CN107224389A - Patients with cerebral apoplexy device for healing and training with anti-spasm, preventing thrombosis function - Google Patents
Patients with cerebral apoplexy device for healing and training with anti-spasm, preventing thrombosis function Download PDFInfo
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0218—Drawing-out devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0266—Foot
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- A—HUMAN NECESSITIES
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
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- A61H9/00—Pneumatic or hydraulic massage
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- A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36003—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
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- A61H2201/01—Constructive details
- A61H2201/0119—Support for the device
- A61H2201/0138—Support for the device incorporated in furniture
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1604—Head
- A61H2201/1607—Holding means therefor
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- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1609—Neck
- A61H2201/1611—Holding means therefor
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
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- A—HUMAN NECESSITIES
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
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Abstract
具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置,包括床架、支撑板和控制机构,支撑板由铰接的固定部和转动部组成,支撑板的一端设有头颈托,头颈托外表面设有能够释放刺激脉冲的电极片,转动部可实现向上推起和向下归位。固定部的末端设有推拉杆Ⅱ,可实现患者脚掌前段的前后摆动训练。支撑板上设有表面布设有电极片的小臂固定板和小腿固定板,小臂固定板和小腿固定板可带动患者上肢或下肢完成左右摆动和前后屈伸运动。本发明可自动地对脑卒中患者进行坐起和躺下训练、上患肢和下患肢功能位的不断变换,双脚脚掌前后摆动的防痉挛训练,以及脉冲按摩刺激,从而有效避免长期卧床脑卒中病人的肌肉痉挛和萎缩,促进了其快速康复。
Rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions, including a bed frame, a support board and a control mechanism. The support board is composed of a hinged fixed part and a rotating part. The surface is provided with electrode pads that can release stimulation pulses, and the rotating part can be pushed up and returned to its original position. The end of the fixed part is equipped with a push-pull rod II, which can realize the front and back swing training of the front part of the patient's foot. The support plate is provided with a forearm fixed plate and a calf fixed plate with electrodes on the surface, and the forearm fixed plate and the calf fixed plate can drive the patient’s upper limbs or lower limbs to complete left and right swings and forward and backward flexion and extension movements. The present invention can automatically perform sit-up and lie-down training for stroke patients, continuous change of the functional positions of the upper and lower affected limbs, anti-spasmodic training of swinging the soles of the feet back and forth, and pulse massage stimulation, thereby effectively avoiding long-term bed rest Muscle spasms and atrophy in stroke patients facilitate rapid recovery.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体的说是一种具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置。The invention relates to the technical field of medical devices, in particular to a rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions.
背景技术Background technique
脑卒中又称中风,是指由于脑部供血受阻而迅速发展成的脑功能损失。80%的脑卒中属于缺血性脑卒中,是由于脑部供血不足,导致脑组织功能障碍及坏死。随着我国经济的发展,生活节奏越来越快,人们的生活压力越来越大,脑卒中患者的人数也越来越多。脑卒中患者在进入康复期时大多会留下不同程度的半身不遂、肌肉痉挛萎缩、失语等后遗症,其中以半身不遂为主的肢体障碍最为常见,给自己和家人造成极大的痛苦。Stroke, also known as stroke, refers to the loss of brain function that develops rapidly due to blockage of blood supply to the brain. 80% of strokes are ischemic strokes, which are caused by insufficient blood supply to the brain, leading to brain tissue dysfunction and necrosis. With the development of my country's economy, the pace of life is getting faster and faster, people's life pressure is increasing, and the number of stroke patients is also increasing. When stroke patients enter the rehabilitation period, most of them will leave sequelae such as hemiplegia, muscle spasm and atrophy, and aphasia to varying degrees. Among them, hemiplegia is the most common limb disorder, causing great pain to themselves and their families.
为了避免肢体肌肉痉挛和彻底瘫痪,临床上需要定时的给病人肢体做功能位摆放运动,目前,现有技术主要依靠人工来对患者进行肢体的功能位摆放运动,操作十分麻烦,且费时费力。特别是一些患较严重的脑卒中病人由于脑损伤造成的后遗症,坐起和站立都不能自己进行,在康复期要由专门的医务人员或家属用手工操作把病人一次次的抱起坐起,且这种运动要每天多次重复坚持,劳动强度大,给医务人员增加了极大的工作难度和负担,病人也不容易坚持。正是由于此原因,有些病人因不能及时在最佳活动期进行功能位摆放运动以及关节活动而导致关节强直,肌肉萎缩、痉挛,静脉血栓等不良后果,严重影响了病人的生活自理能力,并带来心理上的压力。因此,设置一种自动化程度高、训练效果好的脑卒中病人用康复训练装置对于脑卒中患者运动功能障碍的康复和治疗,以及防静脉血栓、防肌肉痉挛具有重要意义。In order to avoid limb muscle spasms and complete paralysis, it is necessary to regularly perform functional positioning exercises for the patient's limbs clinically. At present, the existing technology mainly relies on manual positioning of the patient's limbs, which is very troublesome and time-consuming. strenuous. Especially for some more serious stroke patients, due to the sequelae caused by brain damage, they cannot sit up and stand up by themselves. During the rehabilitation period, specialized medical staff or family members need to manually lift the patient up and sit up again and again. Moreover, this kind of exercise needs to be repeated many times a day, and the labor intensity is high, which adds great work difficulty and burden to the medical staff, and it is not easy for the patient to persist. It is for this reason that some patients cannot perform functional position placement exercises and joint activities in time during the best activity period, resulting in joint stiffness, muscle atrophy, spasm, venous thrombosis and other adverse consequences, which seriously affect the patient's ability to take care of themselves. And bring psychological pressure. Therefore, setting up a rehabilitation training device for stroke patients with a high degree of automation and good training effect is of great significance for the rehabilitation and treatment of stroke patients' motor dysfunction, as well as the prevention of venous thrombosis and muscle spasm.
