noise filtering circuit (14) quickly filters out the noise in the interosseous muscle (VMO) and the lateral femoral muscle [VL] signal, leaving a pure stock The internal oblique muscle (VMO) and the lateral femoral muscle [VL] signal, followed by the magnification of the internal oblique muscle (VMO) and the lateral femoral muscle [VL] signal by the magnification adjuster (15), Transmitted to the electrical stimulation control unit (2) and the myoelectric signal recording unit (3); continued, the transmission to the electrical stimulation control unit (2) of the internal oblique muscle (VMO) and lateral femoral muscle [VL] signal system It will be received by the detection and judgment circuit (21), and the detection and judgment circuit (21) will detect the time difference between the transmission of the internal oblique muscle (VMO) signal and the lateral muscle (VL) signal. The time difference between the internal oblique muscle (VMO) signal or the lateral femoral muscle [VL] signal is beyond the detection and judgment circuit (21). When the normal time of the internal oblique muscle (VMO) and the lateral femoral muscle [VL] signal transmission time difference, the detection and judgment circuit (21) will determine the internal oblique muscle (VMO) of the patient with the sacral pain syndrome [PFPS]. And the lateral femoral muscle [VL] is in an abnormal state of motion [as shown in the third figure], and the electric stimulator (22) that immediately drives the electrical connection sends an electric current to the signal that the signal is transmitted slowly. Or the lateral femoral muscle (VMO) stimulating part (24) or the lateral femoral muscle [VL] stimulating part (25) attached to the lateral femoral muscle [VL] to the slow-moving femoral internal oblique muscle (VMO) Or the lateral femoral muscle [VL] is stimulated by electric shock, causing it to contract during normal time difference [as shown in the fourth figure], thereby moving both the internal oblique muscle (VMO) and the lateral femoral muscle [VL]. Time can be consistent to correct In patients with positive humeral pain syndrome, the internal oblique muscle (VMO) and lateral femoral muscle (VL) are inconsistent with each other, so that the inner and outer support forces of the tibia can be averaged, so that the tibia can move on the normal trajectory, which is simple and effective. Improve the symptoms of patella pain.
另由肌電訊號量測單元(1)傳出的股內斜肌〔VMO〕訊號與股外側肌〔VL〕訊號，係同時傳輸至肌電訊號紀錄單元(3)之類比及數位轉換器(31)，以將肌電訊號量測單元(1)傳出的股內斜肌〔VMO〕與股外側肌〔VL〕之類比訊號轉換成數位訊號後，由訊號輸入/輸出埠(33)傳輸入微處理器(32)中，再由微處理器(32)將每筆訊號紀錄儲存，於此，當髕骨疼痛症候群〔PFPS〕患者定期至醫生處做診治時，醫生便可由微處理器(32)之電腦通訊埠(34)組接連線，以將微處理器(32)儲存的資料傳輸至連接的電腦處，或者，將組接於微處理器(32)的記憶卡輸入/輸出埠(35)的記憶卡取下，以插接於電腦，如此，醫生便可由電腦上詳閱微處理器(32)所紀錄患者的股內斜肌〔VMO〕與股外側肌〔VL〕運動狀態的每筆資料，以進行診斷，再決定是否要增加或減少電擊刺激的強度與電擊刺激的時間，以由電刺激控制單元(2)的電擊強度調整部(26)與電擊時間調整部(27)進行適當的調整，依此，以提高髕骨疼痛症候群〔PFPS〕患者的治癒效果。 In addition, the intramuscular oblique muscle (VMO) signal and the lateral femoral muscle [VL] signal transmitted by the myoelectric signal measuring unit (1) are simultaneously transmitted to the analogy of the myoelectric signal recording unit (3) and the digital converter ( 31), after converting the analog signal of the internal oblique muscle (VMO) and the lateral lateral muscle [VL] transmitted by the myoelectric signal measuring unit (1) into a digital signal, and then transmitted by the signal input/output port (33) In the microprocessor (32), each signal record is stored by the microprocessor (32). Here, when the patient with the sacral pain syndrome (PFPS) is regularly treated by the doctor, the doctor can be used by the microprocessor (32). The computer communication port (34) is connected to transmit the data stored in the microprocessor (32) to the connected computer, or to the memory card input/output connected to the microprocessor (32). (35) The memory card is removed to be plugged into the computer. Thus, the doctor can read the patient's internal oblique muscle (VMO) and lateral femoral muscle [VL] movement status recorded by the microprocessor (32). Each piece of information for diagnosis, and then decide whether to increase or decrease the intensity of the shock stimulus and the time of the shock stimulus. The electric shock intensity adjustment unit (26) of the electrical stimulation control unit (2) and the electric shock time adjustment unit (27) are appropriately adjusted, thereby improving the healing effect of the patient with sacral pain syndrome [PFPS].
