CN103480125A - Anti-compensation arm fixer - Google Patents
Anti-compensation arm fixer Download PDFInfo
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- CN103480125A CN103480125A CN201310261819.9A CN201310261819A CN103480125A CN 103480125 A CN103480125 A CN 103480125A CN 201310261819 A CN201310261819 A CN 201310261819A CN 103480125 A CN103480125 A CN 103480125A
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- immobilizer
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Abstract
The invention relates to an anti-compensation arm fixer, which comprises a supporting plate and upper limb fixers. The anti-compensation arm fixer is characterized in that the upper limb fixers are bonded on the supporting plate through nylon adhesive pads and can very conveniently fix forearms and upper arms, the positions of arms can be adjusted to ensure that the arms feel comfortable after the arms are fixed and external equipment can smoothly train actions such as wrist bending and stretching, ulnar deviation and radial deviation, pronation and supination and fist making after the arms are fixed, and the recovery of patients is facilitated.
Description
Technical field
The present invention relates to a kind ofly for stroke hemiplegia (upper limb hemiplegia, below all refer to this type of patient), be sitting on wheelchair the anti-compensatory arm fixing that the upper limbs while accepting the virtual reality rehabilitation training need be fixed.
Background technology
Apoplexy also is cerebral apoplexy.Apoplexy is the general designation of traditional Chinese medicine to acute cerebrovascular diseases.It is suddenly to faint, senseless, the distortion of commissure that occurs together, dysphonia and the class disease that hemiplegia is cardinal symptom occurs, and also hemiplegia is the most common.Because this sick incidence of disease is high, the death rate is high, disability rate is high, recurrence rate is high and complication is many, the rehabilitation medical of cerebral apoplexy has caused the attention of domestic and international medical circle, and physicians explore the treatment measure of cerebral apoplexy just in all its bearings.Traditional methods for the treatment of has physical treatment, operation treatment, speech therapy, psychotherapy etc., particularly, for the left severe arm paralysis of patient's cerebral apoplexy, has risen now a kind of more novel therapy---virtual training.Virtual training refers to a kind of recovery training method of the upper limbs functional rehabilitation ability that by computer, virtual reality technology is combined to improve the patient with rehabilitation training.Research shows, the method is compared with conventional method, can improve better patient's functional rehabilitation ability, improves upper limbs muscular strength and motion control ability.People's upper limbs is divided into upper arm, forearm, wrist and hand.Upper arm is the position to elbow joint by shoulder joint, and forearm is to carpal position by elbow joint.
In conjunction with the virtual training of computer, it is the process that a kind of game and training are combined closely.Detailed process is, under corresponding supporting software and hardware system, utilizes virtual reality technology, the surface electromyogram signal of patient's arm muscle (sEMG) is sent to the PC end, to complete craps game.The patient in amusement, can be active accept rehabilitation training.But in the actual play process, can exist the compensatory activity situation: originally need to complete game by the muscular movement of upper limbs damaged part, reach training goal, the patient often easily utilizes upper extremity function normal position muscular movement to drive the muscle of damaged part, thereby assists the impaired muscle of being badly in need of training to complete game.Compensatory activity can reduce patient's training effect, and then affects the recovery of patient's upper extremity function, does not reach the set goal.
About arm, the fixing patent for different aspect has many at present, but the medical apparatus domestic about anti-compensatory aspect is very few, one of them reason is that virtual technology is applied to medical research field and just just rises at home, has many problems also to solve well.Someone has made the fixing fixator of forearm of blood drawing, when transfusion, has applied for being called the utility model patent of " arm fixing " (patent No. ZL200820019822.4).Also someone done a kind of in medical bracing or strutting arrangement, applied for the utility model patent of " arm fixing " (patent No. ZL201220235337.7) by name.Although these medical apparatus can be used for fixing forearm, for the rehabilitation training of stroke hemiplegia, these devices are not conform to the hemiplegic patient to train the requirement while using.