发明内容Contents of the invention
本发明要解决的技术问题是:提供一种具有抗痉挛、防静脉血栓功能的脑卒中患者用康复训练装置,其无需人工过多辅助,即可在程控作用下,自动地对脑卒中患者进行坐起和躺下的康复训练,双脚脚掌前后摆动的防痉挛训练,以及上患肢和下患肢功能位不断变换的防痉挛、功能恢复训练;并通过对患者头颈部、上患肢和下患肢相应部位释放刺激脉冲外加穴位按摩的方式,激活神经细胞,并疏通经络,从而有效避免了长期卧床病人的肌肉痉挛和萎缩,促进其患体快速康复。The technical problem to be solved by the present invention is to provide a rehabilitation training device for stroke patients with anti-spasm and anti-venous thrombosis functions, which can automatically treat stroke patients under the action of program control without manual assistance. Rehabilitation training of sitting up and lying down, anti-spasm training of swinging the soles of the feet back and forth, and anti-spasm and functional recovery training of constantly changing the functional positions of the upper and lower affected limbs; Stimulating pulses are released from the corresponding parts of the lower limbs plus acupoint massage to activate nerve cells and dredge the meridians, thus effectively avoiding muscle spasms and atrophy in long-term bedridden patients and promoting their rapid recovery.
本发明为解决上述技术问题所采用的技术方案是:具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置,包括床架以及设置在床架上的支撑板、控制机构和驱动电机组,所述的支撑板在沿其长度方向上分为相互铰接的固定部和转动部两部分,在支撑板位于转动部一端的中部设置有一个用于固定患者头颈部的头颈托,该头颈托包括弹性气垫层和设置在该弹性气垫层内部的充气腔,所述的充气腔通过一根导气管与外接气囊连通,且该充气腔充气后,能够支撑弹性气垫层的外表面构成一个用于卡箍固定患者头部和颈部的内凹式容置空间,且该内凹式容置空间中与患者头颈部能够接触的头颈托外表面上均匀设置有多个按摩突粒和多个能够释放刺激脉冲的电极片,所述的电极片均与一个脉冲发生器电极连,且该脉冲发生器与控制机构电连接;The technical scheme adopted by the present invention to solve the above-mentioned technical problems is: a rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions, including a bed frame and a support plate arranged on the bed frame, a control mechanism and a drive motor unit, The support plate is divided into two parts, a fixed part and a rotating part hinged to each other along its length direction, and a head and neck support for fixing the patient's head and neck is provided at the middle part of the support plate at one end of the rotating part. It includes an elastic air cushion layer and an inflatable cavity arranged inside the elastic air cushion layer. The inflatable cavity communicates with an external air bag through an air guide tube, and after the inflatable cavity is inflated, it can support the outer surface of the elastic air cushion layer to form a The clamp fixes the concave accommodation space of the patient's head and neck, and the outer surface of the head and neck bracket that can contact the patient's head and neck in the concave accommodation space is uniformly provided with a plurality of massage protrusions and a plurality of Electrode sheets capable of releasing stimulation pulses, the electrode sheets are all connected to a pulse generator electrode, and the pulse generator is electrically connected to the control mechanism;
在转动部下方的床架上设置有动力机构Ⅰ和推拉杆Ⅰ,动力机构Ⅰ与控制机构电连接,推拉杆Ⅰ的末端与转动部的下表面固定连接,所述推拉杆Ⅰ能够在控制机构的控制下由动力机构Ⅰ驱动带动转动部进行向上推起和向下归位;The bed frame below the rotating part is provided with a power mechanism I and a push-pull rod I, the power mechanism I is electrically connected with the control mechanism, and the end of the push-pull rod I is fixedly connected with the lower surface of the rotating part, and the push-pull rod I can be connected to the control mechanism Under the control of the power mechanism I, the rotating part is driven to push upward and return downward;
