CN110368643B - A knee-shoulder joint exercise rehabilitation device - Google Patents
A knee-shoulder joint exercise rehabilitation device Download PDFInfo
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- 210000001503 joint Anatomy 0.000 title abstract description 7
- 210000003127 knee Anatomy 0.000 claims abstract description 7
- 210000000323 shoulder joint Anatomy 0.000 claims description 10
- 210000000629 knee joint Anatomy 0.000 claims description 8
- 230000007246 mechanism Effects 0.000 claims description 8
- 230000002146 bilateral effect Effects 0.000 claims 1
- 238000009827 uniform distribution Methods 0.000 claims 1
- 206010003246 arthritis Diseases 0.000 abstract description 16
- 230000006835 compression Effects 0.000 abstract description 3
- 238000007906 compression Methods 0.000 abstract description 3
- 230000000694 effects Effects 0.000 description 6
- 210000003141 lower extremity Anatomy 0.000 description 5
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 206010039073 rheumatoid arthritis Diseases 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 208000006820 Arthralgia Diseases 0.000 description 1
- 208000017667 Chronic Disease Diseases 0.000 description 1
- 208000028399 Critical Illness Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010060820 Joint injury Diseases 0.000 description 1
- 208000016593 Knee injury Diseases 0.000 description 1
- 208000036365 Normal labour Diseases 0.000 description 1
- 208000018286 Shoulder injury Diseases 0.000 description 1
- 230000002917 arthritic effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000003739 neck Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/04—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable multiple steps, i.e. more than one step per limb, e.g. steps mounted on endless loops, endless ladders
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/03575—Apparatus used for exercising upper and lower limbs simultaneously
- A63B23/03583—Upper and lower limbs acting simultaneously on the same operating rigid member
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/04—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
- A63B23/0494—Exercising 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
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
- A63B23/1245—Primarily by articulating the shoulder joint
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
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- Rehabilitation Tools (AREA)
Abstract
本发明涉及一种膝肩关节同练康复装置,有效的解决了目前关节炎康复锻炼设备功能不完善,适应性差的问题;解决的技术方案包括底座,底座上安装有两组脚踏单元,每组脚踏单元包括两根竖直的导向杆和一个穿在导向杆上的踏板,踏板与底座之间安装有压簧,底座上安装有一个位于两组脚踏单元之间的第一齿轮,第一齿轮的左右表面上均安装有一个垂直于第一齿轮表面的横杆,每个横杆均偏心布置,每个踏板的内侧均开有一个沿前后方向的滑槽,两个横杆的外端分别置于同侧的滑槽内,还包括两根牵引绳,两根牵引绳前端分别固定在两个踏板上,后端均经导线装置绕至座板的后侧且相互交叉;本发明能实现膝肩同练,具有多种锻炼模式。
The invention relates to a knee-shoulder joint joint exercise rehabilitation device, which effectively solves the problems of imperfect function and poor adaptability of the current arthritis rehabilitation exercise equipment; The group pedal unit includes two vertical guide rods and a pedal passing through the guide rod, a compression spring is installed between the pedal and the base, and a first gear located between the two groups of pedal units is installed on the base. A cross bar perpendicular to the surface of the first gear is installed on the left and right surfaces of the first gear. Each cross bar is eccentrically arranged. The outer ends are respectively placed in the chute on the same side, and also includes two traction ropes, the front ends of the two traction ropes are respectively fixed on the two pedals, and the rear ends are wound to the rear side of the seat plate through the wire device and cross each other; The invention can realize the joint training of knees and shoulders, and has various training modes.
Description
技术领域technical field
本发明涉及医疗康复器械领域,具体是一种膝肩关节同练康复装置。The invention relates to the field of medical rehabilitation equipment, in particular to a knee-shoulder joint joint exercise rehabilitation device.
