This invention relates to a device for electroacoustic stimulation and the method for using the same, and more particularly to an electro-vibrational device operating in the acoustic frequency band, that can be applied to muscles, tendons, and joints to achieve muscle relaxation and alleviation of pain. The device and the method may also be used to induce psycho-physical effects, such as general relaxation of the body and psyche and inducing a state of spiritual calm, resembling results of meditation process. Therefore, the device and method may be used to improve a mood of the subject.
Vibrating massage devices are widely used in sport and physical therapy applications, where the athletes or subjects need to achieve muscle relaxation before or after a training session. Two widely used modalities available today for this goal are Ultrasound equipment, and Vibration massage devices.
An Ultrasound equipment produces heat in deep muscle tissues. This equipment is cumbersome and requires application of substantial power, more than 1 W/cm2. It may also cause burns when used by inexperienced people, and thus requires professional supervision. Recently a low power Laser device was introduced. However, when used, this device affects only a small area and can hardly be used for relaxation of muscles, when a large group of muscles is involved. Besides that, it also requires professional supervision.
A vibration massager produces a low frequency periodical movement of muscle tissues, which increases blood flow. The best representative of such vibration massage devices is the Physioacoustic Chair designed for medical purposes with six imbedded subwoofer speakers used to apply low frequency sound vibration to the body from knees to shoulders at frequencies from 20 to 130 Hz. The FDA approved three claims for the treatment called physioacoustic therapy: (1) increased blood circulation, (2) decreased pain, and (3) increased mobility. However, this method still requires significant equipment, substantial power and provides modest muscle relaxation and alleviation of pain (see Lee Bartel article, non-patent literature).
Thus, there is a need for an effective means for relaxing and supporting healing of muscles, tendons, and joints, that does not require professional supervision and that presents no risk of injury in case of malfunction or inconsiderate use.
There is also a need for a hand-held, low-power consumption device for contactless muscle stimulation that provides a convenient and effective alternative to professional cumbersome equipment.
The present invention overcomes the deficiencies of the prior art by providing a device and a method for electroacoustic muscle stimulation, that are effective, inexpensive, and safe.
The advantages of the present invention are realized by use of some of the following ranges of acoustic stimulation band frequencies covering a range from 250 to 400 Hz.
It was experimentally found that subsequent application of two different frequencies facilitates better muscle relaxation and pain alleviation then a single frequency.
To improve an efficacy of delivering acoustic vibrations to a skin of a subject, an insulative plastic vibrating enclosure provided with a through hole for passage of the acoustic waves is used as a vibration carrier. The wall of the enclosure with the hole is further called the active wall.
The vibrating enclosure can be applied to the subject's skin in one of two ways, tangential (flat) or perpendicular (standing). In the case of parallel position, the membrane of the piezo element is positioned in parallel with the skin and a large area of the muscle is stimulated. In the case of perpendicular application, the membrane of piezo element is positioned in perpendicular with the skin, a sharp spatial gradient of vibration is formed in the area and only thin shaped area of the muscle is involved,
Additionally, to maximize an afferent stimulation input to the Central Nervous System (CNS), the stimulation is to be applied not only locally to an afflicted area, but to associated areas, e.g. the symmetrical areas on the contralateral side of the body, and to similar zones according to the anterior-posterior symmetry of the body.
Besides that, maximize the effect, the stimulation is to be applied not only locally to an afflicted area and associated areas, but to general functional centers, such as Solar plexus, and its contralateral associated area on the back, Umbilicus, and its contralateral side on the back. The Solar plexus (or Celiac plexus) is a region located about 1 inch below a connection point of lower ribs on the front of the body.
According to a preferred embodiment of the present invention, a method of electroacoustic muscle stimulation is carried out by using a hand-held device having a vibrating enclosure with a single hole or multiple holes, which transmit the electroacoustic vibration stimulus by a light touch contact with the tissue.
The acoustic sound generated by the piezoelectric element vibrates the enclosure and additionally passes the acoustic air pressure through the hole to the skin; the piezoelectric element is driven by an electrical driver circuit that provides a signal with intensity sufficient to oscillate the piezoelectric element and the enclosure.
