CN108079490B - Shoulder joint rehabilitation training and evaluation device - Google Patents

Shoulder joint rehabilitation training and evaluation device Download PDF

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Publication number
CN108079490B
CN108079490B CN201810155957.1A CN201810155957A CN108079490B CN 108079490 B CN108079490 B CN 108079490B CN 201810155957 A CN201810155957 A CN 201810155957A CN 108079490 B CN108079490 B CN 108079490B
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China
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fixed
disc
sliding sleeve
stay wire
shoulder joint
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CN201810155957.1A
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Chinese (zh)
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CN108079490A (en
Inventor
何永正
李志强
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Henan Xiangyu Medical Equipment Co Ltd
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Henan Xiangyu Medical Equipment Co Ltd
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    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00058—Mechanical means for varying the resistance
    • A63B21/00065—Mechanical means for varying the resistance by increasing or reducing the number of resistance units
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552—Elastic ropes or bands
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
    • A63B23/1254—Rotation about an axis parallel to the longitudinal axis of the body, e.g. butterfly-type exercises
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
    • A63B23/1263—Rotation about an axis passing through both shoulders, e.g. cross-country skiing-type arm movements
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
    • A63B23/1272—Rotation around an axis perpendicular to the frontal body-plane of the user, i.e. moving the arms in the plane of the body, to and from the sides of the body
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062—Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/18—Inclination, slope or curvature
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/30—Speed

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a shoulder joint rehabilitation training and evaluating device, which comprises a base, wherein an upright post is fixed on the base, a sliding sleeve is fixed on the upright post, the fixing position of the sliding sleeve on the upright post is adjustable, one end of an angle adjusting arm is directly or indirectly fixed on the sliding sleeve, the angle between the angle adjusting arm and the upright post is adjustable, the other end of the angle adjusting arm is fixed with a support body, a stay wire fixing disc is fixed on the support body, the stay wire fixing disc is rotatably connected with the lower end of a stay wire rotating shaft, a stay wire rotating disc is fixed on the upper part of the stay wire rotating shaft, an upper limb fixing device is fixed at the upper end of the stay wire rotating shaft through a quick connecting structure, the two ends of a plurality of elastic stay wires are respectively and fixedly connected with the stay wire fixing disc and the stay wire rotating disc, an angle sensor is arranged between the stay wire rotating shaft and the stay wire fixing disc, three replaceable upper limb fixing devices are adopted, the training requirements of up-down, left-right swinging and inside-outside rotation of a shoulder joint of a patient are met, and the rehabilitation effect of the patient is improved.

Description

Shoulder joint rehabilitation training and evaluation device
Technical Field
The invention relates to a shoulder joint training device, in particular to a shoulder joint rehabilitation training and evaluating device, and belongs to the field of rehabilitation medical appliances.
Background
The shoulder joint rehabilitation training device has the advantages that the environment pollution, the industrialization process is promoted, the life rhythm is accelerated, the number of shoulder joint dysfunction personnel caused by cerebrovascular diseases, joint trauma and brain trauma every year is large, shoulder joint movement dysfunction with different degrees occurs, when a certain muscle strength exists in the shoulder of a patient, continuous repeated rehabilitation training is an effective means for recovering the shoulder joint movement function at present, the conventional shoulder joint rehabilitation training device generally cannot realize that the movement angle is in direct proportion to the resistance, the rehabilitation training interest of the patient cannot be improved, or the mechanism is single, the training requirements of up-and-down, left-and-right swinging and internal-external rotation of the shoulder joint cannot be realized, and the rehabilitation effect of the patient is reduced.
The elastic pull wire is arranged on the pull wire fixing disc and the pull wire rotating disc, and the pull wire rotating shaft is used for fixing the upper limb fixing device, so that the shoulder joint movement angle is in direct proportion to the resistance; the balls arranged at the two ends of the elastic stay wire are clamped in the axial through grooves arranged at the edges of the stay wire fixing disc and the stay wire rotating disc, so that the elastic stay wire is quickly removed or increased, and the shoulder joint movement resistance of a patient is easily changed; the connecting part of the pull wire rotating shaft and the upper limb fixing device adopts a quick fixing or loosening device to realize the quick replacement of the connecting arm and the pull wire rotating shaft; three replaceable upper limb fixing devices are adopted to meet the training requirements of up-down, left-right swinging and internal-external rotation of the shoulder joint of a patient; an angle sensor is arranged between the pull wire rotating shaft and the pull wire fixing disc, so that the angle of the shoulder movement of the patient is detected in real time, the speed of the shoulder joint movement is calculated, and the evaluation on the shoulder joint movement of the patient is realized.
Disclosure of Invention
The invention aims to: provides a shoulder joint rehabilitation training and evaluating device with shoulder joints swinging up and down, left and right, internal and external rotation and movement angle in direct proportion to resistance for patients with shoulder joint dysfunction caused by cerebrovascular diseases, joint trauma and brain trauma.
