CN111973874A - Photoelectric combined stimulation device and method - Google Patents
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Abstract
本发明公开了一种光电组合刺激装置及方法,针对脊髓损伤导致的运动功能丧失或部分丧失的病人,采用多传感融合的光电组合刺激方式,利用多通道电极同时采集大脑和脊髓不同运动状态下的运动意图信号。对比探讨不同运动状态下脑电信号和脊髓电信号差异,通过信号融合与预处理,实现不用运动意图信号的高信噪比精确采集,最终转化为高精度的下发命令信号,并利用亚阈值电刺激和光刺激的神经选择性,实现目标神经的靶向刺激激活。
The invention discloses an optoelectronic combined stimulation device and method. For patients with motor function loss or partial loss caused by spinal cord injury, a multi-sensor fusion optoelectronic combined stimulation method is adopted, and multi-channel electrodes are used to simultaneously collect different movement states of the brain and spinal cord. motion intent signal. Compare and explore the differences between EEG and spinal cord signals under different motion states. Through signal fusion and preprocessing, high signal-to-noise ratio and precise acquisition without motion intention signals are realized, and finally converted into high-precision command signals, and the sub-threshold value is used. Neural selectivity of electrical and optical stimulation to achieve targeted stimulation activation of target nerves.
Description
技术领域technical field
本发明涉及医疗设备技术领域,更具体的说是涉及一种光电组合刺激装置及方法。The invention relates to the technical field of medical equipment, and more particularly to a photoelectric combined stimulation device and method.
背景技术Background technique
脊髓损伤是常见的一种严重致残性疾病,可直接造成病人的运动、感觉和括约肌功能障碍,严重影响病人生存生活,损伤严重者甚至导致死亡。脊髓损伤不仅给病人带来灾难性后果,而且将会给家庭、社会甚至国家带来沉重的负担。其中,由脊髓损伤造成的运动功能丧失会严重影响病人生活,致使生活不能自理,严重影响病人心理健康状况,甚至会影响生命。Spinal cord injury is a common and serious disabling disease, which can directly cause the patient's motor, sensory and sphincter dysfunction, seriously affect the patient's life, and even lead to death in severe cases. Spinal cord injury not only brings catastrophic consequences to the patient, but also brings a heavy burden to the family, society and even the country. Among them, the loss of motor function caused by spinal cord injury will seriously affect the patient's life, resulting in the inability to take care of themselves, seriously affecting the patient's mental health, and even life.
目前脊髓损伤修复及功能重塑技术主要包括手术治疗、药物治疗、干细胞移植等,但由于脊髓损伤的临床情况复杂,其修复及功能重塑效果并不理想。近年来,基于脑/神经接口技术的脊髓电刺激功能修复技术已成为国内外脊髓损伤修复领域内的研究热点。但单纯的电刺激技术存在以下缺点:1)现存的神经接口技术信号提取时信噪比较低,不能精确采集运动意图信号。造成刺激命令下发不明确。2)中枢神经提取的运动意图信号不能分辨出动作大小、快慢等运动状态,不利于发出精确地命令信号。3)由于电流在体内的流动,刺激位置只能是一个区域,造成神经刺激选择性很低,不能靶向刺激目标神经。At present, spinal cord injury repair and functional remodeling technologies mainly include surgical treatment, drug therapy, stem cell transplantation, etc. However, due to the complex clinical situation of spinal cord injury, the repair and functional remodeling effects are not ideal. In recent years, the functional repair technology of spinal cord electrical stimulation based on brain/nerve interface technology has become a research hotspot in the field of spinal cord injury repair at home and abroad. However, the simple electrical stimulation technology has the following shortcomings: 1) The signal-to-noise ratio of the existing neural interface technology is low when the signal is extracted, and the motion intention signal cannot be accurately collected. Causes the issuance of stimulus orders to be unclear. 2) The motion intention signal extracted by the central nervous system cannot distinguish the motion state such as the size and speed of the action, which is not conducive to issuing precise command signals. 3) Due to the flow of current in the body, the stimulation location can only be one area, resulting in very low selectivity of nerve stimulation, which cannot target and stimulate the target nerve.
因此,如何实现高精度的下发命令信号,靶向刺激激活目标神经实现脊髓损伤修复是本领域技术人员亟需解决的问题。Therefore, how to issue command signals with high precision and activate target nerves through targeted stimulation to achieve spinal cord injury repair is an urgent problem for those skilled in the art.
