CN109984916A - Temporomandibular joint recovery training appliance for recovery - Google Patents

Temporomandibular joint recovery training appliance for recovery Download PDF

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Publication number
CN109984916A
CN109984916A CN201910320908.3A CN201910320908A CN109984916A CN 109984916 A CN109984916 A CN 109984916A CN 201910320908 A CN201910320908 A CN 201910320908A CN 109984916 A CN109984916 A CN 109984916A
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China
Prior art keywords
shell
gear
spring
component
lever
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Granted
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CN201910320908.3A
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Chinese (zh)
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CN109984916B (en
Inventor
贾文燕
侯文霞
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Individual
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/026Mandible

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a kind of temporomandibular joint recovery training appliance for recovery, rehabilitation training for temporomandibular joint, it mainly include Power Component, transmission component, occlusion component and shell, the interior of shell is provided with Power Component, Power Component and transmission component are drivingly connected, the left end open outer side of shell is arranged in occlusion component, and occlusion component is connect with transmission component.Power Component mainly includes clockwork spring, spring gear, clockwork spring knob, ratchet and pawl, transmission component mainly includes drive shaft, partial gear, lever and gear wheel and sticks up bar, partial gear is connect with lever-gear transmission, the roller end of lever and gear wheel is rotatably arranged on the side wall of shell, bull stick is provided on the side of lever and gear wheel, bull stick is arranged in the sliding slot for sticking up bar right-hand end, and the left end for sticking up bar is connect by support shaft with occlusion component.Partial gear of the invention can assist patient to open one's mouth under the driving of Power Component and not will cause resistance when patient is closed jaw joint.

Description

Temporomandibular joint recovery training appliance for recovery
Technical field
The invention belongs to medical instruments field more particularly to a kind of temporomandibular joint recovery training appliance for recovery.
Background technique
Temporomandibular joint disorcler TMP is a kind of common oral-maxillofacial disease, in the oral cavity class disease for influencing human health Middle to be arranged in the 4th by WTO, sufferer clinically will appear the pain at remporomandibular joint position and corresponding soft tissue, lower jaw fortune Dynamic abnormal, limitation of mouth opening, cannot be engaged hard object, and snap, broken sound etc. occurs in joint.It is now recognized that pathogenic factor with Mental element, local trauma, occlusion disorder etc. are related, and specific pathogenesis is still not clear.
Existing treatment method mainly includes drug therapy, acupuncture and moxibustion therapy and athletic rehabilitation treatment, in numerous conservative therapys In therapy, the invertibity that athletic rehabilitation treatment is a kind of hurtless measure is carried out to sufferer using biteplate and is treated, the fortune of temporomandibular joint Dynamic exercise can prevent cartilage deterioration, stimulation joint from healing and can reduce arthralgia and swelling, particularly with generation joint The patient of snap and trismus, more early progress motion exercise are more conducive to restore, therefore study the rehabilitation exercise of temporomandibular joint Have great importance.
Number of patent application: 201611251522.4 disclose a kind of temporomandibular joint training aids, including support portion and body portion, body Portion includes shell, sliding sleeve, slide core, spring, pipe regulating screw nut, pressure adjusting screw and position adjusting nut.Pass through spring bullet Power assists patient to open mouth, realizes that lower jaw moves back and forth.
Number of patent application: 201711276160.9 announce a kind of temporomandibular joint tractor of power, including the first bite piece, second Bite piece, the first regulation handle and the second regulation handle.Strut dynamics by what regulation handle can adjust two sides, to patient into Row targetedly take exercise by traction.
Existing temporomandibular joint exercising device has the following problems when in use:
1) it is dehisced by using the elastic force auxiliary patient of spring, but patient needs compressed spring when silent, overcomes The elastic force of spring can be such that lower jaw is closed, and be easy to cause the fatigue of jaw areas muscle and joint in exercise routine.
2) existing rehabilitation training equipment can only assist patient to complete the training in lower jaw up and down direction, and can not assist It helps patient to carry out the extension of lower jaw and retreats training, training is conducive to the normal condyle disk relationship of mandibular joint to lower jaw in the front-back direction Restore.
It is therefore desirable to design a kind of temporomandibular joint recovery training appliance for recovery, can either assist patient carry out Open mouth training, and Lower jaw will not cause resistance when closure to patient, while patient can be assisted to carry out mandibular joint front-rear direction as needed Training.
Summary of the invention
In view of the deficiency of the prior art, having invented one kind can assist patient to carry out Open mouth training, and under Jaw will not cause the temporomandibular joint recovery training appliance for recovery of resistance to patient when closure.
The technical proposal adopted by the invention to solve the above technical problems is that: a kind of temporomandibular joint recovery training appliance for recovery is used for The rehabilitation training of temporomandibular joint, mainly includes Power Component, transmission component, occlusion component and shell, in the side wall of the shell Portion is at least provided with Power Component described in one group, and the Power Component and the transmission component are drivingly connected, the occlusion group The left end open outer side of the shell is arranged in part, and the occlusion component is connect with the transmission component.
