CN111329718B - Trunk muscle activity promoting device for early hemiplegic stage - Google Patents
Trunk muscle activity promoting device for early hemiplegic stage Download PDFInfo
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- CN111329718B CN111329718B CN202010196727.7A CN202010196727A CN111329718B CN 111329718 B CN111329718 B CN 111329718B CN 202010196727 A CN202010196727 A CN 202010196727A CN 111329718 B CN111329718 B CN 111329718B
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- 210000003205 muscle Anatomy 0.000 title claims abstract description 27
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- 230000007246 mechanism Effects 0.000 claims abstract description 76
- 210000003141 lower extremity Anatomy 0.000 claims abstract description 36
- 210000001364 upper extremity Anatomy 0.000 claims abstract description 18
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- 238000000429 assembly Methods 0.000 claims abstract description 5
- 230000009471 action Effects 0.000 claims description 20
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- 206010019468 Hemiplegia Diseases 0.000 claims description 14
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- 208000007101 Muscle Cramp Diseases 0.000 description 1
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- 230000009286 beneficial effect Effects 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
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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
- A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
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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
- A61H1/008—Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
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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
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
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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
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/024—Knee
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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
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0244—Hip
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- 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
- A61H2001/0203—Rotation of a body part around its longitudinal axis
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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
- A61H2201/01—Constructive details
- A61H2201/0119—Support for the device
- A61H2201/0138—Support for the device incorporated in furniture
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- A—HUMAN NECESSITIES
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- 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
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61H2205/10—Leg
- A61H2205/102—Knee
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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Abstract
The invention discloses a trunk muscle activity promoting device for an early hemiplegic stage, which comprises: a bed body; chest push down mechanism includes: the first telescopic rod is arranged on the head of the bed body; one end of the rotating frame is rotatably connected with the telescopic end of the first telescopic rod; the sliding rail is rotatably connected below the other end of the rotating frame; the sliding block is in sliding fit with the sliding rail; the pressing plate is arranged at the lower end of the sliding block and is of a V-shaped sheet structure, and the lower side of the pressing plate is of an arc shape matched with the shape of the rib part of the patient; the head moving mechanism can drive the head of the patient to move up and down and left and right; the two push plate mechanisms can push the scapulae on two sides of the patient to move upwards; the upper limb moving mechanism is arranged on one side of the bed plate and can drive the affected arm of the patient to lift and bend; the lower limb moving mechanism comprises a vertical plate in sliding fit with the lower end of the bed plate, a lower limb lifting assembly is arranged on one side, close to the bed head, of the vertical plate, and lower limb rotating assemblies are arranged on two sides of the upper end of the vertical plate.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a trunk muscle movement promoting device for an early hemiplegic stage.
Background
At present, cerebrovascular accident lesion becomes a big killer of human beings, the number of hemiplegia patients caused is gradually increased, and in the early stage of hemiplegia, the patients do not have the motion control capability of trunk muscles, the lower thorax and the shoulder blade are lifted when the patients lie on the back, the abdominal respiration of the patients is influenced, and the movement of the trunk requires the assistance of family members of the patients, which wastes time and labor. Therefore, it is desirable to design a device that passively flexes or rotates the trunk and limb muscles of a hemiplegic patient, promotes correction of the patient's rib to a normal position, reduces muscle spasms in the patient, reduces the occurrence of bedsores, stimulates recovery of the abdominal muscle group, promotes the patient to develop normal abdominal breathing, and provides for further resistance to gravitational activity; in addition, the patient is enabled to remember various action essentials, thereby training the patient to actively perform such actions.
Disclosure of Invention
The invention aims to provide a trunk muscle activity promoting device for an early hemiplegia patient, aiming at the defect of the trunk activity of the patient with hemiplegia, which can drive the trunk and four limbs of the patient to perform passive activity, promote the recovery of trunk muscles, four limb muscles and abdominal muscle groups of the patient, inhibit the spasm of the patient and reduce the bedsore.