所述支撑板位于固定部的末端向上竖直设置有一块安装板,该安装板上设置有与控制机构电连接的动力机构Ⅱ,所述动力机构Ⅱ与两个水平设置的推拉杆Ⅱ连接,推拉杆Ⅱ的末端还设置有用于固定患者脚掌前段的弹性硅胶绳,所述推拉杆Ⅱ能够在控制机构的控制下由动力机构Ⅱ驱动带动患者脚掌前段进行前后摆动训练;The support plate is located at the end of the fixed part, and a mounting plate is vertically provided upwards, and a power mechanism II electrically connected to the control mechanism is arranged on the mounting plate, and the power mechanism II is connected to two horizontally arranged push-pull rods II. The end of the push-pull rod II is also provided with an elastic silicone rope for fixing the front part of the patient's foot, and the push-pull rod II can be driven by the power mechanism II to drive the front part of the patient's foot to perform forward and backward swing training under the control of the control mechanism;
在所述转动部的上方左右对称设置有两个腕部固定板,在所述固定部的上方左右对称设置有两个踝部固定板,所述腕部固定板和踝部固定板的上表面上均匀设置有多个能够释放刺激脉冲的电极片,且电极片与脉冲发生器电极连,每个腕部固定板和踝部固定板的左右两侧还对称设置有多个用于将手腕部或脚踝部固定在其上表面上的弹性固定带,且两侧相对应的弹性固定带的末端均设置有能够相互配合的固定连接装置,每个腕部固定板和踝部固定板的下表面上均固定有滑座,且每个滑座下方对应的的支撑板上均设置有供该滑座在其上来回运动的轨道,所述的驱动电机组与控制机构电连接,所述滑座能够在控制机构的控制下,由驱动电机组驱动带动患者上肢或下肢在其对应的轨道上完成前后屈伸运动。Two wrist fixing plates are arranged left and right symmetrically above the rotating part, and two ankle fixing plates are arranged left and right symmetrically above the fixing part. A plurality of electrode sheets capable of releasing stimulation pulses are evenly arranged on the upper part, and the electrode sheets are connected with the electrodes of the pulse generator, and a plurality of electrode sheets are symmetrically arranged on the left and right sides of each wrist fixing plate and ankle fixing plate to connect the wrist Or the elastic fixing straps on which the ankle is fixed on its upper surface, and the ends of the corresponding elastic fixing straps on both sides are provided with fixed connection devices that can cooperate with each other, and the lower surface of each wrist fixing plate and ankle fixing plate Slides are fixed on the top, and the corresponding support plate under each slide is provided with a track for the slide to move back and forth on it. The drive motor unit is electrically connected to the control mechanism, and the slide Under the control of the control mechanism, the driving motor unit drives the patient's upper limbs or lower limbs to complete forward and backward flexion and extension movements on their corresponding tracks.
所述的头颈托包括用于卡箍患者颈部的颈托件和用于卡箍患者头部的固定头套,颈托件内的充气腔充气后,能够支撑其外侧的弹性气垫层的上表面构成一个向内凹陷的圆弧形,固定头套内的充气腔充气后,能够支撑其外侧的弹性气垫层构成一个中空的罩盖状帽体。The head and neck brace includes a neck brace for clamping the patient's neck and a fixed headgear for clamping the patient's head. After the inflatable cavity in the neck brace is inflated, it can support the upper surface of the elastic air cushion layer outside it. An inwardly concave arc shape is formed. After the air-filled cavity in the fixed headgear is inflated, it can support the elastic air cushion layer on the outside to form a hollow cover-shaped cap body.
所述固定头套的前部转动连接有一个可翻转覆盖于患者眼部的眼罩。The front part of the fixed headgear is rotatably connected with an eye mask that can be turned over to cover the patient's eyes.
所述的充气腔与导气管为可拆卸连接。The air-filled cavity is detachably connected to the air guide tube.
所述的外接气囊为脚踩泵或风箱式充气筒。The external airbag is a foot pump or a bellows type inflator.
所述转动部的上表面上设置有用于将患者的上体躯干固定在其上表面上的弹性固定带,且两侧相对应的弹性固定带的末端均设置有能够相互配合的固定连接装置。The upper surface of the rotating part is provided with an elastic fixing belt for fixing the patient's upper torso on the upper surface, and the ends of the corresponding elastic fixing belts on both sides are provided with mutually cooperating fixing and connecting devices.
所述的固定连接装置为尼龙挂钩、插扣、魔术粘或按扣。The fixed connecting device is nylon hook, buckle, Velcro or snap button.
所述两个踝部固定板下方的滑座对应的轨道由两条平行于支撑板长度方向设置的竖直轨构成。The track corresponding to the sliding seat below the two ankle fixing plates is composed of two vertical rails arranged parallel to the length direction of the support plate.