发明内容SUMMARY OF THE INVENTION
有鉴于此,本发明提供了一种光电组合刺激装置及方法,针对脊髓损伤导致的运动功能丧失或部分丧失的病人,采用多传感融合的光电组合刺激方式,利用多通道电极同时采集大脑和脊髓不同运动状态下的运动意图信号。对比探讨不同运动状态下脑电信号和脊髓电信号差异,通过信号融合与预处理,实现不用运动意图信号的高信噪比精确采集,最终转化为高精度的下发命令信号,并利用亚阈值电刺激和光刺激的神经选择性,实现目标神经的靶向刺激激活。In view of this, the present invention provides an optoelectronic combined stimulation device and method. For patients with loss or partial loss of motor function caused by spinal cord injury, a multi-sensor fusion optoelectronic combined stimulation method is used, and multi-channel electrodes are used to simultaneously collect the brain and brain cells. Motor intent signals in different motor states of the spinal cord. Compare and explore the differences between EEG and spinal cord signals under different motion states. Through signal fusion and preprocessing, high signal-to-noise ratio and precise acquisition without motion intention signals are realized, and finally converted into high-precision command signals, and the sub-threshold value is used. Neural selectivity of electrical and optical stimulation to achieve targeted stimulation activation of target nerves.
为了实现上述目的,本发明采用如下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
一种光电组合刺激装置,包括脑电电极模块、处理器集成装置、脉冲发生器、光电组合刺激电极和电源;所述脑电电极模块无线连接所述处理器集成装置;所述处理器集成装置导线连接所述脉冲发生器;所述脉冲发生器通过导线和耦合光纤连接所述光电组合刺激电极;所述电源连接所述脑电电极模块和所述处理器集成装置。An optoelectronic combined stimulation device, comprising an EEG electrode module, a processor integrated device, a pulse generator, an optoelectronic combined stimulation electrode and a power supply; the EEG electrode module is wirelessly connected to the processor integrated device; the processor integrated device A lead is connected to the pulse generator; the pulse generator is connected to the optoelectronic combined stimulation electrode through a lead and a coupling optical fiber; the power source is connected to the EEG electrode module and the processor integrated device.
优选的,所述脑电电极模块包括依次连接的大脑电极、调理放大电路和天线,以及无线供电模块;所述调理放大电路和所述天线连接所述无线供电模块,所述无线供电模块无线连接所述电源,通过所述电源进行无线供电;所述大脑电极采集脑电信号。Preferably, the EEG electrode module includes a brain electrode, a conditioning and amplifying circuit, an antenna, and a wireless power supply module connected in sequence; the conditioning and amplifying circuit and the antenna are connected to the wireless power supply module, and the wireless power supply module is wirelessly connected The power supply is wirelessly powered by the power supply; the brain electrodes collect EEG signals.
优选的,所述处理器集成装置包括集成设置的脊髓电极模块、处理器、信号接收装置、电刺激编程器和所述无线供电模块;所述脊髓电极模块包括脊髓电极和调理放大电路,所述脊髓电极采集脊髓电信号,并电连接所述调理放大电路,所述脊髓电信号经过所述调理放大电路传输至所述处理器;所述处理器集成装置的所述无线供电模块连接所述信号接收装置、所述处理器和所述电刺激编程器;所述电源无线连接所述处理器集成装置的所述无线供电模块,实现无线供电;所述信号接收装置和所述电刺激编程器连接所述处理器;所述电刺激编程器连接所述脉冲发生器;所述信号接收装置无线连接所述天线。Preferably, the processor integrated device includes an integrated spinal cord electrode module, a processor, a signal receiving device, an electrical stimulation programmer and the wireless power supply module; the spinal cord electrode module includes a spinal cord electrode and a conditioning and amplifying circuit, and the The spinal cord electrode collects spinal cord electrical signals and is electrically connected to the conditioning and amplifying circuit, and the spinal cord electrical signals are transmitted to the processor through the conditioning and amplifying circuit; the wireless power supply module of the processor integrated device is connected to the signal a receiving device, the processor and the electrical stimulation programmer; the power supply is wirelessly connected to the wireless power supply module of the processor integrated device to realize wireless power supply; the signal receiving device is connected to the electrical stimulation programmer the processor; the electrical stimulation programmer is connected to the pulse generator; the signal receiving device is wirelessly connected to the antenna.
优选的,所述处理器设置有串口和蓝牙模块,通过所述串口或所述蓝牙模块与上位机连接通讯。可以实现通过上位机设置处理器集成装置中处理器的参数,实现光电组合刺激装置的调整。Preferably, the processor is provided with a serial port and a Bluetooth module, and communicates with the host computer through the serial port or the Bluetooth module. The parameters of the processor in the processor integrated device can be set by the host computer, and the adjustment of the photoelectric combined stimulation device can be realized.
优选的,所述光电组合刺激电极采用亚阈值电刺激的方式;所述光电组合刺激电极用于靶向刺激脊髓运动神经。Preferably, the optoelectronic combined stimulation electrode adopts a subthreshold electrical stimulation method; the optoelectronic combined stimulation electrode is used for targeted stimulation of spinal cord motor nerves.
