CN107468464A - The multi-functional exercising apparatus of lower limb - Google Patents

The multi-functional exercising apparatus of lower limb Download PDF

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CN107468464A
CN107468464A CN201710776636.9A CN201710776636A CN107468464A CN 107468464 A CN107468464 A CN 107468464A CN 201710776636 A CN201710776636 A CN 201710776636A CN 107468464 A CN107468464 A CN 107468464A
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chassis
thigh
bearing rod
lower limb
thigh support
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CN107468464B (en
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林博文
陈小花
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Shenzhen Peoples Hospital
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Shenzhen Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • A61G7/0755Rests specially adapted therefor for the limbs for the legs or feet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05841Splints for the limbs
    • A61F5/0585Splints for the limbs for the legs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1253Driving means driven by a human being, e.g. hand driven
    • A61H2201/1261Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
    • A61H2201/1269Passive exercise driven by movement of healthy limbs
    • A61H2201/1276Passive exercise driven by movement of healthy limbs by the other leg or arm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/10Leg

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Rehabilitation Tools (AREA)

Abstract

本发明公开一种下肢多功能锻炼装置,包括底架、大腿支架、大腿绑带、转动轴、小腿支架、小腿绑带、L形脚踏、牵拉机构、阻力机构、前承力杆以及后承力杆;底架两侧长边的顶面上设有滑槽;所述大腿支架的前端铰接在底架的前端,大腿支架的后端与小腿支架的前端通过转动轴铰接,小腿支架的后端设有可在滑槽中运动、且可自滑槽中取出的滑轮;牵拉机构设置在大腿支架上;小腿支架上L形脚踏,L形脚踏与转动轴之间距离可调节;长度可调节的前承力杆可拆卸地设置在转动轴与底架之间,长度可调节的后承力杆可拆卸地设置在小腿支架后端的横梁与底架之间。成本低、使用方便,可满足不同患者不同康复阶段的锻炼需求,直到患者下肢彻底康复为止。

The invention discloses a multifunctional lower limb exercise device, which comprises a base frame, a thigh support, a thigh strap, a rotating shaft, a calf bracket, a calf strap, an L-shaped pedal, a pulling mechanism, a resistance mechanism, a front bearing bar and a rear Bearing rod; the top surface of the long sides of the bottom frame is provided with a chute; the front end of the thigh support is hinged on the front end of the bottom frame, the rear end of the thigh support is hinged with the front end of the calf support through a rotating shaft, and the leg support The rear end is equipped with a pulley that can move in the chute and can be taken out from the chute; the pulling mechanism is set on the thigh support; the L-shaped pedal on the calf support, and the distance between the L-shaped pedal and the rotating shaft can be adjusted The length-adjustable front load-bearing rod is detachably arranged between the rotating shaft and the bottom frame, and the length-adjustable rear load-bearing rod is detachably arranged between the crossbeam at the rear end of the calf support and the bottom frame. It is low in cost and easy to use, and can meet the exercise needs of different patients in different rehabilitation stages until the patient's lower limbs are fully recovered.

Description

下肢多功能锻炼装置Lower limb multifunctional exercise device

技术领域technical field

本发明涉及医疗康复领域,特别是一种下肢多功能锻炼装置。The invention relates to the field of medical rehabilitation, in particular to a multifunctional lower limb exercise device.

背景技术Background technique

复位固定康复治疗贯穿于骨折治疗全过程。下肢骨折特别是髋部骨折,NHMRC(全国卫生与医学研究委员会)和AAOS(美国骨科医师学会)指南均不建议术前常规应用皮牵引或骨牵引,认为术前牵引不仅不能减轻疼痛或减少麻醉药物用量,还会造成牵引处疼痛或增加下肢深静脉血栓形成(DVT)风险。但是对于移位性骨折不行制动固定,可因患者体位变动造成骨折处软组织再受损伤,使疼痛加剧;目前虽然国内应用三角枕置固定患肢,但在固定患肢同时也将健肢固定,使肢体活动更受限制而增加DVT、压疮风险。下肢骨折行石膏或夹板固定,将患肢包扎不利于皮肤清洁;术前准备行皮肤清洁时,常常因拆除外固定装置,而使患者如临大敌,疼痛加剧,清洁肢体更需一人抬脚一人清洗(如遇肢体较重者,更需三人协同帮助才能将肢体清洁干净)。下肢骨折术后康复治疗主要目的是恢复患者的关节屈伸、站立行走功能,为预防术后废用性肌肉萎缩、防止关节僵硬、预防下肢DVT以及逐步恢复下肢屈伸、站立行走功能,术后通常需要进行被动、助力、主动肢体功能康复锻炼;在术后早期常借助持续被动活动器(ContinuousPassiveMotion,CPM)进行锻炼,但此被动锻炼仅仅适合于术后1-3天,而进行助力训练需要医护人员协助,增加医护人员劳力;在进行主动功能训练时,为促进肢体肌肉力量的增强,最好是进行有阻力的训练,此训练亦可使骨折端因轻微摩擦促进骨痂增长,也可因肌肉力量的逐渐增强,对骨折恢复解剖位置的塑形有很大帮助。Reduction and fixation rehabilitation runs through the whole process of fracture treatment. For lower extremity fractures, especially hip fractures, NHMRC (National Health and Medical Research Council) and AAOS (American Academy of Orthopedic Surgeons) guidelines do not recommend the routine application of skin traction or bone traction before surgery, thinking that preoperative traction can not only reduce pain or reduce anesthesia The amount of drugs can also cause pain at the traction site or increase the risk of deep vein thrombosis (DVT) in the lower extremities. However, if the displaced fracture cannot be immobilized and fixed, the soft tissue at the fracture site may be re-injured due to the change in the patient's body position, which will aggravate the pain. Although the affected limb is fixed with a triangular pillow in China, the healthy limb is also fixed when the affected limb is fixed. , making physical activity more restricted and increasing the risk of DVT and pressure sores. Plaster or splint fixation for lower extremity fractures, bandaging the affected limb is not conducive to skin cleaning; when preparing for skin cleaning before operation, the external fixation device is often removed, which makes the patient feel like an enemy, the pain intensifies, and one person needs to lift the foot to clean the limb One person cleans (in case of heavy limbs, three people are needed to help clean the limbs). The main purpose of postoperative rehabilitation for lower limb fractures is to restore the patient's joint flexion and extension, standing and walking functions. Perform passive, assisting, and active limb function rehabilitation exercises; in the early postoperative period, continuous passive motion (Continuous PassiveMotion, CPM) is often used to exercise, but this passive exercise is only suitable for 1-3 days after the operation, and assisting training requires medical staff Assist and increase the labor of medical staff; in active functional training, in order to promote the enhancement of limb muscle strength, it is best to carry out resistance training. The gradual increase in strength is of great help to the shaping of the fracture to restore the anatomical position.

现有技术中协助骨折患者的固定多种多样,如布朗氏架还需人为地将其用纱布绷带缠绕或用枕垫高下肢,均不利于需行手术治疗的患者术前清洁皮肤(不但使患者疼痛加剧还可使床铺、缠绕纱布的布朗支架弄湿),持续被动活动器(ContinuousPassiveMotion,CPM)在锻炼3天前适用,3天后则对患肢功能恢复帮助不大,国外亦有多种智能型康复运动器材,价格昂贵且占用很大的空间,而且多数只强调伤肢锻炼,仅仅是单一的屈伸运动模式,无适合骨折的固定制动装置及提供肢体抬高的训练模式。对各个肢体协调运动方面未提及,而锻炼的最好运动形式,就是主动的、协调的各个肢体的联动运动。In the prior art, there are many kinds of fixation to assist patients with fractures, such as Brown's frame, which needs to be artificially wrapped with gauze bandages or to raise the lower limbs with pillows, which is not conducive to the preoperative cleaning of the skin of patients who need surgical treatment (not only to use The exacerbation of the patient's pain can also make the bed and the Brown support wrapped with gauze wet), continuous passive motion (Continuous Passive Motion, CPM) is suitable for 3 days before exercise, and it is not very helpful for the recovery of the function of the affected limb after 3 days. Intelligent rehabilitation sports equipment is expensive and takes up a lot of space, and most of them only emphasize the exercise of injured limbs, only a single mode of flexion and extension, without a fixed braking device suitable for fractures and a training mode that provides limb elevation. There is no mention of the coordinated movement of the various limbs, and the best form of exercise is the active and coordinated joint movement of the various limbs.

