CN107468464B - The multi-functional exercising apparatus of lower limb - Google Patents

The multi-functional exercising apparatus of lower limb Download PDF

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Publication number
CN107468464B
CN107468464B CN201710776636.9A CN201710776636A CN107468464B CN 107468464 B CN107468464 B CN 107468464B CN 201710776636 A CN201710776636 A CN 201710776636A CN 107468464 B CN107468464 B CN 107468464B
Authority
CN
China
Prior art keywords
chassis
thigh
support frame
lower limb
bearing rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201710776636.9A
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Chinese (zh)
Other versions
CN107468464A (en
Inventor
林博文
陈小花
陈佐伟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Peoples Hospital
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Shenzhen Peoples Hospital
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Filing date
Publication date
Application filed by Shenzhen Peoples Hospital filed Critical Shenzhen Peoples Hospital
Priority to CN201710776636.9A priority Critical patent/CN107468464B/en
Publication of CN107468464A publication Critical patent/CN107468464A/en
Application granted granted Critical
Publication of CN107468464B publication Critical patent/CN107468464B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. 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. 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. 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. 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

Abstract

The present invention discloses a kind of multi-functional exercising apparatus of lower limb, including chassis, thigh support frame, thigh bandage, rotation axis, small leg support, shank bandage, L shape are foot-operated, draw-off mechanism, resistance mechanism, preceding bearing rod and rear bearing rod;The top surface of chassis two sides long side is equipped with sliding slot;The front end of the thigh support frame is hinged on the front end of chassis, and the rear end of thigh support frame and the front end of small leg support are hinged by rotation axis, and the rear end of small leg support is equipped with the pulley that can be moved and can be taken out in sliding slot from sliding slot;Draw-off mechanism is arranged on thigh support frame;L shape is foot-operated in small leg support, and the foot-operated distance between rotation axis of L shape is adjustable;The preceding bearing rod of adjustable in length is removably disposed between rotation axis and chassis, and the rear bearing rod of adjustable in length is removably disposed between the crossbeam and chassis of small leg support rear end.It is at low cost, easy to use, the need of exercise in different patient's difference rehabilitation stages can be met, until the thorough rehabilitation of patient's lower limb.

Description

The multi-functional exercising apparatus of lower limb
Technical field
The present invention relates to field of medical rehabilitation, especially a kind of multi-functional exercising apparatus of lower limb.
Background technique
Replacement and fixation rehabilitation is through fractures overall process.Fracture of lower limb especially Hip Fracture, NHMRC are (complete State's health and Med Res Co) and AAOS (U.S. orthopedist association) guide it is equal it is not recommended that preoperative routine application skin traction Or Bone traction, it is believed that preoperative traction cannot not only mitigate pain or reduce anaesthetic dosage, also will cause at traction pain or Increase Lower limb deep venous thrombosis (DVT) risk.But braking not all right for Displaced fractures is fixed, and can be become because of patient body position It is dynamic that fracture soft tissue is caused to be damaged again, make that the pain increased;Although current domestic application triangle pillow sets fixed suffering limb, solid Determine suffering limb while also fixing strong limb, is more restricted limb activity and increases DVT, pressure sore risk.Leg bone folds gypsum or Suffering limb wrapping is unfavorable for skin cleaning by Boards wall;When Preoperative Method row skin cleans, usually because removing external fixer, And keep patient as if faced with a formidable foe, the pain increased, and cleaning limbs more need one people of people's foot-up cleaning (if limbs are compared with severe one, more to need three People cooperates with help could be clean by limbs).Fracture of lower limb postoperative rehabilitation main purpose is that the joint of recovery patient is bent It stretches, standing walking function, for prevention of postoperative disuse muscle atrophy, prevents anchylosis, prevention lower limb DVT and gradually restore Lower limb bend and stretch, standing walking function, postoperative to usually require to carry out passive, power-assisted, active limb functional rehabilitation exercise;It is early after surgery Phase often performs physical exercise by continuous passive activator (ContinuousPassiveMotion, CPM), but this passive exercise is only It is suitable for postoperative 1-3 days, and carries out power-assisting training and medical staff is needed to assist, increases medical staff labour;Carrying out active function Can training when, for promote limb muscle strength enhancing, preferably carry out resistant training, this training can also make fracture end because Slight friction promotes poroma to increase, can also gradually increasing because of muscle strength, have to the moulding that fracture restores anatomical position very big It helps.
Assist the fixation of fracture patient varied in the prior art, as Brown's frame also needs that artificially it is stretched tight with gauze Band winding or with the high lower limb of bolster, is unfavorable for that the preoperative cleaning skin of the patient of row operative treatment is needed (not only to add patient pain Play can also be such that Blang's bracket of bed, winding gauze gets wet), continuous passive activator (ContinuousPassiveMotion, CPM it) is applicable in front of taking exercise 3 days, then suffering limb functional rehabilitation is helped less after 3 days, external also there are many intelligent rehabilitation exercises Equipment, expensive and occupancy very large space, and majority only emphasize that hurting limb takes exercise, only single flexion and extension mould Formula without the fixation brake apparatus for being suitble to fracture and provides the training mode of limb lifting.In terms of to each limbs coordinate exercise not The best forms of motion for referring to, and taking exercise, the ganged movement of each limbs being exactly active, coordinating.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of can both to have made preoperative limb of hurting for Patients with Fractures of Lower Limbs and fixes, has Help skin cleaning and nursing, and the lower limb swaging that each stage can use can be tempered as hurting limb recovery function after surgery Device is refined, the multi-functional exercise apparatus structure of lower limb is simple, cheap, easy to use, can double unilateral obstacles of upper limbs drive Lower limb, three limbs cooperate with ganged movement.