优选的,所述光电组合刺激电极采用多通道阵列电极,采用柔性聚合物材料为基底,在所述基底上分布附着若干通道电极触点;所述电极触点由光纤触头和电极片组成,每一个所述电极片对应脊髓的不同区域;每个所述电极触点都具有通道,每个所述通道具有耦合光纤和导线,每根所述耦合光纤对应连接一个所述光纤触头,每根所述导线对应连接一个所述电极片,所有所述耦合光纤和所述导线汇总到所述多通道阵列电极的一端由总线导出。Preferably, the optoelectronic combined stimulation electrode adopts a multi-channel array electrode, adopts a flexible polymer material as a substrate, and distributes and attaches several channel electrode contacts on the substrate; the electrode contacts are composed of optical fiber contacts and electrode sheets, Each of the electrode pads corresponds to a different area of the spinal cord; each of the electrode contacts has a channel, each of the channels has a coupling optical fiber and a wire, each of the coupling optical fibers is correspondingly connected to one of the optical fiber contacts, and each One of the wires is correspondingly connected to one of the electrode sheets, and all the coupling optical fibers and the wires are aggregated to one end of the multi-channel array electrode and are derived from the bus.
优选的,所述调理放大电路接收电信号,对电信号的处理包括依次进行前置放大、高/低通滤波、50HZ陷波、后置方法和电平抬升。Preferably, the conditioning and amplifying circuit receives the electrical signal, and the processing of the electrical signal includes sequentially performing pre-amplification, high/low pass filtering, 50 Hz notch, post-processing and level boosting.
一种光电组合刺激方法,包括以下具体步骤:A photoelectric combined stimulation method, comprising the following specific steps:
步骤1:由脑电电极模块和脊髓电极模块同时采集脑电信号和脊髓电信号并发送至处理器;Step 1: The EEG signal and the spinal cord signal are simultaneously collected by the EEG electrode module and the spinal cord electrode module and sent to the processor;
步骤2:所述处理器接收到信号后对所述信号进行特征识别,通过算法对比识别特征差异;Step 2: After the processor receives the signal, feature identification is performed on the signal, and feature differences are identified through algorithm comparison;
步骤3:由对比识别到的所述特征信号确定运动意图,将所述运动意图进行编码,并转化为刺激命令信号;Step 3: Determine the motion intention from the characteristic signal identified by the comparison, encode the motion intention, and convert it into a stimulus command signal;
步骤4:将所述刺激命令信号传输至脉冲发生器;Step 4: transmitting the stimulation command signal to the pulse generator;
步骤5:由所述脉冲发生器将接收到的所述刺激命令信号转化为具体的刺激信号,通过导线和耦合光纤发送到光电组合刺激电极中,对目标神经组织进行靶向刺激,实现协调运动。Step 5: The received stimulation command signal is converted into a specific stimulation signal by the pulse generator, and sent to the photoelectric combined stimulation electrode through the wire and the coupling optical fiber, and the target nerve tissue is targeted for stimulation to achieve coordinated movement .
经由上述的技术方案可知,与现有技术相比,本发明公开提供了一种光电组合刺激装置及方法,通过大脑电极和脊髓电极同步采集脑电信号和脊髓电信号,传输至处理器进行运动意图特征识别,根据获得的运动意图便携刺激控制命令,通过脉冲发生器向光电组合刺激电极发送刺激信号,光电组合刺激电极采用亚阈值电刺激的方式刺激目标区域,通过施加近红外光精确选择刺激目标神经,实现神经的高精度激活,将电刺激与光刺激结合,将电刺激处于亚阈值状态,此时增加光刺激照射目标神经,通过两种能量的相加,可以高度选择的激发目标神经产生动作电位而不会影响其他不相干神经,既可以保证刺激安全,又可以保证刺激精确。It can be seen from the above technical solutions that, compared with the prior art, the present invention discloses a photoelectric combined stimulation device and method, which synchronously collects brain electrical signals and spinal cord electrical signals through brain electrodes and spinal cord electrodes, and transmits them to a processor for exercise. Intent feature recognition, according to the obtained movement intention portable stimulation control command, the stimulation signal is sent to the photoelectric combination stimulation electrode through the pulse generator. Target nerve, achieve high-precision activation of nerves, combine electrical stimulation with light stimulation, and place electrical stimulation in a sub-threshold state. At this time, light stimulation is added to illuminate the target nerve. Through the addition of the two energies, the target nerve can be stimulated highly selectively. The generation of action potentials without affecting other unrelated nerves ensures both safe and precise stimulation.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据提供的附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only It is an embodiment of the present invention. For those of ordinary skill in the art, other drawings can also be obtained according to the provided drawings without creative work.
