CN102028598B - Multifunctional weight-reducing dynamic balance training bed - Google Patents

Multifunctional weight-reducing dynamic balance training bed Download PDF

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Publication number
CN102028598B
CN102028598B CN 200910196803 CN200910196803A CN102028598B CN 102028598 B CN102028598 B CN 102028598B CN 200910196803 CN200910196803 CN 200910196803 CN 200910196803 A CN200910196803 A CN 200910196803A CN 102028598 B CN102028598 B CN 102028598B
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China
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bedstead
support
bed
lower extremity
pedal
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Expired - Fee Related
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CN 200910196803
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CN102028598A (en
Inventor
胡秀枋
邹任玲
徐秀林
刘颖
赵展
李放
吴毅
张峰
胡永善
贾杰
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Huashan Hospital of Fudan University
University of Shanghai for Science and Technology
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Huashan Hospital of Fudan University
University of Shanghai for Science and Technology
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Abstract

The invention provides a multifunctional weight-reducing dynamic balance training bed, comprising a bed seat, a bedstead and a bed plate, wherein the bedstead is arranged on the bed seat and is rotatably connected with the bed seat; the bed plate is fixed on the bedstead; the front end of the bedstead is connected with a left lower-limb bracket movement mechanism and a right lower-limb bracket movement mechanism so as to realize synchronous extension and alternative extension. A bed plate angle adjusting mechanism is arranged between the bedstead and the bed seat so as to realize a back weight reducing function with various angles. A left-side up-down moving mechanism and a right-side up-down moving mechanism of the bed plate are respectively arranged among the two sides of the bedstead and the base; and the mechanisms realize side turning of the bed and horizontal training of the diseased side. The left lower-limb bracket movement mechanism and the right lower-limb bracket movement mechanism comprise thigh expansion rods and crus expansion rods to realize adjustment of the lengths of thigh brackets and crus brackets, and therefore, the personalized limb training is realized. A control box is arranged on the bed seat. In the multifunctional weight-reducing dynamic balance training bed, devices for carrying out rehabilitation assessment and training on the dynamic balance functions are integrated, and the weight-reducing degree can be adjusted.

Description

Multifunctional weight-reducing dynamic balance training bed
Technical field
The present invention relates to a kind of rehabilitation medical instrument, relate in particular to a kind of Multifunctional weight-reducing dynamic balance training bed.
Background technology
According to statistics, China's cerebrovascular, parkinson disease, craniocerebral trauma, spinal cord injury annual morbidity increase year by year.These diseases and damage can cause equilibrium function obstacle and even deformity.And the equilibrium function obstacle is main disability-causing factor.A plurality of evidence-based medicals show that the training that comprises equilibrium function and lower limb function is the important way of improving function.
Equilibrium function patient's rehabilitation course majority all will through training, can carry out by disease and the damage of dynamically lower limb equilibrium function test training apoplexy, cerebral trauma, parkinson disease, spinal cord injury etc. being arranged from the continuous passive motion to the active exercise; Patient for the disturbance of consciousness that stupor, vegetative state and faint state of consciousness are arranged, after also can be used for early stage full hip, total knee replacement, fracture of the lower limb AO or BO postoperative need keep the lower limb passive activity, need again simultaneously some orthostatic body positions training orthopaedic disease; Can be used for to keep lower limb exercise, need again the early rehabilitation of the heart disease of upright or the training of half orthostatic body position simultaneously, such as patients such as myocardium infarction, coronary artery bypass grafting postoperatives; The requisite measure of preliminary rehabilitation and carry out the dynamic lower limb equilibrium function of corresponding quilt test training.
It is one of human body lower limbs motion important way that both legs bend and stretch with alternately bending and stretching synchronously, and passive similar passive the squatting down of bending and stretching synchronously stands, and passive alternately bends and stretches the similar passive action of marking time.Passive both legs bend and stretch with alternately bending and stretching work and all adopted trainer to carry out manual operation in the past at present, and are not only time-consuming, effort, and treatment cost is high.At present lower limb loss of weight rehabilitation training adopts Suspenoing apparatus to carry out weight-losing more, and Suspenoing apparatus uses suspender upwards to draw weight in patients, needs constraint patient trunk, easily brings the patient uncomfortable, operates more loaded down with trivial details.
