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HK40002584B - Methods and systems for providing stimuli to the brain - Google Patents

Methods and systems for providing stimuli to the brain

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Publication number
HK40002584B
HK40002584B HK19125827.6A HK19125827A HK40002584B HK 40002584 B HK40002584 B HK 40002584B HK 19125827 A HK19125827 A HK 19125827A HK 40002584 B HK40002584 B HK 40002584B
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Hong Kong
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stimulation
auditory
source
user
input
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HK19125827.6A
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Chinese (zh)
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HK40002584A (en
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理查德·汉布利
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萨纳保健公司
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Publication of HK40002584B publication Critical patent/HK40002584B/en

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Description

用于向大脑提供刺激的方法和系统Methods and systems for providing stimulation to the brain

技术领域Technical Field

本公开涉及医疗设备和方法。特别地,本公开涉及向受试者提供刺激,以便治疗各种神经障碍或病症和/或涉及提供身体机能增强。The present disclosure relates to medical devices and methods. In particular, the present disclosure relates to providing stimulation to a subject to treat various neurological disorders or conditions and/or to providing physical performance enhancement.

背景技术Background Art

感觉刺激已经应用于治疗各种障碍。例如,双耳节拍已经应用于诱导各种精神状态,以便激励睡眠、放松、冥想、创造力和其他期望的精神状态。听觉刺激和视觉刺激的组合同样已经应用于激励这种精神状态。然而,在许多情况下,这种疗法的应用并不理想。提供刺激的设备可能体积庞大、昂贵、通常难以接近,并且低于广泛使用的临界疗效阈值,通常只能帮助群体的子集。在许多情况下,比如当试图在卧室或飞机舱中睡觉时,用户可能发现难以使用这种设备。Sensory stimulation has been used to treat a variety of disorders. For example, binaural beats have been used to induce various mental states to encourage sleep, relaxation, meditation, creativity, and other desired mental states. Combinations of auditory and visual stimulation have also been used to encourage such mental states. However, in many cases, the application of this therapy is less than ideal. The devices that provide stimulation can be bulky, expensive, often difficult to access, and fall below the critical efficacy threshold for widespread use, typically only helping a subset of the population. In many situations, such as when trying to sleep in a bedroom or on an airplane cabin, users may find it difficult to use such devices.

为了治疗各种神经障碍和病症,通常使用药物和/或补充剂来代替感觉刺激。然而,在许多情况下,药物的使用可能不太理想。通常,药物很昂贵,依赖于患者依从性,并且可能需要医疗专业人员的处方。药物可能仅对一般群体中的少数、不太理想的部分有效。例如,为了治疗失眠,如褪黑素和唑吡坦(AmbienTM)等的药物和补充剂具有可疑的疗效。药物通常导致不期望的副作用。例如,用于治疗失眠的一些药物可能导致某些深度睡眠范围内的剥夺和死亡率的增加。To treat various neurological disorders and conditions, medications and/or supplements are often used to replace sensory stimulation. However, in many cases, the use of medications may be less than ideal. Typically, medications are expensive, depend on patient compliance, and may require a prescription from a medical professional. Medications may only be effective for a small, less than ideal portion of the general population. For example, to treat insomnia, medications and supplements such as melatonin and zolpidem (Ambien ) have questionable efficacy. Medications often result in undesirable side effects. For example, some medications used to treat insomnia may result in deprivation of certain deep sleep ranges and an increase in mortality.

至少出于这些原因,期望克服至少一些上述挑战的用于治疗神经障碍和其他病症的改进的方法和系统。For at least these reasons, improved methods and systems for treating neurological disorders and other conditions that overcome at least some of the above-mentioned challenges are desired.

发明内容Summary of the Invention

本公开涉及可以用于例如向受试者提供刺激以便治疗各种神经障碍或病症的医疗设备和方法,其中,所提供的刺激可以包括听觉刺激、视觉刺激或触觉刺激中的一种或多种。可以使用设备和方法治疗的神经障碍的示例可以包括但不限于:失眠、创伤后应激障碍(PTSD)脑损伤,脑损伤包括但不限于:创伤性脑损伤(TBI)、轻型创伤性脑损伤(mTBI)、或由于中风、抑郁、焦虑、情绪障碍、人格障碍、进食障碍、精神障碍和平衡障碍导致的大脑缺氧而造成的损伤,仅举几例。可替代地或组合地,由本文所描述的医疗设备和方法提供的刺激可以提供认知益处和/或增强,包括但不限于:改善神经重塑性、运动技能、协调、反应时间、警觉性、精力、工作记忆、情绪和幸福感。The present disclosure relates to medical devices and methods that can be used, for example, to provide stimulation to a subject in order to treat various neurological disorders or conditions, wherein the stimulation provided can include one or more of auditory stimulation, visual stimulation, or tactile stimulation. Examples of neurological disorders that can be treated using the devices and methods can include, but are not limited to, insomnia, post-traumatic stress disorder (PTSD), brain injury, including but not limited to traumatic brain injury (TBI), mild traumatic brain injury (mTBI), or damage caused by lack of oxygen to the brain due to stroke, depression, anxiety, mood disorders, personality disorders, eating disorders, mental disorders, and balance disorders, to name a few. Alternatively or in combination, the stimulation provided by the medical devices and methods described herein can provide cognitive benefits and/or enhancements, including but not limited to improving neuroplasticity, motor skills, coordination, reaction time, alertness, energy, working memory, mood, and well-being.

在某些实施例中,刺激可以被提供至可由用户如在床上舒适地穿戴以诱导睡眠的头戴装置或睡眠面罩的穿戴者。所述可穿戴式头戴装置或睡眠面罩可以由所述用户的如智能手机等个人计算设备进行操作,所述个人计算设备具有在其上已下载并激活的用于治疗的控制应用或“app”。所述可穿戴式头戴装置或睡眠面罩还可以同时提供触觉刺激,并且所述触觉刺激可以从可同时提供所述听觉刺激的骨传导换能器提供。还公开了用于诱导不同用户响应的各种刺激模式。In some embodiments, stimulation may be provided to a wearer of a headset or sleep mask that can be comfortably worn by the user, such as in bed, to induce sleep. The wearable headset or sleep mask may be operated by the user's personal computing device, such as a smartphone, having a control application or "app" for the treatment downloaded and activated thereon. The wearable headset or sleep mask may also simultaneously provide tactile stimulation, and the tactile stimulation may be provided from a bone conduction transducer that may simultaneously provide the auditory stimulation. Various stimulation patterns for inducing different user responses are also disclosed.

在某些实施例中,提供了一种设备,所述设备以一个或多个频率或一个或多个频率范围产生可以由设备的用户感知作为视觉刺激、听觉刺激或触觉刺激的输出。在某些实施例中,可以以被认为在大脑中诱导一种或多种频率的电活动的频率打开和关闭刺激,这些频率通常被认为是德尔塔波(1.0Hz至3.0Hz)、西塔波(3.0Hz至7.0Hz)、阿尔法波(7.0Hz至12Hz)、贝塔波(12Hz至38Hz)和伽马波(38Hz至42Hz)。In certain embodiments, a device is provided that produces an output at one or more frequencies or one or more frequency ranges that can be perceived by a user of the device as a visual stimulus, an auditory stimulus, or a tactile stimulus. In certain embodiments, the stimulus can be turned on and off at frequencies believed to induce electrical activity in the brain at one or more frequencies, which are generally considered to be delta waves (1.0 Hz to 3.0 Hz), theta waves (3.0 Hz to 7.0 Hz), alpha waves (7.0 Hz to 12 Hz), beta waves (12 Hz to 38 Hz), and gamma waves (38 Hz to 42 Hz).

