CN107029395A - It is a kind of to improve the device of periarthritis of shoulderjoint scope of activities - Google Patents

It is a kind of to improve the device of periarthritis of shoulderjoint scope of activities Download PDF

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Publication number
CN107029395A
CN107029395A CN201710414156.8A CN201710414156A CN107029395A CN 107029395 A CN107029395 A CN 107029395A CN 201710414156 A CN201710414156 A CN 201710414156A CN 107029395 A CN107029395 A CN 107029395A
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China
Prior art keywords
traction
periarthritis
base
shoulderjoint
seat
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CN201710414156.8A
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Chinese (zh)
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付阳阳
龚利
付磊
邵盛
储宇舟
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Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of TCM
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Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Shanghai University of TCM
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Priority to CN201710414156.8A priority Critical patent/CN107029395A/en
Publication of CN107029395A publication Critical patent/CN107029395A/en
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    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245Primarily by articulating the shoulder joint
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/06User-manipulated weights
    • A63B21/062User-manipulated weights including guide for vertical or non-vertical weights or array of weights to move against gravity forces
    • A63B21/0626User-manipulated weights including guide for vertical or non-vertical weights or array of weights to move against gravity forces with substantially vertical guiding means
    • A63B21/0628User-manipulated weights including guide for vertical or non-vertical weights or array of weights to move against gravity forces with substantially vertical guiding means for vertical array of weights
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2210/00Space saving
    • A63B2210/02Space saving incorporated in chairs
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/09Adjustable dimensions
    • A63B2225/093Height

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)

Abstract

本发明涉及一种改善肩关节周围炎活动范围的装置,一种改善肩关节周围炎活动范围的装置,所述的改善肩关节周围炎患者活动范围的装置设有椅具、托板、固定夹板和牵引装置;所述的椅具设有座椅、扶手、支撑脚、底座;所述的座椅通过支撑脚与底座连接;所述扶手设置在座椅的两侧;所述的扶手设有移动滑轨、升降杆、扶手杆;所述的托板与扶手上的扶手杆连接;所述托板上设有固定夹板;所述的牵引装置设置在托板的侧面。其优点表现在:能解决现有肩周炎康复装置的不足,通过本装置,可明显增大患者活动范围,保持或增加组织的伸展性,改善患者生活质量;同时,本装置将手法作用方式转换成机械装置,便于临床操作。

The invention relates to a device for improving the range of motion of periarthritis of the shoulder, a device for improving the range of motion of periarthritis of the shoulder. and a traction device; the chair is provided with a seat, armrests, support feet, and a base; the seat is connected to the base through the support feet; the armrests are arranged on both sides of the seat; the armrests are provided with Moving slide rails, lifting rods, and handrail rods; the pallet is connected to the rail rod on the handrail; a fixed splint is arranged on the pallet; and the traction device is arranged on the side of the pallet. Its advantages are as follows: it can solve the shortcomings of the existing frozen shoulder rehabilitation devices. Through this device, the range of motion of the patient can be significantly increased, the extensibility of the tissue can be maintained or increased, and the quality of life of the patient can be improved. Converted into a mechanical device for easy clinical operation.

Description

一种改善肩关节周围炎活动范围的装置A device for improving the range of motion of periarthritis of the shoulder

技术领域technical field

本发明涉及医疗器械技术领域,具体地说,是一种改善肩关节周围炎活动范围的装置。The invention relates to the technical field of medical devices, in particular to a device for improving the range of motion of periarthritis of the shoulder.

背景技术Background technique

肩关节周围炎简称肩周炎,是由于肩关节的关节囊和关节周围软组织发生一种范围较广的,慢性无菌性炎症反应,引起软组织广泛性粘连,限制了肩关节的活动。Periarthritis of the shoulder, referred to as periarthritis of the shoulder, is due to a wide range of chronic aseptic inflammatory reactions in the joint capsule of the shoulder joint and the soft tissue around the joint, which causes extensive adhesion of the soft tissue and limits the activities of the shoulder joint.