In order to solve the above technical problems, used technical solution is to provide one kind
A kind of multi-functional exercising apparatus of lower limb, including it is chassis, thigh support frame, thigh bandage, rotation axis, small leg support, small Leg bandage, L shape be foot-operated, draw-off mechanism, resistance mechanism, preceding bearing rod and rear bearing rod;The chassis is rectangular frame, chassis The top surface of two sides long side is equipped with sliding slot;The front end of the thigh support frame is hinged on the front end of chassis, the rear end of thigh support frame with The front end of small leg support is hinged by rotation axis, is additionally provided with thigh bandage on thigh support frame, and the rear end of small leg support is equipped with can be The pulley that moves and can be taken out from sliding slot in sliding slot;Draw-off mechanism for manpower drawing is arranged on thigh support frame;It is described Small leg support is foot-operated equipped with L shape, and the foot-operated distance between rotation axis of the L shape is adjustable;Shank is additionally provided in small leg support Bandage;The preceding bearing rod of adjustable in length is removably disposed between rotation axis and chassis, the rear bearing rod of adjustable in length Be removably disposed between the crossbeam and chassis of small leg support rear end, link position of the forward and backward bearing rod on chassis according to Fixed angle between thigh support frame and chassis can be adjusted along the length direction of chassis;For increasing described in lower limbs strength exercise Resistance mechanism along chassis length direction, be removably disposed in small leg support tail end thigh support frame close with chassis one end it Between;
When the multi-functional exercising apparatus of lower limb is as Boards wall frame, pulley takes out from sliding slot, and small leg support is horizontal It places, preceding bearing rod front-rear position is adjustably plugged between rotation axis and chassis, and rear bearing rod front-rear position is adjustably It is plugged between crossbeam and chassis;
When the multi-functional exercising apparatus of lower limb bends and stretches trained for limbs, preceding bearing rod, rear bearing rod are removed, two sides Pulley can be put into sliding slot with moving forward and backward in sliding slot;
When the multi-functional exercising apparatus of lower limb is taken exercise for lower limb, remove rear bearing rod, the pulleys of two sides according to Angle fore-aft adjustable site preparation between thigh support frame and chassis is fixed in sliding slot;
When the multi-functional exercising apparatus of lower limb is used for resistance exercise, preceding bearing rod, rear bearing rod, the pulley of two sides are removed It is put into sliding slot, resistance mechanism is arranged between the tail end of small leg support and one end of the nearly thigh support frame of chassis.
Preferably, fixable angle is 30 degree, 45 degree and 60 degree between the thigh support frame and chassis;
The upper end of bearing rod is removably plugged in the third spliced eye being correspondingly arranged on crossbeam bottom surface after described, described Be additionally provided between the both lateral sides of chassis can before and after the length over end sills direction adjustment position, for rear bearing rod lower end removably The second of insertion adjusts beam;
The upper end of preceding bearing rod is removably plugged in the first spliced eye being correspondingly arranged on rotation axis bottom surface, on chassis Corresponding first spliced eye is equipped with first parallel with the long side of chassis and adjusts beam, first adjust be adapted on beam thigh support frame and Fixable angle is provided with several the second spliced eyes correspondingly between chassis;Or
Fixable angle between thigh support frame and chassis is adapted between the long side of chassis two sides to correspond equipped with several Root first adjusts beam, corresponds to first spliced eye on every first adjusting beam and is provided with the second spliced eye.It is highly preferred that the bottom The limited block that position can be moved forward and backward is arranged in the long side of frame two sides respectively, the both ends of the second adjusting beam are connected to limited block Medial surface.
Further, the limited block is the frame-shaped of cuboid, the outside that the limited block is contacted with chassis two sides long side Face is respectively equipped with through-hole, is connected to the internal thread hole major diameter nut equal with through-hole diameter, nut and tommyhead bolt in through-hole end Cooperation makes limited block can front and back adjustment by screwing or unscrewing tommyhead bolt.
Further, when first adjusting Liangping row length over end sills direction setting, the resistance mechanism is arranged the bottom of at Between the short side of frame front end and the crossbeam of small leg support;Or
When the first adjusting beam is several of vertical length over end sills direction setting, the resistance mechanism is arranged in Rearmost first is adjusted between the inside and crossbeam of beam.
Most preferably, the draw-off mechanism is by cord-like component, the strainer with through-hole of adjustable cord-like component length It is formed with handle, strainer is connected to one end and the handle of cord-like component, and the thigh support frame is equipped at rotation axis Connect the thigh support frame interconnecting piece of the other end of cord-like component.