因此,例如,一个实施例设备以顺序频率(比如,阿尔法波序列、西塔波序列和德尔塔波序列)产生可以由设备的用户感知作为刺激的输出。在某些实施例中,刺激是经协调的听觉刺激和视觉刺激,在上面列出的范围中的每个范围内向左右眼提供脉冲调制光并且向左右耳提供脉冲调制听觉。作为一个示例,经协调的刺激可以是:1)同时刺激双眼和双耳;2)同时刺激左眼和左耳,然后同时刺激右眼和右耳;3)同时刺激双眼,然后同时刺激双耳;或者4)同时刺激右眼和左耳,然后同时刺激左眼和右耳。在每种情况下,刺激可以包括例如在阿尔法波范围,然后是西塔波范围,然后是德尔塔波范围内依次进行刺激。刺激可以持续一分钟至一小时的时段。Thus, for example, an embodiment device generates outputs that can be perceived as stimulation by a user of the device in sequential frequencies (e.g., an alpha wave sequence, a theta wave sequence, and a delta wave sequence). In certain embodiments, the stimulation is coordinated auditory stimulation and visual stimulation, providing pulsed light to the left and right eyes and pulsed hearing to the left and right ears in each of the ranges listed above. As an example, the coordinated stimulation can be: 1) stimulating both eyes and both ears simultaneously; 2) stimulating the left eye and left ear simultaneously, then stimulating the right eye and right ear simultaneously; 3) stimulating both eyes simultaneously, then stimulating both ears simultaneously; or 4) stimulating the right eye and left ear simultaneously, then stimulating the left eye and right ear simultaneously. In each case, the stimulation can include, for example, stimulation in the alpha wave range, then the theta wave range, then the delta wave range. The stimulation can last for a period of one minute to one hour.

一方面,提供了一种用于向用户提供刺激的方法。所述方法包括:提供将由所述用户穿戴的头戴装置;利用所述头戴装置,向所述用户的左眼施加左视觉刺激模式;利用所述头戴装置,向所述用户的右眼施加右视觉刺激模式;利用所述头戴装置,向所述用户的头部左侧施加左听觉刺激模式;以及利用所述头戴装置,向所述头部右侧施加右听觉刺激模式。所述左视觉刺激模式、所述右视觉刺激模式、所述左听觉刺激模式和所述右听觉刺激模式的施加彼此协调。In one aspect, a method for providing stimulation to a user is provided. The method includes providing a head-mounted device to be worn by the user; applying a left visual stimulation pattern to the user's left eye using the head-mounted device; applying a right visual stimulation pattern to the user's right eye using the head-mounted device; applying a left auditory stimulation pattern to the left side of the user's head using the head-mounted device; and applying a right auditory stimulation pattern to the right side of the head using the head-mounted device. Application of the left visual stimulation pattern, the right visual stimulation pattern, the left auditory stimulation pattern, and the right auditory stimulation pattern are coordinated with one another.

另一方面,提供了一种使用向用户提供刺激的所述方法治疗神经学疾病或病症或者提供身体机能增强的方法。所述方法包括:提供将由所述用户穿戴的头戴装置;利用所述头戴装置,向所述用户的左眼施加左视觉刺激模式;利用所述头戴装置,向所述用户的右眼施加右视觉刺激模式;利用所述头戴装置,向所述用户的头部左侧施加左听觉刺激模式;以及利用所述头戴装置,向所述头部右侧施加右听觉刺激模式。所述左视觉刺激模式、所述右视觉刺激模式、所述左听觉刺激模式和所述右听觉刺激模式的施加彼此协调。In another aspect, a method for treating a neurological disease or condition or providing physical enhancement using the method of providing stimulation to a user is provided. The method includes providing a head-mounted device to be worn by the user; applying a left visual stimulation pattern to the user's left eye using the head-mounted device; applying a right visual stimulation pattern to the user's right eye using the head-mounted device; applying a left auditory stimulation pattern to the left side of the user's head using the head-mounted device; and applying a right auditory stimulation pattern to the right side of the head using the head-mounted device. The application of the left visual stimulation pattern, the right visual stimulation pattern, the left auditory stimulation pattern, and the right auditory stimulation pattern are coordinated with each other.

一方面,提供了一种用于向用户提供刺激的装置。所述装置包括:框架,被配置成穿戴在用户的头部上;左光源,被配置用于生成左视觉刺激模式;右光源,被配置用于生成右视觉刺激模式;左听觉源,被配置用于生成左听觉刺激模式;右听觉源,被配置用于生成右听觉刺激模式;以及控制器,耦合至所述左光源、所述右光源、所述左听觉源和所述右听觉源,所述左视觉刺激模式、所述右视觉刺激模式、所述左听觉刺激模式和所述右听觉刺激模式的施加被彼此独立地控制,但是通过所述控制器彼此协调。In one aspect, a device for providing stimulation to a user is provided. The device comprises: a frame configured to be worn on the user's head; a left light source configured to generate a left visual stimulation pattern; a right light source configured to generate a right visual stimulation pattern; a left auditory source configured to generate a left auditory stimulation pattern; a right auditory source configured to generate a right auditory stimulation pattern; and a controller coupled to the left light source, the right light source, the left auditory source, and the right auditory source, wherein application of the left visual stimulation pattern, the right visual stimulation pattern, the left auditory stimulation pattern, and the right auditory stimulation pattern are independently controlled but coordinated with each other by the controller.

又另一方面,提供了一种用于向用户提供刺激的方法,所述方法包括:在第一时间间隔上,同时向所述用户的左眼提供左侧光刺激、向所述用户的右眼提供右侧光刺激、向所述用户的左侧提供左侧听觉刺激、并且向所述用户的右侧提供右侧听觉刺激;在第二时间间隔上,将提供所述左侧光刺激和所述左侧听觉刺激与提供所述右侧光刺激和所述右侧听觉刺激进行交替;在第三时间间隔上,将提供所述左侧光刺激和所述右侧光刺激与提供所述左侧听觉刺激和所述右侧听觉刺激进行交替;以及在第四时间间隔上,将提供所述左侧光刺激和所述右侧听觉刺激与提供所述右侧光刺激和所述左侧听觉刺激进行交替。On the other hand, a method for providing stimulation to a user is provided, the method comprising: at a first time interval, simultaneously providing left-side light stimulation to the left eye of the user, providing right-side light stimulation to the right eye of the user, providing left-side auditory stimulation to the left side of the user, and providing right-side auditory stimulation to the right side of the user; at a second time interval, alternating the provision of the left-side light stimulation and the left-side auditory stimulation with the provision of the right-side light stimulation and the right-side auditory stimulation; at a third time interval, alternating the provision of the left-side light stimulation and the right-side light stimulation with the provision of the left-side auditory stimulation and the right-side auditory stimulation; and at a fourth time interval, alternating the provision of the left-side light stimulation and the right-side auditory stimulation with the provision of the right-side light stimulation and the left-side auditory stimulation.

