EP3337578A2 - A swallowing exercise apparatus - Google Patents
A swallowing exercise apparatusInfo
- Publication number
- EP3337578A2 EP3337578A2 EP16794087.3A EP16794087A EP3337578A2 EP 3337578 A2 EP3337578 A2 EP 3337578A2 EP 16794087 A EP16794087 A EP 16794087A EP 3337578 A2 EP3337578 A2 EP 3337578A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- exercise apparatus
- pressure
- swallowing
- hyoid bone
- swallowing exercise
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 230000009747 swallowing Effects 0.000 title claims abstract description 56
- 208000019505 Deglutition disease Diseases 0.000 claims abstract description 12
- 210000003296 saliva Anatomy 0.000 claims abstract description 5
- 230000004886 head movement Effects 0.000 claims abstract description 4
- 230000001771 impaired effect Effects 0.000 claims abstract description 4
- 210000003823 hyoid bone Anatomy 0.000 claims description 25
- 210000003205 muscle Anatomy 0.000 claims description 22
- 230000000638 stimulation Effects 0.000 claims description 6
- -1 polyethylene Polymers 0.000 claims description 4
- 230000000994 depressogenic effect Effects 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 229930182556 Polyacetal Natural products 0.000 claims description 2
- 239000004698 Polyethylene Substances 0.000 claims description 2
- 229920003229 poly(methyl methacrylate) Polymers 0.000 claims description 2
- 229920002492 poly(sulfone) Polymers 0.000 claims description 2
- 229920000573 polyethylene Polymers 0.000 claims description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 claims description 2
- 239000005020 polyethylene terephthalate Substances 0.000 claims description 2
- 239000004926 polymethyl methacrylate Substances 0.000 claims description 2
- 229920006324 polyoxymethylene Polymers 0.000 claims description 2
- 229920001343 polytetrafluoroethylene Polymers 0.000 claims description 2
- 239000004810 polytetrafluoroethylene Substances 0.000 claims description 2
- 229920002635 polyurethane Polymers 0.000 claims description 2
- 239000004814 polyurethane Substances 0.000 claims description 2
- 229920002379 silicone rubber Polymers 0.000 claims description 2
- 239000004945 silicone rubber Substances 0.000 claims description 2
- 238000000034 method Methods 0.000 description 8
- 210000003128 head Anatomy 0.000 description 7
- 210000000214 mouth Anatomy 0.000 description 7
- 210000003238 esophagus Anatomy 0.000 description 5
- 235000013305 food Nutrition 0.000 description 5
- 210000000867 larynx Anatomy 0.000 description 5
- 230000011514 reflex Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 210000003800 pharynx Anatomy 0.000 description 4
- 230000007704 transition Effects 0.000 description 4
- 230000009748 deglutition Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 210000002784 stomach Anatomy 0.000 description 3
- 230000001960 triggered effect Effects 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 235000016709 nutrition Nutrition 0.000 description 2
- 230000035764 nutrition Effects 0.000 description 2
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 1
- 241000167880 Hirundinidae Species 0.000 description 1
- 235000013405 beer Nutrition 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- 210000001584 soft palate Anatomy 0.000 description 1
- 210000001942 upper esophageal sphincter Anatomy 0.000 description 1
- 210000001260 vocal cord Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0408—Use-related aspects
- A61N1/0452—Specially adapted for transcutaneous muscle stimulation [TMS]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0292—Stretching or bending or torsioning apparatus for exercising for the spinal column
- A61H1/0296—Neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0472—Structure-related aspects
- A61N1/0476—Array electrodes (including any electrode arrangement with more than one electrode for at least one of the polarities)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0472—Structure-related aspects
- A61N1/0484—Garment electrodes worn by the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36003—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0103—Constructive details inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/10—Characteristics of apparatus not provided for in the preceding codes with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1253—Driving means driven by a human being, e.g. hand driven
- A61H2201/1261—Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1604—Head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/165—Wearable interfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
- A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
Definitions
- the present invention relates to a swallowing (deglutition) exercise apparatus which is used for treating patients with swallowing disorder (dysphagia) or impaired saliva control.