The purpose of the invention is realized as follows: a shoulder joint rehabilitation training and evaluating device comprises a base 1, an angle adjusting arm 3 and an upper limb fixing device, wherein the base 1 is fixedly provided with a stand column 2, the stand column 2 is arranged along the vertical direction, a sliding sleeve 4 is fixedly arranged on the stand column 2, the fixing position of the sliding sleeve 4 on the stand column 2 is adjustable, one end of the angle adjusting arm 3 is directly or indirectly fixed on the sliding sleeve 4, the angle of the angle adjusting arm 3 and the stand column 2 can be adjusted, the other end of the angle adjusting arm 3 is fixedly provided with a supporting body 9, a stay wire fixing disc 20 is fixedly arranged on the supporting body 9, the central hole of the stay wire fixing disc 20 is rotatably connected with the lower end of a stay wire rotating disc 23, the stay wire rotating disc 21 is fixed on the upper portion of the stay wire rotating disc 23, the stay wire rotating disc 23 penetrates through the upper end of the stay wire rotating disc 21 to fix the upper limb fixing device through a quick connection structure, two ends of a plurality of elastic stay wires are fixedly connected with the stay wire fixing disc 20 and the stay wire rotating disc 21 respectively, the number of the elastic stay wires can be adjusted, an angle sensor is arranged between the stay wire rotating disc and the stay wire rotating disc, and the stand column 2 is provided with a weight reducing device for compensating the weight of the angle adjusting arm 3 and the upper limb fixing device.
The structure of the one end of the angle adjusting arm 3 directly or indirectly fixed on the sliding sleeve 4 is: sliding sleeve 4 front side external surface fixed disc 5, fixed disc 5's the fixed regulating arm axle 19 in center, angle modulation arm 3 and rotating disc 6 rotate with the front end of regulating arm axle 19 and be connected, the fixed rotating disc 6 in angle modulation arm 3 upper end is provided with the fixing device of rotating disc 6 on the fixed disc 5 for realize the angle modulation arm 3 fixed after the angular adjustment that stand 2 was.
The fixing device provided with the rotating disc 6 on the fixed disc 5 has the following structure: the rotating disc 6 is provided with a semicircular axial through groove 601, the axial through groove 601 is coaxial with the adjusting arm shaft 19, a disc set screw 18 penetrates through the compression gasket 17 and then penetrates through the through groove 601 to be screwed in a threaded hole II formed in the fixed disc 5, the diameter of the compression gasket 17 is larger than the groove width of the axial through groove 601, the compression gasket 17 is compressed by screwing the disc set screw 18, and the compression gasket 17 compresses two sides of the axial through groove 601.
The upright post 2 is provided with a weight reduction device, and the structure is as follows: one end of a weight-reducing stay wire 11 is fixed on the sliding sleeve 4, the other end of the weight-reducing stay wire 44 is fixed with a balancing weight 15 after passing around a fixed pulley 12, the balancing weight 15 is connected with an inner hole of the sliding sleeve 4 in a sliding manner, the fixed pulley is rotatably arranged in the middle of a pulley shaft 13, the left side and the right side of the pulley shaft 13 are fixed on a pulley frame 14, and the pulley frame 14 is fixed at the upper end of the upright post 2.
The structure that the two ends of the elastic stay wire are respectively and fixedly connected with the stay wire fixed disc 20 and the stay wire rotating disc 21 is as follows: the circumference outer edge of the stay wire rotating disc 21 is uniformly provided with a plurality of axial notches I211, the circumference outer edge of the stay wire fixing disc 20 is uniformly provided with a plurality of axial notches II 201, the axial notches I211 and the axial notches II 201 are equal in number and are in one-to-one correspondence along the vertical direction, an elastic stay wire 8 is installed on the axial notches I211 and the axial notches II 201 which are in up-and-down correspondence, the length of the elastic stay wire 8 is smaller than the distance from the upper surface of the stay wire rotating disc 21 to the lower surface of the stay wire fixing disc 20, round balls 801 are arranged at two ends of the elastic stay wire 8, the diameter of each round ball 801 is larger than the width of the axial notch I211 and the axial notch II 201, and the round balls 801 at the upper end and the lower end of the elastic stay wire 8 are respectively clamped on the axial notches I211 and the axial notches II 201.
The quick connection structure that the stay wire rotating shaft 23 penetrates through the upper end of the stay wire rotating disc 21 to fix the upper limb fixing device through the quick connection structure is as follows: the upper end of the stay wire rotating shaft 23 is of a hollow structure, the front side of the upper end of the stay wire rotating shaft 23 is provided with an axial gap three 233 which penetrates through to the center, two sides of the axial gap 233 extend towards the front side to form vertical beams 232, the vertical beams 232 on the two sides are provided with rotating shaft fastening bolts 24 for tightening the rotating shaft fastening bolts 24 to narrow the axial gap three 233 and clamp the lower end of a connecting shaft one 221 on the upper limb fixing device one, the stay wire rotating shaft 23 is provided with a semicircular gap 231 along the circumferential direction, the semicircular gap 231 is located at the lower end of the axial gap three 233 and used for achieving the effect that the stay wire rotating shaft 23 above the semicircular gap 231 is easy to elastically deform and is easy to fix or loosen the upper limb fixing device one.
The angle dial I is attached to the fixed disc 5, the numerical position of the angle dial I and the axial through groove 601 are in axial symmetry about the adjusting arm shaft 19, when the angle adjusting arm 3 is rotated, the numerical value of the angle dial I is exposed from the axial through groove 601, so that a patient can read the deflection angle of the angle adjusting arm 3, and the angle adjusting arm is convenient for different patients to use.
