CN108158782B - Lower limb passive exercise rehabilitation chair for surgery - Google Patents
Lower limb passive exercise rehabilitation chair for surgery Download PDFInfo
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- CN108158782B CN108158782B CN201810016745.5A CN201810016745A CN108158782B CN 108158782 B CN108158782 B CN 108158782B CN 201810016745 A CN201810016745 A CN 201810016745A CN 108158782 B CN108158782 B CN 108158782B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/024—Knee
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0266—Foot
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
- A61H39/04—Devices for pressing such points, e.g. Shiatsu or Acupressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0119—Support for the device
- A61H2201/0138—Support for the device incorporated in furniture
- A61H2201/0149—Seat or chair
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1683—Surface of interface
- A61H2201/169—Physical characteristics of the surface, e.g. material, relief, texture or indicia
- A61H2201/1695—Enhanced pressure effect, e.g. substantially sharp projections, needles or pyramids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/10—Leg
- A61H2205/102—Knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/12—Feet
- A61H2205/125—Foot reflex zones
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- Rehabilitation Therapy (AREA)
- Epidemiology (AREA)
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- General Health & Medical Sciences (AREA)
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Abstract
一种外科用下肢被动运动康复椅,其可以解决下肢运动障碍的治疗因协助人员水平对康复效果造成影响以及费时费力的问题;其包括座椅,座椅连接脚蹬座,脚蹬座上设容纳腔,容纳腔内设摆动电机和脚蹬板,摆动电机输出轴依次设有连杆、拨叉和第一圆锥齿轮,连杆连接半齿轮,脚蹬板上设放脚槽,放脚槽底面设第一孔,第一孔内设按摩柱,脚蹬板内设空腔,空腔内设顶起装置,顶起装置连接齿条,齿条和半齿轮啮合,脚蹬座后方设丝杠,丝杠连接有第二圆锥齿轮和方形螺母,第二圆锥齿轮与第一圆锥齿轮啮合,座椅下设导向块,导向块与方形螺母抵接;本发明无需人员协助即可完成人体下肢运动障碍多方位的康复训练,对下肢运动障碍有很好的疗效。
A passive motion rehabilitation chair for lower extremities for surgery can solve the problems that the treatment of lower extremity movement disorders affects the rehabilitation effect and is time-consuming and labor-intensive due to the level of assisting personnel; The accommodating cavity, the oscillating motor and the pedal board are arranged in the accommodating cavity, the output shaft of the oscillating motor is sequentially provided with a connecting rod, a shifting fork and a first bevel gear, the connecting rod is connected with the half-gear, and the pedal board is provided with a foot groove and a foot groove The bottom surface is provided with a first hole, the first hole is provided with a massage column, the pedal board is provided with a cavity, and the cavity is provided with a jacking device, the jacking device is connected to the rack, the rack and the half-gear are meshed, and a wire is arranged behind the pedal seat The lead screw is connected with a second bevel gear and a square nut, the second bevel gear is meshed with the first bevel gear, a guide block is arranged under the seat, and the guide block is in contact with the square nut; the present invention can complete the lower limbs of the human body without the assistance of personnel Multi-faceted rehabilitation training for movement disorders has a good effect on lower limb movement disorders.
Description
技术领域technical field
本发明涉及医疗器械领域,特别是涉及一种外科用下肢被动运动康复椅。The invention relates to the field of medical instruments, in particular to a surgical lower limb passive motion rehabilitation chair.