图1附图为本发明提供的光电组合刺激装置结构示意图;Fig. 1 accompanying drawing is the structure schematic diagram of the photoelectric combined stimulation device provided by the present invention;
图2附图为本发明提供的光电组合刺激电极结构示意图;Fig. 2 accompanying drawing is a schematic diagram of the structure of the photoelectric combined stimulation electrode provided by the present invention;
图3附图为本发明提供的电极触点结构示意图。FIG. 3 is a schematic diagram of the structure of the electrode contact provided by the present invention.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
本发明实施例公开了一种光电组合刺激装置,包括脑电电极模块、处理器集成装置、脉冲发生器、光电组合刺激电极和电源;脑电电极模块无线连接处理器集成装置;处理器集成装置导线连接脉冲发生器;脉冲发生器通过导线和耦合光纤连接光电组合刺激电极;电源连接脑电电极模块和处理器集成装置。The embodiment of the present invention discloses an optoelectronic combined stimulation device, comprising an EEG electrode module, a processor integrated device, a pulse generator, an optoelectronic combined stimulation electrode and a power supply; the EEG electrode module is wirelessly connected to the processor integrated device; the processor integrated device The lead is connected to the pulse generator; the pulse generator is connected to the photoelectric combined stimulation electrode through the lead and the coupling optical fiber; the power source is connected to the electroencephalogram electrode module and the processor integrated device.
为了进一步优化上述技术方案,脑电电极模块包括依次连接的大脑电极、调理放大电路和天线,以及无线供电模块;调理放大电路和天线连接无线供电模块,无线供电模块无线连接电源,通过电源进行体外无线供电;大脑电极采集脑电信号。In order to further optimize the above technical solutions, the EEG electrode module includes brain electrodes, conditioning and amplification circuits and antennae connected in sequence, and a wireless power supply module; the conditioning and amplification circuit and the antenna are connected to the wireless power supply module, and the wireless power supply module is wirelessly connected to the power supply, and the external power supply is carried out through the power supply. Wireless power supply; brain electrodes collect EEG signals.
为了进一步优化上述技术方案,大脑电极集成有电源模块,为大脑电极供电。In order to further optimize the above technical solution, the brain electrodes are integrated with a power supply module to supply power to the brain electrodes.
为了进一步优化上述技术方案,处理器集成装置包括集成设置的脊髓电极模块、处理器、信号接收装置、电刺激编程器和无线供电模块;脊髓电极模块包括脊髓电极和调理放大电路,脊髓电极采集脊髓电信号,并电连接调理放大电路,脊髓电信号经过调理放大电路传输至处理器;处理器集成装置的无线供电模块连接信号接收装置、处理器和电刺激编程器;电源无线连接处理器集成装置的无线供电模块,实现无线供电;信号接收装置和电刺激编程器连接处理器;电刺激编程器连接脉冲发生器;信号接收装置无线连接天线。In order to further optimize the above technical solution, the processor integrated device includes an integrated spinal cord electrode module, a processor, a signal receiving device, an electrical stimulation programmer and a wireless power supply module; the spinal cord electrode module includes a spinal cord electrode and a conditioning amplifier circuit, and the spinal cord electrode collects the spinal cord The electrical signal is electrically connected to the conditioning and amplifying circuit, and the spinal cord electrical signal is transmitted to the processor through the conditioning and amplifying circuit; the wireless power supply module of the processor integrated device is connected to the signal receiving device, the processor and the electrical stimulation programmer; the power supply is wirelessly connected to the processor integrated device The wireless power supply module realizes wireless power supply; the signal receiving device and the electrical stimulation programmer are connected to the processor; the electrical stimulation programmer is connected to the pulse generator; the signal receiving device is wirelessly connected to the antenna.
为了进一步优化上述技术方案,无线供电模块和电源进行无线供电,利用感应电磁技术,利用电磁感应线圈,将电能转化成磁能进行无线发射和接收。In order to further optimize the above technical solution, the wireless power supply module and the power supply are used for wireless power supply, and the electromagnetic induction technology is used, and the electromagnetic induction coil is used to convert the electric energy into magnetic energy for wireless transmission and reception.
为了进一步优化上述技术方案,处理器设置有串口和蓝牙模块,通过串口或蓝牙模块与上位机连接通讯。In order to further optimize the above technical solution, the processor is provided with a serial port and a bluetooth module, and communicates with the host computer through the serial port or the bluetooth module.
为了进一步优化上述技术方案,光电组合刺激电极采用亚阈值电刺激的方式;光电组合刺激电极用于靶向刺激脊髓运动神经。In order to further optimize the above technical scheme, the photoelectric combination stimulation electrode adopts the method of subthreshold electrical stimulation; the photoelectric combination stimulation electrode is used for targeted stimulation of the spinal cord motor nerve.
