CN106176067B - Position for aphetite disorder ingesting training adjusts wheelchair - Google Patents

Position for aphetite disorder ingesting training adjusts wheelchair Download PDF

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Publication number
CN106176067B
CN106176067B CN201510215879.6A CN201510215879A CN106176067B CN 106176067 B CN106176067 B CN 106176067B CN 201510215879 A CN201510215879 A CN 201510215879A CN 106176067 B CN106176067 B CN 106176067B
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China
Prior art keywords
wheelchair
frame
cushion
cylinder
rotation
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Expired - Fee Related
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CN201510215879.6A
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Chinese (zh)
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CN106176067A (en
Inventor
张宇玲
周深
李根生
赵展
李鹏祥
杜云霄
沈夏锋
徐邵红
喻洪流
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Priority to CN201510215879.6A priority Critical patent/CN106176067B/en
Publication of CN106176067A publication Critical patent/CN106176067A/en
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Expired - Fee Related legal-status Critical Current
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Abstract

Wheelchair, including wheelchair frame, head pillow mechanism, backrest, seat mechanism and stand-off mechanism are adjusted the present invention relates to a kind of position for aphetite disorder ingesting training;Head pillow mechanism therein includes headrest, upper bracket, lower carriage and two chucks.Backrest includes back rest, left and right side safety guard and backrest inclination cylinder.Seat mechanism includes cushion frame and cushion rotary cylinder.Stand-off mechanism includes footrest frame, pedal, left and right leg baffle plate and stand-off lift cylinder.The wheelchair of the present invention can make patient carry out multiple location (bend and stretch rotation, back and roll compound appearance position, leg inclination appearance position in head), the regulation of multi-angle position on the wheelchair, patient is effectively helped in ingesting training, different feed postures are taken according to aphetite disorder degree, regulation helps patient safety effectively to feed to different positions.