The Power Component mainly includes clockwork spring, spring gear, clockwork spring knob, ratchet and pawl, the clockwork spring rotation The outside of the shell is arranged in button, and the clockwork spring knob connects rotary shaft, is arranged with the spring gear in the rotary shaft, The clockwork spring is arranged inside the spring gear, and one end of the clockwork spring is fixed at the rotary shaft On, the inside of the spring gear is arranged in the other end of the clockwork spring.The ratchet is fixed at the rotation On axis, the pawl is arranged on the inner wall of the shell, and the pawl is stuck between the gear teeth of the ratchet, the shell Tabletting is provided with by torsional spring on inner wall, the tabletting is pressed on the pawl.
The transmission component mainly includes drive shaft, partial gear, lever and gear wheel and sticks up bar, and the drive shaft can The inside that the shell is arranged in of rotation, the drive shaft and the spring gear are drivingly connected, on the drive shaft At least provided with a partial gear, the partial gear is connect with the lever-gear transmission, the lever gear The roller end of wheel is rotatably arranged on the side wall of the shell, and bull stick, institute are provided on the side of the lever and gear wheel It states bull stick to be arranged in the sliding slot for sticking up bar right-hand end, the left end for sticking up bar is rotatably arranged on enclosure interior Support shaft on.
The occlusion component mainly includes supporting plate and biteplate, and the biteplate is connected to by connecting rod described sticks up bar Left end, the supporting plate are the top that the biteplate is arranged in umbrella shape and the supporting plate, the supporting plate by support rod with it is described Shell connection.
Further, the partial gear is movably set on the drive shaft, and the partial gear connects It is connected to changed course component, is additionally provided with stretching assembly in the inner bottom surface of the shell.
The changed course component mainly includes changed course shaft, slide bar and swinging plate, and the both ends of the changed course shaft are rotatable It is arranged in the housing sidewall, the hull outside is provided with the changed course knob connecting with the changed course shaft, the changed course The surface of shaft is provided with guide groove, and the swinging plate is slidably disposed on the slide bar, and the upper end of the swinging plate With the guide rod being arranged in inside the guide groove, the lower section of the swinging plate is rotatable to be set in the partial gear On the sleeve of side.
The stretching assembly mainly includes that slide plate, wirerope, reset spring and retracting cylinder composition, the slide plate are slidable It is arranged in the housing bottom surface, is provided with the gear teeth on the surface of the slide plate, it is described when rotating the changed course shaft The partial gear can be dialed to the top of the slide plate by shift plate.The wirerope-winding is more the enclosure interior On a idler wheel, and the wirerope is connected between the left end of the slide plate and the retracting cylinder, and the retracting cylinder is moveable It is set in the left end of the connecting rod, the left end of the retracting cylinder is connect with the biteplate, is provided in the retracting cylinder multiple Position spring.
Further, rotary damper is provided between the drive shaft and the side wall of the shell, the transmission turns Block is provided in the front end face of axis, the hull outside above the block is provided with slide switch.The slide switch master It to include lantern ring and brake bar, the brake bar, which can slide up and down, to be arranged inside the lantern ring, the brake bar interposition It installs and is equipped with driver plate, be provided with adsorption magnet on the driver plate.
Further, the both ends of the shaft of the lever and gear wheel are provided with regulating mechanism, the regulating mechanism setting exists The outside of the shell, the regulating mechanism mainly include reduction torsion spring, change and connection ring, and the reduction torsion spring is set in institute State in the shaft of lever and gear wheel, and the both ends of the reduction torsion spring be separately fixed at the lever and gear wheel shaft and the company It connects on ring, the change is movably set in the outside of the connection ring.Support ring is provided on the outside of the shell, it is described Detent slot is provided in support ring, the connection ring is rotatably arranged on the outside of the support ring, on the side of the change It is fixedly installed the detent magnet with detent slot cooperation.
Further, it is connected, is provided on the supporting plate more by universal ball end between the supporting plate and the connecting plate A through-hole.The biteplate is U-shaped, and the U-type groove that Open Side Down is provided on the lower surface of the biteplate.
Further, limited block, the left end connection of the slide plate are fixedly installed in the housing bottom surface of the slide plate left end There is adjustment spring, the left end of the adjustment spring is connected with adjusting rod, and the adjusting rod, which is connected through a screw thread, to be arranged in the shell On the perpendicular wall of body, and the left end of the adjusting rod passes through the perpendicular wall of the shell, and the outside of the shell is arranged in.
Further, the support rod mainly includes the linkage section connecting with the shell, reclinate bending section, sets The tilting section setting the straightway above the biteplate and being bent upwards, the bottom of the straightway are upper with the biteplate Surface contact, the tilting section are connect with the supporting plate.