为了进一步优化上述技术方案,光电组合刺激电极采用多通道阵列电极,采用柔性聚合物材料为基底1,在基底1上分布附着若干通道电极触点2;电极触点2由光纤触头21和电极片22组成,每一个电极片22对应脊髓的不同区域;每个电极触点2都具有通道,每个通道具有耦合光纤和导线,每根耦合光纤对应连接一个光纤触头21,每根导线对应连接一个电极片22,所有耦合光纤和导线汇总到多通道阵列电极的一端由总线3导出。通过电刺激编程器发送的刺激命令信号经过脉冲发生器转化为刺激脉冲信号,实现触发不同的耦合光纤和导线,从而通过不同区域的光纤触头和电极片刺激不同区域神经。人体在运动时,每一种运动都会对应一组神经的激活,而这些神经会对应脊髓的不同位置,只要能够识别出运动类型,就会获得对应的待激活位置,激活相应位置就可以实现某一运动。In order to further optimize the above technical solution, the optoelectronic combined stimulation electrode adopts a multi-channel array electrode, and a flexible polymer material is used as the
为了进一步优化上述技术方案,调理放大电路接收电信号,对电信号的处理包括依次进行前置放大、高/低通滤波、50HZ陷波、后置方法和电平抬升。In order to further optimize the above technical solution, the conditioning amplifier circuit receives the electrical signal, and the processing of the electrical signal includes sequentially performing pre-amplification, high/low pass filtering, 50HZ notch, post-processing and level boosting.
一种光电组合刺激方法,包括以下具体步骤:A photoelectric combined stimulation method, comprising the following specific steps:
S1:由脑电电极模块和脊髓电极模块同时采集脑电信号和脊髓电信号并发送至处理器;S1: The EEG signal and the spinal cord signal are simultaneously collected by the EEG electrode module and the spinal cord electrode module and sent to the processor;
S2:处理器接收到信号后对信号进行特征识别,通过算法对比识别特征差异;S2: After the processor receives the signal, it performs feature recognition on the signal, and identifies the feature difference through algorithm comparison;
S3:由对比识别到的特征信号确定运动意图,将运动意图进行编码,并转化为刺激命令信号;S3: Determine the motion intention from the characteristic signal identified by the comparison, encode the motion intention, and convert it into a stimulus command signal;
S4:将刺激命令信号传输至脉冲发生器;S4: transmit the stimulation command signal to the pulse generator;
S5:由脉冲发生器将接收到的刺激命令信号转化为具体的刺激信号,通过导线和耦合光纤发送到光电组合刺激电极中,对目标神经组织进行靶向刺激,实现协调运动。S5: The received stimulation command signal is converted into a specific stimulation signal by the pulse generator, and is sent to the photoelectric combined stimulation electrode through the wire and the coupling optical fiber, and the target nerve tissue is stimulated to achieve coordinated movement.
实施例Example
(1)脊髓的腰膨大部位分离出的坐骨神经,一直延伸到下肢肌肉,下肢运动过程中,通过接收来自大脑和脊髓的运动信号分别控制下肢不同肌肉,协调完成某一动作。人体行走可以分为以下阶段:(1) The sciatic nerve isolated from the lumbar enlargement part of the spinal cord extends to the muscles of the lower limbs. During the movement of the lower limbs, it controls the different muscles of the lower limbs by receiving motion signals from the brain and the spinal cord, and coordinately completes a certain action. Human walking can be divided into the following stages:
1)单腿站立引导肢向前阶段:1) Single-leg stance leading limb forward stage:
下腹部收紧保持躯干稳定,髂腰肌收缩屈髋,膕绳肌与小腿收缩屈膝,胫骨前肌和腓骨肌收缩出现踝屈(勾脚动作),引导肢向前时,对侧肩关节向该侧髋关节靠拢,足趾的伸肌收缩出现勾脚尖动作(趾部伸展);Tighten the lower abdomen to keep the trunk stable, the iliopsoas contracts to flex the hips, the hamstrings and calves contract to flex the knees, and the tibialis anterior and peroneal muscles contract to cause ankle flexion (hooking action). The hip joint on the side is close, and the extensor muscles of the toes are contracted and the toes are hooked (toe extension);
2)足跟与地面接触2) The heel is in contact with the ground
屈髋终止,股四头肌收缩伸膝,踝屈和趾伸动作终止;Hip flexion is terminated, quadriceps flexion and knee extension are terminated, ankle flexion and toe extension are terminated;
3)重心前移,单腿支撑阶段3) The center of gravity is moved forward, and the single-leg support stage
股四头肌收紧,臀部肌群开始收缩;The quadriceps are tightened, and the glutes begin to contract;
4)重心继续前移,向前跌倒倾向4) The center of gravity continues to move forward and tends to fall forward
臀部收缩伸髋,其他地方维持稳定,小腿及足部肌肉收缩明显;The hips contract and extend the hips, maintain stability in other places, and the calf and foot muscles contract significantly;
5)推动阶段:5) Promotion stage:
臀部继续收紧伸髋,股四头肌继续发力伸膝盖,该侧支撑肢会完全伸展到摆动肢即将着地;The hips continue to tighten and extend the hips, the quadriceps continue to exert force to extend the knees, and the supporting limb on the side will be fully extended until the swing limb is about to hit the ground;
摆动过程中,对侧肩会向摆动肢髋关节靠拢,这个阶段的末段是趾长屈肌发力,即走路时脚趾也需发力;During the swing, the opposite shoulder will move closer to the hip joint of the swinging limb. At the end of this stage, the flexor digitorum longus exerts force, that is, the toes also need to exert force when walking;
6)摆动肢接触地面时,新的周期开始。6) When the swinging limb touches the ground, a new cycle begins.
