CN110876671A - Walking simulation device for rehabilitation of stroke patient - Google Patents

Walking simulation device for rehabilitation of stroke patient Download PDF

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Publication number
CN110876671A
CN110876671A CN201911402039.5A CN201911402039A CN110876671A CN 110876671 A CN110876671 A CN 110876671A CN 201911402039 A CN201911402039 A CN 201911402039A CN 110876671 A CN110876671 A CN 110876671A
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turntable
pedal
hole
cavity
movable
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CN201911402039.5A
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CN110876671B (en
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陈国中
陶红苗
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Hangzhou Normal University
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Hangzhou Normal University
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Abstract

A walking simulation device for rehabilitation of stroke patients is characterized in that a walking simulation system is arranged on a rack and is formed by combining a horizontal reciprocating motion mechanism and an arc-shaped lifting mechanism, the arc-shaped lifting mechanism comprises a rotary table rotating by a rotating shaft, and two pedals for treading two feet of a patient are arranged on two sides of the rotary table through pin shafts; the horizontal reciprocating mechanism comprises two groups of motion units with the same structure and positioned on two sides of the turntable, each motion unit comprises a movable substrate driven by a telescopic oil cylinder to reciprocate on the surface of the working surface, and a movable plate is erected in a cavity in the middle of the movable substrate. The invention simulates the alternate walking action of the two legs of the human through the composition of the two motion mechanisms, so that when the patient uses the device, the two legs can be driven to simulate the walking action, thereby not only exercising the coordination of the two legs and nerves and the flexibility of each joint, but also exercising the muscles of the legs, improving the rehabilitation effect and shortening the rehabilitation time.

Description

Walking simulation device for rehabilitation of stroke patient
Technical Field
The invention relates to the field of stroke treatment and rehabilitation, in particular to a walking simulation device for stroke patient rehabilitation.
Background
In the prior art, the paralysis of the lower limbs that the cerebral apoplexy arouses, generally treat through taking exercise and massage, lack and carry out the rehabilitation equipment of pertinence exercise to the walking of apoplexy patient's lower limbs specially, generally the patient is holding the support piece that can move and is gone up slow motion, and its effect is very poor, mainly shows: because the lower limbs of the patient are paralyzed, the nerves can not well control the movement of the lower limbs, and the patient easily falls down, the family members or medical staff of the patient need to attend at any time; in addition, in the exercise process, the weight of the upper body of the patient can increase the burden on the lower limbs, so that fatigue is easily caused, the risk of falling of the patient is increased, more importantly, the coordination of the two legs of the patient can not be exercised in a targeted manner, the flexibility of hip joints, knee joints and the like is difficult to be exercised, and the rehabilitation process of the patient is greatly reduced; the existing massage equipment is difficult to perform effective rehabilitation exercise on the coordinated movement of the legs of the patient and the flexibility of each joint.
Disclosure of Invention
In order to solve the problem that equipment for effectively rehabilitating and physical therapy of lower limb paralysis caused by cerebral apoplexy is lacked in the prior art, the invention provides a walking simulation device for rehabilitation of a patient with apoplexy, which is formed by compounding a horizontal reciprocating mechanism and an arc-shaped lifting mechanism, and simulates the alternate walking action of two legs of a person through compounding of the two movement mechanisms, so that when the patient stands on the walking simulation device, the two legs of the patient can be driven by the equipment to walk, the coordination action of the two legs, the flexibility of each joint and the coordination of nerves are exercised, the muscle of the legs of the patient is also exercised, the rehabilitation effect is improved, and the rehabilitation time is shortened.