背景技术Background technique
关节炎是全世界最常见的慢性疾病之一,主要是关节的软骨退化或者结缔组织发炎,导致关节疼痛从而干扰关节的正常运动;膝关节炎和肩关节炎是常发于老年人和重体力劳动者人群的两种关节炎类型,两者有一定的相关性,目前对关节炎的治疗有药物、手术及物理运动康复等。Arthritis is one of the most common chronic diseases in the world. It is mainly the degeneration of cartilage in the joints or inflammation of the connective tissue, which causes joint pain and interferes with the normal movement of the joints. Knee arthritis and shoulder arthritis are common in the elderly and heavy physical strength. There are two types of arthritis in the labor population, and there is a certain correlation between the two. At present, the treatment of arthritis includes drugs, surgery and physical exercise rehabilitation.
当代关节炎的运动康复主要有徒手操和专用运动康复器械两大类:The sports rehabilitation of contemporary arthritis mainly includes two categories: manual exercises and special sports rehabilitation equipment:
1.徒手操1. Freehand exercises
由专业医师编制徒手操动作,由患者练习。这种康复方法的缺陷在于:其动作往往是站姿,而患病的中老年人膝盖损伤情况无法进行长时间的站立,同时中老年人当中体重超重情况普遍,站立时膝盖承受全部的自身重量,不同体重和病情的人用同一套徒手操,无法产生相同的效果;Freehand exercises are prepared by professional physicians and practiced by patients. The disadvantage of this rehabilitation method is that its movements are often standing, and the sick middle-aged and elderly people with knee injuries cannot stand for a long time. At the same time, it is common for middle-aged and elderly people to be overweight, and the knees bear all their own weight when standing. , people of different weights and illnesses cannot produce the same effect with the same set of freehand exercises;
同时肩关节炎主要由长期负重劳动或伏案工作产生,其产生的病理位置不同(如长期抬、扛、拉的工人与做文字工作的人的肩关节损伤不同),徒手操的动作难以兼顾不同的病因,而如果重复练习引发疾病的动作,可能加重病情。At the same time, shoulder arthritis is mainly caused by long-term heavy-duty labor or desk work, and the pathological locations of its pathological locations are different (for example, the shoulder joint injuries of workers who lift, carry, and pull for a long time are different from those who do writing work), and it is difficult to take into account the different movements of bare-hand exercises. The cause of the disease may be aggravated by repeated practice of the action that triggers the disease.
2.运动康复器械2. Sports rehabilitation equipment
现有技术中出现了多种针对关节炎患者的运动康复需要而设计的产品,比如:There are a variety of products designed for the sports rehabilitation needs of arthritis patients in the prior art, such as:
CN206026964U多功能风湿关节炎运动康复机CN206026964U multifunctional rheumatoid arthritis exercise rehabilitation machine
其使用时要求患者站立、跑步,而一般膝关节炎患者不具备行走、跑步练习的身体条件(跑步对膝盖冲击较大);When using it, patients are required to stand and run, and generally patients with knee arthritis do not have the physical conditions for walking and running exercises (running has a greater impact on the knees);
CN107335182A一种类风湿关节炎运动康复辅助机CN107335182A A kind of rheumatoid arthritis sports rehabilitation auxiliary machine
其采用仰卧式姿势,由使用者用手搅动绞盘带动下肢运动,达到活动的目的,然而要求患者躺倒后使用,举高手摇圆盘,体力消耗较大,并且仅能带动下肢轻微活动,无法练习下肢力量;It adopts a supine position, and the user stirs the winch with his hands to drive the lower limbs to move to achieve the purpose of activity. However, it requires the patient to lie down and use it, raise the hand to shake the disc, which consumes a lot of physical strength, and can only drive the lower limbs to move slightly. exercise lower body strength;
CN109481237A一种膝关节炎患者康复装置CN109481237A A kind of rehabilitation device for knee arthritis patients
该装置为坐姿,用电机等驱动齿轮组,形成往复运动,将患者的下肢放入往复运动构件当中随动,仅有使肢体活动的功能,无法起到锻炼康复的目的The device is in a sitting position, and uses a motor to drive the gear set to form a reciprocating motion. The patient's lower limbs are placed in the reciprocating motion components to follow. It only has the function of moving the limbs and cannot achieve the purpose of exercise and rehabilitation.
