Method for training adaptational personal mechanisms to stress situations and device for its implementation

FIELD: medicine, psychotherapy.

SUBSTANCE: the method deals with correcting neurological and psychopathological disorders with anxiety-phobic symptomatics due to individual trainings. The method includes evaluation of body reaction to stimulating signals, seances of individual training performed due to the impact of two quasiantipodal stimulating signals of similar physical modality applied in time of sporadic character, and as a signal one should present biological feedback for the altered value of physiological parameter adequately reflecting body reaction to the impact of stimulating signal. At the first stage of training it is necessary to achieve body adaptation to the impact of quasiantipodal stimulating signals, at the second stage it is necessary to obtain conditional reflex for one out of stimulating signals, for this purpose one should accompany this stimulating signal with discomfort impact, during the third stage, finally, due to volitional efforts one should suppress body reaction to stimulating signal. The devise suggested contains successively connected a transformer of physiological parameter into electric signal and a bioamplifier, an analysis and control block with a connected block to present the signals of biological feedback, a block for presenting discomfort impact, an indication block and that of forming and presenting quasiantipodal stimulating signals. The innovation enables to have skills to control one's emotions, decrease sensitivity threshold to environmental impacts and learn to how behave during stress situations.

EFFECT: higher efficiency of training.

15 cl, 8 dwg

 

The invention relates to medicine, psychotherapy and designed to correct neurological and psychopathological disorders with anxiety and phobic symptoms through individual workouts.

Today in the Arsenal of psychotherapy there are many methods to successfully carry out the correction of various psychopathological disorders neurotic level. However, it is necessary to combine different methods, trying to achieve maximum and sustainable effect, rendering the person a complex effect. On the one hand, it requires a high level of professional knowledge of therapist, with good intuition and the ability to creatively perceive the information received, often synthesizing for each patient's individual technique. Such qualities have not all practicing psychotherapists. Therefore, the creation of instrumental methods of psychological training is an important task.

There is a method of training an adequate representation of the images (see Russian Federation patent No. 2188043, IPC7A 61 M 21/00, publishing, 2002), developing lateral thinking of the patient. The patient is shown situational problems, containing information about the mechanisms of development and correction of neurotic symptoms are what their story resource for patient behavioral pattern. Before the patient has the goal to formulate a plane of perception of facts in which this situation makes sense. The collection of facts in the context of the situation the patient performs deductive. He uses leading questions, which receives from therapist's responses in the form of a refutation or confirmation, and if the patient's question does not contain material information, he receives the answer, it doesn't matter. The method allows to improve the adaptation mechanisms of the person. The disadvantages of this method: there is no objective evaluation of the results of the training, the training is conducted only with involvement of a therapist, vocational training and individuality which depends on the result.

From the description to the patent of Russian Federation №2 122 442, IPC6A 61 M 21/00, publication 1998-known way of directional correction of psycho-emotional state of a person, namely, that reveals the leading submodalities and non-verbal signs of unwanted conditions, trance, 3...5 resource state, desired state and condition preventing the achievement of the desired state. Associate each state with a color using the color test relations. Pick up auditory correlates associated with the selected colors. Many times Have each correlate is about the appearance of the patient's non-verbal signs corresponding to correlate state. Change the parameters of auditory and visual correlates to the manifestations of non-verbal signs of the identified States. Then form audiovisual composition (AVC) by combining in groups of 2 or more auditory and 1 visual correlate designed for simultaneous presentation. Correlates of each state include in one of the groups at least once. Groups alternate in a random sequence and combine without pauses. Make AVK patient, determine the leading submodality integrated state. Alter auditory correlates AVC to distinct manifestations of the integrated state. Received AVK impose daily for 2 to 3 hours before bedtime. The method allows to increase the efficiency and timing correction psychofunctionalism state. The disadvantages of this method: it requires expensive equipment, there is no objective assessment psychofunctionalism state, implementation of the method requires the presence visokokvalifizirovannii therapist.

From the description to the author's certificate of the USSR No. 1814875, IPC5And 61 5/16 In, publ. 1981 known way to assess the physiological status of a person, consisting in the determination of changes of physiological parameters in time, calculating values of the numerical characteristics of the variability of these indicators, the assessment at the vicinity of the sets of values of these characteristics to the standards. The disadvantage of this method is the necessity of using stationary equipment and lack of training adaptation mechanisms of personality to stressful situations.

There is a method of assessing the state of the autonomic nervous system, protected by the patent of Russian Federation №2166280, IPC7And 61 5/16 In, publ. 2001 the method of assessment of the autonomic nervous system is that assesses the state of the autonomic nervous system through joint analysis of the characteristics of electrodermal and musculoskeletal physiological component. As physiological parameters using the electrodermal signal States and signal muscle activity of the human body carry out simultaneous measurement of signal values of these metrics, amplify them, and then share the electrodermal signal into two components: the signal electric conductivity and signal galvanic skin response, followed by the processing of the three received signals by converting them into corresponding digital values, the joint estimation of their parameters, standardization of the obtained results, their statistical weighing and determining the level of stress, and when a signal goes above the muscle activity a certain threshold signals electrodermal the CSO status blocked. This allows more accurate assessment of the autonomic nervous system. The disadvantage of this method is the necessity of using stationary equipment and lack of training adaptation mechanisms of personality to stressful situations.

There is a method of assessing emotional and stressful tension, which consists in estimating the dynamics of galvanic skin response to repeated significant and insignificant issues (see Russian Federation patent No. 2068653, IPC6And 61 5/16 In, publ. 1995). This method is adopted as a prototype. A common feature of the proposed method and the prototype method is a three-stage assessment body response to stimulus.

The technical result of the invention is to enhance the functionality of the prototype through individual training adaptation mechanisms of personality to stressful situations.

