A kind of multifunctional recovery clothing for severe hemiplegic patient
Technical field
The invention belongs to medical auxiliary apparatus technical fields, are specifically related to a kind of for the multi-functional of severe hemiplegic patient
Rehabilitation clothing.
Background technique
Register according to research in 2017: patients with cerebral apoplexy about 2,500,000 is newly sent out in China every year, and disability rate is up to 75%, 85%
Patients with cerebral apoplexy just has upper limb disorder in the beginning of morbidity, and upper limb moving obstacle causes pain, the contracture of joint and sense of discomfort,
Even limbs are useless uses.The major function of upper limb is to bend and stretch, grasp, and work and daily life is completed, due to stroke hemiplegia
Upper limb joint effectively cannot be transformed into separation, the coordinated movement of various economic factors from associated movement, cannot effectively Torque-adjusting, acting and receipts
Contracting changes torque, total work, mean power of patient's musculus flexor and extensor etc..Therapist must carry out resistive exercise to patient,
Muscle of upper extremity controlled training etc. promotes rehabilitation, and pure resistive exercise or muscle of upper extremity controlled training cannot promote cerebral apoplexy
Hemiplegic patient by upper motor function.It is longer the time required to the rehabilitation of upper extremity function at present, so that many patients is lost confidence and is unworthy of
Continuous training, labor intensive, financial resources are closed, and Rehabilitation Outcome is poor, the recovery of patient's upper limb body allomeric function is in rehabilitation
Difficult point, recovery extent seriously affect patient and return society and quality of life.
And for the patient of stroke hemiplegia upper limb disorder, rehabilitation training of upper limbs must be by therapist and auxiliary
Help instrument that could complete, heavy workload, the time is long, and rehabilitation efficacy is bad.So designing one kind facilitates post-stroke upper limb function
Independently training is very significant for patient with the rehabilitation clothing of rehabilitation for energy impaired patients.
Summary of the invention
In view of the above problems, the present invention provides a kind of multifunctional recovery clothing for severe hemiplegic patient.
The technical scheme is that a kind of multifunctional recovery clothing for severe hemiplegic patient, including clothing body, left clothing
Sleeve, right coat-sleeve, shoulder joint ultrasound ring, upper armlet, elbow joint ultrasound ring, lower armlet, palm head and display, the clothing
End two sides are respectively arranged with shoulder fixing device with it, are equipped with micromotor one, the left clothing inside the shoulder fixing device
Sleeve is connected to the left side of clothing body, and the right coat-sleeve is connected to the right side of clothing body;There are two the shoulder joint ultrasound ring is total, set respectively
It sets in left coat-sleeve, right coat-sleeve and clothing body junction, is fixedly connected with the shoulder fixing device outer end, inside shoulder joint ultrasound ring
Equipped with body temperature monitor, the upper armlet shares two, is separately positioned below shoulder joint ultrasound ring, and upper armlet passes through cable wire
One connect with the output end of micromotor one in shoulder fixing device, is provided with micro electric below upper armlet and one bearing of cable wire
Machine two, the elbow joint ultrasound ring altogether there are two, the middle part of left coat-sleeve and right coat-sleeve is separately positioned on, inside elbow joint ultrasound ring
Equipped with electronic sphygmomanometer, the lower armlet shares two, is separately positioned on the lower section of elbow joint ultrasound ring, and lower armlet passes through steel
The output end of micromotor two described in Suo Eryu is fixedly connected, the palm head altogether there are two, palm head packet
Include wrist joint ultrasound ring, palm cover, finger-stall and knuckle support, left coat-sleeve and right coat-sleeve is arranged in the wrist joint ultrasound ring
Lower end, wrist joint ultrasound ring include that five internal micromotors three are arranged in, and the orientation and communication wrist-watch is independently arranged at the right side
The lower end outer surface of coat-sleeve, the palm cover are movably connected in the lower section of wrist joint ultrasound ring, the finger-stall altogether there are five, it is right
Finger is answered to be connected to palm cover distal end, the distal end of finger-stall is equipped with blood-oxygen monitor, and the knuckle support corresponds to finger point
She Zhi not be inside finger-stall, and the distal end of knuckle support is connected with the output end of the micromotor three by cable wire three respectively
It connects, the display is arranged in the front surface of clothing body, and display interior is integrally disposed controller and sign monitor device, described
Controller includes observation circuit, conversion circuit, processing circuit and the control circuit interconnected, inside the semiotic monitor
Equipped with electrode sockets, the electrode sockets can connect cardioelectric monitor electrode wires, and semiotic monitor also passes through inner lead respectively
It is connect with body temperature monitor, electronic sphygmomanometer and blood-oxygen monitor.
