CN111529318B

CN111529318B - A adjunctie therapy appearance that is used for bed patient low limbs and ankle activity

Info

Publication number: CN111529318B
Application number: CN202010528883.9A
Authority: CN
Inventors: 庞增粉
Original assignee: Shandong Cancer Hospital & Institute (shandong Cancer Hospital)
Current assignee: Shandong Cancer Hospital & Institute (shandong Cancer Hospital)
Priority date: 2020-06-11
Filing date: 2020-06-11
Publication date: 2022-05-03
Anticipated expiration: 2040-06-11
Also published as: CN111529318A

Abstract

The invention discloses an auxiliary therapeutic apparatus for the movement of lower limbs and ankles of bedridden patients, which comprises a leg placing rack, wherein one end of the leg placing rack is provided with a placing plate, the bottom of the placing plate is connected with a rotating shaft, the two ends of the rotating shaft are connected with the two ends of the leg placing rack, one end of the rotating shaft is connected with a rotating member, the top of the placing plate is connected with a protruding piece for massaging toes, the bottom of the leg placing rack is connected with a soft plate for massaging shanks, and the bottom of the soft plate is connected with a jacking piece. The stretching of the lower leg is kept when the ankle is pushed and pulled.

Description

A adjunctie therapy appearance that is used for bed patient low limbs and ankle activity

Technical Field

The invention relates to the technical field of medical auxiliary devices, in particular to an auxiliary therapeutic apparatus for the movement of lower limbs and ankles of a bedridden patient.

Background

Some patients suffering from chronic diseases, such as diabetes, blood diseases, tumors and the like, patients after fracture, and patients with hemiplegia caused by brain mediastinum and brain trauma can return to home for rehabilitation period treatment after a period of treatment in a hospital, and because the patients lie in bed, the muscles, the skin and the like of the body are relatively loose, the nursing staff needs to perform corresponding rehabilitation training aiming at the muscles and the skin, so that the problems of bedsore or muscle degeneration, necrosis and the like caused by the lying in bed of the patients are avoided.

In the rehabilitation training of a bedridden patient, the rehabilitation action aiming at the ankle of the patient, the plantar flexion and dorsal extension movements of the ankle joint, the supine position of the apoplexy patient, a nursing person stands on the affected side of the patient, holds the instep with one hand, holds the heel with the other hand, and pushes and presses the hand holding the instep with force to complete the plantar flexion movement of the ankle joint, then holds the upper part of the ankle joint with the other hand, holds the heel with the other hand to draw the heel part, and pushes and presses the sole with the forearm flexion side to complete the ankle flexion movement, when the nursing person holds the ankle of the patient with the artificial hand, the nursing person presses and massages for many times with different force, after pressing and massages for many times, the pressing force degree and the frequency of the hand of the nursing person to the ankle of the patient are different, meanwhile, after the patient lies in bed for a long time, the muscle of the calf at the ankle is relatively loose, when the nursing person presses and presses the ankle of the patient, so that the muscles at the lower leg are stretched or contracted, when the nursing staff pushes and presses the instep, the muscles at the lower leg which are not beneficial to the ankle are relatively relaxed, and the nursing staff is suitable for rehabilitation training of the lower leg and the ankle of the patient, and therefore, an auxiliary therapeutic apparatus for the lower limb and ankle movement of the bedridden patient is provided.

Disclosure of Invention

The invention aims to provide an auxiliary therapeutic apparatus for the movement of the lower limbs and ankles of a bedridden patient, so as to solve the problems in the background technology.

In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides an auxiliary therapeutic instrument for activity of bed patient's low limbs and ankle, includes the shank rack, shank rack one end is equipped with the board of placing the sole, it is connected with the pivot to place the board bottom, and the pivot both ends are connected with shank rack both ends, pivot one end is connected with the drive and places the board of placing of sole and rotate the rotation piece that the corresponding angle of completion ankle joint plantarflexion, back stretching motion, it is connected with the bellying of massage toe to place the board top, shank rack bottom is connected with the soft board that the massage shank was used, and the soft board bottom is connected with the jack-up piece that jack-up soft board position in proper order, is convenient for patient's shank to carry out massage treatment.

Preferably, rotate the piece including installing the motor in shank rack one side, the motor output is connected with slewing gear, and the slewing gear outside has cup jointed the motion frame, motion frame inner circle is connected with the tooth's socket, and slewing gear and tooth's socket intermeshing, motion frame outer lane is connected with the pinion rack, pivot one end is connected with half fluted disc, and half fluted disc and pinion rack intermeshing, it is equipped with the driving medium respectively to place the board both sides, and two driving mediums are connected respectively in the pivot, and the regularity of being convenient for makes and places the board and rotate.

Preferably, the driving medium is including installing the epaxial driving gear, the driving gear outside has cup jointed the driving chain, and driving gear and driving chain intermeshing, the meshing of the driving chain other end has driven gear, and driven gear one side is connected with the pinion, the last installation axle that is connected with of driven gear, and installation axle one end is connected with the fixing base, the fixing base is connected on the shank rack, the pinion is connected with jack-up one end, is favorable to locating with the power transmission to the pinion of motor.