一方面,提供了一种使用以下方法治疗神经学疾病或病症或者提供身体机能增强的方法:在第一时间间隔上,同时向所述用户的左眼提供左侧光刺激、向所述用户的右眼提供右侧光刺激、向所述用户的左侧提供左侧听觉刺激、并且向所述用户的右侧提供右侧听觉刺激;在第二时间间隔上,将提供所述左侧光刺激和所述左侧听觉刺激与提供所述右侧光刺激和所述右侧听觉刺激进行交替;在第三时间间隔上,将提供所述左侧光刺激和所述右侧光刺激与提供所述左侧听觉刺激和所述右侧听觉刺激进行交替;以及在第四时间间隔上,将提供所述左侧光刺激和所述右侧听觉刺激与提供所述右侧光刺激和所述左侧听觉刺激进行交替。On the one hand, a method is provided for treating a neurological disease or condition or providing physical function enhancement using the following method: at a first time interval, simultaneously providing left-side light stimulation to the left eye of the user, providing right-side light stimulation to the right eye of the user, providing left-side auditory stimulation to the left side of the user, and providing right-side auditory stimulation to the right side of the user; at a second time interval, alternating the provision of the left-side light stimulation and the left-side auditory stimulation with the provision of the right-side light stimulation and the right-side auditory stimulation; at a third time interval, alternating the provision of the left-side light stimulation and the right-side light stimulation with the provision of the left-side auditory stimulation and the right-side auditory stimulation; and at a fourth time interval, alternating the provision of the left-side light stimulation and the right-side auditory stimulation with the provision of the right-side light stimulation and the left-side auditory stimulation.

另一方面,提供了一种用于向用户提供刺激的方法,所述方法包括:提供将由所述用户穿戴的头戴装置;利用所述头戴装置,向所述用户的头部左侧施加左听觉刺激模式;以及利用所述头戴装置,向所述头部右侧施加右听觉刺激模式,所述左听觉刺激模式和所述右听觉刺激模式的所述应用彼此协调。On the other hand, a method for providing stimulation to a user is provided, the method comprising: providing a head-mounted device to be worn by the user; applying a left auditory stimulation pattern to the left side of the user's head using the head-mounted device; and applying a right auditory stimulation pattern to the right side of the head using the head-mounted device, the application of the left auditory stimulation pattern and the right auditory stimulation pattern being coordinated with each other.

通过本发明的用于向用户提供刺激的方法和系统来实现对于本领域技术人员来说将根据以下具体实施方式变得明显的这些特征以及各种辅助规定和特征,其实施例通过参照附图仅以示例的方式来示出,在附图中:These features, as well as various ancillary provisions and features that will become apparent to those skilled in the art from the following detailed description, are achieved by the method and system for providing stimulation to a user of the present invention, embodiments of which are illustrated by way of example only with reference to the accompanying drawings, in which:

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1A和图1B示出了根据本公开许多实施例的用于提供治疗用听觉刺激、视觉刺激和/或触觉刺激的治疗用系统的示意图;1A and 1B illustrate schematic diagrams of therapeutic systems for providing therapeutic auditory stimulation, visual stimulation, and/or tactile stimulation, according to many embodiments of the present disclosure;

图2A和图2B示出了用于图1A和图1B的治疗用系统的控制器的示意图;2A and 2B show schematic diagrams of a controller for the therapeutic system of FIG. 1A and FIG. 1B ;

图3A示出了根据许多实施例的示例性治疗用可穿戴式头戴装置或睡眠面罩;FIG3A illustrates an exemplary therapeutic wearable headgear or sleep mask, in accordance with many embodiments;

图3B示出了穿戴图3A的治疗用可穿戴式头戴装置和睡眠面罩的用户;并且FIG3B shows a user wearing the therapeutic wearable headgear and sleep mask of FIG3A ; and

图4示出了根据若干实施例的提供治疗用听觉刺激、视觉刺激和/或触觉刺激的治疗用方法的流程图。4 illustrates a flow chart of a therapeutic method for providing therapeutic auditory, visual, and/or tactile stimulation, according to several embodiments.

具体实施方式DETAILED DESCRIPTION

图1A是第一实施例治疗用系统100的示意图。治疗用系统100提供穿戴治疗用系统的人可以作为听觉刺激、视觉刺激和/或触觉刺激经历的一个或多个输出。因此,在一个实施例中,治疗用系统可以包括左光源110L、右光源110R、左振动源120L、右振动源120R、和用于独立地控制和协调光源和振动源的动作的控制器130。因此,例如,治疗用系统100可以定位在用户的头部上,其中,左光源110L被定位在左眼上方以提供左视觉刺激,右光源110R被定位在右眼上方以提供右视觉刺激,左振动源120L被定位用于提供左耳听觉刺激,并且右振动源120R被定位用于提供右耳听觉刺激。FIG1A is a schematic diagram of a first embodiment therapeutic system 100. The therapeutic system 100 provides one or more outputs that a person wearing the therapeutic system can experience as auditory stimulation, visual stimulation, and/or tactile stimulation. Thus, in one embodiment, the therapeutic system may include a left light source 110L, a right light source 110R, a left vibration source 120L, a right vibration source 120R, and a controller 130 for independently controlling and coordinating the actions of the light sources and vibration sources. Thus, for example, the therapeutic system 100 may be positioned on the head of a user, wherein the left light source 110L is positioned above the left eye to provide left visual stimulation, the right light source 110R is positioned above the right eye to provide right visual stimulation, the left vibration source 120L is positioned to provide left ear auditory stimulation, and the right vibration source 120R is positioned to provide right ear auditory stimulation.

在一个实施例中,左光源110L和右光源110R可以各自包括发光二极管、具有波长过滤器的白炽光源、荧光光源、背光LCD面板、或者被配置用于以期望的预定波长或波长范围向用户提供光的其他光源。In one embodiment, the left and right light sources 110L, 110R may each include a light emitting diode, an incandescent light source with a wavelength filter, a fluorescent light source, a backlit LCD panel, or other light source configured to provide light to a user at a desired predetermined wavelength or range of wavelengths.

在另一实施例中,左振动源120L和右振动源120R可以各自包括耳塞、小型扬声器、或可以向用户提供听觉刺激的其他振动源。在某些其他实施例中,左振动源120L和右振动源120R可以包括可听频率范围内的骨传导换能器,以用于向用户的颅骨提供由用户的耳朵感测为听觉的振动。可选地,左振动源120L和右振动源120R中的一个或多个还可以产生被感测为触觉刺激的振动。因此,例如,控制器130可以向骨传导换能器提供以可被用户解释为听觉刺激的第一频率振动或振荡的第一信号,并且可以提供在可被用户解释为触觉感觉的第二较低频率下的第二信号。换言之,骨传导换能器可以被适配用于向用户提供听觉刺激和触觉刺激两者。In another embodiment, the left vibration source 120L and the right vibration source 120R may each include an earbud, a small speaker, or other vibration source that can provide auditory stimulation to the user. In certain other embodiments, the left vibration source 120L and the right vibration source 120R may include bone conduction transducers within the audible frequency range to provide vibrations to the user's skull that are sensed by the user's ears as auditory stimulation. Alternatively, one or more of the left vibration source 120L and the right vibration source 120R may also generate vibrations that are sensed as tactile stimulation. Thus, for example, the controller 130 may provide a first signal to the bone conduction transducer that vibrates or oscillates at a first frequency that can be interpreted by the user as auditory stimulation, and may provide a second signal at a second, lower frequency that can be interpreted by the user as a tactile sensation. In other words, the bone conduction transducer can be adapted to provide both auditory stimulation and tactile stimulation to the user.