It is further preferred that fixed several according to being needed between thigh support frame and chassis in the long side of the every side of chassis A degree value is equipped with the 5th adjustment hole of several groups correspondingly, and T-bolt can be by cunning by hex nut and the 5th adjustment hole Wheel is fixed in any 5th adjustment hole.
If the thigh support frame is by two thigh struts disposed in parallel and is connected laterally between two thigh struts Dry thigh pressure pin composition, thigh pressure pin is in the thigh strut for being connected to two sides at rotation axis;The small leg support is by two Root shank strut disposed in parallel and several shank pressure pins being connected laterally between two shank struts composition.
The L shape is foot-operated to be made of riser and transverse slat, and the cross section after riser is connected with transverse slat is L shape;The riser is Rectangular frame, in the frame between be connected with vertical bar or can foot bottom massage function protrusion cross bar;The transverse slat is rectangular Frame, in the frame between be connected with straight-bar, transverse slat is set on the two sides strut of small leg support and can slide along;The L shape Foot-operated two sides are respectively provided with a foot pedal railing between riser and transverse slat.
The chassis is equipped with connection frame that can be fixed with bed in the short side side at small leg support.
Compared with prior art, the multi-functional exercising apparatus of lower limb of the present invention, including chassis, thigh support frame, rotation axis, shank Bracket, shank bandage, L shape be foot-operated, draw-off mechanism, resistance mechanism, preceding bearing rod and rear bearing rod, and structure is simple, user Just.
Patient only need to pull draw-off mechanism to body direction with hand, and thigh support frame and small leg support will rise, and leg is just Can buckling, when loosing one's grip, thigh support frame and small leg support will fall, and leg will stretch naturally, leg with thigh support frame with The rising of small leg support progress buckling stretching routine synchronous with whereabouts, it is easy to use.When exercise, draw-off mechanism drive is pulled with hand Leg carries out that double upper limbs and Ipsilateral lower limb can be made when buckling stretching routine while moving, and can effectively temper double upper limbs and Ipsilateral Lower limb.Further, the distance between rotation axis is ridden by adjusting L shape, patient adjusts making for exercise instrument in which can be convenient With size to meet different needs.Meanwhile it can be adjusted to different use states according to the different phase after patient's lower extremity surgery, The postoperative training demand until rehabilitation each stage is fully met, the self-service non-resistance of 10-120 degree can be done under clinostatism and has resistance Power bends and stretches training, does shank under clinostatism and stretches training, can both make Blang's bracket at thigh, Hip Fracture initial stage and (and be better than cloth Bright bracket, without winding gauze) and simultaneous Boards wall frame, it can also be achieved and painlessly carry out skin cleaning and nursing in bed, and only It needs a people to assist, saves labour, a tractor serves several purposes, manufacturing cost is low, saves space, greatly reduces patient's therapy rehabilitation expense With.
Summary of the invention
Present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments:
Fig. 1 is the structural schematic diagram when embodiment of the present invention 1 does the use of Boards wall frame.
Fig. 2 is the structural schematic diagram when embodiment of the present invention 1 is used for power-assisting training.
Fig. 3 is the structural schematic diagram when embodiment of the present invention 1 is used for the training of non helping hand non-resistance.
Fig. 4 is the structural schematic diagram when embodiment of the present invention 1 is used with resistance exercise.
Fig. 5 is the structural schematic diagram when embodiment of the present invention 2 does the use of Boards wall frame.
Fig. 6 is the structural schematic diagram when embodiment of the present invention 2 is used for power-assisting training.
Fig. 7 is the structural schematic diagram when embodiment of the present invention 2 is used for the training of non helping hand non-resistance.
Fig. 8 is the structural schematic diagram when embodiment of the present invention 2 is used with resistance exercise.
Specific embodiment
For convenience of description, in embodiment, define the nearly thigh support frame 2 of the multi-functional exercising apparatus of the lower limb one end be before, After one end of long-range leg support 2 is.
Embodiment 1
As Figure 1-Figure 4, the multi-functional exercising apparatus of a kind of lower limb, including chassis 1, thigh support frame 2, rotation axis 3, shank Bracket 4, L shape ride 44, draw-off mechanism 5, resistance mechanism 6, shank bandage 7, thigh bandage 29, preceding bearing rod 8 and rear load Bar 9.