The beneficial effects of the present invention are:
1, partial gear can assist patient to open one's mouth under the driving of Power Component and when patient is closed jaw joint Time not will cause resistance.
2, occlusion component of the invention can be made to move up and down and move forward and backward in auxiliary mandibular joint by the component that alters course Between switch over.
Detailed description of the invention
Attached drawing 1 is stereoscopic mechanism schematic diagram of the invention;
Attached drawing 2 is schematic view of the front view of the invention;
Attached drawing 3 is inside top structural schematic diagram of the invention;
Attached drawing 4 is inside schematic perspective view of the invention;
Attached drawing 5 is schematic diagram of main cross-sectional structure of the invention;
Attached drawing 6 is the sectional perspective structural schematic diagram of Power Component of the invention;
Attached drawing 7 is the broken section structural schematic diagram of Power Component of the invention;
Attached drawing 8 is the schematic perspective view of changed course component of the invention;
Attached drawing 9 is the schematic perspective view of slide switch of the invention;
Attached drawing 10 is the schematic view of the front view of click of the invention;
Attached drawing 11 is stretching assembly sectional perspective schematic cross-sectional view of the invention;
Attached drawing 12 is retracting cylinder schematic diagram of main cross-sectional structure of the invention;
Attached drawing 13 is occlusion component sectional perspective structural schematic diagram of the invention;
Attached drawing 14 is regulating mechanism exploded perspective structural schematic diagram of the invention;
Attached drawing 15 is regulating mechanism schematic cross-sectional view of the invention;
Attached drawing 16 is biteplate schematic perspective view of the invention.
In figure, Power Component 1, clockwork spring 10, spring gear 11, sealing panel 111, clockwork spring knob 12, ratchet 13, spine Pawl 14, rotary shaft 15, support frame 16, tabletting 17, transmission component 2, drive shaft 21, transmission gear 211, block 212, not exclusively Gear 22, lever and gear wheel 23, bull stick 231, sticks up bar 24, support shaft 25, slide switch 26, lantern ring (261,262), system at sleeve 221 Lever 263, driver plate 264, adsorption magnet 265, rotary damper 266, occlusion component 3, supporting plate 31, biteplate 32, U-type groove 321, Connecting rod 33, support rod 34, linkage section 341, bending section 342, straightway 343, tilts section 344, universal ball end at stop collar 331 35, shell 4, limited block 41, support ring 42, detent slot 43, changed course component 5, changed course shaft 51, cylindrical section 511, guide groove 512, Guide rod 513, swinging plate 53, changed course knob 54, stretching assembly 6, slide plate 61, wirerope 62, reset spring 63, is stretched slide bar 52 Contracting cylinder 64, idler wheel 65, adjustment spring 66, adjusting rod 67, regulating mechanism 7, reduction torsion spring 71, change 72, connection ring 73, detent magnetic Iron 74,.
Specific embodiment
For a better understanding of the present invention, embodiments of the present invention are explained in detail with reference to the accompanying drawing.
As shown in attached drawing 1 to attached drawing 16, a kind of temporomandibular joint recovery training appliance for recovery, for the rehabilitation training of temporomandibular joint, energy Enough auxiliary patient dehisces and the traction session of mandibular joint.It is as shown in figure 4, master of the present invention mainly includes Power Component 1, transmission component 2, occlusion component 3 and shell 4, the Power Component 1 and the transmission component 2 are arranged in the shell 4 Portion, be provided with one group on the front-rear side walls of the shell 4 described in Power Component 1, the transmission component 2 is arranged in the shell 4 inside, Power Component 1 described in two groups are connect with the transmission component 2 by belt, and the occlusion component 3 is arranged in institute The left end opening left side of shell 4 is stated, the occlusion component 3 is connect with the transmission component 2.
As shown in Figure 6 and Figure 7, the Power Component 1 mainly include clockwork spring 10, spring gear 11, clockwork spring knob 12, Ratchet 13 and pawl 14, the clockwork spring knob 12 are rotatably arranged on the outside of the shell 4, set on the clockwork spring knob 12 It is equipped with rotary shaft 15, one end is rotatably arranged on the support frame 16 inside shell 4 after the rotary shaft 15 passes through the shell 4 On, the spring gear 11 is set in rotary shaft 15, as shown in fig. 7, there are two sealings for the side tool of the spring gear 11 Panel 111, the sealing panel 111 are rotatably arranged in the rotary shaft 15 by bearing, and the clockwork spring 10 is set It sets inside the spring gear 11, and is located between two sealing panels 111, one end of the clockwork spring 10 is fixed It is arranged in the rotary shaft 15, the other end of the clockwork spring 10 is fixedly connected on the inside of the spring gear 11. The ratchet 13 is fixed in the rotary shaft 15, and the pawl 14 is rotatably arranged on the inner wall of the shell 4, And the pawl 14 is stuck between the gear teeth of the ratchet 13, and torsional spring is provided with tabletting 17 on 4 inner wall of shell, it is described Tabletting 17 is pressed on the pawl 14 under the twisting force of the torsional spring and the pawl 14 is pressed in the wheel of the ratchet 13 Between tooth.When rotating clockwork spring knob 12, the clockwork spring 10 is tightened in the rotation of rotary shaft 15, is made described Clockwork spring 10 puts aside energy, drives the spring gear 11 to rotate by the elastic force of the clockwork spring 10.