In order to achieve the above object, the present invention provides a trunk muscle activity promoting device for an early stage of hemiplegia, comprising:
a bed body;
chest push down mechanism includes:
the first telescopic rod is arranged on the bed head of the bed body;
one end of the rotating frame is rotatably connected with the telescopic end of the first telescopic rod;
the sliding rail is rotatably connected below the other end of the rotating frame;
the sliding block is in sliding fit with the sliding rail;
the pressing plate is arranged at the lower end of the sliding block and is of a V-shaped sheet structure, and the lower side of the pressing plate is of an arc shape matched with the shape of the rib part of the patient;
the head moving mechanism is arranged on the upper side of the bed plate of the bed body and can drive the head of the patient to move up and down and left and right;
the two push plate mechanisms are arranged at the positions of the scapulae on the two sides of the patient on the bed plate and can push the scapulae on the two sides of the patient to move upwards;
the upper limb moving mechanism is arranged on one side of the bed plate and can drive the affected arm of the patient to lift and bend;
the lower limb moving mechanism comprises a vertical plate in sliding fit with the lower end of the bed plate, a lower limb lifting assembly is arranged on one side, close to the bed head, of the vertical plate, and lower limb rotating assemblies are arranged on two sides of the upper end of the vertical plate.
Optionally, a rack is arranged on the lower side of the sliding rail, a gear meshed with the rack is arranged in the sliding block, and the gear is connected with a first servo motor through a rotating shaft.
Optionally, the head movement mechanism comprises:
the first cylinder is arranged on the upper side of the bed plate;
one end of the cross rod is connected with the telescopic end of the first cylinder, and the other end of the cross rod is provided with a second servo motor;
the head fixing shell is hinged to the top end of the head fixing shell, a cavity matched with the shape of the head is formed in the head fixing shell, and a sponge layer is arranged on the inner wall of the cavity.
Optionally, the lower end of the head fixing shell is connected with a neck support, the neck support is in contact with the neck, and a sponge layer is arranged on the neck support.
Optionally, the push plate mechanism comprises:
the first push plate is embedded in the bed plate, and the upper surface of the first push plate is flush with the upper surface of the bed plate;
the second cylinder mounting rack is arranged on the lower side of the bed plate;
and the shell end of the second cylinder is arranged on the second cylinder mounting frame, and the telescopic end of the second cylinder runs through the bed plate and the lower side of the first push plate is hinged.
Optionally, the upper limb movement mechanism comprises:
one end of the first rotating arm is rotatably connected with the bed plate through a rotating frame arranged on one side of the bed plate;
one end of the second rotating arm is rotatably connected with the other end of the first rotating arm through a rotating shaft, and the other end of the second rotating arm is provided with a binding belt;
the output end of the third servo motor is connected with the rotating shaft and can drive the second rotating arm to rotate relative to the first rotating arm;
and the fourth servo motor is arranged on one side of the first rotating arm, is connected with the first rotating arm through a worm and gear speed reducer and can drive the first rotating arm to rotate.
Optionally, a sliding groove is formed in the lower end of the bed board, a protruding block is arranged at the lower end of the vertical plate, the protruding block and the sliding groove form a clamping sliding structure, a third cylinder is arranged on one side, close to the tailstock, of the bed board, and the third cylinder can drive the vertical plate to slide on the upper side of the bed board.
Optionally, two guide grooves are formed in the vertical plate in a penetrating manner, and the lower limb lifting assembly comprises:
one end of each sliding plate is arc-shaped with an upward opening, the other end of each sliding plate penetrates through the guide groove and is in sliding fit with the guide groove, and the two sliding plates are connected through a cross beam at the end part of one side, close to the bed tail, of the vertical plate;
the second telescopic rod is arranged on one side, close to the bed tail, of the vertical plate, and the telescopic end of the second telescopic rod is connected with the cross beam.
Optionally, the lower limb rotation assembly comprises:
the two brackets are respectively arranged on two sides of the vertical plate and are perpendicular to the vertical plate;
the two fourth cylinders are respectively arranged at the end parts of the two supports, and the telescopic ends of the two fourth cylinders face the inner side of the bed body;
and the two second push plates are respectively arranged at the telescopic ends of the two fourth cylinders, and one side surface of each second push plate, which is close to each other, is provided with a sponge layer.
Optionally, the chest pressing mechanism, the head moving mechanism, the push plate mechanism, the upper limb moving mechanism and the lower limb moving mechanism can be matched with the moving motion of the chest pressing mechanism, the head moving mechanism, the push plate mechanism, the upper limb moving mechanism and the lower limb moving mechanism to play the motion password.
The invention provides a hemiplegic early trunk muscle activity promoting device, which has the beneficial effects that: the device is provided with a chest pressing mechanism, a head moving mechanism, a push plate mechanism, an upper limb moving mechanism and a lower limb moving mechanism, can drive the chest, the head, the trunk, the upper limb and the lower limb of a patient to passively bend or rotate, and can promote the recovery of trunk muscles, limb muscles and abdominal muscle groups of the patient; can inhibit spasm of limbs and trunk, and reduce decubital ulcer; the device is also provided with a password player, and can play corresponding action passwords while moving the trunk and the limbs of the patient, so that the patient can feel and memorize the muscle group of the patient with each action, and the recovery of the patient with hemiplegia is facilitated.
