神经康复平台系统总体设计论文.docVIP

　　神经康复平台系统总体设计论文 【摘 要】 卒中导致的运动功能障碍以及抑郁等并发症严重危害着人类的身心健康。“脑10 年”最重要的研究成果之一就是发现了人类的中枢神经系统(脑和脊髓)具有高度的可塑性(plasticity)。长期以来，以神经发育促进术为基础的各种常规康复疗法虽然有助于患者运动功能的恢复，但是效果还不尽如人意。 根据肌电触发的神经肌肉电刺激(neuromuscular electrical stimulation,NMES)能改善患者肢体功能的作用、小脑顶核电刺激(fastigial nucleus stimulation, FNS)的神经源性保护原理、脊髓电刺激(spinal cord stimulation, SCS)促使大脑动脉血流分布增高的效应以及认知重新学习法(cognitive relearning,CR)的心理康复作用，本文提出了一种新型的“物理+心理”的综合康复疗法，并研制了相关的康复平台样机。该样机采用主从式结构，下位机包括肌电采集、NMES、FNS SCS 等功能相对独立的电路模块，并通过串口与上位机(PC)进行通信。其中，NMES 模块采用了一种低频可调制方波作为电刺激波形；为了能有效地分离治疗阈值与疼痛阈值.freelodeling language, UML)、面向对象的程序设计技术(oriented object programming, OOP)，本文具体运用BCB6.0 研究并设计了自动、人工、循环三种可视化的可交互的治疗模式，为“物理+心理”疗法的实现提供了软件平台的支持。同时利用数据库、API函数、多线程、双缓冲等技术完成了治疗参数控制、串口通信、方案维护、病历登记、复诊登记、信息查询、科室信息维护、绘图参数设置等功能模块。 【关键词】 脑卒中；神经肌肉电刺激；小脑顶核电刺激；脊髓电刺激；认知重新学习法 Abstract The movement function diseases and such syndromes as depression etc resulted from the stroke all do badly harm to human beings’ health and mentality. It’s ost important discoveries of ‘Brain’s 10-Years Plan’. Although, some ordinary rehabilitation methods derived from facilitation technique can help the recovery of the patient’s movement ability, the clinical result is not satisfied.According to the improvement effect from the EMG-triggered neuromuscular electrical stimulation to the limbs,the principle of neurogenic neuroprotective electrical stimulation to the cerebella fastigial nucleus, the increase action to the cerebral artery blood stream from spinal cord stimulation and the positive mentality function from cognitive relearning method. The integration rehabilitation method of ‘Physical Mental’ is brought foredical instrument sample has been developed.The designed therapy instrument adopts the frame that prises the extension set and PC. The extension set prises several correspondingly independent circuit modules as EMG collection,NMES and FNS SCS,.freelunicate odule use one of the loodulating rectangle ulation output, and in order to separate therapy threshold and ache