CN111513989A

CN111513989A - Internal medicine nursing exercise device

Info

Publication number: CN111513989A
Application number: CN202010397448.7A
Authority: CN
Inventors: 魏晓艳; 张香菊; 张军丽
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-05-12
Filing date: 2020-05-12
Publication date: 2020-08-11

Abstract

An internal medicine nursing exercise device solves the problem that a patient is difficult to exercise autonomously in the early rehabilitation stage; the novel arm-exercising lying board comprises a lying board, wherein a support is fixedly connected to the bottom of the lying board, an arm-exercising frame is rotatably connected to the lying board, a first gear capable of rotating in a reciprocating manner is fixedly connected to the arm-exercising frame, the first gear is meshed with a transmission mechanism, the transmission mechanism is located inside the lying board, a massage box capable of moving in a reciprocating manner is arranged on the lying board, a driving device is arranged on the left side of the massage box, a telescopic shaft coupling is rotatably connected to the right side of the massage box, a reversing gear set is connected among the transmission mechanism, the driving device and the telescopic shaft coupling, the transmission mechanism, the driving device, the telescopic shaft coupling and the reversing gear set form a driving system, and an adjustable supporting plate is; the invention solves the problem of difficult autonomous exercise caused by muscle degeneration and physical strength in the early rehabilitation stage of patients.

Description

Internal medicine nursing exercise device

Technical Field

The invention relates to the technical field of medical treatment, in particular to a medical nursing and exercising device.

Background

From the medical point of view, the internal medicine is generally divided into digestive system department, respiratory system department, cardiology department, urology department, neurology department, oncology department, endocrinology department, hematology department, and the like, and some hospitals are also divided into thinner departments, including interventional therapy department, radiotherapy department, and the like; some medical patients need long-term bed-lying treatment, the physical strength of the patients is reduced and the muscles are degenerated due to the long-term bed-lying, and the recovery and exercise of the patients in the early rehabilitation stage are difficult; there is a need for a device that assists a patient in performing initial exercises to assist in performing the exercises.

Disclosure of Invention

In order to overcome the defects of the prior art, the invention provides the internal medicine nursing exercise device which assists the patient in exercising the arm and awakening the muscle degenerated in the upper limb, and can effectively solve the problem of difficulty in autonomous exercise caused by muscle degeneration and physical strength in the early rehabilitation stage of the patient.

In order to achieve the purpose, the invention comprises a lying plate, wherein the bottom of the lying plate is fixedly connected with a support, an arm exercise frame is rotatably connected onto the lying plate, a first gear capable of rotating in a reciprocating manner is fixedly connected onto the arm exercise frame, the first gear is meshed with a transmission mechanism, the transmission mechanism is positioned inside the lying plate, a rectangular groove is formed in the lying plate, a massage box capable of moving in a reciprocating manner is slidably connected into the rectangular groove, a driving device is arranged on the left side of the massage box, a pressing type massage rod is interactively connected onto the upper side of the massage box, massage wheels are arranged on two sides of the massage rod and rotatably connected with the massage box, a telescopic coupler is rotatably connected onto the right side of the massage box, a reversing gear set is connected among the transmission mechanism, the driving device and the telescopic coupler, and the transmission mechanism, the driving device, the telescopic coupler and the reversing gear, the front side of the lying plate is rotatably connected with an adjustable supporting plate.

Preferably, the transmission mechanism comprises a transversely placed rack, the rack is meshed with the first gear, a sliding block is fixedly connected to the bottom of the rack and is connected with the lying plate in a sliding mode, a single-rotation reciprocating lead screw is connected to the inner thread of the sliding block in a threaded mode, and the single-rotation reciprocating lead screw is fixedly connected with the reversing gear set.

Preferably, the slider is "I" font for the shape, it has the spout with slider matched with to open on the service creeper, the reciprocal lead screw of single rotation, slider, rack and the cooperation of first gear constitute arm exercise frame ninety degree reciprocal rotation mechanism.