在某些实施例中,左振动源120L和右振动源120R以特定的一个或多个频率或频率范围提供输出,并且以刺激频率被打开和关闭。因此,例如,振动源可以被编程为在某个时间段上以256Hz的音频频率提供输出,然后在随后的时间段上不输出。因此,振动源是音频频率和方波的乘积。In some embodiments, the left and right vibration sources 120L, 120R provide output at a specific frequency or frequencies or frequency ranges, and are turned on and off at the stimulation frequency. Thus, for example, the vibration sources can be programmed to provide output at a 256 Hz audio frequency for a certain period of time, and then not output for a subsequent period of time. Thus, the vibration source is the product of the audio frequency and a square wave.

图1B是第二实施例治疗用系统100'的示意图。除非明确指出,否则第二实施例治疗用系统100'通常类似于第一实施例治疗用系统100'。具体地,第二实施例治疗用系统100'包括左触觉刺激源121L和右触觉刺激源121R,所述触觉刺激源中的每一个可以利用控制器130被单独地控制并协调,以向治疗用系统100'的用户提供触觉刺激。FIG1B is a schematic diagram of a second embodiment therapeutic system 100′. Unless otherwise specified, the second embodiment therapeutic system 100′ is generally similar to the first embodiment therapeutic system 100′. Specifically, the second embodiment therapeutic system 100′ includes a left tactile stimulation source 121L and a right tactile stimulation source 121R, each of which can be individually controlled and coordinated using a controller 130 to provide tactile stimulation to a user of the therapeutic system 100′.

图2A和图2B示出了治疗用系统100或100'的控制器130的示意图。如图2A中所示,治疗用系统100或100'可以可选地包括外部控制单元130a,所述外部控制单元可以通过无线连接131a与控制器130的无线接收器/发射器130c进行无线通信。无线连接131a可以包括蓝牙连接、蓝牙LE连接、WiFi连接、ZigBee连接、红外线(IR)连接、射频(RF)连接、或听不见的听觉信号连接,举几个示例。外部控制单元130a可以包括定制的电子控制器。在许多实施例中,外部控制单元130a可以包括用户的个人计算设备,所述个人计算设备可以具有下载到其上并操作的定制计算机应用或“app”以操作系统100或100'来提供治疗用方案。例如,个人计算设备可以包括个人计算机、个人膝上型计算机、平板计算机(比如,苹果的iPad、三星的Galaxy Tab、微软的Surface或亚马逊的Fire,举几个示例)、智能手机(比如,苹果的iPhone、三星的Galaxy手机、或谷歌的Nexus手机,举几个示例),并且定制的计算机应用或“app”可以是可从应用分布平台(比如,Apple iTunes、Apple Store、Google Play、GoogleChrome Web Store、Amazon App Store、或Microsoft Windows Store,举几个示例)下载的应用或“app”。应用可以包括用户可以选择以由治疗用系统100或100'实施的一个或多个治疗用方案。在一些实施例中,应用可以允许用户提供关于(多个)治疗用方案的疗效的反馈信息,所述反馈可以由与应用通信的(多个)中央服务器来上传并且收集,并且所述(多个)治疗用方案可以基于来自所述一个或多个用户的反馈来进行改进或优化。可替代地或组合地,如图2B中所示,系统100或100'可以进一步包括外部控制单元130a(比如,定制控制器),所述外部控制单元可以通过有线连接131a(例如,USB、火线或闪电连接,举几个示例)与控制器130进行通信。2A and 2B show schematic diagrams of a controller 130 of a therapeutic system 100 or 100'. As shown in FIG2A , the therapeutic system 100 or 100' may optionally include an external control unit 130a that can wirelessly communicate with a wireless receiver/transmitter 130c of the controller 130 via a wireless connection 131a. The wireless connection 131a can include a Bluetooth connection, a Bluetooth LE connection, a WiFi connection, a ZigBee connection, an infrared (IR) connection, a radio frequency (RF) connection, or an inaudible auditory signal connection, to name a few examples. The external control unit 130a can include a customized electronic controller. In many embodiments, the external control unit 130a can include a user's personal computing device that can have a customized computer application or "app" downloaded thereto and operated to operate the system 100 or 100' to provide a therapeutic regimen. For example, the personal computing device may include a personal computer, a personal laptop computer, a tablet computer (e.g., Apple's iPad, Samsung's Galaxy Tab, Microsoft's Surface, or Amazon's Fire, to name a few examples), a smartphone (e.g., Apple's iPhone, Samsung's Galaxy phone, or Google's Nexus phone, to name a few examples), and the customized computer application or "app" may be an application or "app" downloadable from an application distribution platform (e.g., Apple iTunes, Apple Store, Google Play, Google Chrome Web Store, Amazon App Store, or Microsoft Windows Store, to name a few examples). The application may include one or more therapeutic regimens that a user may select to be implemented by the therapeutic system 100 or 100'. In some embodiments, the application may allow a user to provide feedback on the effectiveness of the therapeutic regimen(s), which feedback may be uploaded and collected by a central server(s) in communication with the application, and the therapeutic regimen(s) may be improved or optimized based on the feedback from the one or more users. Alternatively or in combination, as shown in Figure 2B, the system 100 or 100' can further include an external control unit 130a (e.g., a custom controller) that can communicate with the controller 130 via a wired connection 131a (e.g., a USB, FireWire, or Lightning connection, to name a few examples).

图3A将治疗系统100的一个实施例示出为包括治疗用可穿戴式头戴装置或睡眠面罩140,所述治疗用可穿戴式头戴装置或睡眠面罩将光源、振动源以及可选的触觉源集成到单个形状因子中以呈现给用户。因此,例如,当用户将可穿戴式头戴装置或睡眠面罩140放置在其头部上时,左光源110L被定位在左眼上方以提供左视觉刺激,右光源110R被定位在右眼上方以提供右视觉刺激,左振动源120L被定位用于提供左耳听觉刺激,并且右振动源120R被定位用于提供右耳听觉刺激。3A shows one embodiment of the therapeutic system 100 as including a therapeutic wearable head-mounted device or sleep mask 140 that integrates a light source, a vibration source, and an optional tactile source into a single form factor for presentation to the user. Thus, for example, when the user places the wearable head-mounted device or sleep mask 140 on their head, the left light source 110L is positioned above the left eye to provide left visual stimulation, the right light source 110R is positioned above the right eye to provide right visual stimulation, the left vibration source 120L is positioned to provide auditory stimulation to the left ear, and the right vibration source 120R is positioned to provide auditory stimulation to the right ear.

如上文以及在此所讨论的,左振动源120L和右振动源120R可以各自包括可提供听觉刺激和触觉刺激两者的骨传导换能器。可替代地,可穿戴式头戴装置或睡眠面罩140是包括左触觉刺激源121L和右触觉刺激源121R的治疗用系统100',所述触觉刺激源中的每一个可以利用控制器130被单独地控制并协调,如以上关于图1B所描述的。As discussed above and herein, the left vibration source 120L and the right vibration source 120R can each include a bone conduction transducer that can provide both auditory and tactile stimulation. Alternatively, the wearable headgear or sleep mask 140 is a therapeutic system 100 ′ that includes the left tactile stimulation source 121L and the right tactile stimulation source 121R, each of which can be individually controlled and coordinated using the controller 130, as described above with respect to FIG. 1B .

如上文以及在此所讨论的,例如,治疗用可穿戴式头戴装置或睡眠面罩140可以与通过无线连接131a与控制器130进行通信的外部控制器130a(例如,智能手机)一起操作。例如,用户US可以具有用于打开或关闭触觉刺激的选项。图3B示出了穿戴治疗用可穿戴式头戴装置或睡眠面罩140的用户US。As discussed above and herein, for example, the therapeutic wearable headgear or sleep mask 140 can operate with an external controller 130a (e.g., a smartphone) that communicates with the controller 130 via a wireless connection 131a. For example, the user US can have the option to turn tactile stimulation on or off. FIG3B shows the user US wearing the therapeutic wearable headgear or sleep mask 140.