Also there is the weakness of lacking individuality training in the product of passive exercise in the market, patient for the stature height adopts unified leg training product, cause the some patients were training process not reach effect, or training strength is excessive, the patient has been caused certain damage.
The not integrated lower limb Ipsilateral of most of balance training beds clinostatism is trained, and affects the incremental rehabilitation course of training strength of Ipsilateral, causes rehabilitation efficacy undesirable.
Summary of the invention
Purpose of the present invention exactly in order to address the above problem, provides a kind of Multifunctional weight-reducing dynamic balance training bed.
In order to achieve the above object, the present invention has adopted following technical scheme: a kind of Multifunctional weight-reducing dynamic balance training bed, comprise base, bedstead and bed board, bedstead is installed on the base and with base and rotatably links to each other, bed board is fixed on the bedstead, front end at bedstead is connected with left lower extremity support and right lower extremity support, between left lower extremity support and right lower extremity support and bedstead, be connected with respectively left lower extremity support-moving mechanism and right lower extremity support-moving mechanism, left lower extremity support-moving mechanism and right lower extremity support-moving mechanism realize being bent and stretched synchronously dynamically and alternately bending and stretching respectively by two motors and two pairs of top rod driving.
Between bedstead and base, be provided with the bedplate angle governor motion, to adapt to loss of weight needs in various degree.
Be respectively equipped with bed board left side reciprocating mechanism and bed board right side reciprocating mechanism between the both sides of bedstead and base, the rollover of this winding machine bed realizes the training of Ipsilateral clinostatism, strengthens the nerve stimulation of Ipsilateral.
Base at training bed is equipped with a plurality of universal adjustment castors, and corresponding be provided with a plurality of for regulating up and down flexible governor motion of castor.
Also comprise the bedplate angle display, this bedplate angle display is installed on the bedstead mobile with bedstead, can monitor the size at bed board angle of inclination.
The left lower extremity support is identical with right lower extremity supporting structure symmetry, respectively comprises pedal support, lower limb telescoping mechanism, foot front end buffer, the heel axis of guide and pedal; The pedal support links to each other with corresponding support for lower limbs travel mechanism transmission; Foot front end buffer and the heel axis of guide are connected between pedal and the pedal support; One end of lower limb telescoping mechanism links to each other with the pedal bracket-rotatable is moving, and the other end rotatably links to each other with bedstead; Be provided with plantar pressure sensor around the pedal, plantar pressure sensor links to each other with the sensor interface circuitry signal of telecommunication in the control chamber; Be provided with angular transducer at the lower limb telescoping mechanism, angular transducer links to each other with the sensor interface circuitry signal of telecommunication in the control chamber; Described left lower extremity support-moving mechanism links to each other with the transmission of corresponding pedal support respectively with right lower extremity support-moving mechanism.
The lower limb telescoping mechanism comprises thigh expansion link, shank expansion link, thigh support frame and little leg support, one end of thigh expansion link rotatably links to each other with bedstead, the other end rotatably links to each other with the shank expansion link, the other end of shank expansion link links to each other with the pedal bracket-rotatable is moving, thigh support frame is installed on the thigh expansion link, little leg support is installed on the shank expansion link, is respectively equipped with the adjusting set lever at thigh expansion link, shank expansion link, thigh support frame and little leg support.This hip joint is fixed, and thigh support frame length is adjustable, and corresponding knee joint position is adjustable, and the shank stent length is adjustable, realizes personalized leg training.
Plantar pressure sensor is comprised of the cantilever beam that posts four foil gauges, and the cantilever beam that posts four foil gauges is inserted in the sole stressed member that is comprised of pedal, pedal support, foot front end buffer and the heel axis of guide.
Above-mentioned left lower extremity support-moving mechanism, right lower extremity support-moving mechanism, bed board left side reciprocating mechanism and bed board right side reciprocating mechanism all comprise a linear stepping motor.
At base control chamber is installed, is provided with sensor interface circuitry, motor drive module and power module in the control chamber, power module is respectively sensor interface circuitry and motor drive module provides power supply; Motor drive module links to each other with the linear stepping motor signal of telecommunication in bedplate angle governor motion, left lower extremity support-moving mechanism and the right lower extremity support-moving mechanism respectively.