Summary of the invention
The object of the invention is to, provide a kind of for being placed in upper arm on the arm-rest frame of wheelchair both sides and the anti-compensatory arm fixing of forearm, should anti-compensatory arm fixing can be respectively or the fixedly forearm of stroke hemiplegia and upper arm simultaneously, can also can be used for the right side hemiplegic patient for the left side hemiplegic patient, facilitate the patient to carry out interactivity, recreational rehabilitation training.
The present invention solves its technical problem: on the arm-rest frame of traditional push chairs both sides, lay the anti-compensatory arm fixing of the present invention, it is forearm or the upper arm of stroke hemiplegia left hand fixedly, or the forearm of the right hand or upper arm, and guarantees that the stroke hemiplegia arm can not feel well after fixing.
For achieving the above object, design of the present invention is: adopt rational constructional device realize the location of arm and fix.This covering device is symmetrically arranged on gripper shoe, the two large divisions, consists of, i.e. gripper shoe and upper-limbs fixation device.Gripper shoe is a plank, under wear mounting groove, on 2 backing plates and 1 nylon sticky pad are arranged; Upper-limbs fixation device comprises a pair of forearm fixator, a pair of upper arm fixator and a pair of wrist rest platform.Wherein forearm fixator comprises forearm putting slot (bottom adheres to sticky pad, hook face), cotton pad and nylon adherent buckle; The upper arm fixator comprises elbow cover (bottom adheres to sticky pad, hook face) and nylon adherent buckle; The wrist rest platform is solid memder, the attached nylon sticky pad in bottom (hook face).Material therefor has timber, nylon, cotton, wood glue and microcephaly's nail.Wherein the nylon sticky pad when buying can require businessman nylon material is carried out itemize, gum, cross cutting, stamp, laminating etc. be processed into this invention in needed shape, the specification that the unified purchase of nylon adherent buckle (hair side, hook face) width is 40mm, 1.8 meters of overall lengths, be cut into isometric (100mm) 12, with isometric (120mm) 4, unnecessary standby.Five nylon adherent buckles (hook face) width of forearm putting slot bottom even interval adhesion is 20mm, and length is 100mm.Sticky pad is partly bought the cutting processing carried out that width is 150mm and is combined into required form and gets final product.
According to the foregoing invention design, the present invention adopts following technical proposals:
A kind of anti-compensatory arm fixing, comprise gripper shoe and upper-limbs fixation device, it is characterized in that: described upper-limbs fixation device sticks on gripper shoe by the nylon sticky pad, can be very easily fixedly forearm and upper arm can regulate arm position, guarantee comfortable after fixing of arm, and arm fixing after external equipment be conducive to training action as wrist bends that wrist is stretched, the inclined to one side oar of chi partially, revolve front supination and carrying out smoothly of clenching fist, promote Rehabilitation.
Described gripper shoe is connected and forms by wood glue and wooden peg by a plank and a pair of trogue of laying, in order to lay on wheelchair; In the middle of on plank, the nylon sticky pad is posted in position.
There are two grooves in the front of described plank, makes to form a double wedge in the middle of it, and the location dowel fixedly is housed on the edge of two grooves, and adjacent spacing is identical, can shelve two backing plates.
Described upper-limbs fixation device comprises forearm fixator, upper arm fixator and wrist rest platform; Described forearm fixator, upper arm fixator and wrist rest platform are all that the viscous force that the nylon sticky pad by bottom provides is located and is fixed on the nylon sticky pad on described plank, and the viscous force provided by nylon adherent buckle fixes upper limbs.
Described forearm fixator is two forearm putting slots, and both sides are fixed with nylon adherent buckle, and inboard is lined with cotton pad.
Described upper arm fixator is that two elbow covers are pasted position-adjustable by nylon and are fixed on the nylon sticky pad on plank, and is fixedly connected with nylon adherent buckle above both sides.