This technical result is achieved in that the method of training adaptation mechanisms of personality to stressful situations, containing three reactions of the body to stimulate and/or information signals in the form of changing the value of the physiological indicator includes personal training sessions, which are conducted with the effects on the body two quasielliptic stimulating and/and and information signals of the same physical modality, spaced in time and the appearance of which has a random (quasilocal) character, and the presentation as a signal biofeedback change the value of the physiological indicator that adequately reflect the body's response to the impact of the stimulus (information) signal in comparison with the body's response to the test stimulus, while in the first stage of training to achieve the body adapts to the effects of quasielliptic stimulating signals at the second stage the aim is to develop a conditioned reflex on one of the stimulating signals, which accompany this stimulation is uncomfortable effect on the third and final stage, the patient volitional effort seeks to suppress the body's response to the stimulating signal, followed in the second stage of training the uncomfortable effects. As standardized test exposure before the beginning of the session personal training use, for example, the raising and lowering of the hands-free sensors. As quasielliptic stimulating signals using acoustic monotonous signals high (3...6 kHz) and low tone (200...500 Hz) with level 40...50 dB. As quasielliptic stimulating signals use two different colour signal, for example red and blue. As the physiological measure used electric resistance. When conducting personal training sessions in the second and third phases of training as uncomfortable exposure to one of the stimulating signals accompanied by skin irritation at the level of pain threshold. The signal biofeedback present in the form of acoustic performance, such as moving the apparent sound source when submitting stereo signal through headphones, and/or in the form of a visual representation, such as the indicator scale. When conducting individual sessions of the training mode of the first stage of training before each session to measure the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body, then act two quasiuniform stimulating signals, the total number of which is equal to 15...25 in each session, and if the current session value change of the physiological indicator in response to each of the stimulating signals will not exceed an amount equal to α×S0where α=0,2...0,5 - fixed proportionality coefficient, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, the next session is carried out in the mode of the second stage of training in PR is positive if the following procedure is given in the mode of the first stage of training. During the session, individual training mode of the second phase training act two quasiuniform stimulating signals, the total number of which is equal to 15...25, and one of the stimulating signals additionally accompany uncomfortable effects, and the next session personal training is carried out in the mode of the third stage of training. The individual sessions of the training mode of the second and third stages of training, in which one of quasielliptic stimulating signals accompanied uncomfortable effects, start with checking consolidate the results of the previous training sessions, which measure the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body, then act two quasiuniform stimulating signals, the total number of which is 2...5 times less than during the session mode of the first stage of training, and if the value change of the physiological indicator St1 in response to any stimulus signals, which in the mode of the second stage was accompanied by uncomfortable exposure to exceed an amount equal to β×S0where β=...0,95 0,9 - coefficient of proportionality, S0the value change of the physiological index normalized the est effect, measured before conducting the session, or will be less, but the value change of the physiological indicator of St2 in response to at least one other stimulating signal exceeds an amount equal to α×S0where α=0,2...0,5 - fixed factor of proportionality, then the session is carried out in the mode of the first stage of training, if St1 is less than β×S0and St2 will be less α×S0further , the session is carried out in the mode of the second stage of training, if St1 is more β×S0and St2 will be less α×S0further , the session is carried out in the mode of the third stage of training. During the session, individual training mode of the third stage of training is affected by two quasiuniform stimulating signals, the number of impacts of the stimulating signal, which is the second stage of the training was accompanied by uncomfortable exposure is 5...15, and the patient signals biofeedback volitional effort suppresses the body's response in response to each stimulus signal at the previous session was accompanied by uncomfortable effects, change the value of a physiological indicator St1 in response to each stimulus signal is compared with a value of β×S0where β=...0,95 0,9 - fixed the cylinder is UNT of proportionality, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, and if it exceeds it, it is additionally carry out the uncomfortable effects, if changing the value of a physiological indicator St1 in response to the next stimulus signal will not exceed β×S0then the value of the proportionality coefficient β for further comparison reduced by 5...10%, while the training phase is considered completed if during the session the individual training mode of the third stage will not be exceeding the value change of the physiological indicator St1 values β×S0with all its changes, if at least in one case, St1 will exceed β×S0then the next session personal training is carried out in the mode of the third stage of training.

A device that implements the inventive method, is an independent object of the invention.

From the description to the author's certificate of the USSR No. 1683776, IPC5A 61 N 1/36, And 61 5/16 In, publ. 1991 a device for the regulation of emotional strain containing the random event generator, two generator audio frequency: one high tone, the other low, the signal amplifier galvanic skin response, shaper electrocoin the th irritation, the mid-tone generator controlled delay line and stereo headphones. A disadvantage of the known device is the low efficiency in the training of adaptive mechanisms of the individual to stressful situations due to the lack of elements that provide the optimal time for training sessions and evaluation of its results.

A device for rehabilitation of functional units of the Central nervous system containing interconnected source of audio frequency amplifier, emitter follower, the step-up transformer, the measuring head and the electrodes (see patent of Russian Federation №2 144 389, IPC7A 61 N 1/32, publ. 2000).

This device is intended in particular for the prevention of disease in persons with hypersensitivity to stress. The disadvantage of this device is the low efficiency in the training of adaptive mechanisms of the individual to stressful situations due to the lack of elements that provide the optimal time for training sessions and evaluation of its results.

The closest to the number of matching characteristics to the proposed device for training the adaptive mechanisms of the individual to stressful situations is a device for assessing the state of the autonomic nervous system, described in the patent of the Russian Federation the AI No. 2 166 280, IPC7And 61 5/16, publication 2001, This device is selected as a prototype. It contains the first and second sensors, the outputs of which are connected with the first biosimilar, third, and fourth sensors, the outputs of which are connected with the second biosilica, notch filter, high-pass filter, analog-to-digital Converter, a microcontroller connected to the unit calendar and real time clock and the display unit, and the output of the first biocriteria connected to the input of the notch filter, the first and second outputs of which are connected respectively with the first and second information inputs analog-to-digital Converter, the output of the second biocriteria connected to the input of high pass filter, the output of which is connected with the third information input of the analog-to-digital Converter whose output is connected to the information input of the microcontroller, the output of which is connected to the input of the display unit, made in the form of a liquid crystal display.

