CN103976851B - The autonomous recovery training appliance for recovery of a kind of shoulder joint - Google Patents

The autonomous recovery training appliance for recovery of a kind of shoulder joint Download PDF

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Publication number
CN103976851B
CN103976851B CN201410157352.8A CN201410157352A CN103976851B CN 103976851 B CN103976851 B CN 103976851B CN 201410157352 A CN201410157352 A CN 201410157352A CN 103976851 B CN103976851 B CN 103976851B
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CN
China
Prior art keywords
arm
gear
wheel
rotating shaft
double linked
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CN201410157352.8A
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Chinese (zh)
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CN103976851A (en
Inventor
国秀丽
谢永霞
吴耀春
孙晓红
吴贵军
廉蒙蒙
杨威
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安阳工学院
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Priority to CN201410157352.8A priority Critical patent/CN103976851B/en
Publication of CN103976851A publication Critical patent/CN103976851A/en
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Publication of CN103976851B publication Critical patent/CN103976851B/en

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Abstract

The invention provides the autonomous recovery training appliance for recovery of a kind of shoulder joint, comprise base, seat, fork-shaped or U-shaped overarm, square column and shoulder rehabilitation motion, the outstanding depth of beam of fork-shaped or U-shaped is adjustable, rehabilitation exercise mechanism adopts gear and band transmission from the large arm one side active movement of patient to opposite side passive movement, when wherein the large arm of patient's one side swings up and down, by gear and band transmission, make patient's both sides swing up and down direction consistent, when the large arm of patient's one side swings, by gear and band transmission, make the large arm in the patient both sides opposite direction that swings, provide power without external power source, make the rehabilitation exercise of the large arm of patient's one side safer reliable.