背景技术Background technique
外科用下肢被动运动康复椅是一种理疗康复器械,主要针对下肢的运动功能障碍进行康复训练,包括意外事故引起的下肢运动障碍,脑卒中后遗症引起的下肢运动障碍等。现在大多数针对下肢被动运动的康复训练都是采用人工协助的方式,费时、费力,并且康复训练效果受协助人员的水平影响而参差不齐,康复训练效果很难得到保障;并且意外事故以及脑卒中的发生率一直呈增长态势,由其引发的下肢运动功能障碍人员数量也在增多,所以迫切需要一种效果良好的康复训练下肢运动障碍的医疗器械。Surgical lower extremity passive motion rehabilitation chair is a kind of physical therapy rehabilitation equipment, mainly for rehabilitation training of lower extremity motor dysfunction, including lower extremity movement disorder caused by accident, lower extremity movement disorder caused by stroke sequelae, etc. At present, most of the rehabilitation training for passive movement of the lower limbs adopts manual assistance, which is time-consuming and labor-intensive, and the effect of rehabilitation training is uneven due to the level of the assistants, so the effect of rehabilitation training is difficult to guarantee; The incidence of stroke has been increasing, and the number of people with lower extremity motor dysfunction caused by it is also increasing. Therefore, there is an urgent need for a medical device with good effect for rehabilitation training of lower extremity motor dysfunction.
发明内容SUMMARY OF THE INVENTION
针对上述情况,为克服现有技术之缺陷,本发明提供一种外科用下肢被动运动康复椅,其可以解决下肢运动功能障碍康复训练,因协助人员的水平不同对康复效果造成影响,以及康复训练费时、费力的问题。In view of the above situation, in order to overcome the defects of the prior art, the present invention provides a lower limb passive motion rehabilitation chair for surgery, which can solve the rehabilitation training of lower limb motor dysfunction, and the rehabilitation effect is affected by the different levels of assisting personnel, and the rehabilitation training Time-consuming and laborious problems.
其解决的技术方案是,一种外科用下肢被动运动康复椅,包括座椅,座椅设有坐板,坐板前端转动连接有脚蹬座,脚蹬座包括水平板和竖直板;水平板顶面向下延伸设有容纳腔,容纳腔内下部设有摆动电机,摆动电机的输出轴上沿输出轴向外方向依次设有连杆、拨叉和第一圆锥齿轮,连杆的自由端连接有半齿轮;容纳腔内上部转动连接有脚蹬板;脚蹬板顶面设有两个放脚槽,放脚槽底面设有多个第一孔,第一孔内设有按摩柱;脚蹬板内部设有空腔,空腔内设有可以将按摩柱顶起和放下的顶起装置;顶起装置固定连接齿条,齿条和半齿轮啮合;竖直板后方设有可转动的丝杠,丝杠上下端通过滚动轴承与脚蹬座连接;丝杠下部固定连接有第二圆锥齿轮,第二圆锥齿轮与第一圆锥齿轮啮合;丝杠上转动连接有方形螺母;坐板前端下面设有导向块,导向块与方形螺母相抵接。The technical scheme of the invention is: a passive motion rehabilitation chair for lower limbs for surgery, comprising a seat, the seat is provided with a seat plate, the front end of the seat plate is rotatably connected with a pedal seat, and the pedal seat includes a horizontal plate and a vertical plate; The top surface of the plate extends downward with an accommodating cavity, and the lower part of the accommodating cavity is provided with a swing motor. The output shaft of the swing motor is sequentially provided with a connecting rod, a shifting fork and a first bevel gear along the outward direction of the output shaft. The free end of the connecting rod A half-gear is connected; the upper part of the accommodating cavity is rotatably connected with a pedal board; the top surface of the pedal board is provided with two foot rest grooves, the bottom surface of the foot rest groove is provided with a plurality of first holes, and the first holes are provided with massage columns; The inside of the pedal board is provided with a cavity, and the cavity is provided with a jacking device that can jack up and down the massage column; the jacking device is fixedly connected to the rack, and the rack and the half-gear are engaged; the rear of the vertical plate is provided with a rotatable The upper and lower ends of the screw are connected with the pedal seat through rolling bearings; the lower part of the screw is fixedly connected with a second bevel gear, which meshes with the first bevel gear; the screw is rotatably connected with a square nut; the front end of the seat plate A guide block is arranged below, and the guide block is in contact with the square nut.