Common features of the claimed device and prototype are the indication unit connected in series in the sensor, which is a Converter physiological indicator into an electrical signal, beausoliel and the unit of analysis and management, which in the prototype includes filters, analog-to-digital Converter, mikroC ntroller.

The disadvantage of the prototype is the lack of opportunity for individual training adaptation mechanisms of personality to stressful situations.

The technical result, the attainment of which the invention is directed extension of functionality by providing individual training adaptation mechanisms of personality to stressful situations.

This technical result is achieved in that the device for training adaptation mechanisms of personality to stressful situations contains a display unit, connected in series Converter physiological indicator into an electrical signal, beausoliel and the unit of analysis and management, further comprises the United unit of analysis and control unit formation and presentation quasielliptic stimulating signals, block the formation and presentation of the uncomfortable effects and block signals presentation biofeedback. The unit of analysis and management is made in the form of microcomputers. The unit of analysis and management contains the subunit generate control signals, the sub-commit and comparison, the subunits of analysis and subunit generate a random (quasilocal) gate, the first input subunit capturing and comparing coupled to the output biocriteria, the second input - output subunit of rawsumer signals, the third input - output subunit analysis, the first output with the input of block signals presentation biofeedback, the second output - input subunit analysis, the second input of which is connected with the second output subunit generate control signals, the third input with the first output subunit generate a random (quasilocal) gate, the second output from the input processing unit and the presentation of uncomfortable effects, the third output from the display unit, the fourth output - input subunit generate control signals, the second output subunit generate a random (quasilocal) signals connected to the input unit of formation and filing quasielliptic signals, and input to the third output of the subblock generation of control signals. Sub commit and comparison contains consistently connected schema matching, schema remember, the circuit scale and the comparison circuit, the first input schema matching and the second input of the comparison circuit connected to the output of biocriteria, the second input schema matching and the second circuit input memory connected to the output of the subblock generation of control signals, the second input of the differential scaling is connected to the output subunit analysis, the first output of the comparison circuit is connected to the input of block signals presentation biofeedback, second you are the od of the comparison circuit is connected to the input of the subunits of analysis.

Figure 1 shows a structural diagram of a device for training the adaptive mechanisms for stressful situations; figure 2 - block diagram of the unit of analysis and control; figure 3 - block diagram of the sub-commit and comparisons; figure 4...8 the algorithm of operation of the device for training the adaptive mechanisms to stressful situations.

Figure 1...8 numbers and letters indicated:

1 - value Converter physiological indicator into an electrical signal,

2 - beausoliel,

3 - the unit of analysis and management

4 - unit signals presentation biofeedback,

5 is a block presentation of the uncomfortable effects,

6 is a display unit,

7 - block formation and presentation quasielliptic stimulating signals

8 - subunit generate control signals,

9 - subunit analysis

10 - subunit fixing and comparison

11 - subunit generate a random (quasilocal) gates,

12 - comparison circuit,

13 is a diagram matches

14 is a diagram of scaling

15 - comparison circuit,

S0- change the value of a physiological indicator in response to the test stimulus,

St - value change of the physiological indicator in response to the stimulating signal,

St1 - value change of the physiological indicator in response to quasinational stimulating signal is selected to accompany uncomfortable effects,

St2 - value change of the physiological indicator in response to quasinational stimulating signal other than the signal selected to accompany uncomfortable effects,

N is the total number quasielliptic stimulating signals

N1the number quasielliptic stimulating signals, selected to accompany uncomfortable effects,

K - the number quasielliptic stimulating signals, selected to accompany uncomfortable effect that the mode of the third stage of the training was accompanied by uncomfortable effect.

A feature of the inventive method is that the patient can practice independently without the participation of therapist and with guaranteed results, while the patient does not require any professional skills. The personal training sessions are held in modes three phases of training effects on the body two quasielliptic stimulating and/or information signals. On the first training phase, the patient achieves the body adapts to the effects of stimulus signals at the second stage the patient is seeking to develop a conditioned reflex on one of the stimulating signals, followed by an uncomfortable effect on the third and final stage, strong-willed efforts PAC is UNT seeks to suppress the body's response to the stimulating signal, followed in the second stage of training the uncomfortable effects. Each session mode of the first stage of training begins with assessment of body reaction, which is determined by the value change of the physiological indicator, such as electric resistance, measured using a sensor on the finger of one hand, standardized test pressure, such as lifting and lowering of the hands-free sensors. As a reaction to the impact occurs with a lag, the value change of the physiological indicator measured for 8...10 seconds after exposure and record the maximum value of the physiological rate for this time - S0. In the future, this value is reduced to 50...80%, i.e. multiplied by a factor of proportionality α, equal to 0.2...0.5 and the same on all the training sessions, is used as the threshold (α×S0) before the end of the session. After measuring value change of the physiological indicator in response to the normalized test the impact by the impact of two quasiuniform stimulating signals, i.e. signals of the same physical modality, similar to the parameters, but different enough that they can be assigned to different groups, for example, two acoustic signal with the same duration 1,0...1,5 sec) and the same power level (40...50 dB), one of which low-frequency (200...500 Hz)and the other high-frequency (3,0...5.0 kHz), or two light signal of the same duration and brightness, but a different color, for example red and blue, or two verbal signal, spoken in the same tone, different semantic content, for example the word “hot” to “cold”. To improve the accuracy of the estimated reaction of the patient to the effects of stimulating signals quasianyone stimulating signals spaced in time and their appearance is random (quasilocal) character. The duration of each session individual training mode of the first stage of training is determined by the time of presentation 15...25 (N) quasielliptic stimulating signals. The lower bound set of conditions early adaptation of the patient to the effects of stimulus signals, the upper bound from the conditions of the exclusion of the influence of fatigue of the patient during the session personal training.