所述两个腕部固定板下方的滑座对应的轨道由左右对称设置的两条弧形轨构成,且两条弧形轨分别朝向其对应的支撑板的侧边一侧弯曲。The track corresponding to the sliding seat below the two wrist fixing plates is composed of two symmetrically arranged arc rails, and the two arc rails are respectively bent towards the side of the corresponding support plate.
所述的床架上水平架设有一块安装板,控制机构、动力机构和脉冲发生器均设置在该安装板上。A mounting plate is horizontally erected on the bed frame, and the control mechanism, the power mechanism and the pulse generator are all arranged on the mounting plate.
有益效果:Beneficial effect:
1、本发明的具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置,具有结构简单,设计合理,使用方便等特点。装置整体无需人工辅助,即可在控制机构的程控作用下,自动地完成一整套的上患肢和下患肢功能位不断变换的防痉挛训练,脚掌前部的前后摆动训练,以及坐起和躺下的康复训练。装置中采用动力组件代替人工操作,不仅省时省力,而且训练操作规范、完整,保证了训练效果,便于患者长期坚持训练,并较快的恢复脑功能和身体活动功能,尤其是具有显著的抗痉挛、防静脉血栓功能,也降低了医护人员的工作量和工作强度,实用效果好。1. The rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions of the present invention has the characteristics of simple structure, reasonable design, and convenient use. The whole device does not need manual assistance, and under the program control of the control mechanism, it can automatically complete a whole set of anti-spasmodic training in which the functional positions of the upper and lower limbs are constantly changing, the training of swinging the front of the sole of the foot back and forth, and sitting up and down. Lying down for rehabilitation. The device uses power components instead of manual operation, which not only saves time and effort, but also the training operation is standardized and complete, which ensures the training effect and is convenient for patients to persist in training for a long time, and to recover brain function and physical activity function quickly, especially with significant anti-inflammatory effects. The spasm and anti-venous thrombosis functions also reduce the workload and work intensity of medical staff, and the practical effect is good.
2、本发明的具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置中头颈托通过其内部充气腔的充气填充,能够在康复训练中对对患者的颈部和头部进行较舒适、稳固的包覆和固定,防止患者上肢身体在不断运动训练过程中产生移位和晃动,稳固可靠性好。头颈托中带有充气腔的弹性气垫层在充气后形成的空气阻断防护层,具有一定的柔软性,避免了头颈部在来回运动训练时带来的碰撞和损伤。同时,头颈托表面按摩突粒的设置能够在头颈托内部充气腔充、放气的过程对患者的头颈部肌肤进行了一定程度的按摩,从而刺激头颈部神经系统快速恢复功能。头颈托上充气腔与导气管的可拆卸连接方式方便了充气装置的使用和存放。2. In the rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions of the present invention, the head and neck brace can be filled with air through its internal inflatable chamber, so that the patient's neck and head can be more comfortable, Stable wrapping and fixation prevents the patient's upper limbs from shifting and shaking during continuous exercise training, with good stability and reliability. The elastic air cushion layer with an inflatable cavity in the head and neck brace forms an air blocking protective layer after inflated, which has a certain degree of softness, and avoids the collision and damage caused by the back and forth movement of the head and neck during training. At the same time, the setting of massage bumps on the surface of the head and neck brace can massage the patient's head and neck skin to a certain extent during the process of inflating and deflating the inflatable cavity inside the head and neck brace, thereby stimulating the rapid recovery of the nervous system of the head and neck. The detachable connection between the inflatable cavity and the airway tube on the head and neck support facilitates the use and storage of the inflatable device.
3、本发明的具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置,在头颈托与患者接触的外表面上,用于固定患者上患肢腕部以及小臂前端和下患肢踝部以及小腿前端的固定板上均设置有与脉冲发生器电连接的电极片。该电极片能够在患者的康复训练过程中,对血管、神经密集的头颈部穴位,以及主观知觉能动性差的上患肢和下患肢进行释放脉冲刺激。该脉冲刺激能够提高神经细胞的活性,增强神经细胞之间的信号传递,辅助对患肢进行动作训练的组件进行功能的恢复和防病变,以逐步打通患者体内发生闭塞的神经通路,并用新的神经通路替代已受损的神经通路,从而起到促进病人神经功能恢复的作用。3. The rehabilitation training device for stroke patients with anti-spasm and antithrombotic functions of the present invention is used to fix the wrist of the patient's upper affected limb, the front end of the forearm and the ankle of the lower affected limb on the outer surface of the head and neck brace in contact with the patient. Electrode sheets electrically connected to the pulse generator are arranged on the fixed plate of the head and the front end of the calf. The electrode sheet can release pulse stimulation to the head and neck points with dense blood vessels and nerves, as well as the upper and lower limbs with poor subjective perception and motility during the patient's rehabilitation training. The pulse stimulation can improve the activity of nerve cells, enhance the signal transmission between nerve cells, and assist in the functional recovery and disease prevention of components for movement training of the affected limbs, so as to gradually open up the blocked nerve pathways in the patient's body, and use new The neural pathway replaces the damaged neural pathway, thereby promoting the recovery of the patient's neurological function.