The structure that the fixed position of the sliding sleeve 4 on the upright post 2 can be adjusted is as follows: stand 2 is square hollow structure, the square hole of sliding sleeve 4 and the outer wall sliding connection of stand 2, the protruding 401 hole of cylinder for running through to the screw hole one of sliding sleeve inner wall, the tight set bolt 10 of sliding sleeve that closes soon in the protruding 401 internal thread hole of cylinder for fixed sliding sleeve 4 is on stand 2, perhaps loosens sliding sleeve 4, realizes that the fixed position of sliding sleeve on stand 2 is adjustable.
The upper limb fixing device comprises a first upper limb fixing device, the first upper limb fixing device 22 comprises a first connecting shaft 221 and a first handle 225, the lower end of the first connecting shaft 221 is fixed by the stay wire rotating shaft 23, the left end of the first connecting shaft 221 is fixed at the upper end of the first cross beam 224, the left end upper side of the first cross beam 224 is fixed with a forearm support 222, a forearm binding band 223 is fixed on the forearm support 222, a right sliding connection hand sliding sleeve 226 inner hole of the first cross beam 224 is formed in the hand sliding sleeve 226, a hand fastening bolt 227 is arranged on the hand sliding sleeve 226 and used for adjusting the fixing position of the hand sliding sleeve 226 on the first cross beam 224, and the first handle 225 is fixed on the outer surface of the hand sliding sleeve 226.
The upper limb fixing device comprises a second upper limb fixing device, the second upper limb fixing device 26 comprises a second connecting shaft 268, a second cross beam 262, a sliding beam 263 and a second handle 265, the lower end of the second connecting shaft 268 is fixed by the wire-pulling rotating shaft 23, the upper end of the second connecting shaft 268 is fixed in the middle of the second cross beam 262, the upper side of the second cross beam 262 is connected with the sliding beam 263 in a sliding mode, an oblique beam 267 is fixed at one side end of the sliding beam 263 and extends out along the extending direction and above the sliding beam 263, the upper end of the oblique beam 267 is rotatably connected with a second handle bracket shaft 266, the second handle bracket shaft 266 is fixed with the second handle bracket 264, and the second handle bracket 265 is fixed on the second handle bracket 264.
The upper limb fixing device comprises a third upper limb fixing device, the third upper limb fixing device 27 comprises a third connecting shaft 271 and a third handle 273, the lower end of the third connecting shaft 271 is fixed by the wire-pulling rotating shaft 23, a hand bracket 272 is fixed at the upper end of the third connecting shaft 271, and the third handle 273 is fixed on the hand bracket 272.
The upright post 2 is provided with a placing rack 25, and the placing rack 25 is provided with a placing hole for fixing the upper limb fixing device.
The left side and the right side of the sliding sleeve 4 are provided with sliding sleeve handles 402 for gripping when the sliding sleeve 4 is lifted.
The upper end of the upright post 2 is provided with a protective cover 7 for covering the fixed pulley 12.
The number of the elastic pull lines is 8 or 16.
Compared with the prior art, the invention has the following advantages:
1. the elastic pull wire is arranged on the pull wire fixing disc and the pull wire rotating disc, and the pull wire rotating shaft is used for fixing the upper limb fixing device, so that the shoulder joint movement angle is in direct proportion to the resistance;
2. the balls arranged at the two ends of the elastic stay wire are clamped in the axial through grooves arranged at the edges of the stay wire fixing disc and the stay wire rotating disc, so that the elastic stay wire is quickly removed or added, and the movement resistance of the shoulder joint of a patient is easily changed;
3. the connecting part of the pull wire rotating shaft and the upper limb fixing device adopts a quick fixing or loosening device to realize the quick replacement of the connecting arm and the pull wire rotating shaft;
4. three replaceable upper limb fixing devices are adopted to meet the training requirements of up-and-down, left-and-right swinging and internal-and-external rotation of the shoulder joint of a patient;
5. an angle sensor is arranged between the pull wire rotating shaft and the pull wire fixing disc, so that the angle of the shoulder movement of the patient is detected in real time, the speed of the shoulder joint movement is calculated, and the evaluation on the shoulder joint movement of the patient is realized.
Drawings
Fig. 1 is a general configuration diagram of a shoulder joint rehabilitation training and evaluation device.
Fig. 2 is a schematic structural view of a height adjusting portion of the shoulder joint rehabilitation training and evaluating device.
Fig. 3 is a structural diagram of a weight reduction part of the shoulder joint rehabilitation training and evaluation device.
Fig. 4 is a schematic structural view of the shoulder joint rehabilitation training and evaluation device for fixing the angle adjusting arm.
Fig. 5 is a schematic view of the resistance device.
Fig. 6 is a schematic structural view of the connection of the resistance device and the upper limb fixing device.
Fig. 7 is a structural view of the upper limb fixing device fixed by the resistance part.
Fig. 8 is a schematic structural view of the second upper limb fixing device.
Fig. 9 is a schematic structural view of the connection of the resistance device and the second upper limb fixing device.
Fig. 10 is a schematic structural view of the third upper limb fixing device.
Fig. 11 is a schematic structural view of the connection of the resistance device and the upper limb fixing device III.
Fig. 12 is a schematic structural view of the first, second and third upper limb fixing devices fixed by the placing frame.