The method and the device of the invention provide an effective tool for the muscle relaxation, while substantially reducing the required power. Instead of directly moving a bulk of muscle tissues, as required when using a conventional vibrator, in the current device, the mechanical acoustic vibrations and corresponding electric fields are used as stimulants for the fast-adapting mechanoreceptors in the muscles, tendons, and joints. To make such stimulation efficient, apparatus and method according to the present invention use a lower portion of acoustic stimulation frequencies from 250 Hz to 400 Hz. These frequencies affect tactile receptors, Pacinian corpuscles—sensing acceleration and responding most to 60-400 Hz (Lee Bartel article).
The mechanoreceptors are sensitive to the dynamic components, e. g. rapid changes in touch and/or pressure. Being stimulated, they send afferent signals to the CNS, presenting a pattern of dynamic changes in touch and/or pressure. This triggers an efferent neural response of adaptation to new conditions causing reduction in the muscle and vascular tone and increase in micro-circulation. Reduction in the muscle tonus, in turn, causes a muscle relaxation and help in alleviation of pain.
Since the mechano-receptors are highly sensitive to minor mechanical displacements of the skin, the amount of energy required to stimulate them is much smaller than that the energy needed for vibrational muscle massage, because the latter comprises moving a bulk of muscle tissue.
Therefore, the electroacoustic stimulation power spent by the device and method of the present invention is substantially lower than the power used by Ultrasound equipment or the known vibration massage devices used for the same purpose.
Furthermore, since these frequencies are mostly perceivable by human hearing, they may directly affect the CNS through the hearing path, thus possibly forming a biofeedback loop, which potentially may provide an additional possibility for muscle relaxation.
According to the present invention, to achieve the muscle relaxation and/or reduction of pain, a preferred method is presented, which includes a protocol, which comprises stimulation of muscular mechano-receptors by a sequential combination of number of frequencies from the ranges recited in paragraph [0008].
It is obvious that the amplitude of the piezoelectric element oscillation should be maximized, to increase the efficiency.
Additionally, to maximize the afferent input to the CNS, the method also includes stimulation being applied not only to the afflicted area, but also to the symmetrical areas of the body, e.g. the area on the contralateral side of the body, according to the sagittal symmetry, and on the opposite side of the body, according to the anterior-posterior symmetry. In other words, when the afflicted area is on the left side of the body, the stimulation should also include a symmetrical side on the right side of the body, when the afflicted area is on the front side of the body, the stimulation should also include the symmetrical area on the back side of the body. Such approach is based on the symmetrical picture of dermatomes, e.g. segmental innervation of the skin.
Since the device is applied to the skin of the subject without substantial pressure, the problem arises how to induce a sufficient acoustic output into a tissue, when the power supply voltage is limited to a value of a portable battery level. This may be achieved in following ways.
According to a preferred embodiment, it uses the amplifier powered by a supply voltage higher than the supply voltage of oscillator, therefore the amplifier may amplify the oscillator signal to a higher voltage level sufficient for driving the piezoelectric transducer. Such higher-level supply voltage may be provided by a step-up voltage converter. As shown in
Alternative solution of achieving sufficient voltage swing for driving the piezoelectric transducer would be using the amplifier producing a low output voltage swing, which is further increased by using a step-up transformer 29, as shown in
Wave shaping circuit is intended to form an electric signal of predetermined form, such as sinusoidal wave. However, other forms, such as triangle and square waves may also be used.
The device is controlled by microcontroller, having residing software stored in the memory; the microcontroller controls all aspects of activity of the device. The software includes Input-Output block responsible for user-device interaction, control block controlling all the device activities, including activation and control of the oscillator, selection of generated frequency, adjusting parameters of generated wave, and the time, block setting the time constrains and periodicity pattern of generated waves.
The device activity may include generation of a single continuous wave of selected frequency applied to the piezoelectric element, or periodic generation of wave trains of the same frequency separated by pauses. According to experimental results, in some cases periodic trains interrupted by pauses may be preferable with respect to continuous wave, probably since it helps to avoid habituation.
Another mode of device activity may include sequential application of different frequencies selected from the range between 250 and 400 Hz.
The selection of frequencies and the timing of all signal patterns is set by Micro-Controller.