发明内容Contents of the invention

本发明所要解决的技术问题是提供一种供下肢骨折患者既可作术前伤肢固定、有助于皮肤清洁护理,又可在术后作为伤肢康复功能锻炼各个阶段均能使用的下肢多功能锻炼装置,所述下肢多功能锻炼装置结构简单、价格低廉、使用方便,可双上肢带动单侧障碍下肢、三肢协同联动运动。The technical problem to be solved by the present invention is to provide a lower limb multiplexer for patients with lower limb fractures, which can be used for preoperative fixation of injured limbs, helpful for skin cleaning and care, and can be used as a rehabilitation function for injured limbs in all stages of postoperative exercise. A functional exercise device, the lower limb multifunctional exercise device is simple in structure, low in price, and easy to use, and can drive the lower limb of a unilateral handicap with both upper limbs and the coordinated movement of the three limbs.

为解决上述技术问题,本发明提供以下技术方案:In order to solve the above technical problems, the present invention provides the following technical solutions:

一种下肢多功能锻炼装置,包括底架、大腿支架、大腿绑带、转动轴、小腿支架、小腿绑带、L形脚踏、牵拉机构、阻力机构、前承力杆以及后承力杆;所述底架为矩形框架,底架两侧长边的顶面上设有滑槽;所述大腿支架的前端铰接在底架的前端,大腿支架的后端与小腿支架的前端通过转动轴铰接,大腿支架上还设有大腿绑带,小腿支架的后端设有可在滑槽中运动、且可自滑槽中取出的滑轮;可供人手牵拉的牵拉机构设置在大腿支架上;所述小腿支架上L形脚踏,所述L形脚踏与转动轴之间距离可调节;小腿支架上还设有小腿绑带;长度可调节的前承力杆可拆卸地设置在转动轴与底架之间,长度可调节的后承力杆可拆卸地设置在小腿支架后端的横梁与底架之间,前、后承力杆在底架上的连接位置根据大腿支架与底架之间的固定角度可沿底架的长度方向调整;用于增加下肢力量锻炼的所述阻力机构沿底架的长度方向、可拆卸地设置在小腿支架的尾端与底架近大腿支架的一端之间;A multifunctional lower limb exercise device, comprising a base frame, a thigh support, a thigh strap, a rotating shaft, a calf support, a calf strap, an L-shaped pedal, a pulling mechanism, a resistance mechanism, a front bearing bar and a rear bearing bar ; The bottom frame is a rectangular frame, and the top surface of the long sides of the bottom frame is provided with a chute; Hinged, there is also a thigh strap on the thigh support, the rear end of the calf support is equipped with a pulley that can move in the chute and can be taken out from the chute; the pulling mechanism that can be pulled by hand is set on the thigh support ; The L-shaped pedal on the calf support, the distance between the L-shaped pedal and the rotating shaft can be adjusted; the calf support is also provided with a calf strap; Between the shaft and the bottom frame, the length-adjustable rear bearing rod is detachably arranged between the crossbeam at the rear end of the calf support and the bottom frame, and the connection position of the front and rear bearing rods on the bottom frame is according to the The fixed angle between them can be adjusted along the length direction of the bottom frame; the resistance mechanism used to increase the strength of the lower limbs exercise is detachably arranged at the tail end of the lower leg support and the end of the bottom frame near the thigh support along the length direction of the bottom frame between;

所述下肢多功能锻炼装置作为夹板固定架时,滑轮自滑槽中取出,小腿支架水平放置,前承力杆前后位置可调节地插接在转动轴与底架之间,后承力杆前后位置可调节地插接在横梁与底架之间;When the lower limb multifunctional exercise device is used as a splint holder, the pulley is taken out from the chute, the calf support is placed horizontally, the front and rear bearing rods are inserted between the rotating shaft and the bottom frame in an adjustable manner, and the rear bearing rods are inserted in front and rear. The position can be adjusted and inserted between the beam and the chassis;

所述下肢多功能锻炼装置用于肢体屈伸训练时,拆下前承力杆、后承力杆,两侧的滑轮可在滑槽中前后运动地放入滑槽中;When the lower limb multifunctional exercise device is used for limb flexion and extension training, the front bearing rod and the rear bearing rod are removed, and the pulleys on both sides can be put into the chute in a forward and backward motion in the chute;

所述下肢多功能锻炼装置用于下肢抬高锻炼时,拆下后承力杆,两侧的滑轮根据大腿支架与底架之间的角度前后可调整地固定在滑槽中;When the lower limb multifunctional exercise device is used for lower limb raising exercise, the rear bearing rod is removed, and the pulleys on both sides are fixed in the chute in an adjustable manner according to the angle between the thigh support and the bottom frame;

所述下肢多功能锻炼装置用于阻力训练时,拆下前承力杆、后承力杆,两侧的滑轮放入滑槽中,阻力机构设置在小腿支架的尾端与底架近大腿支架的一端之间。When the multifunctional lower limb exercise device is used for resistance training, the front bearing rod and the rear bearing rod are removed, the pulleys on both sides are put into the chute, and the resistance mechanism is arranged on the tail end of the calf support and the bottom frame near the thigh support. between one end of the

优选地,所述大腿支架与底架之间可固定的角度为30度、45度和60度;Preferably, the fixable angles between the thigh support and the bottom frame are 30 degrees, 45 degrees and 60 degrees;

所述后承力杆的上端可拆卸地插接在横梁底面上对应设置的第三插接孔中,所述底架的横向两侧之间还设有可沿底架长度方向前后调整位置、供后承力杆的下端可拆卸地插入的第二调节梁;The upper end of the rear bearing rod is detachably plugged into the third insertion hole correspondingly provided on the bottom surface of the crossbeam, and the position is adjusted forward and backward along the length direction of the bottom frame between the lateral sides of the bottom frame. a second adjusting beam for detachably inserting the lower end of the rear bearing rod;

前承力杆的上端可拆卸地插接在转动轴底面上对应设置的第一插接孔中,底架上对应所述第一插接孔设有与底架的长边平行的第一调节梁,第一调节梁上适配大腿支架与底架之间可固定的角度一一对应地开有若干个第二插接孔;或The upper end of the front bearing rod is detachably plugged into the corresponding first insertion hole on the bottom surface of the rotating shaft, and the bottom frame is provided with a first adjusting hole parallel to the long side of the bottom frame corresponding to the first insertion hole. Beam, on the first adjusting beam, there are several second insertion holes corresponding to the fixed angle between the thigh support and the bottom frame; or

底架两侧的长边之间适配大腿支架与底架之间可固定的角度一一对应设有若干根第一调节梁,每根第一调节梁上对应所述第一插接孔开有第二插接孔。The fixed angle between the thigh bracket and the bottom frame is adapted between the long sides on both sides of the bottom frame. There are several first adjustment beams corresponding to each other, and each first adjustment beam corresponds to the opening of the first insertion hole. There is a second socket.

更优选地,所述底架两侧的长边上分别套设有位置可前后移动的限位块,第二调节梁的两端连接在限位块的内侧面。More preferably, the long sides on both sides of the underframe are respectively sleeved with limit blocks capable of moving back and forth, and the two ends of the second adjusting beam are connected to the inner surfaces of the limit blocks.

进一步地,所述限位块为长方体的框状,所述限位块与底架两侧长边接触的外侧面分别设有通孔,在通孔端部连接着内螺纹孔大径与通孔直径相等的螺母,螺母与T形螺栓配合,通过旋紧或旋松T形螺栓使得限位块可前后调整。Further, the limit block is in the shape of a rectangular parallelepiped, and the outer surfaces of the limit block and the long sides of the bottom frame are respectively provided with through holes, and the large diameter of the internal thread hole and the through hole are connected at the ends of the through holes. Nuts with equal hole diameters, the nuts cooperate with T-shaped bolts, and the limit block can be adjusted forward and backward by tightening or loosening the T-shaped bolts.

更进一步地,所述第一调节梁平行底架长度方向设置时,所述阻力机构设置在底架前端的短边与小腿支架的横梁之间;或Furthermore, when the first adjusting beam is arranged parallel to the length direction of the underframe, the resistance mechanism is arranged between the short side of the front end of the underframe and the crossbeam of the calf support; or

所述第一调节梁为垂直底架长度方向设置的若干根时,所述阻力机构设置在位于最后面的第一调节梁的内侧与横梁之间。When the first adjusting beams are several arranged vertically to the length direction of the chassis, the resistance mechanism is arranged between the inner side of the rearmost first adjusting beam and the cross beam.