Preferably, the transmission mechanism, the gear and the arm exercising frame are provided with two groups, the slide block on the left side is located on the rightmost side of the single-rotation reciprocating screw rod, and the slide block on the right side is located on the leftmost side of the single-rotation reciprocating screw rod.

Preferably, the first axis of rotation of reversing gear fixedly connected with, the axis of rotation lower extreme is connected with the reversing gear group, the coaxial fixedly connected with crank in reversing gear group right side, it is connected with the connecting rod to rotate on the crank, it is connected with rotatable second axis of rotation to rotate on the connecting rod, and the second axis of rotation runs through the massage case and rotates with the massage case and be connected, second axis of rotation swing joint has the guide way, the guide way is located the service creeper, crank, connecting rod, guide way and second axis of rotation constitute drive massage case horizontal reciprocating motion's mechanism.

Preferably, second axis of rotation right side and telescopic shaft coupling fixed connection, fixedly connected with second gear on the telescopic shaft coupling, both sides meshing has reversing gear around the second gear, the reversing gear meshing has the third gear, the coaxial fixedly connected with cam of second gear and third gear, cam and second axis of rotation fixed connection, cam top cooperation and lifter plate, the lifter plate is fixed with the massage pole even, massage pole upper portion run through the massage roof face and with massage case sliding connection, the cover has reset spring on the massage pole, reset spring is located between massage case and the lifter plate.

Preferably, the telescopic coupling comprises a transverse horizontal shaft, the transverse horizontal shaft is provided with a cylindrical hole, a right-angle connecting rod is connected in the cylindrical hole in a sliding manner, the lower section of the right-angle connecting rod is connected with a longitudinal horizontal shaft in a sliding manner, the longitudinal horizontal shaft and the transverse horizontal shaft are identical in structure, the front side of the longitudinal horizontal shaft is fixedly connected with a reversing gear set, and the right side of the reversing gear set is coaxially and fixedly connected with a crank.

Preferably, the shape of backup pad is "L" type, open on backup pad upper portion has the polygon through-hole, sliding connection has the polygon body in the polygon through-hole, the spacing handle of polygon body left side fixedly connected with, polygon body right side threaded connection has fastening nut, spacing handle and fastening nut are located the left and right sides of service creeper respectively, it has spacing hole to open on the service creeper, spacing downthehole cooperation has the stopper, stopper and spacing handle fixed connection.

Preferably, a placing groove is formed in the arm exercising frame.

Preferably, the reversing gear set comprises two bevel gears which are meshed with each other, and the two bevel gears are meshed to form a vertical reversing mechanism.

Compared with the prior art, the invention has the outstanding advantages that: the arm exercising frame exercises the upper arms and shoulders of the patient, awakens the rigidized upper limbs of the patient and relieves the shoulders of the patient, which are pressed by lying for a long time, and is driven by the bidirectional screw rod and the rack, so that the arm exercising frame is gentle and stable in the arm exercising process of the patient; when the arm of the patient exercises, the massage box moves back and forth, the massage roller rolls on the back of the patient to carry out rolling massage on the back of the patient, and when the massage roller carries out rolling massage on the patient, the massage column is driven by the cam to carry out pressing massage on the patient firstly, so that the blood circulation of the patient is promoted, and the exercise effect is strengthened; the contained angle size of backup pad and service creeper can be stopper and spacing hole regulation, adjusts the crooked degree of patient's shank and waist to stretch patient's back, patient's upper limbs are releived, improve health toughness.

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 a first cross-sectional structure of the present invention.

FIG. 3 is a schematic diagram of a second cross-sectional structure of the present invention.

Fig. 4 is a schematic view of the driving system of the present invention.

Fig. 5 is a view of the transmission mechanism of the present invention.

Fig. 6 is a schematic view of the massage pillar structure of the present invention.

