CN110876671B - Walking simulation device for rehabilitation of stroke patient - Google Patents

Walking simulation device for rehabilitation of stroke patient Download PDF

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Publication number
CN110876671B
CN110876671B CN201911402039.5A CN201911402039A CN110876671B CN 110876671 B CN110876671 B CN 110876671B CN 201911402039 A CN201911402039 A CN 201911402039A CN 110876671 B CN110876671 B CN 110876671B
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turntable
holes
pedal
sides
moving
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CN110876671A (en
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陈国中
陶红苗
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Hangzhou Normal University
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Hangzhou Normal University
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Abstract

The walking simulation device for rehabilitation of the apoplexy patient is characterized in that a walking simulation system is arranged on a frame, the walking simulation system is formed by compounding a horizontal reciprocating motion mechanism and an arc-shaped lifting mechanism, the arc-shaped lifting mechanism comprises a rotary table which rotates by virtue of a rotary shaft, and two pedals for trampling by two feet of the patient are arranged on two sides of the rotary table through pin shafts; the horizontal reciprocating mechanism comprises two groups of moving units with the same structure, wherein the two groups of moving units are positioned on two sides of the turntable, each moving unit comprises a movable base plate driven by a telescopic oil cylinder to reciprocate on the surface of the working surface, and a movable plate is erected in a cavity in the middle of the movable base plate. The invention simulates the alternate walking action of the legs of the human by compounding the two movement mechanisms, so that the legs can be driven to simulate the walking action when the patient uses the device, thereby not only exercising the coordination of the legs and nerves and the flexibility of each joint, but also exercising the leg muscles, improving the rehabilitation effect and shortening the rehabilitation time.

Description

Walking simulation device for rehabilitation of stroke patient
Technical Field
The invention relates to the field of stroke treatment and rehabilitation, in particular to a walking simulation device for rehabilitation of a stroke patient.
Background
In the prior art, paralysis of lower limbs caused by cerebral apoplexy is generally treated by exercise and massage, and rehabilitation equipment for specifically exercising lower limbs of a patient suffering from cerebral apoplexy is lacking, and the patient generally slowly moves on a movable supporting piece by being held by hands, so that the effect is poor, and the effects are mainly shown as follows: because the lower limb of the patient is paralyzed, the nerve can not control the movement of the lower limb well, and the patient is easy to fall down, so that the family members of the patient or medical staff are required to take care at any time; in addition, in the exercise process, the weight of the upper body of the patient can increase the burden on the lower limbs, so that fatigue is easy to cause, the risk of falling of the patient is increased, more importantly, targeted exercise cannot be performed on the coordination of the legs of the patient, and the flexibility of hip joints, knee joints and the like is difficult to exercise, so that the rehabilitation process of the patient is greatly reduced; the existing massage equipment is difficult to perform effective rehabilitation exercise on the coordination movement of the two legs of the patient and the flexibility of each joint.
Disclosure of Invention
The invention provides a walking simulation device for rehabilitation of a stroke patient, which is formed by compounding a horizontal reciprocating motion mechanism and an arc-shaped lifting mechanism, and simulates the alternate walking actions of two legs of a person through the compounding of the two motion mechanisms, so that the patient can drive the two legs of the patient to walk by the device when standing on the walking simulation device, not only do the coordinated actions of the two legs and the flexibility and the coordination of nerves of each joint, but also do the exercise of leg muscles of the patient, improve the rehabilitation effect and shorten the rehabilitation time.
