CN111035900B - Pulmonary function exercise rehabilitation device for thoracic surgery - Google Patents
Pulmonary function exercise rehabilitation device for thoracic surgery Download PDFInfo
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- CN111035900B CN111035900B CN202010035275.4A CN202010035275A CN111035900B CN 111035900 B CN111035900 B CN 111035900B CN 202010035275 A CN202010035275 A CN 202010035275A CN 111035900 B CN111035900 B CN 111035900B
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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
- A63B23/18—Exercising apparatus specially adapted for particular parts of the body for improving respiratory function
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
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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
- A63B23/02—Exercising apparatus specially adapted for particular parts of the body for the abdomen, the spinal column or the torso muscles related to shoulders (e.g. chest muscles)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2205/00—Devices for specific parts of the body
- A61H2205/08—Trunk
- A61H2205/084—Chest
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Abstract
胸外科肺功能锻炼康复装置，解决了胸部手术术后患者的肺功能活动受限加剧，造成呼吸功能明显减弱，导致肺部并发症发生的问题；本装置通过第一转臂和第二转臂可以单独主动训练松动上胸部及牵张胸肌起到呼吸锻炼的作用；通过左右两侧的两个套筒可以单独主动训练松动一侧的胸腔起到呼吸锻炼的作用；通过离合机构的联动主动训练松动上胸部及牵张胸肌带动另一患者被动训练松动一侧的胸腔；通过离合机构的联动主动训练松动一侧的胸腔带动另一患者被动训练松动上胸部及牵张胸肌；本发明提供了多种锻炼模式能够全方面进行呼吸康复训练，同时此装置可以两个患者共同使用进行锻炼，既可以提高锻炼的积极性，又能达到更好的锻炼效果。
The pulmonary function exercise rehabilitation device for thoracic surgery solves the problem that the pulmonary function activity of patients after thoracic surgery is aggravated, resulting in significantly weakened respiratory function and pulmonary complications. The device passes the first rotating arm and the second rotating arm. It can take the initiative to train the upper chest and stretch the pectoral muscles independently to play the role of breathing exercise; through the two sleeves on the left and right sides, the thoracic cavity on the loose side can be trained to play the role of breathing exercise; through the linkage of the clutch mechanism, the active training Loosening the upper chest and stretching the pectoral muscles drives another patient to passively train the thoracic cavity on one side of the loosening; actively train the thoracic cavity on the loose side through the linkage of the clutch mechanism to drive the other patient to passively train the upper chest and stretch the pectoral muscles; This exercise mode can carry out respiratory rehabilitation training in all aspects, and at the same time, the device can be used by two patients to exercise together, which can not only improve the enthusiasm of exercise, but also achieve better exercise effect.
Description
Technical Field
The invention belongs to the technical field of medical rehabilitation nursing, and particularly relates to a lung function exercise rehabilitation device for thoracic surgery.
Background
Thoracic surgery is a specialized medical department, and is used for specially studying the diagnosis and treatment of pathological changes of organs in the thoracic cavity, mainly the esophagus, the lung and the mediastinum. The chest surgery operation is long in operation time, large in wound surface and damaged in chest wall integrity, and a patient after the operation is prone to chest distress and oxygen deficiency, so that symptoms such as lung infection are caused, the patient is not favorable for recovering the state of an illness, and therefore the lung function of the patient can be improved by performing effective respiratory function exercise after the operation.
Normal lung function depends on the integrity of lung tissue, sound respiratory muscle, good compliance of thoracic cage and lung tissue, good blood flow perfusion of lung tissue, and negative pressure maintained in pleural cavity, so that lung is in good expansion state. Before operation, the respiratory function of normal lung is limited due to the existence of the original basic diseases (lung cancer, chronic obstructive emphysema, etc.) of the patient. In operation, because the chest cavity of a patient is opened, the lung at the operation side of the patient is in an open pneumothorax, the effect of stretching the lung by the negative pressure of the pleural cavity disappears immediately, most of alveoli shrink, the ventilation volume of the alveoli is reduced, and the pulmonary circulation resistance is increased, so that the effect of exchanging qi and blood in the alveoli is seriously influenced. Meanwhile, the chest wall, the bronchus and the lung tissue are more damaged due to the requirement of expanding the visual field in the operation, and further the respiratory movement is weakened. After operation, the patient is easy to fatigue due to excessive physical consumption. If the patients feel pain in the cut during breathing and coughing, the patients feel nervous and fear, so that the movement of respiratory muscles of the chest is limited, the respiratory movement is shallow and fast, and pulmonary complications such as atelectasis, hypoxia, hypercapnia and the like are easily caused. Therefore, chest surgery may aggravate the limitation of the post-operative lung function activity of the patient, resulting in a significant reduction of the respiratory function, leading to pulmonary complications.
Disclosure of Invention
Aiming at the technical problems, the invention aims to provide a lung function exercise and rehabilitation device for thoracic surgery, which solves the problems that the lung function of a patient after a thoracic surgery is limited and aggravated, the respiratory function is obviously weakened, and pulmonary complications are caused.