Detailed Description
Referring to fig. 1-12, a shoulder joint rehabilitation training and evaluating device includes a base 1, an upright column 2, an angle adjusting arm 3, an upright column sliding sleeve 4, a fixed disc 5, a rotating disc 6, a protective cover 7, an elastic stay wire 8, a supporting body 9, a sliding sleeve fastening bolt 10, a weight-reducing stay wire 11, a fixed pulley 12, a pulley shaft 13, a pulley frame 14, a balancing weight 15, a pressing gasket 17, a disc fastening screw 18, an adjusting arm shaft 19, a stay wire fixed disc 20, a stay wire rotating disc 21, a first upper limb fixing device 22, a stay wire rotating shaft 23, a rotating shaft fastening bolt 24, a placing frame 25, a second upper limb fixing device 26, and a third upper limb fixing device 27, wherein the lower end of the upright column 2 is fixed on the upper surface of the base 1, the upright column 2 is arranged in a vertical direction, the upright column 2 is in a square hollow structure, a square inner hole of the sliding sleeve 4 is slidably connected with the outer wall of the upright column 2, a first cylindrical protrusion 401 inner hole of the sliding sleeve arranged on the sliding sleeve 4 is a threaded hole penetrating through to the inner wall of the sliding sleeve, the sliding sleeve 401 is a first threaded hole of the sliding sleeve 10 for fixing the sliding sleeve 4 on the upright column 2, or loosening the sliding sleeve 4 to realize an adjustable fixing position on the upright column 2. The left and right sides of the sliding sleeve 4 are provided with sliding sleeve handles 402 for gripping when the sliding sleeve 4 is lifted.
The outer surface of the front side of the sliding sleeve 4 is fixed with the fixed disc 5, the rear side surface of the sliding sleeve 4 is fixed with one end of a weight-reducing stay wire 11, the weight-reducing stay wire 44 bypasses the fixed pulley 12 and then the other end of the weight-reducing stay wire is fixed with the counterweight 15, the counterweight 15 is connected with the inner hole of the sliding sleeve 4 in a sliding manner, the fixed pulley is rotatably arranged in the middle of the pulley shaft 13, the left side and the right side of the pulley shaft 13 are fixed on the pulley frame 14, the pulley frame 14 is fixed at the upper end of the upright post 2, and the upper end of the upright post 2 is provided with the protective cover 7 for covering the fixed pulley 12, so that the shoulder joint rehabilitation training and evaluation device is more beautiful.
The rear end of an adjusting arm shaft 19 is fixed at the circular central position of the fixed disc 5, a rotating disc 6 is fixed on the rear side surface of the upper end of the angle adjusting arm 3, the angle adjusting arm 3 and the rotating disc 6 are rotatably connected with the front end of the adjusting arm shaft 19, a semicircular axial through groove 601 is formed in the rotating disc 6, the axial through groove 601 is coaxially arranged with the adjusting arm shaft 19, a disc fastening screw 18 penetrates through a pressing gasket 17 and then is screwed into a threaded hole two formed in the fixed disc 5 after penetrating through the through groove 601, the pressing gasket 17 is pressed through screwing the disc fastening screw 18, the pressing gasket 17 presses two sides of the axial through groove 601 tightly, the rotating disc 6 is fixed, the diameter of the pressing gasket 17 is larger than the groove width of the axial through groove 601, the disc fastening screw 18 is unscrewed, the rotating disc 6 is realized through loosening, the angle adjusting arm 3 rotates to a proper position around the adjusting arm shaft 19, the angle adjusting arm 19 is fixed on the fixed disc 5, and the deflection angle of the angle adjusting arm can be adjusted relative to the fixed disc 5. The angle dial I is attached to the fixed disc, the numerical position of the angle dial I and the axial through groove 601 are in axial symmetry about the adjusting arm shaft 19, when the angle adjusting arm 3 is rotated, the numerical value of the angle dial I is exposed from the axial through groove 601, a patient can read the deflection angle of the angle adjusting arm 3, and the angle adjusting arm is convenient for different patients to use.
The lower end of the angle adjusting arm 3 is fixed on the rear side surface of the support body 9, the upper surface of the support body 9 is fixed with a stay wire fixing disc 20, the central hole of the stay wire fixing disc 20 is rotatably connected with the lower end of a stay wire rotating shaft 23, the upper part of the stay wire rotating shaft 23 is fixed with a stay wire rotating disc 21, and the stay wire rotating shaft 23 penetrates through the upper end of the stay wire rotating disc 21 to be fixed with an upper limb fixing device I22.
As shown in fig. 5-6, 16 axial notches one 211 are uniformly distributed at the outer edge of the circumference of the wire pulling rotating disc 21, 16 axial notches two 201 are uniformly distributed at the outer edge of the circumference of the wire pulling fixing disc 20, the axial notches one 211 and the axial notch two 201 correspond to each other in the vertical direction one by one, an elastic wire pulling 8 is installed at the axial notch one 211 and the axial notch two 201 which correspond to each other in the vertical direction, the length of the elastic wire pulling 8 is smaller than the distance from the upper surface of the wire pulling rotating disc 21 to the lower surface of the wire pulling fixing disc 20, round balls 801 are arranged at two ends of the elastic wire pulling 8, the diameter of each round ball 801 is larger than the width of the axial notch one 211 and the axial notch two 201, and the round balls 801 at the upper end and the lower end of the elastic wire pulling 8 are respectively clamped on the axial notches one 211 and the axial notch two 201, so that the elastic wire pulling 8 provides elastic resistance when the wire pulling rotating disc 21 rotates.
