Treatment of neuromuscular dysfunctions of the musculoskeletal system and disorders of accommodation
(57) Abstract:The invention relates to medicine and can be used for functional correction of functional disorders of children with congenital and acquired pathology of locomotor apparatus, for posture correction and treatment of early stages of scoliosis, as well as in ophthalmology for the treatment of amblyopia. To improve the efficiency of the correction functions in younger children (6-7 years old) spend the correction sessions in which the patient is shown the subject image in the form of computer games, record bioelectric activity of the patient, and measure its integral envelope, and depending on the amplitude envelope, the patient has the ability to control a computer game. If bioelectric signal is less than the threshold value, the computer game stops, and control the game with the help of the manipulator is impossible. To run computer games, the patient will need to produce an action directed at changing the bioelectric activity, i.e., to strain the attention in vision correction, or to produce muscle contraction with movement correction, or symmetrically to stretch the muscles on both sides of the spine in the correction of the OS is AI physiological functions in children with congenital and acquired pathology of the musculoskeletal system, for posture correction and treatment of the initial stages of scoliotic illness, as well as in ophthalmology for the treatment of amblyopia.The number of known methods of functional correction relating to how biofeedback feedback (source). The use of these methods requires the presence of an unambiguous Association between the running patient action (movement, focus, etc. and the inclusion of feedback signals.It is also known that as feedback signals are commonly used indicator lights, audible signals, or skin irritation. However, in cases of pathological conditions in children of early age or in children with a defect of the intellect functional correction method biofeedback is difficult due to the fact that the patient is unable to establish an unambiguous logical dependencies between the services provided by action and artificial feedback signal. This is due to the fact that a child under the age of 7 years, as a rule, does not understand the job, tired and quickly loses interest in the correction procedure, due to the lack of motivation to act on the feedback signal (sound, light stain, etc.,), s queue, leads to less effective treatment of several diseases, such as cerebral palsy, ERB's palsy, impaired posture, amblyopia and other, for which treatment is essential as early as possible correction in childhood.The closest major signs to the present invention is a method of amblyopia in children, which is to conduct vision correction sessions in which the patient close your eyes, and produce light irritation of the patient's eyes, by the presentation of the subject image. At the same time as an informative indicator of changes in the functional state of the brain using electroencephalography (EEG). As the subject image, the patient is shown the slide, the brightness of which varies depending on the level of activation of the brain, what is judged by EEG. While the measured integral envelope EEG amplitude is compared with the threshold value set by the doctor. If the amplitude envelope of the EEG is greater than the threshold value, the image brightness is low, and if less than the threshold value, the brightness of the subject image is high. The threshold level in the known method is a doctor with POM what I amplitude envelope EEG was below the level set threshold.It should be emphasized that, as in most cases the use of biofeedback, in this method of vision correction is a leading factor in the high motivation of the child by the correction procedure. This allows to overcome certain load, inevitably associated with correction of pathological conditions. For this reason, this method has limited application. This is due primarily to the fact that children under the age of 6-7 years can not establish a connection between the change in the brightness of the subject image and their own state ( and action that they will make. Therefore, the child quickly loses interest in the procedure, tires, causing negative emotions, against which the correction of amblyopia impossible.The aim of the invention is more effective correction of pathological conditions in children of early age.This is achieved by the fact that the correction method of the previously mentioned pathological conditions in children, consisting in the carrying out of sessions of correction not less than two times a week for 15-20 minutes each, a total of 10-20, the patient is shown the subject image; register bioelectric activechinese compared with a threshold bioelectric activity control of the subject image. The distinctive feature is that as the subject image using graphics, computer games, control start and stop of the subject image on the computer screen is based on the ratio of bioelectric activity recorded from the patient and the prescribed threshold, with the threshold of bioelectric activity is chosen so that the amplitude envelope exceeded the threshold for 60% of the time of presentation of the subject image.Graphics computer games for