After each exposure to a stimulating signal by comparing the values of the physiological indicator with fixed before α×S0. If during the session the value change of the physiological indicator in response to any stimulus signals will not exceed an amount equal to α×S0the next session is carried out in the mode of the second stage friction is ovci, otherwise, the next session is carried out in the mode of the first stage of training. The results of the comparison or change the value of a physiological indicator in response to each impact is presented to the patient as a signal biofeedback.

Session personal training in the second and third stages of the workout, begin with checking consolidate the results of the previous session, which measure the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body is exactly the same as in the first stage of training. Then act two quasiuniform stimulating signals are the same as in the first stage of training, the total number of which is 2...5 times less than during the session mode of the first stage of training. If the value change of the physiological indicator St1 in response to any stimulus signals, which may be accompanied by uncomfortable exposure to exceed an amount equal to β×S0where β=...0,95 0,9 - coefficient of proportionality, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, or will be less, but the value change of the physiological indicator of St2 in response to any other incentive is yuushi signal will exceed the amount equal α×S0where α=0,2...0,5 - fixed aspect ratio, it means that the patient is not yet accustomed to the effects of stimulating signals and in the future, the session should be conducted in the mode of the first stage of training. If St1 is less than β×S0and St2 will be less α×S0it demonstrates the habit of taking the patient to the effects of stimulating signals, and a further session is carried out in the mode of the second stage of training, i.e. act two quasiuniform stimulating signals, the total number of which is equal to 15...25, and one of the stimulating signals, such as high-frequency, advanced accompany uncomfortable effects such as skin effect on the level of pain threshold. If St1 is more β×S0and St2 will be less α×S0it means that the patient in the second stage of training developed a reflex to stimulation, followed by uncomfortable pressure, and further procedure is given in the third lap.

Session individual training mode of the third stage of training begins with a single presentation of that stimulus signal in the second training phase was accompanied by uncomfortable pressure, and change the value change the value of the physiological indicator in response to the impact of this stimulus signal S 0. Session individual training mode of the third stage includes the impact of two quasiuniform stimulating signals. The duration of the session, when the third stage of training equal to the time of occurrence of 5...10 (N1) from quasielliptic stimulating signals that the second stage of the training was accompanied by uncomfortable effects. This number is equal to and is chosen from the condition that the patient was able to suppress developed a reflex to uncomfortable effects, and at the same time shall be such so as not to cause the patient's negative reaction prejudice to the individual training with the uncomfortable effects. The patient signals biofeedback volitional effort suppresses the body's response in response to quasinational stimulating signal at the previous session was accompanied by uncomfortable effects. Changing the value of the physiological indicator St1 in response to this stimulation signal is compared with a value of β×S0and if it exceeds it, it is additionally carry out the uncomfortable effects, if changing the value of a physiological indicator in response to another quasinational stimulating signal at the second training phase was accompanied by uncomfortable exposure will not exceedβ ×S0then the value of the proportionality coefficient β for further comparison reduced by 5...10% (multiply by 0.9...0,95). The third stage of training and all training is considered to be completed if during the session of the training mode of the third stage will not be exceeding the value change of the physiological indicator values β×S0taking into account all changes.

The signal biofeedback have, for example, in the form of acoustic analog representation of the displacement of the apparent sound source when submitting stereo signal through headphones, and/or in the form of a visual representation, such as information on the scale.

Device for training the adaptive mechanisms of the individual to stressful situations (figure 1) contains connected in series Converter 1 physiological indicator into an electrical signal and biosilicon 2, block 3 analysis and management, the outputs of which are connected unit 4 signals presentation biofeedback (BFB), unit 5 form and presentation of the uncomfortable effects, unit 6, display unit 7 for forming and presenting quasielliptic stimulating signals. The Converter 1 may be made in the form of sensor electric resistance, which are widely used in practice and the following emotional state of a person. The purpose and implementation of biocriteria 4 is also not self-explanatory due to the popularity of implementation. Block 3 may be made in the form of microcomputers, such as the family 51 (Intel 8051), implementing the algorithm shown in figure 4...8. Unit 4 is intended for presentation to the patient signal barefoot, reflecting the changes of values of physiological indicator in response to an external force on the body of the patient. The block 4 may be made in the form of stereociliary with a controllable signal delay between the channels, which allows to simulate the movement of the apparent sound source in the direction in proportion to the value of the physiological parameter. The block 4 may be performed in the form of informational scale. Unit 5 is designed to impact on the patient irritant signal, for example an electric current level of pain threshold. Unit 6 is intended to display the results of the session personal training. Unit 7 - for presentation to the patient two quasielliptic signals: signals one physical modality, similar to the parameters, but different enough that they can be assigned to different groups, for example, two acoustic signal with the same duration (1,0...1,5 sec) and the same power level (40...50 dB), one low-frequency (200...500 Hz)and the other high-frequency (...6,0 3,0 kHz), or two light signal is Iacovou duration and brightness, but different colors, for example red and blue, or two verbal signal, spoken in the same tone, different semantic content, for example the word “hot” to “cold”. The block 7 may be performed, for example, in the form of a generator of acoustic signals or in the form of a lamp with colorful lights, controlled from the block 3.

Block 3 (figure 2) analysis and management can be performed on the chip CMOS series and contain the subunit 8 generate control signals, subunit 9 analysis, subunit 10 of the display and comparison function and subunit 11 generate a random (quasilocal) gates. The sub 8 is a machine that implements the command sequence of the algorithm shown in figure 4...8. The subunit 9 is designed to analyze the results of personal training sessions and represents a logical machine that implements conditional transitions of the algorithm shown in figure 5...8. The subunit 10 (figure 3) is designed to remember changing the value of S0physiological indicator in response to a test value, and comparing the current value St physiological indicator thresholds α×S0and β×S0and contains connected in series circuit 12 matches, scheme 13 memory circuit 14 scale and scheme 15 comparisons. The subunit 11 is a generator case is inih pulses on the two outputs. Outputs subunit 8 is connected to the inputs of the other subunits, the input of the sub 10 is connected to the output of biocriteria 2, and outputs to the inputs of block 4 and subunit 9 whose outputs are connected to inputs of units 5 and 6 and subunits 8 and 10.