上述便是人体正常行走过程中涉及的肌肉和协调收缩过程,若脊髓损伤患者实现下肢的正常摆动,需按照该过程一次激活不同肌肉,该过程需要设计刺激脊髓的不同区域从而靶向控制不同肌肉,使之协调收缩,完成下肢的摆动。不同区域的刺激先后,需要由算法支持多通道电极中每个通道的通放电或光,刺激最佳区域,最终靶向控制核心肌群完成下肢摆动。The above is the process of muscle and coordinated contraction involved in the normal walking process of the human body. If a patient with spinal cord injury achieves the normal swing of the lower limbs, different muscles need to be activated at one time according to this process. This process needs to be designed to stimulate different areas of the spinal cord to target and control different muscles. , to coordinate the contraction and complete the swing of the lower limbs. The stimulation of different regions requires an algorithm to support the electrical discharge or light of each channel in the multi-channel electrode, stimulate the optimal region, and finally target and control the core muscle group to complete the lower limb swing.
(2)通过电极刺激需要下述两点动作:(2) Stimulation by electrodes requires the following two actions:
1、选择不同刺激模式,电极中不同的电极片对应脊髓的不同区域,从而刺激不同的部位。运动过程中需不同肌肉组织密切配合,需要算法支持,首先由电极采集脑电信号和脊髓电信号,经过模式识别处理,获取信号特征参数,采用相关性分析来得到中枢神经细胞间的相互作用,将脊髓电信号和脑电信号相互融合,实现“脊髓+大脑”信号综合特征融合,从而获得运动意图,在电刺激编程器根据运动意图编写算法支持的刺激代码,执行该代码形成一套刺激模式,再由脉冲发生器将运行的具体的不同刺激模式生成变化的电脉冲发送到光电组合刺激电极,最终完成刺激。1. Select different stimulation modes, different electrode pads in the electrodes correspond to different regions of the spinal cord, thereby stimulating different parts. In the process of exercise, different muscle tissues need to be closely coordinated, and algorithm support is required. First, the EEG and spinal cord signals are collected by electrodes, and the signal characteristic parameters are obtained through pattern recognition processing. Correlation analysis is used to obtain the interaction between central nervous cells. The spinal cord electrical signal and the EEG signal are fused with each other to realize the comprehensive feature fusion of "spinal cord + brain" signal, so as to obtain the motion intention. The electrical stimulation programmer writes the algorithm-supported stimulation code according to the motion intention, and executes the code to form a set of stimulation patterns. , and then the pulse generator will send the electric pulses generated by the specific different stimulation modes to the photoelectric combination stimulation electrodes, and finally complete the stimulation.
不同刺激模式可以提前编写到电刺激编程器中,通过识别不同的运动意图,可调用不同的刺激模式,降低实时编程难度,实现程度更高。具体的运动模式可由分析出来的运动意图信号强弱来分级实现走路动作。可分为三个不同等级(慢、中、快),包括迈腿快慢和摆动幅度的大小。对应实现不同的运动状态。Different stimulation modes can be programmed into the electrical stimulation programmer in advance. By identifying different motion intentions, different stimulation modes can be called, reducing the difficulty of real-time programming and achieving a higher degree of realization. The specific motion pattern can be graded by the strength of the analyzed motion intention signal to realize the walking action. It can be divided into three different levels (slow, medium and fast), including the speed of the legs and the size of the swing. Corresponding to realize different motion states.
2、分析运动意图信号,采集来的脑电信号和脊髓电信号需要特征识别与处理,并将该信号编码转化为刺激命令信号。2. To analyze the motor intention signal, the collected EEG signal and spinal cord signal need feature recognition and processing, and the signal code is converted into a stimulus command signal.