- Nutrition is one of the necessary factors for people to maintain their life. Foods taken in order that nutrition occurs should reach stomach and intestines from oral cavity safely. People swallow approximately 580 times a day. Swallowing process is controlled voluntarily in part. In other words, swallowing process starts and continues by one's own will. However, swallowing also comprises processes developing involuntarily, by reflexes as well. Swallowing usually takes place in 4 different phases. These are oral preparation (preparation in the mouth), oral (mouth), pharynx (pharyngeal) and esophagus (esophageal) phases. In oral preparation phase, food is taken into mouth and turned into bolus. Suction starts in babies. This phase takes longer in bigger children who can chew foods.
- Oral phase starts upon food is turned into bolus and pushed back. Transition time from mouth is 1-1,5 seconds.
- Pharynx phase is a process which takes place fast and by reflexes. This phase occurs upon the soft palate (velum) rises, forward and upward movement of the larynx, closure of some cartilage structures and vocal cords in order that the air way is protected. Transition time of the pharyngeal phase is a second.
- the esophagus phase of swallowing starts. Bolus reaches up to the stomach in the esophagus phase. Transition of the bolus to the stomach takes place symmetrically. Transition time for esophagus varies between 8-20 seconds depending on consistency of bolus.
- the European patent document no. EP1787582 discloses a device and method which enables to measure swallowing movement occurring at the throat for example when a person swallows a drink such as beer.
- the said device essentially consists of a measurement part and an analysis part.
- the measurement part includes a pressure sensor, a small body electrode and a vibration pickup (microphone).
- the said pressure sensor, the body electrode and the vibration pickup are connected to an amplifier.
- the measurement part provides input to personal computer through an analog/digital converter of the analysis part.
- there is a tool for wearing the pressure sensor in order that the pressure sensor can be placed to the neck part.
- the tool for wearing the pressure sensor comprises: a sensor fixture made of a plastic material having a stand for the jaw and a sensor mounting part; an urethane foam which is fixed at the sensor mounting part; and a wearing band which is fixed at the sensor mounting part.
- US2013/0338551 discloses a system for volitional swallowing process with a substitute sensory system.
- the said system comprises a band which is wrapped around the neck such that a vibrator corresponds over the larynx.
- the vibrator moves upon a button on an apparatus hold by an operator is activated and vibrates the larynx.
- the motion received from a piezo-electric sensor contained in the band is displayed on the feedback signal display screen.
- the United States patent document no. US2008/0147141 discloses a method and apparatus for assisting deglutition.
- the said method and apparatus particularly enables to stimulate deglutition musculature in order to reduce effects of dysphagia.
- the inventive system comprises a control unit, a signal generator, an electrode array with at least one electrode, and a power source.
- various equipments of the system are included inside a housing attachable to the body.
- the system is generally adapted to control swallowing muscles.
- An objective of the present invention is to realize a swallowing exercise apparatus which is used treating of patients with swallowing disorder or impaired saliva control.
- Another objective of the present invention is to realize an economic swallowing exercise apparatus which can be manufactured with a low cost.
- a further objective of the present invention is to realize a swallowing exercise apparatus which has a quite simple structure with a non-complex structure.
- a still further objective of the present invention is to realize a swallowing exercise apparatus which enables to increase number of swallow by forcing a patient to swallow depending on his/her head movements.
- Figure 1 is a front view of the inventive swallowing exercise apparatus.
- Figure 2 is a side view of the inventive swallowing exercise apparatus when it is put on the patient's head.
- Figure 3 is a rear view of a different embodiment of the inventive swallowing exercise apparatus.
- Figure 4 is a front view of a different embodiment of the inventive swallowing exercise apparatus.
- the inventive swallowing exercise apparatus (1) essentially comprises:
- At least one holder member (2) which has an elastic structure, and is put on a patient's head;
- the holder member (2) included in the inventive swallowing exercise apparatus (1) preferably has an elastic structure and a length-adjustable tube form.
- the holder member (2) is put on a patient's head and it enables the pressure member (3) to apply pressure to the hyoid bone and the digastric muscle by moving, preferably by stretching, as the patient's head moves due to its elastic structure.
- the pressure member (3) applies pressure to the hyoid bone and the digastric muscle when the holder member (2) stretches due to any reason such as the patient opens his/her mouth or changes position. Swallowing reflex is triggered by the effect created via the said pressure applied by means of the pressure member (3).
- the inventive swallowing exercise apparatus (1) comprises two holder members (2) which are put on a patient's head, two pressure members (3) which are located on each holder member (2) and at least one connecting member (4) which interconnects the holder members (2) in order that the holder members (2) stand together as interconnected.