Multifunctional weight-reducing dynamic balance training bed coupled computer program of the present invention and display device are used, in use, the patient relies on bed board or independently stands at the back, and two lower limb are under the driving of support for lower limbs travel mechanism, can carry out dynamically being bent and stretched synchronously and alternately bend and stretch equilibrium function evaluation and training.In addition, it utilizes the adjustable bed board of angle that the supporting role at back is produced different weight loss effects; The introducing hip joint is fixed, and thigh support frame length is adjustable, and corresponding knee joint position is adjustable, and the shank stent length is adjustable, realizes personalized leg training; Can realize the training of Ipsilateral clinostatism, strengthen the nerve stimulation of Ipsilateral, be conducive to the activity of strong side limbs, this process is realized by bed board left side reciprocating mechanism and bed board right side reciprocating mechanism; Multifunctional weight-reducing dynamic balance training bed can carry out weight-losing, carries out early rehabilitation, and has avoided the shortcoming of suspention loss of weight, also has the technology of intelligent balance sysmte.Multifunctional weight-reducing dynamic balance training bed of the present invention be provided with for disturbance of consciousness or serious dyskinesia repeat the passive loss of weight training method of marking time, forming somesthetic sensibility by apparatus stimulates, and promotes state of consciousness to recover, the apraxia that the prevention bed causes and lose and be good for.
Description of drawings
Fig. 1 is the structural representation of facing of Multifunctional weight-reducing dynamic balance training bed of the present invention;
Fig. 2 is the plan structure sketch map of Multifunctional weight-reducing dynamic balance training bed of the present invention.
The specific embodiment
Referring to Fig. 1, Fig. 2, Multifunctional weight-reducing dynamic balance training bed 1 of the present invention, comprise base 11, bedstead 12 and bed board 13, bedstead 12 is installed on the base 11 and with base 11 and rotatably links to each other by rotating shaft 6, bed board 13 is fixedly linked with bedstead 12, front end at bedstead 12 is connected with left lower extremity support and right lower extremity support 14, between left lower extremity support and right lower extremity support 14 and bedstead 12, be connected with respectively left lower extremity support-moving mechanism and right lower extremity support-moving mechanism 15, be provided with bedplate angle governor motion 16 and bed board left side reciprocating mechanism and bed board right side reciprocating mechanism 17 between bedstead 12 and base 11, above-mentioned each mechanism all comprises a linear stepping motor.Base 11 at training bed is equipped with a plurality of universal adjustment castors 111, and corresponding be provided with a plurality of for regulating up and down flexible governor motion 112 of castor.Bedplate angle display 8 also is installed on bedstead 12, and bedplate angle display 8 is with the bedstead 12 mobile angles that are used for showing bedstead 12 and bed board 13 inclinations.
Cooperation is referring to Fig. 2, and the left lower extremity support among the present invention is symmetrical identical with right lower extremity supporting structure 14, respectively comprises pedal support 141, lower limb telescoping mechanism 142, foot front end buffer 143, the heel axis of guide 144 and pedal 145.Pedal support 141 links to each other with corresponding support for lower limbs travel mechanism 15 transmissions; Foot front end buffer 143 and the heel axis of guide 144 are connected between pedal 145 and the pedal support 141.One end of lower limb telescoping mechanism 142 rotatably links to each other with pedal support 141, and the other end rotatably links to each other with bedstead 12.Around pedal 145, be provided with plantar pressure sensor (out not shown), this plantar pressure sensor is comprised of the cantilever beam that posts four foil gauges, the cantilever beam that posts four foil gauges is inserted in the sole stressed member that is comprised of pedal, pedal support, foot front end buffer and the heel axis of guide, and links to each other with the sensor interface circuitry signal of telecommunication in the control chamber 2 respectively.Be provided with angular transducer (out not shown) at lower limb telescoping mechanism 143, angular transducer links to each other with the sensor interface circuitry signal of telecommunication in the control chamber.Left lower extremity support-moving mechanism links to each other with corresponding pedal support 141 transmissions respectively with right lower extremity support-moving mechanism 15.
