CN108310724A - A kind of convalescence device for the training of knee articulation degree - Google Patents

A kind of convalescence device for the training of knee articulation degree Download PDF

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Publication number
CN108310724A
CN108310724A CN201810336332.5A CN201810336332A CN108310724A CN 108310724 A CN108310724 A CN 108310724A CN 201810336332 A CN201810336332 A CN 201810336332A CN 108310724 A CN108310724 A CN 108310724A
Authority
CN
China
Prior art keywords
rehabilitation
training
knee
patient
support frame
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.)
Pending
Application number
CN201810336332.5A
Other languages
Chinese (zh)
Inventor
边焱焱
翁习生
肖刻
项帅
高娜
佟冰渡
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.)
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Original Assignee
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Peking Union Medical College Hospital Chinese Academy of Medical Sciences filed Critical Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Priority to CN201810336332.5A priority Critical patent/CN108310724A/en
Publication of CN108310724A publication Critical patent/CN108310724A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0494Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee joints
    • 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
    • A61H1/024Knee
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00178Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
    • 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
    • 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
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • 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
    • A61H2205/102Knee

Landscapes

  • 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)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention belongs to medical recovering aid equipment technical fields, and in particular to a kind of convalescence device for the training of knee articulation degree can be used for the postoperative knee articulation degree rehabilitation training of knee prosthesis.Convalescence device of the present invention; by device for rehabilitation, this body support frame so that continuous cambered surface arrangement is presented between each pulley; ensure in patient motion to knee joint extreme position; still at least two groups of pulleys are touched with ground; utilize the difference in height between pulley, it is ensured that the resistanceless motion of pulley, therefore; be not in patient when reaching maximum knee joint and stretching angle and/or knee flexion angles, patient because control it is bad or take exercise it is improper caused by joint injury;Moreover, because patient is not necessarily to Overexertion, it can also extend the rehabilitation training time of patient, further strengthen knee articulation degree practice effect.