Fig. 7 is a schematic view of the internal structure of the massage box of the present invention.

Fig. 8 is a schematic view of the telescopic coupling of the present invention.

Fig. 9 is an exploded view of the support plate of the present invention.

FIG. 10 is an enlarged view of A in FIG. 2 according to the present invention.

FIG. 11 is an enlarged view of B in FIG. 9 according to the present invention.

FIG. 12 is an enlarged view of C in FIG. 4 according to the present invention.

In the figure: the device comprises a lying plate 1, a support 2, an arm exercising frame 3, a first gear 4, a rectangular groove 5, a massage box 6, a massage rod 7, a massage wheel 8, a telescopic shaft coupling 9, a reversing gear set 10, a support plate 11, a rack 12, a sliding block 13, a single-rotation reciprocating screw rod 14, a sliding groove 15, a first rotating shaft 16, a crank 17, a connecting rod 18, a second rotating shaft 19, a guide groove 20, a second gear 21, a reversing gear 22, a third gear 23, a cam 24, a lifting plate 25, a return spring 26, a transverse horizontal shaft 901, a cylindrical hole 902, a right-angle connecting rod 903, a longitudinal horizontal shaft 904, a polygonal through hole 27, a polygonal body 28, a limiting handle 29, a fastening nut 30, a limiting hole 31, a limiting block 32 and a placing groove 33.

Detailed Description

The present invention will now be described in further detail with reference to the accompanying figures 1-12. 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.

As shown in figures 1-12, the massage device comprises a lying plate 1, wherein a support 2 is fixedly connected to the bottom of the lying plate 1, an arm exercise frame 3 is rotatably connected to the lying plate 1, a first gear 4 capable of rotating in a reciprocating manner is fixedly connected to the arm exercise frame 3, a transmission mechanism is meshed with the first gear 4 and is positioned inside the lying plate 1, a rectangular groove 5 is formed in the lying plate 1, a massage box 6 capable of moving in a reciprocating manner is slidably connected to the rectangular groove 5, a driving device is arranged on the left side of the massage box 6, a pressing type massage rod 7 is interactively connected to the upper side of the massage box 6, massage wheels 8 are arranged on two sides of the massage rod 7, the massage wheels 8 are rotatably connected with the massage box 6, a telescopic coupler 9 is rotatably connected to the right side of the massage box 6, and a reversing gear set 10 is connected among the transmission mechanism, the driving device and the telescopic coupler 9, the driving mechanism, the driving device, the telescopic coupler 9 and the reversing gear set 10 form a driving system, and the front side of the lying plate 1 is rotatably connected with an adjustable supporting plate 11.

The position cover that support 2 and ground contact has the rubber pad, increase the friction with ground, lie flat for patient's back on the service creeper 1, foot and shank are put on backup pad 11, arm exercise frame 3 is used for fixing patient's both arms, the patient lies back on service creeper 1, the arm is placed in the right angle, then fix patient's arm on arm exercise frame 3, later through the starter motor, the rotation of motor drives patient's arm through drive system and arm exercise frame 3 and carries out the right angle swing, temper patient's arm, when patient's arm right angle swing, massage case 6 of patient's back massages patient's back, there is the arch on massage wheel 8 on the massage case 6 upper portion, when massage case 6 moves back and forth, the frictional force between human back and massage wheel 8 drives massage wheel 8 to rotate, through the arch on the massage wheel 8 and the contact of patient's back, form dredging type massage to promote the blood circulation of the body of the patient; the reversing gear set 10 has four groups, the left rear side of the lying plate 1 has two groups for driving the transmission mechanism to rotate, the left front side of the lying plate 1 has one group for connecting the transmission mechanism and the driving device, the right front side of the lying plate 1 has one group for connecting the driving device and the telescopic coupler, and the reversing gear set 10 on the right front side of the lying plate 1 is connected with the motor which is the main driving force.