Described wrist rest platform is that two Troffers are pasted position-adjustable by nylon and are fixed on the nylon sticky pad on plank.
The present invention compared with prior art, have following apparent outstanding substantive distinguishing features and remarkable advantage: the present invention is position-adjustable fixed installation upper-limbs fixation device on a gripper shoe, can allow the patient complete easily predefined standard training action, as wrist is bent, wrist is stretched, chi is inclined to one side, oar is inclined to one side, revolve before, supination and the action of clenching fist, greatly reduce the possibility of compensatory activity, improved the rehabilitation training effect.
The accompanying drawing explanation
Fig. 1 is the real figure of virtual interacting training.
Fig. 2 is overall construction drawing of the present invention.
Fig. 3 is gripper shoe figure.
Fig. 4 is wrist rest platform figure.
Fig. 5 is forearm putting slot figure.
Fig. 6 is elbow cover figure.
Fig. 7 is backing plate figure.
Fig. 8 is predefine standard action diagram.
Concrete assembling mode
Details are as follows by reference to the accompanying drawings for the preferred embodiments of the present invention:
Embodiment mono-:
Referring to Fig. 2, this anti-compensatory arm fixing, comprise gripper shoe and upper-limbs fixation device, it is characterized in that: described upper-limbs fixation device sticks on gripper shoe by the nylon sticky pad, can be very easily fixedly forearm and upper arm can regulate arm position, guarantee comfortable after fixing of arm, and arm fixing after external equipment be conducive to training action as wrist bends that wrist is stretched, the inclined to one side oar of chi partially, revolve front supination and carrying out smoothly of clenching fist, promote Rehabilitation.
Embodiment bis-:
Referring to Fig. 2～Fig. 7, the present embodiment and embodiment mono-are basic identical, and special feature is as follows:
Described gripper shoe is connected and forms by wood glue and wooden peg by a plank and a pair of trogue of laying, in order to lay on wheelchair; In the middle of on plank, the nylon sticky pad is posted in position.
There are two grooves in the front of described plank, makes to form a double wedge in the middle of it, and the location dowel fixedly is housed on the edge of two grooves, and adjacent spacing is identical, can shelve two backing plates.
Described upper-limbs fixation device comprises forearm fixator, upper arm fixator and wrist rest platform; Described forearm fixator, upper arm fixator and wrist rest platform are all that the viscous force that the nylon sticky pad by bottom provides is located and is fixed on the nylon sticky pad on described plank, and the viscous force provided by nylon adherent buckle fixes upper limbs.
Described forearm fixator is two forearm putting slots, and both sides are fixed with nylon adherent buckle, and inboard is lined with cotton pad.
Described upper arm fixator is that two elbow covers are pasted position-adjustable by nylon and are fixed on the nylon sticky pad on plank, and is fixedly connected with nylon adherent buckle above both sides.
Described wrist rest platform is that two Troffers are pasted position-adjustable by nylon and are fixed on the nylon sticky pad on plank.
Embodiment tri-:
In Fig. 2, expression be overall construction drawing.When stroke hemiplegia need to carry out virtual training, gripper shoe (I) is placed on wheelchair two side handrails.Gripper shoe (I) is that a pair of plank (1) of laying trogue plank (21,22) is arranged.The forearm putting slot of forearm fixator (4,16) bottom is stained with the sticky pad that 5 bands hook face, is spacedly distributed, and is bonded in forearm putting slot bottom, and guarantees that viscous force is suitable, by the nylon sticky pad, it is bonded on plank.In the inboard cotton pad (6,17) of placing of forearm putting slot, with the size of the groove of adjusting the arm putting slot, simultaneously can winter protection, whole training action process all needs forearm is placed on the cotton pad (6,17) in the forearm putting slot.The nylon sticky pad (20) that wrist rest platform (8,14) is bonded at plank by bottom sticky pad (hook face) is upper, carrying out that wrist is bent, wrist is stretched, chi partially reaches oar and can use when inclined to one side, in order to support wrist.Elbow cover (3,18) also is bonded on the nylon sticky pad (20) of plank (1) by bottom sticky pad (hook face), and upper end is connected with nylon adherent buckle (2,5,15,19), in order to fasten upper arm.