young children at the time of correction sessions, encourages him to do the job, due to the higher interest of the child to the colorful dynamic situational computer game, compared to the simple light or sound feedback signals. In turn, a more effective source of motivation causes much more striking Association between feedback signals (start and stop of the game) and the underlying behavior of the patient (the focus or the voltage of a particular group of muscles). This leads to a more effective correction of the functional state of the patient.The proposed method is as Obernai games. The game program which is entered into the computer, selected on the basis of patient's age, his intelligence and psycho-emotional state.Bioelectric activity is recorded by a sensor, while as an informative indicator of changes in the functional state of use, depending on the disease, the electroencephalogram (EEG) or electromyogram (EMG).Then measure the integral envelope EEG (EMG), and comparing the amplitude with a threshold value.The threshold value of bioelectric activity is chosen so that the amplitude envelope of the EEG (EMG) exceeded the threshold for 60% of the time of presentation of the subject image. This threshold is set by the doctor after not less than 1 min envelope analysis EEG or on the basis of the correct execution of patient-motor tasks (EMG). If the time of presentation of the subject image is less than 50%, the patient loses interest in the job because of the frequent shutdown of the game. At the time of presentation, more than 70% lack of motivation to perform the necessary training actions, because even with minimal effort on the part of the patient, the game rarely stops.the Device has connected in series sensor 1, the amplifier 2, block 3 rectification and filtering, and the comparator 4, the second input is connected to the midpoint of the potentiometer 5. The output of comparator 4 is connected to the input of block 6 of the agreement, the output of which is connected to the input of the START of the computer 7. The management of the movement of the subject image on the computer screen by the patient by means of a manipulator 8.During the session, the adjustment of the sensor 1 register the electroencephalogram (or electromyogram), this signal is amplified in block 2, block 3 of the EEG signal (EMG) is converted into an envelope EEG (EMG) by rectification and low-pass filtering with a time constant of 0.5 C. the Voltage output unit 3, is directly proportional to the signal bioelectric activity, served on the direct input of the comparator 4, to the inverting input of which is supplied a voltage from the potentiometer 5, corresponding to the threshold value of bioelectric activity.The matching unit 6 causes the logical output signal of the comparator 4 in accordance with the logic circuits of a standard computer input 7. If the signal from the sensor 1 exceeds a set threshold, the computer is in run mode, and the patient who is, the computer game is stopped and the control IG - Roy manipulator impossible. To run computer games, the patient will need to produce an action directed at changing the bi - elektricheskoi activity, i.e., to strain the attention in vision correction or to produce muscle contraction with movement correction, or the balanced - ranks strain the back muscles on both sides of the spine in the correction of posture.To use the signals from the two sensors (in the case of cor - correction of posture) in block 6 approval of an additional entrance. This block is implemented as a combinational logic circuit on the element base standard Treatment of neuromuscular dysfunctions of the musculoskeletal system and disorders of accommodation in children, including registration of bioelectric activity, the definition of its amplitude envelope and the values of the values obtained for the determination of threshold signal biofeedback in the management of the subject image, the two or more sessions per week for 15-20 min at treatment 10-20 procedures, characterized in that the threshold value of the count signal so that the led is este subject image using graphics, computer games, and control of the image is carried out by stopping the game by reducing the amplitude of the bioelectric activity below a certain threshold.
SUBSTANCE: method involves carrying out clinical and diagnostic examination and additionally measuring latent period of III peak on invoked potential curve from acoustic invoked stem potentials. Cerebral stem injuries are determined from neuromuscular electrodiagnostic data. Latent period III peak value being above or below a norm and injured medial cerebral stem region allover the stem thickness or totally injured lateral and caudal stem regions or all said regions injury taking place, high intraoperation trigeminocardial reflex risk degree is diagnosed in patients suffering from vestibular neuroschwannoma. Latent period III peak value being above or below a norm and no injuries of cerebral stem or latent period III peak value corresponding to norm and totally injured lateral and caudal stem regions at the same time or only medial cerebral stem regions taking place, moderate risk degree is diagnosed. Normal latent period III peak value and no injuries of cerebral stem being the case, low risk degree is to be diagnosed.