Further, the observation circuit respectively with shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring, hand
Palm set, finger-stall are connected with semiotic monitor, are closed for monitoring patient's shoulder joint, elbow joint, wrist joint and palm joint
The vital sign parameter of section and muscle activity image and data and patient, the conversion circuit respectively with observation circuit and show
Show that device connects, be used for patient's shoulder joint, elbow joint, wrist joint and palm joint joint and muscle activity situation, and suffers from
The vital sign parameter of person is converted to image and data information is shown over the display, and the processing circuit and observation circuit connect
Connect, for being analyzed and processed and issuing control instruction to the image and data information that monitor, the control circuit respectively with
Processing circuit, micromotor one, micromotor two and micromotor three are electrically connected, for the control instruction according to processing circuit
Micromotor one, micromotor two and micromotor three are controlled.
Further, the hemiplegia portion and normal portion of the rehabilitation clothing by color on left coat-sleeve or right coat-sleeve, decorative pattern or
One of label means are distinguished, it will be apparent that differentiation can make patient and medical staff obviously distinguish hemiplegia portion and normal
Portion, convenient for treatment.
Further, music player is provided at the collar of the rehabilitation clothing, the music player is equipped with earphone
Jack, music player stimulate patients' neural by playing the rhythm of different frequency, facilitate hemiplegic patient's recovery.
Further, the clothing body, shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring, palm cover and finger
Set is internal to be equipped with equally distributed ultrasonic probe, and ultrasonic probe can monitor patient's trunk, shoulder joint, elbow joint, wrist joint
With the image and data in the joint at the position that is connected and muscle activity.
Further, the shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring and palm head are
Soft yieldable material can guarantee patient's upper limb normal activity.
Further, the shoulder joint ultrasound ring, shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring, palm
Set and finger-stall and its junction clothing are all half opening formula, and the design of half opening formula can be convenient patient's wearing and fat according to patient
Thin adjustment.
Further, the orientation and communication wrist-watch is independently arranged at the lower end outer surface of right coat-sleeve, with therapist or doctor
Mobile phone matching, therapist or doctor can be directly called by pressing one-touch button in urgent or need and seek help, but general
In the case of be in close state, avoid the acquisition to other images and data from interfering.
Working method of the invention is: it guides first and hemiplegic patient is helped to be worn on a human body rehabilitation clothing, it is inclined in patient
Be marked on the coat-sleeve in paralysed portion with one of color, decorative pattern or label means, at the same according to patient's height, fat or thin adjust
Rehabilitation clothing makes its monitor and ultrasonic probe at the position for needing to observe, and opens display and controller, is arranged according to the state of an illness
Semiotic monitor.When the normal upper limb carry out activity of patient, shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring
Patient's shoulder joint, elbow joint, wrist joint and palm joint joint and muscle are acquired with the ultrasonic probe in palm head
Live image and data simultaneously show that controller is according to the normal upper limb shoulder joint of patient, elbow joint, wrist joint and hand over the display
Joint and muscle activity situation control micromotor one, micromotor two and micromotor three work at metacarpal joint, pass through
It is dynamic that pulling control patient's hemiplegic upper limb of cable wire one, cable wire two and cable wire three carries out rehabilitation training identical with normal upper limb parameter
Make, when hemiplegic upper limb moves, inside shoulder joint ultrasound ring, elbow joint ultrasound ring, wrist joint ultrasound ring and palm head
Ultrasonic probe carries out the image and data in patient's shoulder joint, elbow joint, wrist joint and palm joint joint and muscle activity
It monitors and shows over the display, compared with normal upper extremity exercise parameter, assessment is carried out to training process and rehabilitation is imitated
Fruit is made an appraisal, and rehabilitation corrective therapy is instructed;Data are provided simultaneously for rehabilitation research.