The technical scheme adopted by the invention for solving the technical problems is as follows: a walking simulation device for rehabilitation of stroke patients comprises a rack, wherein the rack is provided with a horizontal working surface, a walking simulation system is arranged on the working surface and is formed by combining a horizontal reciprocating mechanism and an arc-shaped lifting mechanism, the arc-shaped lifting mechanism comprises a rotary table which is rotationally arranged on the working surface by virtue of a rotary shaft, the surface of the rotary table vertically penetrates through the working surface and is driven by a power mechanism to rotate around the rotary shaft, two pedals are arranged on two sides of the rotary table through pin shafts and are symmetrically distributed by taking the center of the rotary table as a symmetric center, four through holes are distributed on the working surface and are distributed on the track of the two pedals rotating along with the rotary table, so that the two pedals simultaneously penetrate through the two through holes to complete circular motion in the process of motion;
the horizontal reciprocating mechanism comprises two groups of motion units with the same structure, which are positioned on two sides of the turntable, each motion unit comprises a movable base plate driven by a telescopic oil cylinder to reciprocate on the surface of a working surface, a cavity is arranged in the middle of the movable base plate, and one side of the cavity, which is close to the turntable, is provided with a passage communicated with the outside, so that a pin shaft of the pedal can pass through the passage when rotating along with the turntable;
the surface of the movable base plate is distributed with bearing grooves positioned at two sides of the cavity, and a movable plate is arranged in the cavity and is erected in the bearing grooves through stirring shafts protruding at two sides of the movable plate, so that the movable plate is positioned in the cavity;
the initial positions of cavities on two movable substrates are respectively positioned on through holes on different sides of the turntable in the axial direction, the two through holes on two sides of the turntable are respectively defined as a front hole and a rear hole along the rotation direction of the turntable, the initial position of a pedal on the left side of the turntable is positioned in the front hole on the side, the cavity of the movable substrate is positioned right above the front hole, when the turntable rotates, the pedal on the left side penetrates through the front hole on the side from top to bottom and moves towards the rear hole on the side, meanwhile, the movable substrate on the side moves towards the rear hole from the front hole along the surface of a working surface under the driving of a telescopic oil cylinder, in the process, the movable substrate is hooked on a mixing shaft of the movable plate through a bearing groove, so that the movable plate and the movable substrate are driven to synchronously move, and when the pedal reaches the rear hole on the side, the movable;
the initial position of the pedal on the right side of the turntable is in the rear hole on the side, the cavity of the movable substrate is positioned right above the rear hole, when the turntable rotates, the pedal on the right side penetrates through the rear hole from bottom to top, and the movable plate erected in the cavity is supported to move towards the front hole on the side along with the pedal, meanwhile, the movable substrate on the side is driven by the telescopic oil cylinder to move towards the front hole from the rear hole along the surface of the working face, when the pedal enters the front hole on the side, the cavity of the movable substrate is positioned right above the front hole, and when the pedal penetrates through the front hole from top to bottom, the stirring shaft frame of the movable plate supported by the movable substrate is positioned in the bearing groove of the movable substrate.
In a preferred embodiment of the present invention, the power mechanism for controlling the movement of the turntable is a motor-driven speed reducer, and the motor, the speed reducer, and the telescopic cylinder for driving the movable substrate to reciprocate on the working surface are cooperatively controlled by an LPC intelligent controller.
Another preferred embodiment of the invention is that one end of the pin shaft is fixedly connected with the side surface of the turntable, the other end of the pin shaft extends into the mounting hole arranged at the end part of the pedal, the diameter of the mounting hole is larger than that of the pin shaft, a torsion spring is arranged on the outer surface of one end of the pin shaft extending into the mounting hole, the inner ring of the torsion spring is fixedly connected with the outer diameter of the end part of the pin shaft, and the tail ends of two bulges of the torsion spring are fixedly connected with the inner wall of the mounting hole so as to keep the pedal horizontal.
Another preferred embodiment of the invention is that the frame is a flat rectangular hollow box body, the top surface of the frame is a working surface, a cavity area is formed inside the frame, the rotating shaft of the turntable is fixed on the working surface, and the four through holes penetrate through the cavity area, so that the turntable drives the two pedals at the two sides of the turntable to pass through the four through holes to form rotating circulation above the cavity area and the working surface; the working surface is provided with a handrail frame for the patient to hold.
Another preferred embodiment of the invention is that the rack is a flat rectangular hollow box body, a vertical partition plate is arranged in a cavity area inside the box body, so that the inside of the box body is divided into a control area, and a PLC intelligent control system for controlling the movement of the rotary disc and the telescopic oil cylinder is arranged in the control area.