As shown in fig. 6-7, when the shoulder joint strength of the patient is weak, the elastic pull wire 8 is stretched, the elastic pull wire 8 is taken down from the first axial notch 211 and the second axial notch 201 at an interval, the 8 elastic pull wires are taken down in fig. 6, when the pull wire rotating shaft 23 is driven by the upper limbs of the patient to rotate, the provided resistance is reduced, the elastic pull wire 8 is stretched and placed in the first axial notch 211 and the second axial notch 201 along with the recovery and the improvement of the shoulder joint strength of the patient, the elastic pull wire 8 is loosened, the round balls 801 at the two ends of the elastic pull wire 8 are clamped on the first axial notch 211 and the second axial notch 201, the resistance of the shoulder joint movement of the patient is increased, the round balls 801 at the two ends of the elastic pull wire 8 are utilized, and the first axial notches 211 and the second axial notches 201 are correspondingly arranged in the up-down direction one-to-one, so that the two ends of the elastic pull wire 8 are fixedly connected with the pull wire rotating disc 21 and the pull wire fixing disc 20, and the quick removal and increase of the elastic pull wire 8 are realized. The upper end of the stay wire rotating shaft 23 is of a hollow structure, the front side of the upper end of the stay wire rotating shaft 23 is provided with a third axial gap 233 which penetrates through the center, two sides of the axial gap 233 extend towards the front side to form vertical beams 232, the vertical beams 232 on the two sides are provided with rotating shaft fastening bolts 24 for realizing that the rotating shaft fastening bolts 24 are screwed to narrow the third axial gap 233 and clamp the lower end of a first connecting shaft 221 on the first upper limb fixing device, the stay wire rotating shaft 23 is provided with a semicircular gap 231 along the circumferential direction, the semicircular gap 231 is positioned at the lower end of the third axial gap 233 and is used for realizing that the stay wire rotating shaft 23 above the semicircular gap 231 is easy to elastically deform and is easy to fix or loosen the first upper limb fixing device.
The upper limb fixing device I22 comprises a connecting shaft I221, a cross beam I224, a small arm support I222, a small arm binding band I223, a handle I225, a hand sliding sleeve 226, a hand fastening bolt 227 and a pointer I228, wherein the upper end of the connecting shaft I221 is fixed at the left end of the cross beam I224, the small arm support I222 is fixed at the upper side of the left end of the cross beam I224, the small arm binding band I223 is fixed on the small arm support I222, the right part of the cross beam I224 is in sliding connection with an inner hole of the hand sliding sleeve 226, the hand fastening bolt 227 is arranged on the hand sliding sleeve 226 and used for adjusting the fixing position of the hand sliding sleeve 226 on the cross beam I224, the handle I225 is fixed on the outer surface of the hand sliding sleeve 226, a pointer I228 extending downwards is arranged below the left side of the cross beam I224, an angle dial II is fixed on the upper surface of the stay wire rotating disc 21, and the pointer I228 is used for indicating the initial angle of a shoulder joint of a patient, so that different patients can conveniently record and adapt to the initial angle of the patients when being repeatedly used.
The lower end of the pull wire rotating shaft 23 is fixed with a rotating part of the angle sensor, the pull wire fixing disc 20 is fixed with a shell or a fixing part of the angle sensor, and the device is used for detecting the deflection angle of the pull wire rotating shaft 23 relative to the pull wire fixing disc 20 during rehabilitation training or evaluation of the shoulder joint of a patient, so that the motion angle of the shoulder joint of the patient is detected.
As shown in fig. 8, the second upper limb fixing device 26 includes a second connecting shaft 268, a second cross beam 262, a sliding beam 263, a second handle bracket 264, a second handle 265, a second handle bracket shaft 266, an oblique beam 267, and a second pointer 261, the upper end of the second connecting shaft 268 is fixed in the middle of the second cross beam 262, the upper side of the second cross beam 262 is slidably connected with the sliding beam 263, the oblique beam 267 is fixed at one side end of the sliding beam 263, the oblique beam 267 extends along the extending direction and upward of the sliding beam 263, the upper end of the oblique beam 267 is rotatably connected with the second handle bracket shaft 266, the second handle bracket 264 is fixed by the second handle bracket shaft 266, the second handle 265 is fixed on the second handle bracket 264, and the second pointer 261 extending downward is arranged at the lower part of the second connecting shaft 268.
As shown in fig. 9, the angle-adjusting arm 3 is adjusted in the horizontal direction, the lower end of the second connecting shaft 268 in the second upper limb fixing device 26 is fixed at the upper end of the pull wire rotating shaft 23, the back of the patient faces the left side of the upright post 2, the right hand of the patient grasps the second handle 265, and the sliding beam 263 slides back and forth to enable the shoulder joint of the patient to coincide with the central axis of the second connecting shaft 268, so that the upper limb of the patient swings up and down, and the strength training of the shoulder joint of the patient can be realized.
As shown in fig. 10, the upper limb fixing device iii 27 includes a connecting shaft iii 271, a hand bracket 272, a handle iii 273 and a pointer iii 274, the hand bracket 272 is fixed on the upper end of the connecting shaft iii 271, the handle iii 273 is fixed on the hand bracket 272, and the pointer iii 274 extending downward is arranged on the lower part of the connecting shaft iii 271.