The beneficial effects of the present invention are: 1. identification and analytic function: identification upper limb and image and parameter when somatic movement, and
Upper limb and body proper motion parameter are analyzed, by processor, controller etc., automatic starting suffering limb is identical as normal limb carry out
Motor pattern;
2. having the function of task orientation training: according to the parameter of identification and analysis, promoting under the guidance of functional limbs
Make suffering limb rehabilitation training, this rehabilitation course with initiative and task orientation training is able to achieve big to a certain extent
Brain reorganization, neural restoration.Stroke hemiplegia body, shoulder, elbow, wrist joint and the training of hand orthofunction, including induction
Paralytic upper limb extension, the activity of preceding finger, motion control etc., induction stretch wrist, supination, thumb outreach, to the palm, to refer to, control object, tableware
Using etc., it is a kind of subjective motion form, reflection and feedback capability can be promoted, is conducive to nerve, muscle transformation and remodeling;
3. having the function of balance and stability training: post-stroke CNS trauma, multifidus, the musculus trasversus abdomins of nucleus
Equal muscular strengths are weak, keep upper extremity exercise stability poor, make the muscle of trunk such as multifidus, musculus trasversus abdomins using dorsal position, erect-position or seat etc.
Isotonic and isometric contraction promotes muscle strength, enhances nucleus stability and balanced capacity, provides receipts for ipsilateral upper limb movement
The fulcrum of contracting makes the strength generated, control, transmitting reach accurate.Wherein application has Isokinetic muscle strength training, and constant speed technology is mesh
The hot spot and key technology of preceding research and application;
Eliminate oedema and lenitive function 4. having: hand exercise can make lumbricalis, dorsal interossei, between palmar bone
Flesh generates Rythmic contractions characteristic, and movement has " shoulder-hand pump " effect between metacarpal bone, makes hand blood and lymphatic return, and oedema is promoted to inhale
It receives, prevents muscular atrophy, relieve pain, prevent hand is useless from using;
5. have data storage, parameter playback, have the function of can research etc., provide number for the research and optimization of one step of progress
According to.And have many advantages, such as that structure novel, easy to operate, rehabilitation efficacy is good, it is significant to Rehabilitation.
Detailed description of the invention
Fig. 1 is overall structure diagram of the invention;
Fig. 2 is left coat-sleeve or right sleeve structure schematic diagram of the invention;
Fig. 3 is palm head structural schematic diagram of the invention;
Fig. 4 is controller architecture schematic diagram of the invention;
Fig. 5 is system block diagram of the invention;
Fig. 6 is music player structural schematic diagram of the present invention;
Fig. 7 is circuit diagram of the invention.
Wherein, 1- clothing body, 11- shoulder fixing device, 111- micromotor one, 12- music player, 121- earphone are inserted
Hole, the left coat-sleeve of 2-, the right coat-sleeve of 3-, 4- shoulder joint ultrasound ring, 41- body temperature monitor, the upper armlet of 5-, 51- cable wire one, 52- are miniature
Armlet, 71- cable wire two, 8- palm head, 81- wrist close under motor two, 6- elbow joint ultrasound ring, 61- electronic sphygmomanometer, 7-
Save ultrasonic ring, 811- micromotor three, 812- cable wire three, 813- orientation and communication wrist-watch, 82- palm cover, 83- finger-stall, 831-
Oxygen saturation monitor refer to folder, 84- knuckle support, 9- display, 91- controller, 911- observation circuit, 912- conversion circuit, at 913-
Circuit, 914- control circuit, 92- semiotic monitor, 921- electrode sockets, 922- cardioelectric monitor electrode wires, 10- ultrasound is managed to visit
Head.