图4示出了用于提供治疗用听觉刺激、视觉刺激和/或触觉刺激的示例性治疗用方法400的流程图。在步骤410中,可以识别具有神经障碍或病症的受试者。神经障碍的示例可以包括但不限于:失眠、创伤后应激障碍(PTSD)、脑损伤(比如,创伤性脑损伤(TBI)、轻型创伤性脑损伤(mTBI)、或由于诸如中风、抑郁、焦虑、情绪障碍、人格障碍、进食障碍和精神障碍导致的大脑缺氧而造成的损伤)。可替代地,出于精神任务和/或身体任务的身体机能增强以辅助受试者小睡或睡觉的目的,可以选择受试者进行治疗用方法400。在步骤420中,可以向受试者提供治疗用系统或头具,比如,上述的系统100或100'。在步骤430中,受试者可以穿戴治疗用系统或头具,比如,可穿戴式头戴装置或睡眠面罩140。在步骤440中,头戴装置140执行在控制器130中提供的编程450,以向受试者提供刺激。所述编程提供了由头戴装置140同时向受试者提供听觉刺激、视频刺激和/或触觉刺激中的两种或更多种,并且因此,例如,可以提供电力以激活左光源110L、右光源110R、左振动源120L和/或右振动源120R。FIG4 shows a flow chart of an exemplary therapeutic method 400 for providing therapeutic auditory stimulation, visual stimulation, and/or tactile stimulation. In step 410, a subject with a neurological disorder or condition may be identified. Examples of neurological disorders may include, but are not limited to, insomnia, post-traumatic stress disorder (PTSD), brain injury (e.g., traumatic brain injury (TBI), mild traumatic brain injury (mTBI), or damage caused by lack of oxygen to the brain due to conditions such as stroke, depression, anxiety, mood disorders, personality disorders, eating disorders, and mental disorders). Alternatively, a subject may be selected for therapeutic method 400 for the purpose of enhancing physical function of mental and/or physical tasks to assist the subject in taking a nap or sleeping. In step 420, a therapeutic system or headgear, such as the system 100 or 100 ′ described above, may be provided to the subject. In step 430, the subject may wear the therapeutic system or headgear, such as a wearable headgear or sleep mask 140. In step 440, the headset 140 executes the programming 450 provided in the controller 130 to provide stimulation to the subject. The programming provides for the headset 140 to simultaneously provide two or more of auditory stimulation, visual stimulation, and/or tactile stimulation to the subject, and thus, for example, power may be provided to activate the left light source 110L, the right light source 110R, the left vibration source 120L, and/or the right vibration source 120R.

如上文以及在此所讨论的,左振动源120L和右振动源120R可以各自包括可提供听觉刺激和触觉刺激两者的骨传导换能器。可替代地,可穿戴式头戴装置或睡眠面罩140是包括左触觉刺激源121L和右触觉刺激源121R的治疗用系统100',所述触觉刺激源中的每一个可以利用控制器130被单独地控制并协调,如以上关于图1B所描述的。As discussed above and herein, the left vibration source 120L and the right vibration source 120R can each include a bone conduction transducer that can provide both auditory and tactile stimulation. Alternatively, the wearable headgear or sleep mask 140 is a therapeutic system 100 ′ that includes the left tactile stimulation source 121L and the right tactile stimulation source 121R, each of which can be individually controlled and coordinated using the controller 130, as described above with respect to FIG. 1B .

在某些实施例中,相较于一次仅提供听觉刺激、视频刺激和/或触觉刺激中的一种,同时提供听觉刺激、视频刺激和/或触觉刺激中的两种或更多种可以提供改善的治疗益处。例如,这两种或更多种听觉刺激、视频刺激和/或触觉刺激因此可以组合以提供改善的治疗益处(即,这两种或更多种听觉刺激、视频刺激和/或触觉刺激可以协同作用,其方式使得提供比单独提供两种刺激的改善结果)。In some embodiments, providing two or more of the auditory stimulation, video stimulation, and/or tactile stimulation simultaneously can provide an improved therapeutic benefit compared to providing only one of the auditory stimulation, video stimulation, and/or tactile stimulation at a time. For example, these two or more auditory stimulation, video stimulation, and/or tactile stimulation can therefore be combined to provide an improved therapeutic benefit (i.e., these two or more auditory stimulation, video stimulation, and/or tactile stimulation can act synergistically in a manner that provides an improved result over providing both stimulations separately).

用于提供刺激的示例性指令可以例如由编程450——比如,子例程450a,其包括同时激活所有有效的听觉刺激源、视频刺激源和/或触觉刺激源——提供。可选地,激活所有源可以包括激活触觉刺激以贯穿所有随后的听觉刺激和/或视觉刺激。另一个示例性子例程450b可以包括将左听觉刺激源、视频刺激源和/或触觉刺激源与右听觉刺激源、视频刺激源和/或触觉刺激源进行交替(即,左刺激和右刺激轮流被激活)。另一个示例性子例程450c可以包括将视觉源与听觉源和/或触觉源进行交替(即,视觉刺激和听觉/触觉刺激轮流被激活)。另一个示例性子例程450d可以包括将左听觉源和/或触觉源和右视觉源与右听觉源和/或触觉源和左视觉源进行交替(即,相反的听觉/触觉刺激轮流被激活)。这种编程在下文中进一步描述。For example, exemplary instructions for providing stimulation can be provided by programming 450, such as subroutine 450a, which includes activating all effective auditory stimulation sources, video stimulation sources and/or tactile stimulation sources simultaneously. Alternatively, activating all sources can include activating tactile stimulation to run through all subsequent auditory stimulation and/or visual stimulation. Another exemplary subroutine 450b can include alternating left auditory stimulation source, video stimulation source and/or tactile stimulation source with right auditory stimulation source, video stimulation source and/or tactile stimulation source (i.e., left stimulation and right stimulation are activated in turn). Another exemplary subroutine 450c can include alternating visual source with auditory source and/or tactile source (i.e., visual stimulation and auditory/tactile stimulation are activated in turn). Another exemplary subroutine 450d can include alternating left auditory source and/or tactile source and right visual source with right auditory source and/or tactile source and left visual source (i.e., opposite auditory/tactile stimulation is activated in turn). This programming is further described below.

在步骤440中,包括但不限于子例程450a、450b、450c和450d的编程450可以各自单独地或以彼此组合地方式应用一次或多次。此外,编程可以以不同的频率和/或时序提供子例程450a、450b、450c和450d中的输出序列。因此,例如,子例程可以以随着子例程重复进行而变化的特定频率提供输出。因此,例如,子例程450a可以向以256Hz的频率被打开和关闭的振动源120R或120L提供听觉输出,也就是说,所述振动源以1Hz的脉冲频率被脉冲调制2分钟。因此,除了更高谐波之外,此方波脉冲听觉信号以1Hz的频率生成信号。在随后的时间,256Hz的输出以前一个脉冲频率的两倍被脉冲调制2分钟。以这种方式,可以在较宽的范围内调制256Hz的听觉频率,包括与脑波频率相对应的频率。In step 440, programming 450, including but not limited to subroutines 450a, 450b, 450c, and 450d, can be applied one or more times, individually or in combination. Furthermore, the programming can provide the output sequences within subroutines 450a, 450b, 450c, and 450d at different frequencies and/or timings. Thus, for example, a subroutine can provide an output at a specific frequency that changes as the subroutine is repeated. Thus, for example, subroutine 450a can provide an auditory output to vibration source 120R or 120L that is turned on and off at a frequency of 256 Hz. That is, the vibration source is pulsed at a pulse frequency of 1 Hz for two minutes. Thus, in addition to higher harmonics, this square wave pulsed auditory signal generates a signal at a frequency of 1 Hz. Subsequently, the 256 Hz output is pulsed at twice the previous pulse frequency for two minutes. In this way, the 256 Hz auditory frequency can be modulated over a wide range, including frequencies corresponding to brainwave frequencies.