附图说明Description of drawings
图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2为本发明中头颈托的结构示意图;Fig. 2 is the structural representation of head and neck support among the present invention;
图3为本发明中腕部固定板的结构示意图;Fig. 3 is the structural representation of wrist fixing plate among the present invention;
附图标记:1、床架,2、控制机构,3、固定部,4、转动部,5、动力机构Ⅰ,6、推拉杆Ⅰ,7、头颈托,701、弹性气垫层,702、充气腔,8、腕部固定板,9、踝部固定板,10、弹性固定带,11、固定连接装置,12、竖直轨,13、弧形轨,14、导气管,15、外接气囊,16、电极片,17、脉冲发生器,18、眼罩,19、动力机构Ⅱ,20、推拉杆Ⅱ。Reference signs: 1, bed frame, 2, control mechanism, 3, fixed part, 4, rotating part, 5, power mechanism I, 6, push-pull rod I, 7, head and neck support, 701, elastic air cushion layer, 702, inflatable Cavity, 8. Wrist fixing plate, 9. Ankle fixing plate, 10. Elastic fixing belt, 11. Fixed connection device, 12. Vertical rail, 13. Arc rail, 14. Airway tube, 15. External airbag, 16. Electrode sheet, 17. Pulse generator, 18. Eye mask, 19. Power mechanism II, 20. Push-pull rod II.
具体实施方式detailed description
下面结合附图说明本发明的具体实施方式:The specific embodiment of the present invention is described below in conjunction with accompanying drawing:
如图所示,具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置,包括床架1以及设置在床架1上的支撑板、控制机构2和驱动电机组,床架1上水平架设有一块安装板,动力机构Ⅰ5、控制机构2和脉冲发生器17均设置在该安装板上,所述的支撑板在沿其长度方向上分为相互铰接的固定部3和转动部4两部分,在支撑板位于转动部4一端的中部设置有一个用于固定患者头颈部的头颈托7,所述的头颈托7从功能上划分,包括用于卡箍患者颈部的颈托件和用于卡箍患者头部的固定头套,头颈托7从内外结构上划分,包括弹性气垫层701和设置在该弹性气垫层701内部的充气腔702,颈托件和固定头套内的两个充气腔702为连通式结构,所述的充气腔702通过一根可拆卸连接的导气管14与外接气囊15连通,此处的外接气囊15为脚踩泵或风箱式充气筒,颈托件内的充气腔702充气后,能够支撑其表面的弹性气垫层701的上表面构成一个向内凹陷的圆弧形,固定头套内的充气腔702充气后,能够支撑其表面的弹性气垫层701构成一个中空的罩盖状帽体,固定头套的前部转动连接有一个可翻转覆盖于患者眼部的眼罩18,所述头颈托7内部充气后,其外表面形成的一个用于卡箍固定患者头部和颈部的内凹式容置空间中与患者头颈部能够接触的外表面上均匀设置有多个按摩突粒和多个能够释放刺激脉冲的电极片16,所述的电极片16均与一个脉冲发生器17电极连,且该脉冲发生器17与控制机构2电连接。As shown in the figure, the rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions includes a bed frame 1, a support plate arranged on the bed frame 1, a control mechanism 2 and a driving motor unit, and the bed frame 1 is erected horizontally There is a mounting plate on which the power mechanism I5, the control mechanism 2 and the pulse generator 17 are all arranged. The support plate is divided into two parts, the fixed part 3 and the rotating part 4, which are hinged to each other along its length direction. A head and neck bracket 7 for fixing the patient's head and neck is provided in the middle of the support plate at one end of the rotating part 4, and the head and neck bracket 7 is functionally divided, including a neck bracket for clamping the patient's neck and The fixed headgear used to clamp the patient's head, the head and neck brace 7 is divided from the inner and outer structures, including an elastic air cushion layer 701 and an inflatable cavity 702 arranged inside the elastic air cushion layer 701, two inflatable air pockets in the neck brace and the fixed headgear The cavity 702 is a connected structure. The inflatable cavity 702 communicates with the external air bag 15 through a detachably connected air guide tube 14. The external air bag 15 here is a foot pump or a bellows type inflator. After the inflatable chamber 702 is inflated, the upper surface of the elastic air cushion layer 701 that can support its surface forms an inwardly concave arc shape, and after the inflatable chamber 702 in the fixed headgear is inflated, the elastic air cushion layer 701 that can support its surface forms a Hollow cover-shaped cap body, the front part of the fixed headgear is rotatably connected with an eye mask 18 that can be turned over to cover the patient's eyes. After the inside of the head and neck support 7 is inflated, a clamp formed on its outer surface is used to fix the patient's head. In the concave accommodating space of the head and neck, a plurality of massage protrusions and a plurality of electrode sheets 16 capable of releasing stimulation pulses are evenly arranged on the outer surface that can be in contact with the patient's head and neck, and the electrode sheets 16 are all It is electrode-connected with a pulse generator 17 , and the pulse generator 17 is electrically connected with the control mechanism 2 .