EFFECT: high accuracy of diagnosis.
FIELD: medical engineering.
SUBSTANCE: device has means for acting upon object under study, means for recording responses having transducers connected to computer via signal input/output unit, photorecorder unit having programmed control mechanism and frame marker unit having in series connected control desk, frame marker, superposed responses photorecorder, programming unit and switchboard connected to control desk, means for acting upon object, means for recording responses and computer. Photorecorder programming unit has cam mechanism, the switchboard has relay circuits, the frame marker unit has means for recording treatment protocol and means for recording current events being tape drive with transparent tape coupled with tape drive with exposed film. The means for recording responses have magnetic tape recorder connected to control desk and transducers via switchboard. Tape recorder signal input is connected to microphone for recording vocal data describing current experiment condition and testee data.
EFFECT: enhanced effectiveness in recording biopotentials and creating feedback links among testees; wide range of functional applications.
2 cl, 6 dwg
FIELD: medicine, neuroophthalmology.
SUBSTANCE: it is necessary to register electroencephalogram (EEG) and at disorganized low-amplitude EEG, when amplitude of alpha-rhythm is below 30 mcV or is not detected at all it is necessary to prescribe nystenon per os per 1 tablet twice/d daily for 2 wk. In case of high-amplitude hypersynchronous EEG at amplitude of alpha-rhythm being 100 mcV and more one should prescribe glycin per 1 tablet 100 mg sublingually twice/d daily for 2 wk. Then comes video-training with the help of "Amblyocor-01" device for 2 wk along with simultaneous intake of earlier prescribed preparations. In case of disorganized low-amplitude EEG one should fulfill training in the mode of "relaxation", in case of high-amplitude hypersynchronous EEG - in the mode of "activation". The innovation enables to affect central departments of optic analyzer.
EFFECT: higher efficiency of correction.
FIELD: medicine; physiology and therapy.
SUBSTANCE: patient's cardiointervalograms are registered and analysed in real time mode. Respiratory movements are synchronised with own heart rate. Command information to man on inspiration-expiration is generated by microcontroller on basis of analysis of ongoing cardiointervalogram, and inspiration command is generated by microcontroller upon registration of cardiointervalogram's maximum and provided the time interval of analysis lockout is completed, when microcontroller's commands are pending even at extremum. Expiration command is generated upon registration of cardiointervalogram's minimum and the time interval of analysis lockout starts at expiration command with duration of three cardio cycles, or at inspiration command with duration of one cardio cycle.
EFFECT: method increases efficacy of systems of diagnostics and correction of human functional condition.
SUBSTANCE: method involves successively electromiographic (EMG) training of ischiocavernosus muscles on initial electromiographic signals of biological feedback (BF), causing alternating contraction of 5 seconds long and relaxation of 10 seconds long of perineum muscles during 15 minutes. Then follows an alternating contraction to 30% of maximal EMG level of 10 seconds long and relaxation of 10 seconds long during 15 minutes. After that electric stimulation of ischiocavernosus muscles and between segments of spinal cord S2-S4 and S4-S5-C1 of spine is performed, laser irradiation of segments S2-S4 of spinal cord, spine segments S4-S5-C1 and upper surface of penis body is performed. Laser exposure is performed with low-intensive infra-red waves with amplitude-frequency modulation with frequency to 3 Hz and modulation depth to 30 per cent, energy to 50 joule, wavelength 960 nm. Electric stimulation of ischiocavernosus muscles is performed bipolarly by pulse current with their weak titanic contraction, duration of burst and pause being 2 seconds with frequency of burst filling 3000 Hz, and bipolar electric stimulation between segmentsS2-S4 of spinal cord and S4-S5-C1 of spine with infra-low electric waves with frequency to 3 Hz and amplitude to 100 mcA is performed. Time of laser exposure on each region is 5 minutes, time of exposure to pulse current is 30 minutes, time of exposure to infra-low current is 24 hours, course of treatment is 15 days.