Specific embodiment
For convenient for the understanding to technical solution of the present invention, with reference to the accompanying drawing 1-7 and specific embodiment to the present invention do into
The explanation of one step, embodiment do not constitute the restriction to invention protection scope.
As shown in Figure 1, a kind of multifunctional recovery clothing for severe hemiplegic patient, including clothing body 1, left coat-sleeve 2, right coat-sleeve
3, shoulder joint ultrasound ring 4, upper armlet 5, elbow joint ultrasound ring 6, lower armlet 7, palm head 8 and display 9, in clothing body 1
End two sides are respectively arranged with shoulder fixing device 11, are equipped with micromotor 1, the clothing of clothing body 1 inside shoulder fixing device 11
Music player 12 is provided at neck, as shown in fig. 6, music player 12 is equipped with earphone jack 121, left coat-sleeve 2 is connected to
The left side of clothing body 1, right coat-sleeve 3 is connected to the right side of clothing body 1, and applies nanoporous polyethylene material, can be according to patient's hand
Length adjust rehabilitation coat-sleeve, the hemiplegia portion and normal portion of rehabilitation clothing by color on left coat-sleeve 2 or right coat-sleeve 3, decorative pattern or
One of label means are distinguished;There are two shoulder joint ultrasound ring 4 is total, it is separately positioned on left coat-sleeve 2, right coat-sleeve 3 and clothing
1 junction of body is fixedly connected with 11 outer end of shoulder fixing device, and body temperature monitor 41 is equipped with inside shoulder joint ultrasound ring 4;
As shown in Fig. 2, being separately positioned on 4 lower section of shoulder joint ultrasound ring, and upper armlet 5 passes through steel there are two upper armlet 5 is total
Rope 1 is connect with the output end of micromotor 1 in shoulder fixing device 11, upper armlet 5 and one 51 bearing of cable wire lower section
It is provided with micromotor 2 52, elbow joint ultrasound ring 6 is separately positioned on the middle part of left coat-sleeve 2 and right coat-sleeve 3, elbow there are two being total to
Electronic sphygmomanometer 61 is equipped with inside joint ultrasound ring 6, lower armlet 7 is separately positioned under elbow joint ultrasound ring 6 there are two being total to
Side, and lower armlet 7 is fixedly connected by cable wire 2 71 with the output end of micromotor 2 52, there are two palm head 8 is total to;
As shown in figure 3, palm head 8 includes wrist joint ultrasound ring 81, palm cover 82, finger-stall 83 and knuckle support
84, the lower end of left coat-sleeve 2 and right coat-sleeve 3 is arranged in wrist joint ultrasound ring 81, and wrist joint ultrasound ring 81 includes that inside is arranged in
Five micromotors 3 811, orientation and communication wrist-watch 813 are independently arranged at the lower end outer surface of right coat-sleeve, and 82 activity of palm cover is even
Connect in the lower section of wrist joint ultrasound ring 81, finger-stall 83 altogether there are five, corresponding finger is connected to 82 distal end of palm cover, finger
The distal end of set 83 is equipped with blood-oxygen monitor 831, and the corresponding finger of knuckle support 84 is separately positioned on inside finger-stall 83, and articular branches
The distal end of frame 84 is connect with the output end of micromotor 3 811 by cable wire 3 812 respectively, clothing body 1, shoulder joint ultrasound ring 4, elbow
It is equipped with equally distributed ultrasonic probe 10 inside joint ultrasound ring 6, wrist joint ultrasound ring 81, palm cover 82 and finger-stall 83,
Shoulder joint ultrasound ring 21, shoulder joint ultrasound ring 4, elbow joint ultrasound ring 6, wrist joint ultrasound ring 81, palm cover 82 and finger-stall 83
And its junction clothing is all half opening formula, the front surface of clothing body 1 is arranged in display 9, and display 9, which is internally integrated, is provided with control
Device 91 and semiotic monitor 92 processed;
As shown in figure 4, controller 91 includes the observation circuit 911 interconnected, conversion circuit 912,913 and of processing circuit