本发明可以对人体下肢运动障碍进行多方位的康复训练,包括进行膝关节运动、踝关节运动和脚底按摩等,对下肢运动障碍康复有很好的疗效。并且使用过程中无需人工协助,完全由康复椅完成被动运动训练,消除了因协助人员水平不同对康复效果的影响,对使用者的康复训练有极大帮助。The present invention can carry out multi-directional rehabilitation training for human lower limb movement disorder, including knee joint movement, ankle joint movement and foot massage, etc., and has good curative effect on the rehabilitation of lower limb movement disorder. In addition, there is no need for manual assistance during use, and passive exercise training is completely completed by the rehabilitation chair, which eliminates the influence of different levels of assisting personnel on the rehabilitation effect, and is of great help to the user's rehabilitation training.
附图说明Description of drawings
图1是本发明的立体视图。Figure 1 is a perspective view of the present invention.
图2是本发明的立体局部剖视图。Fig. 2 is a perspective partial cross-sectional view of the present invention.
图3是本发明的主视剖视图。Fig. 3 is a front sectional view of the present invention.
图4是图3中A区域的放大视图。FIG. 4 is an enlarged view of the area A in FIG. 3 .
图5是本发明工作位置三的右视剖视图。Fig. 5 is a right sectional view of the third working position of the present invention.
图6是本发明工作位置一的右视剖视图。Fig. 6 is a right side sectional view of the present invention in working position one.
图7是本发明工作位置二的右视剖视图。Fig. 7 is a right side sectional view of the second working position of the present invention.
图8是本发明的半齿轮的立体视图。Fig. 8 is a perspective view of the half gear of the present invention.
图9是本发明的脚蹬座的立体视图。Fig. 9 is a perspective view of the footrest of the present invention.
图10是本发明的座椅的立体视图。Fig. 10 is a perspective view of the seat of the present invention.
具体实施方式Detailed ways
以下结合附图1-10对本发明的具体实施方式做进一步详细说明。The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings 1-10.
为了便于表述,本说明书中的“前”、“后”、“左”、“右”、“上”、“下”均依据图3的放置方式设定。For the convenience of description, "front", "rear", "left", "right", "upper" and "lower" in this specification are all set according to the arrangement of FIG. 3 .