Description

The autonomous recovery training appliance for recovery of a kind of shoulder joint
One, technical field
The present invention relates to the autonomous recovery training appliance for recovery of a kind of shoulder joint, belong to rehabilitation medical instrument field.
Two, background technology
On the one hand, along with the arrival of China's aging society, the number of the infected day of middle-aged and old shoulder joint illnessBenefit increases; The opposing party's process of industrialization is accelerated, and pace of life is accelerated, shoulder wound, brain trauma, apoplexy peopleNumber increases to some extent, and shoulder function damage diversity, complexity manifest gradually. Patient's arm motion is obstructed,Not only life brings inconvenience, and patient is also subject to very large strike mentally, and traditional therapeutic modality pushes awayTake, drug application, operation etc., the massage treatment cycle is long, expense is high, takes effect slow; Medicine hot compress expense is higher,Operability is poor, and operative treatment exists certain risk, and adopting recovery training appliance for recovery is that guarantee patient shoulder rehabilitation is controlledAn important means of therapeutic effect.
Existing shoulder rehabilitation apparatus mostly is exterior power and drives, and cost is high, and a lot of patients are difficult economicallyTo bear, security is poor, and the autonomous recovery training appliance for recovery of this shoulder joint does not use external power source, simple in structure,Exquisiteness, cost is lower.
Three, summary of the invention
The object of the invention is to: for can only the paleocinetic patient of a side providing the large arm of an a kind of side independently to enterRow swings up and down, containing abduction, and opposite side can not carry out symmetry, allokinetic by paleocinetic large armShoulder joint rehabilitation trainer.
The object of the present invention is achieved like this:
The autonomous recovery training appliance for recovery of a kind of shoulder joint, comprises base 1, fork-shaped or U-shaped overarm 3, column 4, itsBe characterised in that: the bottom of fork-shaped or U-shaped overarm 3 can regulate height up and down on column, and fork-shaped or U-shaped are outstandingBetween two ends of beam 3, be fixed with installing plate 7, the two ends symmetry of this installing plate 7 is respectively provided with a shoulder jointRehabilitation exercise mechanism, i.e. left shoulder joint rehabilitation exercise mechanism, right shoulder joint rehabilitation exercise mechanism;
This shoulder rehabilitation motion comprises that right side connects pivoted arm 26, large arm connecting rod 35, vertically rotating shaft one8, belt wheel 6 30, duplicate gear 5 23, large arm connecting rod 35 is positioned at the inner side that right side connects pivoted arm 26,For bondage arm, large arm connecting rod 35 is positioned at the lower end that right side connects pivoted arm 26, and the two is by turningAxle 5 31 is and is rotatably connected, and large arm connecting rod 35 is provided with bondage arm apparatus, and the right side is stretched out in rotating shaft 5 31One end that side connects pivoted arm 26 is provided with belt wheel 6 30, and the rotating right side that is fixed on of duplicate gear 5 23 connectsPivoted arm 26 outsides, upper end, duplicate gear 5 23 comprises the belt wheel in outside and the bevel gear of inner side, this duplex-gearTake turns 5 23 belt wheel and coordinate transmission with above-mentioned belt wheel 6 30, rotating shaft one 8 lower ends are connected on pivoted arm 26 with right sideEnd is fixedly connected with;
Installing plate 7 right-hand members are fixed with diplopore bearing block and bearing 10, and left end is fixed with single hole bearing block and bearing16, in the right ports of diplopore bearing block and bearing 10, rotating shaft 1 is installed, rotating shaft two is installed in left hole22, rotating shaft 1 protrudes from diplopore bearing block and bearing 10 upper ends are fixed with gear 1, and rotating shaft 1 is protrudingHave duplicate gear 2 11 for diplopore bearing block and bearing 10 lower end kinks, duplicate gear 2 11 comprisesThe roller gear of portion and the bevel gear of bottom, the cone of the bevel gear of duplicate gear 2 11 and duplicate gear 5 23Gear engagement, rotating shaft 2 22 upper ends are fixed with double linked wheel 1, and double linked wheel 1 comprises the Cylinder Gear of bottomThe belt wheel on wheel and top, said gear 1 engages with the roller gear of double linked wheel 1, double linked wheel 1The vertical rotating shaft 3 17 of belt wheel and left shoulder joint rehabilitation exercise mechanism on the belt wheel level that is fixedly connected with passMoving, vertically rotating shaft 3 17 is placed in above-mentioned single hole bearing block and bearing 16, vertically rotating shaft 3 17 and left side shoulderJoint recovering motion left side connects pivoted arm 46 and is fixedly connected with, to realize the large arm training that swings;
Double linked wheel 3 12 kinks are in rotating shaft 2 22 lower ends, and double linked wheel 3 12 comprises the belt wheel on top and bottomRoller gear, the roller gear engagement on the roller gear of duplicate gear 2 11 and double linked wheel 3 12, duplexThe bevel gear of gear 2 11 be arranged on right shoulder joint rehabilitation exercise mechanism right side and be connected pivoted arm 26 outsidesThe bevel gear engagement of duplicate gear 5 23, the belt wheel of double linked wheel 3 12 and left shoulder joint rehabilitation exercise mechanismThe horizontal transmission of belt wheel of double linked wheel 4 15 of vertical rotating shaft 3 17 lower end kinks, double linked wheel 4 15 comprisesThe belt wheel of portion and the bevel gear of bottom, the bevel gear of double linked wheel 4 15 and a left shoulder joint rehabilitation exercise mechanism left sideSide connects the bevel gear engagement of the double linked wheel 6 47 of pivoted arm 46, swings up and down large arm training to realize.