In order to achieve the above purpose, the present invention provides the following technical solution, including a first support frame and an adjusting chair, the first support frame is rotatably connected with a first rotating rod and a second rotating rod, the first rotating rod and the second rotating rod have the same structure and are bilaterally symmetrical, the first rotating rod is provided with a first rotating arm capable of being adjusted up and down, the second rotating rod is provided with a second rotating arm capable of being adjusted up and down, the first rotating arm is fixedly connected with a first lantern ring, the second rotating arm is fixedly connected with a second lantern ring, the first rotating rod is further fixedly connected with a first driving rod, the second rotating rod is further fixedly connected with a second driving rod, the first driving rod is below the first rotating arm, the second driving rod is below the second rotating arm, the first driving rod is provided with a first key-shaped groove, the second driving rod is provided with a second key-shaped groove, and the first key-shaped groove is slidably connected with a driving pin, the driving pin is simultaneously connected with the second key-shaped groove in a sliding manner, a connecting rod is fixedly connected to the driving pin, a driving disc is hinged to the other end of the connecting rod, a second supporting frame capable of being adjusted up and down is fixedly connected to the left end of the first supporting frame, the driving disc is rotatably connected with the second supporting frame, a first bevel gear is arranged above the driving disc and rotatably connected with the second supporting frame, the first bevel gear and the driving disc are on the same axis, a second bevel gear is meshed with the left end of the first bevel gear, a third bevel gear is meshed with the right end of the first bevel gear, and the second bevel gear and the third bevel gear are both rotatably connected with the second supporting frame;
the second bevel gear is fixedly connected with a first rotating shaft, the first rotating shaft is adjusted to be provided with a second rotating shaft in a left-right sliding mode, the second rotating shaft is fixedly connected with a first gear, a first shaft sleeve which can be adjusted in a left-right mode is arranged on the second supporting frame, the first gear is rotationally connected with the first shaft sleeve, the first gear is meshed with a belt, one end of the belt is fixedly connected with a sleeve, the other end of the belt is connected with a tension spring in a hanging mode, the other end of the tension spring is connected with a sliding sleeve in a hanging mode, and the sliding sleeve is connected with the first supporting frame in a left-right sliding;
the third bevel gear is provided with a structure the same as that of the second bevel gear;
the first bevel gear is connected with the driving disc through a clutch mechanism;
the first support frame is provided with a water tank, a plurality of drainage tubes are arranged in the water tank, the upper ends of the drainage tubes are communicated with Venturi tubes and air inlet branch tubes with different pipe diameters, each Venturi tube and air inlet branch tube are provided with control valves, all the Venturi tubes are connected with an air inlet pipe together, one end of each air inlet pipe is closed, and the other end of each air inlet pipe is communicated with an air inlet hose;
the water tank is characterized in that the lower end of the water tank is communicated with a water outlet pipe, the other end of the water outlet pipe is connected with a water bag, a liquid outlet control valve is arranged on the water outlet pipe, and a water drain valve is arranged on the water bag.
Preferably, a second gear which rotates in a reciprocating manner is arranged on the first support frame, a third rotating shaft is fixedly connected to the second gear, the third rotating shaft is rotatably connected with the first support frame, a fourth rotating shaft which can be adjusted vertically is arranged on the third rotating shaft, a pinion is fixedly connected to the fourth rotating shaft, a spline is arranged above the pinion, the spline is fixed to the upper end of the fourth rotating shaft, a gear groove corresponding to the pinion is formed in the lower end of the driving disc, and a spline groove matched with the spline is formed in the first bevel gear.
Preferably, the lower end of the fourth rotating shaft is fixedly connected with a second lead screw, a lifting adjusting nut is arranged below the second lead screw in a threaded fit mode, and the lifting adjusting nut is rotatably connected with the first support frame.
Preferably, a rack is engaged with the second gear, the rack is horizontally and slidably connected with the first support frame, a driving block is fixedly connected to one end of the rack, a driving groove is formed in the driving block, a second driving pin is slidably connected to the driving groove, a driving motor is fixedly connected to the first support frame, a turntable is fixedly connected to an output shaft of the driving motor, and the second driving pin is fixed to an eccentric position of the turntable.
Preferably, a first screw rod is fixedly connected to the first rotating rod, a second screw rod is fixedly connected to the first rotating arm, an adjusting nut is connected to the first screw rod in a threaded manner, the adjusting nut is in threaded fit with the second screw rod, and the threads of the first screw rod and the second screw rod are opposite.
Preferably, adjust the chair and include the support, articulated on the support have cushion and service creeper, the first arc of bottom fixedly connected with of cushion adjusts the pole, fixedly connected with and the first position sleeve of first arc regulation pole complex on the support, be equipped with first locating hole on the first position sleeve, evenly distributed has a plurality ofly and first locating hole complex second locating hole on the first arc regulation pole, the bottom fixedly connected with second arc regulation pole of service creeper, fixedly connected with and second arc regulation pole complex second locating sleeve on the support, be equipped with the third locating hole on the second locating sleeve, evenly distributed has a plurality ofly and third locating hole complex fourth locating hole on the second arc regulation pole, the rear end fixedly connected with of service creeper, fixedly connected with pull rod pedal on the support.