(3)本发明装置的安装方式为:(3) the installation mode of the device of the present invention is:
大脑电极植入到大脑皮层中采集脑电信号,脊髓电极植入到T7-T8脊髓硬膜外采集脊髓电信号,脊髓电极和处理器集成在一起,并集成有信号接收装置,用来接收脑电信号。脑电信号和脊髓电信号通过调理放大电路的预处理传送到处理器中,经过处理器对信号进行特征识别,识别出不同类别的运动意图信号,并编码转化成刺激命令信号。预处理一方面降低处理器的处理难度和功耗,另一方面可以提高处理速度。脉冲发生器与多通道光电组合刺激电极通过导线连接,并将光电组合刺激电极植入到腰膨大(L1-S2)硬膜外,用于靶向刺激脊髓运动神经。处理器集成装置同脉冲发生器通过导线连接(即电刺激编程器导线连接脉冲发生器,电刺激编程器下发不同的刺激模式给脉冲发生器),将刺激命令信号下发到脉冲发生器中,脉冲发生器通过协调光电刺激模式产生刺激脉冲信号,并将刺激脉冲信号发送到光电组合刺激电极中,用于靶向刺激神经。The brain electrodes are implanted into the cerebral cortex to collect EEG signals, and the spinal cord electrodes are implanted into the T7-T8 spinal cord epidural to collect spinal cord electrical signals. The spinal cord electrodes are integrated with the processor and integrated with a signal receiving device to receive brain electric signal. The EEG signal and the spinal cord signal are transmitted to the processor through the preprocessing of the conditioning and amplifying circuit, and the signal is characterized by the processor to identify different types of motor intention signals, and encode them into stimulation command signals. On the one hand, preprocessing reduces the processing difficulty and power consumption of the processor, and on the other hand, it can improve the processing speed. The pulse generator is connected with the multi-channel photoelectric combination stimulation electrode through a wire, and the photoelectric combination stimulation electrode is implanted into the epidural of the lumbar enlargement (L1-S2) for targeted stimulation of the spinal cord motor nerve. The processor integrated device is connected with the pulse generator through wires (that is, the electrical stimulation programmer wire is connected to the pulse generator, and the electrical stimulation programmer sends different stimulation modes to the pulse generator), and sends the stimulation command signal to the pulse generator. , the pulse generator generates stimulation pulse signals by coordinating the photoelectric stimulation mode, and sends the stimulation pulse signals to the photoelectric combination stimulation electrodes for targeted stimulation of nerves.
(4)脑和脊髓运动意图信号的精确采集(4) Accurate collection of brain and spinal cord motor intention signals
确定脊髓神经中运动信号的位置(点或区域),采用满足中枢神经电信号采集要求的多通道阵列电极,探究电极在脊髓神经的准确定位,提高运动意图信号信噪比,实现其电生理信号的精确采集。Determine the position (point or area) of the motor signal in the spinal nerve, use multi-channel array electrodes that meet the requirements of the central nerve electrical signal acquisition, explore the accurate positioning of the electrode in the spinal nerve, improve the signal-to-noise ratio of the motor intention signal, and realize its electrophysiological signal accurate collection.
多通道阵列电极如图2所示,电极片如图3所示,多通道阵列电极采用柔性聚合物材料(聚二甲基硅氧烷(PDMS)、聚酰亚胺(PI)、聚对二甲苯(Parylene)等)为基底,基底上分布附着16通道电极触点,该触点由光纤触头和电极片组成,使得该电极不仅可以导电,还可以导光。16个通道中,每个通道具有自己的耦合光纤和导线,最后汇总到电极的一端,由总线导出,光纤直径为1mm,电极片长4mm宽1.5mm。The multi-channel array electrode is shown in Figure 2, and the electrode sheet is shown in Figure 3. The multi-channel array electrode is made of flexible polymer materials (polydimethylsiloxane (PDMS), polyimide (PI), parylene Toluene (Parylene, etc.) is used as the substrate, and 16-channel electrode contacts are distributed and attached to the substrate. The contacts are composed of optical fiber contacts and electrode sheets, so that the electrodes can not only conduct electricity, but also guide light. Among the 16 channels, each channel has its own coupling optical fiber and wire, which is finally aggregated to one end of the electrode, and is derived from the bus. The diameter of the optical fiber is 1 mm, and the electrode sheet is 4 mm long and 1.5 mm wide.
(5)基于不同运动状态的运动意图特征识别(脑和脊髓)(5) Recognition of motion intent features based on different motion states (brain and spinal cord)
基于提取的脑和脊髓运动意图信号,采用不同的实验策略,识别病人在不同运动状态(动作快慢、动作幅度大小等)下的运动意图信号。对比不同运动状态下脑电信号和脊髓电信号差异,并对脊髓神经信号与脑电信号进行融合与预处理,最终实现不用运动状态的准确运动特征识别。Based on the extracted brain and spinal cord motion intention signals, different experimental strategies were used to identify the motion intention signals of patients in different motion states (movement speed, movement amplitude, etc.). The differences between the EEG signals and the spinal cord signals under different motion states are compared, and the spinal nerve signals and the EEG signals are fused and preprocessed to finally achieve accurate motion feature recognition without the use of motion states.