Wherein, the chassis 1 is rectangular frame, and sliding slot 11 is equipped on the top surface of 1 two sides long side of chassis;It is described big Leg support 2 is by two thigh struts 23 disposed in parallel and several big leg supports being connected laterally between two thigh struts 23 Bar 21 forms;The small leg support 4 by two shank struts disposed in parallel 45 and be connected laterally at two shank struts 45 it Between several shank pressure pins 41 composition;The front end of thigh strut 23 is hinged on chassis 1, the rear end of two thigh struts 23 with The front end of corresponding shank strut 45 is hinged at rotation axis 3, and the rear end of shank strut 45 is equipped with can be in the cunning of chassis 1 The pulley 42 moved forward and backward in slot 11, the pulley 42 can take out from sliding slot 11;L shape foot-operated 44 is arranged in small leg support 4, And its distance between rotation axis 3 is adjusted, and is suitable for the patient of different heights and leg length;Shank bandage 7 is arranged in shank branch On frame 4, thigh bandage 29 is arranged on thigh support frame 23;Thigh support frame 2 is equipped with the draw-off mechanism 5 pulled for manpower, long Spend adjustable preceding bearing rod 8 removably, be vertically arranged between rotation axis 3 and chassis 1, according to thigh support frame 2 and chassis 1 Between fixed angle difference, adjust before bearing rod 8 length and its link position on chassis 1;After adjustable in length Bearing rod 9 removably, be vertically arranged between the crossbeam 43 and chassis 1 of 4 rear end of small leg support, according to thigh support frame 2 and bottom The difference of hinge angle between frame 1 adjusts the length of preceding bearing rod 8 and rear bearing rod 9, fixes small leg support 4 horizontally, institute Stating the multi-functional exercising apparatus of lower limb can be used as the use of Brown's frame.Crossbeam 43 is arranged in the upper end of 4 tail portion of small leg support, prevents Crossbeam 43 causes to interfere to the rising falling motion of small leg support 4.
In order to reduce the contact of knee joint with rotation axis 3, the comfort of exercise is improved, the setting of thigh support frame 21 is being leaned on At nearly rotation axis 3.
In embodiment, the L shape foot-operated 44 is made of riser 441 and the transverse slat 442 that can be slid back and forth along small leg support 4, Riser 441, transverse slat 442 are rectangular frame, and the cross section after riser 441 and transverse slat 442 connect is L shape, in riser 441 Be connected among frame vertical bar or with can foot bottom massage function protrusion cross bar, be connected with straight-bar among 442 frame of transverse slat, it is horizontal 442 two sides of plate are equipped with the through slot matched with the two sides strut of small leg support 2, and transverse slat 442 is set in small leg support by through slot Two sides strut on and can be slid back and forth along it.It is respectively equipped with through-hole in the two sides that the transverse slat 442 is contacted with small leg support 4, Through-hole end is welded the internal thread hole major diameter nut equal with through-hole diameter, and nut can cooperate with tommyhead bolt.By rotating T Shape bolt, so that tommyhead bolt lower end contacts after passing through nut and through-hole with corresponding bracket, and applies active force to bracket, it is real Existing L shape foot-operated 44 is fixedly connected with small leg support 4;When needing to adjust L shape foot-operated 44 at a distance from rotation axis 3, T shape spiral shell is rotated Bolt, so that its lower end is no longer contacted with bracket, releasing L shape foot-operated 44 is fixedly connected with small leg support 4, is conveniently adjusted L shape Foot-operated the distance between 44 and rotation axis 3 length, meets the use demand of different patients.In addition, the two sides of L shape foot-operated 44, A foot pedal railing 443 is respectively provided between riser 441 and transverse slat 442, in this way when taking exercise, patient feet is just not easy from L It is slid in shape foot-operated 44.And after being provided with foot pedal railing 443, the stability of L shape foot-operated 44 can be increased, be not easy it Deformation, and foot pedal railing 443 also acts the effect of handle, when adjusting L shape foot-operated 44 at a distance from rotation axis 3, just In mobile L shape foot-operated 44.As shown in Figure 1, shown in Figure 5, the L shape foot-operated 44 is more comfortably has the shape of massage functions, at it He is the structure of common vertical bar shape in attached drawing, expression L shape foot-operated 44.
In embodiment, the draw-off mechanism 5 has a through-hole 521 by cord-like component 51, adjustable 51 length of cord-like component Strainer 52 and handle 53 form, strainer 52 is connected to one end and the handle 53 of cord-like component 51, cord-like component 51 The other end be then connected to thigh support frame 4 at rotation axis 3, in this way by using draw-off mechanism 5 come when taking exercise, so that it may compare Relatively labor-saving gas is suitble to weak patient to use, when can also do passive exercise, after connecting two sides handle across through-hole 521, and side Just the use of personnel is assisted.The length of cord-like component 51 can be adjusted by strainer 52 to meet the need of different users It asks.The thigh support frame 4 is equipped with the thigh support frame interconnecting piece 22 of the other end of connection cord-like component 51, benefit at rotation axis 3 With thigh support frame interconnecting piece 22, thigh support frame 4 and cord-like component 51 can link together easily, be easy to use.Thigh support frame Interconnecting piece 22 can be hook, link or other common connectors in the prior art, as long as elastic cord-like component can be mounted 51.
