EP3337578A2 - Appareil d'exercice pour la déglutition - Google Patents

Appareil d'exercice pour la déglutition

Info

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Withdrawn
Application number
EP16794087.3A
Other languages
German (de)
English (en)
Inventor
Demir NUMAN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP3337578A2 publication Critical patent/EP3337578A2/fr
Withdrawn legal-status Critical Current

Links

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

La présente invention concerne un appareil d'exercice pour la déglutition (1) qui est utilisé pour traiter des patients atteints d'un trouble de la déglutition ou d'une altération de la régulation de la salive. L'appareil d'exercice pour la déglutition (1) selon l'invention peut être fabriqué avec un faible coût et il présente une structure très simple ne comportant pas de structure complexe. Ledit appareil d'exercice pour la déglutition (1) augmente le nombre de déglutitions en forçant un patient à déglutir en fonction de ses mouvements de tête.
EP16794087.3A 2015-08-19 2016-08-17 Appareil d'exercice pour la déglutition Withdrawn EP3337578A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR201510267 2015-08-19
PCT/TR2016/000114 WO2017030514A2 (fr) 2015-08-19 2016-08-17 Appareil d'exercice pour la déglutition

Publications (1)

Publication Number Publication Date
EP3337578A2 true EP3337578A2 (fr) 2018-06-27

Family

ID=57256397

Family Applications (1)

Application Number Title Priority Date Filing Date
EP16794087.3A Withdrawn EP3337578A2 (fr) 2015-08-19 2016-08-17 Appareil d'exercice pour la déglutition

Country Status (2)

Country Link
EP (1) EP3337578A2 (fr)
WO (1) WO2017030514A2 (fr)

Family Cites Families (8)

* Cited by examiner, † Cited by third party
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 (fr) * 2004-04-08 2005-10-08 Anita Lorelli Dispositif et methode d'exercice du visage
JP4727253B2 (ja) * 2004-08-05 2011-07-20 サッポロビール株式会社 連続嚥下運動測定装置及び連続嚥下運動測定方法
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

Also Published As

Publication number Publication date
WO2017030514A2 (fr) 2017-02-23
WO2017030514A3 (fr) 2017-03-23

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