To clarify elements of a disclosure, some definitions should be provided. Oscillator is a circuit generating one of the following periodical wave forms: sinusoidal, square, or triangle form wave, or combinations thereof.
Signal adjustment circuit is the circuit, matching or equalizing the impedances of the piezo speaker and the power amplifier output. Additionally, the circuit may produce the signal biasing from zero level by adding a DC component to the signal.
Power Source may be implemented in form of a primary or rechargeable battery or AC/DC voltage converter plugged into mains,
Power Amplifier is a circuit amplifying the signal generated by the oscillator and providing a grounded or floating output signal to the piezo Speaker.
Piezo Speaker is any piezoelectric device converting the electric signal into acoustic wave, Piezo electric element is further called a piezo Speaker.
Voltage Converter is the circuit stepping up the power supply voltage to provide the amplifier with the supply voltage of sufficient value, such that the amplifier would be capable to generate an output signal sufficient for driving the piezo Speaker.
Every area found on one side of the body (front side or back side) has its own symmetrically associated area on the other side of the body (back side or front side) at the same height.
A plexus is a branching network of vessels or nerves in the body.
With reference now to the figures wherein like elements have the same number throughout the several views and, particularly with reference to
As shown in
The electroacoustic stimulation device shown in
Both piezo-ceramic disk 20 and metal disk 21 are electrically connected to an electronic control circuit board 15 by electrical wires 60, one of which is electrically attached to disk 20 and one to ceramic disk 21, such as by being soldered thereon.
In order to affect the human body, the known vibrating devices should be hard pressed to the body surface, However, it was experimentally found that the instant electroacoustic stimulation device provides a sufficient effect, even when being located at some distance from the body. An explanation for this effect is that in addition to mechanical acoustic waves, the piezoelectric element produces not only internal electric field bending the membrane and producing the sound, but additionally producing a fringe electric field, that reaches the body of the subject causing some neurologic effects.
As presented by some patents issued in the past, for example U.S. Pat. No. 5,782,874, when two conductive plates separated by a dielectric and carrying different potential brought into vicinity of the subject body, the external or fringe field of the plates produces some neurologic effects in a peripheral neural system of the subject.
According to U.S. Pat. No. 5,782,874, the currents induced into the subject's body are too small to cause classical nerve stimulation, however a central nervous system response is evoked. Since classical nerve stimulation cannot occur, these signals apparently produce a stochastic modulation of spontaneous firing patterns.
To enhance the device effect the instant invention includes an additional structural element intended to enhance the fringe electric field generated by piezoelectric element. There is an additional conductive plate 33 located in vicinity of piezoelectric element and in parallel with the plates of the piezoelectric element; the plate is either directly or via capacitors coupled with a ground wiring of the electrical circuit of the driver or with one of the plates of the piezoelectric element. Additional electric field lines are formed between the metal plate of the piezoelectric driver and the conductive plate thus enhancing the external or fringe field of the device.
Electronic control circuit board 15 is powered by an electrical battery 17 located in a battery compartment 62 of the enclosure 11, as shown on
When electrical pulses are applied to the piezoelectric element, they cause oscillations of vibrating enclosure 11 in the directions as shown by double-headed arrows 23 on
A block-diagram of an electronic circuit 25, which is driving the vibration enclosure 11, is shown in
The electronic oscillator 26 generates a sinusoidal wave with a predetermined frequency selected from the range between 250 Hz and 400 Hz, Alternatively, it may generate triangle or square shape or triangle shape waves with the same frequencies, as mentioned above. When the oscillator circuit of the driving circuit generates either triangle or square form wave, the signal shaping circuit 27 may convert them into sinusoidal waves.
When oscillator generates sinusoidal signal, the signal shaping circuit 27 may be omitted.