- the holder members (2) interconnected by means of the connecting member (4) are put on a patient's head such that the pressure members (3) support the hyoid bone and the front surface of the digastric muscle.
- the pressure members (3) included in the inventive swallowing exercise apparatus (1) have a flexible structure and they are connected to an external pneumatic source.
- the pressure members (3) apply pressure to the hyoid bone and the digastric muscle by stretching by means of the air pressure received from the external pneumatic source.
- the pressure member (3) has a cylinder shape standing in a depressed way inwards from its side walls when it does not apply pressure to the hyoid bone and the digastric muscle ( Figure 4).
- the compressed air received from the pneumatic source enables the side walls - which are depressed inwards - to apply pressure to the hyoid bone and the digastric muscle by stretching.
- the electrodes (5) located on the pressure members (3) stimulate the hyoid bone and the digastric muscle by means of the current received from the electric stimulation device ( Figure 3).
- the inventive swallowing exercise apparatus (1) comprises at least one pressure member (3) which has a flexible structure connectible to a pneumatic source and has at least one electrode (5) connectible to the stimulation device by an external power on thereof.
- the inventive swallowing exercise apparatus (1) supports the hyoid bone by means of the pressure members (3) during swallowing and thus facilitates the role of the hyoid bone during swallowing.
- the inventive swallowing exercise apparatus (1 ) continuously forces a person to swallow by means of the pressure applied to the hyoid and superhyoid bones by the pressure members (3) during swallowing.
- the inventive swallowing exercise apparatus (1) increases the number of swallowing.
- the said swallowing exercise apparatus (1 ) also can be used as a good treatment option for treatment of saliva disorders.
- the inventive swallowing exercise apparatus (1) enables upper esophageal sphincter to relax for a longer time by means of the traction realized for laryngeal structures by thereof. It extends the time for airline closing and enables a safer transfer for the food from the pharynx to the esophagus.
Landscapes
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physical Education & Sports Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rehabilitation Therapy (AREA)
- Pain & Pain Management (AREA)
- Epidemiology (AREA)
- Neurology (AREA)
- Rehabilitation Tools (AREA)
Abstract
The present invention relates to a swallowing exercise apparatus (1) which is used for treating patients with swallowing disorder or impaired saliva control. The inventive swallowing exercise apparatus (1) can be manufactured with a low cost and it has a quite simple structure with no complex structure. The said swallowing exercise apparatus (1) increases number of swallow by forcing a patient to swallow depending on his/her head movements.
Description
A SWALLOWING EXERCISE APPARATUS Technical Field
The present invention relates to a swallowing (deglutition) exercise apparatus which is used for treating patients with swallowing disorder (dysphagia) or impaired saliva control.
Background of the Invention
Nutrition is one of the necessary factors for people to maintain their life. Foods taken in order that nutrition occurs should reach stomach and intestines from oral cavity safely. People swallow approximately 580 times a day. Swallowing process is controlled voluntarily in part. In other words, swallowing process starts and continues by one's own will. However, swallowing also comprises processes developing involuntarily, by reflexes as well. Swallowing usually takes place in 4 different phases. These are oral preparation (preparation in the mouth), oral (mouth), pharynx (pharyngeal) and esophagus (esophageal) phases. In oral preparation phase, food is taken into mouth and turned into bolus. Suction starts in babies. This phase takes longer in bigger children who can chew foods. Oral phase starts upon food is turned into bolus and pushed back. Transition time from mouth is 1-1,5 seconds. Pharynx phase is a process which takes place fast and by reflexes. This phase occurs upon the soft palate (velum) rises, forward and upward movement of the larynx, closure of some cartilage structures and vocal cords in order that the air way is protected. Transition time of the pharyngeal phase is a second. Upon the bolus passes through the cricopharyngeal area, the esophagus phase of swallowing starts. Bolus reaches up to the stomach in the esophagus phase. Transition of the bolus to the stomach takes place symmetrically.
Transition time for esophagus varies between 8-20 seconds depending on consistency of bolus.
It is reported that approximately 9.44±0.33 million people apply to clinics because of dysphagia in America. Approximately 37% of applicants are diagnosed with dysphagia.
Today, various devices are used for treatment of swallowing disorders. These help to treat the disorder by triggering swallowing passively or actively. However, costs of the said devices are high due to the fact that the currently used devices have complex structures and a large number of electronic instruments.