目前针对本病的治疗,主要以针刺、推拿、中药内服、中药外敷、理疗、关节腔内注射、神经阻滞术、麻醉下手法松解、开放性手术或关节镜下松解为主。关节松动技术为西方现代康复治疗技术中的基本技能之一,用来治疗关节功能障碍如关节疼痛、关节活动受限或关节僵硬的一种非常实用、有效的手法操作技能。关节松动技术在应用时常选择关节的生理运动和附属运动作为治疗手段。关节的生理运动指关节在生理范围内完成的运动,如关节的屈、伸、内收、外展、旋转等运动,可以主动完成,也可以被动完成。关节的附属运动指关节在自身及其周围组织允许的范围内完成的运动,是维持关节正常活动不可缺少的一种运动。At present, the treatment for this disease is mainly based on acupuncture, massage, oral administration of traditional Chinese medicine, external application of traditional Chinese medicine, physical therapy, intra-articular injection, nerve block, manual release under anesthesia, open surgery or arthroscopic release. Joint mobilization technique is one of the basic skills in modern Western rehabilitation treatment techniques. It is a very practical and effective manipulation skill used to treat joint dysfunction such as joint pain, limited joint mobility or joint stiffness. When applying joint mobilization technology, the physiological movement and accessory movement of the joint are often selected as the treatment means. The physiological movement of the joint refers to the movement completed by the joint within the physiological range, such as joint flexion, extension, adduction, abduction, rotation, etc., which can be completed actively or passively. The accessory movement of the joint refers to the movement that the joint completes within the range allowed by itself and its surrounding tissues, and is an indispensable movement to maintain the normal activities of the joint.

目前对于肩周炎的康复装置尚不多见,查阅肩周炎的相关专利文件后发现主要以肩周炎外敷方、肩周炎护肩为主。临床上常用局封、推拿、外敷、针灸、手术等方法治疗肩周炎,但不足点是其疗程长、治疗不彻底,复发率高。At present, there are not many rehabilitation devices for frozen shoulder. After consulting the relevant patent documents of frozen shoulder, it is found that the external application prescription for frozen shoulder and the shoulder protector for frozen shoulder are the main ones. Clinically, methods such as local sealing, massage, external application, acupuncture, and surgery are commonly used to treat frozen shoulder, but the disadvantages are that the course of treatment is long, the treatment is not thorough, and the recurrence rate is high.

中国专利文献:CNCN200710168510.X,申请日2007.11.28,专利名称:肩关节康复训练装置。公开了一种可穿戴式的肩关节康复训练装置。该装置具有运功柔顺性、穿戴舒适性及训练安全性特点。该装置由运动机构和支撑调整机构组成。支撑调整机构用来调整运动机构相对人体肩关节的位置,并将整个康复训练装置固定在人体背部的适当位置。运动机构的驱动器是4根处于竖直运动状态的气动肌肉,可分别控制上臂绕肩关节做前屈和后伸、外展和内收这两组运动以及这两组运动的复合运动,另外在角位移和拉力传感器的配合下,还可以实现运动机构与上臂的主被动协调运动。Chinese patent document: CNCN200710168510.X, application date 2007.11.28, patent name: shoulder joint rehabilitation training device. Disclosed is a wearable shoulder joint rehabilitation training device. The device has the characteristics of exercise flexibility, wearing comfort and training safety. The device is composed of a movement mechanism and a support adjustment mechanism. The support adjustment mechanism is used to adjust the position of the movement mechanism relative to the shoulder joint of the human body, and fix the entire rehabilitation training device at an appropriate position on the back of the human body. The driver of the motion mechanism is 4 pneumatic muscles in a vertical motion state, which can respectively control the two groups of movements of the upper arm around the shoulder joint, flexion and extension, abduction and adduction, and the compound movement of these two groups of movements. With the cooperation of the angular displacement and the tension sensor, the active and passive coordinated movement of the movement mechanism and the upper arm can also be realized.

上述文献采用一种肩关节康复训练装置,利用运动机构借助做被动运动的两个滑块带动上臂运动,来克服机构的运动中心与肩关节不重合所带来的上肢运动困难的问题,确保了康复训练过程中的舒适性和训练的安全性。但是关于一种能够将关节松动术中的分离手法转化为装置形式,来保持或增加组织的伸展性,改善肩关节活动范围的装置则没有相关的报道。The above-mentioned document adopts a shoulder joint rehabilitation training device, which utilizes the movement mechanism to drive the upper arm movement by means of two passively moving sliders to overcome the problem of upper limb movement difficulties caused by the misalignment of the movement center of the mechanism and the shoulder joint, ensuring Comfort during rehabilitation and safety during training. However, there is no relevant report on a device that can convert the separation technique in joint mobilization into a device to maintain or increase the extensibility of the tissue and improve the range of motion of the shoulder joint.

综上所述,亟需一种能够将关节松动术中的分离手法转化为装置形式,来保持或增加组织的伸展性,改善肩关节活动范围的装置。To sum up, there is an urgent need for a device that can convert the separation technique in joint mobilization into a device to maintain or increase the extensibility of the tissue and improve the range of motion of the shoulder joint.

发明内容Contents of the invention

本发明的目的是克服现有技术的不足,提供一种能够将关节松动术中的分离手法转化为装置形式,来保持或增加组织的伸展性,改善肩关节活动范围的装置。The purpose of the present invention is to overcome the deficiencies of the prior art and provide a device that can convert the separation technique in joint mobilization into a device to maintain or increase the extensibility of the tissue and improve the range of motion of the shoulder joint.