When stroke hemiplegia need to be accepted virtual rehabilitation training, use step as follows:
(1) the gripper shoe (I) combined is placed on wheelchair two side handrails;
(2) stroke hemiplegia Ipsilateral upper limbs is placed on the middle cotton pad of plank (1), the belly of muscle place at impaired muscle position, stick the bipolar electrode sheet, or as required, the belly of muscle place at some muscle position, stick the bipolar electrode sheet, also have the reference electrode sheet, connect afterwards electrode;
(3) according to required training side and required training action, (wrist is bent wrist and is stretched in this way, forearm putting slot (4,16) need be placed forward as far as possible, guarantee that wrist closes up finger downward rotation space is arranged while bending), above adjust forearm putting slot (4,16) to correct position in nylon sticky pad (20), remove the elbow cover of this side, be convenient to forearm and put into forearm putting slot (4,16);
(4) the stroke hemiplegia forearm is placed on the cotton pad (6 or 17) of forearm putting slot (4,16), leaving about 100mm surplus toward the wrist direction from ancon need not be placed in forearm putting slot (4,16), the stroke hemiplegia arm has posted electrode, for virtual rehabilitation training or measurement of muscule strength dynamometry assessment;
(5) stretch training as carried out wrist wrist in the wrong, in the middle of the backing plate of plank (1) front end (10 or 11) being moved to, place on the position of backing plate between two location dowels (9 and 12) (if before the backing plate of this side (10 or 11) lain between two the left positioner dowels (7 and 9) on plank (1) or between the location dowel (12 and 13) on two right sides), the wrist rest platform is moved to correct position, guarantee that the stroke hemiplegia wrist is bent and can carry out smoothly, the centre of the palm is downward, wrist is put to wrist rest platform (8 or 14) gently, buckle nylon adherent buckle (5 or 15) and retrain to a certain extent the motion up and down of forearm,
(6) as carried out the inclined to one side oar of chi, partially train, do not need to pack up backing plate (10 or 11), only the stroke hemiplegia palm need be kept flat, the centre of the palm is downward, wrist rest platform (8 or 14) is moved to correct position, again wrist is put gently, buckled the motion up and down that nylon adherent buckle (5 or 15) retrains forearm to a certain extent;
As need be revolved front supination or the action of clenching fist (7), do not need to use the wrist rest platform, connect step (3) after, buckle the motion up and down that nylon adherent buckle (5 or 15) retrains forearm to a certain extent;
(8) elbow cover (3 or 18) is pressed in to forearm and is exposed to the outer part of forearm putting slot (4,16), adjust elbow cover position, allow as far as possible the stroke hemiplegia upper limbs in naturally comfortable position, the nylon adherent buckle then elbow put (2 or 19) is buckled, and is buckled on upper arm herein;
(9) fixation procedure completes, and can start to enter virtual training or muscular strength assessment.
Whole process should be noted the position of electrode wires, in order to avoid affect the good contact of electrode and skin, cause indivedual channel signals to gather bad, only wrist is bent when wrist is stretched and backing plate (10 or 11) must be packed up, location dowel (9 and 12) in the middle of placing is upper, and all the other training backing plates (10 or 11) needn't be packed up.
When the stroke hemiplegia training finishes, operating procedure is as follows:
(1) all nylon adherent buckles (2,5,15,19) are opened;
(2) elbow cover (3 or 18) is taken away, be put on other position of sticky pad;
(3) wrist rest platform (8 or 14) is moved away, be put on other position of sticky pad;
(4) the stroke hemiplegia forearm is lifted, together with cotton pad (6 or 17), nylon adherent buckle (5 or 15), remove forearm putting slot (4 or 16), forearm fixator is put on other position of sticky pad;
(5) electrode and electrode slice are pulled out;
(6) package unit is extracted out and moved away from wheelchair both sides handrail, whole training process finishes.