The transmission component 2 is arranged in inside the shell 4 in the left side of the Power Component 1, as shown in figure 5, the transmission Component 2 mainly includes drive shaft 21, partial gear 22, lever and gear wheel 23 and sticks up bar 24, and the drive shaft 21 is rotatable The inside that the shell 4 is set, the both ends of the drive shaft 21 are provided with transmission gear 211, two driving cogs Wheel 211 is connect by belt with two spring gears 11 respectively, and there are two described endless for setting on the drive shaft 21 All gear 22, two partial gears 22 are sequentially connected with two lever and gear wheels 23 respectively, the lever and gear wheel 23 Both ends of the shaft be rotatably arranged on by bearing on the side wall of the shell 4, two lever and gear wheels 23 it is opposite It is respectively arranged with the bull stick 231 vertical with the side on side, 24 right-hand end of bar of sticking up is arranged in the bull stick 231 In sliding slot, the bull stick 231 can rotate in the sliding slot and mobile, the rotatable setting of left end for sticking up bar 24 In support shaft 25 inside shell 4.The spring gear 11 drives the drive shaft 21 to rotate by belt, the transmission Partial gear 22 in shaft 21 rotates, when the gear teeth of the gear teeth and the lever and gear wheel 23 on the partial gear 22 are nibbled The lever and gear wheel 23 can be driven to rotate when conjunction, the bull stick 231 on the lever and gear wheel 23, which drives, described to be stuck up bar 24 and enclose It is rotated around the support shaft 25.
When rotating the clockwork spring knob 12 to the clockwork spring 10 savings elastic force, needs patient to be engaged residence and state It is engaged component 3, avoids the drive shaft 21 from rotating when the clockwork spring knob 12 rotates, is easy to make patient at this time Fatigue is generated, therefore is provided with block 212, the gear on the end face that the shell 4 is stretched out in the front side of the drive shaft 21 Slide switch 26 is provided on the outside of the shell 4 of 212 top of block.As shown in figure 9, the slide switch 26 mainly includes lantern ring 261 With brake bar 263, there are two the tools of lantern ring 261 and is fixed at the outside of the shell 4, the brake bar 263 up and down The setting that can slide up and down is internal in two lantern rings (261,262), and 263 middle position of brake bar is provided with driver plate 264, adsorption magnet 265 is provided on the driver plate 264, and the lantern ring (261,262) is made using iron plate, is stirred downwards described Driver plate 264 moves down the brake bar 263 in the lantern ring (261,262), the adsorption magnet on the driver plate 264 265 can be adsorbed on the lantern ring 261 of lower section, and the block 212 is blocked in the lower end of the brake bar 263, to make institute Drive shaft 21 is stated to stop rotating.When needing to start drive shaft 21, the driver plate 264 is dialed up, is made Adsorption magnet 265 on the driver plate 264 is adsorbed on the lantern ring 262 of top, and the lower end of the brake bar 263 no longer hinders The block 212 is kept off, the drive shaft 21 starts to rotate under the driving of Power Component 1.The drive shaft in order to prevent 21 starting when excessive velocities to patient generate impact, set between the drive shaft 21 and the side wall of the shell 4 It is equipped with rotary damper 266, keeps the rotation of the drive shaft 21 gentler.
The occlusion component 3 mainly includes supporting plate 31 and biteplate 32, and the biteplate 32 is connected to by connecting rod 33 The left end for sticking up bar 24, the supporting plate 31 are the top that the biteplate 32 is arranged in umbrella shape and the supporting plate 31, the support Plate 31 is connect by support rod 34 with the left side upper end of the shell 4.When described stick up when bar 24 rotates passes through lever principle The biteplate 32 can be made to move downward.
Traction session in the front-back direction is carried out in order to enable the invention to auxiliary patient to lower jaw, in the transmission component 2 It is additionally provided with changed course component 5 inside the shell 4 in left side, is provided with stretching assembly 6 in the inner bottom surface of the shell 4.It is described The gear teeth are provided on the surface of drive shaft 21, the partial gear 22 is movably set on the drive shaft 21 On the outside of the gear teeth, thus axial movement of the partial gear 22 enable along the drive shaft 21, while again can It is driven and rotates by the drive shaft 21.