In another preferred embodiment of the present invention, the walking simulator further comprises a PLC coordinated training control system, the PLC coordination training control system comprises a PLC intelligent controller, a front inductor and a rear inductor for detecting the motion state of the two legs, a plurality of electric stimulation patches attached to acupuncture points of the left leg and the right leg of a patient and an electric acupuncture therapeutic apparatus for providing pulse current for the electric stimulation patches, the front sensor and the rear sensor respectively detect the states of the right leg and the left leg and respectively send different signals to the PLC intelligent controller, and the PLC intelligent controller respectively controls the electric needle therapeutic apparatus to release pulse current to stimulate acupuncture points to the electric stimulation patch attached to the acupuncture points of the right leg or the left leg of the patient according to the received signals of the front sensor or the rear sensor so as to enable the right leg and the left leg to form muscle and neural memory, thereby realizing the coordination action of the right leg and the left leg.
Another preferred embodiment of the present invention is that the front sensor and the rear sensor respectively send different signals to the PLC intelligent controller when the left pedal passes through the front hole and the rear hole, and the PLC intelligent controller respectively controls the electric acupuncture treatment apparatus to release pulse current to the electric stimulation patch attached to the acupuncture point of the right leg or the acupuncture point of the left leg of the patient to stimulate the acupuncture point according to the received signals of the front sensor or the rear sensor.
Another preferred embodiment of the present invention is that the electrical stimulation patch comprises a conductive metal sheet, wherein a plurality of conical discharge tips are densely distributed on the surface of one side of the conductive metal sheet, the other side of the conductive metal sheet is adhered to the middle of one side of a silica gel pad, the other side of the silica gel pad is adhered to the middle of one side of a water-absorbent gauze through a magic tape, and the other side of the water-absorbent gauze is adhered to a waterproof adhesive tape, so that the electrical stimulation patch is adhered to the skin of the acupuncture point through the waterproof adhesive tape; each conductive metal sheet is connected with a current output interface of the electric acupuncture therapeutic apparatus through a lead wrapped with insulating paint.
In another preferred embodiment of the present invention, the upper surface of the movable plate is provided with a recess for the patient to align with the stepping, and the recess has a shape which is the same as the outer side of the shoe but larger than the size of the shoe.
Compared with the prior art, the invention has the following beneficial effects:
1) the walking simulation device is formed by compounding the horizontal reciprocating mechanism and the arc-shaped lifting mechanism, and the alternate walking action of the two legs of a human is simulated by compounding the two movement mechanisms, so that when a patient stands on the walking simulation device, the two legs of the patient can be driven by equipment to walk, the coordination action of the two legs, the flexibility of each joint and the coordination of nerves are exercised, the muscle of the leg of the patient is also exercised, the rehabilitation effect is improved, and the rehabilitation time is shortened;
2) the walking simulation device is formed by combining a horizontal reciprocating mechanism and an arc-shaped lifting mechanism, two pedals are driven by the rotation of a turntable of the arc-shaped lifting mechanism to drive one foot of a patient to move from a point A to a point B in an arc-shaped lifting manner, and the other foot of the patient is moved from the point B to the point A by the horizontal reciprocating mechanism, so that the walking simulation is realized, in the process, each muscle group of two legs is well exercised, and more importantly, the joint flexibility and the nerve coordination of the two legs are well exercised;
3) in the walking simulation device, the pedal and the pin shaft are connected by the torsional spring, so that the pedal has a function of rotating for a certain angle around the pin shaft, and has a reset function under the action of the torsional spring, thereby ensuring that the pedal is in a horizontal state and better supporting the movable plate.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic top view of the horizontal reciprocating mechanism and the arcuate lifting mechanism;
FIG. 3 is a partially enlarged bottom view of the structure of FIG. 2;
FIG. 4 is an enlarged partial top view of the structure of FIG. 2;
FIG. 5 is a schematic view of a moving substrate;
FIG. 6 is a schematic structural diagram of the movable plate;
FIG. 7 is a schematic structural view of a turntable;
FIG. 8 is a schematic view of the connection structure of the pedal and the pin;
FIG. 9 is a schematic view of the structure of the pedal and the movable plate;
FIG. 10 is a schematic structural view of a preferred embodiment of FIG. 9;
FIGS. 11-14 are schematic diagrams of the present invention simulating a walking cycle;
FIG. 15 is a schematic structural diagram of a PLC coordinated training control system;
fig. 16 is a schematic structural view of an electrical stimulation patch;
reference numerals: 1. the device comprises a rack, 101, a working surface, 102, an armrest frame, 103, a cavity area, 104, a control area, 105, a vertical partition plate, 106, a through hole, 2, a horizontal reciprocating mechanism, 201, a movable base plate, 202, a cavity, 203, a passageway, 204, a receiving groove, 205, a telescopic oil cylinder, 206, a movable plate, 207, a mixing shaft, 208, a recess, 3, an arc-shaped lifting mechanism, 301, a rotary table, 302, a pin shaft, 303, a pedal, 304, a torsion spring, 305, a protruding tail end, 4, a PLC coordinated training control system, 401, an electric acupuncture therapeutic apparatus, 402, a PLC intelligent controller, 403, a front inductor, 404, a rear inductor, 5, an electric stimulation patch, 501, a conductive metal sheet, 502, a conical discharge tip, 503, a lead, 504, a silica gel pad, 505, a water absorption gauze, 506 and a waterproof cloth.