为实现上述目的,本发明采取的技术方案是:For realizing above-mentioned object, the technical scheme that the present invention takes is:

一种改善肩关节周围炎活动范围的装置,所述的改善肩关节周围炎患者活动范围的装置设有椅具、托板、固定夹板和牵引装置;所述的椅具设有座椅、扶手、支撑脚、底座;所述的座椅通过支撑脚与底座连接;所述扶手设置在座椅的两侧;所述的扶手设有移动滑轨、升降杆、扶手杆;所述的托板与扶手上的扶手杆连接;所述托板上设有固定夹板;所述的牵引装置设置在托板的侧面;所述的牵引装置包括牵引块、丝杆、牵引鞘棒固定杆、牵引绳、牵引拉手、第一底座、第二底座、第一定滑轮、第二定滑轮;所述丝杆共有两个,丝杆的一端滑动穿设在牵引块中,另一端固定连接第一底座;所述第二底座固定在两牵引杆上;所述第二底座上方设有牵引板;所述牵引板上表面设有牵引头,牵引头上连接牵引绳,牵引绳绕过第一定滑轮和第二定滑轮,并绕过第二定滑轮呈水平伸出的游离端,在牵引绳的游离端上设有牵引拉手;所述牵引板的下表面设有牵引鞘棒固定杆,牵引鞘棒固定杆从第二底座穿出形成游离端;所述牵引鞘棒固定杆上设有牵供引鞘棒的固定孔;所述的牵引块上下面上设有供牵引鞘棒固定杆穿过的通孔;所述牵引块的前侧面设有供牵引鞘棒置入的插孔,该插孔与牵引鞘棒固定杆上的固定孔相对应。A device for improving the range of motion of periarthritis of the shoulder, said device for improving the range of motion of patients with periarthritis of the shoulder is provided with a chair, a supporting plate, a fixed splint and a traction device; the chair is provided with a seat, an armrest , support feet, base; the seat is connected to the base through the support feet; the armrests are arranged on both sides of the seat; It is connected with the handrail rod on the handrail; the pallet is provided with a fixed splint; the traction device is arranged on the side of the pallet; the traction device includes a traction block, a screw rod, a traction sheath rod fixing rod, a traction rope , the traction handle, the first base, the second base, the first fixed pulley, and the second fixed pulley; there are two screw rods, one end of the screw rod slides through the traction block, and the other end is fixedly connected to the first base; The second base is fixed on the two drawbars; a traction plate is provided above the second base; a traction head is provided on the surface of the traction plate, and a traction rope is connected to the traction head, and the traction rope goes around the first fixed pulley and The second fixed pulley, and walk around the free end of the second fixed pulley that is horizontally stretched out, and a traction handle is provided on the free end of the traction rope; the lower surface of the traction plate is provided with a traction sheath rod fixing rod, and the traction sheath rod The fixed rod passes through the second base to form a free end; the fixed rod of the traction sheath rod is provided with a fixing hole for the traction sheath rod; A through hole; the front side of the traction block is provided with a socket for the traction sheath rod to be inserted, and the socket corresponds to the fixing hole on the traction sheath rod fixing rod.

作为一种优选的技术方案,所述固定夹板垂直于托板面。As a preferred technical solution, the fixing splint is perpendicular to the surface of the pallet.

作为一种优选的技术方案,座椅包括坐垫部和后背部,座垫部和后背部之间的夹角呈90度分布。As a preferred technical solution, the seat includes a cushion portion and a back, and the angle between the cushion portion and the back is distributed at 90 degrees.

作为一种优选的技术方案,坐椅、扶手、牵引拉手处均设置软垫。As a preferred technical solution, cushions are provided at the seats, armrests, and traction handles.

作为一种优选的技术方案,所述牵引块由铁制材料或钢制材料制造而成。As a preferred technical solution, the traction block is made of iron or steel.

作为一种优选的技术方案,所述牵引块为至少一个。As a preferred technical solution, there is at least one traction block.

本发明优点在于:The present invention has the advantage that:

1、本发明的一种改善肩关节周围炎活动范围的装置,能解决现有肩周炎康复装置的不足,通过本装置,可明显增大患者活动范围,保持或增加组织的伸展性,改善患者生活质量;同时,本装置将手法作用方式转换成机械装置,便于临床操作。1. A device for improving the range of motion of periarthritis of shoulder according to the present invention can solve the shortcomings of existing rehabilitation devices for periarthritis of shoulder. This device can significantly increase the range of motion of patients, maintain or increase the extensibility of tissues, and improve Improve the quality of life of the patient; at the same time, the device converts the manipulation mode into a mechanical device, which is convenient for clinical operation.