Compared with the prior art, the invention has the beneficial effects that: 1. the device can independently and actively train the upper chest to be loosened and the pectoral muscles to be stretched through the first rotating arm and the second rotating arm to play a role in respiratory exercise; 2. the two sleeves on the left side and the right side can independently and actively train the thoracic cavity on one loosened side to play a role in breathing exercise; 3. the upper chest is actively trained and loosened through linkage of the clutch mechanism, and the stretching pectoral muscle drives another patient to passively train the chest on one loosened side; 4. the thoracic cavity on one loosened side is actively trained through linkage of the clutch mechanism to drive another patient to passively train to loosen the upper chest and stretch the pectoral muscles; 5. the upper chest and the stretching pectoral muscles are independently and passively trained, the thoracic cavity on one side is independently and passively trained and loosened, and the upper chest and the stretching pectoral muscles are passively exercised and loosened and the thoracic cavity on one side is passively trained and loosened by matching of the driving motor and the fourth rotating shaft;
in addition, training for increasing the endurance of the inspiratory muscles is carried out through an air inlet hose and Venturi tubes with different pipe diameters; the diaphragm muscle resistance can be trained through the water bag;
multiple exercise mode can breathe rehabilitation training in the aspect of the full, and this device can be used jointly by two patients and take exercise simultaneously, both can improve the enthusiasm of taking exercise, can reach better exercise effect again. The respiratory rehabilitation training can improve the tolerance of movement, improve the mental capacity, improve the self-management ability, increase the understanding of multiple diseases, improve the quality of life, improve the daily life ability, stabilize the diseases, reduce the hospitalization times and reduce worry and fear.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic view of the overall structure of the adjusting chair of the invention.
Fig. 3 is a schematic view of the overall structure of the first support frame of the present invention.
Fig. 4 is a schematic diagram of two exercise modes in linkage exercise according to the present invention.
Fig. 5 is a schematic structural diagram of a first exercise mode embodiment of the invention.
Fig. 6 is an exploded view of a first exercise embodiment of the present invention.
FIG. 7 is a schematic view of the water tank and its overall structure of the present invention.
Fig. 8 is a schematic view of the overall structure of the driving disk of the present invention.
Fig. 9 is a schematic view of the second gear of the present invention actively rotated by the driving motor to achieve passive exercise of the patient.
Fig. 10 is an enlarged schematic view of a portion a of fig. 7.
Fig. 11 is an enlarged schematic view of a portion B in fig. 2.
In the figure: 1-a first support frame, 2-an adjusting chair, 3-a first rotating rod, 4-a second rotating rod, 5-a first rotating arm, 6-a second rotating arm, 7-a first lantern ring, 8-a second lantern ring, 9-a first drive rod, 10-a second drive rod, 11-a first key-shaped groove, 12-a second key-shaped groove, 13-a drive pin, 14-a connecting rod, 15-a drive disc, 16-a second support frame, 17-a first bevel gear, 18-a second bevel gear, 19-a third bevel gear, 20-a first rotating shaft, 21-a second rotating shaft, 22-a first gear, 23-a first shaft sleeve, 24-a belt, 25-a sleeve, 26-a tension spring, 27-a sliding sleeve, 28-a second gear, 29-a third rotating shaft, 30-fourth rotating shaft, 31-pinion, 32-spline, 33-gear groove, 34-second lead screw, 35-lifting adjusting nut, 36-rack, 37-driving block, 38-driving groove, 39-second driving pin, 40-driving motor, 41-rotating disc, 42-first screw, 43-second screw, 44-adjusting nut, 45-water tank, 46-drainage tube, 47-Venturi tube, 48-control valve, 49-air inlet tube, 50-air inlet hose, 51-water outlet tube, 52-water bag, 53-liquid outlet control valve, 54-support, 55-cushion, 56-lying plate, 57-first arc-shaped adjusting rod, 58-first positioning sleeve, 59-first positioning hole, 60-second positioning hole, 61-pull rod, 62-pedal.
Detailed Description
The present invention will now be described in further detail with reference to the accompanying drawings. The drawings are simplified schematic views illustrating only the basic structure of the present invention in a schematic manner, and thus show only the constitution related to the present invention.