As shown in figure 8, the changed course component 5 mainly includes changed course shaft 51, slide bar 52 and swinging plate 53, the changed course turns The both ends of axis 51 are rotatably arranged on 4 side wall of shell by bearing, are provided on the outside of the shell 4 and the changed course The changed course knob 54 that shaft 51 connects, with two sections of cylindrical sections 511, the diameter of the cylindrical section 511 in the changed course shaft 51 Greater than the changed course shaft 51, guide groove 512 is provided on the surface of the cylindrical section 511, the both ends of the slide bar 52 are fixed It is connected to the inside of the shell 4, the swinging plate 53 is slidably disposed on the slide bar 52, and the swinging plate 53 Upper end is provided with vertical guide rod 513, and the upper end of the guide rod 513 is arranged in the inside of the guide groove 512, and described group On the rotatable sleeve 221 for being set in 22 side of partial gear in the lower section of movable plate 53.When the rotation changed course button When, the changed course shaft 51 rotates, the guide rod 513 by the guide groove 512 driving in the guide groove 512 Inside is mobile, and then drives the partial gear 22 to move on the drive shaft 21 by the swinging plate 53.
The stretching assembly 6 mainly includes that slide plate 61, wirerope 62, reset spring 63 and retracting cylinder 64 form, the shell The sliding block of T-type is provided on the bottom surface of body 4, the lower section of the slide plate 61 is slidable by sliding slot and T-type sliding block cooperation It is arranged on the bottom surface of the shell 4, is provided with the gear teeth on the upper surface of the slide plate 61, when the rotation changed course shaft 51 When, the partial gear 22 can be dialed to the slide plate along the axial direction of the drive shaft 21 by the swinging plate 53 61 top, so that the gear teeth of 61 top of the gear teeth and the slide plate of the partial gear 22 is made to be sequentially connected, the slide plate 61 have two pieces, connect respectively with two partial gears 22.The wirerope 62 is wrapped in more inside the shell 4 On a idler wheel 65, the right end of the wirerope 62 is connected to the left end of two slide plates 61, the left end of the wirerope 62 with The retracting cylinder 64 connects.As shown in figure 12, the retracting cylinder 64 is set in the left end of the connecting rod 33, the connecting rod 33 Left end setting restraining position ring block 331 prevent the retracting cylinder 64 to be detached from the connecting rod 33, the inside of the retracting cylinder 64 is set It is equipped with the reset spring 63, the left end of the retracting cylinder 64 is fixedly connected with the biteplate 32.
In order to adjust the drawing force of the slide plate 61, it is arranged on 4 bottom surface of shell of every piece of 61 left end of slide plate There is limited block 41, as shown in figure 11, the left end of two pieces of slide plates 61 is respectively connected with an adjustment spring 66, the adjustment spring 66 left end is connected with adjusting rod 67, and the adjusting rod 67 is connected through a screw thread on the perpendicular wall that the shell 4 is arranged in, and described The left end of adjusting rod 67 passes through the perpendicular wall of the shell 4, and the outside of the shell 4 is arranged in, by rotating the adjusting rod 67 Deformation quantity can be applied for the adjustment spring 66, make the adjustment spring 66 that there is pulling force or elastic force, and then described in adjusting Drawing force when slide plate 61 slides to the right, to adapt to the demand of different patients.
Track when in order to guarantee that the biteplate 32 horizontally slips, the support rod 34 mainly includes linkage section 341, bending section 342, straightway 343 and tilting section 344, the linkage section 341 are connected to the left end of 4 top of shell, institute Bending section 342 is stated to connect with the linkage section 341, and the left end of the bending section 342 be bent downwardly and with the straightway 343 Connection, the left end of the straightway 343 is the tilting section 344 being upturned, and the supporting plate 31 is connected to the tilting section On 344.The bottom of the straightway 343 is contacted with the upper surface of the biteplate 32, when the biteplate 32 is by the slide plate 61 stretch when move right, the upper surface of the biteplate 32 keep with the contact of the straightway 343, make the occlusion Plate 32 can smoothly move along a straight line to the right, avoid patient under stretch jaw when occur mandibular joint significantly up and down The problems such as moving, tooth caused to collide with.
After the rotation changed course knob 54 stirs the partial gear 22, the partial gear 22 and the thick stick Bar gear 23 separates, and the partial gear 22 is moved to the top of the slide plate 61, and the partial gear 22 drives described Slide plate 61 moves right, and then pulls the retracting cylinder 64 and the biteplate 32 to move right by the wirerope 62, So as to stretch patient's lower jaw.When the gear teeth completion of the partial gear 22 and engaging for the 61 upper surface gear teeth of slide plate After transmission, the slide plate 61 restores to initial position under the elastic force effect of the reset spring 63 (described in i.e. the leftmost side is located at The position of limited block 41), wait the engaged transmission next time of partial gear 22.