Detailed Description
The technical solution of the present invention is further illustrated and described below with reference to specific embodiments, and components and structures, which are not specifically described, used in the following embodiments of the present invention are all the prior art, such as a PLC intelligent controller, a sensor for sensing a position, an electric needle therapeutic apparatus, a telescopic cylinder and a hydraulic oil supply system thereof.
Example 1
As shown in fig. 1-7, a walking simulator for stroke patient rehabilitation comprises a frame 1, the frame 1 has a horizontal working surface 101, a walking simulation system is arranged on the working surface 101, the walking simulation system is formed by compounding a horizontal reciprocating mechanism 2 and an arc-shaped lifting mechanism 3, wherein, the arc-shaped lifting mechanism 3 comprises a turntable 301 which is rotationally arranged on the working surface 101 by a rotating shaft, the surface of the turntable 301 vertically penetrates through the working surface 101 and is driven by a power mechanism to rotate around a rotating shaft, two pedals 303 are arranged on two sides of the turntable 301 through a pin shaft 302, and the two pedals 303 are symmetrically distributed by taking the center of the turntable 301 as a symmetrical center, four through holes 106 are distributed on the working surface 101, the four through holes 106 are distributed on the track of the two pedals 303 rotating along with the turntable 301, so that the two pedals 303 simultaneously pass through the two through holes 106 one above the other during the movement to complete circular movement; the four through holes 106 and the two pedals 303 are rectangular, and the size of the four through holes 106 is slightly larger than that of the pedals 303, so that the pedals can pass through the through holes 106 without obstacles, the connecting line of the centers of the four through holes 106 is actually rectangular, and the distance between the two through holes 106 on the same side is the diameter of the turntable 301;
the horizontal reciprocating mechanism 2 comprises two groups of motion units with the same structure, which are positioned at two sides of a turntable 301, each motion unit comprises a movable substrate 201 driven by a telescopic oil cylinder 205 to reciprocate on the surface of a working surface 101, a cavity 202 is arranged in the middle of the movable substrate 201, and a passage 203 communicated with the outside is arranged at one side of the cavity 202 close to the turntable 301, so that a pin shaft 302 of a pedal 303 can pass through the passage 203 when rotating along with the turntable 301; the passage 203 is used for avoiding the motion track of the pin shaft 302; in order to ensure the moving stability of the moving substrate 201, each moving substrate 201 is driven by two telescopic oil cylinders 205 synchronously;
the surface of the movable substrate 201 is distributed with receiving grooves 204 positioned at two sides of the cavity 202, and a movable plate 206 is arranged in the cavity 202, and the movable plate 206 is erected in the receiving grooves 204 through stirring shafts 207 protruding at two sides of the movable plate 206, so that the movable plate 206 is positioned in the cavity 202; the receiving grooves 204 are four grooves distributed on the surface of the moving substrate 201, two grooves are respectively arranged on one side of the cavity 202, the grooves are symmetrically distributed, the stirring shafts 207 correspond to the grooves, and the depth of the receiving grooves 204 is preferably greater than the radius of the stirring shafts 207, preferably 2-3 times of the radius of the stirring shafts 207, because if the receiving grooves 204 are shallow, when the telescopic cylinder 205 drives the moving substrate 201 to move, the stirring shafts 207 of the moving plate 206 are likely to be separated from the receiving grooves 204, so that the moving plate 206 cannot synchronously and horizontally move along with the moving substrate 201;