The operation of the claimed device for training the adaptive mechanisms of the individual to stressful situations (figure 1) is described with reference to the algorithm shown in Fig. 4...8. After the signal START (figure 4) in block 3 defines the mode of some of the training phase is assigned to the current session personal training. If the session is held for the first time, issued the command on the session mode of the first stage of training. This command in the block 6 is indicated the number of the training phase, and if the block 6 is a display, displays and instructions for implementation of the standardized test stimuli, such as to raise and lower the arm and at what pace. After the test exposure (figure 5) within 10 seconds in block 3 (sub 10) measured values of physiological parameters - voltage output biocriteria 2, and remember its maximum value S0. Then, from block 3 block 7 signals for forming quasielliptic stimulating signals, the duration of which is equal to 1,0...1,5 seconds with acoustic or light exposure. The time of appearance of each tasigna random (quasilocal) with a delay of 20...100 seconds in the designated box 120 seconds with the same pause, i.e. one signal appears in the pauses of the other. When implementing unit 3 in the form of a microcomputer unit 7 can be implemented in the form of series-connected d / a Converter, amplifier, audio frequency and electrodynamics. After each presentation of each stimulus signal in block 3 (sub 10) compares the values of the physiological indicator St with a threshold equal to α×S0where α=0,2...0,5, and the result of the comparison is stored. The total number quasielliptic stimulating signals presented during each session individual training mode first stage of training is the same and is equal to 15...25. The lower bound set of conditions early adaptation of the patient to the effects of stimulus signals, the upper bound from the conditions of the exclusion of the influence of fatigue of the patient in the process of a personal training session, i.e. the session personal training should not bother the patient. The calculation simulates signals is carried out in block 3 (sub 8) and when their number will be equal to the selected N session personal training is considered complete. Next, in block 3 (subunit 9) analyses, in which mode to produce the next personal training session. If at least one time when comparing the value of the physiological parameter revisitors, the next session should be repeated in the mode of the first stage of training, if the patient so get used to the effects of stimulating signals that will cease to react to them, i.e. the value of a physiological indicator never in the course of the session does not exceed the threshold, for the next session in block 3 is assigned to the second lap.

If assigned to another session of individual training mode of the second stage of training, the pre-checks (6) consolidate the results of previous sessions. The same check is performed and when the appointment for the next session of the third stage of training. After clicking START, the patient performs a normalized test stimulation, measured by the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body is exactly the same as in the first stage of training. Then the patient, as in the first stage of training, there are quasianyone stimulating signals, only their total number in 2...5 times less than during the session mode of the first stage of training. To distinguish in the following description quasielliptic stimulating signals, one of them will denote the stimulus 1, and the other stimulus 2, however, we must bear in mind that in the second stage TREN the programme uncomfortable effects accompanied stimulus 1. After the presentation of stimulus 1 is a physiological indicator St1 is compared with threshold β×S0where β=...0,95 0,9, and after presentation of the stimulus 2 - threshold α×S0where α=0,2...0,5. On completion of the check in block 3 (subunit 9) carried out an analysis of its result. If the value change of the physiological indicator St1 in response to any stimulus 1 will exceed the threshold β×S0a value of the physiological indicator St2 will exceed the threshold α×S0it means that the results of the first phase of training is not fixed and the session should be conducted in the mode of the first stage. If you are presenting at least one stimulus 1 St1 is less than threshold β×S0and when all the presentations of stimulus 2 St2 is less than threshold α×S0it shows desacralize results of the second stage of training, and a further session is conducted in the mode of the second stage. If all the presentations of stimulus 1 St1 is less than threshold β×S0and when all the presentations of stimulus 2 St2 is less than threshold α×S0it suggests that the patient has developed a reflex to the stimulus 1, and further session is held in the third lap.

During the session, individual training mode of the second training phase, the total number is about quasielliptic stimulating signals, as the mode of the first stage is 15...25. Stimulus 1 additionally accompanied by uncomfortable effects, such as skin-effect level

pain threshold. At the end of the session for the next session is assigned a mode of the third stage of training.

Session individual training mode of the third stage of training (Fig) includes the impact of two quasiuniform stimulating signals. The duration of the session, when the third stage of training equal to the time of presentation of the selected number of N1incentive 1. This number is 5...10 and is selected so as not to cause the patient's negative reaction prejudice to the individual training with the uncomfortable effects. Upon presentation of each stimulus 1 is a physiological indicator St1 is compared with threshold β×S0and if it exceeds it, it is additionally carry out the uncomfortable effects. The patient signals biofeedback volitional effort suppresses the body's response in response to stimulus 1. If the value of the physiological indicator St1 in response to stimulus 1 does not exceed the threshold β×S0the threshold for comparison is reduced by 5...10% (β multiply by 0.9...0,95). If during the session the individual training never is physiological pokazatel does not exceed the threshold β ×S0with all of his depressions, this indicates that the patient has learned to control their emotional state and react to a stressful situation. In this case, the third stage of training and exercise in General should be considered complete. If during the session of the training mode of the third stage will be at least one threshold is exceeded, then the training should continue. The next session is assigned a mode of the third stage of training.

Implementation of the described algorithm in the microcomputer does not present technical difficulties and are available to the programmer of average skill. Because standardized testing is carried out before each session personal training, there is no need to present high requirements to the inverter 1 and biosilica 2.

The use of the invention allows the patient to acquire the skills to manage their emotions, to lower the threshold of sensitivity to external influences, to learn how to adequately respond to stressful situations.