最优选地,所述牵拉机构由绳状部件、可调节绳状部件长短的带有通孔的松紧扣和握手柄组成,松紧扣连接着绳状部件的一端和握手柄,所述大腿支架靠近转动轴处设有连接绳状部件的另一端的大腿支架连接部。Most preferably, the pulling mechanism is composed of a rope-like part, an elastic buckle with a through hole for adjusting the length of the rope-like part and a handle, and the elastic buckle is connected with one end of the rope-like part and the handle. A thigh support connecting portion for connecting the other end of the rope-like component is provided near the rotation axis of the thigh support.

进一步优选地,所述底架每侧的长边上根据大腿支架与底架之间需要固定的若干个度数值一一对应地设有若干组第五调节孔,T型螺栓借助六角螺母及第五调节孔可将滑轮固定在任一第五调节孔中。Further preferably, on the long side of each side of the underframe, several sets of fifth adjustment holes are arranged in one-to-one correspondence according to the number of degrees that need to be fixed between the thigh bracket and the underframe, and the T-shaped bolts are provided with the help of hexagon nuts and the second adjustment holes. Five adjusting holes can fix the pulley in any fifth adjusting hole.

所述大腿支架由两根平行设置的大腿支杆和横向连接在两根大腿支杆之间的若干条大腿托杆组成,大腿托杆在靠近转动轴处连接着两侧的大腿支杆;所述小腿支架由两根平行设置的小腿支杆和横向连接在两根小腿支杆之间的若干条小腿托杆组成。The thigh support is composed of two parallel thigh struts and several thigh support rods transversely connected between the two thigh struts, and the thigh support rods are connected to the thigh struts on both sides near the rotation axis; The calf support is composed of two parallel calf support rods and several calf support rods transversely connected between the two calf support rods.

所述L形脚踏由竖板和横板组成,竖板和横板连接后的横截面为L形;所述竖板为长方形的框架,在框架中间连接有竖杆或可按摩脚底的突起的横杆;所述横板为长方形的框架,在框架中间连接有直杆,横板套设在小腿支架的两侧支杆上并可沿其滑动;所述L形脚踏的两侧,在竖板和横板之间各设有一条脚踏板栏杆。The L-shaped pedal is composed of a vertical board and a horizontal board, and the cross section after the vertical board and the horizontal board are connected is L-shaped; the vertical board is a rectangular frame, and a vertical rod or a protrusion that can massage the sole of the foot is connected in the middle of the frame The horizontal bar; the horizontal plate is a rectangular frame, a straight bar is connected in the middle of the frame, and the horizontal plate is sleeved on the support rods on both sides of the calf support and can slide along it; the two sides of the L-shaped pedal, A footboard railing is respectively arranged between the vertical board and the horizontal board.

所述底架在靠近小腿支架处的短边一侧设有可与床固定的连接架。The bottom frame is provided with a connecting frame that can be fixed with the bed on one side of the short side near the calf support.

与现有技术相比,本发明下肢多功能锻炼装置,包括底架、大腿支架、转动轴、小腿支架、小腿绑带、L形脚踏、牵拉机构、阻力机构、前承力杆以及后承力杆,结构简单,使用方便。Compared with the prior art, the lower limb multifunctional exercise device of the present invention includes a chassis, a thigh support, a rotating shaft, a calf support, a calf strap, an L-shaped pedal, a pulling mechanism, a resistance mechanism, a front bearing bar and a rear Bearing rod, simple structure, easy to use.

患者只需用手向身体方向拉动牵拉机构,大腿支架和小腿支架就会上升,腿部就会屈曲,松手时,大腿支架和小腿支架就会下落,腿部就会自然伸展,腿部随着大腿支架跟小腿支架的上升和下落同步进行屈曲伸展运动,使用方便。锻炼时,用手拉动牵拉机构带动腿部进行屈曲伸展运动时可以使得双上肢及患侧下肢同时运动,能有效锻炼双上肢及患侧下肢。进一步地,通过调节L形脚踏与转动轴之间的距离,患者可以方便地调节锻炼仪的使用尺寸以满足不同需要。同时,可根据患者下肢手术后的不同阶段调整为不同的使用状态,完全满足术后直到康复各个阶段的训练需求,可在卧位下做10-120度自助式无阻力及有阻力屈伸训练,在卧位下做小腿伸直训练,在大腿、髋部骨折初期既可作布朗支架(且胜于布朗支架,无需缠绕纱布)又兼夹板固定架,还可实现在床上无痛地进行皮肤清洁护理,且只需一人协助即可,节省劳动力,一机多用,制造成本低,节约空间,大大减少患者治疗康复费用。The patient only needs to pull the pulling mechanism toward the body with his hands, the thigh support and calf support will rise, and the legs will bend. The flexion and stretching movement can be performed synchronously with the rise and fall of the thigh support and the calf support, which is convenient to use. When exercising, pulling the pulling mechanism by hand to drive the legs to perform flexion and stretching exercises can make both upper limbs and the lower limbs of the affected side move simultaneously, and can effectively exercise the double upper limbs and the lower limbs of the affected side. Further, by adjusting the distance between the L-shaped pedal and the rotation shaft, the patient can conveniently adjust the size of the exercise apparatus to meet different needs. At the same time, it can be adjusted to different use states according to the different stages of the patient's lower limb surgery, fully meeting the training needs of all stages from postoperative to rehabilitation, and can do 10-120 degree self-help flexion and extension training without resistance and resistance in the lying position. Perform calf straightening training in the supine position. In the early stage of thigh and hip fractures, it can be used as a Brown support (and better than a Brown support, without wrapping gauze) and a splint fixation frame. It can also be used for painless skin cleaning on the bed. Nursing, and only one person is needed to assist, saving labor, one machine with multiple functions, low manufacturing cost, saving space, and greatly reducing the cost of patient treatment and rehabilitation.

发明内容Contents of the invention

下面结合附图和具体实施方式对本发明作进一步的详细说明:Below in conjunction with accompanying drawing and specific embodiment the present invention will be described in further detail:

图1为本发明实施例1做夹板固定架使用时的结构示意图。Fig. 1 is a schematic structural view of Embodiment 1 of the present invention when it is used as a splint fixing frame.

图2为本发明实施例1用于肢体屈伸训练使用时的结构示意图。Fig. 2 is a schematic diagram of the structure of Embodiment 1 of the present invention when it is used for limb flexion and extension training.

图3为本发明实施例1用于下肢抬高锻炼训练使用时的结构示意图。Fig. 3 is a schematic diagram of the structure of Embodiment 1 of the present invention when it is used for lower limb raising exercise training.

图4为本发明实施例1用阻力训练使用时的结构示意图。Fig. 4 is a schematic structural diagram of Example 1 of the present invention when it is used for resistance training.

图5为本发明实施例2做夹板固定架使用时的结构示意图。Fig. 5 is a schematic structural view of Embodiment 2 of the present invention when it is used as a splint fixing frame.

图6为本发明实施例2用于肢体屈伸训练使用时的结构示意图。Fig. 6 is a schematic diagram of the structure of Embodiment 2 of the present invention when it is used for limb flexion and extension training.

图7为本发明实施例2用于下肢抬高锻炼训练使用时的结构示意图。Fig. 7 is a schematic structural view of Embodiment 2 of the present invention when it is used for lower limb raising exercise training.

图8为本发明实施例2用阻力训练使用时的结构示意图。Fig. 8 is a schematic structural view of Example 2 of the present invention when it is used for resistance training.

具体实施方式detailed description

为描述方便,实施例中,定义所述下肢多功能锻炼装置近大腿支架2的一端为前,远大腿支架2的一端为后。For the convenience of description, in the embodiment, the end near the thigh support 2 of the lower limb multifunctional exercise device is defined as the front, and the end far from the thigh support 2 is defined as the rear.

实施例1Example 1

如图1-图4所示,一种下肢多功能锻炼装置,包括底架1、大腿支架2、转动轴3、小腿支架4、L形脚踏44、牵拉机构5、阻力机构6、小腿绑带7、大腿绑带29,前承力杆8以及后承力杆9。As shown in Fig. 1-Fig. 4, a kind of lower limbs multifunctional exercise device comprises base frame 1, thigh support 2, rotating shaft 3, calf support 4, L-shaped pedal 44, traction mechanism 5, resistance mechanism 6, calf Bandage 7, thigh strap 29, front bearing bar 8 and rear bearing bar 9.