As shown in fig. 11, the angle-adjusting arm 3 is adjusted to be in the horizontal direction, the lower end of the connecting shaft three 271 of the upper limb fixing device three 27 is fixed at the upper end of the pull-wire rotating shaft 23, the patient faces the support body 9, the handle three 273 is grasped by the right hand, and the height of the sliding sleeve 4 is adjusted, so that the shoulder joint of the patient is overlapped with the central axis of the connecting shaft three 271, the upper limb of the patient is twisted inwards and outwards, and the twisting exercise training in and outwards of the shoulder joint of the patient is realized.
The rear side of the lower end of the upright post 2 is provided with a fixed placing rack 25, the placing rack 25 is provided with a placing hole I251 in the horizontal direction, a placing hole II 252 and a placing hole III 253 in the vertical direction, the connecting shaft I221 is respectively used for fixing an upper limb fixing device I22, a connecting shaft II 268 is used for fixing an upper limb fixing device II 26 and a connecting shaft III 271 is used for fixing an upper limb fixing device III 27, when a patient does not need to train, the upper limb fixing device I22, the upper limb fixing device II 26 and the upper limb fixing device III 27 are fixed on the placing rack 25, the upper limb fixing device I22 is taken down to be fixed on the stay wire rotating shaft 23 when the shoulder joint is required to swing left and right, the other two upper limb fixing devices are fixed on the placing rack 25, the upper limb fixing device II 26 is taken down to be fixed on the stay wire rotating shaft 23 when the shoulder joint is required to swing up and down, the other two upper limb fixing devices are fixed on the placing rack 25, the upper limb fixing device III 27 is taken down to be fixed on the stay wire rotating shaft 23 when the shoulder joint is required to twist inside and outside.
When a patient needs to train the right shoulder joint, when the right shoulder joint swings left and right, the patient stands or sits on the left side of the supporting body 9, the disc fastening screw 18 is unscrewed, the angle adjusting arm 3 is adjusted to be in a vertical state, or the included angle between the angle adjusting arm 3 and the upright post 2 is adjusted according to the comfort degree of the patient, the disc fastening screw 18 is screwed, the sliding sleeve 4 is fixed, the lower end of the connecting shaft I221 of the upper limb fixing device I22 is inserted into the round hole at the upper end of the stay wire rotating shaft 23, the elbow joint of the patient is placed in the small arm support I222, the initial angle of the cross beam I224 is adjusted, the comfort degree of the patient is improved, the rotating shaft fastening bolt 24 is locked, the connecting shaft I221 is clamped and fixed by the round hole at the upper end of the stay wire rotating shaft 23, the sliding sleeve fastening bolt 10 is unscrewed, and the height of the sliding sleeve 4 is adjusted, the right big arm of the patient is collinear with the first connecting shaft 221, so that the shoulder joint of the patient is located on the axis of the first connecting shaft 221, the hand tightening bolt 227 is loosened, the sliding position of the hand sliding sleeve 226 on the first cross beam 224 is adjusted to adapt to the position of the hand of the patient, the right hand of the patient grips the first handle 225, the hand tightening bolt 227 is screwed to fix the hand sliding sleeve 226, the upper limb on the right side of the patient swings left and right to drive the wire pulling rotating shaft 23 to rotate, the wire pulling rotating disc 21 fixed on the wire pulling rotating shaft 23 rotates, the elastic pulling wire 8 is pulled to extend to provide resistance, the left-right swinging angle of the upper limb of the patient is in direct proportion to the received resistance, if the left shoulder joint of the patient swings left and right to perform rehabilitation training, the patient only needs to stand or sit on the right side of the support body 9, and the rest adjustment is the same as the left-right swinging of the right shoulder joint.
When the patient need train right side shoulder joint luffing motion training, angle of adjustment regulating arm 3 is in the right side of stand 2, and be in the horizontal direction or according to patient's comfortable degree angle of adjustment regulating arm 3 and stand 2's contained angle size, the height of adjustment sliding sleeve 4, the connecting axle two 268 lower extreme of the fixed upper limbs fixing device two 26 in 23 upper ends of acting as go-between, patient's back is towards the left side of stand 2, handle two 265 is grabbed to patient's right hand, the fore-and-aft direction sliding position of adjustment sliding beam 263, make patient's shoulder joint and the central axis coincidence of connecting axle two 268, patient's upper limbs luffing motion, realize patient's shoulder joint luffing motion's strength training. If patient's left side shoulder joint luffing motion training, angle of adjustment regulating arm 3 is in the left side of stand 2, and is in the horizontal direction or according to patient's comfortable degree angle of adjustment regulating arm 3 and stand 2's contained angle size, and patient's back is towards the right side of stand 2, and all the other adjustments are the same with right side shoulder joint luffing motion.
When the shoulder joint on the right side of the patient needs to do inward and outward twisting motion, the angle adjusting arm 3 is adjusted to be positioned on the right side of the upright post 2 and is positioned in the horizontal direction or the included angle between the angle adjusting arm 3 and the upright post 2 is adjusted according to the comfort degree of the patient, the lower end of the connecting shaft III 271 of the upper limb fixing device III 27 is fixed at the upper end of the stay wire rotating shaft 23, the patient faces the supporting body 9, the handle III 273 is grasped by the right hand, the height of the sliding sleeve 4 is adjusted, the shoulder joint of the patient is coincided with the central axis of the connecting shaft III 271, the upper limb of the patient twists inward and outward, and the inward and outward twisting motion training of the shoulder joint of the patient is realized. If the left shoulder joint of the patient does inward and outward twisting movement, the angle adjusting arm 3 is adjusted to be positioned at the left side of the upright post 2 and to be positioned in the horizontal direction or to adjust the included angle between the angle adjusting arm 3 and the upright post 2 according to the comfort degree of the patient, the patient faces the support body 9, and the rest adjustment is the same as the inward and outward twisting movement of the right shoulder joint.