在转动部4下方的床架1上设置有动力机构Ⅰ5和推拉杆Ⅰ6,动力机构Ⅰ5与控制机构2电连接,推拉杆Ⅰ6的末端与转动部4的下表面固定连接,所述推拉杆Ⅰ6能够在控制机构2的控制下由动力机构Ⅰ5驱动带动转动部4进行向上推起和向下归位。The bed frame 1 below the rotating part 4 is provided with a power mechanism I5 and a push-pull rod I6, the power mechanism I5 is electrically connected to the control mechanism 2, and the end of the push-pull rod I6 is fixedly connected to the lower surface of the rotating part 4. The push-pull rod I6 Under the control of the control mechanism 2, the power mechanism I5 can drive the rotating part 4 to push upward and return downward.
所述支撑板位于固定部3的末端向上竖直设置有一块安装板,该安装板上设置有与控制机构2电连接的动力机构Ⅱ19,所述动力机构Ⅱ19与两个水平设置的推拉杆Ⅱ20连接,推拉杆Ⅱ20的末端还设置有用于固定患者脚掌前段的弹性硅胶绳,所述推拉杆Ⅱ20能够在控制机构2的控制下由动力机构Ⅱ19驱动带动患者脚掌前段进行前后摆动训练。The support plate is located at the end of the fixed part 3 and is vertically provided with a mounting plate upwards. The power mechanism II19 electrically connected to the control mechanism 2 is arranged on the mounting plate. The power mechanism II19 is connected to two horizontally arranged push-pull rods II20 Connected, the end of the push-pull rod II20 is also provided with an elastic silicone rope for fixing the front part of the patient's foot. The push-pull rod II20 can be driven by the power mechanism II19 under the control of the control mechanism 2 to drive the front part of the patient's foot to perform forward and backward swing training.
在所述转动部4的上方左右对称设置有两个腕部固定板8,在所述固定部3的上方左右对称设置有两个踝部固定板9,所述腕部固定板8和踝部固定板9的上表面上均匀设置有多个能够释放刺激脉冲的电极片16,且电极片16与脉冲发生器17电极连,转动部4的上表面上设置有用于将患者的上体躯干固定在其上表面上的弹性固定带10,且两侧相对应的弹性固定带10的末端均设置有能够相互配合的固定连接装置11。每个腕部固定板8和踝部固定板9的左右两侧均对称设置有多个用于将手腕部或脚踝部固定在其上表面上的弹性固定带10,且两侧相对应的弹性固定带10的末端均设置有能够相互配合的固定连接装置11,此处的固定连接装置11为尼龙挂钩、插扣、魔术粘或按扣,所述每个腕部固定板8和踝部固定板9的下表面上均固定有滑座,且每个滑座下方对应的支撑板上均设置有供该滑座在其上前后、左右运动的轨道,所述两个踝部固定板9下方的滑座对应的轨道由两条平行于支撑板长度方向设置的竖直轨12构成。所述两个腕部固定板8下方的滑座对应的轨道由左右对称设置的两条弧形轨13构成,且两条弧形轨13分别朝向其对应的支撑板的侧边一侧弯曲。所述的驱动电机组与控制机构2电连接,所述滑座能够在控制机构2的控制下,由驱动电机组驱动带动患者上肢或下肢在其对应的轨道上完成前后屈伸运动。Two wrist fixing plates 8 are symmetrically arranged on the top of the rotating part 4, and two ankle fixing plates 9 are arranged on the left and right symmetrical above the fixing part 3. The wrist fixing plates 8 and the ankle The upper surface of the fixed plate 9 is evenly provided with a plurality of electrode sheets 16 capable of releasing stimulation pulses, and the electrode sheets 16 are connected to the pulse generator 17 electrodes, and the upper surface of the rotating part 4 is provided with a set of electrodes for fixing the patient's upper body torso. The elastic fixing band 10 on the upper surface thereof, and the ends of the corresponding elastic fixing bands 10 on both sides are provided with fixing and connecting devices 11 capable of cooperating with each other. The left and right sides of each wrist fixing plate 8 and the ankle fixing plate 9 are symmetrically provided with a plurality of elastic fixing bands 10 for fixing the wrist or the ankle on its upper surface, and the corresponding elastic bands on both sides The ends of the fixing belt 10 are all provided with a fixed connection device 11 capable of cooperating with each other, and the fixed connection device 11 here is a nylon hook, a buckle, magic stick or a snap button, and each wrist fixing plate 8 and the ankle are fixed. Slides are fixed on the lower surface of the plate 9, and the corresponding support plate below each slide is provided with a track for the slide to move back and forth, left and right. The corresponding track of the sliding seat is made of two vertical rails 12 parallel to the longitudinal direction of the support plate. The track corresponding to the sliding seat below the two wrist fixing plates 8 is composed of two symmetrically arranged arc rails 13, and the two arc rails 13 are bent towards the side of the corresponding supporting plate respectively. The drive motor unit is electrically connected to the control mechanism 2, and the sliding seat can be driven by the drive motor unit to drive the patient's upper limbs or lower limbs to complete forward and backward flexion and extension movements on their corresponding tracks under the control of the control mechanism 2.