Referring to fig. 1 to 11, the present invention includes a first support frame 1 and an adjusting chair 2, the first support frame 1 is rotatably connected with a first rotating rod 3 and a second rotating rod 4, the first rotating rod 3 and the second rotating rod 4 have the same structure and are bilaterally symmetrical, the first rotating rod 3 is provided with a first rotating arm 5 capable of being adjusted up and down, the second rotating rod 4 is provided with a second rotating arm 6 capable of being adjusted up and down, the first rotating arm 5 is fixedly connected with a first collar 7, the second rotating arm 6 is fixedly connected with a second collar 8, the first rotating rod 3 is further fixedly connected with a first driving rod 9, the second rotating rod 4 is further fixedly connected with a second driving rod 10, the first driving rod 9 is arranged below the first rotating arm 5, the second driving rod 10 is arranged below the second rotating arm 6, the first driving rod 9 is provided with a first key groove 11, the second driving rod 10 is provided with a second key groove 12, a driving pin 13 is connected in the first key-shaped groove 11 in a sliding manner, the driving pin 13 is simultaneously connected with a second key-shaped groove 12 in a sliding manner, a connecting rod 14 is fixedly connected to the driving pin 13, a driving disc 15 is hinged to the other end of the connecting rod 14, a second supporting frame 16 which can be adjusted up and down is fixedly connected to the left end of the first supporting frame 1, the driving disc 15 is rotatably connected with the second supporting frame 16, a first bevel gear 17 is arranged above the driving disc 15, the first bevel gear 17 is rotatably connected with the second supporting frame 16, the first bevel gear 17 and the driving disc 15 are on the same axis, a second bevel gear 18 is meshed with the left end of the first bevel gear 17, a third bevel gear 19 is meshed with the right end of the first bevel gear 17, and both the second bevel gear 18 and the third bevel gear 19 are rotatably connected with the second supporting frame;
the second bevel gear 18 is fixedly connected with a first rotating shaft 20, the first rotating shaft 20 is provided with a second rotating shaft 21 in a left-right sliding adjustment mode, the second rotating shaft 21 is fixedly connected with a first gear 22, the second support frame 16 is provided with a first shaft sleeve 23 capable of being adjusted left and right, the first gear 22 is rotatably connected with the first shaft sleeve 23, the first gear 22 is meshed with a belt 24, one end of the belt 24 is fixedly connected with a sleeve 25, the other end of the belt 24 is connected with a tension spring 26 in a hanging mode, the other end of the tension spring 26 is connected with a sliding sleeve 27 in a hanging mode, and the sliding sleeve 27 is connected with the first support frame 1 in a left-right sliding mode;
the third bevel gear 19 is provided with the same structure as that of the second bevel gear 18;
the first bevel gear 17 is connected with the driving disk 15 through a clutch mechanism.
The respiratory rehabilitation training function is as follows: 1, improving respiratory function by controlling and regulating respiratory motion; 2, when the random movement of the respiratory muscle is increased, the respiratory capacity can be obviously increased, thereby improving the absorption of oxygen and the discharge of carbon dioxide; 3, the compliance of the thorax and the lung tissue can be improved through active training, and simultaneously, the absorption of lung and bronchitis and the repair of the lung tissue are facilitated along with the improvement of blood circulation; 4, the auxiliary respiratory muscle can increase the depth of breath to a certain extent, but when the auxiliary respiratory muscle is used improperly, the ineffective oxygen consumption can be increased, and the dyspnea symptom is aggravated.
The respiratory rehabilitation training can improve the tolerance of movement, improve the mental capacity, improve the self-management ability, increase the understanding of multiple diseases, improve the quality of life, improve the daily life ability, stabilize the diseases, reduce the hospitalization times and reduce worry and fear.
The thorax of not hard up one side can play the effect of breathing exercise, and the patient seat, two arms overlap respectively on two sleeve 25, when left side arm pulling downwards, and right side arm promotes crooked thorax tight this moment, and the opposite side bend that is tight towards the thorax this moment is breathed in with the tight tissue of tractive to expand the thorax of this side, the patient exhales towards tight side, and patient's right side arm pulling downwards after that, other operations are the same as above.
Specifically, the method comprises the following steps: when the right sleeve 25 is pulled downwards by the right hand, the belt 24 drives the first gear 22 to rotate on the first shaft sleeve 23, the first gear 22 drives the second rotating shaft 21 to rotate, the second rotating shaft 21 is provided with a sliding key, the first rotating shaft 20 is provided with a sliding key groove matched with the sliding key, the second rotating shaft 21 and the first rotating shaft 20 can slide and rotate together through the matching of the sliding key and the sliding key groove, so when the second rotating shaft 21 rotates, the first rotating shaft 20 and the third bevel gear 19 can be driven to rotate, then the direction change of the first bevel gear 17 enables the rotation directions of the second bevel gear 18 and the third bevel gear 19 to be opposite, and because the second bevel gear 18 and the third bevel gear 19 have the same structure, when the right sleeve 25 is pulled downwards, the left sleeve 25 can be lifted upwards.
In order to achieve the purposes of loosening the upper chest and stretching pectoral muscles, a patient sits on the adjusting chair 1, two hands are respectively sleeved on the first rotating arm 5 and the second rotating arm 6 through the first lantern ring 7 and the second lantern ring 8, the first lantern ring 7 and the second lantern ring 8 are respectively sleeved on the upper arm parts of the two hands, two palms are held in a crossed mode behind the head, the arm stretching action is performed when the patient inhales deeply, the hands and the elbows of the patient are leaned together when the patient exhales, and the two hands and the elbows of the patient stretch outwards when the patient inhales.
