CN109452933B

CN109452933B - A kind of multifunctional rehabilitation pants for patients with severe hemiplegia

Info

Publication number: CN109452933B
Application number: CN201811083726.0A
Authority: CN
Inventors: 周建菊; 张远瑞; 周建碧; 张中贵; 何小丽; 周建容; 张东芳
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-09-17
Filing date: 2018-09-17
Publication date: 2021-03-12
Anticipated expiration: 2038-09-17
Also published as: CN109452933A

Abstract

The invention discloses a multifunctional rehabilitation trousers for severe hemiplegia patients. and the right trouser leg are respectively connected below the trouser waist, the hip joint monitor is arranged on the inner side of the trouser waist, the thigh ring is arranged below the connection between the left trouser leg and the right trouser leg and the trouser waist, the knee joint ultrasonic ring is arranged in the middle of the left trouser leg and the right trouser leg, the calf is arranged The ring is arranged below the knee joint ultrasonic ring, the foot movement device is connected to the lower end of the left trouser leg and the right trouser leg, including the ankle joint ultrasonic ring, the foot sole fixing device, the toe cover, the auxiliary pulley and the pressure sensor, and the display is fixedly installed on the front surface of the right trouser leg . The present invention is based on monitoring atlas, oriented by data analysis, and aims at rehabilitation and correction treatment, and integrates monitoring, data analysis and rehabilitation and correction treatment.

Description

A multi-functional recovered trousers for severe hemiplegia patient

Technical Field

The invention belongs to the technical field of medical auxiliary instruments, and particularly relates to multifunctional rehabilitation trousers for severe hemiplegia patients.

Background

Independent walking is the basic function of human beings, most patients can not walk independently within 3 months after stroke, serious patients can not get bedridden, have limited activity and lose the living ability, and a series of complications occur; in patients with lower limb paralysis such as cerebral apoplexy or spinal cord injury, the ankle extensor muscles are partially or completely paralyzed, the triceps muscle strength of the leg is weakened, the knee joint is unstable, the muscle spasm of the lower limb forms a swing phase, the ankle joint can not effectively stretch backwards, and the hip is lifted upwards and the feet are turned inwards. The patient can not actively extend the ankle and the heel touches the ground, so that the gait symmetry parameters and the space-time parameters are changed, and abnormal gait is generated. If the correction treatment is not timely and effective, irreversible damage can be caused, the life and the life quality of a patient are seriously influenced, and serious economic and nursing burden is caused for families. The rehabilitation problem which 85% of patients need to solve urgently is the recovery of walking ability, and the rehabilitation problem of the walking ability after cerebral apoplexy is the key problem and difficult problem of rehabilitation medicine. In the traditional methods, the load bearing, balance and stepping are difficult to be organically combined, and the time consumption, manpower consumption and poor rehabilitation effect are realized, so that the design of the rehabilitation trousers with the functions of data collection, analysis, rehabilitation diagnosis, rehabilitation correction treatment, treatment effect evaluation and patient activity assistance is of great significance.

Disclosure of Invention

Aiming at the existing problems, the invention provides a pair of multifunctional rehabilitation trousers for severe hemiplegic patients.