本发明的具有抗痉挛、防血栓功能的脑卒中患者用康复训练装置在用于具体使用时,先让患者平躺在治疗床上,使其颈部与支撑板上设置的颈托件的位置相对应,头部置于固定头套内,必要时,可旋转固定头套上的眼罩对患者眼部进行遮盖,之后,采用外接气囊通过与充气腔可拆卸连接的导气管向颈托件的充气腔内充气,使颈托件上表面形成一个向内凹陷的圆弧形,且两侧较高的部位能够将患者的整个头颈部进行舒适、稳固的包覆、固定;使固定头套的表面构成一个中空的罩盖状帽体,对患者除脸部之外的头部进行舒适、稳固的包覆、固定。头颈托在充气后与患者头颈部能够接触的外表面上均匀设置有多个按摩突粒,通过头颈托内充气腔的充放气过程可以对患者的头颈部血管和神经进行一定程度的按摩刺激,帮助其快速恢复功能。When the rehabilitation training device for stroke patients with anti-spasmodic and anti-thrombotic functions of the present invention is used for specific use, first let the patient lie flat on the treatment bed so that the neck is in the same position as the neck bracket set on the support plate. Correspondingly, the head is placed in the fixed headgear. If necessary, the goggles on the fixed headgear can be rotated to cover the patient's eyes. After that, the external airbag is used to inject air into the inflatable cavity of the neck brace through the air guide tube detachably connected with the inflatable cavity. Inflate, so that the upper surface of the neck brace forms an inwardly concave arc shape, and the higher parts on both sides can comfortably and stably cover and fix the patient's entire head and neck; make the surface of the fixed headgear form a The hollow cover-shaped cap body comfortably and stably covers and fixes the patient's head except the face. After inflating, the head and neck brace is evenly provided with a plurality of massage protrusions on the outer surface that can be in contact with the patient's head and neck. Through the inflation and deflation process of the inflatable cavity in the head and neck brace, the patient's head and neck blood vessels and nerves can be stimulated to a certain extent. Massage stimulates to help it recover function quickly.
要进行上部躯干的坐起、躺下训练时,通过控制机构启动装置,推拉杆Ⅰ推动转动部不断运动,康复训练床即可按照程序设定对患者进行一段时间的坐起和躺下训练。When performing sit-up and lie-down training for the upper trunk, the device is activated by the control mechanism, and the push-pull rod I pushes the rotating part to move continuously, and the rehabilitation training bed can perform sit-up and lie-down training for the patient for a period of time according to the program setting.
当需要对患者进行上患肢的功能位摆放变换训练时,采用腕部固定板上设置的弹性连接带对患者的腕部连带小臂前端进行稳固的卡箍固定。然后,通过控制机构启动装置,装置中的驱动电机组即可按照程序设定带动滑块在其对用的轨道上来回运动,进而对患者的上患肢进行前后屈伸的功能位摆放变换防痉挛功能恢复训练。When it is necessary to perform training on changing the functional position of the patient's upper limb, use the elastic connecting belt provided on the wrist fixing plate to firmly fix the patient's wrist and the front end of the forearm with a clamp. Then, start the device through the control mechanism, and the driving motor unit in the device can drive the slider to move back and forth on the corresponding track according to the program setting, and then perform the functional position change of the patient's upper limb flexion and extension. Spastic function recovery training.
当需要对患者进行下患肢的功能位摆放变换训练时,采用踝部固定板上设置的弹性连接带对患者的踝部连带小腿前端进行稳固的卡箍固定。然后,通过控制机构启动装置,功能位摆放装置中的驱动电机组即可按照程序设定带动滑块在其对用的轨道上来回运动,进而对患者的下患肢进行前后屈伸和左右摆动的功能位摆放变换防痉挛功能恢复训练。When it is necessary to carry out the functional position placement transformation training of the lower limb of the patient, the patient's ankle and the front end of the lower leg are firmly clamped by the elastic connecting belt provided on the ankle fixing plate. Then, through the control mechanism to start the device, the driving motor group in the functional position placement device can drive the slider to move back and forth on the corresponding track according to the program setting, and then flexion and extension and left and right swing of the patient's lower limb The functional positions are placed and changed for anti-spasmodic functional recovery training.