As shown in fig. 4, when the upper chest is loosened and the pectoral muscle is stretched, the first rotating arm 5 and the second rotating arm 6 can make the first rotating rod 3 and the second rotating rod 4 do reciprocating rotary motion, when the two hands and the elbows of the patient are continuously closed and extended, the first driving rod 9 and the second driving rod 10 can simultaneously extrude the driving pin 13 through the first key-shaped groove 11 and the second key-shaped groove 12, so that the driving pin 13 pushes the driving disc 15 to rotate back and forth through the connecting rod 14, and a dead point cannot be formed between the driving disc 15 and the connecting rod 14 in the rotating interval.
This device multiple exercise mode can breathe rehabilitation training in the aspect of the full range, and this device can two patients use jointly to take exercise simultaneously, both can improve the enthusiasm of taking exercise, can reach better exercise effect again.
When the driving disc 15 is combined with the first bevel gear 17 through the clutch mechanism, the rotary motion of the driving disc 15 can also drive the rotary motion of the first bevel gear 17, when the first bevel gear 17 makes the rotary motion, the second bevel gear 18 and the third bevel gear 19 can also make reciprocating rotation, the first bevel gear 18 and the second bevel gear 19 always keep reverse rotation, and at the moment, the sleeves 25 on the left side and the right side can make repeated upward and downward motions.
Thus: 1. the upper chest is independently and actively trained and loosened and the pectoral muscles are stretched to play a role in respiratory exercise; 2. the thoracic cavity on one loosened side is independently and actively trained to play a role in breathing exercise; 3. actively training the upper chest to be loosened and stretching pectoral muscles to drive the other patient to passively train the thoracic cavity on the loosened side; 4. the chest on one side of the active training is used for driving the other patient to passively train the upper chest to be loosened and the pectoral muscles to be stretched.
The support device is characterized in that a second gear 28 which rotates in a reciprocating manner is arranged on the first support frame 1, a third rotating shaft 29 is fixedly connected to the second gear 28, the third rotating shaft 29 is rotatably connected with the first support frame 1, a fourth rotating shaft 30 which can be vertically adjusted is arranged on the third rotating shaft 29, a pinion 31 is fixedly connected to the fourth rotating shaft 30, a spline 32 is arranged above the pinion 31, the spline 32 is fixed to the upper end of the fourth rotating shaft 30, a gear groove 33 corresponding to the pinion 31 is arranged at the lower end of the drive plate 15, and a spline groove matched with the spline 32 is arranged on the first bevel gear 17.
As shown in fig. 9, in order to realize the active reciprocating rotation of the second gear 28, a rack 36 is engaged with the second gear 28, the rack 36 is horizontally slidably connected with the first support frame 1, one end of the rack 36 is fixedly connected with a driving block 37, the driving block 37 is provided with a driving groove 38, the driving groove 38 is slidably connected with a second driving pin 39, the first support frame 1 is fixedly connected with a driving motor 40, an output shaft of the driving motor 40 is fixedly connected with a rotating disc 41, and the second driving pin 39 is fixed at an eccentric position of the rotating disc 41.
When passive exercise is carried out independently, the driving motor 40 is turned on, the driving motor 40 drives the turntable 41 to rotate, the second driving pin 39 on the turntable 41 slides in the driving groove 38 while rotating along with the turntable 41, and at the moment, the second driving pin 39 drives the driving block 37 and the rack 36 to do horizontal reciprocating linear motion on the first support frame 1, so that the second gear 28 is driven to do reciprocating rotary motion.
As shown in fig. 4, when the second gear 28 rotates, the third shaft 29 and the fourth shaft 30 are connected in the same manner as the first shaft 20 and the second shaft 21, and the fourth shaft 30 can slide up and down in the third shaft 29 and rotate together with the third shaft 29;
after the fourth rotating shaft 30 is adjusted upwards for a certain distance, the spline 32 on the fourth rotating shaft 30 is matched with the spline groove on the first bevel gear 17, and then the revolving motion of the second gear 28 drives the revolving motion of the first bevel gear 17, so that the purpose of passively training to loosen the chest on one side is achieved;
after the fourth rotating shaft 30 continues to be adjusted upwards for a certain distance, the spline 32 on the fourth rotating shaft 30 continues to be matched with the spline groove on the first bevel gear 17, the pinion 31 and the gear groove 33 are also matched with each other, and the rotary motion of the second gear 28 drives the rotary motion of the first bevel gear 17 and the driving disk 15 at the same time, so that the purposes of passively training to loosen the thoracic cavity on one side and passively training to loosen the upper chest and stretch the pectoral muscle are achieved;
when the fourth shaft 30 further adjusts a distance upward, the spline 32 of the fourth shaft 30 is disengaged from the spline groove of the first bevel gear 17, and the pinion 31 and the gear groove 33 are continuously engaged, so that the revolving motion of the second gear 28 only drives the revolving motion of the driving disk 15, thereby achieving the purpose of passively training and loosening the upper chest and stretching the pectoral muscles.
The above-mentioned clutch mechanism can also be realized by adjusting the height of the fourth rotating shaft 30, but in this case, the driving motor 40 and the rotating disk 41 and the second driving pin 39 thereon must be lowered to disengage the second driving pin 39 from the driving groove 38, so that the driving motor 40 can be connected to the first supporting frame 1 by the lifting device.