Additional features and advantages of the invention will be set forth in the detailed description which follows.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent by describing in more detail exemplary embodiments thereof with reference to the attached drawings, in which like reference numerals generally represent like parts throughout.
Fig. 1 is a front view schematically showing a trunk muscle activity promoting apparatus in an early stage of hemiplegia according to an embodiment of the present invention.
Fig. 2 is a schematic top view showing an early hemiplegic torso muscle activity promoting device according to an embodiment of the present invention.
Description of reference numerals:
1. a bed body; 2. a chest compression mechanism; 3. a first telescopic rod; 4. a rotating frame; 5. a slide rail; 6. a slider; 7. pressing a plate; 8. a head moving mechanism; 9. a push plate mechanism; 10. an upper limb moving mechanism; 11. a lower limb moving mechanism; 12. a vertical plate; 13. a first cylinder; 14. a cross bar; 15. a second servo motor; 16. a head fixing housing; 17. a first push plate; 18. a second cylinder mount; 19. a second cylinder; 20. a first rotating arm; 21. a second rotating arm; 22. a belt; 23. a third servo motor; 24. a fourth servo motor; 25. a worm gear reducer; 26. a third cylinder; 27. a sliding plate; 28. a second telescopic rod; 29. a support; 30. a fourth cylinder; 31. a second push plate.
Detailed Description
Preferred embodiments of the present invention will be described in more detail below. While the following describes preferred embodiments of the present invention, it should be understood that the present invention may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
The invention provides a trunk muscle movement promoting device for a hemiplegic patient, comprising:
a bed body;
chest push down mechanism includes:
the first telescopic rod is arranged on the head of the bed body;
one end of the rotating frame is rotatably connected with the telescopic end of the first telescopic rod;
the sliding rail is rotatably connected below the other end of the rotating frame;
the sliding block is in sliding fit with the sliding rail;
the pressing plate is arranged at the lower end of the sliding block and is of a V-shaped sheet structure, and the lower side of the pressing plate is of an arc shape matched with the shape of the rib part of the patient;
the head moving mechanism is arranged on the upper side of the bed plate of the bed body and can drive the head of the patient to move up and down and left and right;
the two push plate mechanisms are arranged at the positions of the scapulae on the two sides of the patient on the bed plate and can push the scapulae on the two sides of the patient to move upwards;
the upper limb moving mechanism is arranged on one side of the bed plate and can drive the affected arm of the patient to lift and bend;
the lower limb moving mechanism comprises a vertical plate in sliding fit with the lower end of the bed plate, a lower limb lifting assembly is arranged on one side, close to the bed head, of the vertical plate, and lower limb rotating assemblies are arranged on two sides of the upper end of the vertical plate.
Specifically, the end part of the rotating frame, which is rotatably connected with the first telescopic rod, is provided with a limiting block, so that the rotating frame can be limited when the rotating frame rotates to a horizontal position above the body of a patient, and a fastening screw is arranged on a shaft of the rotating frame, so that the rotating frame can be fixed; the first telescopic rod is an electric telescopic rod, the pressing plate can be pressed on the rib part of a patient in the season through retraction of the first telescopic rod, the tip end of the V-shaped pressing plate is provided with an arc, the patient is prevented from being scratched, the sliding block can drive the pressing plate to move along the sliding rail, the chest of the patient is pressed, and abdominal respiration of the patient is assisted; the opening direction of the V-shaped pressing plate can be adjusted by rotating the sliding rail relative to the rotating frame, the opening is upward when the pressing plate moves downwards, and the opening is downward when the pressing plate moves upwards; the lower limb moving mechanism can lift the feet of the patient through the lower limb lifting assembly and can realize the hip bending and knee bending of the patient through the movement of the vertical plate towards the head direction of the patient, and the lower limb rotating assembly can push the knees of the patient to rotate the lower limbs of the patient in the state that the patient bends the hip and the knee, so as to stimulate the recovery of the abdominal outer muscle group of the patient; in addition, the device also comprises a controller which can control the starting and stopping of each part of the device, and the patient can conveniently use the device for training with the assistance of family members.