The European patent document no. EP1787582 discloses a device and method which enables to measure swallowing movement occurring at the throat for example when a person swallows a drink such as beer. The said device essentially consists of a measurement part and an analysis part. The measurement part includes a pressure sensor, a small body electrode and a vibration pickup (microphone). The said pressure sensor, the body electrode and the vibration pickup are connected to an amplifier. The measurement part provides input to personal computer through an analog/digital converter of the analysis part. In the said invention, there is a tool for wearing the pressure sensor in order that the pressure sensor can be placed to the neck part. The tool for wearing the pressure sensor comprises: a sensor fixture made of a plastic material having a stand for the jaw and a sensor mounting part; an urethane foam which is fixed at the sensor mounting part; and a wearing band which is fixed at the sensor mounting part.
The United States patent document no. US2013/0338551 discloses a system for volitional swallowing process with a substitute sensory system. The said system comprises a band which is wrapped around the neck such that a vibrator corresponds over the larynx. The vibrator moves upon a button on an apparatus hold by an operator is activated and vibrates the larynx. The motion received from
a piezo-electric sensor contained in the band is displayed on the feedback signal display screen.
The United States patent document no. US2008/0147141 discloses a method and apparatus for assisting deglutition. The said method and apparatus particularly enables to stimulate deglutition musculature in order to reduce effects of dysphagia. The inventive system comprises a control unit, a signal generator, an electrode array with at least one electrode, and a power source. In some embodiments, various equipments of the system are included inside a housing attachable to the body. The system is generally adapted to control swallowing muscles.
Summary of the Invention An objective of the present invention is to realize a swallowing exercise apparatus which is used treating of patients with swallowing disorder or impaired saliva control.
Another objective of the present invention is to realize an economic swallowing exercise apparatus which can be manufactured with a low cost.
A further objective of the present invention is to realize a swallowing exercise apparatus which has a quite simple structure with a non-complex structure. A still further objective of the present invention is to realize a swallowing exercise apparatus which enables to increase number of swallow by forcing a patient to swallow depending on his/her head movements.
Detailed Description of the Invention
"A Swallowing Exercise Apparatus" realized to fulfil the objectives of the present invention is shown in the figures attached, in which:
Figure 1 is a front view of the inventive swallowing exercise apparatus.
Figure 2 is a side view of the inventive swallowing exercise apparatus when it is put on the patient's head.
Figure 3 is a rear view of a different embodiment of the inventive swallowing exercise apparatus.
Figure 4 is a front view of a different embodiment of the inventive swallowing exercise apparatus.
The components illustrated in the figures are individually numbered, where the numbers refer to the following: 1. Swallowing exercise apparatus
2. Holder member
3. Pressure member
4. Connecting member
5. Electrode
The inventive swallowing exercise apparatus (1) essentially comprises:
at least one holder member (2) which has an elastic structure, and is put on a patient's head;
at least one pressure member (3) which is placed onto the hyoid bone and the holder member (2) such that it will support the front surface of the digastric muscle, and enables to apply pressure to the hyoid bone and the digastric muscle depending on the movement of the holder member (2) based upon its elastic structure as a result of the head's movement. The holder member (2) included in the inventive swallowing exercise apparatus (1) preferably has an elastic structure and a length-adjustable tube form. The
holder member (2) is put on a patient's head and it enables the pressure member (3) to apply pressure to the hyoid bone and the digastric muscle by moving, preferably by stretching, as the patient's head moves due to its elastic structure. The pressure member (3) included in the inventive swallowing exercise apparatus
(1) is made of a material which has biocompatibility such as polyethylene, polyurethane, polytetrafluoroethylene, polyacetal, polymethylmethacrylate, polyethyleneterephthalate, silicone rubber, polysulfone and thus does not disturb user and has a tube form with a dimension preferably shorter than the holder member (2) and is placed onto the hyoid bone and the holder member (2) such that it will support the front surface of the digastric muscle. The pressure member (3) applies pressure to the hyoid bone and the digastric muscle when the holder member (2) stretches due to any reason such as the patient opens his/her mouth or changes position. Swallowing reflex is triggered by the effect created via the said pressure applied by means of the pressure member (3). The tension created by the said pressure member (3) also creates upward pressure onto the hyoid bone and this pressure increases the movement of the larynx moving upward by supporting it. In a preferred embodiment of the invention, the inventive swallowing exercise apparatus (1) comprises two holder members (2) which are put on a patient's head, two pressure members (3) which are located on each holder member (2) and at least one connecting member (4) which interconnects the holder members (2) in order that the holder members (2) stand together as interconnected. In this embodiment of the invention, the holder members (2) interconnected by means of the connecting member (4) are put on a patient's head such that the pressure members (3) support the hyoid bone and the front surface of the digastric muscle. When the patient opens his/her mouth or moves his/her head, the holder members
(2) enable the pressure members (3) to apply pressure to the hyoid bone and the digastric muscle by stretching upon this movement. Swallowing reflex is triggered by the effect created via the said pressure applied by means of the pressure
member (3). Swallowing reflex is triggered by the effect created via the said pressure applied by means of the pressure member (3). The tension created by the said pressure member (3) also creates upward pressure onto the hyoid bone and this pressure increases the movement of the larynx moving upward by supporting it.