Each belt wheel transmission place is provided with band tensioning apparatus.
The autonomous recovery training appliance for recovery of above-mentioned shoulder joint also comprises seat.
Band transmission and gear-driven gearratio are 1.
Above-mentioned belt wheel replaces with sprocket wheel.
Compared with prior art, tool of the present invention has the following advantages:
1. by the large arm autokinetic movement of patient's one side, drive opposite side not carry out rehabilitation by paleocinetic large armTraining.
2. provide power without the external world, rely on the active side arm of patient that power is provided.
3. security is higher, when patient's one side active movement, opposite side passive movement, and passive movement tractive forceWhen excessive, patient or feel pain and reduce motion amplitude, carries out self-protection.
4. no matter left side or right side can not autokinetic movements for the large arm of patient, as long as any side can autokinetic movementAll can use same equipment to complete rehabilitation training.
The design simple in structure, compact, without exterior power, use cost, maintenance cost are lower, are convenient toPatient accepts.
Four, brief description of the drawings
Fig. 1 is the overall construction drawing of the autonomous recovery training appliance for recovery of shoulder joint
Fig. 2 is overarm part-structure schematic diagram
Fig. 3 is horizontal transmission part structural representation
Fig. 4 is right side vertical direction and horizontal direction transmission connecting structure schematic diagram
Fig. 5 is right side large arm vertical direction entirety drive mechanism schematic diagram
Fig. 6 is the large arm position adjusting mechanism of the large arm immobilized patients in right side schematic diagram
Fig. 7 is horizontal transmission part tension wheel structure schematic diagram
Fig. 8 is horizontal transmission part regulating wheel tensioning mode structural representation
Fig. 9 is that the large arm in left side swings up and down drive mechanism schematic diagram one
Five, detailed description of the invention
In conjunction with Fig. 1~9, the autonomous recovery training appliance for recovery of a kind of shoulder joint of the present invention comprises base 1, seat 2, forkShape or U-shaped overarm 3, square column 4 and shoulder rehabilitation motion. Orientation while being seated at seat according to peopleDefinition left and right directions, so that describe the application. Fork-shaped or the U-shaped two of described fork-shaped or U-shaped overarm 3Parallel end is fixedly connected with bearing block installing plate 7, and fork-shaped or the U-shaped afterbody of fork-shaped or U-shaped overarm 3 are even fixingConnect a side of sliding sleeve 5, sliding sleeve 5 inner sides have square through hole, make it to slide and join with square column 4 compositionsClose, another side of described sliding sleeve 5 has breach, makes the breach limit of sliding sleeve 5 by tightening two bolts 6Be out of shape and be clamped on square column 4. Described bearing block installing plate 7 right-hand members be fixed with diplopore bearing block andBearing 10, is provided with rotating shaft 1 in diplopore bearing block and bearing 10 right ports, and forms and be rotationally connected with it,In diplopore bearing block and bearing 10 left hole, rotating shaft 2 22 is installed, and forms and be rotationally connected with it, describedThe upper end interference of rotating shaft 1 is connected with gear 1, and gear 1 is nibbled with the gear two of double linked wheel one 21 lower endsClose, the belt wheel one of double linked wheel one 21 upper ends is by being with one 20 to form band transmission, belt wheel 2 18 with belt wheel 2 18Interference is connected to the upper end of rotating shaft 3 17, and rotating shaft 3 17 is arranged in the endoporus of bearing block and bearing 16, andForm and be rotationally connected with it, bearing block and bearing 16 are fixed on bearing block installing plate 7 left ends, regulating wheel 1From being with one 20 inner side tension bands 1, described double linked wheel one 21 interference are connected in rotating shaft 2 22.
Described rotating shaft one 8 lower end kinks have double linked wheel 2 11, gear three and the duplex of double linked wheel 2 11 upper endsTake turns gear four engagements of 3 12 lower ends, double linked wheel 3 12 kinks are in the lower end of rotating shaft 2 22, double linked wheel 3 12The belt wheel three of upper end is by forming band transmission, double linked wheel four with 2 13 with the belt wheel four of double linked wheel 4 15 upper ends15 kinks are in the lower end of rotating shaft 3 17, and regulating wheel 2 14 is from being with 2 13 inner side tension bands 2 13.
The bevel gear five of described double linked wheel 2 11 lower ends is meshed with the bevel gear six of double linked wheel 5 23 left ends,Double linked wheel 5 23 kinks are on fixed axis 4 24, and formation is rotationally connected with it, described fixed axis 4 24Be fixed on right side and connect on pivoted arm 26 right flanks, the left surface that right side connects pivoted arm 26 has semicircle orifice, the right sideOn the right flank of side guide 28, also have same semicircle orifice, rotating shaft one 8 lower end external parts are connected and turn with right sideThe semicircle orifice laminating of the semicircle orifice of arm 26 left surfaces and right side pressing plate 28 right flanks, by tightening four connectionsBolt 27, makes right side connect pivoted arm 26 and is fixed in rotating shaft 1.