The technical scheme adopted by the invention for solving the technical problems is as follows: the walking simulation device for rehabilitation of the apoplexy patient comprises a frame, wherein the frame is provided with a horizontal working surface, a walking simulation system is arranged on the working surface, the walking simulation system is formed by compounding a horizontal reciprocating motion mechanism and an arc-shaped lifting mechanism, the arc-shaped lifting mechanism comprises a rotary table which is arranged on the working surface in a rotating way by virtue of a rotating shaft, the surface of the rotary table vertically penetrates through the working surface and is driven by a power mechanism to rotate around the rotating shaft, two pedals are arranged on two sides of the rotary table through pins, the two pedals are symmetrically distributed by taking the center of the rotary table as a symmetrical center, four through holes are distributed on the working surface, and the four through holes are distributed on a track of the two pedals rotating along with the rotary table, so that the two pedals can simultaneously penetrate through the two through holes one by one in the moving process to complete circular motion;
the horizontal reciprocating mechanism comprises two groups of moving units with the same structure, wherein the two groups of moving units are positioned at two sides of the turntable, each moving unit comprises a moving substrate which is driven by a telescopic oil cylinder to reciprocate on the surface of the working surface, a cavity is formed in the middle of the moving substrate, and a passage communicated with the outside is formed in one side, close to the turntable, of the cavity, so that a pin shaft of a pedal passes through the passage when rotating along with the turntable;
The surface of the movable substrate is distributed with bearing grooves at two sides of the cavity, meanwhile, a movable plate is arranged in the cavity, and the movable plate is erected in the bearing grooves through stirring shafts protruding at two sides of the movable plate, so that the movable plate is positioned in the cavity;
The two moving units are positioned at the two sides of the turntable, the initial positions of the cavities on the two moving substrates are respectively positioned on the through holes at the opposite sides of the turntable in the axial direction, the two through holes at the two sides of the turntable are respectively defined as a front hole and a rear hole along the rotating direction of the turntable, the initial positions of the pedals at the left side of the turntable are positioned in the front hole at the side, the cavities of the moving substrates are positioned right above the front hole, when the turntable rotates, the pedals at the left side pass through the front hole at the side from top to bottom and move towards the rear hole at the side, and meanwhile, the moving substrates at the side move from the front hole to the rear hole along the surface of the working surface under the driving of the telescopic oil cylinder, in the process, the moving substrates are caught on the stirring shaft of the movable plate through the bearing groove, so that the movable plate and the moving substrates are driven to synchronously move, and when the pedals reach the rear hole at the side, the movable plate stays right above the rear hole;
The pedal initial position on the right side of the rotating disc is in the rear hole on the side, the cavity of the movable substrate is positioned right above the rear hole, when the rotating disc rotates, the pedal on the right side passes through the rear hole on the side from bottom to top, and supports the movable plate erected in the cavity to move along with the pedal to the front hole on the side, meanwhile, the movable substrate on the side moves along the front hole along the surface of the working surface from the rear hole under the driving of the telescopic oil cylinder, when the pedal enters the front hole on the side, the cavity of the movable substrate is positioned right above the front hole, and when the pedal passes through the front hole from top to bottom, the stirring shaft of the movable plate supported by the pedal is arranged in the bearing groove of the movable substrate.
The invention has the preferable implementation scheme that the power mechanism for controlling the movement of the turntable is a speed reducer driven by a motor, and the motor, the speed reducer and a telescopic oil cylinder for driving the movable substrate to reciprocate on the surface of the working surface are controlled by an LPC intelligent controller in a coordinated manner.
According to another preferred embodiment of the invention, one end of the pin shaft is fixedly connected with the side face of the turntable, the other end of the pin shaft extends into a mounting hole formed in the end portion of the pedal, the diameter of the mounting hole is larger than that of the pin shaft, a torsion spring is arranged on the outer surface of one end, extending into the mounting hole, of the pin shaft around the pin shaft, the inner ring of the torsion spring is fixedly connected with the outer diameter of the end portion of the pin shaft, and the tail ends of the two protrusions of the torsion spring are fixedly connected with the inner wall of the mounting hole so that the pedal is kept horizontal.
In another preferred embodiment of the invention, the frame is a flat rectangular hollow box body, the top surface of the frame is a working surface, a cavity area is formed inside the frame, the rotating shaft of the turntable is fixed on the working surface, and four through holes penetrate through the cavity area, so that the turntable drives two pedals on two sides of the turntable to penetrate through the four through holes to form a rotating cycle above the cavity area and the working surface; an armrest frame for the patient to hold is arranged on the working surface.
In another preferred embodiment of the invention, the frame is a flat rectangular hollow box body, and a vertical partition board is arranged in a cavity area inside the box body, so that a control area is separated in the box body, and a PLC intelligent control system for controlling the movement of the turntable and the telescopic oil cylinder is arranged in the control area.