In one embodiment of the invention, the pressure members (3) included in the inventive swallowing exercise apparatus (1) have a flexible structure and they are connected to an external pneumatic source. In this embodiment of the invention, the pressure members (3) apply pressure to the hyoid bone and the digastric muscle by stretching by means of the air pressure received from the external pneumatic source. In a particular derivative of this embodiment of the invention, the pressure member (3) has a cylinder shape standing in a depressed way inwards from its side walls when it does not apply pressure to the hyoid bone and the digastric muscle (Figure 4). When the pressure member (3) is connected to the pneumatic source, the compressed air received from the pneumatic source enables the side walls - which are depressed inwards - to apply pressure to the hyoid bone and the digastric muscle by stretching. In an alternative embodiment of the invention, there is at least one electrode (5) which can be connected to an external electric stimulation device on the pressure members (3) of the inventive swallowing exercise apparatus (1 ). In this described embodiment of the invention, the electrodes (5) located on the pressure members (3) stimulate the hyoid bone and the digastric muscle by means of the current received from the electric stimulation device (Figure 3).
In one derivative of an alternative embodiment of the invention, there is at least one vibration member on the pressure members (3). In this described embodiment of the invention, the vibration members (5) located on the pressure members (3) stimulate the hyoid bone and the digastric muscle by means of the vibrations created by them.
In one derivative of an alternative embodiment of the invention the inventive swallowing exercise apparatus (1) comprises at least one pressure member (3) which has a flexible structure connectible to a pneumatic source and has at least one electrode (5) connectible to the stimulation device by an external power on thereof.
The inventive swallowing exercise apparatus (1) supports the hyoid bone by means of the pressure members (3) during swallowing and thus facilitates the role of the hyoid bone during swallowing.
The inventive swallowing exercise apparatus (1 ) continuously forces a person to swallow by means of the pressure applied to the hyoid and superhyoid bones by the pressure members (3) during swallowing.
The inventive swallowing exercise apparatus (1) increases the number of swallowing. The said swallowing exercise apparatus (1 ) also can be used as a good treatment option for treatment of saliva disorders. The inventive swallowing exercise apparatus (1) enables upper esophageal sphincter to relax for a longer time by means of the traction realized for laryngeal structures by thereof. It extends the time for airline closing and enables a safer transfer for the food from the pharynx to the esophagus. Within these basic concepts, it is possible to develop a great variety of embodiments of the inventive "Swallowing Exercise Apparatus (1)"; it cannot be limited to the examples disclosed herein and it is essentially according to the claims.
Claims
A swallowing exercise apparatus (1) which is used for treating patients with swallowing disorder or impaired saliva control and characterized by:
at least one holder member (2) which has an elastic structure, and is put on a patient's head;
at least one pressure member (3) which is placed onto the hyoid bone and the holder member (2) such that it will support the front surface of the digastric muscle, and enables to apply pressure to the hyoid bone and the digastric muscle depending on the movement of the holder member (2) based upon its elastic structure as a result of the head's movement
A swallowing exercise apparatus (1) according to Claim 1 , characterized by the holder member (2) which has an elastic structure and a length- adjustable tube form.
A swallowing exercise apparatus (1) according to Claim 1 , characterized by the holder member (2) which is put on a patient's head and enables the pressure member (3) to apply pressure to the hyoid bone and the digastric muscle by moving, preferably by stretching, as the patient's head moves due to its elastic structure.