If the shoulder joint strength of the patient is weak hour, the elastic pull wire 8 is stretched, the elastic pull wire 8 is taken down from the first axial gap 211 and the second axial gap 201 at intervals, when the upper limb of the patient drives the pull wire rotating shaft 23 to rotate, the resistance is reduced, the shoulder joint strength of the patient is recovered and improved, the elastic pull wire 8 is stretched and placed in the first axial gap 211 and the second axial gap 201, the elastic pull wire 8 is loosened, and the balls 801 at the two ends of the elastic pull wire are clamped on the first axial gap 211 and the second axial gap 201, so that the resistance to shoulder joint movement of the patient is increased.

Claims (12)

1. A shoulder joint rehabilitation training and evaluating device comprises a base (1), an angle adjusting arm (3) and an upper limb fixing device, wherein an upright post (2) is fixed on the base (1), the upright post (2) is arranged along the vertical direction, a sliding sleeve (4) is fixed on the upright post (2), the fixing position of the sliding sleeve (4) on the upright post (2) is adjustable, one end of the angle adjusting arm (3) is directly or indirectly fixed on the sliding sleeve (4), the angle between the angle adjusting arm (3) and the upright post (2) is adjustable, a supporting body (9) is fixed at the other end of the angle adjusting arm (3), a stay wire fixing disc (20) is fixed on the supporting body (9), a central hole of the stay wire fixing disc (20) is rotatably connected with the lower end of a stay wire rotating shaft (23), a stay wire rotating disc (21) is fixed on the upper part of the stay wire rotating shaft (23), the upper limb fixing device is fixed through a quick connection structure, two elastic ends of a plurality of stay wires are respectively and fixedly connected with the stay wire fixing disc (20) and the stay wire rotating disc (21), the number of the elastic stay wires is adjustable, a weight reducing sensor is arranged on the upright post (2);
the upper limb fixing device comprises a first upper limb fixing device, a second upper limb fixing device and a third upper limb fixing device, the first upper limb fixing device (22) comprises a first connecting shaft (221) and a first handle (225), the lower end of the first connecting shaft (221) is fixed by the stay wire rotating shaft (23), the left end of a first cross beam (224) is fixed at the upper end of the first connecting shaft (221), a first forearm support (222) is fixed on the left end of the first cross beam (224), a first forearm binding band (223) is fixed on the first forearm support (222), the right part of the first cross beam (224) is connected with an inner hole of a hand sliding sleeve (226) in a sliding manner, a hand fastening bolt (227) is arranged on the hand sliding sleeve (226) and used for adjusting the fixing position of the hand sliding sleeve (226) on the first cross beam (224), and the first handle (225) is fixed on the upper side of the outer surface of the hand sliding sleeve (226);
the second upper limb fixing device (26) comprises a second connecting shaft (268), a second crossbeam (262), a sliding beam (263) and a second handle (265), the lower end of the second connecting shaft (268) is fixed by the stay wire rotating shaft (23), the middle part of the second crossbeam (262) is fixed at the upper end of the second connecting shaft (268), the sliding beam (263) is connected to the upper side of the second crossbeam (262) in a sliding manner, an oblique beam (267) is fixed at one side end of the sliding beam (263), the oblique beam (267) extends out along the extending direction and upwards of the sliding beam (263), the upper end of the oblique beam (267) is rotatably connected with a second handle bracket shaft (266), the second handle bracket shaft (266) is fixed on the second handle bracket (264), and the second handle (265) is fixed on the second handle bracket (264);
the third upper limb fixing device (27) comprises a third connecting shaft (271) and a third handle (273), the lower end of the third connecting shaft (271) is fixed by the wire pulling rotating shaft (23), a hand bracket (272) is fixed at the upper end of the third connecting shaft (271), and the third handle (273) is fixed on the hand bracket (272).
2. The shoulder joint rehabilitation training and evaluation device according to claim 1, wherein: the structure of the one end of the angle adjusting arm (3) directly or indirectly fixed on the sliding sleeve (4) is as follows: sliding sleeve (4) front side external surface fixed disc (5), the fixed adjusting arm axle in center (19) of fixed disc (5), angle modulation arm (3) and rotation disc (6) rotate with the front end of adjusting arm axle (19) and be connected, fixed rotation disc (6) in angle modulation arm (3) upper end is provided with the fixing device of rolling disc (6) on fixed disc (5) for realize the angle modulation arm (3) and stand (2) the angle adjustment that is fixed after fixed.
3. The shoulder joint rehabilitation training and evaluation device according to claim 2, wherein: the fixing device provided with the rotating disc (6) on the fixed disc (5) has the following structure: the rotary disc (6) is provided with a semicircular axial through groove (601), the axial through groove (601) and an adjusting arm shaft (19) are coaxially arranged, a disc set screw (18) penetrates through the pressing gasket (17) and then penetrates through the through groove (601) and then is screwed in a threaded hole II formed in the fixed disc (5), the diameter of the pressing gasket (17) is larger than the groove width of the axial through groove (601), the pressing gasket (17) is pressed through screwing the disc set screw (18), and the pressing gasket (17) presses two sides of the axial through groove (601).