1. The method of training adaptation mechanisms of personality to stressful situations with an assessment of the body's response to stimulatory signals in the form of changing the value of a physiological indicator, characterized in that it includes personal training sessions, which provided effects on the body two quasielliptic stimulating signals of the same physical modality, spaced in time and are random in nature, and presentation as a signal biofeedback change the value of the physiological indicator that adequately reflect the body's response to exposure to a stimulating signal in comparison with the body's response to the test stimulus, while in the first stage of training to achieve the body adapts to the effects of quasielliptic stimulating signals at the second stage the aim is to develop a conditioned reflex on one of the stimulating signals, which accompany this stimulation is uncomfortable effect on the third and final stage, the patient volitional effort seeks to suppress the body's response to the stimulating signal, followed by the second stage of the exercise uncomfortable effect.

2. The method according to claim 1, characterized in that as the normalized test exposure before the session personal training use, for example, the raising and lowering of the hands-free sensors.

3. The method according to claim 1, characterized in that as quasielliptic stimulating signals using acoustic monotonous signals high (3...5 kHz) and low tone (200...500 Hz) with level 40... 50 dB.

4. The method according to claim 1, characterized in that as quasielliptic stimulating si the channels use two different colour signal, for example, red and blue.

5. The method according to claim 1, characterized in that as a physiological indicator of use electric resistance.

6. The method according to claim 1, characterized in that when conducting personal training sessions in the second and third phases of training as uncomfortable exposure to one of the stimulating signals accompanied by skin irritation at the level of pain threshold.

7. The method according to claim 1, characterized in that the signal biofeedback present in the form of acoustic performance, for example, displacement of the apparent sound source when submitting stereo signal through headphones, and/or in the form of a visual representation, for example, the indicator on the scale.

8. The method according to claim 1 or 5, characterized in that when conducting individual sessions of the training mode of the first stage of training before each session to measure the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body, then act two quasiuniform stimulating signals, the total number of which is equal to 15...25 in each session, and, if during the current session value change of the physiological indicator in response to each of the stimulating signals will not exceed an amount equal to α S0where α=0,2...0,5 - fixed proportionality coefficient, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, the next session is carried out in the mode of the second stage of training, otherwise the next session is carried out in the mode of the first lap.

9. The method according to claim 1 or 6, characterized in that during the session, individual training mode of the second phase training act two quasiuniform stimulating signals, the total number of which is equal to 15...25, and one of the stimulating signals additionally accompany uncomfortable effects, and the next session personal training is carried out in the mode of the third stage of training.

10. The method according to claim 1 or 6, characterized in that the individual sessions of the training mode of the second and third stages of training, in which one of quasielliptic stimulating signals accompanied uncomfortable effects, start with checking consolidate the results of the previous training sessions, which measure the value change of the physiological indicator S0in response to the normalized test the impact on the patient's body, then act two quasiuniform stimulating signals, total the number of which is 2...5 times less than during the session mode of the first stage of training, and, if the value change of the physiological indicator St1 in response to any stimulus signals, which in the mode of the second stage was accompanied by uncomfortable exposure to exceed an amount equal to β×S0where β=...0,95 0,9 - coefficient of proportionality, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, or will be less, but the value change of the physiological indicator of St2 in response to at least one other stimulating signal exceeds an amount equal to α×S0where α=0,2...0,5 - fixed factor of proportionality, then the session is carried out in the mode of the first stage of training, if St1 is less than β×S0and St2 will be less α×S0further , the session is carried out in the mode of the second stage of training, if St1 is more β×S0and St2 will be less α×S0further , the session is carried out in the mode of the third stage of training.

11. The method according to claim 1 or 6, characterized in that during the session, individual training mode of the third stage of training is affected by two quasiuniform stimulating signals, the number of impacts of the stimulating signal, the cat is who on the second training phase was accompanied by uncomfortable effects, is 5...15, and the patient signals biofeedback volitional effort suppresses the body's response in response to each stimulus signal at the previous session was accompanied by uncomfortable effects, change the value of a physiological indicator St1 in response to each stimulus signal is compared with a value of β×S0where β=...0,95 0,9 - fixed proportionality coefficient, S0the value change of the physiological measure on normalized test stimulation, measured before conducting the session, and if it exceeds it, it is additionally carry out the uncomfortable effects, if changing the value of a physiological indicator St1 in response to the next stimulus signal will not exceed β×S0then the value of the proportionality coefficient β for further comparison reduced by 5...10%, while the training phase is considered completed if during the session the individual training mode of the third stage will not be exceeding the value change of the physiological indicator St1 values β×S0with all its changes, if at least in one case, St1 will exceed β×S0then the next session personal training is carried out in the mode of the third stage of training.

12. Eliminate the STV for training the adaptive mechanisms of the individual to stressful situations, contains the display unit and connected in series Converter physiological indicator into an electrical signal, beausoliel, and the unit of analysis and control, characterized in that it additionally contains connected with the unit of analysis and control unit formation and presentation quasielliptic stimulating signals, block the formation and presentation of the uncomfortable effects and block signals presentation of biological feedback.

13. The device according to item 12, characterized in that it is the unit of analysis and management is made in the form of microcomputers.

14. The device according to item 12, characterized in that it is the unit of analysis and management contains the subunit generate control signals, the sub-commit and comparison, the subunits of analysis and subunit generate a random gate, the first input subunit capturing and comparing coupled to the output biocriteria, the second input - output subunit generate control signals, the third input - output subunit analysis, the first output with the input of block signals presentation biofeedback, the second output - input subunit analysis, the second input of which is connected with the second output subunit generate control signals, the third input with the first output subunit generate a random gate, the second output from the input processing unit and pragya the population uncomfortable effects, the third output from the display unit, the fourth output - input subunit generate control signals, the second output subunit generate random signals connected to the input unit of formation and filing quasielliptic signals, and input to the third output of the subblock generation of control signals.