The walking simulation device also comprises a PLC coordinated training control system, wherein the PLC coordinated training control system comprises a PLC intelligent controller, a front sensor and a rear sensor for detecting the movement state of the two legs, a plurality of electric stimulation patches attached to the acupoints of the left leg and the right leg of a patient and an electric acupuncture therapeutic instrument for providing pulse current for the electric stimulation patches, the front sensor and the rear sensor respectively detect the states of the right leg and the left leg and respectively send different signals to the PLC intelligent controller, and the PLC intelligent controller respectively controls the electric acupuncture therapeutic instrument to release the pulse current to the electric stimulation patches attached to the acupoints of the right leg or the acupoints of the left leg of the patient according to the received signals of the front sensor or the rear sensor so as to enable the right leg and the left leg to form muscle and neural memory, thereby realizing the coordinated action of the two.
In another preferred embodiment of the invention, the front sensor and the rear sensor respectively send different signals to the PLC intelligent controller when the left pedal passes through the front hole and the rear hole, and the PLC intelligent controller respectively controls the electric needle therapeutic instrument to release pulse current to the electric stimulation patches attached to the acupoints of the right leg or the left leg of the patient according to the received signals of the front sensor or the rear sensor.
The other preferred embodiment of the invention is that the electric stimulation patch comprises a conductive metal sheet, a plurality of conical discharge tips are densely distributed on the surface of one side of the conductive metal sheet, the other side of the conductive metal sheet is adhered to the middle part of one side of a silica gel pad, the other side of the silica gel pad is adhered to the middle part of one side of a water absorbent gauze through a magic tape, and the other side of the water absorbent gauze is adhered to a waterproof adhesive tape, so that the electric stimulation patch is adhered to the skin of an acupoint by the waterproof adhesive tape; each conductive metal sheet is connected with a current output interface of the electric needle therapeutic instrument through a wire wrapped with insulating paint.
In another preferred embodiment of the present invention, the upper surface of the movable plate is provided with a recess for the patient to tread, and the recess is the same as the outer side of the shoe but larger than the size of the shoe.
Compared with the prior art, the invention has the following beneficial effects:
1) The walking simulation device is formed by compounding the horizontal reciprocating motion mechanism and the arc-shaped lifting mechanism, and the two legs of a person are simulated to alternately walk through compounding the two motion mechanisms, so that when a patient stands on the walking simulation device, the patient can drive the two legs of the person to walk through the equipment, the coordination action of the two legs, the flexibility of each joint and the coordination of nerves are exercised, the leg muscles of the patient are exercised, the rehabilitation effect is improved, and the rehabilitation time is shortened;
2) The walking simulation device is formed by compounding a horizontal reciprocating motion mechanism and an arc-shaped lifting mechanism, a turntable of the arc-shaped lifting mechanism rotates to drive two pedals to drive one foot of a patient to move from a point A to a point B in an arc shape, and meanwhile, the horizontal reciprocating motion mechanism moves the other foot of the patient from the point B to the point A, so that the walking motion is simulated, in the process, each muscle group of two legs is well exercised, and more importantly, the joint flexibility and the nerve coordination of the two legs are well exercised;
3) In the walking simulation device, the pedal and the pin shaft are connected by the torsion spring, so that the pedal has a reset function under the action of the torsion spring besides the function of keeping the pedal capable of rotating around the pin shaft for a certain angle, and the pedal is in a horizontal state, so that the movable plate is better supported.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic top view of a horizontal reciprocating mechanism and an arcuate lifting mechanism;
FIG. 3 is an enlarged partial bottom view of FIG. 2;
FIG. 4 is an enlarged partial top view of the schematic view of FIG. 2;
FIG. 5 is a schematic diagram of a structure of a moving substrate;
FIG. 6 is a schematic view of a structure of a movable plate;
FIG. 7 is a schematic diagram of a turntable;
FIG. 8 is a schematic diagram of a connection structure of a pedal and a pin shaft;
FIG. 9 is a schematic diagram of the mating structure of the pedal and the movable plate;
FIG. 10 is a schematic view of the structure of a preferred embodiment of FIG. 9;
FIGS. 11-14 are schematic diagrams illustrating the simulation of a walking cycle according to the present invention;
FIG. 15 is a schematic diagram of a PLC coordinated training control system;
FIG. 16 is a schematic view of the structure of an electrostimulation patch;
Reference numerals: 1. the device comprises a rack, 101, a working surface, 102, a handrail frame, 103, a cavity area, 104, a control area, 105, a vertical partition board, 106, a through hole, 2, a horizontal reciprocating mechanism, 201, a movable substrate, 202, a cavity, 203, a passageway, 204, a receiving groove, 205, a telescopic cylinder, 206, a movable plate, 207, a stirring shaft, 208, a recess, 3, an arc lifting mechanism, 301, a turntable, 302, a pin shaft, 303, a pedal, 304, a torsion spring, 305, a protruding end, 4, a PLC coordinated training control system, 401, an electric needle therapeutic instrument, 402, a PLC intelligent controller, 403, a front sensor, 404, a rear sensor, 5, an electric stimulation patch, 501, a conductive metal sheet, 502, a conical discharge tip, 503, a wire, 504, a silica gel pad, 505, absorbent gauze, 506 and waterproof adhesive tape.