由上述結構及實施方式可知，本發明係具有如下優點： As can be seen from the above structures and embodiments, the present invention has the following advantages:
1.本發明之髕骨疼痛症候群復建輔助器，係利用股 內斜肌〔VMO〕訊號接收部及股外側肌〔VL〕訊號接收部，以接收患者股內斜肌〔VMO〕與股外側肌〔VL〕發出的訊號，再由電刺激控制單元偵測判斷該股內斜肌〔VMO〕與股外側肌〔VL〕發出的訊號是否正常，一偵測到異常即立刻發出電流電擊該緩慢運動的股內斜肌〔VMO〕或股外側肌〔VL〕動作，以使股內斜肌〔VMO〕與股外側肌〔VL〕二者運動的時間可以保持一致，達到矯正患者股內斜肌〔VMO〕及股外側肌〔VL〕不協調運動的狀態，使患者的髕骨可以在正常的軌跡上運動，有效改善髕骨疼痛的症狀。 1. The sacral pain syndrome resuscitation aid of the present invention is a utilization unit The internal oblique muscle (VMO) signal receiving unit and the lateral femoral muscle [VL] signal receiving unit receive signals from the patient's internal oblique muscles (VMO) and lateral femoral muscles (VL), and then detected by the electrical stimulation control unit. Whether the signal from the internal oblique muscle (VMO) and the lateral femoral muscle [VL] is normal, and an electric shock is immediately emitted as soon as an abnormality is detected. The slow-moving internal oblique muscle (VMO) or lateral femoral muscle [VL] action In order to make the movement of the internal oblique muscle (VMO) and the lateral femoral muscle [VL] consistent, to correct the uncoordinated movement of the patient's internal oblique muscle (VMO) and lateral femoral muscle [VL]. The patient's tibia can move on a normal trajectory, effectively improving the symptoms of patella pain.
2.本發明之髕骨疼痛症候群復建輔助器，係設有肌電訊號紀錄單元，以將患者運動時發出的每筆股內斜肌〔VMO〕與股外側肌〔VL〕訊號做紀錄，當醫生進行診治時，便可由電腦連接該肌電訊號紀錄單元的微處理器，讀取患者每筆股內斜肌〔VMO〕與股外側肌〔VL〕的運動資料，以決定是否增加或減少電擊刺激的強度與電擊刺激的時間，藉此，以提高髕骨疼痛症候群患者的治癒效果。 2. The resuscitation aid for the sacral pain syndrome of the present invention is provided with a myoelectric signal recording unit for recording the internal oblique muscle (VMO) and the lateral femoral muscle [VL] signal issued by the patient during exercise. When the doctor is in treatment, the microprocessor of the myoelectric signal recording unit can be connected by a computer to read the movement data of each patient's internal oblique muscle (VMO) and lateral femoral muscle [VL] to determine whether to increase or decrease the electric shock. The intensity of stimulation and the time of shock stimulation, in order to improve the healing effect of patients with sacral pain syndrome.
綜上所述，本發明實施例確能達到所預期功效，又其所揭露之具體構造，不僅未曾見諸於同類產品中，亦未曾公開於申請前，誠已完全符合專利法之規定與要求，爰依法提出發明專利之申請，懇請惠予審查，並賜准專利，則實感德便。 In summary, the embodiments of the present invention can achieve the expected functions, and the specific structures disclosed therein have not been seen in similar products, nor have they been disclosed before the application, and have fully complied with the requirements and requirements of the Patent Law. If you apply for an invention patent in accordance with the law, you are welcome to review it and grant a patent.