Cooperation is referring to Fig. 2, lower limb telescoping mechanism 142 among the present invention comprises thigh expansion link 1421, shank expansion link 1422, thigh support frame 1423 and shank support 1424, one end of thigh expansion link 1421 rotatably links to each other with bedstead 12, the other end rotatably links to each other with shank expansion link 1422, the other end of shank expansion link 1422 rotatably links to each other with pedal support 141, thigh support frame 1423 is installed on the thigh expansion link 1421, shank support 1424 is installed on the shank expansion link 1422, at the thigh expansion link, the shank expansion link, be respectively equipped with on thigh support frame and the little leg support and regulate set lever 1425.
Base 11 at training bed is equipped with control chamber 2, is provided with sensor interface circuitry, motor drive module and power module (out not shown) in this control chamber 2, and power module is respectively sensor interface circuitry and motor drive module provides power supply; Motor drive module links to each other with the linear stepping motor signal of telecommunication in bedplate angle governor motion, left lower extremity support-moving mechanism and the right lower extremity support-moving mechanism respectively.
The present invention cooperates main control computer and two display screens (main display and patient use display screen) to use, and by the control of main control computer realization center, is shown by two display screens.Wherein main display is placed on the operating board, for medical personnel.Main display can show and comprise all the elements such as patient information, test report, functional training, game training, generation report, system arrange, and can control the patient simultaneously with the content of display screen.The patient is with display location the place ahead when the patient trains, be convenient to the variation that the patient observes strength size in the training process, the real-time active regulation balance, the patient can show the participation process of training process, game and the contents such as result of training with display screen, grasps for the patient.
Data acquisition and processing among the present invention, gather the plantar pressure data by the pressure transducer group, gather hip joint movement angle data by the angular transducer group, be transferred to the sensor interface circuitry in the control chamber, send integrated card (to amplify through signal by the change of multichannel sensing, filtering, sampling keeps), enter data collecting card, then outputing to main control computer processes signal, foot stressed size in the left and right sides is shown with the form of block diagram or data form intuitively, thereby make patient recognize in real time the practical situation of oneself, suitably regulate posture and dynamics.Certainly patient also can get information about the training by a period of time, oneself has obtained great progress, is conducive to help patient to set up the confidence of rehabilitation, excites their training desire.Can by the various signals that gather, carry out frontal plane hunting frequency, average center of gravity, the maximum amplitude of oscillation of frontal plane, the average amplitude of oscillation of frontal plane, gravity motion track total length, the gravity motion track gross area and the isoparametric calculating of frontal plane side slew rate and demonstration simultaneously.
Be provided with motion-control module in the main control computer among the present invention, main control computer drives each motion by motion-control module, i.e. linear stepping motor in bedplate angle governor motion, left lower extremity support-moving mechanism and the right lower extremity support-moving mechanism.Make its positive and negative rotation that transfers the realization bed board by the Synchronization Control motor, reach the effect that bed board 0~90 degree tilts arbitrarily with this.The patient just can realize lying low, reclining even stand and train like this, has realized assessment and training under the various angle Reduction of Students' Study Load states.Linear stepping motor control bed board motion in the bedplate angle governor motion realizes health inclination in various degree.Linear stepping motor in left lower extremity support-moving mechanism and right lower extremity support-moving mechanism, left side reciprocating mechanism and the bed board right side reciprocating mechanism promotes respectively the motion of left and right sides pedal support, realize the passive two-side synchronous of lower limb bend and stretch alternately bend and stretch with passive bilateral or about single leg extensions, linear stepping motor in left side reciprocating mechanism and the bed board right side reciprocating mechanism is realized the left-right rollover of bed, assists suffering from the lateral position training; The lower limb telescoping mechanism realizes that thigh support frame length is adjustable, and corresponding knee joint position is adjustable, and the shank stent length is adjustable; Each motor speed of service, rotating campaign etc. realize that by the unified control of main control computer visual feedback type is by dynamically training and the assessment of balance assessment training system.
Multifunctional weight-reducing dynamic balance training bed uses and may further comprise the steps:
1, the patient tilts to lie on a bed near backboard, and allows its left and right sides foot step down in respectively on the pedal of the left and right sides.