其中,所述底架1为长方形的框架,在底架1两侧长边的顶面上设有滑槽11;所述大腿支架2由两根平行设置的大腿支杆23和横向连接在两根大腿支杆23之间的若干条大腿托杆21组成;所述小腿支架4由两根平行设置的小腿支杆45和横向连接在两根小腿支杆45之间的若干条小腿托杆41组成;大腿支杆23的前端铰接在底架1上,两根大腿支杆23的后端与对应的小腿支杆45的前端于转动轴3处铰接在一起,小腿支杆45的后端装有可在底架1的滑槽11里前后运动的滑轮42,所述滑轮42可自滑槽11中取出;L形脚踏44设置在小腿支架4上,且其与转动轴3之间距离可调节,可适应不同身高和腿长的患者;小腿绑带7设置在小腿支架4上,大腿绑带29设置在大腿支架23上;大腿支架2上设有可供人手牵拉的牵拉机构5,长度可调节的前承力杆8可拆卸地、竖直设置在转动轴3与底架1之间,根据大腿支架2与底架1之间固定角度的不同,调整前承力杆8的长度及其在底架1上的连接位置;长度可调节的后承力杆9可拆卸地、竖直设置在小腿支架4后端的横梁43与底架1之间,根据大腿支架2与底架1之间铰接角度的不同,调整前承力杆8及后承力杆9的长度,使小腿支架4水平地固定,所述下肢多功能锻炼装置可作为布朗氏架使用。所述小腿支架4尾部的上端设置横梁43,防止横梁43对小腿支架4的上升下落运动造成干涉。Wherein, the underframe 1 is a rectangular frame, and chute 11 is provided on the top surface of the long sides of the underframe 1; Several thigh support rods 21 are formed between the thigh support rods 23; the calf support 4 is composed of two parallel calf support rods 45 and several calf support rods 41 transversely connected between the two calf support rods 45 Composition; the front ends of the thigh struts 23 are hinged on the chassis 1, the rear ends of the two thigh struts 23 and the front ends of the corresponding calf struts 45 are hinged together at the rotating shaft 3, and the rear ends of the calf struts 45 are mounted There is a pulley 42 that can move back and forth in the chute 11 of the underframe 1, and the pulley 42 can be taken out from the chute 11; the L-shaped pedal 44 is arranged on the calf support 4, and the distance between it and the rotating shaft 3 It is adjustable and can be adapted to patients with different heights and leg lengths; the calf strap 7 is set on the calf support 4, and the thigh strap 29 is set on the thigh support 23; the thigh support 2 is provided with a pulling mechanism for manual pulling 5. The length-adjustable front bearing rod 8 is detachably and vertically arranged between the rotating shaft 3 and the bottom frame 1, and the front bearing rod 8 is adjusted according to the fixed angle between the thigh support 2 and the bottom frame 1 length and its connection position on the bottom frame 1; the length-adjustable rear bearing rod 9 is detachably and vertically arranged between the crossbeam 43 at the rear end of the calf support 4 and the bottom frame 1, according to the thigh support 2 and the bottom frame The difference in hinged angle between the frames 1 adjusts the length of the front bearing rod 8 and the rear bearing rod 9, so that the calf support 4 is horizontally fixed, and the multifunctional lower limb exercise device can be used as a Brown's frame. The upper end of the tail of the calf support 4 is provided with a crossbeam 43 to prevent the crossbeam 43 from interfering with the rising and falling movement of the calf support 4 .

为了减少膝关节与转动轴3的接触,提高锻炼的舒适感,所述大腿托架21设置在靠近转动轴3处。In order to reduce the contact between the knee joint and the rotating shaft 3 and improve the comfort of exercising, the thigh bracket 21 is arranged near the rotating shaft 3 .

实施例中,所述L形脚踏44由竖板441和可沿小腿支架4前后滑动的横板442组成,竖板441、横板442为长方形的框架,竖板441和横板442连接后的横截面为L形,在竖板441的框架中间连接有竖杆或带有可按摩脚底的突起的横杆,在横板442框架中间连接有直杆,横板442两侧设有与小腿支架2的两侧支杆相配合的通槽,横板442通过通槽套设在小腿支架的两侧支杆上并可沿其前后滑动。在所述横板442与小腿支架4接触的两侧分别设有通孔,通孔端部焊接着内螺纹孔大径与通孔直径相等的螺母,螺母可与T形螺栓配合。通过转动T形螺栓,使得T形螺栓下端穿过螺母和通孔后与相应的支架接触,并对支架施加作用力,实现L形脚踏44与小腿支架4的固定连接;需要调节L形脚踏44与转动轴3的距离时,转动T形螺栓,使得其下端不再与支架接触,解除L形脚踏44与小腿支架4的固定连接,方便地调节L形脚踏44与转动轴3之间的距离长短,满足不同患者的使用需求。此外,L形脚踏44的两侧,在竖板441和横板442之间各设有一条脚踏板栏杆443,这样在锻炼时,患者脚部就不容易从L形脚踏44上滑落。而且设置了脚踏板栏杆443后,可以增加L形脚踏44的稳固性,使其不容易变形,并且脚踏板栏杆443还起到了把手的作用,在调节L形脚踏44与转动轴3的距离时,便于移动L形脚踏44。如图1、图5所示,所述L形脚踏44为更舒适的具有按摩功能的形状,在其他附图中均为普通竖条形的结构,均表示L形脚踏44。In the embodiment, the L-shaped pedal 44 is composed of a vertical plate 441 and a horizontal plate 442 that can slide forward and backward along the calf support 4. The vertical plate 441 and the horizontal plate 442 are rectangular frames. After the vertical plate 441 and the horizontal plate 442 are connected The cross-section of the vertical plate 441 is L-shaped, and a vertical bar or a protruding horizontal bar with a massaging sole is connected in the middle of the frame of the vertical plate 441, and a straight bar is connected in the middle of the frame of the horizontal plate 442, and the two sides of the horizontal plate 442 are provided with shanks. The support rods on both sides of the bracket 2 are matched with through grooves, and the horizontal plate 442 is sleeved on the two side rods of the calf support through the through grooves and can slide forward and backward along it. Both sides of the horizontal plate 442 in contact with the calf support 4 are respectively provided with through holes, and the ends of the through holes are welded with nuts whose internally threaded hole diameter is equal to the diameter of the through holes, and the nuts can cooperate with T-shaped bolts. By turning the T-shaped bolt, the lower end of the T-shaped bolt passes through the nut and the through hole and contacts the corresponding bracket, and applies force to the bracket to realize the fixed connection between the L-shaped pedal 44 and the calf bracket 4; the L-shaped foot needs to be adjusted When stepping on the distance between 44 and the rotating shaft 3, turn the T-shaped bolt so that its lower end is no longer in contact with the support, and remove the fixed connection between the L-shaped pedal 44 and the calf support 4, and adjust the L-shaped pedal 44 and the rotating shaft 3 conveniently. The distance between them can meet the needs of different patients. In addition, both sides of the L-shaped pedal 44 are respectively provided with a pedal railing 443 between the vertical plate 441 and the horizontal plate 442, so that when exercising, the patient's foot is not easy to slip off from the L-shaped pedal 44 . And after the pedal railing 443 is set, the stability of the L-shaped pedal 44 can be increased, so that it is not easily deformed, and the pedal railing 443 has also played the role of a handle, adjusting the L-shaped pedal 44 and the rotating shaft 3, it is convenient to move the L-shaped pedal 44. As shown in Figures 1 and 5, the L-shaped pedal 44 is a more comfortable shape with a massage function. In other drawings, it is a common vertical bar structure, and all represent the L-shaped pedal 44.