(1)‧‧‧肌電訊號量測單元 (1)‧‧‧EMG signal measurement unit
(11)‧‧‧股內斜肌訊號接收部 (11) ‧‧‧Intra-osseous signal receiving unit
(12)‧‧‧股外側肌訊號接收部 (12) ‧‧‧ lateral muscle signal receiving unit
(13)‧‧‧高速1：1阻抗匹配器 (13)‧‧‧High speed 1:1 impedance matcher
(14)‧‧‧高速雜訊濾波電路 (14)‧‧‧High speed noise filter circuit
(15)‧‧‧放大倍率調整器 (15)‧‧‧Magnification adjuster
(2)‧‧‧電刺激控制單元 (2)‧‧‧Electrical stimulation control unit
(21)‧‧‧偵測及判斷電路 (21)‧‧‧Detection and judgment circuits
(22)‧‧‧電刺激器 (22)‧‧‧Electro-stimulator
(23)‧‧‧電源供應器 (23)‧‧‧Power supply
(24)‧‧‧股內斜肌刺激部 (24) ‧‧‧ Internal oblique muscle stimulation
(25)‧‧‧股外側肌刺激部 (25) ‧‧‧ lateral muscle stimulation
(26)‧‧‧電擊強度調整部 (26)‧‧‧Elect impact strength adjustment department
(27)‧‧‧電擊時間調整部 (27)‧‧‧Electric shock time adjustment department
(3)‧‧‧肌電訊號紀錄單元 (3)‧‧‧EMG signal recording unit
(31)‧‧‧類比及數位轉換器 (31)‧‧‧ Analog and digital converters
(32)‧‧‧微處理器 (32)‧‧‧Microprocessor
(33)‧‧‧訊號輸入/輸出埠 (33)‧‧‧Signal input/output埠
(34)‧‧‧電腦通訊埠 (34) ‧‧‧Computer Communication埠
(35)‧‧‧記憶卡輸入/輸出埠 (35)‧‧‧ Memory Card Input/Output埠
第一圖：本發明之架構圖 First figure: the architecture diagram of the present invention
第二圖：本發明之組裝於患者膝關節狀態圖 Second figure: the state of the knee joint state of the invention assembled in the patient
第三圖：本發明之實施電擊前狀態圖 The third figure: the pre-shock state diagram of the present invention
第四圖：本發明之實施電擊後狀態圖 Figure 4: State diagram of the post-shock state of the present invention
(1)‧‧‧肌電訊號量測單元 (1)‧‧‧EMG signal measurement unit
(11)‧‧‧股內斜肌訊號接收部 (11) ‧‧‧Intra-osseous signal receiving unit
(12)‧‧‧股外側肌訊號接收部 (12) ‧‧‧ lateral muscle signal receiving unit
(13)‧‧‧高速1：1阻抗匹配器 (13)‧‧‧High speed 1:1 impedance matcher
(14)‧‧‧高速雜訊濾波電路 (14)‧‧‧High speed noise filter circuit
(15)‧‧‧放大倍率調整器 (15)‧‧‧Magnification adjuster
(2)‧‧‧電刺激控制單元 (2)‧‧‧Electrical stimulation control unit
(21)‧‧‧偵測及判斷電路 (21)‧‧‧Detection and judgment circuits
(22)‧‧‧電刺激器 (22)‧‧‧Electro-stimulator
(23)‧‧‧電源供應器 (23)‧‧‧Power supply
(24)‧‧‧股內斜肌刺激部 (24) ‧‧‧ Internal oblique muscle stimulation
(25)‧‧‧股外側肌刺激部 (25) ‧‧‧ lateral muscle stimulation
(26)‧‧‧電擊強度調整部 (26)‧‧‧Elect impact strength adjustment department
(27)‧‧‧電擊時間調整部 (27)‧‧‧Electric shock time adjustment department
(3)‧‧‧肌電訊號紀錄單元 (3)‧‧‧EMG signal recording unit
(31)‧‧‧類比及數位轉換器 (31)‧‧‧ Analog and digital converters
(32)‧‧‧微處理器 (32)‧‧‧Microprocessor
(33)‧‧‧訊號輸入/輸出埠 (33)‧‧‧Signal input/output埠
(34)‧‧‧電腦通訊埠 (34) ‧‧‧Computer Communication埠
(35)‧‧‧記憶卡輸入/輸出埠 (35)‧‧‧ Memory Card Input/Output埠
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Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010001303A1 (en) * | 1996-11-25 | 2001-05-17 | Mieko Ohsuga | Physical exercise system having a virtual reality environment controlled by a users movement |
| TW201016152A (en) * | 2008-10-29 | 2010-05-01 | jin-he Qiu | Clothes capable of monitoring heartbeat and patient tracking |
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2010
- 2010-06-17 TW TW99119682A patent/TWI396567B/en not_active IP Right Cessation
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010001303A1 (en) * | 1996-11-25 | 2001-05-17 | Mieko Ohsuga | Physical exercise system having a virtual reality environment controlled by a users movement |
| TW201016152A (en) * | 2008-10-29 | 2010-05-01 | jin-he Qiu | Clothes capable of monitoring heartbeat and patient tracking |
Also Published As
| Publication number | Publication date |
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| TW201200194A (en) | 2012-01-01 |
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