Optionally, a rack is arranged on the lower side of the sliding rail, a gear meshed with the rack is arranged in the sliding block, and the gear is connected with a first servo motor through a rotating shaft.
Specifically, a first servo motor can drive the gear to rotate, and the gear and the rack are meshed to drive the sliding block to move along the sliding rail, so that the pressing plate is driven to move.
Optionally, the head movement mechanism comprises:
the first cylinder is arranged on the upper side of the bed plate;
one end of the cross rod is connected with the telescopic end of the first air cylinder, and the other end of the cross rod is provided with a second servo motor;
the head fixing shell is hinged to the top end of the head fixing shell, a cavity matched with the shape of the head is formed in the head fixing shell, and a sponge layer is arranged on the inner wall of the cavity.
Specifically, first cylinder can drive the horizontal pole and reciprocate, and then drives the fixed casing of head and reciprocate, and the fixed casing of head is articulated with second servo motor's output, and is provided with the limiting plate at the downside of pin joint, can restrict turned angle, and second servo motor can just reverse, drives the fixed casing of head and rotates.
Optionally, the lower end of the head fixing shell is connected with a neck support, the neck support is in contact with the neck, and a sponge layer is arranged on the neck support.
Specifically, the neck of the patient can be dragged by the neck support, so that the neck of the patient can move along with the head when the head of the patient moves, and the neck can be protected.
Optionally, the push plate mechanism comprises:
the first push plate is embedded in the bed plate, and the upper surface of the first push plate is flush with the upper surface of the bed plate;
the second cylinder mounting rack is arranged on the lower side of the bed plate;
and the shell end of the second cylinder is arranged on the second cylinder mounting frame, and the telescopic end penetrates through the bed plate and is hinged with the lower side of the first push plate.
Specifically, the second cylinder stretches out and can drive first push pedal and shift up, promotes patient's shoulder blade, and the second cylinder that starts the unilateral can make the truck upper end of patient one side lift up and produce certain turning, starts two second cylinders and first cylinder simultaneously and can make the patient upper part of the body lift up, realizes crooking.
Optionally, the upper limb mobility mechanism comprises:
one end of the first rotating arm is rotatably connected with the bed plate through a rotating frame arranged on one side of the bed plate;
one end of the second rotating arm is rotatably connected with the other end of the first rotating arm through a rotating shaft, and the other end of the second rotating arm is provided with a binding belt;
the output end of the third servo motor is connected with the rotating shaft and can drive the second rotating arm to rotate relative to the first rotating arm;
and the fourth servo motor is arranged on one side of the first rotating arm, is connected with the first rotating arm through a worm and gear speed reducer and can drive the first rotating arm to rotate.
Specifically, the band can be fixed the affected side wrist of patient at the tip of second rocking arm, and fourth servo motor's rotation can drive first rocking arm and rotate, and then drives the affected side arm rotation of patient and lifts, lifts up and starts third servo motor after lifting up the arm, and third servo motor can drive the second rocking arm and rotate for first rocking arm for the patient realizes bending the elbow action, and the affected side upper limbs of activity patient.
Optionally, the inside spout of having seted up of bed board lower extreme, vertical board lower extreme is provided with the lug, and the lug constitutes block sliding structure with the spout, and the bed board is close to one side of tailstock and is provided with the third cylinder, and the third cylinder can drive vertical board and slide on the bed board upside.
Specifically, the feet of the patient can be stepped on the vertical plate, the third cylinder drives the vertical plate to slide towards the head of the patient on the bed plate, and the patient can conveniently bend legs.
Optionally, vertical inboard is inside to link up and has been seted up two guide ways, and lower limbs lifting unit includes:
one end of each sliding plate is arc-shaped with an upward opening, the other end of each sliding plate penetrates through the guide groove and is in sliding fit with the guide groove, and the end parts of the two sliding plates on one side, close to the bed tail, of the vertical plates are connected through the cross beam;
the second telescopic rod is arranged on one side, close to the bed tail, of the vertical plate, and the telescopic end is connected with the cross beam.
Specifically, the feet of the patient can be placed on the two sliding plates, the second telescopic rod is an electric telescopic rod, the second telescopic rod can drive the two sliding plates and the feet of the patient to move upwards, and the hip bending and knee bending of the patient can be achieved by matching with the movement of the vertical plate.
Optionally, the lower limb rotation assembly comprises:
the two brackets are respectively arranged on two sides of the vertical plate and are perpendicular to the vertical plate;
the two fourth cylinders are respectively arranged at the end parts of the two brackets, and the telescopic ends of the two fourth cylinders face the inner side of the bed body;
and the two second push plates are respectively arranged at the telescopic ends of the two fourth cylinders, and a sponge layer is arranged on one side surface of each second push plate, which is close to each other.