On gripper shoe (I) two cover fixator ordinary circumstance only need be with a set of, because fixator is all located and fixes by the nylon sticky pad on plank (1), so fixator can be fixed optional position in nylon sticky pad scope, a set of fixator just can be realized the fixing of left side or right side.What have more a set ofly can be placed on plank edge, in order to avoid the impact training carries out, or collects unnecessary a set of fixator, as substitute, also can use for the stroke hemiplegia bilateral, by the recovery of healthy side upper limb limbs promotion Ipsilateral upper extremity function simultaneously.Considered that the scheme that bilateral is trained simultaneously is also to come according to the principle of the association response about hemiplegia patient of Blang Strong, be that a certain position of health is when exerting oneself, also can naturally and then exert oneself in other positions, as than wrist power the time, be obviously that the right hand is being competed, left hand is held with a firm grip with understanding also.
In Fig. 1, provided the test of the virtual interacting training platform of certain stroke hemiplegia participation.The virtual interacting Training scene that in figure, the PC end is fan and bead, stretch action mainly for wrist and trained.But in Fig. 1,, in the stroke hemiplegia training process, impaired muscular movement is slightly difficult, for completing game, may independently not allow on forearm or upper arm and lift or the different azimuth motion, to impel game, carry out smoothly, compensatory activity has occurred herein.Therefore, prevent the generation of compensatory activity in the urgent need to relevant apparatus.
In Fig. 2, marked each component names in anti-compensatory arm fixing, and shown the relative position of parts, wherein upper-limbs fixation device can be fixing in the nylon sticky pad meaning of taking up an official post, to allow as far as possible patient's upper limb body position comfortable position be advisable, diagram is a kind of position of upper-limbs fixation device just, and as reference, use procedure should rationally be adjusted according to the size of stroke hemiplegia upper limbs especially forearm.
In Fig. 3, the largest contours specification of the plank except the mounting groove of bottom is 900*450*30(unit: mm), eight angles of plank appearance profile all process rounding Φ 100mm, and material is timber; The a pair of flute length 450mm that lays of bottom, center distance is 655mm, common wheelchair width range 600-640mm, the width of groove is 55mm, than at least large 10mm of wheelchair armrest width, material is timber,, wooden peg interference fit joint combination bonding by wood glue with plank.
Post nylon sticky pad (hair side) on plank, the largest contours specification is 700*350(unit: mm), there are two jiaos of processing rounding Φ 100mm in the nylon sticky pad outside, and there is a 240*85(unit inboard: mm) the rectangle vacancy of size.
In Fig. 4, wrist rest platform base specification is high 20mm, length 100mm, and width 50mm, there is the 2mm chamfering at the rib place, and material is timber; The long 40mm of top two side shield specification, wide 20mm, high 60mm, there is the 2mm chamfering at the rib place, and material is timber.
In Fig. 5, the long 150mm of outline specification of forearm putting slot, wide 100mm, high 60mm, interior profile specification is long 150mm, wide 70mm, high 50mm, inner top side rounding Φ 20mm, both sides, lower vertical angle place rounding Φ 50mm, the bottom mid portion is rectangle, size is 150*20(unit: mm), material is timber, and built-in cotton pad, in order to hold forearm.The nylon buckles that 3 pairs of width are 40mm is posted in the both sides of forearm putting slot, by gluing company, and nails on microcephaly's nail, guarantees to provide enough restraining forces.