15. The device according to 14, characterized in that the sub-commit and comparison contains consistently connected schema matching, schema remember, the circuit scale and the comparison circuit, the first input schema matching and the second input of the comparison circuit connected to the output of biocriteria, the second input schema matching and the second circuit input memory connected to the output of the subblock generation of control signals, the second input of the differential scaling is connected to the output subunit analysis, the first output of the comparison circuit is connected to the input of block signals presentation biofeedback, the second output of the comparison circuit is connected to the input of the subunits of analysis.



 

Same patents:

FIELD: medicine, medicinal psychology.

SUBSTANCE: one should test a patient by seven scales: frequency, duration, intensity, sensor perception of pain, emotional attitude towards pain, neurotization level, adaptation capacity level to evaluate the results obtained by the scales mentioned from 0 to 6 points. Moreover, the scales for sensor perception and emotional attitude, the levels of neurotization and adaptation capacity should be evaluated in accordance to the Tables given in description. Additionally, one should, compare the degree of psychogenic constituent of pain according to chromatic choice made by a patient depending upon, at least, three choices of pain intensity: "pain during testing", "no pain", "severe pain" in accordance to the Tables given in description. Then, according to the results of testing one should evaluate the degree of patient's pain feelings both quantitatively and qualitatively. Moreover, by the scale of frequency the appearance of pain should be evaluated from "pain appeared once during several days or rarely" to "constant pain". By the scale of duration pain should be evaluated from "momentary pain" to "constant pain". By the scale of intensity the pain should be evaluated from "very weak pain" to "unbearable pain". By the scale of neurotization level one should take into account basic behavioral factors, such as anxiety, emotional lability, aggression, depression, psychogenia, hypochondria. The present innovation enables to increase significance in evaluating pain achieved due to broadened verbal description of patient's pain feelings.

EFFECT: higher accuracy of evaluation.

5 cl, 4 dwg, 2 ex, 17 tbl

FIELD: medicine, pediatrics.

SUBSTANCE: the present method deals with predicting deviations in psychic disorders in small children to detect initial manifestations of psychic disorders in children aged 1 mo - 3 yr. A child undergoes diagnostic tests to study 5 spheres of psychic activity: sensorics including the studying of vision, hearing, reflector tactile sensitivity and individual tactile sensitivity; emotions; the sphere of gnosis including the studying of attention, expressive and impressive speech, peculiarities of one's thinking; in behavioral sphere one should evaluate biological behavior that includes alimentary behavior and one's skills to be neat, and, also, social behavior that includes the development of "mother-child" system and communication with alien people, moreover, for every age period there are 20 test questions and each task is evaluated by 5 points, then one should determine the coefficient of psychic development (CPD) by the following formula: CPD = Σ (+ n), where Σ (+ n) - the sum of points for all fulfilled age tasks and at CPD being equal to 90 - 110 points one should detect normal psychic development, at CPD being equal to 80 - 89 and 111 points and higher the risk for the development of nervous-psychic pathology is detected and at CPD being equal to 79 points and less one should state nervous-psychic development as affected.

EFFECT: higher quality of diagnostics.

4 ex

FIELD: medicine, neurology.

SUBSTANCE: by the table of quantitative evaluation of affected praxysis and gnosis as the value of cerebral corical disorders and degree of dementia manifestation level one should calculate in points these disorders. Moreover, if total value is above 24 points one should diagnose no disorders, if 20-23 points - light disorders, if 10-19 points - moderate disorders, and if below 9 points - pronounced functional disorders are stated upon.

EFFECT: higher accuracy of diagnostics.

1 ex, 1 tbl

FIELD: medicine.

SUBSTANCE: method involves determining prognostic parameter values like those of lung ventilation function after spoken rational and irrational test texts. Three values are calculated from the obtained data using linear classification functions. They are compared and functional cerebral asymmetry pattern is to be predicted from their values.

EFFECT: high accuracy and reliability of prognosis.

FIELD: medicine.

SUBSTANCE: method involves forming signals as tests requiring solution. The tests are shown with frequency changed proportionally to the frequency they are solved. The number of tests is set to be the same in the cases of recovered and tired state. General amount of time spent for finding solution for given number of tests and the number of tests having right solutions are determined in each state. Mental fatigue degree is evaluated from relative change of mean time needed for finding the right test solution using a relationship like (Tm.r- Tm.t)100%/Tm.t, where Tm.t = Tsum.t/Kr.t, Tm.r = Tsum.r/Kr.r, Tm.t is the time spent for finding the right answer in tired state, Tm.r is the time spent for finding the right answer in recovery state, Tsum.t is the total time spent to solve given number of tests in tired state, Tsum.r is the total time spent to solve given number of tests in recovered state, Kr.t is the number of right answers to the tests in tired state, Kr.r is the number of right answers to the tests in recovered state.

EFFECT: reliable estimation of fatigue degree.

The invention relates to the field of urology and psychiatry and can be used in the treatment of patients undergoing surgery for benign prostatic hyperplasia

The invention relates to medicine, namely to occupational health

The invention relates to psychophysiology and can be used in professional psychological evaluation of operators in various areas of work, as well as in the field of medical psychology and psychiatry to evaluate the emotional stability of patients

The invention relates to medicine, namely psychiatry and psychology, and may find application in psycho and expert surveys of different groups of people
The invention relates to diagnostics of psychophysiological opportunities for students and can be used to identify the individual psycho-physiological abilities of students, as well as for scientific research

FIELD: medicine; medical engineering.

SUBSTANCE: method involves applying electrodes to injured extremity tissue under study. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. Two electrodes are applied to the other extremity. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. An initial point is selected relative to which pairs of electrodes are equidistantly arranged on the extremity. Active and reactive impedance components are measured at the places of electrodes positioning. Viability condition of the injured extremity tissue under study is diagnosed depending on ratio of reactive to active impedance component on injured and intact extremity and difference between reactive impedance component on injured and intact extremity. Device has transducer unit, computer and unit for processing signals having interface units, central subscriber station, autonomous transmission center, commutator which input is connected to transducer unit output and commutator output is connected to central subscriber station input, the first input is connected to autonomous transmission center output.