The transmission mechanism comprises a rack 12 which is transversely placed, the rack 12 is meshed with the first gear 4, the bottom of the rack 12 is fixedly connected with a sliding block 13, the sliding block 13 is connected with the lying plate 1 in a sliding mode, a single-rotation reciprocating lead screw 14 is connected to the sliding block 13 in an internal thread mode, and the single-rotation reciprocating lead screw 14 is fixedly connected with the reversing gear set 10; the slider 13 is "I" font for the shape, it has the spout 15 with slider 13 matched with to open on the service creeper 1, the cooperation of single rotatory reciprocal lead screw 14, slider 13, rack 12 and first gear 4 constitutes arm exercise frame 3 ninety degree reciprocal rotation mechanism.

As shown in fig. 3 and 4, the single-rotation reciprocating screw 14 is rotatably connected with the lying plate 1, the single-rotation reciprocating screw 14 drives the sliding block 13 to slide left and right on the single-rotation reciprocating screw 14, the sliding block 13 slides left and right to drive the rack 12 to move left and right, the rack 12 moves left and right to drive the first gear 4 to rotate in a reciprocating manner, and the number of teeth of the rack 12, which are moved from one end of the single-rotation reciprocating screw 14 to the other end through the sliding block 13, is equal to one fourth of the total number of teeth of the first gear 4; the slider 13 and the spout 15 of "worker" font, when the reciprocal lead screw 14 of single-rotation rotated, the edges and corners of spout 15 carried on spacing restraint to slider 13, guaranteed rack 12 and the driven steady of first gear 4 meshing, prevented that the condition of taking off the tooth from taking place.

The transmission mechanism, the gear and the arm exercising frame 3 are divided into two groups, the slide block 13 on the left side is located on the rightmost side of the single-rotation reciprocating screw 14, and the slide block 13 on the right side is located on the leftmost side of the single-rotation reciprocating screw 14.

As shown in fig. 3 and 4, two sets of reversing gear sets 10 are connected to the upper end of the first rotating shaft 16, when the first rotating shaft 16 rotates, two single-rotation reciprocating lead screws 14 are driven to rotate through the transmission of the two sets of reversing gear sets 10, the slider 13 below the left arm exercising frame 3 is located at the rightmost side of the single-rotation reciprocating lead screw 14, the single-rotation reciprocating lead screw 14 drives the slider 13 to move leftwards, the slider 13 drives the rack 12 to move leftwards, the rack 12 drives the first gear 4 to rotate clockwise, meanwhile, the slider 13 below the right arm exercising frame 3 is located at the leftmost side of the single-rotation reciprocating lead screw 14, the single-rotation reciprocating lead screw 14 drives the slider 13 to move rightwards, the slider 13 drives the rack 12 to move leftwards, the rack 12 drives the first gear 4 to rotate anticlockwise.

The first axis of rotation 16 of reversing gear set 10 fixedly connected with, the axis of rotation lower extreme is connected with reversing gear set 10, the coaxial fixedly connected with crank 17 in reversing gear set 10 right side, it is connected with connecting rod 18 to rotate on the crank 17, it is connected with rotatable second axis of rotation 19 to rotate on the connecting rod 18, and second axis of rotation 19 runs through massage case 6 and rotates with massage case 6 and be connected, 19 swing joint of second axis of rotation has guide way 20, guide way 20 is located service creeper 1, crank 17, connecting rod 18, guide way 20 and second axis of rotation 19 constitute the mechanism that drives 6 horizontal reciprocating motion of massage case.

As shown in fig. 3, 4 and 10, the crank 17, the connecting rod 18 and the second rotating shaft 19 form a slider-crank mechanism, the guide groove 20 is a horizontal groove, and under the limit of the guide groove 20, according to the motion characteristics of the slider-crank, the rotation of the crank 17 drives the second rotating shaft 19 to move back and forth, and the second rotating shaft 19 drives the massage box 6 to move back and forth in the rectangular groove 5.