When the partial gear 22 drives the lever and gear wheel 23 to rotate, the wheel on the partial gear 22 When 23 engaged transmission of tooth and the lever and gear wheel, the lever and gear wheel 23 can be driven to rotate and then make the biteplate 32 downwards It opens, auxiliary patient dehisces, when the partial gear 22 continues rotation so that the gear teeth on the partial gear 22 leave When the gear teeth of the lever and gear wheel 23, the engaged transmission between the partial gear 22 and the lever and gear wheel 23 is disconnected It opens, the lever and gear wheel 23 is no longer influenced by the effect of driving force at this time, and patient can be with self-dependent bite force by the occlusion Plate 32 be snapped to initial position (extreme higher position that the i.e. described biteplate 32 can reach, at this time it is described occlusion 32 upper surface Contacted with the straightway 343), complete silent movement, in this process, due to the lever and gear wheel 23 and it is described not exclusively Already off connection between the gear teeth of gear 22, therefore patient not will receive the drag effects of the clockwork spring 10, Huan Zheke It is silent to be readily accomplished, the muscular fatigue near mandibular joint will not be caused.
Due to the number of gear teeth on the partial gear 22 be it is fixed, when the partial gear 22 rotates a circle, The angle that the lever and gear wheel 23 can be driven to rotate be it is fixed, therefore, if the lever and gear wheel 23 drives the occlusion After plate 32 assists patient to dehisce, the biteplate 32 is not engaged to initial bit by patient because of silent difficult or other reasons Set, after the partial gear 22 rotates a circle, the gear teeth on the partial gear 22 again with the lever and gear wheel 23 When engaged transmission, by patient have at this time dehisce angle on the basis of make again patient lower jaw open one it is fixed Angle, the angle this time opened can be superimposed too excesssive feelings of dehiscing occur with the angle of dehiscing that patient itself retains Condition can cause hyper-traction to the mandibular joint of patient at this time, unfavorable to Rehabilitation.
In order to avoid the generation of above-mentioned this case, need to make the biteplate 32 that there is automatic rotation to be restored to initial bit The function of setting, therefore the both ends of the shaft of the lever and gear wheel 23 is provided with regulating mechanism 7, the regulating mechanism 7 can be institute The shaft for stating lever and gear wheel 23 provides torque, when the partial gear 22 disconnects engaged transmission with the lever and gear wheel 23 It waits, the lever and gear wheel 23 can reversely rotate under the torque drive of the regulating mechanism 7, be restored to the biteplate 32 Initial position, that is, be restored to patient it is silent when position.
The outside of the shell 4 of the roller end of the lever and gear wheel 23 is arranged in the regulating mechanism 7, as Figure 14~ Shown in 15, the regulating mechanism 7 mainly includes reduction torsion spring 71, change 72 and connection ring 73, the shaft of the lever and gear wheel 23 It is rotatably arranged on by bearing on the side wall of the shell 4, and the roller end of the lever and gear wheel 23 stretches out the shell The side of body 4, the reduction torsion spring 71 are set in the shaft of the lever and gear wheel 23, and the both ends of the reduction torsion spring 71 point It is not fixed in the shaft and the connection ring 73 of the lever and gear wheel 23, the change 72 is set in the connection ring 73 Outside.It is provided with the support ring 42 outwardly protruded on the outer side vertical wall of the shell 4, is provided with detent on the outside of the support ring 42 Slot 43, the rotatable outside for being set in the support ring 42 of the connection ring 73, the inside of the change 72 are provided with sliding slot, The outside of the connection ring 73 is provided with the sliding block matched with the sliding slot, and the change 72 can be in the connection ring 73 Outside moves in the axial direction, and can rotate the connection ring 73 by rotating the change 72, and then can twist described multiple Position torsional spring 71.The detent magnet 74 with the detent slot 43 cooperation, the detent are fixedly installed on the side of the change 72 Magnet 74 can be stuck in inside the detent slot 43, the detent magnet 74 and the detent slot 43 all have multiple and quantity and Distribution shape is identical, and the detent slot 43 is made using iron, and the detent magnet 74 can be adsorbed on the detent slot 43.
When the biteplate 32 is in initial position, the reduction torsion spring 71 is in the state of natural relaxation, when When the partial gear 22 drives the lever and gear wheel 23 to rotate, the biteplate 32 assists patient to open one's mouth, while institute It states reduction torsion spring 71 and is generated reversed torque by rotation, when the engaged transmission of the partial gear 22 and the lever and gear wheel 23 After end, the lever and gear wheel 23 reversely rotates under the torque effect of the reduction torsion spring 71, keeps the biteplate 32 extensive Again to initial position.Meanwhile the change 72 can be slid in and out, when in the change 72 the detent magnet 74 and institute After stating detent slot 43 separately, the reset spring 63 can be reversed by rotating the change 72, generate the reset spring 63 Detent magnet 74 in postrotational change 72 is caught in the detent slot 43 by torque, and the reduction torsion spring 71 can be made to keep Torque at this time, and then can provide power or resistance for the opening movement of the biteplate 32 reaches adjusting and dehisces dynamics Effect, keep the dynamics of dehiscing of the biteplate 32 adjustable, to adapt to the needs of different patients.