Control circuit 914, observation circuit 911 respectively with shoulder joint ultrasound ring 4, elbow joint ultrasound ring 6, wrist joint ultrasound ring 81, palm
Set 82, finger-stall 83 and semiotic monitor 92 connect, for monitoring patient's shoulder joint, elbow joint, wrist joint and palm joint
Locate joint and muscle activity situation and the vital sign parameter of patient, conversion circuit 912 respectively with observation circuit 911 and display
Device 9 connects, and is used for patient's shoulder joint, elbow joint, wrist joint and palm joint joint and muscle activity situation and patient
Vital sign parameter be converted to image information display on the display 9, processing circuit 913 is connect with observation circuit 911, is used for
Be analyzed and processed and issue control instruction to the image and data information that monitor, control circuit 914 respectively with processing circuit
913, micromotor 1, micromotor 2 52 and micromotor 3 811 are electrically connected, for the control according to processing circuit 913
System instruction controls micromotor 1, micromotor 2 52 and micromotor 3 811, inside semiotic monitor 92
Equipped with electrode sockets 921, electrode sockets 921 can connect cardioelectric monitor electrode wires 922, and semiotic monitor 92 is also respectively by interior
Portion's conducting wire is connect with body temperature monitor 41, electronic sphygmomanometer 61 and blood-oxygen monitor 831, and orientation and communication wrist-watch 813 is independently arranged
It in the lower end outer surface of right coat-sleeve, is in close state under normal circumstances, the acquisition to other images and data is avoided to cause to do
It disturbs, system block diagram is as shown in figure 5, circuit diagram is as shown in Figure 7.
The working method of the present embodiment is: guiding first and patient is helped to be worn on a human body rehabilitation clothing, in patient's hemiplegia
Be marked on the coat-sleeve in portion with one of color, decorative pattern or label means, at the same according to patient's height, fat or thin adjust health
Multiple clothing, makes its monitor and ultrasonic probe at the position for needing to observe, and opens display 9 and controller 91, is set according to the state of an illness
Set semiotic monitor.When the normal upper limb carry out activity of patient, shoulder joint ultrasound ring 4, elbow joint ultrasound ring 6, wrist joint are super
Ultrasonic probe 10 in sound ring 81 and palm head 8 monitored in the normal upper limb of patient activity patient's shoulder joint, elbow joint,
Wrist joint and palm joint joint and muscle activity situation simultaneously show on the display 9, controller 91 according to patient's shoulder joint,
Elbow joint, wrist joint and palm joint joint and muscle activity situation control micromotor 1, micromotor 2 52 and micro-
Type motor 3 811 works, by the pulling of cable wire 1, cable wire 2 71 and cable wire 3 812 control patient's hemiplegic upper limb into
Row rehabilitation exercise motion identical with normal upper extremity exercise parameter, when hemiplegic upper limb moves, shoulder joint ultrasound ring 4, elbow joint are super
Ultrasonic probe 10 inside sound ring 6, wrist joint ultrasound ring 81 and palm head 8 is to patient's shoulder joint, elbow joint, wrist joint
It is monitored and is shown on the display 9 with the image and data of palm joint joint and muscle activity, transported with normal upper limb
Dynamic parameter compares, and assess and make an appraisal to rehabilitation efficacy to training process, instructs further rehabilitation;It is simultaneously health
Multiple research provides data.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although
Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used
To modify to technical solution documented by previous embodiment or equivalent replacement of some of the technical features;And
These are modified or replaceed, the spirit and model of technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution
It encloses.