19 right sides of second axis of rotation and telescopic shaft coupling 9 fixed connection, fixedly connected with second gear 21 on the telescopic shaft coupling 9, both sides meshing has reversing gear 22 around the second gear 21, reversing gear 22 meshing has third gear 23, second gear 21 and the coaxial fixedly connected with cam 24 of third gear 23,

cam

24 and 19 fixed connection of second axis of rotation, 24 top cooperation of cam and lifter plate 25, fixedly connected with massage pole 7 on the lifter plate 25, 7 upper portions of massage pole run through on the massage case 6 the constant plane and with massage case 6 sliding connection, the cover has reset spring 26 on the massage pole 7, and the reset spring 26 of telling is located between massage case 6 and the lifter plate 25.

As shown in fig. 6, 7 and 12, there are three cams 24, the angles of the three cams 24 are different, the third gear 23 and the second gear 21 have the same specification, the three cams 24 rotate at the same speed, the coupler rotates to drive the second gear 21 to rotate, the second gear 21 rotates to drive the reversing gear 22 to rotate, the reversing gear 22 rotates to drive the third gear 23 to rotate in the same direction as the second gear 21, the second gear 21 and the third gear 23 rotate to drive the three cams 24 to push the three lifting plates 25 to do wave-type motion, the lifting plates 25 lift to push the massage rod 7 to lift, the massage rod 7 lifts to press the back of the patient on the lying plate 1, the lifting heights of the three lifting plates 25 at the same time are different, the massage rod 7 performs gradual pressing stimulation on the back of the patient to provide better use experience for the patient, the return spring 26 on one hand provides a damping effect for the massage rod 7, on the other hand, to ensure that the massage rod 7 is at the lowest point when the device is not in use.

The telescopic coupling 9 comprises a transverse horizontal shaft 901, the transverse horizontal shaft 901 is provided with a cylindrical hole 902, a right-angle connecting rod 903 is connected in the cylindrical hole 902 in a sliding manner, the lower section of the right-angle connecting rod 903 is connected with a longitudinal horizontal shaft 904 in a sliding manner, the structure of the longitudinal horizontal shaft 904 is the same as that of the transverse horizontal shaft 901, the front side of the longitudinal horizontal shaft 904 is fixedly connected with the reversing gear set 10, and the right side of the reversing gear set 10 is coaxially and fixedly connected with the crank 17.

As shown in fig. 9, the telescopic coupling 9 converts the longitudinal torsion force into the transverse torsion force without affecting the forward and backward movement of the transverse horizontal shaft 901, when the massage box 6 moves backward, the massage box 6 drives the transverse horizontal shaft 901 to move backward, the transverse horizontal shaft 901 drives the leg link to move backward, one end of the right-angle link 903 can slide backward for a distance along the cylindrical hole 902 in the longitudinal horizontal shaft 904, after the right-angle link 903 moves backward, one end of the right-angle link 903 is still located inside the longitudinal horizontal shaft 904, the right-angle link 930 and the longitudinal horizontal shaft 904 cannot be separated from each other, the length of the telescopic coupling 9 is long without affecting the transmission, the front part of the longitudinal horizontal shaft 904 is fixedly connected with a motor, a set of reversing gear sets 10 is arranged between the motor and the telescopic coupling 9, and the rightmost side of the reversing gear sets 10 is coaxially.

The shape of backup pad 11 is "L" type, open on backup pad 11 upper portion has polygon through-hole 27, sliding connection has polygon body 28 in polygon through-hole 27, polygon body 28 left side fixedly connected with limit handle 29, polygon body 28 right side threaded connection has fastening nut 30, limit handle 29 and fastening nut 30 are located the left and right sides of service creeper 1 respectively, it has spacing hole 31 to open on service creeper 1, spacing hole 31 fit in has stopper 32, stopper 32 and limit handle 29 fixed connection.