Description

Position for aphetite disorder ingesting training adjusts wheelchair
Technical field
Adjusted the present invention relates to a kind of device for healing and training, more particularly to a kind of position for aphetite disorder ingesting training Wheelchair.
Background technology
Aphetite disorder is impaired due to lower jaw, lips, tongue, soft palate, throat, esophageal sphincter or Esophagus Function, it is impossible to safety Effectively food is transported to stomach to obtain the eating difficulties of enough nutrition and moisture from oral cavity.Aphetite disorder is easily caused mistake Inhale, trigger the serious consequences such as aspiration pneumonia, asphyxia, malnutrition.At present, aphetite disorder there is no special effect medicine therapeutic, and health Refreshment is practiced turns into the Main Means for the treatment of.Therefore, for the patient of dysphagia, early stage, basic ingesting training can help to suffer from Person improves function of deglutition, improves the life quality of patient.
The position of head pose and body is particularly critical to swallowing safety during ingesting training.Typically it can use during feed 30 ° or so dorsal positions of trunk, anteflexion, this position is conducive to pharyngeal cavity to open, and is conducive to food group to be transported to the root of the tongue, and can reduce nose Chamber reflux and the by mistake danger of pharynx.When the pharyngeal existing food residual of patient, such as continue to feed, then residual accumulation increase, easily causes mistake Pharynx, sky several times should be now done repeatedly gulps down and feed again.If now the position of adjustment headrest, makes patient's esophagus be communicated with throat, then more Easily feed;Find according to the study, the piriform recess of pharyngeal both sides is the place for being easiest to food residual, so often being allowed in ingesting training Patient turns left to turn right respectively, does side and swallows.Now can left rotation and right rotation regulation headrest so that patients head's lateral deviation certain angle, Facilitate it to do side to swallow;Meanwhile, epiglottic vallecula is the position of another easy food residual, and when being stretched after neck, epiglottic vallecula can become Obtain narrow and small, food residual has been extruded, if now collare is as far as possible anteflexion, likeness in form is nodded, then do empty pharynx action, then can remove residual Food is stayed, if regulation headrest rotates to an angle forward, patient can be aided in do this empty pharynx action, and if back rotation adjustment head Certain angle is rested the head on, due to the deadweight of food, food reaches root of the tongue portion by oral cavity, help aphetite disorder person's feed food group.For The different degrees of aphetite disorder of patient, adjustment feed position (different angles lie on the back or side sit) changes feed posture (rotary head, low It is first-class), or can improve or eliminate the function of deglutition swallowed and inhale symptom, recovery or raising patient by mistake, improve Nutritional condition of body.Cause People and it is different, formulate difference and ingest position and posture, be remedy measures (feed posture and postural therapy) by swallowing contrast examination Selection and curative effect evaluation provide foundation.
For the position regulation in ingesting training, the country there is no similar accessory to occur, and the position regulation of patient is all mostly Actively and under therapist's auxiliary carried out by patient on adjustable-angle bed, generally speaking also there is following defect:1st, in bed Dining is difficult to keep health, and using towel, cushion, repeatability is low, and position regulation is difficult to quantify;2nd, in terms of adjustment postural position Check to be difficult to assess;3rd, unstable posture, patient is also tired, loss of appetite.Therefore, how by wheelchair and position adjust it is each Plant posture effectively most important with reference to one rehabilitation and daily nursing of the position regulation wheelchair device for patient of ingesting of design.
The content of the invention
The purpose of the present invention, exactly in order to solve the above problems, there is provided a kind of position for aphetite disorder ingesting training Adjust wheelchair.
In order to achieve the above object, present invention employs following technical scheme:It is a kind of for aphetite disorder ingesting training Position adjusts wheelchair, including wheelchair frame, head pillow mechanism, backrest, seat mechanism and stand-off mechanism;
The head pillow mechanism includes headrest, upper bracket, lower carriage, two chucks and pin, and headrest is fixedly mounted on branch On frame, upper bracket is connected by pin with lower carriage and 0 ° of -60 ° of left rotation and right rotation can be achieved, and chuck is connected to the two ends of lower carriage, By that with back rest effect lower carriage can be driven to be rotated before and after realizing 0 ° -30 °.
The backrest includes back rest, left and right side safety guard and backrest inclination cylinder, left and right side safety Protective plate is rotatably connected with back rest respectively, and backrest inclination cylinder is connected between back rest and wheelchair frame, passes through backrest The contraction of tilt cylinders can drive back rest to realize 0 ° of -40 ° of tilt rotation;
The seat mechanism includes cushion frame and cushion rotary cylinder, and cushion rotary cylinder is connected to cushion frame and wheel-chair Between frame, by the rotation of cushion rotary cylinder cushion frame can be driven to realize 0 ° of -90 ° of rotation;
The stand-off mechanism includes footrest frame, pedal, left and right leg baffle plate and stand-off lift cylinder, and pedal is arranged on footrest frame On, left and right leg baffle plate is separately mounted to the left and right sides of footrest frame, and stand-off lift cylinder is connected between footrest frame and cushion frame, Flexible by stand-off lift cylinder can drive footrest frame to realize that 0 ° -40 ° swing up and down;