此外,通过警告左通道和右通道之间的输出,可以以强迫大脑左右两侧之间进行通信的方式来刺激大脑。例如,这种强迫的通信可以允许PTSD记忆被连接到大脑的两侧,从而阻止不期望的病理性重现。Furthermore, by altering the output between the left and right channels, the brain can be stimulated in a way that forces communication between the left and right sides of the brain. For example, this forced communication could allow PTSD memories to be connected to both sides of the brain, thereby preventing unwanted pathological recurrence.

尽管上述步骤示出了根据实施例的治疗患者的方法400,但本领域普通技术人员将会基于在此描述的教导认识许多变化。可以按不同的顺序完成这些步骤。可以增加或删除步骤。这些步骤中的一些可以包括子步骤。这些步骤中的许多可以如对治疗有益地一样频繁地重复。While the above steps illustrate a method 400 for treating a patient according to an embodiment, those skilled in the art will recognize numerous variations based on the teachings described herein. The steps may be performed in a different order. Steps may be added or deleted. Some of these steps may include sub-steps. Many of these steps may be repeated as often as is beneficial for treatment.

方法400的步骤中的一个或多个可以利用如本文所述的电路系统来执行,例如,控制器130或外部控制单元130a的电路系统,如处理器或逻辑电路系统(比如中央处理单元(CPU)或用于现场可编程门阵列的可编程阵列逻辑)中的一个或多个。例如,电路系统可以被编程用于提供方法400的步骤中的一个或多个,并且程序可以包括存储在计算机可读存储器上的程序指令或逻辑电路系统(比如可编程阵列逻辑或现场可编程门阵列)的编程步骤。One or more of the steps of method 400 may be performed using circuitry as described herein, for example, circuitry of controller 130 or external control unit 130a, such as one or more of a processor or logic circuitry (e.g., a central processing unit (CPU) or programmable array logic for a field programmable gate array). For example, the circuitry may be programmed to provide one or more of the steps of method 400, and the program may include program instructions stored on a computer-readable memory or programmed steps of logic circuitry (e.g., programmable array logic or a field programmable gate array).

示例1Example 1

以下描述了刺激模式的示例,实证研究已经发现所述刺激模式对以下情况有效:诱导睡眠(包括小睡)、增强神经重塑性、治疗由于中风、TBI或mTBI引起的脑损伤、改善平衡(包括改善精细运动控制和反应时间)、以及治疗PTSD,举几个迹象。Described below are examples of stimulation patterns that empirical studies have found to be effective for inducing sleep (including naps), enhancing neuroplasticity, treating brain injury due to stroke, TBI, or mTBI, improving balance (including improving fine motor control and reaction time), and treating PTSD, to name a few indications.

可以在第一时间片段上提供第一频率的光刺激和听觉刺激,然后在第二时间片段上提供第二较低频率,并且然后在第三时间片段上提供第三较低频率。例如,每个时间片段可以包括光刺激和听觉刺激的一个或多个子段,每个子段包括上述子例程之一。光刺激和听觉刺激可以在预定时间段(比如20分钟)之后结束。可以使光刺激和听觉刺激回升(即,从第三频率开始,然后过渡到第二频率,并且最后过渡到第三频率),比如以便唤醒用户。可替代地或组合地,光刺激和听觉刺激可以维持在第二频率,比如以便维持用户的睡眠状态。如上所述,触觉刺激可以与听觉刺激同时提供。可以提供波长为580nm的光,并且可以提供具有256Hz频率的听觉,或者受试者可以按照其意愿选择的多种听觉频率中的任何一种或其组合。Light stimulation and auditory stimulation of a first frequency can be provided in a first time segment, then a second, lower frequency can be provided in a second time segment, and then a third, lower frequency can be provided in a third time segment. For example, each time segment can include one or more sub-segments of light stimulation and auditory stimulation, each sub-segment including one of the above-mentioned subroutines. Light stimulation and auditory stimulation can end after a predetermined time period (such as 20 minutes). Light stimulation and auditory stimulation can be rebounded (i.e., starting from the third frequency, then transitioning to the second frequency, and finally transitioning to the third frequency), such as in order to wake up the user. Alternatively or in combination, light stimulation and auditory stimulation can be maintained at the second frequency, such as in order to maintain the user's sleep state. As described above, tactile stimulation can be provided simultaneously with auditory stimulation. Light with a wavelength of 580nm can be provided, and hearing with a frequency of 256Hz can be provided, or any one or a combination of a plurality of auditory frequencies that the subject can select according to his or her wishes.

下面表1描述了此示例的示例性治疗方案。表1中提供的刺激首先循环通过四个段A输出块,然后循环通过四个段B输出块,然后循环通过四个段C输出的七个块,并且最后重复四个段A输出块。对于段A输出(A1、A2、A3和A4),听觉输出和光输出在打开0.1277秒并且然后关闭0.1277秒之间(即,以3.9Hz的脉冲频率)循环115或116次,然后在0.5秒上不输出。对于段B输出(B1、B2、B3和B4),听觉输出和光输出在打开0.3333秒并且然后关闭0.3333秒之间(即,以1.5Hz的脉冲频率)循环44或45次,然后在0.5秒上不输出。对于段C输出(C1、C2、C3和C4),听觉输出和光输出在打开1秒并且然后关闭1秒之间(即,以0.5Hz的脉冲频率)循环14或15次,然后在1秒上不输出。段A1、B1和C1对光和听觉两者的右侧和左侧一起进行脉冲调制,其中,所有输出同时被同步为打开或关闭,如由子例程450a所提供的。段A2、B2和C2将左侧光输出和听觉输出同步成与右侧光输出和听觉输出彼此相反,如由子例程450b所提供的。段A3、B3和C3将两个光一起同步成以与两个听觉输出相反,如由子例程450c所提供的。段A4、B4和C4将右听觉和光同步成与左听觉输出和光输出相反,如由子例程450d所提供的。Table 1 below describes an exemplary treatment regimen for this example. The stimulation provided in Table 1 first cycles through four blocks of Segment A outputs, then cycles through four blocks of Segment B outputs, then cycles through seven blocks of four Segment C outputs, and finally repeats the four blocks of Segment A outputs. For Segment A outputs (A1, A2, A3, and A4), the auditory output and light output cycle 115 or 116 times between turning on for 0.1277 seconds and then turning off for 0.1277 seconds (i.e., at a pulse frequency of 3.9 Hz), and then not output for 0.5 seconds. For Segment B outputs (B1, B2, B3, and B4), the auditory output and light output cycle 44 or 45 times between turning on for 0.3333 seconds and then turning off for 0.3333 seconds (i.e., at a pulse frequency of 1.5 Hz), and then not output for 0.5 seconds. For Segment C outputs (C1, C2, C3, and C4), the auditory and light outputs cycle 14 or 15 times between being on for 1 second and then off for 1 second (i.e., at a pulse frequency of 0.5 Hz), followed by no output for 1 second. Segments A1, B1, and C1 pulse both the right and left sides of the light and auditory outputs together, with all outputs synchronized to be on or off simultaneously, as provided by subroutine 450a. Segments A2, B2, and C2 synchronize the left light and auditory outputs to be opposite to the right light and auditory outputs, as provided by subroutine 450b. Segments A3, B3, and C3 synchronize the two lights together to be opposite to the two auditory outputs, as provided by subroutine 450c. Segments A4, B4, and C4 synchronize the right auditory and light outputs to be opposite to the left auditory and light outputs, as provided by subroutine 450d.