Detailed Description
The technical scheme of the invention is further described and illustrated below by combining with specific embodiments, and the components and structures which are not specifically described and used in the following embodiments of the invention are all in the prior art, such as a PLC intelligent controller, an inductor for sensing the position, an electric needle therapeutic instrument, a telescopic oil cylinder, a matched hydraulic oil supply system thereof and the like.
Example 1
As shown in fig. 1-7, a walking simulation device for rehabilitation of a stroke patient comprises a frame 1, wherein the frame 1 is provided with a horizontal working surface 101, a walking simulation system is arranged on the working surface 101, the walking simulation system is formed by compounding a horizontal reciprocating motion mechanism 2 and an arc-shaped lifting mechanism 3, the arc-shaped lifting mechanism 3 comprises a rotary table 301 which is rotationally arranged on the working surface 101 by virtue of a rotary shaft, the disc surface of the rotary table 301 vertically penetrates through the working surface 101 and is driven by a power mechanism to rotate around the rotary shaft, two pedals 303 are arranged on two sides of the rotary table 301 by virtue of a pin shaft 302, the two pedals 303 are symmetrically distributed by taking the center of the rotary table 301 as a symmetrical center, four through holes 106 are distributed on the working surface 101, and the four through holes 106 are distributed on the track of the two pedals 303 which rotate along with the rotary table 301, so that the two pedals 303 simultaneously penetrate through the two through holes 106 in the two pedals during the motion process to complete the circular motion; the four through holes 106 and the two pedals 303 are rectangular, and the size of the four through holes 106 is slightly larger than that of the pedals 303, so that the pedals can pass through the through holes 106 without obstruction, the connecting line of the centers of the four through holes 106 is actually rectangular, and the distance between the two through holes 106 on the same side is the diameter of the turntable 301;
The horizontal reciprocating mechanism 2 comprises two groups of moving units with the same structure positioned at two sides of the turntable 301, each moving unit comprises a moving base plate 201 driven by a telescopic oil cylinder 205 to reciprocate on the surface of the working surface 101, a cavity 202 is formed in the middle of the moving base plate 201, and a passageway 203 communicated with the outside is formed at one side of the cavity 202 close to the turntable 301, so that a pin shaft 302 of a pedal 303 passes through the passageway 203 when rotating along with the turntable 301; the aisle 203 is used for avoiding the motion trail of the pin 302; in order to ensure the moving stability of the moving substrates 201, each moving substrate 201 is synchronously driven to move by two telescopic cylinders 205;
The surface of the movable substrate 201 is distributed with receiving grooves 204 positioned at two sides of the cavity 202, meanwhile, a movable plate 206 is arranged in the cavity 202, and the movable plate 206 is erected in the receiving grooves 204 through stirring shafts 207 protruding at two sides of the movable plate 206, so that the movable plate 206 is positioned in the cavity 202; the receiving groove 204 is four grooves distributed on the surface of the moving substrate 201, two grooves are respectively arranged on one side of the cavity 202, the stirring shafts 207 are symmetrically distributed, the depth of the receiving groove 204 is preferably larger than the radius of the stirring shafts 207, and is preferably 2-3 times the radius of the stirring shafts 207, because the receiving groove 204 is shallower, when the telescopic oil cylinder 205 drives the moving substrate 201 to move, the stirring shafts 207 of the movable plate 206 possibly separate from the receiving groove 204, so that the movable plate 206 cannot move horizontally along with the moving substrate 201 synchronously;
The initial positions of the cavities 202 on the two moving substrates 201 on two sides of the turntable 301 are respectively located on the through holes 106 on the opposite sides of the turntable 301 in the axial direction, the two through holes 106 on two sides of the turntable 301 are respectively defined as a front hole and a rear hole along the rotation direction of the turntable 301, the initial position of the pedal 303 on the left side of the turntable 301 is located in the front hole on the side, the cavities 202 of the moving substrates 201 are located right above the front hole, when the turntable 301 rotates, as shown in fig. 11-14, the pedal 303 on the left side passes through the front hole on the side from top to bottom and moves towards the rear hole on the side, and meanwhile, the moving substrates 201 on the side are driven by the telescopic cylinders 205 to move from the front hole to the rear hole along the surface of the working surface 101, in the process, the moving substrates 201 are caught by the mixing shafts 207 of the movable plates 206 through the receiving grooves 204, so that the movable plates 206 are driven to move synchronously with the moving substrates 201, and when the pedal 303 reaches the rear hole on the side, the movable plates 206 stay right above the rear hole;