由图1-8可知,一种外科用下肢被动运动康复椅,包括座椅1,座椅1设有坐板2,坐板2前端转动连接有脚蹬座3,脚蹬座3包括水平板4和竖直板5;水平板4顶面向下延伸设有容纳腔6,容纳腔6内下部设有摆动电机7,摆动电机7的输出轴上沿输出轴向外方向依次设有连杆8、拨叉9和第一圆锥齿轮10,连杆8的自由端连接有半齿轮11;容纳腔6内上部转动连接有脚蹬板12;脚蹬板12顶面设有两个放脚槽13,放脚槽13底面设有多个第一孔14,第一孔14内设有按摩柱15;脚蹬板12内部设有空腔16,空腔16内设有可以将按摩柱15顶起和放下的顶起装置;顶起装置固定连接齿条17,齿条17和半齿轮11啮合;竖直板5后方设有可转动的丝杠18,丝杠18上下端通过滚动轴承与脚蹬座3连接;丝杠18下部固定连接有第二圆锥齿轮19,第二圆锥齿轮19与第一圆锥齿轮10啮合;丝杠18上转动连接有方形螺母20;坐板2前端下面设有导向块21,导向块21与方形螺母20相抵接。As can be seen from Figures 1-8, a surgical lower limb passive motion rehabilitation chair includes a
为了保证实施效果,座椅1设有安全扎带39,放脚槽13周边设有护脚扎带22。In order to ensure the implementation effect, the
为了保证实施效果,脚蹬板12经第一转动轴23转动连接在容纳腔6内,第一转动轴23左右方向设置。In order to ensure the implementation effect, the
为了保证实施效果,第一孔14呈矩阵形态布局设计。In order to ensure the implementation effect, the
为了保证实施效果,顶起装置包括顶起板24,顶起板24相对脚蹬板12左右方向运动;顶起板24顶面与空腔16的顶面滑动接触;顶起板24底面靠近竖直板5一侧固定连接齿条17;顶起板24顶面沿其运动方向延伸设有多排与第一孔14位置相对应的呈波浪形的沉槽25。In order to ensure the implementation effect, the jacking device includes a
为了保证实施效果,顶起板24底面沿其运动方向设有两个第一凹槽26,空腔16底面对应第一凹槽26处设有两个第二凹槽27,第一凹槽26和第二凹槽27内设有多个滚珠28。In order to ensure the implementation effect, the bottom surface of the
为了保证实施效果,半齿轮11设有第二转动轴29,第二转动轴29通过滚动轴承连接在脚蹬板12上,半齿轮11向外延伸有第一杆30,第一杆30通过关节轴承和连杆8的自由端铰连接。In order to ensure the implementation effect, the
为了保证实施效果,按摩柱15外径通过螺纹连接有圆形螺母31,第一孔14下段设有与第一孔14同心且半径大于圆形螺母31的止位槽32,止位槽32穿透空腔16顶面,圆形螺母31位于止位槽32中。In order to ensure the implementation effect, the outer diameter of the
为了保证实施效果,按摩柱15上端设有球形倒角;按摩柱15下端设有盲孔33,盲孔33内沿其轴向向下依次设置有压缩弹簧34和导柱35;导柱35上端通过螺纹连接有螺栓36,螺栓36顶面和压缩弹簧34底面相抵接;导柱35下端转动连接有导轮37,导轮37与沉槽25相抵接。In order to ensure the implementation effect, the upper end of the
为了保证实施效果,方形螺母20一端设有渐开线轮廓的倒角,导向块21设有斜面,斜面向下设有盲槽38,方形螺母20渐开线轮廓的倒角与盲槽38抵接。In order to ensure the implementation effect, one end of the
本发明在使用时,When the present invention is used,
有三个工作位置,工作位置一,即拨叉9拨到连杆8位置时,摆动电机7通过拨叉9带动连杆8摆动,第一圆锥齿轮10不能摆动;工作位置二,即拨叉9拨到第一圆锥齿轮10位置时,摆动电机通过拨叉9带动第一圆锥齿轮10摆动,连杆8不能摆动;工作位置三,即拨叉9处于连杆8和第一圆锥齿轮10的中间位置,连杆8和第一圆锥齿轮10均不能摆动。There are three working positions, the first working position, that is, when the
考虑使用者为下肢运动障碍人员,使用者康复运动时,坐上坐板2后,先扣上安全扎带39,以保证其在康复训练过程中的安全,同时调整臀部位置,使腘窝位于脚蹬座3的转动中心上方;然后双脚放在放脚槽13内,并扣上双脚的护脚扎带22,避免因使用者在做被动运动过程中双脚脱离放脚槽13造成康复训练中断,而影响康复训练过程和康复训练效果。Considering that the user is a person with lower limb movement disorders, when the user is exercising, after sitting on the