The front of shank bandage 7 is the flannelette that can be bonded velcro and hook thorn face, and the head end of shank bandage 7 is fixed on side On shank strut 45, the back side of tail end is equipped with velcro and hooks thorn face 71, and shank bandage 7 is more than shank and the circle of small leg support 4 one The velcro of its tail end hooks thorn face 71 and closely bonds in the front of shank bandage 7 afterwards.The front of thigh bandage 29 is that can be bonded evil spirit Art patch hooks the flannelette in thorn face, and the head end of thigh bandage 29 is fixed on the thigh strut 23 of side, and the back side of tail end is equipped with magic Patch hooks thorn face 291, and thigh bandage 29 hooks thorn face around the velcro that thigh and thigh support frame one enclose its above rear tail end and closely bonds In the front of thigh bandage 297.The fixed bondage of prior art other modes can also be used in shank bandage 7, thigh bandage 29, passes through It will hurt that limb is fixed on thigh, small leg support is realized and replaces that traction therapeutic, gypsum are fixed or Boards wall hurts the effect of limb.Thigh branch The thread sky frame structure of frame and small leg support is to avoid moving to allow and hurt limb and be fixed on bracket, it is painless to realize that a people assists Ground cleaning skin.
In embodiment, fixable angle is 30 degree, 45 degree or 60 degree (also bases between the thigh support frame 2 and chassis 1 Need to increase other fixable degrees between thigh support frame 2 and chassis 1), the preceding bearing rod 8 is adjustable to be socketed by screw thread Two sections of whole length, the upper end of preceding bearing rod 8 are removably plugged on the first spliced eye being correspondingly arranged on 3 bottom surface of rotation axis In (not shown), first spliced eye is corresponded on chassis 1 and is equipped with the first adjusting beam 19 parallel with the long side of chassis 1, It it is adapted to fixable angle between thigh support frame 2 and chassis 1 on first adjusting beam 19 is provided with 3 and (or be adapted to thigh support frame 2 and bottom Fixable angle is provided with several correspondingly between frame 1) the second spliced eye 191, it may be assumed that when vertical preceding bearing rod 8 Upper end is plugged in the first adjusting beam 19, when lower end is inserted into the second spliced eye 191 of forefront, thigh support frame 2 and chassis it Between angle be 60 degree;Angle when in the second intermediate spliced eye 191 of its lower end insertion, between thigh support frame 2 and chassis It is 45 degree, when in the second spliced eye 191 of its lower end insertion forefront, 30 degree of the angle between thigh support frame 2 and chassis.
Bearing rod 9 is to be socketed length-adjustable two sections by screw thread after described, is additionally provided between the both lateral sides of chassis 1 The second of position can be adjusted before and after 1 length direction of chassis adjusts beam 18.In embodiment, it is arranged respectively in 1 two sides long side of chassis The limited block 181 for having position that can be moved forward and backward, the limited block 181 are the frame-shaped of cuboid, the limited block 181 and chassis 1 The lateral surface of two sides long side contact is respectively equipped with through-hole, and it is equal with through-hole diameter to be connected to internal thread hole major diameter in through-hole end Nut, nut and tommyhead bolt cooperate, by rotating tommyhead bolt so that the inner end end of tommyhead bolt pass through after nut and through-hole with The outside face contact of 1 long side of chassis, and active force is applied to 1 long side of chassis, realize the fixation of limited block 181 and 1 long side of chassis The both ends of connection, the second adjusting beam 18 are welded on the medial surface of limited block 181, and it is long in chassis 1 to need to adjust the second adjusting beam 18 When position on side, tommyhead bolt can be rotated, so that its lower end can thus solve no longer with face contact on the outside of 1 long side of chassis Except being fixedly connected for limited block and 1 long side of chassis, it is moved.The upper and lower ends of rear bearing rod 9 are removably corresponded to It is plugged on crossbeam 43 and second to adjust on beam 18, i.e., crossbeam 43 is equipped with the third be inserted into or taken out for rear 9 upper end of bearing rod Spliced eye (not shown), second adjusts 18 upper surface of beam inserts equipped with the 4th for being inserted into or taking out for rear 9 lower end of bearing rod Connect hole.The preceding bearing rod 8, rear bearing rod 9 and second adjusting beam 18 set-up mode can also be used in the prior art other Common structure.
As shown in Figure 1, adjusting and being needed between thigh support frame 2 and chassis 1 admittedly according to patient's actual conditions on the day of fracture of lower limb Fixed angle (30 degree, 45 degree or 60 degree), the pulley 42 in small leg support 4 is taken out from sliding slot 11, by preceding 8 grafting of bearing rod Between the first spliced eye and the second spliced eye being adapted to, crossbeam can determine according to the angle between thigh support frame 2 and chassis The location of 43, adjustment the second adjusting beam 18 is located at the underface of crossbeam 43, by rear bearing rod 9 be plugged on third spliced eye and Between 4th spliced eye of adaptation, patient thigh is fixed on thigh support frame with thigh bandage 29, with shank bandage 7 by patient Shank is fixed in small leg support 4, and the entire multi-functional exercising apparatus of lower limb is used as Blang's bracket and Boards wall frame.Patient It on the operation same day, can be used as Blang's bracket lifting affected limb, be conducive to detumescence.