The pedal 303 on the right side of the turntable 301 is initially positioned in the rear hole on the side, the cavity 202 of the movable substrate 201 is positioned right above the rear hole, when the turntable 301 rotates, as shown in fig. 11-14, the pedal 303 on the right side passes through the rear hole on the side from bottom to top, and supports the movable plate 206 erected in the cavity 202 so that the movable plate moves along with the pedal 303 toward the front hole on the side, meanwhile, the movable substrate 201 on the side moves from the rear hole to the front hole along the surface of the working surface 101 under the driving of the telescopic cylinder 205, and when the pedal 303 enters the front hole on the side, the cavity 202 of the movable substrate 201 is positioned right above the front hole, and when the pedal 303 passes through the front hole from top to bottom, the stirring shaft 207 of the movable plate 206 supported by the pedal is erected in the receiving groove 204 of the movable substrate 201.
In order to ensure that the combination between the movable plate 206 and the pedal 303 is tighter and is not easy to fall off, corresponding grooves and ribs are respectively arranged on the surface of the pedal 303 and the bottom surface of the movable plate 206, as shown in fig. 10, when the pedal 303 is combined with the movable plate 206, the grooves are matched with the ribs, so that the combination compactness of the grooves and the ribs is realized.
In this embodiment, the telescopic cylinder 205 is an existing hydraulic cylinder or a cylinder, preferably a hydraulic cylinder, and the attached hydraulic oil or compressed gas supply facilities are all of the prior art, and are not described herein.
The above is a basic embodiment of the present invention, and further improvements, optimizations and limitations can be made on the above basis, so as to obtain the following examples:
Example 2
The embodiment is an improvement scheme based on embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: the power mechanism for controlling the movement of the turntable 301 is a motor-driven speed reducer, and the motor, the speed reducer and the telescopic cylinder 205 for driving the movable substrate 201 to reciprocate on the surface of the working surface 101 are controlled by an LPC intelligent controller in a coordinated manner.
Because the patient just starts to exercise, the flexibility of the legs is poor, so that the output rotating speed of the speed reducer can be set to be very low, and the speed reducer can be driven to rotate slowly, for example, 3-5 circles per minute, so that after the patient exercises for a period of time, the coordination and flexibility of the patient are improved, and the output rotating speed of the speed reducer is slowly improved.
Example 3
The embodiment is another improvement on the basis of embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: as shown in fig. 8, one end of the pin shaft 302 is fixedly connected with the side surface of the turntable 301, the other end of the pin shaft 302 extends into a mounting hole formed in the end portion of the pedal 303, the diameter of the mounting hole is larger than that of the pin shaft 302, a torsion spring 304 is arranged on the outer surface of one end, extending into the mounting hole, of the pin shaft 302, the inner ring of the torsion spring 304 is fixedly connected with the outer diameter of the end portion of the pin shaft 302, such as welding, and the two protruding tail ends 305 of the torsion spring are fixedly connected with the inner wall of the mounting hole, so that the pedal 303 is kept horizontal.
Example 4
The embodiment is another improvement on the basis of embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: as shown in fig. 1, the frame 1 is a flat rectangular hollow box, the top surface of the box is a working surface 101, a cavity area 103 is formed in the box, a rotating shaft of the turntable 301 is fixed on the working surface 101, and four through holes 106 penetrate through the cavity area 103, so that the turntable 301 drives two pedals 303 on two sides of the turntable to penetrate through the four through holes 106 to form a rotating cycle above the cavity area 103 and the working surface 101; a handrail frame 102 for holding a patient is provided on the working surface 101.