实施例中,所述牵拉机构5由绳状部件51、可调节绳状部件51长短的带有通孔521的松紧扣52和握手柄53组成,松紧扣52连接着绳状部件51的一端和握手柄53,绳状部件51的另一端则连接在大腿支架4靠近转动轴3处,这样通过使用牵拉机构5来锻炼时,就可以比较省力气,适合虚弱的患者使用,也可做被动锻炼时,用穿过通孔521连接两侧握手柄后,方便协助人员的使用。绳状部件51的长短可以通过松紧扣52来调节以满足不同使用者的需求。所述大腿支架4靠近转动轴3处设有连接绳状部件51的另一端的大腿支架连接部22,利用大腿支架连接部22,大腿支架4和绳状部件51可以轻易连接在一起,方便使用。大腿支架连接部22可以为挂钩、挂环或现有技术中其它常用的连接体,只要能够挂装弹性绳状部件51即可。In the embodiment, the pulling mechanism 5 is composed of a rope-like component 51, an elastic buckle 52 with a through hole 521 that can adjust the length of the rope-like component 51 and a handle 53, and the elastic buckle 52 is connected to the rope-like component 51 One end of the handle 53 and the other end of the rope-like part 51 are connected to the thigh support 4 near the rotating shaft 3, so that when exercising by using the pulling mechanism 5, it can save energy and is suitable for weak patients. When doing passive exercise, use the through hole 521 to connect the handles on both sides to facilitate the use of assisting personnel. The length of the rope-like component 51 can be adjusted through the elastic buckle 52 to meet the needs of different users. The thigh support 4 is provided with a thigh support connecting part 22 connected to the other end of the rope-shaped part 51 near the rotating shaft 3, and the thigh support 4 and the rope-shaped part 51 can be easily connected together by using the thigh support connecting part 22, which is convenient to use . The thigh support connecting part 22 can be a hook, a hanging ring or other commonly used connecting bodies in the prior art, as long as the elastic rope-like part 51 can be hung.

小腿绑带7的正面为可粘接魔术贴勾刺面的绒布,小腿绑带7的首端固定在一侧的小腿支杆45上,尾端的背面设有魔术贴勾刺面71,小腿绑带7绕小腿及小腿支架4一圈以上后其尾端的魔术贴勾刺面71紧密粘接在小腿绑带7的正面。大腿绑带29的正面为可粘接魔术贴勾刺面的绒布,大腿绑带29的首端固定在一侧的大腿支杆23上,尾端的背面设有魔术贴勾刺面291,大腿绑带29绕大腿及大腿支架一圈以上后其尾端的魔术贴勾刺面紧密粘接在大腿绑带297的正面。小腿绑带7、大腿绑带29也可采用现有技术其他方式固定绑缚,通过将伤肢固定在大腿、小腿支架实现代替牵引治疗、石膏固定或夹板固定伤肢的作用。大腿托架与小腿托架的缕空框架结构,是为了让伤肢固定在托架上,避免搬动,实现一人协助无痛地清洁皮肤。The front of the calf strap 7 is flannelette that can be bonded with the Velcro hook surface, and the head end of the calf strap 7 is fixed on the calf pole 45 on one side, and the back side of the tail end is provided with the Velcro hook surface 71, and the calf strap 7 is fixed on the calf support rod 45 on one side. The Velcro hooking surface 71 at its tail end is tightly bonded to the front of the calf strap 7 after the band 7 goes around the calf and the calf support 4 for more than one lap. The front side of thigh strap 29 is the flannelette that can be bonded Velcro hook stab surface, and the head end of thigh strap 29 is fixed on the thigh pole 23 on one side, and the back side of tail end is provided with Velcro hook stab surface 291, and thigh strap The Velcro hook surface at its tail end is tightly bonded to the front of the thigh strap 297 after the band 29 has been around the thigh and the thigh support for more than one circle. Calf bandage 7, thigh bandage 29 also can adopt other ways of prior art to fix and tie up, realize replacing traction treatment, plaster fixation or the effect of splint fixing injured limb by being fixed on thigh, calf support. The hollow frame structure of the thigh bracket and the calf bracket is to fix the injured limb on the bracket to avoid moving, and to realize painless skin cleaning with the assistance of one person.

实施例中,所述大腿支架2与底架1之间可固定的角度为30度、45度或60度(也根据需要增加大腿支架2与底架1之间可固定的其他度数),所述前承力杆8为通过螺纹套接可调整长度的两段,前承力杆8的上端可拆卸地插接在转动轴3底面上对应设置的第一插接孔(图中未示出)中,底架1上对应所述第一插接孔设有与底架1的长边平行的第一调节梁19,第一调节梁19上适配大腿支架2与底架1之间可固定的角度开有3个(或适配大腿支架2与底架1之间可固定的角度一一对应地开有若干个)第二插接孔191,即:当竖直的前承力杆8的上端插接在第一调节梁19中,下端插入最前方的第二插接孔191中时,大腿支架2与底架之间的角度为60度;当其下端插入中间的第二插接孔191中时,大腿支架2与底架之间的角度为45度,当其下端插入最前方的第二插接孔191中时,大腿支架2与底架之间的角度30度。In the embodiment, the angle that can be fixed between the thigh support 2 and the underframe 1 is 30 degrees, 45 degrees or 60 degrees (other degrees that can be fixed between the thigh support 2 and the underframe 1 can also be increased as required), so The front load-bearing rod 8 is two sections whose length can be adjusted by threaded socket, and the upper end of the front load-bearing rod 8 is removably plugged into the correspondingly provided first insertion hole on the bottom surface of the rotating shaft 3 (not shown in the figure). ), the base frame 1 is provided with a first adjusting beam 19 parallel to the long side of the base frame 1 corresponding to the first insertion hole, and the first adjusting beam 19 can be adapted between the thigh support 2 and the base frame 1. There are three fixed angles (or there are several fixed angles between the adaptive thigh support 2 and the underframe 1 corresponding to each other) second insertion holes 191, that is: when the vertical front load-bearing rod 8 is inserted into the first adjustment beam 19, and when the lower end is inserted into the second insertion hole 191 at the front, the angle between the thigh support 2 and the chassis is 60 degrees; when the lower end is inserted into the second insertion hole in the middle When it is in the connection hole 191, the angle between the thigh support 2 and the bottom frame is 45 degrees, and when its lower end is inserted in the second insertion hole 191 at the front, the angle between the thigh support 2 and the bottom frame is 30 degrees.

所述后承力杆9为通过螺纹套接可调整长度的两段,底架1的横向两侧之间还设有可沿底架1长度方向前后调整位置的第二调节梁18。实施例中,底架1两侧长边上分别套设有位置可前后移动的限位块181,所述限位块181为长方体的框状,所述限位块181与底架1两侧长边接触的外侧面分别设有通孔,在通孔端部连接着内螺纹孔大径与通孔直径相等的螺母,螺母与T形螺栓配合,通过转动T形螺栓,使得T形螺栓的内端端穿过螺母和通孔后与底架1长边的外侧面接触,并对底架1长边施加作用力,实现限位块181与底架1长边的固定连接,第二调节梁18的两端焊接在限位块181的内侧面,需要调节第二调节梁18在底架1长边上的位置时,可以转动T形螺栓,使得其下端不再与底架1长边外侧面接触,这样就可以解除限位块与底架1长边的固定连接,对其进行移动。将后承力杆9的上下两端可拆卸的对应插接在横梁43和第二调节梁18上,即横梁43上设有可供后承力杆9上端插入或取出的第三插接孔(图中未示出),第二调节梁18上表面设有可供后承力杆9下端插入或取出的第四插接孔。所述前承力杆8、后承力杆9、以及第二调节梁18的设置方式也可采用现有技术中其他常用的结构。The rear bearing rod 9 is two sections whose length can be adjusted by threading, and a second adjusting beam 18 that can adjust the position forward and backward along the length direction of the underframe 1 is also provided between the lateral sides of the underframe 1 . In the embodiment, the long sides on both sides of the bottom frame 1 are provided with limit blocks 181 which can move back and forth. The limit blocks 181 are in the shape of a rectangular parallelepiped. Through holes are respectively provided on the outer surfaces where the long sides are in contact, and nuts with the diameter of the internal thread hole equal to the diameter of the through holes are connected at the ends of the through holes. The nuts cooperate with the T-shaped bolts, and by rotating the T-shaped bolts, the The inner end contacts the outer surface of the long side of the bottom frame 1 after passing through the nut and the through hole, and exerts an active force on the long side of the bottom frame 1 to realize the fixed connection between the stop block 181 and the long side of the bottom frame 1. The second adjustment The two ends of the beam 18 are welded on the inner side of the limit block 181. When the position of the second adjusting beam 18 on the long side of the underframe 1 needs to be adjusted, the T-shaped bolt can be turned so that its lower end is no longer connected to the long side of the underframe 1. The outer surface contacts, so that the fixed connection between the limit block and the long side of the underframe 1 can be released, and it can be moved. The upper and lower ends of the rear bearing rod 9 are detachably connected to the crossbeam 43 and the second adjustment beam 18, that is, the crossbeam 43 is provided with a third insertion hole for the upper end of the rear bearing rod 9 to be inserted or taken out. (not shown in the figure), the upper surface of the second adjusting beam 18 is provided with a fourth insertion hole for inserting or taking out the lower end of the rear bearing rod 9 . The arrangement of the front bearing rod 8, the rear bearing rod 9, and the second adjusting beam 18 can also adopt other common structures in the prior art.