In order to enable the supporting plate 31 that there is rotating function by a small margin, so that patient is more comfortable when using, it is described It is connected between supporting plate 31 and the tilting section 344 by universal ball end 35, multiple through-holes is provided on the supporting plate 31 to increase The gas permeability of the supporting plate 31 simultaneously increases the frictional force between the supporting plate 31 and the upper jaw.The biteplate 32 be it is U-shaped, for The epimandibular tooth of patient matches, and the U-type groove 321 that Open Side Down, the U are provided on the lower surface of the biteplate 32 Type groove 321 can cover on the tooth of patient, increase the binding force between the biteplate 32 and lower jaw.
The course of work of the invention is as follows:
Driver plate 264 is stirred, brake bar 263, which is moved downward, makes brake bar 264 block block 212, rotates clockwork spring knob 12 Clockwork spring 10 is tightened, supporting plate 31 is placed below maxilla by patient, and mandibular teeth bites biteplate, stirs driver plate 264, make Brake bar 263 moves upwards, and the bottom of brake bar 264 no longer stops block 212, and clockwork spring 10 drives drive shaft 21 to revolve Turn, partial gear 22 rotates activation lever gear 23 and rotates, and the driving of bull stick 231 on lever and gear wheel 23 sticks up bar 24 to moving up Dynamic, so that biteplate 32 be made to move downward, auxiliary patient completes opening movement.The gear teeth on partial gear 22 are completed and lever After the engaged transmission of gear 23, biteplate 32 restores initial position under the action of reduction torsion spring 71, and patient completes primary Mouth and silent movement, repeat the above process under the driving of clockwork spring 10, until reaching frequency of training or clockwork spring 10 Elastic force exhaust.
When need to carry out lower jaw in the front-back direction stretch training when, rotation changed course knob 54, pass through changed course shaft 51 drive Partial gear 22 is moved to the top of slide plate 61 by swinging plate 53, and partial gear 22 drives slide plate to move right, and slide plate is logical It crosses wirerope 62 and pulls retracting cylinder 64, and then pull biteplate 32 to move right and complete the stretching of mandibular joint, when incomplete tooth When wheel 22 terminates to connect with slide plate 61, slide plate 61 is moved downward under the elastic force effect of reset spring to the position of limited block 41 It sets, completes a pulling motion.
Although above-mentioned be described in conjunction with specific embodiment of the attached drawing to invention, not to the scope of the present invention Limitation, based on the technical solutions of the present invention, those skilled in the art do not need to make the creative labor and can make Various modifications or changes still within protection scope of the present invention.

Claims (7)

1. a kind of temporomandibular joint recovery training appliance for recovery, the rehabilitation training for temporomandibular joint, which is characterized in that mainly include power packages Part, transmission component, occlusion component and shell, the interior of the shell is at least provided with Power Component described in one group, and institute It states Power Component and the transmission component is drivingly connected, the left end open outer side of the shell, institute is arranged in the occlusion component Occlusion component is stated to connect with the transmission component;
The Power Component mainly includes clockwork spring, spring gear, clockwork spring knob, ratchet and pawl, and the clockwork spring knob is set It sets in the outside of the shell, the clockwork spring knob connects rotary shaft, is arranged with the spring gear in the rotary shaft, described Clockwork spring is arranged inside the spring gear, and one end of the clockwork spring is fixed in the rotary shaft, institute The inside of the spring gear is arranged in the other end for stating clockwork spring;The ratchet is fixed in the rotary shaft, The pawl is arranged on the inner wall of the shell, and the pawl is stuck between the gear teeth of the ratchet, the inner walls Upper that torsional spring is provided with tabletting, the tabletting is pressed on the pawl;
The transmission component mainly includes drive shaft, partial gear, lever and gear wheel and sticks up bar, and the drive shaft is rotatable The inside that the shell is set, the drive shaft and the spring gear be drivingly connected, on the drive shaft at least It is provided with the partial gear, the partial gear is connect with the lever-gear transmission, the lever and gear wheel Roller end is rotatably arranged on the side wall of the shell, is provided with bull stick on the side of the lever and gear wheel, and described turn Bar is arranged in the sliding slot for sticking up bar right-hand end, and the left end for sticking up bar is rotatably arranged on the branch of enclosure interior It supports on axis;
The occlusion component mainly includes supporting plate and biteplate, and the biteplate is connected to the left side for sticking up bar by connecting rod End, the supporting plate are the top that the biteplate is arranged in umbrella shape and the supporting plate, and the supporting plate passes through support rod and the shell Body connection.