The right-hand member belt wheel five-way of described duplicate gear 5 23 is crossed and is with 3 25 to form band transmission with belt wheel 6 30,Regulating wheel 3 29 is at the outside tension band 3 25 with 3 25, and described belt wheel six is fixed in rotating shaft 5 31,Rotating shaft 5 31 is connected pivoted arm 26 formation and is rotationally connected with right side with bearing 37 by bearing block, the large arm in right side connectsThe circle hole sleeve of extension bar 35 1 sides is at the left side of rotating shaft 5 31 overhanging end, and the circular hole of the large arm connecting rod 35 in right side arrivesEnd has otch, 36 large arm connecting rod 35 incision sites in right side is narrowed be clamped in by tighting a boltIn rotating shaft 5 31, large arm connecting rod 1 is square outline, on the large arm connecting rod 35 in right side, position is housedAdjust slide block 1, position is adjusted on slide block 1 and is fixed with large arm holder 1, the two ends of large arm holder 1Bandage 34 is installed on slotted hole, and described position is adjusted slide block Yi32 center and is had square hole, enable alongThe large arm connecting rod 35 in right side, right side slides, and the lower end that slide block 1 is adjusted in position has otch, by tighteningBolt 38 narrows position adjustment slide block one 32 lower end otch, makes position adjust slide block 1 and is fixed on right sideOn large arm connecting rod 35.
On described bearing block installing plate 7, be fixed with tensioning fixed mount 42, bearing block installing plate 7 centre positionsDownside has square notch, tensioning fixed mount 42 " U " shape, and the parallel edges horizontal positioned of its " U " shape,Fasten that frame 42 base inner surfaces paste and at the trailing flank of bearing block installing plate 7, and its " U " shape twoParallel edges is fitted in respectively the upper side of bearing block installing plate 7 and the upper side of square indentation, there. Tensioning is fixedOn upper side edge in 42 liang of parallel edges of frame, be fixed with sliding sleeve 2 43, lower side is fixed with sliding sleeve 3 39, sliding sleeve2 43 have square hole, and square slider 1 forms and is slidably connected with sliding sleeve 2 43, square slider 40One side is fixed with axle 6 41, and regulating wheel one 19 kinks, on axle 6 41, are rotationally connected with its formation.
The other end of described square slider 40 is made screw rod, is combined with nut 44 at its screw portion, passes throughScrew nut tension band 1.
Described regulating wheel 2 14 has identical tension structure with regulating wheel 1.
Described regulating wheel 3 29 has identical tension structure with regulating wheel 1, unique different be regulating wheel3 29 sliding sleeve 5 45 is directly fixed on right side and connects on pivoted arm 26.
Left side connects pivoted arm 46 and is fixed on rotating shaft 3 17 lower ends, left side connect the left surface of pivoted arm 46 be equipped withRight side is about the double linked wheel 6 47 of patient's symmetry, double linked wheel 4 15 lower end bevel gears seven and double linked wheel 6 47 right sidesThe bevel gear eight of end engages, and left side connects pivoted arm 46 to the large arm bondage in patient left side, guiding mechanism and right side and connectsLarge arm bondage, guiding mechanism have the symmetrical structure about patient to patient right side to switch through arm 26.
In the autonomous recovery training appliance for recovery of this health shoulder joint, all band transmissions and gear-driven gearratio are 1.
Patient is sitting on seat 2, adjusts the upper-lower position of sliding sleeve 5, then adjusts whole shoulder rehabilitation fortuneThe height of actuation mechanism makes patient more comfortable, and the large arm level in patient right side is placed in the large arm holder 1 on right side,The large arm level in left side is placed in the large arm holder two in left side, and slide block 1 is adjusted on right side, and left side is adjusted slide block two and madePatient is more comfortable. If the large arm energy active movement of patient right side, when the large arm in right side swings up and down, drives rightThe large arm connecting rod 1 of side swings up and down centered by rotating shaft 5 31, and rotating shaft 5 31 is rotated, belt wheel 6 30Rotate, by being with 3 25 to drive double linked wheel 5 23 to rotate, drive double linked wheel 2 11 to rotate, double linked wheel 3 12Rotate, by being with 2 13 to drive double linked wheel 4 15 to rotate, by middle transmission mechanism, drive left side largeArm holder two is synchronizeed and is swung up and down with the large arm holder one in right side.
When the large arm in patient right side swings, right side connects pivoted arm 26 rotates centered by rotating shaft 1, rotating shaftOne 8 rotate, and gear 1 rotates, and double linked wheel 1 rotates, by being with one 20 band movable belt pulleys 2 18 to rotate,Rotating shaft 3 17, left side is switched through arm 46 and is connected pivoted arm rightabout with right side and rotates, and realizes patient two armsAbduction or containing simultaneously. The large arm in patient right side swings simultaneously, and the large arm in right side does not swing up and down, duplexTake turns 5 23 and can not rotate, rotate with rotating shaft 1 because right side connects pivoted arm 26, double linked wheel 5 23 forces twoConnection wheel 2 11 is synchronizeed rotation with rotating shaft 1, double linked wheel 3 12 is by being with 2 13 drive double linked wheels 4 15 to turnMoving, and now another road drive shaft 1 rotates, and drives double linked wheel 1 to rotate, double linked wheel 1 is logicalCross and be with one 20 band movable belt pulleys 2 18 to rotate, rotating shaft 3 17 is rotated, rotating shaft 3 17 with duplex 4 15 withDirection, rotate with speed, the large arm luffing mechanism in left side can not move, on the large arm in patient left side is not understoodLower swing.
The large arm in patient right side swings up and down while also swinging simultaneously, is that the large arm in right side swings up and down with left and right and putsThe resultant motion of moving two kinds of independently movings, the large arm in left side does swinging up and down and the right side of synchronizeing with the large arm in right side equallyThe rehabilitation exercise that left swing is moving.
The large arm active movement in patient left side, transmission mechanism moving line is contrary, makes equally the large arm in right side do and a left sideThe large arm of side is about the rehabilitation exercise of patient's symmetry.