如图1所示,下肢骨折当天根据患者实际情况,调整大腿支架2与底架1之间需要固定的角度(30度、45度或60度),将小腿支架4上的滑轮42自滑槽11中取出,将前承力杆8插接在第一调节孔与适配的第二调节孔之间,根据大腿支架2与底架之间的角度即可确定横梁43所处的位置,调整第二调节梁18位于横梁43的正下方,将后承力杆9插接在第三调节孔与适配的第四调节孔之间,用大腿绑带29将患者大腿固定在大腿支架上,用小腿绑带7将患者小腿固定在小腿支架4上,整个下肢多功能锻炼装置作为布朗支架及夹板固定架使用。患者手术当天,可作为布朗支架抬高患肢,利于消肿。As shown in Figure 1, on the day of lower limb fracture, according to the actual situation of the patient, adjust the angle (30 degrees, 45 degrees or 60 degrees) that needs to be fixed between the thigh support 2 and the bottom frame 1, and pull the pulley 42 on the calf support 4 from the chute 11, insert the front bearing rod 8 between the first adjustment hole and the adapted second adjustment hole, and determine the position of the crossbeam 43 according to the angle between the thigh support 2 and the bottom frame, adjust The second adjustment beam 18 is located directly below the crossbeam 43, the rear bearing rod 9 is inserted between the third adjustment hole and the adapted fourth adjustment hole, and the patient's thigh is fixed on the thigh support with the thigh strap 29, The patient's calf is fixed on the calf support 4 with the calf strap 7, and the whole lower limb multifunctional exercise device is used as a Brown support and a splint holder. On the day of the patient's operation, it can be used as a Brown support to elevate the affected limb, which is beneficial to reduce swelling.

如图2所示,下肢骨折术后第1-2日起,根据患者实际情况,需要进行肢体屈伸训练,将前承力杆8、后承力杆9拆下,将两侧的滑轮42放入滑槽11中,将下肢放置在大腿、小腿托架上,作伤肢10-30度范围内的被动和自助被动、自助助力、自助主动伤肢屈伸训练。方法:操作者协助或指导患者握住握手柄53直接拉动牵拉机构5带动大腿支架2和小腿支架4向身体方向移并向上抬起,腿部屈曲,松手时,在自身重力作用下,大腿支架2和小腿支架4下落,腿部伸直,如此循环,障碍下肢往复地做屈曲伸展被动、助力、主动运动。在进行屈伸运动的同时,足部在L形脚踏44舒适地进行足底按摩。为防止滑槽11变形,在所述底架1的两侧滑槽11内设有增加底架1的稳定性的稳固块15。当大腿支架2跟小腿支架4下落时,会完全下落到滑槽11里,处于水平位置的支架就会需要很大力气才能拉起,所以在两侧滑槽11内设有固定的稳固块15,还可以防止大腿支架2跟小腿支架4完全下落到滑槽11里。在使用下肢多功能锻炼装置做锻炼时,若使用过大的力气拉动牵拉机构5,使得小腿支架4和大腿支架2上升得过高,从而膝关节弯曲角度过大,腿部过度屈曲,反而会对患者造成不良影响。因此,将两侧的限位块181移动到患者膝关节可弯曲最大合适范围内(即患者的安全弯曲度数,不因训练引起再次伤害)某一位置固定,可防小腿支架4跟大腿支架2上升得过高,对患者造成不良影响。As shown in Figure 2, from the 1st to 2nd day after the lower limb fracture operation, according to the actual situation of the patient, it is necessary to perform limb flexion and extension training, remove the front bearing rod 8 and the rear bearing rod 9, and put the pulleys 42 on both sides Enter in the chute 11, lower limbs are placed on thigh, shank bracket, do the passive and self-help passive, self-help power-assisted, self-help active injured limb flexion and extension training within the scope of 10-30 degree of injured limb. Method: the operator assists or instructs the patient to hold the grip handle 53 and directly pull the pulling mechanism 5 to drive the thigh support 2 and the calf support 4 to move toward the body and lift upwards. The support 2 and the calf support 4 fall, and the legs are straightened. This cycle prevents the lower limbs from doing passive, power-assisted and active movements of bending and stretching back and forth. While performing the flexion and extension exercise, the foot is comfortably massaged on the L-shaped pedal 44 . In order to prevent the chute 11 from being deformed, a stabilizing block 15 is provided in the chute 11 on both sides of the underframe 1 to increase the stability of the underframe 1 . When the thigh support 2 falls with the calf support 4, it will fall completely into the chute 11, and the support in the horizontal position will need a lot of strength to pull up, so a fixed stable block 15 is provided in the chute 11 on both sides , can also prevent the thigh support 2 from falling completely into the chute 11 with the calf support 4. When using the lower limb multifunctional exercise device for exercise, if the pulling mechanism 5 is pulled with too much force, the calf support 4 and the thigh support 2 rise too high, so that the knee joint bending angle is too large, and the legs are excessively flexed. adverse effects on patients. Therefore, move the stoppers 181 on both sides to a fixed position within the maximum suitable range of bending of the patient's knee joint (i.e. the safe degree of bending of the patient, without re-injury caused by training), which can prevent the calf support 4 from the thigh support 2 Rise too high, causing adverse effects on patients.

如图3所述,当患者要进行下肢抬高锻炼时,根据患者实际情况,调整大腿支架2与底架1之间的角度(为30度、45度或60度),将前承力杆8设置在第一调节孔与对应的第二调节孔191之间,然后将滑轮42固定在滑槽11中对应的位置处。实施例中,底架1每侧的长边上分别设有3组(或适配大腿支架2与底架1之间可固定的角度一一对应地开有若干组)一一对应的第五调节孔17,T型螺栓借助六角螺母及所述第五调节孔17可将滑轮42固定在任一第五调节孔17中。患者平卧,下肢放置在大腿、小腿托架上,嘱患者膝关节伸直,即可自主将小腿向上抬起至小腿与大腿呈同一直线停留约3-10秒,然后再放下3-10秒,再次进行小腿抬高锻炼如此往返循环5-20次;小腿可进行30度、45度或60度的小腿伸直训练。此法可迅速增强患者下肢肌肉力量,促进下肢自主直腿抬高训练。As shown in Figure 3, when the patient wants to carry out the lower limb raising exercise, according to the actual situation of the patient, adjust the angle between the thigh support 2 and the bottom frame 1 (for 30 degrees, 45 degrees or 60 degrees), and the front bearing bar 8 is disposed between the first adjustment hole and the corresponding second adjustment hole 191, and then the pulley 42 is fixed at the corresponding position in the chute 11. In the embodiment, three groups (or several groups corresponding to the fixed angles between the thigh support 2 and the bottom frame 1) are respectively provided on the long sides of each side of the bottom frame 1. Adjustment holes 17 , T-bolts can fix the pulley 42 in any fifth adjustment holes 17 by means of hex nuts and the fifth adjustment holes 17 . The patient lies on his back, and the lower limbs are placed on the thigh and calf brackets. Ask the patient to straighten the knee joint, and then the patient can lift the calf upwards until the calf and thigh are in the same line and stay for about 3-10 seconds, and then put it down for 3-10 seconds , Carry out the calf raising exercise again and cycle 5-20 times like this; the calf can be stretched at 30 degrees, 45 degrees or 60 degrees. This method can quickly enhance the muscle strength of the patient's lower limbs, and promote the training of the lower limbs' autonomous straight leg raising.