3.针对中老年人,其体力无法支持其长时间站立或推动机械机构,康复动作需要一定的阻力,但阻力不宜过大;同时对于中老年患者,其需要康复的动作主要是上下楼、坐下起立、躺下起身等日常生活中实际需要的动作,现有技术中未出现满足上述要求的关节炎运动康复装置,并且现有技术中的装置仅适用于一个病区与膝部,对于常伴生的肩关节炎、腰部疾病仍需要其他的器械。3. For middle-aged and elderly patients, whose physical strength cannot support them to stand for a long time or push mechanical mechanisms, the rehabilitation action requires a certain resistance, but the resistance should not be too large; at the same time, for middle-aged and elderly patients, the movements that require rehabilitation are mainly going up and downstairs, sitting The actions actually required in daily life, such as getting up and getting up from lying down, etc., there is no arthritic exercise rehabilitation device that meets the above requirements in the prior art, and the device in the prior art is only suitable for one ward and knee. Associated shoulder arthritis, waist disease still need other equipment.
发明内容SUMMARY OF THE INVENTION
针对上述情况,为克服现有技术之缺陷,本发明提供了一种膝肩关节同练康复装置,有效的解决了目前关节炎康复锻炼设备功能不完善,适应性差的问题。In view of the above situation, in order to overcome the defects of the prior art, the present invention provides a knee-shoulder joint joint exercise rehabilitation device, which effectively solves the problems of imperfect function and poor adaptability of the current arthritis rehabilitation exercise equipment.
其解决的技术方案是,一种膝肩关节同练康复装置,包括水平的底座,底座上设有一根竖直的立柱,立柱上端安装有水平的座板,底座上安装有两组脚踏单元,两组脚踏单元左右对称布置,每组脚踏单元包括两根竖直的导向杆和一个水平的踏板,踏板穿在两个导向杆上且可上下滑动,踏板与底座之间安装有压簧,底座上安装有一个位于两组脚踏单元之间的第一齿轮,第一齿轮的左右表面上均安装有一个垂直于第一齿轮表面的横杆,每个横杆均偏心布置且两个横杆在第一齿轮上的投影位置关于第一齿轮圆心中心对称,每个踏板的内侧均开有一个沿前后方向的滑槽,两个横杆的外端分别置于同侧的滑槽内,第一齿轮转动可通过两个横杆带动两个踏板上下移动;The technical scheme of the invention is that a knee-shoulder joint joint exercise rehabilitation device includes a horizontal base, a vertical column is arranged on the base, a horizontal seat plate is installed on the upper end of the column, and two sets of pedal units are arranged on the base. Two sets of pedal units are arranged symmetrically on the left and right, each set of pedal units includes two vertical guide rods and a horizontal pedal, the pedal is worn on the two guide rods and can slide up and down, and a pressure is installed between the pedal and the base A first gear located between the two groups of pedal units is installed on the base, and a cross bar perpendicular to the surface of the first gear is installed on the left and right surfaces of the first gear. Each cross bar is eccentrically arranged and the two The projected positions of the two crossbars on the first gear are symmetrical about the center of the first gear. The inner side of each pedal is provided with a chute along the front-rear direction, and the outer ends of the two crossbars are placed on the same side of the chute respectively. Inside, the rotation of the first gear can drive the two pedals to move up and down through the two cross bars;
还包括两组牵引机构,每组牵引机构包括一根牵引绳和一个拉环,两根牵引绳各自的前端分别固定在两个踏板上,两根牵引绳的后端均经导线装置绕至座板的后侧且相互交叉,两个拉环分别固定在两根牵引绳的后端。It also includes two sets of traction mechanisms, each set of traction mechanisms includes a traction rope and a pull ring, the front ends of the two traction ropes are respectively fixed on the two pedals, and the rear ends of the two traction ropes are wound to the seat through the wire device. The rear sides of the plates cross each other, and the two pull rings are respectively fixed on the rear ends of the two traction ropes.