EFFECT: extended arsenal of means for treatment of erectile dysfunction.
SUBSTANCE: invention relates to psychology, medicine, namely to symptomatic psychotherapy of diseases associated with disturbances of person's psychoemotional state. Estimation of patient's psychoemotional state is carried out by performing clinical-psychological examination with formulation of diagnosis. After that in accordance with psychotherapeutical aims, musical background is created, carrying and modulating frequency of sound vibrations are added for rhythm impact in spectrum of frequencies of natural electroencephalographic processes, and in colour images determined are predominating colour gamut, succession and frequency of colour image change for rhythm impact in spectrum of frequencies of natural electroencephalographic processes. Selected material is presented in form of videofilm, taking into account obtained patient's diagnostic data, after which it is shown to the patient.
EFFECT: method increases efficiency of impact on person's psychoemotional state, which takes into account presence in etiopathogenesis of biological, psychological and social factors, each of which needs correcting impacts, corresponding to its nature.
13 cl, 4 tbl, 4 dwg
SUBSTANCE: duration, amplitude and form of each continuous brain signal wave are matched with parameters of each sensory signal. Recording each continuous brain signal wave, forming a matched sensory signal and exposing a patient to this signal are consistent and immediate. During the procedure, the patient is suggested to pay attention that the sensory signals perceived reflect brain work.
EFFECT: method enables more efficient process normalising psychophysiological state following stress load, psychoemotional and mental strain, and while treating functional disorders of central nervous system, psychosomatic diseases and consequences of organic cerebral affections.
SUBSTANCE: invention relates to field of medicine, namely to obstetrics. Cardiointervalography (CIG) is performed. Analysis of heart rate variability (HRV) is carried out. Value of the following indices is estimated: standard deviation, pRR50,coefficient of variation, total power of HRV (TP), power of slow LF-waves, mode amplitude, index of adequacy of regulation processes (IARP), voltage index (VI), value of maximal R-R interval, mean-square difference between duration of neighbouring cardiointervals (RMSSD), normalised power of slow LF-waves, normalised power of fast HF-waves, vegetative index of rhythm (VIR). On the basis of obtained data each of the above mentioned indices is given points from 0 to 2. Also evaluated is value of systolic and diastolic arterial pressure with assigning points. Degree of cervix "maturity" is determined by Bishop scale with giving points. Obtained points are summed up. If sum of points equals 7 or more woman is related to group of risk in of uterine inertia development.
EFFECT: method makes it possible to carry out prediction of uterine inertia before beginning of urgent delivery, which gives possibility to take measures for prevention of initial uterine inertia, in addition, method is non-invasive and safe for parturient woman and newborn baby.
4 ex, 2 tbl
SUBSTANCE: patient is trained by challenging to imagine a paretic limb movement and controlling the imagined movement. An electroencephalography is recorded; the recorded data are transferred to a computer for synchronous processing, and arousal reaction signals of a sensorimotor rate responsible for the imagined movement are isolated by means of an EEG pattern classifier according to the Bayes method. Identification results of the mental challenge are presented to the patient by a visual feedback in the form of a mark on a monitor. The mark re-position testifies to accuracy of the challenge. The imagined movement challenge is presented for 10 seconds. The training course makes 6-12 days, one training a day, of the length of 20-30 minutes every 1 to 4 days.
EFFECT: method provides more effective rehabilitation that is ensured by the feedback training in the conditions enabling the patient controlling the imagined paretic limb movement visually.
3 dwg, 4 tbl, 2 ex