如图4所示,当患者需要进行下肢有阻力锻炼时,即需要人为制造阻力,增加下肢力量的锻炼。在所述底架1前端的短边与小腿支架4的横梁43之间设置阻力机构6,增加下肢的锻炼强度,这样在患者松手时,小腿支架4和大腿支架2便不能依靠自身重力自然下落,需要患者用力去蹬L形脚踏,才可以使小腿支架4和大腿支架2顺利下落,腿部才能伸展,增大下肢锻炼强度,通过克服阻力来增加人体功率的输出,提高神经肌肉系统活性,使力量能力得到提高。实施例中,在底架1前端的短边内侧设置若干个第一连接部13,在横梁43的底部设置与第一连接部13一一对应的第二连接部431,所述第一连接部13、第二连接部431均为环状,阻力机构6为两端带有挂钩的弹簧,将弹簧两端的挂钩适配挂接在第一连接部13、第二连接部431上即可。根据患者身体实际情况,在底架1前端的短边与小腿支架4的横梁43之间连接合理数量的阻力机构6,且阻力机构6的弹性可适配设置,制造不同大小的阻力,以满足不同患者的锻炼需求,直到患者下肢彻底康复为止。连接部可以为挂钩、挂环或现有技术中其它常用的连接体,只要能够挂装阻力机构6即可。As shown in Figure 4, when the patient needs to perform resistance exercise for the lower limbs, it is necessary to artificially create resistance and increase the strength of the lower limbs. A resistance mechanism 6 is set between the short side of the front end of the underframe 1 and the crossbeam 43 of the calf support 4 to increase the exercise intensity of the lower limbs, so that when the patient lets go, the calf support 4 and the thigh support 2 cannot fall naturally by their own gravity , it is necessary for the patient to push the L-shaped pedal hard, so that the calf support 4 and the thigh support 2 can fall smoothly, and the legs can be stretched, which increases the exercise intensity of the lower limbs, increases the power output of the human body by overcoming resistance, and improves the activity of the neuromuscular system , so that the strength ability is improved. In the embodiment, several first connecting parts 13 are arranged on the inner side of the short side of the front end of the chassis 1, and second connecting parts 431 corresponding to the first connecting parts 13 are arranged on the bottom of the beam 43. The first connecting parts 13. The second connecting part 431 is ring-shaped, and the resistance mechanism 6 is a spring with hooks at both ends, and the hooks at both ends of the spring are adapted to be hooked on the first connecting part 13 and the second connecting part 431. According to the actual condition of the patient's body, a reasonable number of resistance mechanisms 6 are connected between the short side of the front end of the chassis 1 and the crossbeam 43 of the calf support 4, and the elasticity of the resistance mechanisms 6 can be adapted to make resistance of different sizes to meet According to the exercise needs of different patients, until the patient's lower limbs are fully recovered. The connecting part can be a hook, a hanging ring or other commonly used connecting bodies in the prior art, as long as the resistance mechanism 6 can be hung.

在使用下肢多功能锻炼装置进行锻炼时,锻炼装置有可能会发生移位,影响患者使用效果,所以需要把下肢多功能锻炼装置固定使其不发生移位。所述底架1在靠近小腿支架4的短边一侧设有可与床固定的连接架12,连接架12为长方形的框架,连接架12的长边焊接在底架1的短边一侧上,为了加强连接架12与床的固定,在连接架12的框架里设置长度方向与框架短边平行的直杆。使用时,将下肢多功能锻炼装置,放在床上,用约束绳将连接架12的框架、直杆与床架固定连接起来,实现下肢多功能锻炼装置与床身的固定,从而保证了在锻炼时,整个设备不会移动影响使用性能。When exercising with the multifunctional lower limb exercise device, the exercise device may be displaced, affecting the patient's use effect, so it is necessary to fix the multifunctional lower limb exercise device so that it does not shift. Described underframe 1 is provided with the connecting frame 12 that can be fixed with bed near the short side side of calf support 4, and connecting frame 12 is the frame of rectangle, and the long side of connecting frame 12 is welded on the short side side of underframe 1 On, in order to strengthen the fixation of connecting frame 12 and bed, in the framework of connecting frame 12, the straight rod that length direction is parallel with frame short side is set. When in use, the lower limbs multifunctional exercise device is placed on the bed, and the frame of the connecting frame 12, the straight rod and the bed frame are fixedly connected with the restraint rope, so as to realize the fixing of the lower limbs multifunctional exercise device and the bed, thereby ensuring , the entire device will not move and affect performance.

实施例2Example 2

如图5-8所示,一种下肢多功能锻炼装置,与实施例1基本相同,所述大腿支架2与底架1之间可固定的角度为30度、45度或60度,区别只在于:前承力杆8的上端可拆卸地插接在转动轴3底面上对应设置的第一插接孔(图中未示出)中,底架1两侧的长边之间上适配大腿支架2与底架1之间可固定的角度设有3根(或适配大腿支架2与底架1之间可固定的角度一一对应地开有若干根)第一调节梁19,每根第一调节梁19上对应所述第一插接孔开有第二插接孔191,即:当竖直的前承力杆8的上端插接在第一调节梁19中,下端插入最前方的第一调节梁19的第二插接孔191中时,大腿支架2与底架之间的角度为60度;当其下端插入中间的第一调节梁19的第二插接孔191中时,大腿支架2与底架之间的角度为45度,当其下端插入最后的第一调节梁19的第二插接孔191中时,大腿支架2与底架之间的角度30度。As shown in Figures 5-8, a multifunctional lower limb exercise device is basically the same as Embodiment 1. The angle that can be fixed between the thigh support 2 and the bottom frame 1 is 30 degrees, 45 degrees or 60 degrees, and the difference is only In that: the upper end of the front bearing rod 8 is detachably plugged into the correspondingly provided first socket hole (not shown in the figure) on the bottom surface of the rotating shaft 3, and the long sides on both sides of the bottom frame 1 are adapted to each other. The fixed angle between the thigh support 2 and the underframe 1 is provided with three first adjusting beams 19 (or the fixed angle between the adapted thigh support 2 and the underframe 1 is correspondingly provided with several) first adjusting beams 19, each The first adjusting beam 19 has a second insertion hole 191 corresponding to the first insertion hole, that is, when the upper end of the vertical front bearing rod 8 is plugged into the first adjustment beam 19, the lower end is inserted into the most When in the second insertion hole 191 of the first adjustment beam 19 in the front, the angle between the thigh support 2 and the underframe is 60 degrees; when its lower end is inserted in the second insertion hole 191 of the first adjustment beam 19 in the middle , the angle between the thigh support 2 and the underframe was 45 degrees, and when its lower end was inserted into the second insertion hole 191 of the last first adjusting beam 19, the angle between the thigh support 2 and the underframe was 30 degrees.

若干个所述第一连接部13设置在位于最后面的第一调节梁19的内侧,横梁43的底部设置与第一连接部13一一对应的第二连接部431,所述第一连接部13、第二连接部431均为环状。优选地,所述阻力机构6为两端带有挂钩的弹簧,将弹簧两端的挂钩适配挂接在第一连接部13、第二连接部431上即可。根据患者身体实际情况,在底架1前端的短边与小腿支架4的横梁43之间连接合理数量的阻力机构6,且阻力机构6的弹性可适配设置,制造不同大小的阻力,以满足不同患者的锻炼需求,直到患者下肢彻底康复为止。连接部可以为挂钩、挂环或现有技术中其它常用的连接体,只要能够挂装阻力机构6即可。A plurality of the first connecting parts 13 are arranged on the inner side of the first adjusting beam 19 located at the rearmost, and the bottom of the beam 43 is provided with a second connecting part 431 corresponding to the first connecting parts 13 one-to-one, and the first connecting part 13. The second connecting portion 431 is ring-shaped. Preferably, the resistance mechanism 6 is a spring with hooks at both ends, and the hooks at both ends of the spring are adapted to be hooked on the first connecting portion 13 and the second connecting portion 431 . According to the actual condition of the patient's body, a reasonable number of resistance mechanisms 6 are connected between the short side of the front end of the chassis 1 and the crossbeam 43 of the calf support 4, and the elasticity of the resistance mechanisms 6 can be adapted to make resistance of different sizes to meet According to the exercise needs of different patients, until the patient's lower limbs are fully recovered. The connecting part can be a hook, a hanging ring or other commonly used connecting bodies in the prior art, as long as the resistance mechanism 6 can be hung.

