CN2912604Y - Paralysis rehabilitation therapeutic equipment - Google Patents

Paralysis rehabilitation therapeutic equipment Download PDF

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Publication number
CN2912604Y
CN2912604Y CN 200620118168 CN200620118168U CN2912604Y CN 2912604 Y CN2912604 Y CN 2912604Y CN 200620118168 CN200620118168 CN 200620118168 CN 200620118168 U CN200620118168 U CN 200620118168U CN 2912604 Y CN2912604 Y CN 2912604Y
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China
Prior art keywords
driven pulley
fixed
base station
slide block
therapeutic instrument
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Expired - Fee Related
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CN 200620118168
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Chinese (zh)
Inventor
王冬晓
徐畅
周成龙
付东
路敦勇
张忠廉
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Individual
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Individual
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Abstract

The utility model provides a paralysis rehabilitation treatment device. The treatment device comprises a base platform; a driving wheel whose axis center is fixed on the base platform and the driving wheel is driven by the external force; a slide rail that is fixed on the base platform; a sliding block that is connected with the slide rail in a sliding way; a connection rod which is connected with the driving wheel at the position that is near the edge of the driving wheel; a driven wheel whose axis center is fixed on the base platform, and the driven wheel is connected with the driving wheel through the connection rod, and the connection point of the connecting rod and the driven wheel is positioned at the place that is near the edge of the driven wheel; and a driving rod which connects the driven wheel and the sliding bock, the connecting point of the driving rod and the driven wheel is near with the connection point of the connecting rod and the driven wheel. The paralysis rehabilitation treatment device makes use of simple crank-rocker mechanism to make the lower limbs of the patients carry out the reciprocating movements, thereby simplifying the two motors of the majority of the medical rehabilitation devices to one motor, so the structure is compact; furthermore, the reciprocating movements are more in line with the movement law of the human body, thus the utility model can promote the functional exercises of the patients more effectively.