运动意图特征识别过程为:对于动作A,先对正常人(实验者)下达动作命令,在实验者接收到命令后,大脑会下发动作信号,该信号通过脊髓传递到目标肌肉群,目标肌肉群接收到命令信号后开始做出相应动作。在这个过程中,大脑在发出指令的同时,会释放一定的电生理信号,并且该电信号以一种整体固定的形式被外界接收,该种信号也称作脑电信号,即脑神经细胞电生理活动在大脑皮层或头皮表面的总体反映。通过分析特定动作的脑电信号,利用小波变换或人工神经网络算法可以对脑电信号进行特征识别,将该特定动作与脑电信号的特征进行匹配对应,当采集到的该种脑电信号的时候,就可以表明实验者要进行动作A。这一整个过程,也被称作特定动作的“运动意图信号采集与识别”。The process of motor intent feature recognition is as follows: for action A, first issue an action command to a normal person (experimenter), and after the experimenter receives the command, the brain will issue an action signal, which is transmitted to the target muscle group through the spinal cord. After the group receives the command signal, it starts to take corresponding actions. In this process, the brain releases certain electrophysiological signals while issuing instructions, and the electrical signals are received by the outside world in an overall fixed form. The general reflection of physiological activity on the surface of the cerebral cortex or scalp. By analyzing the EEG signal of a specific action, the wavelet transform or artificial neural network algorithm can be used to identify the EEG signal, and the specific action is matched with the characteristics of the EEG signal. , it can be indicated that the experimenter is going to perform action A. This whole process is also referred to as "motion intent signal acquisition and recognition" for a specific action.
(6)基于光电组合刺激的运动功能重塑(6) Motor function remodeling based on photoelectric combined stimulation
采用亚阈值电刺激的方式刺激目标区域,通过施加近红外光,精确选择刺激目标神经,实现神经的高精度激活。通过对神经系统进行电流或电压刺激时,当刺激信号达到某一特定数值时,可以诱导神经系统产生动作电位,该动作电位通过下传至目标肌肉,可引起目标肌肉的收缩,这一特定数值,也被称为刺激阈值。当刺激信号接近但低于刺激阈值时,此时不能产生动作电位,如果在给处于该状态的刺激神经增加一定的光刺激,通过两种能量的相加,受体神经可以达到刺激阈值,从而产生动作电位,引发目标肌肉收缩。Subthreshold electrical stimulation is used to stimulate the target area, and by applying near-infrared light, the target nerve is precisely selected to stimulate the nerve to achieve high-precision activation of the nerve. When the nervous system is stimulated with current or voltage, when the stimulation signal reaches a certain value, the nervous system can be induced to generate an action potential, and the action potential can be transmitted to the target muscle, causing the target muscle to contract. This specific value , also known as stimulus threshold. When the stimulation signal is close to but lower than the stimulation threshold, no action potential can be generated at this time. If a certain amount of light stimulation is added to the stimulated nerve in this state, the receptor nerve can reach the stimulation threshold through the addition of the two energies. An action potential is generated, causing the target muscle to contract.
如果单独使用电刺激,由于电流可以在刺激部位四处扩散,容易错误激发其他神经,引起其他肌肉收缩,从而导致动作不能完成。光刺激具有高度选择性,只会刺激直接照射部分,但单独的光刺激容易受到损伤阈值与刺激阈值2倍的限制,容易引发组织损伤。因此可以将电刺激与光刺激结合,将电刺激处于亚阈值状态,此时增加光刺激照射目标神经,通过两种能量的相加,可以高度选择的激发目标神经产生动作电位而不会影响其他不相干神经,既可以保证刺激安全,又可以刺激精确。If electrical stimulation is used alone, because the current can spread around the stimulation site, other nerves are easily excited by mistake, causing other muscles to contract, resulting in the inability to complete the action. Light stimulation is highly selective and only stimulates the directly irradiated part, but light stimulation alone is easily limited by the damage threshold and 2 times the stimulation threshold, which is prone to tissue damage. Therefore, electrical stimulation can be combined with optical stimulation, and the electrical stimulation is in a sub-threshold state. At this time, optical stimulation can be added to illuminate the target nerve. Through the addition of the two energies, the target nerve can be highly selectively stimulated to generate action potentials without affecting other energies. Incoherent nerves can not only ensure safe stimulation, but also stimulate accurate.
本说明书中各个实施例采用递进的方式描述,每个实施例重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。对于实施例公开的装置而言,由于其与实施例公开的方法相对应,所以描述的比较简单,相关之处参见方法部分说明即可。The various embodiments in this specification are described in a progressive manner, and each embodiment focuses on the differences from other embodiments, and the same and similar parts between the various embodiments can be referred to each other. As for the device disclosed in the embodiment, since it corresponds to the method disclosed in the embodiment, the description is relatively simple, and the relevant part can be referred to the description of the method.
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其它实施例中实现。因此,本发明将不会被限制于本文所示的这些实施例,而是要符合与本文所公开的原理和新颖特点相一致的最宽的范围。The above description of the disclosed embodiments enables any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
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