As shown in Fig. 2, fracture of lower limb postoperative 1-2 days rise, according to patient's actual conditions, needs to carry out limbs and bend and stretch instruction Practice, preceding bearing rod 8, rear bearing rod 9 are removed, the pulley 42 of two sides is put into sliding slot 11, lower limb are placed on thigh, shank On bracket, make to hurt passive and self-service passive, the self-service power-assisted within the scope of limb 10-30 degree, self-service limb of actively hurting bends and stretches training.Side Method: operator assists or instructs patient to hold 53 direct pull draw-off mechanism 5 of handle and drives thigh support frame 2 and small leg support 4 It moves and is lifted up to body direction, leg buckling, when loosing one's grip, under self gravitation effect, thigh support frame 2 and small leg support 4 It falls, leg is stretched, and is so recycled, and obstacle lower limb reciprocally do buckling and stretch passive, power-assisted, active movement.It is being bent and stretched While movement, foot massages are carried out cosily in L shape foot-operated 44 in foot.To prevent sliding slot 11 from deforming, the two of the chassis 1 The firm block 15 for increasing the stability of chassis 1 is equipped in side chute 11.It, can be complete when thigh support frame 2 falls with small leg support 4 Under fall in sliding slot 11, the bracket being in a horizontal position just may require that very great strength could pull-up, so in two side chutes 11 Equipped with fixed firm block 15, it can also prevent thigh support frame 2 from falling on down in sliding slot 11 completely with small leg support 4.Under use When the multi-functional exercising apparatus of limb is taken exercise, if draw-off mechanism 5 is pulled using excessive strength, so that small leg support 4 and thigh branch It is risen so high on frame 2, so that knee flexion angles are excessive, leg hyperflexion can cause adverse effect to patient instead.Cause This, is moved to (the i.e. bent safety degree of patient in the flexible maximum OK range of patient's knee joint for the limited block 181 of two sides Number, not because training causes to injure again) a certain position fixes, can anti-small leg support 4 with being risen so high on thigh support frame 2, to trouble Person causes adverse effect.
As described in Figure 3, when patient will carry out lower limb exercise, according to patient's actual conditions, adjust thigh support frame 2 with Preceding bearing rod 8 is arranged and inserts in the first spliced eye with corresponding second by the angle (for 30 degree, 45 degree or 60 degree) between chassis 1 It connects between hole 191, then pulley 42 is fixed in sliding slot 11 at corresponding position.In embodiment, in the long side of the every side of chassis 1 It is a pair of to be respectively equipped with 3 groups of (or fixable angle are provided with several groups correspondingly between adaptation thigh support frame 2 and chassis 1) one Pulley 42 can be fixed on any by hex nut and the 5th adjustment hole 17 by the 5th adjustment hole 17 answered, T-bolt In five adjustment holes 17.Patient lies down, and lower limb are placed on thigh, in small leg support, and patient's knee joint is advised to stretch, can be small from chief commander Leg is lifted up to shank and thigh and stops about 3-10 seconds in same straight line, then puts down 3-10 seconds again, carries out shank lift again Height is taken exercise such cyclic 5-20 times;The shank that shank can carry out 30 degree, 45 degree or 60 degree stretches training.This method can increase rapidly Strong patient's muscular strength of lower limb promotes the autonomous leg raising straight training of lower limb.
As shown in figure 4, needing artificially to manufacture resistance when patient, which needs to carry out lower limb, resistance exercise, increase lower limb The exercise of strength.Resistance mechanism 6 is set between the short side of 1 front end of chassis and the crossbeam 43 of small leg support 4, increases lower limb Exercise intensity, in this way when patient looses one's grip, small leg support 4 and thigh support frame 2 just cannot rely on self gravity and fall naturally, need It wants patient firmly to go to pedal L shape foot-operated, so that small leg support 4 and thigh support frame 2 is smoothly fallen, leg ability tensible increases Lower limb exercise intensity increases the output of human body power by overcoming resistance, improves neuromuscular system activity, makes strength ability It is improved.In embodiment, several first connecting portions 13 are set on the inside of the short side of 1 front end of chassis, in the bottom of crossbeam 43 Setting and the one-to-one second connecting portion 431 of first connecting portion 13, the first connecting portion 13, second connecting portion 431 are Ring-type, resistance mechanism 6 are spring of the both ends with hook, and the hook of both ends of the spring adaptation is articulated in first connecting portion 13, the On two interconnecting pieces 431.According to patient body actual conditions, 1 front end of chassis short side and small leg support 4 crossbeam 43 it Between connect the resistance mechanism 6 of fair amount, and the elasticity of resistance mechanism 6 can be adapted to setting, manufacture different size of resistance, to expire The need of exercise of foot difference patient, until the thorough rehabilitation of patient's lower limb.Interconnecting piece can be hook, link or the prior art In other common connectors, as long as resistance mechanism 6 can be mounted.
When being performed physical exercise using the multi-functional exercising apparatus of lower limb, exercising apparatus is possible to be displaced, and influences patient Using effect, so the multi-functional exercising apparatus fixation of lower limb is needed to be displaced it not.The chassis 1 is close to shank branch The short side side of frame 4 is equipped with connection frame 12 that can be fixed with bed, and connection frame 12 is rectangular frame, and the long side of connection frame 12 is welded It connects on the short side side of chassis 1, in order to reinforce the fixation of connection frame 12 Yu bed, length side is set in the frame of connection frame 12 To the straight-bar parallel with frame short side.In use, by the multi-functional exercising apparatus of lower limb, put in bed, with restriction rope by connection frame 12 frame, straight-bar are fixedly connected with bedstead, the fixation of lower limb multi-functional exercising apparatus and lathe bed are realized, to ensure that When taking exercise, whole equipment will not moving influence service performance.
