Electrical muscle stimulation

• US 9,878,152 B2
• Filed: 10/29/2010
• Issued: 01/30/2018
• Est. Priority Date: 11/05/2009
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Kolen, Alexander Franciscus, Puszka, Agathe Melanie
• Primary Examiner(s): Flory, Christopher A
• Application Number:
  US13/508,060
• Publication Number:
  US 20120226330A1
• Time in Patent Office: 2,650 Days
• Field of Search: 600547, 607 46, 607 48, 607 49, 607 72, 607116
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/395 Details of stimulation, e.g. nerve stimulation to elicit EMG response
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• CPC Class Codes: A61H 2230/08 Other bio-electrical signals
• CPC Class Codes: A61H 2230/62 Posture
• CPC Class Codes: A61H 39/002 Using electric currents electrotherapy A61N1/32
• CPC Class Codes: A61H 39/02 Devices for locating such points
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36031 using physiological parameters for adjustment
• CPC Class Codes: A61N 1/36034 specified by the stimulation parameters

Abstract

The invention relates to a method and an apparatus for electrical stimulation of muscle tissue. Electrodes (12) of an electrode array (13) are activated in accordance with a sequence of activation patterns, each pattern defining a subset of the electrodes (12) to be activated, each subset consisting of at least one electrode (12), by providing an electrical muscle stimulation signal to the muscle tissue via the subset of electrodes (12). Alternately with said activating of electrodes (12), a response signal associated with the respective activation pattern is received from a sensor (30; 12). Optionally, at least one electrode (12) is then selected for stimulation, corresponding to a location determined as being suitable for stimulation, and the muscle tissue is stimulated. The process may be repeated in order to track the location suitable for stimulation in a dynamic situation. Optionally, the orientation of body part is estimated from the measured response signals.

Claims

1. A method of determining a location for externally stimulating a muscle of a subject, the method comprising:

externally positioning a plurality of electrodes in electrical contact with a body tissue that contacts the muscle;

activating at least one electrode in a first activation search pattern, the first activation search pattern defining a first subset of the plurality of electrodes consisting of at least the one electrode, such that the at least one electrode provides a first electrical muscle stimulation signal to said body tissue, wherein the first electrical muscle stimulation signal is below a muscle stimulation signal intensity implemented when applying muscle stimulation treatment after the first activation search pattern and a second activation search pattern;

measuring a first response signal resulting from the first activation search pattern by sensing a first property of said muscle, wherein the first property is a measure of activity of said muscle caused by the first electrical muscle stimulation signal resulting from the first activation search pattern;

activating at least one other electrode in the second activation search pattern, the second activation search pattern defining a second subset of the plurality of electrodes consisting of at least the one other electrode, such that the at least one other electrode provides a second electrical muscle stimulation signal to said body tissue, wherein the second electrical muscle stimulation signal is below the muscle stimulation signal intensity implemented when applying muscle stimulation treatment after the first activation search pattern and the second activation search pattern;

measuring a second response signal resulting from the second activation search pattern by sensing a second property of said muscle, wherein the second property is a measure of activity of said muscle caused by the second electrical muscle stimulation signal resulting from the second activation search pattern;

selecting a subset of the plurality of electrodes corresponding to the first or second activation search pattern based on a largest measure of activity of the muscle as determined in the first and second response signals; and

applying the muscle stimulation signal intensity for treatment according to the selected subset of the plurality of electrodes, wherein the muscle stimulation signal intensity for treatment is a muscle stimulation signal intensity at a magnitude that contracts and relaxes muscle tissue.

2. The method as claimed in claim 1, the method further comprising:

selecting at least one of the plurality of electrodes such that the selected at least one of the plurality of electrodes corresponds to at least one suitable stimulation location.

3. The method as claimed in claim 2, further comprising:

determining an orientation of a body part based on the first or second measured response signals.

4. The method as claimed in claim 3, wherein the at least one suitable location is indicative of an orientation of the body part including the muscle, or of an orientation of a different body part that depends on a state of contraction or relaxation of the muscle, and wherein the orientation of a body part is determined based on the at least one suitable location.

5. The method as claimed in claim 3, further comprising acquiring calibration data while the subject performs a specific movement, or takes a specific posture, or activates or relaxes a specific muscle, and wherein the calibration data is used in the step of determining the orientation of a body part.

6. The method as claimed in claim 1, the method further comprising determining at least one further suitable stimulation location, for stimulating a further muscle of the subject, based on the first or second measured response signal and on information on which muscle the electrical muscle stimulation signal was provided to.

9. A non-transitory computer readable medium embedded with program code portions for performing a method according to claim 1 when run on a programmable apparatus.

7. An apparatus for external electrical stimulation of a muscle of a subject, the apparatus comprising:

a plurality of electrodes, for positioning externally and in electrical contact with a body tissue that contacts said muscle, the plurality of electrodes being connectable to a signal generator for generating an electrical muscle stimulation signal;

an electrode selector for selecting from the plurality of electrodes one or more electrodes for providing the electrical muscle stimulation signal of a connected signal generator to said body tissue;

a sensor for measuring a signal by sensing a property of said muscle, wherein the property is a measure of activity of said muscle caused by the electrical muscle stimulation signal; and

a control unit for controlling the electrode selector and for receiving a signal from the sensor, the control unit being configured for;

activating at least one electrode in a first activation search pattern, the first activation search pattern defining a first subset of the plurality of electrodes consisting of at least the one electrode, by controlling the electrode selector to select the at least one electrode to provide a first electrical muscle stimulation signal of the signal generator to said body tissue, wherein the first electrical muscle stimulation signal is below a muscle stimulation signal intensity implemented when applying muscle stimulation treatment after the first activation search pattern and a second activation search pattern;

receiving a first response signal resulting from the first activation search pattern from the sensor which senses a first property of the muscle, wherein the first property is a measure of activity of the muscle caused by the first electrical muscle stimulation signal resulting from the first activation search pattern;

activating at least one other electrode in the second activation search pattern, the second activation search pattern defining a second subset of the plurality of electrodes consisting of at least the one other electrode, by controlling the electrode selector to select the at least one other electrode to provide a second electrical muscle stimulation signal of the signal generator to said body tissue, wherein the second electrical muscle stimulation signal is below the muscle stimulation signal intensity implemented when applying muscle stimulation treatment after the first activation search pattern and the second activation search pattern;

receiving a second response signal resulting from the second activation search pattern from the sensor which senses a second property of the muscle, wherein the second property is a measure of activity of the muscle caused by the second electrical muscle stimulation signal resulting from the second activation search pattern;

selecting a subset of the plurality of electrodes corresponding to the first or second activation search pattern based on a largest measure of activity of the muscle as determined by the first and second response signals; and

applying the muscle stimulation signal intensity for treatment according to the selected subset of the plurality of electrodes, wherein the muscle stimulation signal intensity for treatment is a muscle stimulation signal intensity at a magnitude that contracts and relaxes muscle tissue.

8. The apparatus as claimed in claim 7, wherein the control unit is further adapted for selecting at least one of the plurality of electrodes such that the selected at least one of the plurality of electrodes corresponds to at least one first suitable stimulation location or at least one second suitable stimulation location.