In this embodiment, in order to facilitate the patient to go up and down the frame 1, a pit may be dug on the ground when the frame 1 is installed, so that the frame 1 is installed in the pit with its working surface 101 flush with the ground.
Example 5
The embodiment is another improvement on the basis of embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: as shown in fig. 1, the frame 1 is a flat rectangular hollow box, and a vertical partition 105 is disposed in a cavity area 103 inside the box, so as to divide a control area 104 inside the box, and a PLC intelligent control system 4 for controlling the movement of the turntable 301 and the telescopic cylinder 205 is disposed in the control area 104.
Example 6
The embodiment is another improvement on the basis of embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: as shown in fig. 15, the walking simulation device further includes a PLC coordination training control system 4, where the PLC coordination training control system 4 includes a PLC intelligent controller 402, a front sensor 403 and a rear sensor 404 for detecting the movement states of the two legs, a plurality of electro-stimulation patches 5 attached to the acupoints of the left and right legs of the patient, and an electro-acupuncture therapeutic apparatus 401 for providing pulse currents to the electro-stimulation patches 5, where the front sensor 403 and the rear sensor 404 respectively detect the states of the right and left legs and respectively send different signals to the PLC intelligent controller 402, and the PLC intelligent controller 402 respectively controls the electro-acupuncture therapeutic apparatus 401 to release the pulse currents to the electro-stimulation patches 5 attached to the acupoints of the right or left legs of the patient according to the received signals from the front sensor 403 or the rear sensor 404, so as to make the right and left legs form muscle and neural memory, thereby realizing the coordinated actions of the two.
The electric needle therapeutic apparatus 401 used in this embodiment is a conventional apparatus for electric acupuncture point therapy, and the invention is just to remove the electric needle and replace it with the electric stimulation patch 5 of the invention. The electric stimulation patches 5 are respectively attached to the ring jump, the rank edge and the Fengshi acupoint of the patient.
Example 7
The embodiment is another improvement on the basis of embodiment 6, and the main structure of the embodiment is the same as that of embodiment 6, and the improvement points are that: as shown in fig. 1, 9 and 10, the front sensor 403 and the rear sensor 404 respectively send different signals to the PLC intelligent controller 402 when the left pedal 303 passes through the front hole and the rear hole, and the PLC intelligent controller 402 respectively controls the electric acupuncture therapeutic apparatus 401 to release pulse current to the electric stimulation patch 5 attached to the acupoint of the right leg or the acupoint of the left leg of the patient according to the received signals of the front sensor 403 or the rear sensor 404.
In this embodiment, the front sensor 403 sends a signal to the PLC intelligent controller 402 when detecting that the left pedal 303 passes through the front hole from top to bottom, and the PLC intelligent controller 402 controls the electric needle therapeutic apparatus 401 to release the pulse current to the electric stimulation patch 5 attached to the acupoint of the right leg of the patient according to the signal; the rear sensor 404 sends a signal to the PLC intelligent controller 402 when detecting that the left pedal 303 passes through the rear hole from bottom to top, and the PLC intelligent controller 402 controls the electric needle therapeutic apparatus 401 to release the pulse current to the electric stimulation patch 5 attached to the acupoint of the left leg of the patient according to the signal.
Example 8
The embodiment is another improvement on the basis of embodiment 6, and the main structure of the embodiment is the same as that of embodiment 6, and the improvement points are that: as shown in fig. 16, the electrostimulation patch 5 comprises a conductive metal sheet 501, a plurality of cone-shaped discharge tips 502 are densely distributed on one side surface of the conductive metal sheet 501, the other side is adhered to the middle part of one side of a silica gel pad 504, the other side of the silica gel pad 504 is adhered to the middle part of one side of a water absorbent gauze 505 through a magic tape, and the other side of the water absorbent gauze 505 is adhered to a waterproof adhesive tape 506, so that the electrostimulation patch 5 is adhered to the skin of an acupoint by the waterproof adhesive tape 506; each conductive foil 501 is connected to the current output interface of the electro-needle treatment apparatus 401 by a wire 503 wrapped with an insulating varnish.