Description

A kind of convalescence device for the training of knee articulation degree
Technical field
The invention belongs to medical recovering aid equipment technical fields, and in particular to a kind of to be used for what knee articulation degree was trained Convalescence device can be used for the postoperative knee articulation degree rehabilitation training of knee prosthesis.
Background technology
Total knee arthroplasty is the whole latter stage most important treatment means of knee osteoarthritis for the treatment of, can significantly relieve pain, Knee joint function is improved, and is obviously improved quality of life.But operation wound caused by total knee arthroplasty can lead to knee In articular cavity and the inflammatory reaction of wound circumference soft tissue, and then lead to pain and swelling, influences patient's early postoperation function Exercise process, and directly influence knee joint function at a specified future date and the quality of life of patient.This requires patients to need after surgery The active and effective knee joint function exercising of carry out as early as possible avoids generation knee joint from being adhered problem.Therefore, patient needs after surgery In the case of overcoming pain, swelling etc. uncomfortable as possible, the functional training of progress active as early as possible is postoperative kneed extensive to ensure Multiple situation.
Currently, the postoperative rehabilitation generally use CPM of knee prosthesis assists knee joint passive movement, to restore kneed work Dynamic degree.Although CPM can reach the accurate of certain knee sprung number of degrees, it provides rigidity, passive health for patient It is multiple to take exercise, so that patient is felt violent pain, or secondary injury can be caused to patient's knee joint;Instrument is utilized simultaneously Passive movement usually cannot be satisfied the muscle strength training requirements of Rehabilitation later stage limbs, be also not susceptible to the effect restored.
Many rehabilitation appliances are developed in the prior art is instructed with the knee articulation degree for completing knee prosthesis postoperative patient person Practice, but most rehabilitation equipment occupations of land are larger, rehabilitation training can only be carried out in specified region, the knee of early postoperation patient is closed Section mobility rehabilitation training is simultaneously improper.
Currently, clinically for the early stage knee articulation degree rehabilitation training of postoperative patient, most common method is in trouble It is trained when person's seat.Usual patient is seated at bedside, and both legs are had an effect using quadriceps muscle of thigh with to the greatest extent in the state that naturally droops, patient Knee joint may be stretched to carry out the exercise that knee joint stretches function, and had an effect flexed knee as far as possible using quadriceps muscle of thigh To carry out the exercise of knee joint bending function.But one side patient easy tos produce feeling of pain and influences training of actively having an effect;Together When, due to the limitation of position, the exercise zone of the kneed mobility of patient is usually only capable of reaching 70 ° or so, it is difficult to ensure to suffer from The postoperative efficient rehabilitation of person.
Invention content
For this purpose, technical problem to be solved by the present invention lies in provide a kind of rehabilitation dress for the training of knee articulation degree It sets, to solve the problems, such as that the postoperative knee articulation degree training strength of patient and effect are undesirable in the prior art.
In order to solve the above technical problems, a kind of convalescence device for the training of knee articulation degree of the present invention, packet Include device for rehabilitation this body support frame, the fixation kit that the top of described this body support frame of device for rehabilitation is in contact with patients feet and passes through setting Realize and the fixation of patients feet, the bottom end of described this body support frame of device for rehabilitation be provided with slide assemblies, each slide assemblies it Between continuous arrangement so that the device for rehabilitation ontology realizes continuous non-resistance sliding of the patient legs with respect to ground.
The slide assemblies are pulley.
Each pulley is arranged along the bottom end of described this body support frame of device for rehabilitation in cambered surface so that the convalescence device is along trouble When person's leg exercise to extreme position, at least pulley described in two groups is touched with ground.
The pulley is connected by connecting rod with described this body support frame of device for rehabilitation.
Described this body support frame of device for rehabilitation is ship type or arc along the longitudinal cross-section of patient legs' direction of motion.
Described this body support frame of device for rehabilitation is rectangular, rectangle or pointed at both ends along the lateral cross section of patient legs' direction of motion Arc.
The fixation kit includes the limit shoe cover for being suitable for accommodating patients feet, and patients feet stretches into the limit shoe cover Realize the fixation with the convalescence device.
The limit shoe cover, which corresponds at patients feet's heel position, is provided with limiting component, for adjusting the limit shoes The size of set.
Described this body support frame of device for rehabilitation, which corresponds at patients feet's heel position, is additionally provided with strap components, is used for patient Foot is fixed with the convalescence device.
The limiting component and/or the strap components are snap fastener, thread gluing or bandage.
Convalescence device of the present invention for the training of knee articulation degree, the structure based on " roller-skates " in the prior art It optimizes, after patient puts on the convalescence device, is had an effect using quadriceps muscle of thigh and the convalescence device is driven to move, driven Knee joint carries out stretching activity, and during the motion, the convalescence device can ensure degrees of motion as possible under the drive of pulley In the case of save larger physical demands for patient, under the inertial booster of the convalescence device pulley, patient can be to the greatest extent In the case of may exerting oneself less, the practice of knee articulation degree is completed, the hidden danger of postoperative tissue adhesions is avoided, can played actively The powerful effect that movement and passive movement are combined.
Convalescence device of the present invention, the structure based on " roller-skates " in the prior art optimize, and pass through rehabilitation This body support frame of device so that continuous cambered surface arrangement is presented between each pulley, it is ensured that in patient motion to knee joint extreme position, Still at least two groups of pulleys are touched with ground, utilize the difference in height between pulley, it is ensured that the resistanceless motion of pulley, because This is not in patient when reaching maximum knee joint and stretching angle and (or) knee flexion angles, and patient is bad because controlling Or it takes exercise and improper causes joint injury;Moreover, because patient is not necessarily to Overexertion, it can also extend the rehabilitation training time of patient, Further strengthen knee articulation degree practice effect.