Embodiment 2
As viewed in figures 5-8, the multi-functional exercising apparatus of a kind of lower limb, it is substantially the same manner as Example 1, the thigh support frame 2 with Fixable angle is 30 degree, 45 degree or 60 degree between chassis 1, is differed only in: the upper end removably grafting of preceding bearing rod 8 In the first spliced eye (not shown) being correspondingly arranged on 3 bottom surface of rotation axis, upper adaptation is big between the long side of 1 two sides of chassis Fixable angle is equipped with 3 and (or is adapted to fixable angle between thigh support frame 2 and chassis 1 between leg support 2 and chassis 1 It is provided with several correspondingly) first beam 19 is adjusted, first spliced eye is corresponded on every first adjusting beam 19 is provided with the Two spliced eyes 191, it may be assumed that when the upper end of vertical preceding bearing rod 8 is plugged in the first adjusting beam 19, the of forefront is inserted into lower end When in the second spliced eye 191 of one adjusting beam 19, the angle between thigh support frame 2 and chassis is 60 degree;When in the insertion of its lower end Between first when adjusting in the second spliced eye 191 of beam 19, angle between thigh support frame 2 and chassis is 45 degree, when its lower end When being inserted into the second spliced eye 191 of the first last adjusting beam 19,30 degree of the angle between thigh support frame 2 and chassis.
Several described first connecting portions 13 are arranged in the rearmost first inside for adjusting beam 19, the bottom of crossbeam 43 Portion's setting and the one-to-one second connecting portion 431 of first connecting portion 13, the first connecting portion 13, second connecting portion 431 are equal For ring-type.Preferably, the resistance mechanism 6 is spring of the both ends with hook, and the hook of both ends of the spring adaptation is articulated in the On one interconnecting piece 13, second connecting portion 431.According to patient body actual conditions, short side and shank branch in 1 front end of chassis The resistance mechanism 6 of fair amount is connected between the crossbeam 43 of frame 4, and the elasticity of resistance mechanism 6 can be adapted to setting, manufacture different big Small resistance, to meet the need of exercise of different patients, until the thorough rehabilitation of patient's lower limb.Interconnecting piece can for hook, Link or in the prior art other common connectors, as long as resistance mechanism 6 can be mounted.

Claims (10)

1. a kind of multi-functional exercising apparatus of lower limb, which is characterized in that including chassis (1), thigh support frame (2), thigh bandage (29), Rotation axis (3), small leg support (4), shank bandage (7), L shape 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) two sides long side is equipped with sliding slot (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) and the front end of small leg support (4) pass through rotation axis (3) hinge Connect, be additionally provided on thigh support frame (2) thigh bandage (29), the rear end of small leg support (4) be equipped with can in sliding slot (11) movement and The pulley (42) that can be taken out from sliding slot (11);Draw-off mechanism (5) for manpower drawing is arranged on thigh support frame (2);Institute It states small leg support (4) and rides (44) equipped with L shape, it is adjustable that the L shape rides distance between (44) and rotation axis (3);Shank Shank bandage (7) are additionally provided on bracket (4);The preceding bearing rod (8) of adjustable in length is removably disposed in rotation axis (3) and bottom Between frame (1), the rear bearing rod (9) of adjustable in length is removably disposed in the crossbeam (43) and bottom of small leg support (4) rear end Between frame (1), forward and backward bearing rod is in the link position on chassis (1) according to the fixation between thigh support frame (2) and chassis (1) Angle can be adjusted along the length direction of chassis (1);For increasing the resistance mechanism (6) of lower limbs strength exercise along chassis (1) Length direction, the nearly thigh support frame (2) of the tail end for being removably disposed in small leg support (4) and chassis (1) one end between;
The bottom surface of the rotation axis (3) is equipped with the first spliced eye that can hold the removably grafting of the upper end of preceding bearing rod (8);
First spliced eye is corresponded on chassis (1) and is equipped with first adjusting beam (19) parallel with the long side of chassis (1), and first adjusts To be provided with several correspondingly second slotting for fixable angle between adaptation thigh support frame (2) and chassis (1) on section beam (19) Connect hole (191);Or fixable angle is adapted between thigh support frame (2) and chassis (1) between the long side of chassis (1) two sides one by one Be correspondingly provided with several first adjusting beams (19), corresponded on every first adjusting beam (19) first spliced eye be provided with second insert Connect hole (191);
When the multi-functional exercising apparatus of lower limb is as Boards wall frame, pulley (42) takes out from sliding slot (11), small leg support (4) it is horizontally arranged, preceding bearing rod (8) front-rear position is adjustably plugged between rotation axis (3) and chassis (1), rear bearing rod (9) front-rear position is adjustably plugged between crossbeam (43) and chassis (1);
When the multi-functional exercising apparatus of lower limb bends and stretches trained for limbs, preceding bearing rod (8), rear bearing rod (9), two sides are removed Pulley (42) can be put into moving forward and backward in sliding slot (11) in sliding slot (11);
When the multi-functional exercising apparatus of lower limb is taken exercise for lower limb, rear bearing rod (9) are removed, preceding bearing rod (8) is set It sets between the first spliced eye and corresponding second spliced eye (191), the pulley (42) of two sides is according to thigh support frame (2) and chassis (1) the angle fore-aft adjustable site preparation between is fixed in sliding slot (11), in use, patient lies down, lower limb are placed on thigh, shank On bracket, patient's knee joint is stretched, and can be lifted up from chief commander's shank to shank and thigh in same straight line;
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 two sides are removed Wheel (42) is put into sliding slot (11), and resistance mechanism (6) is arranged in the tail end of small leg support (4) and chassis (1) nearly thigh support frame (2) One end between.