Specifically, under the condition that the patient bends the hip and the knee, the second push plate can be driven by the extension of the fourth cylinder to move towards the knee of the patient, so that the knee of the patient is pushed to move from one side of the body to the other side of the body, the rotation of the lower limbs and the waist is realized, and the recovery of the abdominal muscle group is stimulated.
Optionally, the medical instrument further comprises a password player, and the password player can play the action password by matching with the movement actions of the chest pressing mechanism, the head moving mechanism, the push plate mechanism, the upper limb moving mechanism and the lower limb moving mechanism.
Specifically, when the device drives the limbs and the trunk of the patient to perform each activity action, the password player plays the corresponding action passwords simultaneously, so that the patient can feel and remember the key of each action conveniently, and the training effect is improved.
Examples
As shown in fig. 1 and 2, the present invention provides a trunk muscle activity promoting device for an early stage of hemiplegia, comprising:
a bed body 1;
the first telescopic rod 3 is arranged on the bed head of the bed body 1;
one end of the rotating frame 4 is rotatably connected with the telescopic end of the first telescopic rod 3;
the sliding rail 5 is rotatably connected below the other end of the rotating frame 4;
the sliding block 6 is in sliding fit with the sliding rail 5;
the pressing plate 7 is arranged at the lower end of the sliding block 6, is of a V-shaped sheet structure, and is provided with an arc shape matched with the shape of the rib part of the patient at the lower side;
the head moving mechanism 8 is arranged on the upper side of the bed plate of the bed body 1 and can drive the head of the patient to move up and down and left and right;
the two push plate mechanisms 9 are arranged at the positions of the scapulae on the two sides of the patient on the bed plate 1 and can push the scapulae on the two sides of the patient to move upwards;
the upper limb moving mechanism 10 is arranged on one side of the bed plate 1 and can drive the affected arm of the patient to lift and bend;
the lower limb moving mechanism 11 comprises a vertical plate 12 in sliding fit with the lower end of the bed plate, a lower limb lifting assembly is arranged on one side, close to the bed head, of the vertical plate 12, and lower limb rotating assemblies are arranged on two sides of the upper end of the vertical plate 12.
In this embodiment, a rack is arranged on the lower side of the slide rail 5, a gear meshed with the rack is arranged in the slide block 6, and the gear is connected with a first servo motor through a rotating shaft.
In the present embodiment, the head moving mechanism 8 includes:
the first air cylinder 13 is arranged on the upper side of the bed plate;
a cross bar 14, one end of which is connected with the telescopic end of the first cylinder 13 and the other end of which is provided with a second servo motor 15;
the head fixing shell 16 is hinged to the top end of the head fixing shell, the top end of the head fixing shell is hinged to the output end of the second servo motor 15, a cavity matched with the shape of the head is arranged inside the head fixing shell, and a sponge layer is arranged on the inner wall of the cavity.
In this embodiment, the lower end of the head fixing shell 16 is connected with a neck support, the neck support is in contact with the neck, and a sponge layer is arranged on the neck support.
In the present embodiment, the pusher mechanism 9 includes:
the first push plate 17 is embedded in the bed plate, and the upper surface of the first push plate is flush with the upper surface of the bed plate;
the second cylinder mounting rack 18 is arranged at the lower side of the bed plate;
and the shell end of the second cylinder 19 is arranged on the second cylinder mounting frame 18, and the telescopic end penetrates through the bed plate and is hinged with the lower side of the first push plate 17.
In the present embodiment, the upper limb movement mechanism 10 includes:
one end of the first rotating arm 20 is rotatably connected with the bed board through a rotating frame arranged on one side of the bed board;
one end of the second rotating arm 21 is rotatably connected with the other end of the first rotating arm 20 through a rotating shaft, and the other end of the second rotating arm is provided with a binding belt 22;
the output end of the third servo motor 23 is connected with the rotating shaft and can drive the second rotating arm 21 to rotate relative to the first rotating arm 20;
and a fourth servo motor 24 disposed at one side of the first swing arm 20, connected to the first swing arm 20 through a worm gear reducer 25, and capable of driving the first swing arm 20 to rotate.
In this embodiment, the inside spout of having seted up of bed board lower extreme, vertical board 12 lower extreme is provided with the lug, and the lug constitutes block sliding structure with the spout, and the bed board is close to one side of tailstock and is provided with third cylinder 26, and third cylinder 26 can drive vertical board 12 and slide on the bed board upside.