two motion units are located on two sides of the turntable 301, wherein the initial positions of the cavities 202 on two movable substrates 201 are respectively located on the through holes 106 on the opposite sides of the turntable 301 in the axial direction, the two through holes 106 on two sides of the turntable 301 are respectively defined as a front hole and a rear hole along the rotation direction of the turntable 301, the initial position of the pedal 303 on the left side of the turntable 301 is located in the front hole on the side, the cavity 202 of the movable substrate 201 is located right above the front hole, when the turntable 301 rotates, as shown in fig. 11-14, the pedal 303 on the left side passes through the front hole on the side from top to bottom and moves towards the rear hole on the side, and simultaneously, the movable substrate 201 on the side moves from the front hole to the rear hole along the surface of the working surface 101 under the driving of the telescopic cylinder 205, in the process, the movable substrate 201 catches on the stirring shaft 207 of the movable plate 206 through the receiving groove 204, thereby driving the movable plate 206 to, the movable plate 206 resides directly above the rear aperture;
the pedal 303 on the right side of the turntable 301 is initially positioned in the rear hole, the cavity 202 of the movable substrate 201 is positioned right above the rear hole, when the turntable 301 rotates, as shown in fig. 11-14, the pedal 303 on the right side penetrates through the rear hole from bottom to top, and supports the movable plate 206 erected in the cavity 202 to move together with the pedal 303 to the front hole on the side, meanwhile, the movable substrate 201 on the side is driven by the telescopic cylinder 205 to move from the rear hole to the front hole along the surface of the working surface 101, and when the pedal 303 enters the front hole on the side, the cavity 202 of the movable substrate 201 is positioned right above the front hole, and when the pedal 303 penetrates through the front hole from top to bottom, the stirring shaft 207 of the supported movable plate 206 is positioned in the receiving groove 204 of the movable substrate 201.
In order to ensure that the movable plate 206 and the pedal 303 are combined more tightly and are not easy to fall off, corresponding grooves and ribs are respectively arranged on the surface of the pedal 303 and the bottom surface of the movable plate 206, as shown in fig. 10, so that when the pedal 303 is combined with the movable plate 206, the grooves and the ribs are matched to realize the tightness of the combination of the two.
In this embodiment, the telescopic cylinder 205 is an existing hydraulic cylinder or an existing air cylinder, preferably a hydraulic cylinder, and its attached hydraulic oil or compressed air supply facilities are all prior art and will not be described herein.
The foregoing is a basic embodiment of the present invention, and further modifications, optimizations and limitations can be made on the foregoing, so as to obtain the following examples:
example 2
This embodiment is an improved scheme based on embodiment 1, and the main structure thereof is the same as embodiment 1, and the improvement point is that: the power mechanism for controlling the motion of the turntable 301 is a motor-driven speed reducer, and the motor, the speed reducer and the telescopic oil cylinder 205 for driving the movable substrate 201 to reciprocate on the surface of the working surface 101 are cooperatively controlled by an LPC intelligent controller.
Because the patient just begins when taking exercise, its both legs flexibility ratio is very poor, consequently, can set for the rotational speed of speed reducer output very slowly to make it drive carousel 301 and also do slow rotation, for example 3-5 circles per minute, after the patient takes exercise for a period of time, its harmony and flexibility have been improved, slowly improve the output rotational speed of speed reducer again.
Example 3
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 8, one end of the pin shaft 302 is fixedly connected with the side of the turntable 301, the other end of the pin shaft extends into a mounting hole provided at the end of the pedal 303, the diameter of the mounting hole is larger than the diameter of the pin shaft 302, a torsion spring 304 is provided around the outer surface of the end of the pin shaft 302 extending into the mounting hole, the inner ring of the torsion spring 304 is fixedly connected, for example welded, with the outer diameter of the end of the pin shaft 302, and the two protruding ends 305 of the torsion spring are fixedly connected with the inner wall of the mounting hole, so as to keep the pedal 303.