In order to realize the up-down lifting adjustment of the fourth rotating shaft 30, the lower end of the fourth rotating shaft 30 is fixedly connected with a second lead screw 34, a lifting adjusting nut 35 is arranged below the second lead screw 34 in a threaded fit manner, and the lifting adjusting nut 35 is rotatably connected with the first support frame 1.
Constitute the screw-nut structure between lift adjusting nut 35 and the second lead screw 34, in order to realize the location of the upper and lower regulation direction of fourth pivot 30, can be at the vertical direction fixedly connected with telescopic link between second lead screw 34 and first support frame 1, when rotating lift adjusting nut 35, under the guide effect of telescopic link, second lead screw 34 will carry out the vertical adjustment, simultaneously under the effect of telescopic link, during second gear 28 slewing motion, can not make second lead screw 34 also rotate thereupon, the effect is tempered in the influence.
In order to adjust the heights of the first rotating arm 5 and the second rotating arm 6 to meet the use requirements of different patients, a first screw 42 is fixedly connected to the first rotating rod 3, a second screw 43 is fixedly connected to the first rotating arm 5, an adjusting nut 44 is in threaded connection with the first screw 42, the adjusting nut 44 is in threaded fit with the second screw 43, and the threads of the first screw 42 and the second screw 43 are reversed.
When the height of the first rotating arm 5 is adjusted, only the adjusting nut 44 needs to be rotated, the adjusting nut 44 and the first screw rod 42 and the second screw rod 43 form a screw nut structure, and the threads of the first screw rod 42 and the second screw rod 43 are reversed, so that when the adjusting nut 44 is rotated, relative to the first screw rod 42, the adjusting nut 44 is extended relative to the second screw rod 43, and the design can improve the adjusting efficiency.
In order to realize breathing resistance training, shown by fig. 7 and 10, be equipped with water tank 45 on first support frame 1, be equipped with a plurality of drainage tubes 46 in the water tank 45, the upper end of drainage tube 46 all communicates the branch pipe that admits air that has venturi 47 and different pipe diameters, all is equipped with control valve 48 on every venturi 47 and the branch pipe that admits air, and all venturi 47 have an intake pipe 49 jointly, the one end of intake pipe 49 is sealed, the other end intercommunication has air hose 50.
The patient inhales through the air inlet hose 50, the narrower the pipe diameter of the air inlet branch pipe, the larger the resistance, the same pipe diameter of the drainage pipe 46 and the transparent material, the rising height of the water level can be observed by inhaling every time, the resistance is inhaled every day for several times, the training time is gradually increased to 20 minutes and 30 minutes every time, and the endurance of the inspiratory muscles is increased. When the inspiratory muscle or endurance of the patient is improved, the training can be carried out by replacing the air inlet branch pipe with the reduced pipe diameter.
In use, only one of the control valves 48 is opened to allow the venturi 47 or intake manifold to be used in conjunction with the intake hose 50.
The patient can breathe through the air inlet hose 50, and during the expiration, air inlet hose 50 and venturi 47 intercommunication, according to the venturi effect that bernoulli's principle produced, exhale behind venturi 47, can rise through drainage tube 46 with the liquid in the water tank 45, and the gas flow rate of expiration is faster, and pressure will diminish, and the water level rises more highly.
In order to realize the resistance training of the diaphragm, as shown in fig. 7, the lower end of the water tank 45 is communicated with a water outlet pipe 51, the other end of the water outlet pipe 51 is connected with a water bag 52, the water outlet pipe 51 is provided with a liquid outlet control valve 53, and the water bag 52 is provided with a water drain valve.
The patient lies and forms the supine position on adjusting chair 2, the posture that the head is lifted slightly, open and go out liquid control valve 53 and put into water bag 52 with the liquid in the water tank 45, the capacity of water bag 52 can the splendid attire 1-2 KG's liquid, then close out liquid control valve 53, the patient keeps the thorax calm simultaneously in deep breathing, the water bag is put at patient's belly, weight does not hinder diaphragm activity and the upper abdomen portion is suitable for bulging, prolong patient's resistance is breathed gradually simultaneously, when the patient can keep diaphragm breathing mode and inhale and can not use supplementary muscle about 15 minutes, can continue to add the volume to water bag 52.
As shown in fig. 2 and 11, in order to facilitate the breathing exercise, the adjustable chair 2 includes a support 54, a cushion 55 and a lying plate 56 are hinged on the support 54, a first arc-shaped adjusting rod 57 is fixedly connected to the bottom end of the cushion 55, a first positioning sleeve 58 matched with the first arc-shaped adjusting rod 57 is fixedly connected to the support 54, a first positioning hole 59 is arranged on the first positioning sleeve 58, a plurality of second positioning holes 60 matched with the first positioning hole 59 are uniformly distributed on the first arc-shaped adjusting rod 57, a second arc-shaped adjusting rod is fixedly connected to the bottom end of the lying plate 56, a second positioning sleeve matched with the second arc-shaped adjusting rod is fixedly connected to the support 54, a third positioning hole is arranged on the second positioning sleeve, a plurality of fourth positioning holes matched with the third positioning hole are uniformly distributed on the second arc-shaped adjusting rod, and a pull rod 61 is fixedly connected to the rear end of the lying plate 56, a foot support 62 is fixedly connected to the support 54.