The technical scheme of the invention is as follows: a multifunctional rehabilitation trousers for severe hemiplegia patients comprises a trouser waist, a left trouser leg, a right trouser leg, a hip joint monitor, a thigh ring, knee joint ultrasonic rings, a shank ring, a sole moving device and a display, wherein the left trouser leg and the right trouser leg are respectively connected to the left side and the right side below the trouser waist, the hip joint monitor is arranged on the inner side surface of the trouser waist, the thigh rings are respectively arranged below the joints of the left trouser leg, the right trouser leg and the trouser waist, the thigh ring comprises a first micro motor arranged on the inner rear side and a first femoral artery sphygmomanometer arranged inside, the knee joint ultrasonic rings are respectively arranged at the middle parts of the left trouser leg and the right trouser leg, the shank rings are respectively arranged below the knee joint ultrasonic rings, the rear side surfaces of the shank rings are connected with the output end of the first micro motor through a first steel cable, a second micro motor is arranged inside the front side surfaces of the shank rings, the sole moving devices are respectively connected with the lower ends of the left trouser leg and the right trouser leg, each sole moving device comprises an ankle joint ultrasonic ring, a sole fixing device, toe sleeves, auxiliary pulleys and baroreceptors, the ankle joint ultrasonic rings are respectively connected with the lower ends of the left trouser leg and the right trouser leg, the sole fixing device is movably connected below the ankle joint ultrasonic rings, the upper surface of the sole fixing device is movably connected with the micro motor through a steel cable II, the lower surface of the sole fixing device is provided with five micro motors III, the toe sleeves are respectively arranged at the front ends of the sole fixing device, the front ends of the toe sleeves are respectively connected with the micro motor through the steel cable III, the top ends inside the toe sleeves are provided with blood oxygen monitors, the auxiliary pulleys are fixedly arranged at the rear ends of the sole fixing device, the baroreceptors are arranged at the middle positions of heels and soles of the sole fixing device, display fixed mounting just is located knee joint supersound ring top at the front surface of right trouser legs, and the inside integration of display is provided with controller, sign guardianship device and location communication device, the controller includes monitoring circuit, converting circuit, processing circuit, the balanced analytical circuit of gait and control circuit, the inside electrode socket that is equipped with of sign guardianship device, but the electrode socket is internal connection electrocardio monitoring electrode line when the state of an illness needs, and sign monitoring device still is connected with femoral artery sphygmomanometer, blood oxygen monitor through the internal conductor respectively.

Furthermore, the monitoring circuit is respectively connected with the hip joint monitor, the knee joint ultrasonic ring, the sole moving device, the ankle joint ultrasonic ring and the physical sign monitoring device, and is used for monitoring the joint and muscle moving conditions at the hip joint, the knee joint, the ankle joint and the sole joint of the patient and the vital sign parameters of the patient, the conversion circuit is respectively connected with the monitoring circuit and the display, and is used for converting the joint and muscle moving conditions at the hip joint, the knee joint, the ankle joint and the sole joint of the patient and the vital sign parameters of the patient into images and data information to be displayed on the display, the processing circuit is connected with the monitoring circuit, and is used for analyzing and processing the monitored data information and sending out control instructions, the gait balance analyzing circuit is electrically connected with the pressure sensor and is used for analyzing the gait of the patient according to the pressure information monitored by the pressure sensor and the data parameters monitored by the monitoring circuit, the control circuit is respectively and electrically connected with the processing circuit, the gait balance analysis circuit, the first micro motor, the second micro motor and the third micro motor and is used for controlling the first micro motor, the second micro motor and the third micro motor according to a control instruction of the processing circuit.

Further, the left trouser leg and the right trouser leg are distinguished from each other by one means of color, pattern or mark, and the obvious distinction can make patients and medical personnel obviously distinguish the hemiplegia part from the normal part, so that the treatment is facilitated.

Further, connect above the waist of trousers and be equipped with the waist and seal, the inside infrared body temperature monitor that is equipped with of waist seal, infrared body temperature monitor passes through the internal conductor with sign monitoring devices and is connected, and the waist seals can avoid recovered trousers overweight and landing, and traditional fixed mode sets up the round bungee at the waist of trousers, and fixed effect is poor and uncomfortable, and the waist seals and can play the fixed action, can not make the patient feel uncomfortable again, and infrared body temperature monitor can change by real-time supervision patient's body temperature, can be according to the state of an illness switch.

Furthermore, the hip joint monitor, the knee joint ultrasonic ring and the sole moving device are internally provided with uniformly distributed ultrasonic probes, and the ultrasonic probes can monitor the joint and muscle movement conditions of the hip joint, the knee joint and the ankle joint of a patient.

Furthermore, the hip joint monitor, the knee joint ultrasonic ring and the sole moving device are all made of soft bendable materials, so that the normal movement of the lower limbs of the patient can be ensured. Meanwhile, the telescopic soft material is applied to partial area, and the length of the rehabilitation trousers can be set according to the height of the patient.