As shown in fig. 3, 9 and 11, the bottom of the supporting plate 11 is provided with a right-angle baffle for placing the feet of the patient, the included angle between the supporting plate 11 and the lying plate 1 can be adjusted according to different downward bending angles of the waist of different patients, when the included angle is adjusted, the fastening nut 30 is loosened to be matched with the polygon 28, then the limiting handle 29 is pulled leftwards, the limiting handle 29 moves leftwards to drive the limiting block 32 to move leftwards, after the limiting block 32 moves out to be matched with the limiting hole 31, the limit handle 29 is rotated, the limit handle 29 drives the polygon 28 to rotate, the polygon 28 is matched with the polygon hole to drive the support plate 11 to rotate, so that the angle of the supporting plate 11 can be adjusted, after the angle is adjusted, the limit handle 29 is moved to the initial position, when the stopper 32 is located in the stopper hole 31, the fastening nut 30 is rotated to prevent the polygonal body 28 from sliding left and right, and the rotation of the support plate 11 is prevented by the cooperation of the stopper 32 and the stopper hole 31.

A placing groove 33 is formed in the arm exercising frame 3.

As shown in fig. 1 and 2, the arm exercising frame 3 is provided with an adjustable belt for fixing the arm of the patient in the placing groove 33, so as to prevent the arm of the patient from separating from the arm exercising frame 3 during exercise and achieve the image exercising effect; the placing groove 33 is internally provided with a sponge cushion layer for protecting the arm of the patient.

The overall working process of the invention is as follows: the tie of patient back is lain on service creeper 1, foot and shank are put in backup pad 11, arm exercise frame 3 is used for fixed patient's both arms, the patient lies behind service creeper 1, the arm is the right angle and places, then fix patient's arm on arm exercise frame 3, later through starter motor, the rotation of motor is tempered through actuating system and arm and is put 3 arms that drive the patient and carry out the right angled swing, temper patient's arm, when patient arm rectangular swing, massage case 6 of patient back massages patient's back.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art will understand that various changes, modifications and substitutions can be made without departing from the spirit and scope of the invention as defined by the appended claims. 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

1. The utility model provides a device is tempered in internal medicine nursing, including service creeper (1), service creeper (1) bottom fixedly connected with support (2), its characterized in that: the arm exercising device is characterized in that an arm exercising frame (3) is rotatably connected to the lying plate (1), a first gear (4) capable of rotating in a reciprocating manner is fixedly connected to the arm exercising frame (3), the first gear (4) is meshed with a transmission mechanism, the transmission mechanism is located inside the lying plate (1), a rectangular groove (5) is formed in the lying plate (1), a massage box (6) capable of moving in a reciprocating manner is slidably connected to the rectangular groove (5), a driving device is arranged on the left side of the massage box (6), massage rods (7) of a pressing type are interactively connected to the upper side of the massage box (6), massage wheels (8) are arranged on two sides of each massage rod (7), the massage wheels (8) are rotatably connected with the massage box (6), a telescopic coupler (9) is rotatably connected to the right side of the massage box (6), and a reversing gear set (10) is connected between the transmission mechanism, the driving device and the telescopic coupler, the driving mechanism, the driving device, the telescopic coupler (9) and the reversing gear set (10) form a driving system, and an adjustable supporting plate (11) is rotatably connected to the front side of the lying plate (1).

2. The internal medicine nursing exercise device according to claim 1, characterized in that the transmission mechanism comprises a rack (12) which is transversely placed, the rack (12) is meshed with the first gear (4), a sliding block (13) is fixedly connected to the bottom of the rack (12), the sliding block (13) is slidably connected with the lying plate (1), a single-rotation reciprocating lead screw (14) is matched in the sliding block (13), and the single-rotation reciprocating lead screw (14) is fixedly connected with the reversing gear set (10).