当需要对患者进行脚部的防痉挛训练时,采用推拉杆Ⅱ末端设置的弹性硅胶绳对患者脚掌前段进行稳固固定,然后,通过控制机构启动装置,动力机构Ⅱ即可按照程序设定推动推拉杆Ⅱ,进而带动患者脚掌前部进行前后摆动的防痉挛、防静脉血栓训练。When it is necessary to perform anti-spasm training on the patient's feet, use the elastic silicone rope set at the end of the push-pull rod II to securely fix the front part of the patient's foot. Pull the rod II, and then drive the front of the patient's foot to perform anti-spasmodic and anti-venous thrombosis training by swinging back and forth.
当然,上部躯干的坐起、躺下训练,脚部的前后摆动训练,以及上患肢和下患肢的功能位摆放变换训练也可同时进行。Of course, the training of sitting up and lying down of the upper trunk, the training of swinging the feet back and forth, and the training of changing the functional positions of the upper and lower affected limbs can also be carried out at the same time.
在头颈托与患者接触的外表面上,以及用于固定患者上患肢小臂和下患肢小腿的固定板上均设置有多个与脉冲发生器电连接的电极片。当打开受控制机构控制的脉冲发生器后,与患者头颈部以及上患肢和下患肢接触的多个电极片将使患者头颈部和上下患肢的经络处于脉冲环境中,脉冲能够提高神经细胞的活性,增强神经细胞之间传递的信号,进而逐步促进病人神经功能的恢复。同时,脉冲还会进入使用者的经络中并沿着经络传导,从而打通发生闭塞的经络,使经络畅通,以使受损的人体生物电恢复正常,同时由于经络具有感应刺激、传导信息的作用。即:脉冲发生器和电极片的设置能够1、逐步溶解血栓,2、逐步打通患者体内发生闭塞的神经通路,3、用新的神经通路替代已受损的神经通路,从而达到治疗和预防的目的。A plurality of electrode sheets electrically connected to the pulse generator are arranged on the outer surface of the head and neck brace in contact with the patient, and on the fixing plate for fixing the lower arm of the patient's upper limb and the lower leg of the lower limb of the patient. When the pulse generator controlled by the control mechanism is turned on, multiple electrode sheets in contact with the patient's head and neck, upper and lower limbs will make the meridians of the patient's head and neck and upper and lower limbs in a pulse environment, and the pulse can Improve the activity of nerve cells, enhance the signal transmitted between nerve cells, and gradually promote the recovery of the patient's nerve function. At the same time, the pulse will also enter the user's meridian and conduct along the meridian, so as to open up the blocked meridian and make the meridian unblocked, so that the damaged human body's bioelectricity can be restored to normal. . That is: the setting of the pulse generator and electrode pads can 1. gradually dissolve the thrombus, 2. gradually open up the occluded neural pathways in the patient's body, and 3. replace the damaged neural pathways with new neural pathways, so as to achieve the goal of treatment and prevention. Purpose.
本发明中的脉冲刺激能够提高使用者血液细胞的活性、增加血液中的氧含量、补充细胞的生物电和疏通经络,最终达到逐步溶解血栓、打通患者体内发生闭塞的神经通路、用新的神经通路替代已受损的神经通路的目的。The pulse stimulation in the present invention can improve the activity of the user's blood cells, increase the oxygen content in the blood, supplement the bioelectricity of the cells and dredge the meridians, and finally achieve the gradual dissolution of thrombus, open up the blocked nerve pathways in the patient's body, and use new nerve pathways to replace damaged neural pathways.
训练床使用结束后,可拆卸导气管和外接气囊对其进行方便的收纳。同时,充气腔与导气管的可拆卸连接方式方便了头颈托的的穿戴。After the training bed is used, the detachable airway and external airbags can be conveniently stored. At the same time, the detachable connection between the air cavity and the airway facilitates the wearing of the head and neck brace.
本发明结构简单,设计巧妙,便于病人自我训练。装置采用机械动力的方式代替人力训练脑卒中病人坐起和下患肢功能位摆放变换,不仅省时省力,操作简单方便,也便于脑卒中病人长期坚持训练较快的恢复脑功能和身体活动功能。装置整体无需人工辅助,且训练效果好,降低了医生的工作量和工作强度,实用效果好。The present invention is simple in structure, ingenious in design, and is convenient for self-training of patients. The device uses mechanical power instead of manpower to train stroke patients to sit up and change the functional position of the lower limbs, which not only saves time and effort, but also is simple and convenient to operate, and it is also convenient for stroke patients to continue training for a long time to recover brain function and physical activity quickly Function. The whole device does not need manual assistance, and the training effect is good, which reduces the workload and intensity of the doctor, and has a good practical effect.
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