Example 4
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 1, the rack 1 is a flat rectangular hollow box, the top surface of the box is a working surface 101, a cavity area 103 is formed inside the box, the rotation axis of the turntable 301 is fixed on the working surface 101, and the four through holes 106 penetrate through the cavity area 103, so that the turntable 301 drives the two pedals 303 at the two sides of the turntable to pass through the four through holes 106 to form a rotation circulation above the cavity area 103 and the working surface 101; an armrest frame 102 for a patient to hold is provided on the work surface 101.
In this embodiment, in order to facilitate the patient to get on and off the frame 1, the frame 1 may be mounted by digging a pit in the ground, so that the frame 1 is mounted in the pit with its working surface 101 flush with the ground.
Example 5
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 1, the rack 1 is a flat rectangular hollow box, and a cavity area 103 inside the box is provided with a vertical partition 105, so as to divide the inside into a control area 104, and the PLC intelligent control system 4 for controlling the movement of the turntable 301 and the telescopic cylinder 205 is arranged in the control area 104.
Example 6
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 15, the walking simulator further comprises a PLC coordinated training control system 4, the PLC coordination training control system 4 comprises a PLC intelligent controller 402, a front inductor 403 and a rear inductor 404 for detecting and detecting the motion state of both legs, a plurality of electric stimulation patches 5 attached to the acupuncture points of the left leg and the right leg of a patient, and an electric acupuncture therapeutic apparatus 401 for providing pulse current for the electric stimulation patches 5, wherein the front sensor 403 and the rear sensor 404 detect the states of the right leg and the left leg, respectively, and respectively sends different signals to the PLC intelligent controller 402, the PLC intelligent controller 402 respectively controls the electric acupuncture therapeutic apparatus 401 to release pulse current to the electric stimulation patch 5 attached to the acupuncture point of the right leg or the acupuncture point of the left leg of the patient to stimulate the acupuncture point according to the received signals of the front inductor 403 or the rear inductor 404, so that muscle and neural memory are formed on the right leg and the left leg, and the coordination action of the right leg and the left leg is realized.
The electric needle therapeutic apparatus 401 used in this embodiment is a mature technology in the prior art, and belongs to a conventional apparatus for electric needle acupuncture point treatment, and the present invention is only to remove the electric needle and replace it with the electric stimulation patch 5 of the present invention. The electric stimulation patch 5 is respectively attached to the patient's Huantiao, rank-border and Fengshi acupoints.
Example 7
This embodiment is another modified scheme based on embodiment 6, and the main structure thereof is the same as embodiment 6, and the improvement point is that: as shown in fig. 1, 9 and 10, the front sensor 403 and the rear sensor 404 respectively send different signals to the PLC intelligent controller 402 when the left pedal 303 passes through the front hole and the rear hole, and the PLC intelligent controller 402 respectively controls the electric acupuncture therapy apparatus 401 to release pulse current to the electric stimulation patch 5 attached to the acupuncture point of the right leg or the acupuncture point of the left leg of the patient to stimulate the acupuncture point according to the received signals of the front sensor 403 or the rear sensor 404.
In this embodiment, the front sensor 403 sends a signal to the PLC intelligent controller 402 when detecting that the left pedal 303 passes through the front hole from top to bottom, and the PLC intelligent controller 402 controls the electrical acupuncture therapeutic apparatus 401 to release a pulse current to the electrical stimulation patch 5 attached to the right leg acupoint of the patient to stimulate the acupoint according to the signal; the rear sensor 404 sends a signal to the PLC intelligent controller 402 when detecting that the left pedal 303 passes through the rear hole from bottom to top, and the PLC intelligent controller 402 controls the electric needle therapeutic apparatus 401 to release a pulse current to the electric stimulation patch 5 attached to the left leg acupoint of the patient to stimulate the acupoint according to the signal.
Example 8
This embodiment is another modified scheme based on embodiment 6, and the main structure thereof is the same as embodiment 6, and the improvement point is that: as shown in fig. 16, the electrical stimulation patch 5 includes a conductive metal sheet 501, a plurality of conical discharge tips 502 are densely distributed on one side surface of the conductive metal sheet 501, the other side is adhered to the middle of one side of a silica gel pad 504, the other side of the silica gel pad 504 is adhered to the middle of one side of a water absorbing gauze 505 by a magic tape, the other side of the water absorbing gauze 505 is adhered to a waterproof adhesive tape 506, so that the electrical stimulation patch 5 is adhered to the skin of the acupuncture point by the waterproof adhesive tape 506; each conductive foil 501 is connected with the current output interface of the electric acupuncture therapy apparatus 401 through a conducting wire 503 wrapped by insulating paint.