3. The internal medicine nursing and exercising device according to claim 2, wherein the slider (13) is in the shape of an I, the lying plate (1) is provided with a sliding groove (15) matched with the slider (13), and the single-rotation reciprocating lead screw (14), the slider (13), the rack (12) and the first gear (4) are matched to form a ninety-degree reciprocating rotation mechanism of the arm exercising frame (3).

4. A medical care exercise device according to claim 3, wherein there are two sets of the transmission mechanism, gears and arm exercise frame (3), the left slide (13) being located at the rightmost side of the single-turn reciprocating screw (14), and the right slide (13) being located at the leftmost side of the single-turn reciprocating screw (14).

5. A medical care exercise device according to claim 2, wherein a first rotation shaft (16) is fixedly connected to the reversing gear, the lower end of the rotating shaft is connected with a reversing gear set (10), the right side of the reversing gear set (10) is coaxially and fixedly connected with a crank (17), the crank (17) is rotatably connected with a connecting rod (18), the connecting rod (18) is rotatably connected with a second rotatable rotating shaft (19), the second rotating shaft (19) penetrates through the massage box (6) and is rotatably connected with the massage box (6), the second rotating shaft (19) is movably connected with a guide groove (20), the guide groove (20) is positioned on the lying plate (1), the crank (17), the connecting rod (18), the guide groove (20) and the second rotating shaft (19) form a mechanism for driving the massage box (6) to horizontally reciprocate.

6. The internal medicine nursing exercise device according to claim 5, wherein the right side of the second rotating shaft (19) is fixedly connected with a telescopic coupling (9), the telescopic coupling (9) is fixedly connected with a second gear (21), reversing gears (22) are meshed with the front side and the rear side of the second gear (21), a third gear (23) is meshed with the reversing gears (22), a cam (24) is coaxially and fixedly connected with the second gear (21) and the third gear (23), the cam (24) is fixedly connected with the second rotating shaft (19), a lifting plate (25) is matched above the cam (24), the lifting plate (25) is fixedly connected with the massage rod (7), the upper part of the massage rod (7) penetrates through the top surface of the massage box (6) and is slidably connected with the massage box (6), and a return spring (26) is sleeved on the massage rod (7), the return spring (26) is positioned between the massage box (6) and the lifting plate (25).

7. The internal medicine nursing exercise device according to claim 6, characterized in that the telescopic coupling (9) comprises a transverse horizontal shaft (901), the transverse horizontal shaft (901) is provided with a cylindrical hole (902), a right-angle connecting rod (903) is slidably connected in the cylindrical hole (902), a longitudinal horizontal shaft (904) is slidably connected to the lower section of the right-angle connecting rod (903), the longitudinal horizontal shaft (904) and the transverse horizontal shaft (901) have the same structure, the front side of the longitudinal horizontal shaft (904) is fixedly connected with a reversing gear set (10), and the right side of the reversing gear set (10) is coaxially and fixedly connected with a crank (17).

8. The internal medicine nursing exercise device according to claim 1, characterized in that the shape of supporting plate (11) is "L" type, open on supporting plate (11) upper portion has polygon through-hole (27), sliding connection has polygon body (28) in polygon through-hole (27), polygon body (28) left side fixedly connected with limit handle (29), polygon body (28) right side threaded connection has fastening nut (30), limit handle (29) and fastening nut (30) are located the left and right sides of service creeper (1) respectively, open on service creeper (1) has spacing hole (31), spacing hole (31) fit in has spacing piece (32), spacing piece (32) and limit handle (29) fixed connection.

9. An internal medical nursing exercise device according to claim 1, characterized in that the arm exercising frame (3) is opened with a placing groove (33).

10. A medical care exercise device according to claim 1, wherein the reversing gear set (10) comprises two intermeshing bevel gears, the two bevel gears meshing to form a vertical reversing mechanism.