In Fig. 6, the elbow cover can be by arc half cover of first making two same sizes (high 80mm, external diameter Φ 135mm, internal diameter Φ 105mm), and reprocessing is made (two circular arc bases are vertical) and formed.Two circular arcs are partly overlapped thick 20mm, one of them at one end on both sides by after punching, plug the cylinder dowel, tack and fix by needlework for nylon adherent buckle one end; Another answers the nylon sticky pad (hook face) of shape by the sticker full phase in two bottom sides, for guaranteeing the bottom that is fixed on arc half cover that the nylon sticky pad can be good, adopt little nail to mark closely nylon stick and be padded on arc and partly put, and two arcs, half cover is wood materials; Elbow puts nylon adherent buckle width 40mm, and length is 150mm, guarantees to fasten upper arm (comprising coat-sleeve), and leaves the adjusting surplus.
In Fig. 7, the backing plate specification is 214*100*10(unit: mm).Aperture is Φ 10mm, and its mesopore centre-to-centre spacing is 210mm, and centre bore is 30mm apart from the most antermarginal distance.
In Fig. 8, provided the action of the required training of stroke hemiplegia.
Claims (7)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310261819.9A CN103480125B (en) | 2013-06-27 | 2013-06-27 | Anti-compensation arm immobilizer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310261819.9A CN103480125B (en) | 2013-06-27 | 2013-06-27 | Anti-compensation arm immobilizer |
Publications (2)
| Publication Number | Publication Date |
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| CN103480125A true CN103480125A (en) | 2014-01-01 |
| CN103480125B CN103480125B (en) | 2016-08-10 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310261819.9A Expired - Fee Related CN103480125B (en) | 2013-06-27 | 2013-06-27 | Anti-compensation arm immobilizer |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113081678A (en) * | 2021-04-12 | 2021-07-09 | 上海电气集团股份有限公司 | Protection mechanism for restraining compensation of rehabilitation training |
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| US3256880A (en) * | 1963-06-17 | 1966-06-21 | Erol Y Caypinar | Convertible intravenous armboard |
| JP2003052770A (en) * | 2001-08-10 | 2003-02-25 | Shozo Tsujio | Arm ergotherapeutic apparatus |
| CN201807032U (en) * | 2010-10-13 | 2011-04-27 | 李兰霞 | Children hand-back venous transfusion fixing apparatus |
| CN201969144U (en) * | 2010-12-31 | 2011-09-14 | 卜秀丽 | Novel infusion fixation device for pediatrics |
| KR101099078B1 (en) * | 2009-12-11 | 2011-12-28 | 대한민국 | Electric Elbow Rehabilitation Aids |
| CN103006413A (en) * | 2011-09-27 | 2013-04-03 | 成功大学 | Hand rehabilitation device |
-
2013
- 2013-06-27 CN CN201310261819.9A patent/CN103480125B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3256880A (en) * | 1963-06-17 | 1966-06-21 | Erol Y Caypinar | Convertible intravenous armboard |
| JP2003052770A (en) * | 2001-08-10 | 2003-02-25 | Shozo Tsujio | Arm ergotherapeutic apparatus |
| KR101099078B1 (en) * | 2009-12-11 | 2011-12-28 | 대한민국 | Electric Elbow Rehabilitation Aids |
| CN201807032U (en) * | 2010-10-13 | 2011-04-27 | 李兰霞 | Children hand-back venous transfusion fixing apparatus |
| CN201969144U (en) * | 2010-12-31 | 2011-09-14 | 卜秀丽 | Novel infusion fixation device for pediatrics |
| CN103006413A (en) * | 2011-09-27 | 2013-04-03 | 成功大学 | Hand rehabilitation device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113081678A (en) * | 2021-04-12 | 2021-07-09 | 上海电气集团股份有限公司 | Protection mechanism for restraining compensation of rehabilitation training |
| CN113081678B (en) * | 2021-04-12 | 2023-02-28 | 上海电气集团股份有限公司 | Protection mechanism for restraining compensation of rehabilitation training |
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| CN103480125B (en) | 2016-08-10 |
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