2. the multi-functional exercising apparatus of lower limb as described 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 third spliced eye being correspondingly arranged on crossbeam (43) bottom surface after described, Position can be adjusted, for rear bearing rod (9) before and after chassis (1) length direction by being additionally provided between the both lateral sides of the chassis (1) Lower end be removably inserted into second adjust beam (18).
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) two sides It is arranged with the limited block (181) that position can be moved forward and backward respectively, the second both ends for adjusting beam (18) are connected to limited block (181) Medial surface.
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) two sides long side is respectively equipped with through-hole, connects in through-hole end Then the internal thread hole major diameter nut equal with through-hole diameter, nut and tommyhead bolt cooperate, by screwing or unscrewing tommyhead bolt So that limited block (181) can front and back adjustment.
5. the multi-functional exercising apparatus of lower limb as claimed in claim 2, it is characterised in that: described first adjusts beam (19) parallel bottom When frame (1) length direction is arranged, resistance mechanism (6) setting is in the short side of chassis (1) front end and the crossbeam of small leg support (4) (43) between;Or
When first adjusting beam (19) is several of vertical chassis (1) length direction setting, resistance mechanism (6) setting It is being located between the inside and crossbeam (43) that rearmost first adjusts beam (19).
6. the multi-functional exercising apparatus of lower limb as described in claim 1, which is characterized 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 equipped at rotation axis (3) Connect the thigh support frame interconnecting piece (22) of the other end of cord-like component (51).
7. the multi-functional exercising apparatus of lower limb as described in claim 1, it is characterised in that: in the long side of the every side of the chassis (1) It is adjusted according to needing several fixed degree values to be equipped with several groups the 5th correspondingly between thigh support frame (2) and chassis (1) Pulley (42) can be fixed on any 5th adjustment hole by hex nut and the 5th adjustment hole (17) by knothole (17), T-bolt (17) in.
8. the multi-functional exercising apparatus of lower limb as described in claim 1, it is characterised in that: the thigh support frame (2) is flat by two The thigh strut (23) of row setting and several thigh pressure pins (21) composition being connected laterally between two thigh struts (23), Thigh pressure pin (21) is in the thigh strut (23) for being connected to two sides at rotation axis (3);The small leg support (4) is flat by two The shank strut (45) of row setting and several shank pressure pins (41) composition being connected laterally between two shank struts (45).
9. such as the multi-functional exercising apparatus of the described in any item lower limb of claim 1-8, it is characterised in that: the L shape rides (44) It is made of riser (441) and transverse slat (442), the cross section after riser (441) and transverse slat (442) connection is L shape;The riser (441) be rectangular frame, in the frame between be connected with vertical bar or can foot bottom massage function protrusion cross bar;The transverse slat (442) be rectangular frame, in the frame between be connected with straight-bar, transverse slat (442) is set in the two sides strut of small leg support (4) Above and it can slide along;The L shape rides the two sides of (44), and one is respectively provided between riser (441) and transverse slat (442) and is ridden Plate railing (443).
10. the multi-functional exercising apparatus of lower limb as claimed in claim 9, it is characterised in that: the chassis (1) is close to shank branch Short side side at frame (4) is equipped with connection frame (12) that can be fixed with bed.
CN201710776636.9A 2017-09-01 2017-09-01 The multi-functional exercising apparatus of lower limb Expired - Fee Related CN107468464B (en)

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CN109009942B (en) * 2018-06-22 2021-06-15 山东第一医科大学附属省立医院(山东省立医院) Lower limb fracture patient rehabilitation training robot
CN109009741B (en) * 2018-06-27 2020-04-17 刘云畅 Knee osteoarthritis rehabilitation bed
CN109966133B (en) * 2019-04-15 2021-07-13 潍坊高新技术产业开发区人民医院 Apoplexy patient limbs nursing massage device
CN111317644B (en) * 2020-02-27 2021-09-07 绵阳市中心医院 Diabetes lower limb rehabilitation treatment device
CN111150538B (en) * 2020-02-27 2021-09-24 温州医科大学附属第一医院 Multifunctional correcting device for lower limbs
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

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