The limiting component and strap components of convalescence device setting of the present invention further enhance patients feet and rehabilitation Device is connected and fixed, and further ensures the safety during patient's use;Moreover, the convalescence device takes up an area smaller, trouble Athleticism can be realized in beside sickbed in person, without carrying out rehabilitation training to specific place, is convenient for the daily rehabilitation of patient, simultaneously Also contribute to reinforce the number and effect of training.
Description of the drawings
In order to make the content of the present invention more clearly understood, it below according to specific embodiments of the present invention and combines Attached drawing, the present invention is described in further detail, wherein
Fig. 1 is the structural schematic diagram of convalescence device of the present invention;
Reference numeral is expressed as in figure:This body support frame of 1- device for rehabilitation, 2- pulleys, 3- limit shoe cover, 4- limiting components, and 5- is tied up Tape member, 6- connecting rods.
Specific implementation mode
As shown in Figure 1, the convalescence device of the present invention for the training of knee articulation degree, including device for rehabilitation ontology branch The top of frame 1, described this body support frame of device for rehabilitation 1 is in contact with patients feet, and passes through the realization of the fixation kit of setting and patient The fixation of foot;The bottom end of described this body support frame of device for rehabilitation 1 is provided with slide assemblies, is continuously arranged between each slide assemblies Row so that the device for rehabilitation ontology 1 realizes that patient legs slide with respect to the continuous non-resistance on ground.
The slide assemblies of structure as shown in Figure 1, heretofore described this body support frame of device for rehabilitation 1 are preferably arranged to slide Wheel 2, the pulley 2, for one group of setting, are symmetrical arranged with two along the two sides of described this body support frame of device for rehabilitation 1.The pulley 2 It can be directly fixed on by connector at the bottom end side of described this body support frame of device for rehabilitation 1, connecting rod 6 and institute can also be passed through The bottom surface for stating device for rehabilitation this body support frame 1 is connected.
In convalescence device of the present invention for the training of knee articulation degree, each pulley 2 is along the device for rehabilitation sheet The bottom end of body support frame 1 is arranged in cambered surface so that the convalescence device (reaches maximum when moving to extreme position along patient legs When knee joint stretches angle and/or knee flexion angles), at least pulley 2 described in two groups and ground touch, pulley 2 it Between seamlessly transit, when to avoid leg reciprocating motion, patient because control it is bad or take exercise it is improper caused by joint injury.
As can in an alternative manner, this body support frame of device for rehabilitation 1 of the present invention be along the longitudinal direction of patient legs' direction of motion Section is ship type or arc, and the pulley 2 directly can be arranged to form cambered surface knot along the bottom face of described this body support frame of device for rehabilitation 1 The curve movement of structure.
Further, described this body support frame of device for rehabilitation 1 is to be suitable for patient along the lateral cross section of patient legs' direction of motion The accommodating shape of foot, preferably rectangular, rectangle or arc pointed at both ends, are suitable for the fixed minimum volume shape of foot Shape is advisable.
Structure as described in Figure 1, of the present invention to be used in the convalescence device of knee articulation degree training, the fixation Component includes the limit shoe cover 3 for being suitable for accommodating patients feet, and patients feet stretches into the limit shoe cover 3 and realizes and the rehabilitation The connection and fixation of device.In order to realize that the size of the limit shoe cover 3 is more suitable for patients feet's size, the limit shoe cover 3 at patients feet's heel position corresponding to limiting component 4 is provided with, for adjusting the size for limiting shoe cover 3.The limit Component 4 can be connection fastener structure well known in the prior art, such as snap fastener, thread gluing or bandage structure.
In order to further strengthen being connected and fixed for patients feet and the convalescence device, described this body support frame of device for rehabilitation 1 is right Strap components 5 should be additionally provided at patients feet's heel position, for fixing patients feet and the convalescence device.It is described Strap components 5 can be connection fastener structure well known in the prior art, such as snap fastener, thread gluing or bandage.
Specific use process is as follows for convalescence device of the present invention for the training of knee articulation degree:
After patient's knee replacements, according to the tolerance degree of patient, when patient can be seated at bedside, medical staff will Patient, which assists in, to be seated on chair;Patient's art parapodum with being placed in the limit shoe cover 3, and is adjusted the limiting section by medical staff Part 4 makes the fixed dimension of the limit shoe cover 3 be suitable for patients feet's size, and the limiting component 4 is fixed, and completes The fixation of foot position;The length that the strap components 5 are then adjusted according to the ankle-joint thickness of patient, a finger can be put in It is advisable, and the strap components 5 is attached fixation, the installation for completing the convalescence device is fixed.
Medical staff instructs patient to use convalescence device of the present invention, and patient's quadriceps muscle of thigh is had an effect stretches knee pass as far as possible Section carries out knee joint and stretches the exercise of function, and subsequent quadriceps muscle of thigh flexed knee as far as possible of having an effect carries out knee joint bending function Exercise, under the inertial booster of the convalescence device pulley 2, patient can as far as possible it is few firmly in the case of, complete knee The practice of range of motion avoids the hidden danger of postoperative tissue adhesions, moreover, because patient is not necessarily to Overexertion, can also extend trouble The rehabilitation training time of person further strengthens knee articulation degree practice effect.
When patient's use finishes, medical staff takes away the convalescence device from patients feet.As a patient Using finishing, medical staff can carry out disinfection exercising machine ontology processing, in case using next time according to dry goods article.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or It changes.There is no necessity and possibility to exhaust all the enbodiments.And it is extended from this it is obvious variation or It changes still within the protection scope of the invention.