Claims (5)

1. the autonomous recovery training appliance for recovery of shoulder joint, comprises base (1), fork-shaped or U-shaped overarm (3), column (4),It is characterized in that: the bottom of fork-shaped or U-shaped overarm (3) can regulate height up and down, fork-shaped or U on columnBetween two ends of shape overarm (3), be fixed with installing plate (7), the symmetrical each peace in two ends of this installing plate (7)A shoulder rehabilitation motion is housed, this shoulder rehabilitation motion comprise right side connect pivoted arm (26),Large arm connecting rod (35), vertically rotating shaft one (8), belt wheel six (30), duplicate gear five (23), large arm connectsExtension bar (35) is positioned at the inner side that right side connects pivoted arm (26), for bondage arm, and large arm connecting rod (35)Be positioned at the lower end that right side connects pivoted arm (26), and the two is and is rotatably connected by rotating shaft five (31),Large arm connecting rod (35) is provided with bondage arm apparatus, and rotating shaft five (31) is stretched out right side and connected pivoted arm (26)One end be provided with belt wheel six (30), duplicate gear five (23) is rotating to be fixed on right side and to connect pivoted arm (26)Outside, upper end, duplicate gear five (23) comprises the belt wheel in outside and the bevel gear of inner side, this duplicate gear five(23) belt wheel coordinates transmission with above-mentioned belt wheel six (30), and rotating shaft one (8) lower end is connected pivoted arm with right side(26) upper end is fixedly connected with, and installing plate (7) right-hand member is fixed with diplopore bearing block and bearing (10), left endBe fixed with single hole bearing block and bearing (16), in the right ports of diplopore bearing block and bearing (10), be provided with and turnAxle one (8), is provided with rotating shaft two (22) in left hole, rotating shaft one (8) protrudes from diplopore bearing block and axleHold (10) upper end and be fixed with gear one (9), rotating shaft one (8) protrudes from diplopore bearing block and bearing (10)Lower end kink has duplicate gear two (11), and duplicate gear two (11) comprises roller gear and the bottom on topBevel gear, the bevel gear engagement of the bevel gear of duplicate gear two (11) and duplicate gear five (23), turnsAxle two (22) upper ends are fixed with double linked wheel one (21), double linked wheel one (21) comprise bottom roller gear andThe belt wheel on top, said gear one (9) engages with the roller gear of double linked wheel one (21), double linked wheel one (21)The vertical rotating shaft three (17) of belt wheel and left shoulder joint rehabilitation exercise mechanism on the belt wheel level that is fixedly connected withTransmission, vertically rotating shaft three (17) is placed in above-mentioned single hole bearing block and bearing (16), vertically rotating shaft three (17)Is connected pivoted arm (46) with left shoulder joint rehabilitation exercise mechanism left side and is fixedly connected with, swing greatly to realizeArm training, double linked wheel three (12) kinks are in rotating shaft two (22) lower ends, and double linked wheel three (12) comprises topBelt wheel and the roller gear of bottom, on the roller gear of duplicate gear two (11) and double linked wheel three (12)Roller gear engagement, the bevel gear of duplicate gear two (11) and be arranged on right shoulder joint healing sport machineStructure right side connects the bevel gear engagement of the duplicate gear five (23) in pivoted arm (26) outside, double linked wheel three (12)Belt wheel and the double linked wheel four (15) of vertical rotating shaft three (17) the lower end kinks of left shoulder joint rehabilitation exercise mechanismThe horizontal transmission of belt wheel, double linked wheel four (15) comprises the belt wheel on top and the bevel gear of bottom, double linked wheel four(15) bevel gear and left shoulder joint rehabilitation exercise mechanism left side is connected the double linked wheel six (47) of pivoted arm (46)Bevel gear engagement, swing up and down large arm training to realize.
2. the autonomous recovery training appliance for recovery of shoulder joint as claimed in claim 1, is characterized in that: each belt wheel transmission placeBe provided with band tensioning apparatus.
3. the autonomous recovery training appliance for recovery of shoulder joint as claimed in claim 1, is characterized in that: above-mentioned shoulder joint is autonomousRecovery training appliance for recovery also comprises seat.
4. the autonomous recovery training appliance for recovery of shoulder joint as claimed in claim 1, is characterized in that: band transmission and gear passMoving gearratio is 1.
5. the autonomous recovery training appliance for recovery of shoulder joint as described in claim 1-4 any one, is characterized in that: above-mentionedBelt wheel replaces with sprocket wheel.
CN201410157352.8A 2014-04-21 2014-04-21 The autonomous recovery training appliance for recovery of a kind of shoulder joint CN103976851B (en)