Example 9
The embodiment is another improvement on the basis of embodiment 1, and the main structure of the embodiment is the same as that of embodiment 1, and the improvement points are that: as shown in fig. 4 and 6, the upper surface of the movable plate 206 is provided with a recess 208 for facilitating the patient's stepping, and the recess 208 is the same shape as the outer side of the shoe but larger than the size of the shoe.

Claims (8)

1. The utility model provides a recovered walking analogue means of using of apoplexy patient, includes frame (1), and frame (1) have a horizontal working face (101), its characterized in that: the walking simulation system is formed by compounding a horizontal reciprocating mechanism (2) and an arc-shaped lifting mechanism (3), wherein the arc-shaped lifting mechanism (3) comprises a rotary table (301) which is rotationally arranged on the working surface (101) by virtue of a rotary shaft, the disc surface of the rotary table (301) vertically penetrates through the working surface (101) and is driven to rotate by a power mechanism around the rotary shaft, two pedals (303) are arranged on two sides of the rotary table (301) through pin shafts (302), the two pedals (303) are symmetrically distributed by taking the center of the rotary table (301) as a symmetrical center, four through holes (106) are distributed on the working surface (101), and the four through holes (106) are distributed on a track along with the rotary table (301) so that the two pedals (303) penetrate through the two through holes (106) in the rotary table in a moving process at the same time to complete circumferential movement;
The horizontal reciprocating mechanism (2) comprises two groups of moving units with the same structure, wherein the two groups of moving units are positioned at two sides of the turntable (301), each moving unit comprises a moving substrate (201) driven by a telescopic oil cylinder (205) to reciprocate on the surface of the working surface (101), a cavity (202) is formed in the middle of the moving substrate (201), and a passage (203) communicated with the outside is formed in one side, close to the turntable (301), of the cavity (202), so that a pin shaft (302) of a pedal (303) passes through the passage (203) when rotating along with the turntable (301);
The surface of the movable substrate (201) is distributed with bearing grooves (204) positioned at two sides of the cavity (202), meanwhile, a movable plate (206) is arranged in the cavity (202), a dent (208) which is convenient for a patient to tread in alignment is arranged on the upper surface of the movable plate (206), and the movable plate (206) is erected in the bearing grooves (204) through stirring shafts (207) protruding at two sides of the movable plate (206), so that the movable plate (206) is positioned in the cavity (202);
The two moving units are positioned at two sides of the turntable (301), initial positions of the cavities (202) on the two moving substrates (201) are respectively positioned on the passing holes (106) at different sides of the turntable (301) in the axial direction, the two passing holes (106) at two sides of the turntable (301) are respectively defined as front holes and rear holes along the rotating direction of the turntable (301), the initial positions of the pedals (303) at the left side of the turntable (301) are positioned in the front holes at the sides, the cavities (202) of the moving substrates (201) are positioned right above the front holes, when the turntable (301) rotates, the pedals (303) at the left side pass through the front holes at the sides and move towards the rear holes at the sides, meanwhile, the moving substrates (201) at the sides are driven by the telescopic cylinders (205) to move from the front holes to the rear holes along the surface of the working surface (101), in the process, the moving substrates (201) are driven by the receiving grooves (204) to catch the stirring shafts (207) of the moving plates (206) so as to move synchronously with the moving substrates (201) and the moving substrates (303) and the moving substrates (206) and stopping right behind the moving plates (206) when the pedals (303) reach the rear holes at the positions in the holes at the sides;
The pedal (303) on the right side of the turntable (301) is initially positioned in the rear hole on the side, the cavity (202) of the movable substrate (201) is positioned right above the rear hole, when the turntable (301) rotates, the pedal (303) on the right side passes through the rear hole on the side from bottom to top, and supports the movable plate (206) erected in the cavity (202) to move towards the front hole on the side along with the pedal (303), meanwhile, the movable substrate (201) on the side moves from the rear hole to the front hole along the surface of the working surface (101) under the driving of the telescopic cylinder (205), and when the pedal (303) enters the front hole on the side, the cavity (202) of the movable substrate (201) is positioned right above the front hole, and when the pedal (303) passes through the front hole from top to bottom, the stirring shaft (207) of the movable plate (206) supported by the movable substrate (201) is supported in the supporting groove (204) of the movable substrate (201);
the surface of the pedal (303) and the bottom surface of the movable plate (206) are respectively provided with corresponding grooves and ribs.