Furthermore, the trousers waist, the waist seal, left trouser legs and right trouser legs side all are equipped with the opening, and open type design can make things convenient for the patient to dress, can adjust trousers size according to patient's fat thin simultaneously.

Furthermore, the emergency call positioning communication device is arranged on a display, is controlled by an independent module, can call a doctor in time by pressing a special button when the doctor is in an emergency and needs to be contacted, can describe the situation by voice, and is matched with a doctor mobile phone. And the system is normally in a closed state, so that interference on other information collection is avoided.

The working method of the invention is as follows: the patient is guided and helped to wear the rehabilitation trousers on the lower part of the body, the hemiplegic part and the normal part are distinguished by one means of color, pattern or mark, and the rehabilitation trousers are adjusted according to the height and the slimming of the patient, so that the monitor and the ultrasonic probe of the rehabilitation trousers are arranged at the position needing to be observed, and the physical sign monitoring system is used according to the state of an illness. Opening the display and the controller, the hip joint monitor, the knee joint ultrasonic ring and the ultrasonic probe in the sole moving device can monitor the movement conditions of the hip joint, the knee joint, the ankle joint and the sole joint and muscles of the patient when the normal leg of the patient moves and display the movement conditions on the display, the controller controls the first micro motor, the second micro motor and the third micro motor to work according to the movement conditions of the hip joint, the knee joint, the ankle joint and the sole joint and the muscles of the normal leg of the patient, controls the hemiplegic side lower limb of the patient to perform the rehabilitation training by pulling the first steel wire, the second steel wire and the third steel wire, monitors the images and data parameters of the movement conditions of the hip joint, the knee joint and the ankle joint of the affected side lower limb by the ultrasonic probe in the hip joint monitor, the knee joint ultrasonic ring and the sole moving device when the hemiplegic side lower limb of the patient moves, automatically comparing with the normal lower limb moving images and data parameters to form a parameter analysis result in the rehabilitation training process, evaluating the rehabilitation effect and guiding rehabilitation correction; and meanwhile, data are provided for rehabilitation research.

The invention has the beneficial effects that: the invention measures and analyzes the gait and balance condition of the patient during activity by a monitoring circuit, a conversion circuit, a processing circuit and a control circuit and by utilizing a biomechanics and kinematics method, automatically forms a rehabilitation training parameter according to the analyzed data parameter, and automatically starts a related correction and movement module to realize rehabilitation training and patient walking. The realization of the program mainly comprises the following steps of carrying out time parameter on the patient when walking through a monitor and an ultrasonic probe: analyzing and evaluating walking period, support phase, swing phase, single support phase and double support phase; spatial parameters for the patient while walking: and collecting and analyzing data of the pace, the step length, the step frequency, the step width, the step speed and the like. According to the normal limb activity parameters, guiding the rehabilitation training of the limb at the affected side; the invention can achieve the purpose of active rehabilitation training of patients and can realize the requirements of continuity, stability, pertinence and repeated training; has the advantages of novel structure, high intelligence degree, accurate rehabilitation training, strong practicability, manpower saving, convenient walking, good rehabilitation effect and the like; is suitable for all patients with hemiplegia.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a schematic view of the structure of the left leg or the right leg of the present invention;

FIG. 3 is a schematic view of the sole activity device of the present invention;

FIG. 4 is a schematic diagram of the controller configuration of the present invention;

FIG. 5 is a system block diagram of the present invention;

fig. 6 is a circuit diagram of the present invention.

Wherein, 1-waist of trousers, 11-waist seal, 111-infrared body temperature monitor, 2-left trouser legs, 3-right trouser legs, 4-hip joint monitor, 5-thigh ring, 51-micro motor I, 52-femoral artery sphygmomanometer, 6-knee joint ultrasonic ring, 7-calf ring, 71-steel cable I, 72-micro motor II, 8-sole moving device, 81-ankle joint ultrasonic ring, 82-sole fixing device, 821-micro motor III, 83-toe cover, 831-blood oxygen monitoring finger clip, 84-auxiliary pulley, 85-pressure sensor, 86-steel cable II, 87-steel cable III, 9-display, 91-controller, 911-monitoring circuit, 912-conversion circuit, 913-processing circuit, 914-gait balance analysis circuit, 915-control circuit, 92-physical sign monitoring device, 921-electrode socket, 922-patch electrode, 93-positioning communication device and 10-ultrasonic probe.