Description

The paralysis rehabilitation therapeutic instrument
Technical field
This utility model relates to a kind of paralysis rehabilitation therapeutic instrument, relates in particular to a kind ofly can assisted movement dysfunction patient to carry out whole body or partial motion to reach the therapeutic purposes therapeutic instrument for rehabilitation, belongs to the medical rehabilitation therapeutic appliance.
Background technology
Treatment for hemiplegia and paraplegia belongs to rehabilitation.And that rehabilitation comprises is a variety of, roughly being divided into 8 classes, that is: physiotherapy (PT), occupational therapy (OT), speech therapy, psychotherapy, rehabilitation nursing, rehabilitation engineering, occupational therapy, traditional rehabilitation therapy. physiotherapy comprises that again naturopathy, physical exercise therapy, exercise therapy, occupational therapy (OT) then comprise the occupational therapy of functional training, psychotherapy, vocational training and daily life training aspect.
Mainly adopt exercise therapy (kinesiotherapy, therapeutic exercise) to carry out the functional exercise of limbs to the quadriplegia patient.Can be undertaken by following three phases:
1. massage and passive exercise: to early stage bedfast patient, by the household its paralyzed limbs is massaged, the prevention amyotrophy is bent and stretched knee joint, is bent and stretched elbow big or small joint, and the curved finger of stretching out one's hand waits passive exercise, avoids ankylosis.Slightly can active patient can under other people assist in, be sitting in to do on the stool chair and activity such as carry lower limb, stretch knee joint and hold up that thing is stood, go down to prevent cardiovascular function.
2. active exercise: after the preliminary recovery of paralyzed limbs motor function, the patient will carry out active exercise, increase blood circulation, prevent amyotrophy.When muscular strength does not reach more than 3 grades, can help the patient to carry out activity by physiotherapist (PT) or professional nurse.
3. resistant exercise: in order to temper the muscular contraction force of ill limbs, recover active exercise a period of time, must carry out resistant exercise, i.e. load exercise at paralyzed limbs.When muscular strength reaches more than 3 grades,, can carry out resistant exercise and take exercise for strengthening patient's muscular strength.This motion is effective to muscle strength reinforcing and endurance.The mode of resistant exercise has free-hand opposing and two kinds of forms of apparatus opposing.
Now, the existing multiple paralysis rehabilitation equipment in market.A kind of lower extremity paralysis therapeutic instrument is for example arranged, bottom at therapeutic bed is fixed with motor, the output shaft of motor connects the power shaft of gear reduction unit, is mounted with crank-bar linkage mechanism on the output shaft of decelerator, and slide block one end of described crank-bar linkage mechanism is fixed with steel wire rope; Pulley is installed in the side of therapeutic bed, and the steel wire penetrating pulley is fixed on the elastic plate; Elastic plate is fixed on the installing rack of the treatment head of a bed by spring assembly, under the transmission of motor, the patient's lower limbs march is stretched motion, so that strengthen the blood circulation and the meridian activity of lower limb.
Also have a kind of multi-functional paralysis rehabilitation therapy apparatus, be made of two groups of sprocket wheels, stranger or paralytic's the reciprocating motion of strong side limbs on this machine can pass to this patient's trouble limb by sprocket wheel, makes its restore funcitons in passive exercise.
Also know a kind of multi-functional paralytic's therapy apparatus at present, a kind of power set that can export the reciprocal rotation of some cycles and certain angle have been adopted, the output pulley of power set and paralysed limb motion traction apparatus link, make terminal the generation and the synperiodic reciprocal alternating movement of power set of traction of traction apparatus, make patient's paralysis limb be able to early exercise, in order to avoid stay sequela, be specially adapted to panplegia patient or muscular strength patient's when 0 °~I ° treatment.
Though, both at home and abroad to the existing long history of the research of rehabilitation instrument, but most of rehabilitation instruments all are partial to the treatment of massage treatment and simple active exercise link and resistant exercise link, and the frame for movement of being used in simple campaign-styled rehabilitation instrument is too complicated, heavy again, is partial to health and fitness facilities.And the rehabilitation medical apparatus is with respect to health and fitness facilities, because user is all the incompetent person, compactedness, portability and the safety of frame for movement had higher requirement.
In addition, existing rehabilitation instrument mainly designs in conjunction with active exercise and resistant exercise.But, can there be the patient of motor capacity fully for a part, need massage patient's paralyzed limbs by family numbers of patients, the prevention amyotrophy is bent and stretched knee joint, is bent and stretched elbow big or small joint, curvedly stretches out one's hand passive exercise such as finger grade, avoids ankylosis.This just need be satisfied the demand of three phases with passive exercise, active exercise and resistant exercise triplicity by a kind of equipment.The rehabilitation equipment of Xiao Shouing does not also possess such perfect functions in the market.
Summary of the invention
The purpose of this utility model is to provide a kind of paralysis rehabilitation therapeutic instrument.This paralysis rehabilitation therapeutic instrument can utilize a motor to realize the reciprocating motion of the slide block of the sick limb of immobilized patients, thereby it is in the wrong that the sick limb of patient is stretched, thereby realizes the function of passive exercise, active exercise and the resistant exercise triplicity of the sick limb of patient.
For achieving the above object, this utility model adopts following technical scheme:
A kind of paralysis rehabilitation therapeutic instrument comprises base station, and the drivewheel that the axle center is fixed on the base station and external force drives is fixed on the slide block that at least one slide rail on the base station and at least one and slide rail are slidingly connected, and also comprises:
Connecting rod is connected with drivewheel in the position near the drivewheel edge;
Driven pulley, axle center are fixed on the base station, be connected with drivewheel by connecting rod, and the junction point of connecting rod and driven pulley are positioned at the submarginal position of driven pulley;
At least one drive link connects driven pulley and slide block, and the junction point of drive link and driven pulley is near the junction point of connecting rod and driven pulley.
The simple crank and rocker mechanism of this utility model utilization moves back and forth patient's lower extremity movement, make two motors in most of medical rehabilitation instrument, be reduced to a motor, compact conformation, and the characteristics of motion of the more compound human body of this reciprocating motion, more can effectively promote patient's functional exercise.
Description of drawings
Fig. 1 is the overall structure sketch map of this paralysis rehabilitation therapeutic instrument.
Fig. 2 is the structural representation of lower extremity movement part in this paralysis rehabilitation therapeutic instrument.
Fig. 3 is the structure principle chart of lower extremity movement part in this paralysis rehabilitation therapeutic instrument.
Fig. 4 is the structure principle chart of slide block plate washer in this paralysis rehabilitation therapeutic instrument lower extremity movement part.
Fig. 5 is the structural representation of this paralysis rehabilitation therapeutic instrument upper extremity exercise part.
Fig. 6 is the schematic diagram of anti-reversed structure in this paralysis rehabilitation therapeutic instrument lower extremity movement part.
The specific embodiment
Following with reference to accompanying drawing, describe the concrete structure of paralysis rehabilitation therapeutic instrument described in the utility model in detail.
With reference to figure 1, this paralysis rehabilitation therapeutic instrument comprises base station 10, is installed in the lower extremity movement part 20 on the base station 10, and the upper extremity exercise part 30 of the position of the suitable organization of human body on base station 10 installation.
Below further referring to figs. 2 and 3 being elaborated.Lower extremity movement part 20 comprises:
Axle center 01 is installed in the drivewheel 21 on the base station 10, by a motor-driven, can be that rotating shaft is rotated with the direction perpendicular to base station 10.The connecting rod 23 that one end is connected with the A1 junction point place of drivewheel 21, the other end connects the B1 junction point on the driven pulley 25.The axle center O of driven pulley 25 is installed on the base station 10, and compares to the more close slide rail 29 described later of drivewheel 21.The axial connecting line of drivewheel 21 and driven pulley 25 is not parallel to slide rail direction described later.But as can be seen from Figure 2, the axle center of driven pulley 25 is positioned on the two slide rail line of symmetries, and the axle center of drivewheel 21 is near one of two slide rails.Driven pulley 25 prolongs the relative two-end-point A of diametric(al) and B is connected with drive link 27 respectively, and the other end of drive link 27 connects slide block 29 respectively.Two slide blocks 29 are slidably disposed on respectively on the slide rail that is parallel to each other.In the present embodiment, the junction point B1 of connecting rod 23 and driven pulley 25, near or be same as the junction point B of drive link 27 and driven pulley 25.
Driven by motor drivewheel 21 rotations, thus connecting rod 23 promoted.Under the effect of connecting rod, driven pulley 25 rotation also drives drive link 27 motions, thereby making to slide 29 slides along slide rail.In the present embodiment, rotate to when junction point that connecting rod 23 is connected with drivewheel on the axial connecting line of drivewheel 21 and driven pulley 25 and away from driven pulley the time, the direction of rotation of driven pulley changes, from transferring to counterclockwise clockwise.Rotate to as junction point P that connecting rod 23 is connected with drivewheel on the axial connecting line of drivewheel 21 and driven pulley 25 and near driven pulley 25 time, the direction of rotation of driven pulley 25 changes, from transferring to clockwise counterclockwise.Thus, by a motor-driven drivewheel 21, driven pulley is rotated on clockwise and counterclockwise both direction.Prolong the life-span of motor with regard to having avoided greatly by motor frequent rotating switching driven pulley direction like this, simplified structural design.In this utility model, motor only need just can drive driven pulley a direction rotation and rotate on both direction.Driven pulley 25 moves back and forth two slide blocks 29 by drive link 27 on slide rail.
In the present embodiment, on slide rail, each may be used to immobilized patients from slide block top foot or shank make foot can follow the slip of slide block and move, thereby reach the purpose of forging experienced muscle and Movable joint, realize massage and passive exercise.Need to prove, though slide block is to carry out straight reciprocating motion along slide rail, but because the joint of patient's shank can be crooked, draw near at slide block, in the reciprocal process from the close-by examples to those far off, patient's shank is crooked gradually thereupon, stretch gradually then, so just energy Movable joint exercises one's muscles, and strengthens the blood circulation and the meridian activity of lower limb.
The concrete length of two drive links 27 and connecting rod 23 can design according to installation site and the practical situation such as organization of human body of this paralysis rehabilitation therapeutic instrument on base station.