2. The walking simulation device for rehabilitation of a stroke patient according to claim 1, wherein: the power mechanism for controlling the movement of the turntable (301) is a motor-driven speed reducer, and the motor, the speed reducer and the telescopic oil cylinder (205) for driving the movable base plate (201) to reciprocate on the surface of the working surface (101) are controlled by an LPC intelligent controller in a coordinated manner.
3. The walking simulation device for rehabilitation of a stroke patient according to claim 1, wherein: one end of the pin shaft (302) is fixedly connected with the side face of the rotary table (301), the other end of the pin shaft extends into a mounting hole formed in the end portion of the pedal (303), the diameter of the mounting hole is larger than that of the pin shaft (302), a torsion spring (304) is arranged on the outer surface of one end, extending into the mounting hole, of the pin shaft (302), the inner ring of the torsion spring (304) is fixedly connected with the outer diameter of the end portion of the pin shaft (302), and the two protruding tail ends (305) of the torsion spring are fixedly connected with the inner wall of the mounting hole, so that the pedal (303) is kept horizontal.
4. The walking simulation device for rehabilitation of a stroke patient according to claim 1, wherein: the frame (1) is a flat rectangular hollow box body, the top surface of the frame is a working surface (101), a cavity area (103) is formed in the frame, a rotating shaft of the turntable (301) is fixed on the working surface (101), four through holes (106) penetrate through the cavity area (103), so that the turntable (301) drives two pedals (303) on two sides of the turntable to penetrate through the four through holes (106) to form a rotating cycle above the cavity area (103) and the working surface (101); a handrail frame (102) for holding a patient is provided on the working surface (101).
5. The walking simulation device for rehabilitation of a stroke patient according to claim 1, wherein: the frame (1) is a flat rectangular hollow box body, and a vertical partition plate (105) is arranged in a cavity area (103) in the box body, so that a control area (104) is separated in the box body, and a PLC coordinated training control system (4) for controlling the movement of the turntable (301) and the telescopic oil cylinder (205) is arranged in the control area (104).
6. The walking simulation device for rehabilitation of a stroke patient according to claim 1, wherein: the walking simulation device further comprises a PLC coordinated training control system (4), the PLC coordinated training control system (4) comprises a PLC intelligent controller (402), a front sensor (403) and a rear sensor (404) for detecting the movement states of the two legs, a plurality of electric stimulation patches (5) attached to the acupoints of the left leg and the right leg of a patient and an electric acupuncture therapeutic instrument (401) for providing pulse currents for the electric stimulation patches (5), wherein the front sensor (403) and the rear sensor (404) respectively detect the states of the right leg and the left leg and respectively send different signals to the PLC intelligent controller (402), and the PLC intelligent controller (402) respectively controls the electric acupuncture therapeutic instrument (401) to release the pulse currents to the electric stimulation patches (5) attached to the acupoints of the right leg and the left leg of the patient according to the received signals of the front sensor (403) or the rear sensor (404) so as to enable the right leg and the left leg to form muscle and neural memory, and accordingly coordinated actions of the two.
7. The walking simulation device for rehabilitation of a stroke patient according to claim 6, wherein: the front sensor (403) and the rear sensor (404) respectively send different signals to the PLC intelligent controller (402) when the left pedal (303) passes through the front hole and the rear hole, and the PLC intelligent controller (402) respectively controls the electric needle therapeutic instrument (401) to release pulse current to the electric stimulation patch (5) attached to the acupoint of the right leg or the acupoint of the left leg of the patient according to the received signals of the front sensor (403) or the rear sensor (404).
8. The walking simulation device for rehabilitation of a stroke patient according to claim 6, wherein: the electric stimulation patch (5) comprises a conductive metal sheet (501), a plurality of cone-shaped discharge tips (502) are densely distributed on the surface of one side of the conductive metal sheet (501), the other side of the conductive metal sheet is adhered to the middle part of one side of a silica gel pad (504), the other side of the silica gel pad (504) is adhered to the middle part of one side of a water absorption gauze (505) through a magic tape, and the other side of the water absorption gauze (505) is adhered to a waterproof adhesive tape (506), so that the electric stimulation patch (5) is adhered to the skin of an acupoint by the waterproof adhesive tape (506); each conductive metal sheet (501) is connected with a current output interface of the electric needle therapeutic apparatus (401) through a wire (503) wrapped with insulating paint.
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