2、设有固定板,用于固定胸壁与手臂,避免腰部发力,使得在自我主动牵引过程中主要以手臂力量发力进行训练。2. There is a fixed plate, which is used to fix the chest wall and arms, avoiding the force of the waist, so that in the process of self-active traction, the main force of the arm is used for training.

3、扶手设有移动滑轨,能够前后移动,满足不同患者前后调节使用。3. The armrest is equipped with a moving slide rail, which can move back and forth to meet the needs of different patients.

4、扶手设有升将杆,使得座椅能够在高度方向上进行调节,适合不同患者高度调节使用。4. The armrest is equipped with a lifting rod, so that the seat can be adjusted in the height direction, which is suitable for height adjustment of different patients.

5、设有牵引装置,可重复进行往内拽以及往外拉为一组动作训练,使得肩关节能够得到屈、伸、内收、外展、旋转的训练动作,同时也迫使关节的附属运动指关节在自身及其周围组织允许的范围内完成的运动,是维持关节正常活动。5. Equipped with a traction device, it can be used to repeatedly pull inward and outward as a set of action training, so that the shoulder joint can get the training actions of flexion, extension, adduction, abduction, and rotation, and at the same time force the subsidiary movement fingers of the joint The movement that the joint completes within the range allowed by itself and its surrounding tissues is to maintain the normal activity of the joint.

6、设有牵引棒,牵引鞘棒可在患者做自我主动牵引训练时,调节牵引力的大小,适应不同患者的需要。6. There is a traction rod, and the traction sheath rod can adjust the size of the traction force when the patient is doing self-active traction training to meet the needs of different patients.

7、坐椅、扶手、牵引拉手处均设置软垫,可以提高患者使用的舒适性。7. Seats, armrests, and traction handles are all provided with cushions, which can improve the comfort of patients.

8、牵引鞘棒可在患者做自我主动牵引训练时,调节牵引力的大小,适应不同患者的需要。8. The traction sheath rod can adjust the magnitude of the traction force when the patient is doing self-active traction training, so as to meet the needs of different patients.

9、坐椅、扶手、牵引拉手处均设置软垫,可以提高患者使用的舒适性。9. Seats, armrests, and traction handles are all provided with cushions, which can improve the comfort of patients.

附图说明Description of drawings

附图1是本发明一种改善肩关节周围炎活动范围的装置的椅具立体结构示意图。Accompanying drawing 1 is a schematic diagram of the three-dimensional structure of a chair of a device for improving the range of motion of periarthritis of the shoulder according to the present invention.

附图2是椅具、托板、固定夹板连接关系结构示意图。Accompanying drawing 2 is a structural schematic diagram of the connection relationship of the chair, the supporting plate, and the fixed splint.

附图3为扶手、托板、固定夹板连接关系示意图。Accompanying drawing 3 is a schematic diagram of the connection relationship between the handrail, the supporting plate and the fixed splint.

附图4是本发明的牵引装置结构示意图。Accompanying drawing 4 is the schematic diagram of the structure of the traction device of the present invention.

附图5是牵引装置中的三个牵引块作为牵拉力时的牵引鞘棒插入位置以及动动状态示意图。Accompanying drawing 5 is a schematic diagram of the insertion position and dynamic state of the traction sheath bar when the three traction blocks in the traction device are used as the traction force.

具体实施方式detailed description

下面结合实施例并参照附图对本发明作进一步描述。The present invention will be further described below in conjunction with the embodiments and with reference to the accompanying drawings.

附图中涉及的附图标记和组成部分如下所示:The reference signs and components involved in the accompanying drawings are as follows:

1.椅具 11.座椅1. Chair 11. Seat

12.扶手 121.升降杆12. Armrest 121. Lifting rod

122.扶手杆 123.移动滑轨122. Grab bar 123. Moving slide rail

13.底座 14.支撑脚13. Base 14. Supporting feet

2.托板 3.固定夹板2. Support plate 3. Fixed splint

4.牵引装置 41.牵引块4. Traction device 41. Traction block

411.插孔 412.通孔411. Jack 412. Through hole

413.牵引鞘棒 42.丝杆413. Traction sheath rod 42. Screw rod

43.牵引鞘棒固定杆 431.固定孔43. Traction sheath rod fixing rod 431. Fixing hole

432.牵引板 433.牵引头432. Traction plate 433. Traction head

44.第一底座 441.第一定滑轮44. The first base 441. The first fixed pulley

45.第一底座 451.第二定滑轮45. The first base 451. The second fixed pulley

46.牵引绳 461.牵引拉手46. Traction rope 461. Traction handle

请参看附图1和图2,附图1是本发明一种改善肩关节周围炎活动范围的装置的立体结构示意图。图2是椅具1、托板2、固定夹板3连接关系结构示意图。一种改善肩关节周围炎活动范围的装置,所述的改善肩关节周围炎患者活动范围的装置设有椅具1、托板2、固定夹板3和牵引装置4;所述的椅具1设有座椅11、扶手12、支撑脚14、底座13;所述的座椅11通过支撑脚14与底座13连接;所述扶手12设置在座椅11的两侧;所述的牵引装置4设置在托板2的侧面。Please refer to accompanying drawings 1 and 2, and accompanying drawing 1 is a three-dimensional structural schematic diagram of a device for improving the range of motion of periarthritis of the shoulder according to the present invention. Fig. 2 is a structural schematic diagram of the connection relationship of the chair 1, the supporting plate 2, and the fixing splint 3. A device for improving the range of motion of periarthritis of the shoulder, the device for improving the range of motion of patients with periarthritis of the shoulder is provided with a chair 1, a supporting plate 2, a fixed splint 3 and a traction device 4; the chair 1 is provided with Seat 11, armrest 12, support foot 14, base 13 are arranged; Described seat 11 is connected with base 13 by support foot 14; Described armrest 12 is arranged on the both sides of seat 11; Described traction device 4 is arranged on the side of pallet 2.

请参照图3,图3为扶手12、托板2、固定夹板3连接关系示意图。所述的扶手126设有移动滑轨123、升降杆121、扶手杆122;所述的托板2与扶手12上的扶手杆122连接;所述托板2上设有固定夹板3;所述固定夹板3垂直于托板2面;所述的固定夹板33主要用于固定胸壁与手臂。Please refer to FIG. 3 , which is a schematic diagram of the connection relationship between the armrest 12 , the supporting plate 2 , and the fixing splint 3 . Described handrail 126 is provided with moving slide rail 123, elevating bar 121, handrail bar 122; Described supporting plate 2 is connected with handrail bar 122 on the handrail 12; Described supporting plate 2 is provided with fixed splint 3; The fixing splint 3 is perpendicular to the surface of the supporting plate 2; the fixing splint 33 is mainly used for fixing the chest wall and the arm.

请参照图4,图4是本发明的牵引装置4结构示意图。所述的牵引装置4包括牵引块41、丝杆42、牵引鞘棒固定杆43、牵引绳46、牵引拉手461、第一底座44、第二底座45、第一定滑轮441、第二定滑轮451;所述丝杆42共有两个,丝杆42的一端滑动穿设在牵引块41中,另一端固定连接第一底座44;所述第二底座45固定在两牵引杆上;所述第二底座45上方设有牵引板432;所述牵引板432上表面设有牵引头433,牵引头433上连接牵引绳46,牵引绳46绕过第一定滑轮441和第二定滑轮451,并绕过第二定滑轮451呈水平伸出的游离端,在牵引绳46的游离端上设有牵引拉手461;所述牵引板432的下表面设有牵引鞘棒固定杆43,牵引鞘棒固定杆43从第二底座45穿出形成游离端;所述牵引鞘棒固定杆43上设有牵供引鞘棒的固定孔431;所述牵引块41采用铁质或钢质材料制造而成;所述的牵引块41上下面上设有供牵引鞘棒固定杆43穿过的通孔412;所述牵引块41的前侧面设有供牵引鞘棒413置入的插孔411,该插孔411与牵引鞘棒固定杆43上的固定孔431相对应;所述牵引块41为至少一个。Please refer to FIG. 4 . FIG. 4 is a schematic structural diagram of the traction device 4 of the present invention. Described traction device 4 comprises traction block 41, screw mandrel 42, traction sheath bar fixed rod 43, traction rope 46, traction handle 461, first base 44, second base 45, first fixed pulley 441, second fixed pulley 451; there are two screw rods 42, one end of the screw rod 42 slides through the traction block 41, and the other end is fixedly connected to the first base 44; the second base 45 is fixed on the two draw rods; the first The top of the second base 45 is provided with a traction plate 432; the upper surface of the traction plate 432 is provided with a traction head 433, the traction head 433 is connected with a traction rope 46, and the traction rope 46 walks around the first fixed pulley 441 and the second fixed pulley 451, and Go around the free end of the second fixed pulley 451 that is horizontally stretched out, and the free end of the traction rope 46 is provided with a traction handle 461; the lower surface of the traction plate 432 is provided with a traction sheath rod fixing rod 43, and the traction sheath rod is fixed The rod 43 passes through the second base 45 to form a free end; the traction sheath rod fixing rod 43 is provided with a fixing hole 431 for traction sheath rod; the traction block 41 is made of iron or steel materials; The upper and lower sides of the traction block 41 are provided with a through hole 412 for the traction sheath rod fixing rod 43 to pass through; 411 corresponds to the fixing hole 431 on the pulling sheath rod fixing rod 43; there is at least one pulling block 41 .