The device structure shown
Another modification of the electronic circuit 25 is shown in
The step-up signal transformer 29 (see
The adjustment circuit of
As well known in the art, the voltage across capacitor C2 is twice higher than the amplitude of the signal at the output of the transformer. The voltage drop across diode D2, is an AC signal biased with respect to zero level, is being applied to the piezo Speaker 16. The polarity of bias is the same as in
To achieve a sufficient acoustic output with limited power source voltage and limited values of maximum allowable amplifier supply voltages, the instant invention employs another solution presented herein. According to the preferred embodiment, the device employs a couple of piezo elements arranged in a stack arrangement, as shown in
The results of such bias are shown in
As shown in
Device Control
The device is controlled by microcontroller 32, having residing software stored in the memory; the microcontroller controls all aspects of activity of the device. The software includes Input-Output block responsible for user-device interaction, control block controlling all the device activities, including activation and control of the oscillator, selection of generated frequency, adjusting parameters of generated wave, and time block setting the time constrains and periodicity pattern of generated waves.
In order to prevent habituation, the temporal pattern of the sound frequency may be periodically changed. This can be done either by replacing a continuous wave of the same frequency shown in
According to experiments results, in some cases periodic train with pauses may be preferable with respect to continuous wave, apparently, since such waveforms help to avoid habituation.
Another mode of device activity may include sequential application of different frequencies selected from the range between 250 and 400 Hz. Such mode of activity with alternating frequencies is illustrated in
Setting a mode of activity, selection of frequencies and the timing of all signal patterns being set by Micro-Controller 32.
Today there are some types of massage, such as reflexology or acupressure that apply massage not only to the afflicted area, but also to some remote areas having some specific functional features. Our experience with electroacoustic stimulation shows that using such areas for stimulation increases efficacy of treatment. Therefore, our protocols employ similar strategies.
Accordingly, the stimulation is being applied not only locally to an afflicted area, but also to associated areas, e.g. the symmetrical areas on the contralateral side of the body, and/or to similar zones according to the anterior-posterior symmetry of the body. Such strategy is based on symmetricity and looplike shapes of human dermatomes.
Besides that, to maximize the efficacy, the stimulation is also may be applied to the following cutaneous areas representing general functional centers: Solar (Celiac) plexus, and its associated area on the back (at the same level), and Umbilicus (Navel), and its associated area on the back (at the same level).
The Solar plexus is a complex system of radiating nerves and ganglia playing an important role in the functioning of the stomach, kidneys, liver, and adrenal glands.
The Umbilicus (Navel) sometime may be perceived, as a rudimentary organ. However, at the time of embryo development the whole body of embryo is supplied with nutrients via umbilical cord. And after delivery, when the cord is severed, the umbilicus retains its connections to a huge plexus of blood vessels, capillaries, and veins. It has been suggested that even in a post-embryonic period the Umbilicus plexus retains its control over many physiological structures and organs.
Of course, the stimulation is not applied directly to the plexuses, since they are inside the body, but to theft projection on the skin.
Location of Solar plexus projections: On the front—it is in an upper area of the stomach between the lower ribs. On the back—it is on the spinal cord at the level between 9th and 10th thoracic vertebras.
As to Umbilicus (Navel), its front area is circular centered in the umbilicus itself, the Back projection is a similar area on the spinal cord at the level under the 4th thoracic vertebra.
We define these four points recited in [0085]-[0089] as a Four Major Points, which are shown in
It is recommended that stimulation of each of major points would last for about 30 seconds, using the same frequency, with total duration of 2 minutes. Alternatively, different frequencies may be used for stimulation of different points or for stimulation of the same point, as described for example in [0080].
The device may be effectively used for a muscle relaxation including muscle spasms or cramps caused by strained muscles. Most muscle cramps develop in the leg muscles, particularly in the calf. It was experimentally found that to achieve fast alleviation of muscle strain, the device should be applied not to a painful spot but to a contralateral spot. As well known, there are two forms of leg muscle spasms: a spasm that causes a limb to bend and causing the leg to move upwards towards the body, which is called a flexor spasm, and a spasm that causes a limb to extend and causing the leg to straighten away from the body, which is called an extensor spasm. In other words, there are two opposite muscles used for opposite movements and when one of them is overstrained and another one fails to resist, the result is the muscle cramp, Therefore, when the cramp occurs, not the painful spot but the strained muscle on an opposite side of the limb, should be treated for relaxation and cessation of the cramp.
This application claims the benefit of U.S. Provisional Patent Application No. 63/294,479, filed Dec. 29, 2021. which is incorporated by reference herein in its entirety.
Number | Date | Country | |
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63294479 | Dec 2021 | US |