4. The shoulder joint rehabilitation training and evaluation device of claim 1, wherein: the upright post (2) is provided with a weight reduction device, and the structure is as follows: the weight-reducing pull wire is characterized in that one end of a weight-reducing pull wire (11) is fixed on the sliding sleeve (4), a counterweight block (15) is fixed at the other end of the weight-reducing pull wire (44) after the weight-reducing pull wire passes around a fixed pulley (12), the counterweight block (15) is connected with an inner hole of the sliding sleeve (4) in a sliding manner, the fixed pulley is rotatably installed in the middle of a pulley shaft (13), the left side and the right side of the pulley shaft (13) are fixed on a pulley frame (14), and the pulley frame (14) is fixed at the upper end of the upright post (2).
5. The shoulder joint rehabilitation training and evaluation device of claim 1, wherein: the structure that the two ends of the elastic stay wire are respectively and fixedly connected with the stay wire fixing disc (20) and the stay wire rotating disc (21) is as follows: the guy wire fixing disc is characterized in that a plurality of axial notches I (211) are uniformly distributed on the circumferential outer edge of the guy wire rotating disc (21), a plurality of axial notches II (201) are uniformly distributed on the circumferential outer edge of the guy wire fixing disc (20), the axial notches I (211) and the axial notches II (201) are equal in number and correspond to each other in the vertical direction one by one, an elastic guy wire (8) is installed at the axial notches I (211) and the axial notches II (201) which correspond to each other vertically, the length of the elastic guy wire (8) is smaller than the distance from the upper surface of the guy wire rotating disc (21) to the lower surface of the guy wire fixing disc (20), round balls (801) are arranged at two ends of the elastic guy wire (8), the diameter of each round ball (801) is larger than the widths of the axial notches I (211) and the axial notches II (201), and the round balls (801) at the upper end and the lower end of the elastic guy wire (8) are respectively clamped on the axial notches I (211) and the axial notches II (201).
6. The shoulder joint rehabilitation training and evaluation device of claim 1, wherein: stay wire pivot (23) pass stay wire rolling disc (21) upper end through the quick connect structure in the fixed upper limbs fixing device of quick connect structure do: the upper end of the stay wire rotating shaft (23) is of a hollow structure, the front side of the upper end of the stay wire rotating shaft (23) is provided with a third axial gap (233) penetrating through the center, the two sides of the axial gap (233) extend towards the front side to form vertical beams (232), rotating shaft fastening bolts (24) are arranged on the vertical beams (232) on the two sides and used for realizing the purpose that the third axial gap (233) is narrowed by screwing the rotating shaft fastening bolts (24) to clamp the lower end of a first connecting shaft (221) on the first upper limb fixing device, a semicircular gap (231) in the circumferential direction is arranged on the stay wire rotating shaft (23), and the semicircular gap (231) is located at the lower end of the third axial gap (233) and used for realizing the purpose that the stay wire rotating shaft (23) above the semicircular gap (231) is easy to elastically deform and is easy to fix or loosen the first upper limb fixing device.
7. The shoulder joint rehabilitation training and evaluation device of claim 3, wherein: the angle dial I is attached to the fixed disc (5), the numerical position of the angle dial I and the axial through groove (601) are axially symmetrical about the adjusting arm shaft (19), when the angle adjusting arm (3) is adjusted in a rotating mode, the numerical position of the angle dial I is exposed from the axial through groove (601), a patient can read the deflection angle of the angle adjusting arm (3), and the angle adjusting arm is convenient to use by different patients.
8. The shoulder joint rehabilitation training and evaluation device according to any one of claims 1 to 7, wherein: the structure that the fixed position of the sliding sleeve (4) on the upright post (2) can be adjusted is as follows: stand (2) are square hollow structure, the square hole of sliding sleeve (4) and the outer wall sliding connection of stand (2), the protruding (401) hole of cylinder for running through to the screw hole one of sliding sleeve inner wall that sets up on sliding sleeve (4), spiral closure sliding sleeve holding bolt (10) in the internal thread hole one of the protruding (401) of cylinder for fixed sliding sleeve (4) are on stand (2), perhaps loosen sliding sleeve (4), and the fixed position of realization sliding sleeve on stand (2) is adjustable.
9. The shoulder joint rehabilitation training and evaluation device of any one of claims 1-7, wherein: the upright post (2) is provided with a placing rack (25), and the placing rack (25) is provided with a placing hole for fixing the upper limb fixing device.
10. The shoulder joint rehabilitation training and evaluation device according to any one of claims 1 to 7, wherein: the left side and the right side of the sliding sleeve (4) are provided with sliding sleeve handles (402) which are used for gripping when the sliding sleeve (4) is lifted.
11. The shoulder joint rehabilitation training and evaluation device of any one of claims 1-7, wherein: the upper end of the upright post (2) is provided with a protective cover (7) for covering the fixed pulley (12).
12. The shoulder joint rehabilitation training and evaluation device of any one of claims 1-7, wherein: the number of the elastic pull lines is 8 or 16.
CN201810155957.1A 2018-02-24 2018-02-24 Shoulder joint rehabilitation training and evaluation device Active CN108079490B (en)

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