表1Table 1

示例2Example 2

以下描述了刺激模式的示例,实证研究已经发现所述刺激模式对诱导睡眠有效。示例2的刺激模式包括表1所示的治疗方案的一部分。具体地,刺激首先循环通过四个段A输出块,然后循环通过四个段B输出块,并且然后循环通过四个段C输出的七个块。在示例2中不提供最后四个段A输出块的重复。The following describes an example of a stimulation pattern that empirical studies have found to be effective for inducing sleep. The stimulation pattern of Example 2 includes a portion of the treatment protocol shown in Table 1. Specifically, the stimulation first cycles through four blocks of Segment A output, then cycles through four blocks of Segment B output, and then cycles through seven blocks of four Segment C outputs. The repetition of the last four blocks of Segment A output is not provided in Example 2.

示例3Example 3

以下描述了刺激模式的示例,实证研究已经发现所述刺激模式对以下情况有效:增强阿尔法波脑活动、诱导神经重塑性、治疗中风或其他脑损伤(如TBI或mTBI),包括改善平衡、改善精细运动控制和反应时间、以及治疗PTSD,举几个迹象。Described below are examples of stimulation patterns that empirical studies have found to be effective for enhancing alpha wave brain activity, inducing neuroplasticity, treating stroke or other brain injuries (such as TBI or mTBI), including improving balance, improving fine motor control and reaction time, and treating PTSD, to name a few indications.

在此示例中,在多个时间片段上应用和重复上述和此处描述的这四个子例程,每个子例程以预定的刺激(重复)频率进行。例如,可以重复这四个子例程,比如,这四个子例程的每个段持续120秒。如上所述,触觉刺激可以与听觉刺激同时提供。可以提供波长为580nm的光,并且可以提供具有432Hz频率的听觉。In this example, the four subroutines described above and herein are applied and repeated over multiple time segments, each subroutine being performed at a predetermined stimulation (repetition) frequency. For example, the four subroutines can be repeated, for example, with each segment of the four subroutines lasting 120 seconds. As described above, tactile stimulation can be provided simultaneously with auditory stimulation. Light having a wavelength of 580 nm can be provided, and hearing having a frequency of 432 Hz can be provided.

下面表2描述了此示例的示例性治疗方案。表2中提供的刺激通过四个段A输出块循环10次。对于段A1、A2、A3和A4,听觉输出和光输出在打开0.1277秒并且然后关闭0.1277秒之间循环115或116次,然后在0.5秒上不输出。段A1对光和听觉两者的右侧和左侧一起进行脉冲调制,其中,所有输出同时被同步为打开或关闭,如由子例程450a所提供的。段A2将左侧光输出和听觉输出同步成与右侧光输出和听觉输出彼此相反,如由子例程450b所提供的。段A3将两个光一起同步成与两个听觉输出相反,如由子例程450c所提供的。段A4将右听觉和光同步成与左听觉输出和光输出相反,如由子例程450d所提供的。Table 2 below describes an exemplary treatment protocol for this example. The stimulation provided in Table 2 is cycled 10 times through the four Segment A output blocks. For Segments A1, A2, A3, and A4, the auditory and light outputs cycle 115 or 116 times between being on for 0.1277 seconds and then off for 0.1277 seconds, followed by no output for 0.5 seconds. Segment A1 pulses both the right and left sides of both the light and auditory outputs together, with all outputs synchronized to be on or off simultaneously, as provided by subroutine 450a. Segment A2 synchronizes the left light and auditory outputs to be opposite to the right light and auditory outputs, as provided by subroutine 450b. Segment A3 synchronizes both lights together to be opposite to the two auditory outputs, as provided by subroutine 450c. Segment A4 synchronizes the right auditory and light outputs to be opposite to the left auditory and light outputs, as provided by subroutine 450d.

表2Table 2

示例4Example 4

以下描述了刺激模式的又另一个示例,实证研究已经发现所述刺激模式对增强受试者的精力水平有效。可以在第一时间片段上提供第一频率的光刺激和听觉刺激,然后在第二时间片段上提供第二较高频率,然后在随后的时间片段上回到第一频率,依次类推。例如,每个时间片段可以包括光刺激和听觉刺激的一个或多个子段,每个子段包括上述子例程之一。光刺激和听觉刺激可以在预定时间段(比如20分钟)之后结束。如上所述,触觉刺激可以与听觉刺激同时提供。可以提供波长为580nm的光,并且可以提供具有432Hz频率的听觉。Described below is another example of a stimulation pattern, which has been found in empirical studies to be effective in enhancing the energy level of a subject. Light stimulation and auditory stimulation of a first frequency may be provided over a first time segment, followed by a second, higher frequency over a second time segment, and then back to the first frequency over a subsequent time segment, and so on. For example, each time segment may include one or more subsegments of light stimulation and auditory stimulation, each of which includes one of the above-mentioned subroutines. Light stimulation and auditory stimulation may end after a predetermined time period (such as 20 minutes). As described above, tactile stimulation may be provided simultaneously with auditory stimulation. Light with a wavelength of 580 nm may be provided, and hearing with a frequency of 432 Hz may be provided.

下面表3描述了此示例的示例性治疗方案。表3中提供的刺激首先通过四个段A输出块然后通过四个段D输出块循环十次。对于段A输出(A1、A2、A3和A4),听觉输出和光输出在打开0.1277秒并且然后关闭0.1277秒之间循环115或116次,然后在0.5秒上不输出。对于段D输出(D1、D2、D3和D4),听觉输出和光输出在打开0.0667秒并且然后关闭0.0667秒之间循环44或45次,然后在0.5秒上不输出。段A1和D1对光和听觉两者的右侧和左侧一起进行脉冲调制,其中,所有输出同时被同步为打开或关闭,如由子例程450a所提供的。段A2和D2将左侧光输出和听觉输出同步成与右侧光输出和听觉输出彼此相反,如由子例程450b所提供的。段A3和D3将两个光一起同步成与两个听觉输出相反,如由子例程450c所提供的。段A4和D4将右听觉和光同步成与左听觉输出和光输出相反,如由子例程450d所提供的。Table 3 below describes an exemplary treatment regimen for this example. The stimulation provided in Table 3 is first cycled ten times through four Segment A output blocks and then through four Segment D output blocks. For Segment A outputs (A1, A2, A3, and A4), the auditory and light outputs cycle 115 or 116 times between being on for 0.1277 seconds and then off for 0.1277 seconds, and then not outputting for 0.5 seconds. For Segment D outputs (D1, D2, D3, and D4), the auditory and light outputs cycle 44 or 45 times between being on for 0.0667 seconds and then off for 0.0667 seconds, and then not outputting for 0.5 seconds. Segments A1 and D1 pulse modulate both the right and left sides of both light and hearing, with all outputs synchronized to be on or off simultaneously, as provided by subroutine 450a. Segments A2 and D2 synchronize the left light and auditory outputs to be opposite to the right light and auditory outputs, as provided by subroutine 450b. Segments A3 and D3 synchronize the two lights together in opposition to the two auditory outputs, as provided by subroutine 450c. Segments A4 and D4 synchronize the right auditory and light output in opposition to the left auditory and light output, as provided by subroutine 450d.