然后根据康复训练需求调节工作位置,当调节到工作位置一时,摆动电机7通过第一拨叉9带动连杆8摆动,由于连杆8通过关节轴承和半齿轮11连接,第二转动轴29通过滚动轴承连接在脚蹬板12上,脚蹬板12通过第一转动轴23转动连接在脚蹬座3上,所以此时摆动电机7会带动脚蹬板12绕第一转动轴23往复摆动,进而使用者的脚部绕踝关节往复转动,对使用者的踝关节进行被动运动康复训练;与此同时又由于半齿轮11和齿条17啮合,齿条17和顶起板24固定连接,所以摆动电机7会同步带动顶起板24在空腔16中左右往复运动,此时,由于沉槽25呈波浪形延伸设置,沉槽25会带动相对应整排的按摩柱15波浪形上下往复运动,按摩柱15波浪形上下往复运动,起按摩脚底的作用,可以很好的刺激脚底穴位,增加脚部血液流通 ;按摩柱15的上端设置的球形倒角能增加按摩的舒适度,让使用者在康复训练过程中更加主动配合,康复训练效果更加明显。Then adjust the working position according to the needs of rehabilitation training. When adjusted to working
顶起板24左右往复运动的同时,沉槽25摩擦导轮37,使导轮37绕其转轴转动,起减小运动阻力的作用,使运动更加平滑顺畅,康复效果更加理想;并且当沉槽25的波谷运动到导轮37位置时,按摩柱15最大限度没入第一孔14中,当沉槽25的波峰运动到导轮37位置时,按摩柱15最大长度伸出第一孔14并且压缩弹簧34被最大限度压缩;同时滚珠28将在第一凹槽26和第二凹槽27中往复滚动,具有保持顶起板24运动方向和减小运动阻力的作用。While the
并且针对不同的使用者的不同需求,可以通过调节圆形螺母31在按摩柱15上的位置即可调节按摩柱15伸出第一孔的最大长度,通过调节螺栓36旋入导柱35的长度即可调节压缩弹簧34的最大压缩长度,以达到不同的按摩力度要求;通过调节摆动电机7的摆动速度,调节脚蹬板12的摆动速度和按摩柱15的上下往复运动频率,以达到不同的踝关节运动速度和脚底按摩频率。And according to the different needs of different users, the maximum length of the
当需要运动使用者的膝关节时,只需要调节到工作位置二,此时摆动电机7通过拨叉9带动第一圆锥齿轮10摆动;由于第一圆锥齿轮10和第二圆锥齿轮19啮合,第二圆锥齿轮19固定连接在丝杠18上,丝杠18通过螺纹连接方形螺母20,方形螺母20抵接盲槽38,丝杠18上下端通过滚动轴承固定在脚蹬座3上,脚蹬座3转动连接在座椅1上,盲槽18设置在导向块21上,所以摆动电机7摆动会带动丝杠18摆动,进而使方形螺母20沿盲槽38上下往复运动,由于盲槽38呈斜面设置,所以脚蹬座3会绕座椅1往复摆动,对使用者的膝关节被动运动;脚蹬座3的摆动速度由摆动电机7的摆动速度控制,根据不同的使用者可以对摆动电机7的摆动速度做出相对应的设定调整,使康复训练效果更加明显、使用范围更加广泛;同时,丝杠18设置为多头丝杠、第一圆锥齿轮10和第二圆锥齿轮19的传动比小于1,可以有效的放大摆动电机的摆动角度,从而保证脚蹬座3的摆动角度最大可达到80°,达到很好的运动膝关节的效果;另外方形螺母20与盲槽38抵接处设置为渐开线轮廓的倒角,可以保证脚蹬座3在摆动过程中平稳匀速摆动,对使用者的康复训练更加安全有效。When the user's knee joint needs to be moved, it only needs to be adjusted to the second working position. At this time, the
当所有康复训练结束后,将拨叉9调节到工作位置三,并关闭电源即可。When all the rehabilitation training is over, adjust the
本发明的动力源为摆动电机7,使被动活动的速度和角度都可以根据不同的使用者的需求调整,同时按摩力度可以根据不同使用者的需求,通过调节圆形螺母31和螺栓36做出相应调整,使用范围更大和使用效果更加明显,对不同诱因引起的不同程度的下肢运动障碍都有很好的康复训练效果;另外本发明无需人工协助,完全依靠康复椅完成下肢的被动运动,避免了因协助人员水平参差不齐造成的康复效果不理想的问题。The power source of the present invention is the
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