本发明能实现膝肩同练,并且具有多种锻炼模式,能适应各种身体情况和病情的患者。The invention can realize knee-shoulder co-exercise, has multiple exercise modes, and can adapt to patients with various physical conditions and illnesses.
附图说明Description of drawings
图1为本发明的立体图一。FIG. 1 is a
图2为本发明的立体图二。FIG. 2 is a second perspective view of the present invention.
图3为本发明的立体图三。FIG. 3 is a third perspective view of the present invention.
以上图1图2中头枕未画出。The headrests in Figures 1 and 2 above are not shown.
具体实施方式Detailed ways
以下结合附图对本发明的具体实施方式作出进一步详细说明。The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings.
由图1至图3给出,本发明包括水平的底座1,底座1上设有一根竖直的立柱2,立柱2上端安装有水平的座板3,底座1上安装有两组脚踏单元,两组脚踏单元左右对称布置,每组脚踏单元包括两根竖直的导向杆4和一个水平的踏板5,踏板5穿在两个导向杆4上且可上下滑动,踏板5与底座1之间安装有压簧6,底座1上安装有一个位于两组脚踏单元之间的第一齿轮7,第一齿轮7的左右表面上均安装有一个垂直于第一齿轮7表面的横杆8,每个横杆8均偏心布置且两个横杆8在第一齿轮7上的投影位置关于第一齿轮7圆心中心对称,每个踏板5的内侧均开有一个沿前后方向的滑槽9,两个横杆8的外端分别置于同侧的滑槽9内,第一齿轮7转动可通过两个横杆8带动两个踏板5上下移动;1 to 3, the present invention includes a
还包括两组牵引机构,每组牵引机构包括一根牵引绳10和一个拉环11,两根牵引绳10各自的前端分别固定在两个踏板5上,两根牵引绳10的后端均经导线装置绕至座板3的后侧且相互交叉,两个拉环11分别固定在两根牵引绳10的后端。It also includes two groups of traction mechanisms, each group of traction mechanisms includes a
所述的第一齿轮7啮合有一个第二齿轮12,第二齿轮12连接有驱动电机13。The first gear 7 is meshed with a
所述的两个横杆8均经滑键可拆卸的插装在第一齿轮7上。The two
所述的立柱2为一个气动伸缩杆结构,从而可调节座板3的高度。The
所述的座板3可转动的安装在立柱2的上端,患者可配合做扭腰动作。The
所述的座板3上安装有一个靠背14,靠背14的下端铰接在座板3上且设有锁紧螺钉,从而可调节靠背14的后仰角度;某些患有严重的腰部疾病无法久坐的患者,该方案可以使其半躺使用。The
所述的导线装置包括沿牵引绳10路径设置在底座1上和靠背14后表面的多个限位环15,牵引绳10依次穿过限位环15绕至靠背14的后侧,还包括两个分别安装与两侧的导向杆4上端的转向轮16,牵引绳10的前端从上侧绕过转向轮16然后固定在踏板5上。The guide wire device includes a plurality of
所述的牵引绳10具有弹性,所述的每个踏板5的侧面均安装有一个可将其锁定在导向杆4上的锁紧螺钉,这样可以在腿部不动的情况下,只练手臂的反旋牵引绳10动作,这就变成只康复肩关节炎的装置。The
所述的靠背14上的限位环15包括左右对称布置的两组,每组包括矩形均布的多个。The limiting
所述的靠背14上经弹簧安装有一个头枕17,头枕17的后表面安装有左中右排布的三个挂钩18,拉环11可挂在挂钩18上。A
本发明的使用方法如下:The using method of the present invention is as follows:
患者需要主动锻炼时,从第一齿轮7上取下两个横杆8,患者坐在座板3上,双脚交替下踏相应的踏板5,压簧6提供阻力,同时踏板5向下拉扯牵引绳10,患者双臂摆至身后拉住手环,牵引绳10使患者双臂向背后作“反旋臂”动作,“反旋臂”动作即手臂半垂,外张,并向身后摆动的动作,这一动作几乎不会在劳动中用到,因此不会加重患者病情,可以适应任何工种造成的肩部损伤;其中踩踏板5模拟的是上楼、上台阶的动作,针对中老年人的需要进行针对性练习。When the patient needs to actively exercise, the two
当双手不拉拉环11时,该机构可以只练下肢,也可以只练单脚,也可以只练一侧的上肢+另一侧的下肢;将踏板5锁紧单纯的提拉牵引绳10可只锻炼肩关节,因此多练形式多种多样。When the