2, according to patient's the practical situation angle of inclination by doctor's regulation bed, realize loss of weight in various degree, at this moment, demonstrate the angle of inclination of bed on the bedplate angle display, angle is less, and the loss of weight degree is larger.
3, according to the practical situation of the Ipsilateral left and right sides height by doctor's regulation bed, the rollover angle of control bed.
4, regulate the lower limb telescoping mechanism, the realization hip joint is fixed, and thigh support frame length is adjustable, and corresponding knee joint position is adjustable, and the shank stent length is adjustable, with training and the assessment that adapts to different height patients.

Claims (5)

1. Multifunctional weight-reducing dynamic balance training bed, it is characterized in that: comprise base, bedstead and bed board, bedstead is installed on the base and with base and rotatably links to each other, bed board is fixed on the bedstead, front end at bedstead is connected with left lower extremity support and right lower extremity support, between left lower extremity support and right lower extremity support and bedstead, be connected with respectively left lower extremity support-moving mechanism and right lower extremity support-moving mechanism, between bedstead and base, be provided with the bedplate angle governor motion, be respectively equipped with bedstead left side reciprocating mechanism and bedstead right side reciprocating mechanism between the both sides of bedstead and base, above-mentioned each mechanism all comprises a linear stepping motor; At base control chamber is installed, is provided with sensor interface circuitry, motor drive module and power module in the control chamber, power module is respectively sensor interface circuitry and motor drive module provides power supply; Motor drive module links to each other with the linear stepping motor signal of telecommunication in the reciprocating mechanism of bedstead right side with bedplate angle governor motion, left lower extremity support-moving mechanism, right lower extremity support-moving mechanism, bedstead left side reciprocating mechanism respectively;
Described left lower extremity support is identical with right lower extremity supporting structure symmetry, respectively comprises pedal support, lower limb telescoping mechanism, foot front end buffer, the heel axis of guide and pedal; The pedal support links to each other with corresponding support for lower limbs travel mechanism transmission; Foot front end buffer and the heel axis of guide are connected between pedal and the pedal support; One end of lower limb telescoping mechanism links to each other with the pedal bracket-rotatable is moving, and the other end rotatably links to each other with bedstead; Be provided with plantar pressure sensor around the pedal, plantar pressure sensor links to each other with the sensor interface circuitry signal of telecommunication in the control chamber; Be provided with angular transducer at the lower limb telescoping mechanism, angular transducer links to each other with the sensor interface circuitry signal of telecommunication in the control chamber; Described left lower extremity support-moving mechanism links to each other with the transmission of corresponding pedal support respectively with right lower extremity support-moving mechanism.
2. Multifunctional weight-reducing dynamic balance training bed as claimed in claim 1, it is characterized in that: described lower limb telescoping mechanism comprises the thigh expansion link, the shank expansion link, thigh support frame and little leg support, one end of thigh expansion link rotatably links to each other with bedstead, the other end rotatably links to each other with the shank expansion link, the other end of shank expansion link links to each other with the pedal bracket-rotatable is moving, thigh support frame is installed on the thigh expansion link, little leg support is installed on the shank expansion link, at the thigh expansion link, the shank expansion link, be respectively equipped with the adjusting set lever on thigh support frame and the little leg support.
3. Multifunctional weight-reducing dynamic balance training bed as claimed in claim 1, it is characterized in that: described plantar pressure sensor is comprised of the cantilever beam that posts four foil gauges, and the cantilever beam that posts four foil gauges is inserted in the sole stressed member that is comprised of pedal, pedal support, foot front end buffer and the heel axis of guide.
4. Multifunctional weight-reducing dynamic balance training bed as claimed in claim 1 is characterized in that: a plurality of universal adjustment castors are installed on the base of described training bed, and corresponding be provided with a plurality of for regulating up and down flexible governor motion of castor.
5. Multifunctional weight-reducing dynamic balance training bed as claimed in claim 1 is characterized in that: also comprise the bedplate angle display, this bedplate angle display is installed on the bedstead mobile with bedstead.
CN 200910196803 2009-09-29 2009-09-29 Multifunctional weight-reducing dynamic balance training bed Expired - Fee Related CN102028598B (en)

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