需要说明的是:所述的椅具1高度为100cm-150cm;所述的座椅5宽度为25cm-35cm;所述的扶手6高度为15cm-30cm;所述的固定夹板3高度为10cm-15cm,长度为20cm-30cm;所述的定滑轮10半径大小为2cm-4cm,间距为5cm-10cm;所述的单个牵引块11重量为1kg。It should be noted that: the height of the chair 1 is 100cm-150cm; the width of the seat 5 is 25cm-35cm; the height of the armrest 6 is 15cm-30cm; the height of the fixed splint 3 is 10cm-35cm. 15cm, and the length is 20cm-30cm; the radius of the fixed pulley 10 is 2cm-4cm, and the spacing is 5cm-10cm; the weight of the single traction block 11 is 1kg.

所述的椅具1包括座椅11、扶手12、支撑脚14、底座13,其中,其中座椅11包括坐垫部和后背部,座垫部和后背部之间的夹角呈90度分布,该设计方式具有的作用是:使得患者能够挺直腰部,保持好最佳的治疗体位。支撑脚14连接在座椅11和底座13之间。The chair 1 includes a seat 11, an armrest 12, a support foot 14, and a base 13, wherein the seat 11 includes a cushion and a back, and the angle between the cushion and the back is distributed at 90 degrees. The function of this design method is to enable the patient to straighten the waist and maintain the best treatment position. The supporting feet 14 are connected between the seat 11 and the base 13 .

所述扶手12包括移动滑轨123、升降杆121、扶手杆122;通过升降杆121使得整个扶手12能够调节成不同的高度,方便不同患者使用;通过移动滑轨123,使得整个扶手12能够前后移动,获得最佳的治疗体位。The armrest 12 includes a moving slide rail 123, a lifting rod 121, and a handrail rod 122; through the lifting rod 121, the entire armrest 12 can be adjusted to different heights, which is convenient for different patients; by moving the sliding rail 123, the entire armrest 12 can Move to get the best therapeutic position.

所述的托板2用于支撑肘关节,关节的屈、伸、内收、外展、旋转等运动。The supporting plate 2 is used to support the elbow joint, flexion, extension, adduction, abduction, rotation and other movements of the joint.

设有固定夹板3,临床上,在自我主动牵引过程中,主要以手臂力量发力,不能借助腰部力量,因此此处设置固定夹板3就是为了避免腰部发力,因此在使用中,要求患者夹紧固定夹板3,因如果腰部发力,牵引力直接作用在腰部,使得腰部运动,而肩关节得不到运动训练的动作;所述固定夹板3垂直于托板2面,对腰部固定效果好。There is a fixed splint 3. Clinically, in the process of self-active traction, the force is mainly exerted by the strength of the arm, and the strength of the waist cannot be used. Therefore, the purpose of setting the fixed splint 3 here is to avoid the force of the waist. Therefore, in use, the patient is required to clamp Tighten the fixed splint 3, because if the waist exerts force, the traction force directly acts on the waist, so that the waist moves, and the shoulder joint cannot get the action of exercise training; the fixed splint 3 is perpendicular to the supporting plate 2 surfaces, and has a good fixing effect on the waist.