With reference to figure 4, slide block 29 is formed by two master sliders with from slide block two parts, and wherein, master slider is the power section that connects the active of drive link 27, is used for fixing foot the paralytic from slide block.Master slider be connected with the thin bar that can regulate length from these two slide blocks of slide block, one section of thin bar is fixed on the master slider, other end single-degree-of-freedom is fixed in from slide block, in the termination of thin bar baffle plate is arranged.When master slider travelled forward, the baffle plate of thin rod end head touched from slide block when movement length was L (length of bar), promoted then to move from slide block.During backhaul, when the movement length of movable slider is L, just spur from slide block movement by baffle plate.Such structure has negated the mode of carrying out stroke adjustment in the prior art by baffle plate touching device, change a slide block into movable slider and from these two slide blocks of slide block, two slide blocks couple together by a thin bar, end at thin bar is laid baffle plate, that places patient foot does not connect motor from slide block, on the master slider of not putting foot, connect power, by the master slider of not putting foot drive put foot from slide block movement.When making patient's leg extension, by master slider promote to put foot from slide block movement, when the shank that makes patient shrank, master slider is motion one segment distance L (connect master slider and be L from the length of the thin bar of slide block) earlier, then by baffle plate drive put foot from slide block movement.So only by adjust connecting master slider and just can adjust the length of the whole stroke of slide block from the length of the thin bar of slide block, and the length that does not need to increase track just can realize.Connect master slider and implement also very simply from the thin bar of slide block, with a threaded rod, get an end at threaded rod and add a nut, nut can serve as baffle plate and be convenient to adjusting.
Get back to Fig. 1, and, introduce upper extremity exercise part 30 in detail at this in conjunction with Fig. 5.Upper extremity exercise part 30 comprises the Fixed Division 31 that is connected with base station 10,31 support bars that extend out 33 from the Fixed Division, the adapting rod 35 that is connected with support bar one end, and the handrail 37 that links to each other with adapting rod 35 other ends.Fixed Division 31 is used for whole upper extremity exercise part 30 is fixed on the base station 10, and support bar 33 links to each other with Fixed Division 31 rotationally, can regulate and be fixed on the predetermined angular of relative base station 10, thereby keeps the height of handrail 37 relative base stations 10.Adapting rod 35 is connected with handrail 37 is also rotatable, and the position of handrail 37 relative base stations 10 can be regulated.
Present embodiment can also be provided with tilting prevention device, as shown in Figure 6.Vertical support bar 250 by a single-degree-of-freedom carries out anti-down.Put a resilient cuff of softness in patient upper leg portion, so just can make support bar 250 be connected patient and get on the thigh, when stretching, the thigh that metallic rod is followed patient single-degree-of-freedom downwards moves both vertically, when shrinking, the thigh that support bar is followed patient moves upward.It should be noted that, metallic rod can not be oversize, metallic rod should kiss the earth when the paralytic gets the shank full extension and opens in requirement, and promptly the length of support bar should not be higher than the height of bed, and support bar 250 outer telescopic effects are to make support bar keep vertical state always.
The fixing feet place is connected with one of slide block by a fixed pulley under base station.Can hang the weight of Different Weight on the fixed pulley.Through after the active exercise stage, patient's limbs recover motor function to a certain extent, can promote slide block and carry out load exercise.Reach the effect of resistant exercise.
During use, massage and allokinetic patient for needs, paralyzed limbs is fixed on foot or/and the hands fixed bit, promptly foot is placed on the slide block, and hands is placed on the handrail.And lower limb will be in bends the position, regulates the upper extremity exercise part, makes it consistent with patient's forearm, and regulates and connect master slider and make the lower extremity movement appropriateness from the length of the thin bar of slide block, and governing speed moves up and down patient's upper limb forearm, and lower limb are done flexion movement.
Through passive exercise after a while, needs of patients enters active exercise during the stage, can close power, makes the patient firmly, promotes handrail and slide block by its upper limb and lower limb, realizes active exercise.At this moment, do not want application of load.
If needs of patients enters load stage, can after active exercise, increase load gradually, hang the weight of Different Weight, carry out resistant exercise.
In the present embodiment, drivewheel 21 and driven pulley 25 and between connecting rod 23 can be reduced to a drivewheel.Drivewheel promotes two drive links 27 thus, and slip is moved back and forth on slide rail.And as shown in Figures 2 and 3, drivewheel can or be positioned at relative driven pulley between slide rail away from slide rail one side.Drivewheel can be between slide rail, and is promptly shown in Figure 3, can save installing space, is suitable for short and small base station.When drivewheel is positioned at relative driven pulley away from slide rail one side, promptly shown in Figure 2, can reduce the spacing between the slide rail, to save the base station occupation space.
In addition, garden shape drivewheel in shank and hand exercise and driven pulley can be improved to a flat plane cuboid thin plate, like this, can save material, be easy to processing.Shank get two crank and rocker mechanisms connect the time, be that three pin joints are arranged originally, be improved to two anchor points, so be easy to processing more, do not influence original motion mode.
This paralysis rehabilitation therapeutic instrument carries out suitable activity and rehabilitation by making the paralytic. reinforcement patient's functional exercise, and with speed of accelerating to recover and the degree of improving recovery.The process of using this paralysis rehabilitation therapeutic instrument to treat can divide three phases to carry out: a, massage and passive exercise; B, active exercise; With c, resistant exercise, load exercise, simple in structure, single motor-driven, safe and feasible.