表3Table 3

示例5Example 5

以下表4列出了使用本发明方法的实验结果。所述表列出了正在被测试或治疗的内容、病症细节、受试者的数量、以及测试结果。在每种情况下,示例1中用于治疗非睡眠相关问题以及用于诱导短睡眠的刺激,以及示例2中的刺激用于所有其他治疗。Table 4 below lists the results of experiments using the methods of the present invention. The table lists the condition being tested or treated, details of the condition, the number of subjects, and the test results. In each case, stimulation was used in Example 1 for treating non-sleep-related problems and for inducing short sleep, while stimulation in Example 2 was used for all other treatments.

一些治疗提供了身体和/或精神表现的改善,比如,改善精细运动控制和反应时间。这可能是由于设备在治疗后的几天内提供了改善的神经重塑性。其他治疗提供了执行任务和从脑损伤——比如,由于缺氧(中风而导致的损伤以及对患有创伤性脑损伤(TBI)或轻型创伤性脑损伤的那些患者——中恢复的改善,并且可以提供改善平衡、改善精细运动控制。其他治疗通过降低受试者对触发刺激的反应来为PTSD的患者提供缓解。Some treatments provide improvements in physical and/or mental performance, such as improved fine motor control and reaction time. This may be due to the improved neural remodeling provided by the device in the days following treatment. Other treatments provide improvements in performing tasks and recovering from brain injuries—such as those caused by oxygen deprivation (as seen in stroke and in those with traumatic brain injury (TBI) or mild traumatic brain injury)—and can provide improved balance and improved fine motor control. Other treatments provide relief for patients with PTSD by reducing their response to triggering stimuli.

表4Table 4

尽管本文已经示出并描述了本发明的优选实施例,但对于本领域的技术人员而言是显而易见的是这类实施例仅以示例的方式提供。在不脱离本发明的情况下,本领域的技术人员现在将进行许多更改、变化和替代。应该理解的是,本文中所描述的本发明的实施例的不同替代方案可以用于实践本发明。下述权利要求旨在限定本发明的范围,并且因此覆盖这些权利要求及其等效物的范围内的方法和结构。Although preferred embodiments of the present invention have been shown and described herein, it will be apparent to those skilled in the art that such embodiments are provided by way of example only. Without departing from the present invention, those skilled in the art will now make many changes, variations, and substitutions. It should be understood that different alternatives to the embodiments of the present invention described herein may be used to practice the present invention. The following claims are intended to define the scope of the present invention and therefore cover methods and structures within the scope of these claims and their equivalents.

应理解,本发明包括本文体现的所有不同组合。贯穿本说明书,术语“包括(comprising)”应该与“包括(including)”、“包含(containing)”或“特征在于(characterized by)”同义,是包括性的或开放式的,并且不排除附加、未描述的元件或方法步骤。“包括(comprising)”是本领域的术语,其意味着指定的元件是基本的,但是其他元件可以被添加,并且仍形成本声明范围内的构造。即使数量很大,“包括(comprising)”也包括未指明的成分。It should be understood that the present invention includes all different combinations embodied herein. Throughout this specification, the term "comprising" should be synonymous with "including," "containing," or "characterized by," is inclusive or open-ended, and does not exclude additional, undescribed elements or method steps. "Comprising" is a term of art that means that the specified elements are essential, but other elements can be added and still form a construction within the scope of the claim. "Comprising" also includes unspecified ingredients, even if the number is large.

Claims (6)

1.一种用于向用户提供刺激的装置,所述装置包括:1. An apparatus for providing stimulation to a user, the apparatus comprising: 框架,被配置成穿戴在所述用户的头部上;The frame is configured to be worn on the user's head; 控制器,被编程为生成多个输入,所述多个输入包括左光源输入、右光源输入、左听觉源输入和右听觉源输入;The controller is programmed to generate multiple inputs, including a left light source input, a right light source input, a left auditory source input, and a right auditory source input; 左光源,被配置用于由所述左光源输入向所述用户的左眼生成左视觉刺激模式;A left light source is configured to generate a left visual stimulation pattern by inputting the left light source into the user's left eye; 右光源,被配置用于由所述右光源输入向所述用户的右眼生成右视觉刺激模式;A right light source is configured to generate a right visual stimulation pattern for the user's right eye by input from the right light source. 左听觉源,被配置用于由所述左听觉源输入向所述用户的左耳生成左听觉刺激模式;以及A left auditory source is configured to generate a left auditory stimulation pattern from input to the user's left ear; and 右听觉源,被配置用于由所述右听觉源输入向所述用户的右耳生成右听觉刺激模式;A right auditory source is configured to generate a right auditory stimulation pattern from input to the user's right ear; 其中,所述控制器被编程为生成多个输入,所述多个输入在第一输入和第二输入之间进行交替,The controller is programmed to generate multiple inputs, which alternate between a first input and a second input. 其中,所述第一输入包括同时生成所述左光源输入和所述右听觉源输入,以及所述第二输入包括同时生成所述右光源输入和所述左听觉源输入,The first input includes simultaneously generating the left light source input and the right auditory source input, and the second input includes simultaneously generating the right light source input and the left auditory source input. 其中,所述左听觉源输入或所述右听觉源输入中的一个或多个包括序列刺激模式,所述序列刺激模式包括具有在3.75Hz与4.25Hz之间的第一脉冲频率的第一刺激模式、具有在1.25Hz与1.75Hz之间的第二脉冲频率的第二刺激模式、以及具有在0.25Hz与0.75Hz之间的第三脉冲频率的第三刺激模式。Wherein, one or more of the left auditory source input or the right auditory source input include a sequence of stimulation patterns, the sequence of stimulation patterns including a first stimulation pattern having a first pulse frequency between 3.75 Hz and 4.25 Hz, a second stimulation pattern having a second pulse frequency between 1.25 Hz and 1.75 Hz, and a third stimulation pattern having a third pulse frequency between 0.25 Hz and 0.75 Hz. 2.如权利要求1所述的装置,其中,所述左听觉源或所述右听觉源中的一个或多个为扬声器。2. The apparatus of claim 1, wherein one or more of the left auditory source or the right auditory source is a loudspeaker. 3.如权利要求1所述的装置,其中,所述左听觉源或所述右听觉源中的一个或多个为骨传导换能器。3. The device of claim 1, wherein one or more of the left auditory source or the right auditory source are bone conduction transducers. 4.如权利要求1所述的装置,其中,所述左光源或所述右光源中的一个或多个包括发光二极管(LED)。4. The apparatus of claim 1, wherein one or more of the left light source or the right light source comprises a light-emitting diode (LED). 5.如权利要求4所述的装置,其中,所述左光源或所述右光源中的一个或多个被配置用于生成550nm至610nm下的光。5. The apparatus of claim 4, wherein one or more of the left light source or the right light source are configured to generate light in the range of 550 nm to 610 nm. 6.如权利要求4所述的装置,其中,所述左光源或所述右光源中的一个或多个被配置用于生成580nm下的光。6. The apparatus of claim 4, wherein one or more of the left light source or the right light source are configured to generate light at 580 nm.
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