When the diaphragm muscle resistance training is carried out, the patient needs to be in the supine position, the head of the patient is slightly lifted, the lying plate 56 can be slightly lifted upwards at the moment, the fourth positioning hole in the second arc-shaped adjusting rod corresponds to the third positioning hole in the second positioning sleeve, the second arc-shaped adjusting rod is fixed through the locking bolt, and the patient can lie on the upper side; in addition, when the cushion 55 is in a horizontal state, after the first arc-shaped adjusting rod 57 and the first positioning sleeve 58 are fixed through the locking bolt, the second arc-shaped adjusting rod and the second positioning sleeve are in a movable state, the buttocks of the patient are seated on the cushion 55, feet are placed on the pedals 62, the back of the patient lies on the lying plate 56, the chest is stretched, sucked and pulled to tighten tissues by holding the pull rod 61 with two hands, then the pull rod 61 is pulled upwards to drive the lying plate 56 to rotate so that the back of the patient is lifted (similar to sit-up), then the patient is exhaled, and the upper chest and the stretching pectoral muscles are trained to be loosened.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (6)
1. Rehabilitation device is tempered to thoracic surgery lung function, including first support frame (1) and regulation chair (2), its characterized in that: the structure of the support is characterized in that a first rotating rod (3) and a second rotating rod (4) are connected to the first support frame (1) in a rotating mode, the first rotating rod (3) and the second rotating rod (4) are identical in structure and are bilaterally symmetrical, a first rotating arm (5) capable of being adjusted up and down is arranged on the first rotating rod (3), a second rotating arm (6) capable of being adjusted up and down is arranged on the second rotating rod (4), a first lantern ring (7) is fixedly connected to the first rotating arm (5), a second lantern ring (8) is fixedly connected to the second rotating arm (6), a first driving rod (9) is fixedly connected to the first rotating rod (3), a second driving rod (10) is fixedly connected to the second rotating rod (4), the first driving rod (9) is arranged below the first rotating arm (5), the second driving rod (10) is arranged below the second rotating arm (6), and a first key-shaped groove (11) is formed in the first driving rod (9), a second key-shaped groove (12) is formed in the second driving rod (10), a driving pin (13) is connected in the first key-shaped groove (11) in a sliding mode, the driving pin (13) is connected with the second key-shaped groove (12) in a sliding mode at the same time, a connecting rod (14) is fixedly connected to the driving pin (13), a driving disc (15) is hinged to the other end of the connecting rod (14), a second supporting frame (16) capable of being adjusted up and down is fixedly connected to the left end of the first supporting frame (1), the driving disc (15) is rotatably connected with the second supporting frame (16), a first bevel gear (17) is arranged above the driving disc (15), the first bevel gear (17) is rotatably connected with the second supporting frame (16), the first bevel gear (17) and the driving disc (15) are located on the same axis, a second bevel gear (18) is meshed with the left end of the first bevel, a third bevel gear (19) is meshed with the right end of the first bevel gear (17), and the second bevel gear (18) and the third bevel gear (19) are rotatably connected with a second support frame (16);
the first rotating shaft (20) is fixedly connected to the second bevel gear (18), the second rotating shaft (21) is adjusted in a left-right sliding mode on the first rotating shaft (20), the first gear (22) is fixedly connected to the second rotating shaft (21), a first shaft sleeve (23) capable of being adjusted left and right is arranged on the second supporting frame (16), the first gear (22) is rotatably connected with the first shaft sleeve (23), a belt (24) is meshed with the first gear (22), one end of the belt (24) is fixedly connected with a sleeve (25), the other end of the belt (24) is connected with a tension spring (26) in a hanging mode, the other end of the tension spring (26) is connected with a sliding sleeve (27) in a hanging mode, and the sliding sleeve (27) is connected with the first supporting frame (1) in a left-right sliding mode;
the third bevel gear (19) is provided with a structure the same as that of the second bevel gear (18);
the first bevel gear (17) is connected with the driving disc (15) through a clutch mechanism;
a water tank (45) is arranged on the first support frame (1), a plurality of drainage tubes (46) are arranged in the water tank (45), the upper ends of the drainage tubes (46) are communicated with Venturi tubes (47) and air inlet branch tubes with different pipe diameters, each Venturi tube (47) and each air inlet branch tube are provided with a control valve (48), all the Venturi tubes (47) are commonly connected with an air inlet tube (49), one end of each air inlet tube (49) is closed, and the other end of each air inlet tube is communicated with an air inlet hose (50);
the lower end of the water tank (45) is communicated with a water outlet pipe (51), the other end of the water outlet pipe (51) is connected with a water bag (52), a liquid outlet control valve (53) is arranged on the water outlet pipe (51), and a water drain valve is arranged on the water bag (52).