Detailed Description

For the convenience of understanding the technical scheme of the present invention, the present invention is further explained with reference to the accompanying fig. 1 to 6 and the specific embodiments, which are not to be construed as limiting the scope of the present invention.

As shown in figures 1-2, a multifunctional rehabilitation trousers for severe hemiplegia patients comprises a trouser waist 1, a left trouser leg 2, a right trouser leg 3, a hip joint monitor 4, a thigh ring 5, a knee joint ultrasonic ring 6, a shank ring 7, a sole moving device 8 and a display 9, wherein a waist seal 11 is connected above the trouser waist 1, an infrared body temperature monitor 111 is arranged inside the waist seal 11, the infrared body temperature monitor 111 is connected with a physical sign monitoring device 92 through an internal lead, the left trouser leg 2 and the right trouser leg 3 are respectively connected to the left side and the right side below the trouser waist 1, the left trouser leg 2 and the right trouser leg 3 are distinguished from each other by one means of color, pattern or mark, the hip joint monitor 4 is arranged on the inner side surface of the trouser waist 1, the two thigh rings 5 are respectively arranged below the joint of the left trouser leg 2, the right trouser leg 3 and the trouser waist 1, the thigh ring 5 comprises a first micro motor 51 arranged on the inner rear side and a femoral artery sphygmomanometer 52 arranged in the thigh ring, the knee joint ultrasonic rings 6 are two in number and are respectively arranged in the middle parts of the left trouser leg 2 and the right trouser leg 3, the thigh rings 7 are two in number and are respectively arranged below the knee joint ultrasonic rings 6, the rear side surface of the shank ring 7 is connected with the output end of the first micro motor 51 through a first steel cable 71, a second micro motor 72 is arranged in the front side surface of the shank ring 7, and the sole moving devices 8 are two in number and are respectively connected to the lower ends of the left trouser leg 2 and the right trouser leg 3;

as shown in fig. 3, the sole moving device 8 comprises an ankle joint ultrasonic ring 81, a sole fixing device 82, toe sleeves 83, auxiliary pulleys 84 and pressure sensors 85, the ankle joint ultrasonic ring 81 is respectively connected with the lower ends of the left trouser leg 2 and the right trouser leg 3, the sole fixing device 82 is movably connected below the ankle joint ultrasonic ring 81, the upper surface of the sole fixing device 82 is movably connected with the micro motor II 72 through a steel cable II 86, five micro motors III 821 are arranged on the lower surface of the sole fixing device 82, the total number of the toe sleeves 83 is five, the toe sleeves 83 are respectively arranged at the front end of the sole fixing device 82, the front end of the toe sleeve 83 is respectively connected with the micro motors III 821 through a steel cable III 87, the blood oxygen monitor 831 is arranged at the top end inside the toe sleeve 83, the auxiliary pulleys 84 are fixedly arranged at the rear end of the sole fixing device 82, the pressure sensors 85 are arranged at the middle positions of the heel and the sole of the sole fixing device 82, the hip joint monitor 4, the knee joint ultrasonic ring 6 and the sole moving device 8 are all internally provided with ultrasonic probes 10 which are uniformly distributed, the display 9 is fixedly arranged on the front surface of the right trouser leg 3 and is positioned above the knee joint ultrasonic ring 6, the trouser waist 1, the waist seal 11, the left trouser leg 2 and the right trouser leg 3 are all provided with openings, and the display 9 is internally integrated with a controller 91, a sign monitoring device 92 and a positioning communication device 93;