A swallowing exercise apparatus (1) according to Claim 1 , characterized by the pressure member (3) which is made of a material that has biocompatibility such as polyethylene, polyurethane, polytetrafluoroethylene, polyacetal, polymethylmethacrylate, polyethyleneterephthalate, silicone rubber, polysulfone and has a tube form with a dimension preferably shorter than the holder member (2) and is placed onto the hyoid bone and the holder member (2) such that it will support the front surface of the digastric muscle.
5. A swallowing exercise apparatus (1) according to Claim 1 , characterized by the pressure member (3) which applies pressure to the hyoid bone and the digastric muscle when the holder member (2) stretches due to any reason such as the patient opens his/her mouth or changes position.
6. A swallowing exercise apparatus (1 ) according to Claim 1 , characterized by two holder members (2) which are put on a patient's head, two pressure members (3) which are located on each holder member (2) and at least one connecting member (4) which interconnects the holder members (2) in order that the holder members (2) stand together as interconnected.
7. A swallowing exercise apparatus (1) according to Claim 1, characterized by the pressure member (3) which has a flexible structure and applies pressure to the hyoid bone and the digastric muscle by stretching by means of the air pressure received from the external pneumatic source upon being connected to an external pneumatic source.
8. A swallowing exercise apparatus (1) according to Claim 7, characterized by the pressure member (3) which has a cylinder shape standing in a depressed way inwards from its side walls when it does not apply pressure to the hyoid bone and the digastric muscle.
9. A swallowing exercise apparatus (1) according to Claim 1 , characterized by the pressure member (3) which can be connected to an external electric stimulation device on thereof and enables to stimulate the hyoid bone and the digastric muscle by means of the current received from the electric stimulation device.
10. A swallowing exercise apparatus (1) according to Claim 1 , characterized by the pressure member (3) on which there is at least one vibration
member enabling to stimulate the hyoid bone and the digastric muscle by means of the vibrations created by it.
11. A swallowing exercise apparatus (1) according to Claim 1 , characterized by at least one pressure member (3) which has a flexible structure connectible to a pneumatic source and has at least one electrode (5) connectible to the stimulation device by an external power on thereof.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
TR201510267 | 2015-08-19 | ||
PCT/TR2016/000114 WO2017030514A2 (en) | 2015-08-19 | 2016-08-17 | A swallowing exercise apparatus |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3337578A2 true EP3337578A2 (en) | 2018-06-27 |
Family
ID=57256397
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP16794087.3A Withdrawn EP3337578A2 (en) | 2015-08-19 | 2016-08-17 | A swallowing exercise apparatus |
Country Status (2)
Country | Link |
---|---|
EP (1) | EP3337578A2 (en) |
WO (1) | WO2017030514A2 (en) |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5507718A (en) * | 1994-11-10 | 1996-04-16 | Kabat; Herman | Method and apparatus for applying neck traction |
US6248043B1 (en) * | 1995-05-19 | 2001-06-19 | B. J. Morton | Facial exercise device with adjustment for variable resistance |
CA2464043A1 (en) * | 2004-04-08 | 2005-10-08 | Anita Lorelli | Facial exercise device and method |
JP4727253B2 (en) | 2004-08-05 | 2011-07-20 | サッポロビール株式会社 | Continuous swallowing motion measuring device and continuous swallowing motion measuring method |
US8449445B2 (en) | 2006-03-30 | 2013-05-28 | The United States Of America, As Represented By The Secretary, Department Of Health And Human Services | Device for volitional swallowing with a substitute sensory system |
US7890178B2 (en) | 2006-12-15 | 2011-02-15 | Medtronic Xomed, Inc. | Method and apparatus for assisting deglutition |
US7885713B2 (en) * | 2007-07-11 | 2011-02-08 | Ampcare, Llc | Method and apparatus for laryngeal elevator musculature rehabilitation |
US20140276270A1 (en) * | 2013-03-13 | 2014-09-18 | Passy-Muir, Inc. | Systems and methods for stimulating swallowing |
-
2016
- 2016-08-17 WO PCT/TR2016/000114 patent/WO2017030514A2/en unknown
- 2016-08-17 EP EP16794087.3A patent/EP3337578A2/en not_active Withdrawn
Also Published As
Publication number | Publication date |
---|---|
WO2017030514A2 (en) | 2017-02-23 |
WO2017030514A3 (en) | 2017-03-23 |
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