In this embodiment, vertical board 12 is inside to link up and to have seted up two guide ways, and lower limbs promote the subassembly and include:
one end of each sliding plate 27 is arc-shaped with an upward opening, the other end of each sliding plate 27 penetrates through the guide groove and is in sliding fit with the guide groove, and the end parts of the two sliding plates 27, which are arranged on one side of the vertical plate 12 close to the bed tail, are connected through a cross beam;
and the second telescopic rod 28 is arranged on one side of the vertical plate 12 close to the bed tail, and the telescopic end is connected with the cross beam.
In this embodiment, the lower limb rotation assembly includes:
two brackets 29 respectively disposed at both sides of the vertical plate 12, perpendicular to the vertical plate 12;
the two fourth cylinders 30 are respectively arranged at the end parts of the two brackets 29, and the telescopic ends of the two fourth cylinders 30 face the inner side of the bed body;
and the two second push plates 31 are respectively arranged at the telescopic ends of the two fourth cylinders 30, and a sponge layer is arranged on the surface of one side, close to each other, of the two second push plates 31.
In this embodiment, the present invention further includes a password player capable of playing the operation password in accordance with the movement operations performed by the chest compression mechanism 2, the head moving mechanism 8, the push plate mechanism 9, the upper limb moving mechanism 10, and the lower limb moving mechanism 11.
In summary, when the device for promoting the movement of the trunk muscles in the early stage of hemiplegia provided by the invention is used, the patient lies on the back on the bed plate, the head of the patient is placed in the head fixing shell 16, the first air cylinder 13 is started, the first air cylinder 13 extends out and drives the head fixing shell 16 to move upwards through the cross rod 14, so as to drive the head of the patient to be lifted, then the first air cylinder 13 retracts, so as to reset the head of the patient, so that a cycle is formed, wherein the action is performed for 2-3 cycles per minute, and 10-15 cycles are performed in total. The second servo motor 15 is started, the second servo motor 15 rotates in a positive and negative rotation mode alternately to drive the head fixing shell 16 and the head of the patient to rotate towards two sides, the rotation angle can be gradually increased according to the condition of the patient, the left and right rotation is a cycle, and the motion is performed for 2-3 cycles per minute and 10-15 cycles in total. The rotating frame 4 is rotated to be horizontal above the body of a patient, the first telescopic rod 3 is adjusted, so that the pressing plate 7 is pressed on the quarternary rib part of the patient, the opening direction of the pressing plate 7 faces the head of the patient, the first servo motor is started, the first servo motor drives the gear to rotate, the gear and the rack are matched to drive the sliding block 6 and the pressing plate to move towards the lower part of the body of the patient along the sliding rail 5, the lower thoracic contour elevation in the supine position is reduced, and the abdominal breathing of the patient is assisted; then the first telescopic rod 3 is extended out, and the pressure plate 7 is reset, which is a cycle, and the motion is performed for 2-3 cycles per minute and 10-15 cycles in total. The slide rail 6 is rotated, the opening direction of the pressure plate 7 is adjusted, the pressure plate 7 is pressed on the thorax of the patient and moves towards the head of the patient, at the moment, the patient exhales, and then the pressure plate 7 is reset, which is a cycle, 2-3 cycles per minute, and 10-15 cycles in total. The rotating frame 4 is rotated to the upper side of the bed head, the two push plate mechanisms 9 are alternately started, the two second air cylinders 19 are alternately stretched and contracted, the two first push plates 17 are driven to alternately push the rear sides of the scapulae on the two sides of the patient, so that the upper part of the trunk of the patient alternately rises, and the patient is trained to turn over and turn; the rising motion of each side lasts for 20-30 seconds, and the rising motion of each side lasts for 10-15 times. Simultaneously, the two push plate mechanisms 9 and the first air cylinder 13 are started, the two first push plates 17 and the head fixing shell 16 simultaneously drive the upper body and the head of the patient to be lifted, the lifting action lasts for 20-30 seconds each time, and the operation is repeated for 10-15 times. Fixing the affected wrist of the patient on the telescopic end part of the second rotating arm 21 by using a belt 22, starting a fourth servo motor 24, driving the first rotating arm 20 and the affected arm of the patient to lift towards the front side of the body through a worm gear speed reducer 25, then starting a third servo motor 23, driving the second rotating arm 21 to bend relative to the first rotating arm 20, so that the affected arm of the patient bends the elbow, and then driving the affected arm of the patient to reset to the side of the body, wherein the cycle is one cycle, and 2-3 cycles are performed every minute, and 10-15 cycles are performed. The third cylinder 26 is started to drive the vertical plate 12 to slide, two heel parts of a patient are placed on the upper sides of the two sliding plates 27, the second telescopic rod 28 is started to drive the two sliding plates 27 and the two feet of the patient to move upwards, the third cylinder 26 is started simultaneously to push the vertical plate 12 to move towards the head direction of the patient, so that the patient bends the hip and bends the knee, then the two fourth cylinders 30 are started alternately, the two fourth cylinders 30 drive the two second push plates 31 alternately to push the outer sides of the knee of the patient, the turning action of the lower limbs is realized, the lumbar vertebra and the lumbar muscle group of the patient are moved, each cycle is alternated, and 2-3 cycles are performed every minute, and 10-15 cycles are performed in total. Keeping the patient in the hip bending and knee bending posture, rotating the pressing plate 7 of the chest pressing mechanism 2 to the chest of the patient and pressing the lower end of the chest, assisting the patient to lift and press the leg on the affected side of the patient on the leg on the healthy side, then starting the fourth air cylinder 30 on the affected side of the patient, pushing the outer side of the knee on the affected side of the patient by the second push plate 31 to move the knee to the healthy side, rotating the waist of the patient by 20-30 degrees, and then resetting, wherein the cycle is a cycle, and 2-3 cycles are performed every minute, and 10-15 cycles are performed.