The headrest lower carriage realizes to rotate and is connected that cushion frame is with back rest, footrest frame with sitting with back rest by chuck Realized between poppet by pin and rotate connection, realized between cushion frame and wheelchair frame by motor and rotate connection.
The main body of the headrest upper bracket is taken the shape of the letter U, and connecting rod is provided with below U-shaped main body, provided with multiple flat in connecting rod The bulge loop that between-line spacing is set, and uniform intervals are provided with multiple adjustment holes vertically, the orientation angles of multiple adjustment holes are from top to bottom Increase by 10 degree successively.
The headrest lower carriage includes cross bar and the connecting tube being vertically connected with cross bar center, provided with multiple in connecting tube The annular groove that parallel interval is set, and uniform intervals are provided with the pin-and-hole of multiple radial direction insertions vertically, each pin-and-hole is located at same axial direction; The upper bracket is connected with lower carriage interlocking and fixed by pin, and the connecting tube by upper bracket along lower carriage rotates, and can be achieved To be rested the head on left rotation and right rotation, and its anglec of rotation is 0 ° -60 °.
Described two chucks respectively with the cross bar two ends of lower carriage are bonded is connected, chuck is circumferentially gear shape structure, each tooth Between angle it is identical, be 15 °, the gear connected in star that is engaged with chuck, chuck and groove be provided with wheelchair head side Interlocking is connected.
The goniometer at the angle of inclination for being used to show back rest is housed on the left and right side safety guard.
The backrest inclination cylinder and stand-off lift cylinder are electric expansion cylinder, and the cushion rotary cylinder is electronic Rotary cylinder;The cushion frame both sides are respectively equipped with three groups of switches, and every group of switch is provided with both direction control button, passed through respectively Backrest inclination cylinder controls the inclination of back rest, and the rotation of cushion frame is controlled by cushion rotary cylinder, passes through stand-off lifting air Cylinder controls the lifting of footrest frame.
The wheelchair frame rear portion, which is provided with after left and right two is prevented, topples over steamboat.
The upper end of the cushion rotary cylinder is fixedly linked with cushion frame, and lower end is rotatably connected with wheelchair frame.
The footrest frame is provided with horizontal concrete chute, and the left and right leg baffle plate is inlaid on chute and can horizontally slipped respectively.
The beneficial effects of the invention are as follows:
1st, left rotation and right rotation and anterior flexion and rear stretching can be achieved by pin and chuck effect in headrest, and backrest, footrest frame are by shrinking Cylinder action can carry out angular adjustment within the specific limits, and cushion can be rotated by rotary cylinder effect in the range of 0 ° -90 °, The power-assisted position regulation of patient is realized on a chaptrel chair, helps patient to find optimal posture of ingesting, safe ingestion improves nutrition Situation.
What the 2nd, patient can carry out different positions on wheelchair swallows contrast examination, the position training car that will ingest, swallows and makes Shadow inspection is concentrated on a chaptrel chair with car, common wheelchair three function, both compensate for the domestic sky for swallowing ingesting training wheelchair In vain, the state of an illness and curative effect of aphetite disorder can be checked and assessed in real time again, helps to improve function of deglutition.
3rd, the regulation of (rotation) angle is rolled using three electric cylinder controls, is available for patient from main regulation position, it is electronic Push button is easy to adjust, laborsaving.
Present invention address that position regulation during patient ingestion's training of aphetite disorder, helps them to carry out appropriate appearance position Control, meets swallow contrast examination car demand on this basis, realize that swallowing training is checked in real time, a tractor serves several purposes, it is to avoid The risk of patient's displacement, provides convenient to patient.
Brief description of the drawings
Fig. 1, Fig. 2, Fig. 3 are stereochemical structure signal of the present invention for the position regulation wheelchair of aphetite disorder ingesting training Figure;
Fig. 4 is overall structure diagram of the present invention for the position regulation wheelchair headrest of aphetite disorder ingesting training;
Fig. 5 is the annexation sectional view for the upper bracket and lower carriage rested the head in the present invention;
Fig. 6 is the view of left-handed 30 ° of headrest;
Fig. 7 is the view of left-handed 60 ° of headrest;
Fig. 8 is headrest anteflexion 30 ° of view on wheelchair;
Fig. 9 be headrest on wheelchair after stretch 30 ° of view;
Figure 10 is that back rest tilts backwards 20 ° of schematic diagrames;
Figure 11 is that back rest tilts backwards 40 ° of schematic diagrames;
Figure 12 is that cushion frame rotates 45 ° of schematic diagrames;
Figure 13 is that cushion frame is rotated by 90 ° schematic diagram.
Embodiment
Referring to Fig. 1, Fig. 2, Fig. 3, the position for aphetite disorder ingesting training of the invention adjusts wheelchair, including wheel-chair Frame 1, head pillow mechanism 2, backrest 3, seat mechanism 4, stand-off mechanism 5 and traveling mechanism 6.At the rear portion of wheelchair frame 1 provided with a left side Topple over steamboat 11 after two, the right side is anti-.Traveling mechanism 6 includes two preceding universal wheels 61 and two trailing wheels 62, two preceding Hes of universal wheel 61 Two trailing wheels 62 are separately mounted under the forward and backward rigid frame of wheelchair frame 1.