Claims (8)

1. a paralysis rehabilitation therapeutic instrument comprises base station, and the drivewheel that the axle center is fixed on the base station and external force drives is fixed on the slide block that at least one slide rail on the base station and at least one and slide rail are slidingly connected, and it is characterized in that further comprising:
Connecting rod is connected with drivewheel in the position near the drivewheel edge;
Driven pulley, axle center are fixed on the base station, be connected with drivewheel by connecting rod, and the junction point of connecting rod and driven pulley are positioned at the submarginal position of driven pulley;
At least one drive link connects driven pulley and slide block, and the junction point of drive link and driven pulley is near the junction point of connecting rod and driven pulley.
2. paralysis rehabilitation therapeutic instrument as claimed in claim 1 is characterized in that:
Described drivewheel can or be positioned at relative driven pulley between slide rail away from slide rail one side.
3. paralysis rehabilitation therapeutic instrument as claimed in claim 1 is characterized in that:
The junction point of described connecting rod and driven pulley near or coincide with the junction point of described drive link and driven pulley.
4. paralysis rehabilitation therapeutic instrument as claimed in claim 1 is characterized in that further comprising the upper extremity exercise part that is installed on the described base station.
5. paralysis rehabilitation therapeutic instrument as claimed in claim 4 is characterized in that,
Described upper extremity exercise partly comprises the Fixed Division that is fixed on the base station, with the support bar that the Fixed Division is connected rotationally, the adapting rod that is connected with support bar one end, and the handrail that links to each other with the adapting rod other end.
6. paralysis rehabilitation therapeutic instrument as claimed in claim 1 is characterized in that further comprising that single-degree-of-freedom is fixed on the support bar on the base station.
7. paralysis rehabilitation therapeutic instrument as claimed in claim 1, it is characterized in that described slide block comprises master slider and from slide block, wherein master slider is connected with described drive link, and an affixed single-degree-of-freedom is fixed in the thin bar from the slide block, in the termination of thin bar baffle plate is arranged.
8. paralysis rehabilitation therapeutic instrument as claimed in claim 1 is characterized in that, further comprises:
The fixed pulley that the fixing feet place is provided with under described base station is connected with described slide block.
CN 200620118168 2006-06-02 2006-06-02 Paralysis rehabilitation therapeutic equipment Expired - Fee Related CN2912604Y (en)

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Application Number Priority Date Filing Date Title
CN 200620118168 CN2912604Y (en) 2006-06-02 2006-06-02 Paralysis rehabilitation therapeutic equipment

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Application Number Priority Date Filing Date Title
CN 200620118168 CN2912604Y (en) 2006-06-02 2006-06-02 Paralysis rehabilitation therapeutic equipment

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CN2912604Y true CN2912604Y (en) 2007-06-20

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102579229A (en) * 2012-03-02 2012-07-18 王俊华 Gait rehabilitation training robot
CN106890062A (en) * 2017-04-17 2017-06-27 上海理工大学 A kind of exercising apparatus for recovery of upper limb

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102579229A (en) * 2012-03-02 2012-07-18 王俊华 Gait rehabilitation training robot
CN106890062A (en) * 2017-04-17 2017-06-27 上海理工大学 A kind of exercising apparatus for recovery of upper limb

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C19 Lapse of patent right due to non-payment of the annual fee
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