EFFECT: high accuracy in diagnosing biological object condition.

5 cl, 5 dwg, 4 tbl

FIELD: medicine.

SUBSTANCE: the method deals with measuring geometric body size and electric impedances of patient's hands, body and legs at their probing with low- and high-frequency current due to current and potential electrodes applied onto distal parts of limbs, and, thus, detecting extracellular, cellular and total volumes of liquid in patient's hands, body and legs. While implementing the method one should additionally apply current electrodes onto left-hand and right-hand parts of neck, and potential electrodes - onto distal femoral parts. Body impedance (Zb) should be measured due to successive measuring the impedance of its right-hand Zrb and left-hand Zlb parts at probing current coming between electrodes of similar sides of patient's neck and legs to detect Zb, as Zb = Ѕ x (Zrb + Zlb), impedance of legs Zl should be detected due to measuring femoral impedance Zf and that of shins Zs, as Zl = Zf + Zs. At detecting the volumes of liquid in body and legs one should apply measured values of Zb and Zl, moreover, as geometric body size one should apply the distance against the plane coming through the upper brachial surface up to the middle of radiocarpal articulation in case of patient's hand being along the body.

EFFECT: higher accuracy of detection.

5 dwg, 2 ex, 3 tbl

FIELD: poultry science.

SUBSTANCE: the present innovation deals with visual evaluation in chicken followed by testing them by the value of bioelectric potential. Chickens with bioelectric potential being significantly higher against average values are considered to be stress-resistant ones and those with bioelectric potential being significantly lower against average values in concrete population are concluded to be stress-sensitive ones. The method is very simple in its implementation and efficient for large-scale selection in poultry on stress-resistance.

EFFECT: higher efficiency.

1 cl, 2 dwg, 2 ex, 4 tbl

FIELD: medical engineering.

SUBSTANCE: device has acting upon skin between electrodes with DC potential of given magnitude for producing temporary breakdown. Skin impedance is measured between measuring electrode first negatively polarized relative to control electrode and the control electrode, and then, DC current resistance is measured once more by means of measuring electrode positively polarized relative to the control electrode. Ratio of the obtained values is used for determining internal organ health state, corresponding to skin area.

EFFECT: enhanced accuracy of diagnosis.

11 cl, 14 dwg, 2 tbl

FIELD: medicine; medical engineering.

SUBSTANCE: method involves doing multi-channel recording of electroencephalogram and carrying out functional tests. Recording and storing rheoencephalograms is carried out additionally with multi-channel recording of electroencephalogram synchronously and in real time mode in carotid and vertebral arteries. Electroencephalograms and rheoencephalograms are visualized in single window with single time axis. Functional brain state is evaluated from synchronous changes of electroencephalograms, rheoencephalograms and electrocardiograms in response to functional test. The device has electrode unit 1 for recording bioelectric brain activity signals, electrode unit 2 for recording electric cardiac activity signals, current and potential electrode unit 3 for recording rheosignals, leads commutator 4, current rheosignal oscillator 5, synchronous rheosignal detector 6, multi-channel bioelectric brain activity signals amplifier 7, electrophysiological signal amplifier 8, demultiplexer 9, multi-channel rheosignal amplifier 10, multi-channel analog-to-digital converter 11, micro-computer 12 having galvanically isolated input/output port and personal computer 13 of standard configuration.

EFFECT: enhanced effectiveness of differential diagnosis-making.

11 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: one should measure electric impedance of patient's middle ear. Electrodes should be applied in three localizations: auditory canal, anterior end of lower nasal concha and frontal skin. Electric impedance should be measured at the frequencies of sinusoidal signal being equal to 10, 30, 250 and 1000 Hz, the data obtained should be compared by values of electric impedance in the given area (middle ear) in the group of healthy patients. This method provides the chance to obtain comparative data for diagnostics of middle ear diseases.

EFFECT: higher accuracy of evaluation.

2 ex

FIELD: medicine.

SUBSTANCE: method involves carrying out urological examination for determining hydrodynamic resistance of ureter calculated from formula Z=8Lμ/(πR4), where Z is the hydrodynamic resistance of ureter, L is the ureter length, R is the ureter radius, μ is the urine viscosity. Angle α at which the ureter enters the urinary bladder is determined from formula cosα = 8l1μ/(ZπR4), where l1 is the perpendicular drawn from the upper edge of the ureter to the its exit projection line, μ is the urine viscosity, Z is the hydrodynamic resistance of ureter, R is the ureter radius. Vesicoureteral reflux recidivation is predicted when the angle of α+90° is less than 120°.

EFFECT: enhanced effectiveness in reducing the number of recidivation cases.

2 dwg, 1 tbl

The invention relates to medical equipment, namely to diagnostic devices for measuring impedance in specified parts of the body, and can be used for non-invasive determination of volumes of body fluids

The invention relates to medicine, namely to a gastroenterologist, and can be used for both adults and school-aged children
The invention relates to the field of veterinary medicine

FIELD: medicine.

SUBSTANCE: method involves carrying out urological examination for determining hydrodynamic resistance of ureter calculated from formula Z=8Lμ/(πR4), where Z is the hydrodynamic resistance of ureter, L is the ureter length, R is the ureter radius, μ is the urine viscosity. Angle α at which the ureter enters the urinary bladder is determined from formula cosα = 8l1μ/(ZπR4), where l1 is the perpendicular drawn from the upper edge of the ureter to the its exit projection line, μ is the urine viscosity, Z is the hydrodynamic resistance of ureter, R is the ureter radius. Vesicoureteral reflux recidivation is predicted when the angle of α+90° is less than 120°.

EFFECT: enhanced effectiveness in reducing the number of recidivation cases.

2 dwg, 1 tbl

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