Coordinate referring to Fig. 4, Fig. 5, head pillow mechanism 2 includes headrest 21, upper bracket 22, lower carriage 23, two chucks 24 and pin Nail 25, headrest is fixedly mounted on upper bracket, and upper bracket is connected by pin 25 with lower carriage and 0 ° of -60 ° of left-right rotary can be achieved Turn, chuck is connected to the two ends of lower carriage, by that with back rest effect lower carriage can be driven to be rotated before and after realizing 0 ° -30 °.
Backrest 3 includes back rest 31, left and right side safety guard 32 and backrest inclination cylinder 33, left and right side peace Full protection plate is rotatably connected with back rest respectively, and backrest inclination cylinder is connected between back rest and wheelchair frame, by by The contraction of back of the body tilt cylinders can drive back rest to realize 0 ° of -40 ° of tilt rotation, be equipped with left and right side safety guard 32 For the goniometer 34 at the angle of inclination for showing back rest.
Seat mechanism 4 includes cushion frame 41 and cushion rotary cylinder 42, and cushion rotary cylinder is connected to cushion frame and wheelchair Between vehicle frame, its upper end is fixedly linked with cushion frame, and lower end is rotatably connected with wheelchair frame.Pass through the rotation of cushion rotary cylinder Turn that cushion frame can be driven to realize 0 ° of -90 ° of rotation.
Stand-off mechanism 5 includes footrest frame 51, pedal 52, left and right leg baffle plate 53 and stand-off lift cylinder 54, and pedal is arranged on On footrest frame, left and right leg baffle plate is separately mounted to the left and right sides of footrest frame, and stand-off lift cylinder is connected to footrest frame and cushion Between frame, by the contraction of stand-off lift cylinder footrest frame can be driven to realize that 0 ° -40 ° swing up and down;It is provided with footrest frame 51 Horizontal concrete chute 511, left and right leg baffle plate 53 is inlaid on chute and can horizontally slipped respectively.
Above-mentioned headrest lower carriage 23 and back rest 31 realized to rotate by chuck 24 and be connected, cushion frame 41 and back rest 31, It can be achieved to rotate using pin connection between footrest frame 51 and cushion frame 41, motor passed through between cushion frame 41 and wheelchair frame 1 Connection can also realize rotation.
Coordinate referring to Fig. 5, in the present invention, the left rotation and right rotation of headrest be by the cooperation of upper bracket 22 and lower carriage 23 come Realize.The adjustment hole 223 of several helically formulas distribution has been beaten in the connecting rod 222 of upper bracket, and (the present embodiment has beaten 6 Hole, from top to bottom twist).And in the connecting tube 232 of lower carriage, having beaten same amount of pin-and-hole 233, (the present embodiment is beaten 6 holes, from top to bottom, are arranged in order), the center of circle in each hole of lower carriage is corresponded in same water with the center of circle in upper bracket each hole On horizontal line.During initial position, upper bracket is connected with lower carriage by first hole, is rested the head in front position.Left-handed 30 ° when headrest When, upper bracket is connected with lower carriage by the 4th hole, as shown in Figure 6.Similarly, left-handed 60 ° when, upper bracket and lower carriage pass through Six holes are connected, as shown in Figure 7.
Coordinate referring to Fig. 5, in the present invention, the front and rear rotation of headrest is driven by the rotation of the cross bar 231 of lower carriage 's.Connected between chuck 24 and the cross bar by key.So the rotation of chuck can drive the rotation of the cross bar, so as to drive headrest Rotation, realizes anterior flexion and rear stretching function.Angle between each tooth of chuck is certain, is 15 °.So a tooth is often rotated, Headrest just it is anteflexion or after stretch 15 °.As long as reasonably setting the angle of two between cog, then headrest can be achieved and rotates at any angle.This The angular range of the anterior flexion and rear stretching set in invention is 0 ° -30 °, as shown in Figure 8 and Figure 9.
Above-mentioned backrest inclination cylinder and stand-off lift cylinder are electric expansion cylinder, and cushion rotary cylinder is electronic rotation Cylinder.Cushion frame both sides are respectively equipped with three groups of switches (not shown to come out), and every group of switch is provided with both direction control button, respectively The inclination of back rest is controlled by backrest inclination cylinder, the rotation of cushion frame is controlled by cushion rotary cylinder, passes through stand-off liter Sending down abnormally ascending cylinder controls the lifting of footrest frame.
Backrest inclination cylinder in the present invention can drive back rest to realize 0 ° of -40 ° of tilt rotation;Figure 10 be back rest to 20 ° of schematic diagrames of rear-inclined;Figure 11 is that back rest tilts backwards 40 ° of schematic diagrames.
Cushion rotary cylinder in the present invention can drive cushion frame to realize 0 ° of -90 ° of rotation;Figure 12 is that cushion frame rotates 45 ° Schematic diagram;Figure 13 is that cushion frame is rotated by 90 ° schematic diagram.
The present invention wheelchair can make patient is carried out on the wheelchair multiple location (head bend and stretch rotation, back inclination be combined appearance Position, leg tilt appearance position), multi-angle position regulation, meet different patients suitability position regulation.In the effect of controlling switch Under be effectively increased user's self-care ability, while further having ensured the safety of user in the presence of safety guard.

