Method and device for applying electromusical treatment

FIELD: medicine.

SUBSTANCE: method involves concurrently acting upon patient auditory system with acoustic signal produced by a musical composition selected on basis of patient health state and electric signals of the same musical composition acting upon patient skin. The electric signals amplitude-modulated with depth of 15-85%, act upon the patient via adhesive skin electrodes during 15-40 min. Hearing-add device is subjected to acoustic signals amplitude-modulated with depth of 15% and higher. Amplitude-modulation frequency is selected within the limits of 1.2-9.8 Hz. Modulation is carried out with frequency corresponding to patient disease frequency and action power is chosen on basis of subjective patient sensations. Device has unit for performing musical composition, the first and the second power amplifier, matching unit, adhesive electrodes and electroacoustic converter as well as electrostimulation modulator, acoustic modulator, the first and the second modulation depth regulator, the first and the second power control unit. Musical signal reproduction output unit is connected to the first inputs of electrostimulation modulator and acoustic modulator, which second inputs are connected to input of introduced controllable modulation frequency oscillator and modulation depth regulators are connected to their third inputs. Electrostimulation modulator output is connected to adhesive electrodes via the first power amplifier and matching unit. Sound modulator is connected to the electroacoustic converter via the second power amplifier. The first and the second power regulator are connected to the second inputs of the first and the second power amplifier. Unit for recording sessions is additionally introduced for replicating therapeutic sessions, its first input being connected to the electrostimulation modulator and the second one to the sound modulator output.

EFFECT: enhanced effectiveness of treatment.

4 cl, 1 dwg

 

The invention relates to medicine, namely to physiotherapy and psychotherapy.

The closest analogue of the developed method is a method of strengthening the musculoskeletal functions of the smooth and skeletal muscles (RF patent No. 2088274), in which the patient is simultaneously affected by the audio signal of the musical work and its corresponding electric signal, and the amplitude of the signal is adjusted in accordance with the subjective sensations.

The method has the following disadvantages. The effect is musical signals without single nosological direction that reduces the impact on the patient, but also narrows the range of applications of the method.

A device to enhance motor functions smooth and skeletal muscles (patent RU 2088274)containing block sound, electro-acoustic transducer, transformer and stimulating electrodes. In the device reproduced audio signals are simultaneously stimulating electrodes fixed on the body, and on hearing person via electro-acoustic transducer, for example, through headphones. The intensity of the impact is chosen according to the patient's feelings.

The device has the following disadvantages. Adjust the intensity is Yunosti exposure is performed jointly for submission to the stimulating electrodes and headphones, while different people will have different ratio of sensitivity of cutaneous receptors and hearing acuity. This will result in restrictions intensity is more sensitive to the perception of a particular person and reduce efficiency. For example, if good hearing the volume will be set to the minimum, with physiotherapeutic effect may be insufficient. In addition, the use of the transformer will cause distortion (suppression) transmission of low frequency signals, the most important for the cardiovascular system.

The task of the invention is to increase the efficiency of therapeutic effects and simultaneously expanding list of indications for use.

The problem is solved by developing a new method of musical therapeutic effects and device for its implementation.

The developed method is based on the fact that hearing aid patient affect the audio signal of the musical work and at the same time a corresponding electric signal to the skin of the patient through the electrodes carry the influence of electro-stimulation voltage. Previously taking into account the initial condition of the patient carry out a selection of music, the signals changing musical works are modeled on the amplitude of the signal is Alami with frequency, corresponding to the patient's disease, and sound effects are modulated with depth 15-85%, for exposure to electro-stimulation voltage is not more than 15%, and the exposure is carried out for 15-40 minutes.

For modulation of musical works using a number of signals with different frequencies corresponding to the patient's disease, the modulation carried out sequentially the signal of each frequency within 4 minutes

It is known that the impact on the patient, the music signal is used as the electro-stimulation through cutaneous electrodes makes it possible to reduce the effect of adaptation (habituation) receptor apparatus, compared with electrical stimulation sinusoidal modulated signals, and means to support the apparatus in an active state during the entire procedure. Introduction amplitude modulation affecting the music signal with a frequency corresponding to a certain nosology based on the method of Voll (see Samokhin A.V., gotovskii J.V. Electro Diagnostica according to the method of R. Voll. M: IMEDIS, 1993), also allows us to give focus on a specific therapeutic effect of electro-stimulation effect and at the same time to expand the list of indications. The modulation depth in the range 15-85% selected from the views of, on the one hand, a sufficient effect of the modulating signal on the composition of the spectrum of music, on the other hand, preservation of the musical nature of the original signal.

Concomitant stimulation of simultaneous exposure of humans acoustic musical signal can further enhance therapeutic effect due to the involvement of the emotional factor. Through selection of music according to the original condition of the patient (depressive or, on the contrary, excited) can significantly enhance the efficiency of complex effects. Selection of music, alternating throughout the procedure (15-40 minutes) in a certain sequence, allows, on the one hand, to vary the course of treatment, and on the other hand, is to give it a definite direction and comfort during procedures. For example, depressed patients first reproduced calm tones with brightly pronounced rhythm, in the course of the session they increasingly active compositions with distinct rhythmic structure.