Example 9
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 4 and 6, the upper surface of the movable plate 206 is provided with a recess 208 for the patient to step on, and the shape of the recess 208 is the same as the outer shape of the shoe, but is larger than the size of the shoe.

Claims (9)

1. The utility model provides a walking analogue means is used in recovery of stroke patient, includes frame (1), and frame (1) has a horizontally working face (101), its characterized in that: the working surface (101) is provided with a walking simulation system which is formed by compounding a horizontal reciprocating mechanism (2) and an arc-shaped lifting mechanism (3), wherein the arc-shaped lifting mechanism (3) comprises a turntable (301) which is rotationally arranged on the working surface (101) by means of a rotating shaft, the surface of the rotary disc (301) vertically penetrates through the working surface (101) and is driven by a power mechanism to rotate around a rotating shaft, two pedals (303) are arranged on two sides of the turntable (301) through a pin shaft (302), the two pedals (303) are symmetrically distributed by taking the center of the turntable (301) as a symmetrical center, four through holes (106) are distributed on the working surface (101), the four through holes (106) are distributed on the track of the two pedals (303) rotating along with the turntable (301), so that the two pedals (303) simultaneously pass through the two through holes (106) to complete circular motion one above the other in the motion process;
the horizontal reciprocating mechanism (2) comprises two groups of motion units with the same structure, which are positioned on two sides of the turntable (301), each motion unit comprises a movable base plate (201) driven by a telescopic oil cylinder (205) to reciprocate on the surface of the working surface (101), a cavity (202) is arranged in the middle of the movable base plate (201), and one side of the cavity (202) close to the turntable (301) is provided with a passage (203) communicated with the outside, so that a pin shaft (302) of the pedal (303) passes through the passage (203) when rotating along with the turntable (301);
bearing grooves (204) positioned at two sides of the cavity (202) are distributed on the surface of the movable substrate (201), a movable plate (206) is arranged in the cavity (202), and the movable plate (206) is erected in the bearing grooves (204) through stirring shafts (207) protruding at two sides of the movable plate (206), so that the movable plate (206) is positioned in the cavity (202);
two motion units are arranged at two sides of the turntable (301), wherein the initial positions of the cavities (202) on two movable substrates (201) are respectively arranged on the through holes (106) at the opposite sides of the turntable (301) in the axial direction, the two through holes (106) at two sides of the turntable (301) are respectively defined as a front hole and a rear hole along the rotation direction of the turntable (301), the initial position of the pedal (303) at the left side of the turntable (301) is arranged in the front hole at the side, the cavity (202) of the movable substrate (201) is arranged right above the front hole, when the turntable (301) rotates, the pedal (303) at the left side passes through the front hole at the side from top to bottom and moves towards the rear hole at the side, meanwhile, the movable substrate (201) at the side moves from the front hole to the rear hole along the surface of the working surface (101) under the driving of the telescopic oil cylinder (205), and in the process, the movable substrate (201) stirs the trip shaft (207) of the movable plate, thereby driving the movable plate (206) and the movable base plate (201) to move synchronously, and when the pedal (303) reaches the rear hole on the side, the movable plate (206) stays right above the rear hole;
the initial position of a pedal (303) on the right side of a turntable (301) is in the rear hole on the side, a cavity (202) of a movable substrate (201) is positioned right above the rear hole, when the turntable (301) rotates, the pedal (303) on the right side penetrates through the rear hole on the side from bottom to top, and a movable plate (206) erected in the cavity (202) is supported to move to the front hole on the side along with the pedal (303), meanwhile, the movable substrate (201) on the side is driven by a telescopic oil cylinder (205) to move from the rear hole to the front hole along the surface of a working surface (101), when the pedal (303) enters the front hole on the side, the cavity (202) of the movable substrate (201) is positioned right above the front hole, and when the pedal (303) penetrates through the front hole from top to bottom, a stirring shaft (207) of the movable plate (206) supported by the pedal (303) is erected in a bearing groove (204) of the movable substrate (201.
2. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: the power mechanism for controlling the movement of the turntable (301) is a motor-driven speed reducer, and the motor, the speed reducer and the telescopic oil cylinder (205) for driving the movable substrate (201) to reciprocate on the surface of the working face (101) are coordinately controlled by an LPC intelligent controller.
3. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: one end of the pin shaft (302) is fixedly connected with the side face of the turntable (301), the other end of the pin shaft extends into a mounting hole formed in the end portion of the pedal (303), the diameter of the mounting hole is larger than that of the pin shaft (302), a torsion spring (304) is arranged around the outer surface of one end, extending into the mounting hole, of the pin shaft (302), the inner ring of the torsion spring (304) is fixedly connected with the outer diameter of the end portion of the pin shaft (302), and the two protruding tail ends (305) of the torsion spring are fixedly connected with the inner wall of the mounting hole, so that the pedal (303) is kept horizontal.
4. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: the rack (1) is a flat rectangular hollow box body, the top surface of the box body is a working surface (101), a cavity area (103) is formed inside the box body, a rotating shaft of the turntable (301) is fixed on the working surface (101), and the four through holes (106) penetrate through the cavity area (103), so that the turntable (301) drives the two pedals (303) on the two sides of the turntable to penetrate through the four through holes (106) to form rotating circulation above the cavity area (103) and the working surface (101); an armrest frame (102) for holding the patient is arranged on the working surface (101).
5. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: the rack (1) is a flat rectangular hollow box body, a vertical partition plate (105) is arranged in a cavity area (103) in the box body, so that a control area (104) is divided into the box body, and a PLC intelligent control system (4) for controlling the movement of the rotary disc (301) and the telescopic oil cylinder (205) is arranged in the control area (104).
6. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: the walking simulation device also comprises a PLC coordinated training control system (4), the PLC coordinated training control system (4) comprises a PLC intelligent controller (402), a front inductor (403) and a rear inductor (404) for detecting the motion state of the two legs, a plurality of electric stimulation patches (5) attached to acupuncture points of the left leg and the right leg of a patient and an electric acupuncture therapy apparatus (401) for providing pulse current for the electric stimulation patches (5), wherein the front inductor (403) and the rear inductor (404) respectively detect the states of the right leg and the left leg and respectively send different signals to the PLC intelligent controller (402), the PLC intelligent controller (402) respectively controls the electric acupuncture therapy apparatus (401) to release the pulse current to the electric stimulation patches (5) attached to the acupuncture points of the right leg or the left leg of the patient according to the received signals of the front inductor (403) or the rear inductor (404), so that the right leg and the left leg form muscle and neural memory, thereby realizing the coordinated action of the two.
7. The walking simulator for stroke patient rehabilitation according to claim 6, wherein: the front sensor (403) and the rear sensor (404) respectively send different signals to the PLC intelligent controller (402) when the left pedal (303) penetrates through the front hole and the rear hole, and the PLC intelligent controller (402) respectively controls the electric needle therapeutic apparatus (401) to release pulse current to the electric stimulation patch (5) attached to the right leg acupoint or the left leg acupoint of the patient to stimulate the acupoint according to the received signals of the front sensor (403) or the rear sensor (404).
8. The walking simulator for stroke patient rehabilitation according to claim 6, wherein: the electric stimulation patch (5) comprises a conductive metal sheet (501), a plurality of conical discharge tips (502) are densely distributed on the surface of one side of the conductive metal sheet (501), the other side of the conductive metal sheet is adhered to the middle of one side of a silica gel pad (504), the other side of the silica gel pad (504) is adhered to the middle of one side of a water absorbing gauze (505) through a magic tape, and the other side of the water absorbing gauze (505) is adhered to a waterproof adhesive tape (506), so that the electric stimulation patch (5) is adhered to the skin of an acupuncture point through the waterproof adhesive tape (506); each conductive metal sheet (501) is connected with a current output interface of the electric acupuncture treatment instrument (401) through a conducting wire (503) wrapped by insulating paint.
9. The walking simulator for stroke patient rehabilitation according to claim 1, wherein: the upper surface of the movable plate (206) is provided with a recess (208) for the patient to align with the tread.
CN201911402039.5A 2019-12-31 2019-12-31 Walking simulation device for rehabilitation of stroke patient Active CN110876671B (en)

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