When each action is carried out, the player plays the action password corresponding to the action, so that the patient can complete each training action with the assistance of the device through the action password, can conveniently learn and memorize the key of each action in the process of executing the action, and helps the recovery of the independent action capacity of the patient.
Having described embodiments of the present invention, the foregoing description is intended to be exemplary, not exhaustive, and not limited to the embodiments disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments.
Claims (6)
1. An early hemiplegic trunk muscle activity promoting device, comprising:
a bed body;
chest push down mechanism includes:
the first telescopic rod is arranged on the bed head of the bed body;
one end of the rotating frame is rotatably connected with the telescopic end of the first telescopic rod;
the sliding rail is rotatably connected below the other end of the rotating frame;
the sliding block is in sliding fit with the sliding rail;
the pressing plate is arranged at the lower end of the sliding block and is of a V-shaped sheet structure, and the lower side of the pressing plate is of an arc shape matched with the shape of the rib part of the patient;
the head moving mechanism is arranged on the upper side of the bed plate of the bed body and can drive the head of the patient to move up and down and left and right;
the two push plate mechanisms are arranged at the positions of the scapulae on the two sides of the patient on the bed plate and can push the scapulae on the two sides of the patient to move upwards;
a rack is arranged on the lower side of the sliding rail, a gear meshed with the rack is arranged in the sliding block, and the gear is connected with a first servo motor through a rotating shaft; the rotating frame can rotate to a level above the body of a patient, the first telescopic rod is adjusted to enable the pressing plate to be pressed on the quarternary rib part of the patient, the opening direction of the pressing plate faces the head of the patient, the first servo motor can drive the gear to rotate, and the sliding block and the pressing plate are driven to move towards the lower part of the body of the patient along the sliding rail through the matching of the gear and the rack, so that the lower thorax elevation in the supine position is reduced, and the abdominal respiration of the patient is assisted; the opening direction of the pressing plate can be adjusted by rotating the sliding rail, and the pressing plate can be pressed on the thorax of the patient and moves towards the head of the patient;
the upper limb moving mechanism is arranged on one side of the bed plate and can drive the affected arm of the patient to lift and bend;
the lower limb moving mechanism comprises a vertical plate in sliding fit with the lower end of the bed plate, a lower limb lifting assembly is arranged on one side, close to the bed head, of the vertical plate, and lower limb rotating assemblies are arranged on two sides of the upper end of the vertical plate;
a sliding groove is formed in the lower end of the bed board, a convex block is arranged at the lower end of the vertical plate, the convex block and the sliding groove form a clamping sliding structure, a third air cylinder is arranged on one side, close to the bed tail, of the bed board, and the third air cylinder can drive the vertical plate to slide on the upper side of the bed board;
vertical inboard is inside to link up and has been seted up two guide ways, low limbs lifting unit includes: one end of each sliding plate is arc-shaped with an upward opening, the other end of each sliding plate penetrates through the guide groove and is in sliding fit with the guide groove, and the two sliding plates are connected through a cross beam at the end part of one side, close to the bed tail, of the vertical plate; the second telescopic rod is arranged on one side, close to the bed tail, of the vertical plate, and the telescopic end of the second telescopic rod is connected with the cross beam;
the lower limb rotating assembly comprises: the two brackets are respectively arranged on two sides of the vertical plate and are perpendicular to the vertical plate; the two fourth cylinders are respectively arranged at the end parts of the two supports, and the telescopic ends of the two fourth cylinders face the inner side of the bed body; the two second push plates are respectively arranged on the telescopic ends of the two fourth cylinders, and a sponge layer is arranged on the surface of one side, close to each other, of each of the two second push plates;
the third cylinder can drive vertical board and slide, places the both feet heel portion of patient in the upside of two sliding plates, and the second telescopic link can drive two sliding plates and the both feet rebound of patient, and the third cylinder can promote vertical board and remove to patient's head direction for the patient bends hip and bends knee, and two fourth cylinders can drive two second push pedals in turn and promote the patient's the knee outside, realize the action of turning of low limbs.