所述的牵引装置4包括牵引块41、丝杆42、牵引鞘棒固定杆43、牵引绳46、牵引拉手461、第一底座44、第二底座45、第一定滑轮441、第二定滑轮451;其中,牵引块41即为配重块,主要提供牵引力的作用,数量不同的牵引块41,重量不同,由此形成的牵引力大小也不同。关于牵引力的大小,是根据患者具体治疗康复需要而调节的。具体的调节牵引大小的原理如下:因每个牵引块41都设有供牵引鞘棒413插入的插孔411,当需要两三个牵引块41重力所提供的牵引力时,将牵引鞘棒413插入到从上往下排列第三个牵引块41中即可(见图5),这样,当患者用力拉牵引拉手461时,牵引鞘棒413上方的两个牵引块41随着牵引绳46移动,从而提供治疗所需的牵引力,而牵引鞘棒413的下方的牵引块41均被牵引鞘棒413插入锁定,不能随着牵引绳46移动。同理,当需要四个牵引块41的重力提供牵引力时,只要满足牵引鞘棒413上方有三个牵引块41即可,这样,对牵引力的大小进行量化,牵引力大小可控,以获得最佳牵引力大小来改善肩关节活动范围。Described traction device 4 comprises traction block 41, screw mandrel 42, traction sheath bar fixed rod 43, traction rope 46, traction handle 461, first base 44, second base 45, first fixed pulley 441, second fixed pulley 451; wherein, the traction block 41 is a counterweight, which mainly provides the function of traction force. The traction blocks 41 with different numbers have different weights, and the magnitude of the traction force thus formed is also different. The size of the traction force is adjusted according to the specific treatment and rehabilitation needs of the patient. The specific principle of adjusting the traction size is as follows: because each traction block 41 is provided with a socket 411 for the insertion of the traction sheath rod 413, when the traction force provided by the gravity of two or three traction blocks 41 is needed, the traction sheath rod 413 is inserted Arrange in the third traction block 41 from top to bottom and get final product (see Fig. 5), like this, when the patient pulled the traction handle 461 firmly, the two traction blocks 41 above the traction sheath rod 413 moved along with the traction rope 46, Thereby, the traction required for treatment is provided, and the traction block 41 below the traction sheath rod 413 is inserted and locked by the traction sheath rod 413 and cannot move with the traction rope 46 . Similarly, when the gravity of four traction blocks 41 is required to provide traction force, as long as there are three traction blocks 41 above the traction sheath bar 413, then the magnitude of the traction force is quantified, and the magnitude of the traction force is controllable to obtain the best traction force Size to improve shoulder range of motion.

所述的牵引鞘棒413可在患者做自我主动牵引训练时,调节牵引力的大小,适应不同患者的需要;所述的坐椅、扶手12、牵引拉手461处均设置软垫,可以提高患者使用的舒适性。The traction sheath rod 413 can adjust the size of the traction force when the patient is doing self-active traction training, so as to adapt to the needs of different patients; the seat, the armrest 12, and the traction handle 461 are all provided with cushions, which can improve the patient's ability to use. comfort.

本发明的一种改善肩关节周围炎活动范围的装置的具体使用方法如下:患者取椅具1,坐于座椅11上面,双手放置在托板2上,以右肩关节肩周炎患者为例,患者将右手通过固定夹板3,右手手臂与胸壁夹紧固定夹板3,右手握住牵引拉手461的末端,将牵引鞘棒413插入相应位置的牵引块41上调节至自己耐受的力量,开始自我主动分离牵引,患者通过牵引拉手461进行往内拽动作,通过牵引绳46以及滑轮的传递作用,使得牵引块41、牵引鞘棒固定杆43以及牵引板432往上移动;然后自然放松,使得牵引块41、牵引鞘棒固定杆43以及牵引板432往下移动,通过牵引绳46以及滑轮的传递作用,对患者具有往外拉的动作,如此往内拽以及往外拉为一组进行训练,并重复训练即可。通过该训练方式,使得肩关节能够得到屈、伸、内收、外展、旋转的训练动作,同时也迫使关节的附属运动指关节在自身及其周围组织允许的范围内完成的运动,是维持关节正常活动。A specific method of use of a device for improving the range of motion of shoulder periarthritis of the present invention is as follows: the patient takes the chair tool 1, sits on the seat 11, and places both hands on the supporting plate 2. For example, the patient passes the right hand through the fixed splint 3, clamps the fixed splint 3 between the right arm and the chest wall, holds the end of the traction handle 461 with the right hand, inserts the traction sheath rod 413 into the traction block 41 at the corresponding position and adjusts it to the strength he can tolerate, Start self-active separation traction, the patient pulls inward through the traction handle 461, and through the transmission effect of the traction rope 46 and the pulley, the traction block 41, the traction sheath rod fixing rod 43 and the traction plate 432 are moved upward; then naturally relax, Make the traction block 41, the traction sheath rod fixing rod 43 and the traction plate 432 move down, and through the transmission effect of the traction rope 46 and the pulley, the patient has the action of pulling outwards, so that pulling inward and outward is a group for training, And repeat the training. Through this training method, the shoulder joint can get the training actions of flexion, extension, adduction, abduction, and rotation, and at the same time, it also forces the joint's subsidiary motion to complete the movement within the range allowed by itself and its surrounding tissues. Joints move normally.