as shown in fig. 4, the controller 91 includes a monitoring circuit 911, a converting circuit 912, a processing circuit 913, a gait balance analyzing circuit 914 and a control circuit 915, the monitoring circuit 911 is respectively connected to the hip monitor 4, the knee ultrasonic ring 6, the sole moving device 8, the ankle ultrasonic ring 81 and the physical sign monitoring device 92 for monitoring the joint and muscle activity of the hip, knee, ankle and sole joints of the patient and the vital sign parameters of the patient, the converting circuit 412 is respectively connected to the monitoring circuit 911 and the display 9 for converting the joint and muscle activity of the hip, knee, ankle and sole joints of the patient and the vital sign parameters of the patient into images and data information to be displayed on the display 9, the processing circuit 913 is connected to the monitoring circuit 911 for analyzing and processing the monitored data information and sending out a control command, the gait balance analysis circuit 914 is electrically connected to the baroreceptor 85, and is used for analyzing the gait of the patient according to the pressure information monitored by the baroreceptor 85 and the data parameters monitored by the monitoring circuit, the control circuit 915 is respectively electrically connected with the processing circuit 913, the gait balance analysis circuit 914, the first micro-motor 51, the second micro-motor 72 and the third micro-motor 821, for controlling the first micro motor 51, the second micro motor 72 and the third micro motor 821 according to the control command of the processing circuit 913, the interior of the physical sign monitoring device 92 is provided with an electrode socket 921, the electrode socket 921, when the patient needs the disease, the patient can be connected with an electrocardiograph monitoring electrode wire 922, and the physical sign monitoring device 92 is further connected with the femoral artery blood pressure monitor 52 and the blood oxygen monitor 831 through internal wires, wherein the system block diagram is shown in fig. 5, and the circuit diagram is shown in fig. 6.

The working method of the embodiment is as follows: firstly guiding and helping a patient to wear the rehabilitation trousers well, distinguishing the hemiplegic part from the normal part by one means of color, pattern or mark, simultaneously adjusting the rehabilitation trousers according to the height, the weight and the length of feet of the patient, opening a display 9 and a controller 91 by a monitor and an ultrasonic probe of the rehabilitation trousers at the position needing to be observed, monitoring images and data information of the joint and muscle activity of the hip joint, the knee joint, the ankle joint and the sole joint of the patient and displaying the images and the data information on the display 9 by the hip joint monitor 4, the knee joint ultrasonic ring 6 and the ultrasonic probe 10 in the sole moving device 8 when the patient moves the normal lower limbs, controlling a first micro motor 51, a second micro motor 72 and a third micro motor 821 to work according to the conditions of the joint and muscle activity of the hip joint, the knee joint, the ankle joint and the sole joint of the normal lower limbs of the patient, and controlling the first micro motor 71, the second motor 72 and the third micro motor, Pulling the second steel cable 86 and the third steel cable 87 to control the hemiplegic lower limb to perform the rehabilitation training with the same action as the normal lower limb, when the hemiplegic lower limb moves, the hip joint monitor 4, the knee joint ultrasonic ring 6 and the ultrasonic probe 10 in the sole moving device 8 monitor and display the images and data information of the hip joint, the knee joint and the ankle joint of the hemiplegic limb on the display 9, and automatically compare the images and data parameters with the normal limb moving images and data parameters to form a rehabilitation training process parameter analysis result, evaluate the rehabilitation effect and guide the rehabilitation correction; and meanwhile, data are provided for rehabilitation research.

Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims

1. A multifunctional rehabilitation trousers for severe hemiplegia patients is characterized by comprising a trouser waist (1), a left trouser leg (2), a right trouser leg (3), hip joint monitors (4), thigh rings (5), knee joint ultrasonic rings (6), a lower leg ring (7), a sole moving device (8) and a display (9), wherein the left trouser leg (2) and the right trouser leg (3) are respectively connected to the left side and the right side below the trouser waist (1), the left trouser leg (2) and the right trouser leg (3) are distinguished between a hemiplegia part and a normal part through one means of color, pattern or mark, the hip joint monitors (4) are arranged on the inner side surface of the trouser waist (1), the two thigh rings (5) are arranged below the connection part of the left trouser leg (2) and the right trouser leg (3) and the trouser waist (1), the thigh ring (5) comprises a first micro motor (51) arranged on the inner rear side and a femoral artery sphygmomanometer (52) arranged inside, the two knee joint ultrasonic rings (6) are respectively arranged in the middle of the left trouser leg (2) and the right trouser leg (3), the two shank rings (7) are respectively arranged below the knee joint ultrasonic rings (6), the rear side surface of each shank ring (7) is connected with the output end of a micro motor I (51) through a steel cable I (71), a micro motor II (72) is arranged inside the front side surface of each shank ring (7), the two sole moving devices (8) are respectively connected to the lower ends of the left trouser leg (2) and the right trouser leg (3), each sole moving device (8) comprises an ankle joint ultrasonic ring (81), a sole fixing device (82), a toe sleeve (83), an auxiliary pulley (84) and a pressure receptor (85), the ankle joint ultrasonic rings (81) are respectively connected to the lower ends of the left trouser leg (2) and the right trouser leg (3), and the sole fixing device (82) is movably connected below the ankle joint ultrasonic ring (81), sole fixing device (82) upper surface with two (86) swing joint of micro motor through cable wire, and sole fixing device (82) lower surface is provided with five micro motor three (821), toe cover (83) are total five, set up respectively at sole fixing device (82) front end, and toe cover (83) front end is connected through cable wire three (87) with micro motor three (821) respectively, and toe cover (83) inside top is equipped with blood oxygen monitor (831), supplementary pulley (84) are fixed to be set up the rear end at sole fixing device (82), pressure sensor (85) set up heel and sole middle part position at sole fixing device (82), display (9) fixed mounting is on the front surface of right trouser legs (3), and is located knee joint supersound ring (6) top, and display (9) inside integration is provided with controller (91), Sign guardianship device (92) and first aid call location communication device (93), controller (91) are including monitoring circuit (911), converting circuit (912), processing circuit (913), gait balance analysis circuit (914) and control circuit (915), sign guardianship device (92) inside is equipped with electrode socket (921), but internal connection electrocardio monitoring electrode line (922) when the state of an illness needs, sign monitoring device (92) still are connected with femoral artery sphygmomanometer (52), blood oxygen monitor (831) through the internal conductor respectively.

2. The multifunctional rehabilitation trousers for severe hemiplegic patients according to claim 1, wherein the monitoring circuit (911) is respectively connected with the hip monitor (4), the knee ultrasonic ring (6), the sole activity device (8), the ankle ultrasonic ring (81) and the physical sign monitoring device (92) for monitoring the activity of the joints and muscles at the hip, knee, ankle and sole joints of the patients and the vital sign parameters of the patients, the conversion circuit (412) is respectively connected with the monitoring circuit (911) and the display (9) for converting the activity of the joints and muscles at the hip, knee, ankle and sole joints of the patients and the vital sign parameters of the patients into images and data information to be displayed on the display (9), the processing circuit (913) is connected with the monitoring circuit (911) for analyzing and processing the monitored data information and sending control commands, the gait balance analysis circuit (914) is electrically connected with the baroreceptor (85) and used for analyzing the gait of the patient according to the pressure information monitored by the baroreceptor (85) and the data parameters monitored by the monitoring circuit, and the control circuit (915) is respectively electrically connected with the processing circuit (913), the gait balance analysis circuit (914), the first micro motor (51), the second micro motor (72) and the third micro motor (821) and used for controlling the first micro motor (51), the second micro motor (72) and the third micro motor (821) according to the control instruction of the processing circuit (913).

3. The multifunctional rehabilitation pants for severe hemiplegia patients according to claim 1, wherein a waist seal (11) is connected above the waist of trousers (1), an infrared body temperature monitor (111) is arranged inside the waist seal (11), and the infrared body temperature monitor (111) is connected with the physical sign monitoring device (92) through an internal lead.

4. The multifunctional rehabilitation trousers for severe hemiplegic patients according to claim 1, characterized in that the inside of the hip joint monitor (4), the knee joint ultrasonic ring (6) and the sole moving device (8) are all provided with uniformly distributed ultrasonic probes (10).

5. The multifunctional rehabilitation trousers for severe hemiplegia patients of claim 1, wherein the side edges of the waist of trousers (1), the waist seal (11), the left trouser leg (2) and the right trouser leg (3) are provided with openings.

6. The multifunctional rehabilitation pants for severe hemiplegia patients of claim 1, wherein a waist seal (11) is connected above the waist of the pants (1).