2. temporomandibular joint recovery training appliance for recovery as described in claim 1, which is characterized in that the partial gear movably covers It is located on the drive shaft, the partial gear is connected with changed course component, also sets up in the inner bottom surface of the shell There is stretching assembly;
The changed course component mainly includes changed course shaft, slide bar and swinging plate, the rotatable setting in both ends of the changed course shaft In the housing sidewall, the hull outside is provided with the changed course knob connecting with the changed course shaft, the changed course shaft Surface be provided with guide groove, the swinging plate is slidably disposed on the slide bar, and the upper end of the swinging plate has Guide rod inside the guide groove is set, and the lower section of the swinging plate is rotatable to be set in the partial gear side Sleeve on;
The stretching assembly mainly includes that slide plate, wirerope, reset spring and retracting cylinder composition, the slide plate are slidably arranged In the housing bottom surface, the gear teeth are provided on the surface of the slide plate, when rotating the changed course shaft, the shift plate The partial gear can be dialed to the top of the slide plate;Multiple rollings of the wirerope-winding in the enclosure interior On wheel, and the wirerope is connected between the left end of the slide plate and the retracting cylinder, and the retracting cylinder is movably arranged In the left end of the connecting rod, the left end of the retracting cylinder is connect with the biteplate, and reset bullet is provided in the retracting cylinder Spring.
3. temporomandibular joint recovery training appliance for recovery as described in claim 1, which is characterized in that the drive shaft and the shell It is provided with rotary damper between side wall, block, the shell above the block are provided in the front end face of the drive shaft External side is provided with slide switch;The slide switch mainly includes lantern ring and brake bar, and the brake bar can slide up and down It is arranged inside the lantern ring, the brake bar middle position is provided with driver plate, is provided with adsorption magnet on the driver plate.
4. temporomandibular joint recovery training appliance for recovery as described in claim 1, which is characterized in that the two of the shaft of the lever and gear wheel End is provided with regulating mechanism, and the outside of the shell is arranged in the regulating mechanism, and the regulating mechanism mainly includes resetting to turn round Spring, change and connection ring, the reduction torsion spring are set in the shaft of the lever and gear wheel, and the both ends of the reduction torsion spring point It is not fixed in the shaft and the connection ring of the lever and gear wheel, the change is movably set in the connection ring Outside;It is provided with support ring on the outside of the shell, detent slot is provided in the support ring, the connection ring is rotatable to be set It sets on the outside of the support ring, the detent magnet with detent slot cooperation is fixedly installed on the side of the change.
5. temporomandibular joint recovery training appliance for recovery as described in claim 1, which is characterized in that between the supporting plate and the connecting plate It is connected by universal ball end, multiple through-holes is provided on the supporting plate;The biteplate is U-shaped, and the following table of the biteplate The U-type groove that Open Side Down is provided on face.
6. temporomandibular joint recovery training appliance for recovery as claimed in claim 2, which is characterized in that in the housing bottom surface of the slide plate left end It is fixedly installed limited block, the left end of the slide plate is connected with adjustment spring, and the left end of the adjustment spring is connected with adjusting rod, The adjusting rod is connected through a screw thread on the perpendicular wall that the shell is arranged in, and the left end of the adjusting rod passes through the shell Perpendicular wall, is arranged in the outside of the shell.
7. temporomandibular joint recovery training appliance for recovery as claimed in claim 2, which is characterized in that the support rod mainly include with it is described The linkage section of shell connection, reclinate bending section, the straightway being arranged in above the biteplate and what is be bent upwards stick up Section is played, the bottom of the straightway is contacted with the upper surface of the biteplate, and the tilting section is connect with the supporting plate.
CN201910320908.3A 2019-04-21 2019-04-21 Temporomandibular joint rehabilitation training device Expired - Fee Related CN109984916B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113589960A (en) * 2021-07-14 2021-11-02 李伟 Intelligent wireless mouse
CN110538047B (en) * 2019-10-11 2024-04-09 南京医科大学附属口腔医院 Special opening training device for temporomandibular joint disorder correction

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CN206896500U (en) * 2016-12-30 2018-01-19 新疆医科大学附属肿瘤医院 The individual chemoradiotherapy exerciser of dehiscing of controllable opening amplitude
WO2018154425A1 (en) * 2017-02-22 2018-08-30 Shrivastava Rahul Physio-therapeutic device for guided mouth opening

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170290727A1 (en) * 2016-04-11 2017-10-12 Elton Devin Savage Cervical traction device and method of using same
CN106726351A (en) * 2016-12-29 2017-05-31 山东威高集团医用高分子制品股份有限公司 Temporomandibular joint training aids
CN206896500U (en) * 2016-12-30 2018-01-19 新疆医科大学附属肿瘤医院 The individual chemoradiotherapy exerciser of dehiscing of controllable opening amplitude
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110538047B (en) * 2019-10-11 2024-04-09 南京医科大学附属口腔医院 Special opening training device for temporomandibular joint disorder correction
CN113589960A (en) * 2021-07-14 2021-11-02 李伟 Intelligent wireless mouse

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