本发明的一种改善肩关节周围炎活动范围的装置,能解决现有肩周炎康复装置的不足,通过本装置,可明显增大患者活动范围,保持或增加组织的伸展性,改善患者生活质量;同时,本装置将手法作用方式转换成机械装置,便于临床操作;设有固定板,用于固定胸壁与手臂,避免腰部发力,使得在自我主动牵引过程中主要以手臂力量发力进行训练;扶手12设有移动滑轨123,能够前后移动,满足不同患者前后调节使用;扶手12设有升降杆121,使得座椅11能够在高度方向上进行调节,适合不同患者高度调节使用;设有牵引装置4,可重复进行往内拽以及往外拉为一组动作训练,使得肩关节能够得到屈、伸、内收、外展、旋转的训练动作,同时也迫使关节的附属运动指关节在自身及其周围组织允许的范围内完成的运动,是维持关节正常活动;设有牵引棒,牵引鞘棒413可在患者做自我主动牵引训练时,调节牵引力的大小,适应不同患者的需要;坐椅11、扶手12、牵引拉手461处均设置软垫,可以提高患者使用的舒适性。A device for improving the range of motion of periarthritis of shoulder according to the present invention can solve the shortcomings of existing rehabilitation devices for periarthritis of shoulder. Through this device, the range of motion of patients can be significantly increased, the extensibility of tissues can be maintained or increased, and the life of patients can be improved. At the same time, this device converts the manipulation mode into a mechanical device, which is convenient for clinical operation; it is equipped with a fixed plate for fixing the chest wall and arms, avoiding the force of the waist, so that the force of the arm is mainly used in the process of self-active traction. training; the armrest 12 is provided with a moving slide rail 123, which can move back and forth to meet different patients' front and rear adjustments; There is a traction device 4, which can be repeatedly carried out as a set of action training of pulling inward and outward, so that the shoulder joint can obtain the training actions of flexion, extension, adduction, abduction, and rotation, and at the same time force the accessory knuckles of the joint to move in the same direction. The exercise completed within the range allowed by itself and its surrounding tissues is to maintain the normal activities of the joints; there is a traction rod, and the traction sheath rod 413 can adjust the magnitude of the traction force when the patient is doing self-active traction training to meet the needs of different patients; Chair 11, armrest 12, and traction handle 461 are all provided with cushions, which can improve the comfort of patients.

以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员,在不脱离本发明原理的前提下,还可以做出若干改进和补充,这些改进和补充也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and supplements can also be made, and these improvements and supplements should also be considered Be the protection scope of the present invention.

Claims (6)

1. a kind of improve the device of periarthritis of shoulderjoint scope of activities, it is characterised in that the described improvement periarthritis of shoulderjoint is suffered from The device of person's scope of activities is provided with chair tool, supporting plate, strap and draw-gear;Described chair tool is provided with seat, handrail, support Pin, base;Described seat is connected by support feet with base;The handrail is arranged on the both sides of seat;Described handrail is set There are shifting sledge, elevating lever, bar;Bar connection on described supporting plate and handrail;The supporting plate is provided with geometrical clamp Plate;Described draw-gear is arranged on the side of supporting plate;Described draw-gear, which includes guiding piece, screw mandrel, traction sheath rod, to be fixed Bar, pull rope, traction handle, first base, second base, the first fixed pulley, the second fixed pulley;The screw mandrel has two, One end of screw mandrel is slided and is located in guiding piece, and the other end is fixedly connected with first base;The second base is fixed on two tractions On bar;Towing plate is provided with above the second base;The towing plate upper surface, which is provided with drawing head, drawing head, connects traction Rope, pull rope bypasses the first fixed pulley and the second fixed pulley, and it is in the free-end protruded horizontally up to bypass the second fixed pulley, in traction The free-end of rope is shaken hands provided with traction;The lower surface of the towing plate draws sheath rod fix bar provided with traction sheath rod fix bar Pass to form free-end from second base;The traction sheath rod fix bar is provided with the fixing hole led for drawing sheath rod;Described leads Draw block top and bottom and be provided with the through hole passed through for traction sheath rod fix bar;The leading flank of the guiding piece is provided with to be put for traction sheath rod The jack entered, the jack is corresponding with the fixing hole in traction sheath rod fix bar.
2. according to claim 1 improve the device of periarthritis of shoulderjoint scope of activities, it is characterised in that the geometrical clamp Plate is perpendicular to supporting plate face.
3. according to claim 1 improve the device of periarthritis of shoulderjoint patient activity's scope, it is characterised in that seat bag Cushion part and back part are included, the angle between seat cushion portion and back part is in 90 degree of distributions.
4. the device of improvement periarthritis of shoulderjoint patient activity's scope according to claim 1 or 3, it is characterised in that sit Chair, handrail, traction handle at be respectively provided with cushion.
5. according to claim 4 improve the device of periarthritis of shoulderjoint patient activity's scope, it is characterised in that described to lead Draw block to be fabricated by by iron material or steel material.
6. according to the device of any described improvement periarthritis of shoulderjoint patient activity's scopes of claim 1-5, it is characterised in that The guiding piece is at least one.
CN201710414156.8A 2017-06-05 2017-06-05 It is a kind of to improve the device of periarthritis of shoulderjoint scope of activities Pending CN107029395A (en)

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