Claims (10)

1. a kind of convalescence device for the training of knee articulation degree, which is characterized in that including device for rehabilitation this body support frame (1), institute The top for stating device for rehabilitation this body support frame (1) is in contact with patients feet and is realized with patients feet's by the fixation kit of setting Fixed, the bottom end of this body support frame of device for rehabilitation (1) is provided with slide assemblies, and continuous arrangement between each slide assemblies makes It obtains the device for rehabilitation ontology (1) and realizes that patient legs slide with respect to the continuous non-resistance on ground.
2. the convalescence device according to claim 1 for the training of knee articulation degree, which is characterized in that the Slide Group Part is pulley (2).
3. the convalescence device according to claim 2 for the training of knee articulation degree, which is characterized in that each pulley (2) it is arranged in cambered surface along the bottom end of this body support frame of device for rehabilitation (1) so that the convalescence device is moved to along patient legs When extreme position, at least pulley (2) described in two groups is touched with ground.
4. the convalescence device according to claim 3 for the training of knee articulation degree, which is characterized in that the pulley (2) it is connected with this body support frame of device for rehabilitation (1) by connecting rod (6).
5. the convalescence device according to claim 4 for the training of knee articulation degree, which is characterized in that the device for rehabilitation This body support frame (1) is ship type or arc along the longitudinal cross-section of patient legs' direction of motion.
6. the convalescence device according to claim 5 for the training of knee articulation degree, which is characterized in that the device for rehabilitation This body support frame (1) is rectangular, rectangle or arc pointed at both ends along the lateral cross section of patient legs' direction of motion.
7. being used for the convalescence device of knee articulation degree training according to claim 1-6 any one of them, which is characterized in that institute It includes the limit shoe cover (3) for being suitable for accommodating patients feet to state fixation kit, and patients feet stretches into the limit shoe cover (3) and realizes With the fixation of the convalescence device.
8. the convalescence device according to claim 7 for the training of knee articulation degree, which is characterized in that the limit shoes Set (3), which corresponds at patients feet's heel position, is provided with limiting component (4), the size for adjusting the limit shoe cover (3).
9. the convalescence device according to claim 8 for the training of knee articulation degree, which is characterized in that the device for rehabilitation This body support frame (1), which corresponds at patients feet's heel position, is additionally provided with strap components (5), is used for patients feet and the health Apparatus for coating is fixed.
10. the convalescence device according to claim 9 for the training of knee articulation degree, which is characterized in that the limit Component (4) and/or the strap components (5) are snap fastener, thread gluing or bandage.
CN201810336332.5A 2018-04-16 2018-04-16 A kind of convalescence device for the training of knee articulation degree Pending CN108310724A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810336332.5A CN108310724A (en) 2018-04-16 2018-04-16 A kind of convalescence device for the training of knee articulation degree

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810336332.5A CN108310724A (en) 2018-04-16 2018-04-16 A kind of convalescence device for the training of knee articulation degree

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Publication Number Publication Date
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112752597A (en) * 2018-09-18 2021-05-04 Ea瑟里斯有限责任公司 Exercise and rehabilitation device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5451194A (en) * 1993-07-21 1995-09-19 Harrigan; Matthew J. Roller skate exercise device
CN2838338Y (en) * 2005-11-08 2006-11-22 黄爱民 Adjustable shoe cover
CN201299748Y (en) * 2008-12-11 2009-09-02 周培栋 Eccentrically-rotary anti-drop foot exercising apparatus
CN101547671A (en) * 2006-09-27 2009-09-30 威利·舍嫩贝格尔 Walking trainer
CN104902967A (en) * 2012-10-29 2015-09-09 Maxm滑冰用品有限公司 A medical leg support arrangement adapted to increase the range of motion of a leg to aid in the healing and strengthening of damaged, injured and/or replaced bone, muscle and/or tissue of the leg
CN205411564U (en) * 2015-12-17 2016-08-03 华北理工大学 Correct training shoe cover of hemiplegia patient drop foot
CN207769095U (en) * 2018-04-16 2018-08-28 中国医学科学院北京协和医院 A kind of convalescence device for the training of knee articulation degree

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5451194A (en) * 1993-07-21 1995-09-19 Harrigan; Matthew J. Roller skate exercise device
CN2838338Y (en) * 2005-11-08 2006-11-22 黄爱民 Adjustable shoe cover
CN101547671A (en) * 2006-09-27 2009-09-30 威利·舍嫩贝格尔 Walking trainer
CN201299748Y (en) * 2008-12-11 2009-09-02 周培栋 Eccentrically-rotary anti-drop foot exercising apparatus
CN104902967A (en) * 2012-10-29 2015-09-09 Maxm滑冰用品有限公司 A medical leg support arrangement adapted to increase the range of motion of a leg to aid in the healing and strengthening of damaged, injured and/or replaced bone, muscle and/or tissue of the leg
CN205411564U (en) * 2015-12-17 2016-08-03 华北理工大学 Correct training shoe cover of hemiplegia patient drop foot
CN207769095U (en) * 2018-04-16 2018-08-28 中国医学科学院北京协和医院 A kind of convalescence device for the training of knee articulation degree

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112752597A (en) * 2018-09-18 2021-05-04 Ea瑟里斯有限责任公司 Exercise and rehabilitation device

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