Claims (10)

  1. A kind of 1. multi-functional exercising apparatus of lower limb, it is characterised in that including chassis (1), thigh support frame (2), thigh bandage (29), Rotary shaft (3), small leg support (4), shank bandage (7), L-shaped ride (44), draw-off mechanism (5), resistance mechanism (6), preceding load Bar (8) and rear bearing rod (9);
    The chassis (1) is rectangular frame, and the top surface of chassis (1) both sides long side is provided with chute (11);The thigh support frame (2) Front end be hinged on the front end of chassis (1), the rear end of thigh support frame (2) passes through rotary shaft (3) with the front end of small leg support (4) and cut with scissors Connect, be additionally provided with thigh bandage (29) on thigh support frame (2), the rear end of small leg support (4) be provided with can in chute (11) motion and The pulley (42) that can be taken out from chute (11);The draw-off mechanism (5) for being available for human hand to pull is arranged on thigh support frame (2);Institute State L-shaped on small leg support (4) and ride (44), the foot-operated distance between (44) and rotary shaft (3) of the L-shaped can adjust;Small leg support (4) shank bandage (7) is additionally provided with;The preceding bearing rod (8) of adjustable in length is removably disposed in rotary shaft (3) and chassis (1) between, the rear bearing rod (9) of adjustable in length is removably disposed in the crossbeam (43) and chassis of small leg support (4) rear end (1) between, link position of the forward and backward bearing rod on chassis (1) is according to the fixed angles between thigh support frame (2) and chassis (1) Degree can adjust along the length direction of chassis (1);For increasing the resistance mechanism (6) of lower limbs strength exercise along chassis (1) Between one end of the nearly thigh support frame (2) of length direction, the tail end for being removably disposed in small leg support (4) and chassis (1);
    When the multi-functional exercising apparatus of lower limb is as Boards wall frame, pulley (42) takes out from chute (11), small leg support (4) horizontal positioned, preceding bearing rod (8) front and back position is adjustably plugged between rotary shaft (3) and chassis (1), rear bearing rod (9) front and back position is adjustably plugged between crossbeam (43) and chassis (1);
    When the multi-functional exercising apparatus of lower limb bends and stretches training for limbs, preceding bearing rod (8), rear bearing rod (9), both sides are pulled down Pulley (42) can be put into moving forward and backward in chute (11) in chute (11);
    When the multi-functional exercising apparatus of lower limb is used for lower limb exercise, rear bearing rod (9), the basis of pulley 42 of both sides are pulled down Angle fore-aft adjustable site preparation between thigh support frame (2) and chassis (1) is fixed in chute 11;
    When the multi-functional exercising apparatus of lower limb is used for resistance exercise, preceding bearing rod (8), rear bearing rod (9), the cunning of both sides are pulled down Wheel 42 is put into chute 11, and resistance mechanism (6) is arranged on the tail end and the one of the nearly thigh support frame (2) of chassis (1) of small leg support (4) Between end.
  2. 2. the multi-functional exercising apparatus of lower limb as claimed in claim 1, it is characterised in that:The thigh support frame (2) and chassis (1) Between fixable angle be 30 degree, 45 degree and 60 degree;
    The upper end of bearing rod (9) is removably plugged in the 3rd spliced eye being correspondingly arranged on crossbeam (43) bottom surface after described, Be additionally provided between the both lateral sides of the chassis (1) can along adjustment position before and after chassis (1) length direction, for rear bearing rod (9) Lower end be removably inserted into second regulation beam (18);
    The upper end of preceding bearing rod (8) is removably plugged in the first spliced eye being correspondingly arranged on rotary shaft (3) bottom surface, chassis (1) first spliced eye is corresponded on and is provided with the first regulation beam (19) parallel with the long side of chassis (1), the first regulation beam (19) Fixable angle is provided with several the second spliced eyes correspondingly between upper adaptation thigh support frame (2) and chassis (1) (191);Or
    Fixable angle one-to-one corresponding between thigh support frame (2) and chassis (1) is adapted between the long side of chassis (1) both sides to be provided with Some first adjust beams (19), and corresponding to first spliced eye on every first regulation beam (19) is provided with the second spliced eye (191)。
  3. 3. the multi-functional exercising apparatus of lower limb as claimed in claim 2, it is characterised in that:In the long side of chassis (1) both sides The limited block (181) that position can move forward and backward is arranged with respectively, and the both ends of the second regulation beam (18) are connected to limited block (181) Medial surface.
  4. 4. the multi-functional exercising apparatus of lower limb as claimed in claim 3, it is characterised in that:The limited block (181) is cuboid Frame-shaped, the lateral surface that the limited block (181) contacts with chassis (1) both sides long side is respectively equipped with through hole, connects in through hole end Then the big footpath of the internal thread hole nut equal with through-hole diameter, nut coordinates with tommyhead bolt, by screwing or unscrewing tommyhead bolt So that limited block (181) front and rear can adjust.
  5. 5. the multi-functional exercising apparatus of lower limb as claimed in claim 2, it is characterised in that:Described first adjusts the parallel bottom of beam (19) When frame (1) length direction is set, the resistance mechanism (6) is arranged on the short side of chassis (1) front end and the crossbeam of small leg support (4) (43) between;Or
    When the first regulation beam (19) is some that vertical chassis (1) length direction is set, the resistance mechanism (6) is set Between the inner side of the rearmost first regulation beam (19) and crossbeam (43).
  6. 6. the multi-functional exercising apparatus of lower limb as claimed in claim 1, it is characterised in that the draw-off mechanism (5) is by rope form portion The strainer (52) and handle (53) composition with through hole (521) of part (51), adjustable cord-like component (51) length, it is elastic Button (52) is connected to one end and the handle (53) of cord-like component (51), and the thigh support frame (2) is provided with close to rotary shaft (3) place Connect the thigh support frame connecting portion (22) of the other end of cord-like component (51).
  7. 7. the multi-functional exercising apparatus of lower limb as claimed in claim 1, it is characterised in that:In long side of the chassis (1) per side Some groups the 5th tune are provided with correspondingly according to several number of degrees values of fixation are needed between thigh support frame (2) and chassis (1) Pulley 42 can be fixed on any 5th adjustment hole by knothole (17), T-bolt by hex nut and the 5th adjustment hole (17) (17) in.
  8. 8. the multi-functional exercising apparatus of lower limb as claimed in claim 1, it is characterised in that:The thigh support frame (2) is flat by two The thigh pole (23) of row setting and some thigh pressure pins (21) composition being connected laterally between two thigh poles (23), Thigh pressure pin (21) is being connected to the thigh pole (23) of both sides close to rotary shaft (3) place;The small leg support (4) is flat by two The shank pole (45) of row setting and some shank pressure pins 41 being connected laterally between two shank poles (45) form.
  9. 9. the multi-functional exercising apparatus of lower limb as described in claim any one of 1-8, it is characterised in that:The L-shaped rides (44) It is made up of riser (441) and transverse slat (442), the cross section after riser (441) and transverse slat (442) connection is L-shaped;The riser (441) be rectangular framework, in the frame between be connected with montant or can foot bottom massage function projection cross bar;The transverse slat (442) be rectangular framework, in the frame between be connected with straight-bar, transverse slat (442) is set in the both sides pole of small leg support (4) Above and it can slide along;The L-shaped rides the both sides of (44), and one is respectively provided between riser (441) and transverse slat (442) and is ridden Plate railing (443).
  10. 10. the multi-functional exercising apparatus of lower limb as described in claim any one of 1-9, it is characterised in that:The chassis (1) by The short side side at nearly small leg support (4) place is provided with the link (12) that can be fixed with bed.
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CN109009942A (en) * 2018-06-22 2018-12-18 仇申强 A kind of Patients with Fractures of Lower Limbs recovery exercising robot
CN109009741A (en) * 2018-06-27 2018-12-18 刘云畅 A kind of knee osteoarthritis is recovery bed
CN109730884A (en) * 2019-02-26 2019-05-10 山东航维骨科医疗器械股份有限公司 A kind of lower limb operation bracket
CN109966133A (en) * 2019-04-15 2019-07-05 潍坊高新技术产业开发区人民医院 A kind of patients with stroke limbs health-care massaging device
CN110522582A (en) * 2019-09-23 2019-12-03 天津科技大学 multifunctional transfer device
CN111150538A (en) * 2020-02-27 2020-05-15 温州医科大学附属第一医院 Multifunctional correcting device for lower limbs
CN111317644A (en) * 2020-02-27 2020-06-23 绵阳市中心医院 Diabetes lower limb rehabilitation treatment device
CN113367874A (en) * 2021-06-21 2021-09-10 牟乐明 Clinical application movable support that resets of orthopedics
CN113730136A (en) * 2021-10-12 2021-12-03 山东大学齐鲁医院(青岛) Binding and fixing device for fracture reduction
CN114733145A (en) * 2022-04-02 2022-07-12 深圳市人民医院 Intelligent multifunctional lower limb rehabilitation training integrated machine
CN115227505A (en) * 2021-04-22 2022-10-25 金华市技师学院 An intelligent rehabilitation device for lower limb exercise

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