2. The early stage hemiplegia muscle activity promoting device of claim 1 wherein the head movement mechanism comprises:
the first cylinder is arranged on the upper side of the bed plate;
one end of the cross rod is connected with the telescopic end of the first cylinder, and the other end of the cross rod is provided with a second servo motor;
the head fixing shell is hinged to the top end of the head fixing shell, a cavity matched with the shape of the head is formed in the head fixing shell, and a sponge layer is arranged on the inner wall of the cavity.
3. The device for promoting the movement of trunk muscles in the early stage of hemiplegia according to claim 2, wherein a neck brace is connected to the lower end of the head-fixing case, the neck brace is in contact with the neck, and a sponge layer is provided on the neck brace.
4. The early stage hemiplegia trunk muscle activity promoting device of claim 1, wherein the push plate mechanism comprises:
the first push plate is embedded in the bed plate, and the upper surface of the first push plate is flush with the upper surface of the bed plate;
the second cylinder mounting rack is arranged on the lower side of the bed plate;
and the shell end of the second cylinder is arranged on the second cylinder mounting frame, and the telescopic end of the second cylinder runs through the bed plate and the lower side of the first push plate is hinged.
5. The early-hemiplegia trunk muscle activity promoting device of claim 1, wherein the upper limb activity mechanism includes:
one end of the first rotating arm is rotatably connected with the bed plate through a rotating frame arranged on one side of the bed plate;
one end of the second rotating arm is rotatably connected with the other end of the first rotating arm through a rotating shaft, and the other end of the second rotating arm is provided with a binding belt;
the output end of the third servo motor is connected with the rotating shaft and can drive the second rotating arm to rotate relative to the first rotating arm;
and the fourth servo motor is arranged on one side of the first rotating arm, is connected with the first rotating arm through a worm and gear speed reducer and can drive the first rotating arm to rotate.
6. The device for promoting the movement of trunk muscles in the early stage of hemiplegia according to claim 1, further comprising a password player capable of playing an operation password in cooperation with the movements of said chest-pressing mechanism, said head-moving mechanism, said pusher mechanism, said upper-limb moving mechanism and said lower-limb moving mechanism.
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| CN202010196727.7A CN111329718B (en) | 2020-03-19 | 2020-03-19 | Trunk muscle activity promoting device for early hemiplegic stage |
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| CN112120869A (en) * | 2020-09-15 | 2020-12-25 | 中国人民解放军西部战区总医院 | Baffle for preventing foot drop |
| CN112754804B (en) * | 2021-01-02 | 2022-07-08 | 南京微电射频技术有限公司 | Thoracic surgery operation rehabilitation nursing device |
| CN112842816B (en) * | 2021-01-13 | 2022-10-14 | 安徽省立医院(中国科学技术大学附属第一医院) | Functional position auxiliary rehabilitation training device for head and neck fibrosis patient |
| CN113133895B (en) * | 2021-04-23 | 2022-07-26 | 盐城幼儿师范高等专科学校 | Hemiplegia shoulder recovery device for hemiplegia patient |
| CN113133896B (en) * | 2021-04-23 | 2023-01-17 | 盐城幼儿师范高等专科学校 | Upper limb rehabilitation device for hemiplegic patient |
| CN114642566B (en) * | 2022-02-23 | 2023-11-21 | 南京邮电大学 | Hemiplegia patient's truck buckling extension trainer |
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