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CN201410157352.8A CN103976851B (en) 2014-04-21 2014-04-21 The autonomous recovery training appliance for recovery of a kind of shoulder joint

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CN201410157352.8A CN103976851B (en) 2014-04-21 2014-04-21 The autonomous recovery training appliance for recovery of a kind of shoulder joint

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104814856B (en) * 2015-05-09 2017-04-12 安阳工学院 Two-freedom-degree upper limb rehabilitation training device
CN105078700B (en) * 2015-08-26 2017-06-30 安阳工学院 A kind of both upper extremities linkage recovery training appliance for recovery of adjustable resistance

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CN202982557U (en) * 2012-12-07 2013-06-12 付风生 Upper limb rehabilitation training robot
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CN103519966A (en) * 2013-09-30 2014-01-22 冯晓明 Portable hemiplegy rehabilitation training robot for hemiplegic upper limb

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CN1480119A (en) * 2003-07-25 2004-03-10 清华大学 Rehabilitation training robot for motion of single joint of hemiplegia patient
WO2008066310A1 (en) * 2006-11-29 2008-06-05 Eugene Medicare Co., Ltd. Shoulder and elbow continuous passive movement
CN102258849A (en) * 2011-04-22 2011-11-30 上海交通大学 Upper limb hemiplegia rehabilitation robot
CN202982557U (en) * 2012-12-07 2013-06-12 付风生 Upper limb rehabilitation training robot
CN103006414A (en) * 2012-12-20 2013-04-03 华南理工大学 Upper limb rehabilitation robot
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