Claims (7)

1. a kind of position for aphetite disorder ingesting training adjusts wheelchair, including wheelchair frame, head pillow mechanism, backrest, Seat mechanism and stand-off mechanism;It is characterized in that:
The head pillow mechanism includes headrest, upper bracket, lower carriage, two chucks and pin, and headrest is fixedly mounted on upper bracket, Upper bracket and lower carriage are connected by pin and 0 ° of -60 ° of left rotation and right rotation can be achieved, and chuck is connected to the two ends of lower carriage, by with Back rest effect can drive lower carriage to be rotated before and after realizing 0 ° -30 °;
The backrest includes back rest, left and right side safety guard and backrest inclination cylinder, left and right side security protection Plate is rotatably connected with back rest respectively, and backrest inclination cylinder is connected between back rest and wheelchair frame, passes through backrest inclination The contraction of cylinder can drive back rest to realize 0 ° of -40 ° of tilt rotation;
The seat mechanism includes cushion frame and cushion rotary cylinder, cushion rotary cylinder be connected to cushion frame and wheelchair frame it Between, by the rotation of cushion rotary cylinder cushion frame can be driven to realize 0 ° of -90 ° of rotation;
The stand-off mechanism includes footrest frame, pedal, left and right leg baffle plate and stand-off lift cylinder, and pedal is arranged on footrest frame, Left and right leg baffle plate is separately mounted to the left and right sides of footrest frame, and stand-off lift cylinder is connected between footrest frame and cushion frame, leads to Crossing the flexible of stand-off lift cylinder can drive footrest frame to realize that 0 ° -40 ° swing up and down;
The headrest lower carriage realizes that rotation is connected with back rest by chuck, cushion frame and back rest, footrest frame and cushion frame Between by pin realize rotate connection, between cushion frame and wheelchair frame pass through motor realize rotate connection;
The main body of the headrest upper bracket is taken the shape of the letter U, and connecting rod is provided with below U-shaped main body, multiple parallel are provided with connecting rod Every the bulge loop of setting, and vertically, uniform intervals are provided with multiple adjustment holes, and the orientation angles of multiple adjustment holes are from top to bottom successively 10 degree of increase;
The headrest lower carriage includes cross bar and the connecting tube being vertically connected with cross bar center, provided with multiple parallel in connecting tube Spaced annular groove, and uniform intervals are provided with the pin-and-hole of multiple radial direction insertions vertically, each pin-and-hole is located at same axial direction;It is described Upper bracket is connected with lower carriage interlocking and fixed by pin, and the connecting tube by upper bracket along lower carriage rotates, and can be achieved head Left rotation and right rotation is rested the head on, its anglec of rotation is 0 ° -60 °.
2. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:It is described two Chuck respectively with the cross bar two ends of lower carriage are bonded is connected, chuck is circumferentially that the angle between gear shape structure, each tooth is identical, For 15 °, the gear connected in star being engaged with chuck is provided with wheelchair head side, chuck is connected with groove interlocking.
3. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:The left and right The goniometer at the angle of inclination for being used to show back rest is housed on side airbag protective plate.
4. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:The backrest Tilt cylinders and stand-off lift cylinder are electric expansion cylinder, and the cushion rotary cylinder is electronic rotation cylinder;It is described to sit Poppet both sides are respectively equipped with three groups of switches, and every group of switch is provided with both direction control button, passes through backrest inclination cylinder control respectively The inclination of back rest processed, the rotation of cushion frame is controlled by cushion rotary cylinder, and footrest frame is controlled by stand-off lift cylinder Lifting.
5. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:The wheelchair Vehicle frame rear portion, which is provided with after left and right two is prevented, topples over steamboat.
6. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:The cushion The upper end of rotary cylinder is fixedly linked with cushion frame, and lower end is rotatably connected with wheelchair frame.
7. the position for aphetite disorder ingesting training adjusts wheelchair as claimed in claim 1, it is characterised in that:The footrest Frame is provided with horizontal concrete chute, and the left and right leg baffle plate is inlaid on chute and can horizontally slipped respectively.
CN201510215879.6A 2015-04-29 2015-04-29 Position for aphetite disorder ingesting training adjusts wheelchair Expired - Fee Related CN106176067B (en)

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* Cited by examiner, † Cited by third party
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CN108670599A (en) * 2018-06-07 2018-10-19 赵永刚 A kind of Cardiological clinical diagnostic device
CN108743085A (en) * 2018-08-01 2018-11-06 吉芮医疗器械(上海)有限公司 Backrest and across foot adjustable angle electric wheelchair
CN113101071B (en) * 2021-04-02 2022-09-06 何伟 Wheel chair
CN114533415B (en) * 2022-03-04 2023-06-27 郑州大学 Life nursing auxiliary robot for elderly with cognitive impairment and working method thereof
CN114939027B (en) * 2022-03-30 2023-08-01 中国人民解放军总医院第三医学中心 Obstacle surmounting wheelchair suitable for wounded transportation and use method

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CN202376326U (en) * 2011-12-14 2012-08-15 天津市鑫成新科贸有限公司 Elbow joint function training wheelchair
CN204618612U (en) * 2015-04-29 2015-09-09 上海理工大学 Position for dysphagia ingesting training regulates wheelchair

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CN202376326U (en) * 2011-12-14 2012-08-15 天津市鑫成新科贸有限公司 Elbow joint function training wheelchair
CN204618612U (en) * 2015-04-29 2015-09-09 上海理工大学 Position for dysphagia ingesting training regulates wheelchair

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