Modulating signal of a musical work with a frequency corresponding to a certain nosology, further exacerbating nosological orientation procedures specified electro-stimulation impact of the m Depth of modulation shall not exceed 15%, since for large values of the modulation can distort sound pattern works.

To implement the developed method is proposed a device for musical treatment containing block playback of a musical signal, the first and second amplifiers, the first and second power regulators, the matching device, adhesive electrodes and electro-acoustic transducer. To implement the developed method electronic therapeutic effects in the device additionally introduced modulator electro-stimulation modulator sound, the first and second controls the depth of modulation, and the first and second power regulators. The output of the music signal is connected to the first inputs of the modulator electrical and modulator sound, the second input of which is energized from the output of the generator nosological frequencies, and by their third inputs connected controls the depth of modulation. The output of the modulator is electrical connected via the first power amplifier and the matching device to the adhesive electrodes. The output of the modulator audio is connected through a second amplifier for electro-acoustic Converter. To the second inputs of the first and second amplifiers connected COO is responsible first and second power regulators. In order to expand the applications of the developed method and device while simplifying procedures have been added to the unit recording session. The latter is used for recording on various media (magnetic, as well as on CD-ROMs) proven nosological sessions. To use this pre-recorded session just install the media recording unit of a music signal and play it with the provisions of the first and second controls the depth of modulation corresponding to zero modulation.

The drawing shows a diagram of the device. 1 - unit play the music signal; 2 - generator nosological frequencies; 3 - modulator electrical stimulation; 4 - modulator sound; 5, 6 - amplifiers; 7 - matching device; 8, 9 - controls the depth of modulation; 10, 11 - the power regulators; 12 - electroacoustic transducer; 13, 14 - adhesive electrodes; 15 - unit recording session.

Examples of the method electrophonic effects shown in the groups of patients with impaired mobility of the spine (lumbalgia, osteochondrosis):

Example 1.

The test group patients (7 men) with osteochondrosis of the cervical spine. Electro-stimulation adhesive electrodes applied on FR the opposite sides of the neck over the shoulders, as electroacoustic transducer was used headphones. For patients within 20 minutes was affected by electro-stimulation voltage amplitude modulated signals changing musical works through the skin adhesive electrodes with a modulation depth of 45% and simultaneously worked on the hearing aid patient signals of the same musical works, amplitude modulated with a modulation depth of 10%. In the first 8 minutes, used the work of Rachmaninoff's "Vocalise"and then within 12 minutes - work Bellina "country-style". Modulation was performed with frequencies 1,7; 2,5; 4,0; 8,0; 9,8 Hz for 4 minutes each frequency.

Treatment effectiveness was apparent after conducting a 4 to 6 sessions. Pain completely disappeared, normalized total psycho-emotional state of the patients.

Example 2.

A test group of patients with BPH (9 people) for 30 minutes was affected by electro-stimulation voltage amplitude modulated signals changing musical works through the skin adhesive electrodes with a modulation depth of 65% and simultaneously affect hearing aid patient signals of the same musical works, amplitude modulated with a modulation depth of about 15%. The electro-stimulation hell is ezinye electrodes were applied: one on the back projection of the coccyx, the second front in the projection of the pubic bone, as electroacoustic transducer was used headphones. As pieces of music were used consistently "moonlight Sonata", "Vocalise", music from the movie "love Story", "fur Elise", "Yesterday" and "Bridge over the turbulent waters". The modulation is carried out by frequency 1,2; 2,5; 3,9; 8,0; 9,2; 9,6 Hz for 5 minutes each frequency.

Treatment effectiveness was apparent after conducting 5-7 sessions. Disappeared or significantly decreased symptoms, improved mood, sleep, appetite.

1. The way musical therapeutic effects, including simultaneous impact on hearing aid patient audio signal of a musical work, selected in accordance with the condition of the patient, and the electrical signals of the same music on the skin, with the patient through a skin adhesive electrodes within 15-40 minutes to effect electrical signals, amplitude modulated with a modulation depth of 15-85%, and the hearing aid act of signals, amplitude modulated with a modulation depth of not more than 15%, and the frequency of the amplitude modulation is chosen as 1.2 and 9.8 Hz.

2. The method according to claim 1, characterized in that the modulation is carried out with a frequency corresponding to the disease, and powerfully the TB exposure selected by the subjective feelings of the patient.

3. Device for therapeutic effects both sound and electric current containing block playback of a musical signal, the first and second amplifiers, the first and second power regulators, the matching device, adhesive electrodes and electro-acoustic transducer, characterized in that the device additionally introduced modulator electro-stimulation modulator sound, the first and second controls the depth of modulation, and the first and second power regulators, the output of block play music signal is connected to the first inputs of the modulator electrical and modulator sound, the second inputs of which are connected with the output entered controlled oscillator modulation frequency, and to a third input connected controllers the depth of modulation, the modulator output electrical connected via the first power amplifier and the matching device to the adhesive electrodes, the output of the modulator audio is connected through a second amplifier for electro-acoustic transducer and to the second inputs of the first and second amplifiers are connected, respectively, first and second power regulators.

4. The device according to claim 3, characterized in that for replication sessions have been added to the unit recording session, the first input of which is connected to the output of the module is the Torah of electrical stimulation, and a second input connected to the output of the modulator sound.



 

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