2. The thoracic surgical pulmonary function exercise rehabilitation device of claim 1, wherein: the support device is characterized in that a second gear (28) which rotates in a reciprocating mode is arranged on the first support frame (1), a third rotating shaft (29) is fixedly connected onto the second gear (28), the third rotating shaft (29) is rotatably connected with the first support frame (1), a fourth rotating shaft (30) which can be vertically adjusted is arranged on the third rotating shaft (29), a pinion (31) is fixedly connected onto the fourth rotating shaft (30), a spline (32) is arranged above the pinion (31), the spline (32) is fixed to the upper end of the fourth rotating shaft (30), a gear groove (33) corresponding to the pinion (31) is formed in the lower end of the driving disc (15), and a spline groove matched with the spline (32) is formed in the first bevel gear (17).
3. The thoracic surgical pulmonary function exercise rehabilitation device of claim 2, wherein: the lower extreme fixedly connected with second lead screw (34) of fourth pivot (30), the below screw-thread fit of second lead screw (34) is equipped with lift adjustment nut (35), lift adjustment nut (35) are connected with first support frame (1) rotation.
4. The thoracic surgical pulmonary function exercise rehabilitation device of claim 2, wherein: the utility model discloses a support of the motor vehicle, including first support frame (1), second gear (28) go up the meshing and be equipped with rack (36), rack (36) and first support frame (1) horizontal sliding connection, the one end fixedly connected with drive block (37) of rack (36), be equipped with on drive block (37) drive groove (38), sliding connection has second drive round pin (39) in drive groove (38), fixedly connected with driving motor (40) on first support frame (1), fixedly connected with carousel (41) on the output shaft of driving motor (40), second drive round pin (39) are fixed on the eccentric position of carousel (41).
5. The thoracic surgical pulmonary function exercise rehabilitation device of claim 1, wherein: fixedly connected with first screw rod (42) on first bull stick (3), fixedly connected with second screw rod (43) on first rocking arm (5), threaded connection has adjusting nut (44) on first screw rod (42), adjusting nut (44) and second screw rod (43) screw-thread fit, the screw thread of first screw rod (42) and second screw rod (43) is reverse.
6. The thoracic surgical pulmonary function exercise rehabilitation device of claim 1, wherein: the adjusting chair (2) comprises a support (54), a cushion (55) and a lying plate (56) are hinged on the support (54), a first arc adjusting rod (57) is fixedly connected to the bottom end of the cushion (55), a first positioning sleeve (58) matched with the first arc adjusting rod (57) is fixedly connected to the support (54), a first positioning hole (59) is formed in the first positioning sleeve (58), a plurality of second positioning holes (60) matched with the first positioning holes (59) are uniformly distributed in the first arc adjusting rod (57), a second arc adjusting rod is fixedly connected to the bottom end of the lying plate (56), a second positioning sleeve matched with the second arc adjusting rod is fixedly connected to the support (54), a third positioning hole is formed in the second positioning sleeve, a plurality of fourth positioning holes matched with the third positioning hole are uniformly distributed in the second arc adjusting rod, the back end fixedly connected with pull rod (61) of service creeper (56), fixedly connected with pedal (62) on support (54).
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| CN202010035275.4A CN111035900B (en) | 2020-01-14 | 2020-01-14 | Pulmonary function exercise rehabilitation device for thoracic surgery |
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| CN111494801B (en) * | 2020-04-28 | 2025-05-09 | 广州晓康医疗科技有限公司 | A pulmonary rehabilitation training device and a method of using the same |
| CN112007337B (en) * | 2020-08-31 | 2021-09-21 | 南阳医学高等专科学校第一附属医院 | Respiratory training device for pediatric respiration |
| CN112237525B (en) * | 2020-09-27 | 2022-07-22 | 广西美澳妇产医院有限公司 | Intelligent arm movement equipment for respiratory rehabilitation |
| CN112245227B (en) * | 2020-10-23 | 2022-10-14 | 新乡医学院第一附属医院 | Gynaecology and obstetrics is close indoor crotch exercise equipment before basin |
| CN112704847B (en) * | 2020-12-08 | 2021-12-07 | 北京海沃斯医疗科技有限公司 | Arm recovery training device for medical equipment |
| CN113440347A (en) * | 2021-01-11 | 2021-09-28 | 宁波市第九医院 | Electric standing bed integrating non-contact cardiopulmonary function real-time monitoring and assessment |
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| CN113367934A (en) * | 2021-06-01 | 2021-09-10 | 广东省第二中医院（广东省中医药工程技术研究院） | An exercise device for improving a patient's respiratory muscles |
| CN115501554B (en) * | 2022-10-17 | 2024-02-06 | 哈尔滨理工大学 | Respiratory muscle resistance training device and use method |
| CN116271727B (en) * | 2023-02-28 | 2025-08-05 | 中国人民解放军陆军军医大学第二附属医院 | A breathing training tool for lung cancer surgery |
| CN116510251B (en) * | 2023-04-10 | 2025-07-01 | 中国人民解放军陆军军医大学第二附属医院 | A lung function training device |
| CN116869778B (en) * | 2023-07-26 | 2025-09-12 | 中国人民解放军总医院第八医学中心 | A lung function rehabilitation training device |
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