所述的牵引绳10从下至上穿过靠背14上的限位环15,可以任意选择路径以便调节长度,最后从最上一排特定的勾上出来,如果从最外侧的限位环15穿出,就对应双臂向外张开角度较大的“反旋臂”动作,如果从最内侧的限位环15穿出,就对双臂向外张开角度较小的“反旋臂”动作,如果从中间某个限位环15穿出,手臂的外开程度就界于两者之间。The
当需要锻炼颈关节时,可将两个拉环11挂在头枕17上的挂钩18上,通过踩踏板5使头枕17向所需的角度偏转或后仰,如果两个拉环11分别挂在左右两个挂钩18上,则牵引绳10会拉动头枕17左右偏转,如果两个拉环11都挂在中间的挂钩18上,则牵引绳10拉动头枕17后仰,进行“膝颈同练”。When the neck joint needs to be exercised, the two pull rings 11 can be hung on the
当踏板5阻力不足或患者有能力使用更大力量时,可以通过手拽拉环11的方式增加阻力,提高运动效果。When the resistance of the
当患者膝关节不能自主用力,需要被动活动时,将两个横杆8装上,启动驱动电机13,驱动电机13通过第二齿轮12带动第一齿轮7转动,第一齿轮7带动两个横杆8转动,两个偏心安装的横杆8通过两个滑槽9带动两个踏板5交替上下运动,从而带动患者的腿部被动的上下活动。When the patient's knee joint cannot exert force on its own and needs passive movement, the two
本发明的有益效果:Beneficial effects of the present invention:
1.患者不用负担自体的重量;1. Patients do not need to bear their own weight;
2.膝关节与肩关节、颈部的活动联动,并兼顾腰部的运动;2. The activities of the knee joint, shoulder joint and neck are linked, and the movement of the waist is also taken into account;
3.所锻炼的是“上楼梯动作”、“坐下站起动作”和“躺下坐起”动作,是中老年患者实际需要的动作;其上肢提供的活动是精确的反旋臂动作,对肩关节炎的康复很有帮助。某些健身器材也提供手臂的拉绳阻力练习,但其练习的动作反而是诱发肩关节炎的拉、提、扩胸等动作。该方案通过多个限位件,使患者仅活动正常劳动不会涉及的“反旋臂”动作,避免加重病情,提高康复效果。3. The exercises are "up the stairs", "sit down and stand up" and "lie down and sit up", which are the actions actually needed by middle-aged and elderly patients; the activities provided by their upper limbs are precise reverse arm movements. It is very helpful for the rehabilitation of shoulder arthritis. Some fitness equipment also provides arm rope resistance exercises, but the movements of the exercises are pulling, lifting, chest expansion and other actions that induce shoulder arthritis. The program uses multiple limiters to enable patients to only move the "reverse arm" movement that is not involved in normal labor, so as to avoid aggravating the disease and improve the recovery effect.
4.运动方式灵活,可单脚,双脚,单手,双手,双手双脚等4. Flexible movement, can be one foot, two feet, one hand, both hands, both hands and feet, etc.
5.对重症患者也提供电机辅助运动的功能。5. The function of motor-assisted movement is also provided for critically ill patients.
Claims (8)
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