Preferably, the jacking piece is including installing the fixed rack in the soft board both sides, fixed rack one end is connected with the pulling rack, and pulling rack and pinion intermeshing, be connected with a plurality of axis of rotation between the shank rack bottom both sides, the axis of rotation both ends are connected with the adjustment gear respectively, and two adjustment gears respectively with fixed rack intermeshing, the axis of rotation outside is connected with a plurality of jack-up lugs, and the jack-up lug that has connected on a plurality of axis of rotation staggers each other, is convenient for the counter point dislocation to shank department massage processing.

Preferably, the protruding piece is including installing the gasbag area at placing the board top, one side intercommunication has a plurality of outlet ducts on the gasbag area, and the outlet duct outside intercommunication control outlet duct on-off solenoid valve of gas, outlet duct one end is connected with the protruding piece of gluing of mutual contact with the toe, is convenient for carry out protruding massage to toe department.

Preferably, one side of the placing plate, which is far away from the air bag belt, is connected with a binding belt.

Preferably, place board one side and be equipped with two spouts, motion frame bottom both sides are connected with the slide respectively, and two slides respectively sliding connection inside two spouts, the slip of the motion frame of being convenient for is stable.

Preferably, one end, far away from the fixed rack, of the pulling rack is connected with a limiting strip, so that the limiting of the pulling rack is facilitated.

Compared with the prior art, the invention has the beneficial effects that:

according to the invention, when a nursing person performs plantarflexion and dorsiflexion on movements at ankles of a patient by using the device in the scheme, the placing plate is driven by the rotating piece to drive the sole of the foot to move, so that the plantarflexion and dorsiflexion movements at the ankles are performed, the trouble that the existing person manually drives the ankle to perform push-pull movements is reduced, the time and the force of each push-pull movement are kept the same, and meanwhile, the soft plate is jacked up by the jacking piece in the scheme, so that the shank of the patient is massaged, and the muscles at the shank are kept to be stretched when the ankle is subjected to push-pull movements.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a schematic bottom view of the present invention;

FIG. 3 is a schematic view of a rotating member according to the present invention;

FIG. 4 is a schematic view of the partially cut-away structure of FIG. 3;

FIG. 5 is a schematic front view of the present invention;

FIG. 6 is a schematic view of the structure of the transmission member of the present invention;

FIG. 7 is a schematic view of the structure of the jacking member of the present invention;

FIG. 8 is a schematic view of the structure of the protrusion of the present invention.

In the figure: 1-a leg placing rack; 2-placing a plate; 3-a rotating shaft; 4-a rotating member; 5-a protrusion; 6-soft board; 7-a jack-up member; 8-a chute; 9-a slide sheet; 10-a motor; 11-a rotating gear; 12-a motion frame; 13-gullet; 14-toothed plate; 15-half fan fluted disc; 16-a transmission member; 17-a drive gear; 18-a drive chain; 19-a driven gear; 20-pinion gear; 21-mounting the shaft; 22-a fixed seat; 23-fixed rack bar; 24-pulling the rack; 25-a rotating shaft; 26-adjusting the gear; 27-jacking up the bump; 28-an air bag strap; 29-air outlet pipe; 30-an electromagnetic valve; 31-raised rubber blocks; 32-binding bands; 33-limit strip.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-8, the present invention provides a technical solution: an auxiliary therapeutic apparatus for the activity of lower limbs and ankles of a bedridden patient, which mainly aims at the problems that the plantarflexion and the dorsiflexion of the shanks and ankles of the bedridden patient are performed by nursing personnel, the ankle of the patient is driven to move by the nursing personnel, the time and the force for each push-pull movement are not facilitated, meanwhile, when the ankle is performed, the muscles of the shanks are in a stretching state, the muscles of the shanks of the patient are not facilitated to relax, the auxiliary therapeutic apparatus comprises a shank placing rack 1, the shank placing rack 1 is used for placing the shanks of the patient and can be made of rubber materials with higher comfort level, when the patient lies in the bed, the legs and the ankles of the patient need to be subjected to rehabilitation training, at the moment, a device arranged in the scheme is placed at the positions of the shanks of the patient, the shanks of the patient are placed at the

shank placing rack

1, 1 one end of shank rack is equipped with places board 2 of placing the sole, and the board 2 of placing of here is for placing patient with regard to sole department, through the human design for place board 2 and have certain radian, the patient's sole department of being convenient for laminate, place board 2 bottom and be connected with

pivot

3, and 3 both ends of pivot are connected with 1 both ends of shank rack, 3 one end of pivot is connected with the drive and places board 2 of placing of sole and rotate corresponding angle and accomplish ankle joint plantarflexion, the rotation piece 4 of the motion of stretching back, it is connected with the bellying 5 of massage toe to place 2 tops of board, 1 bottom of shank rack is connected with the soft board 6 that the massage shank was used, and soft board 6 bottom is connected with jack-up 7 of jack-up soft board 6 position in proper order.

When a nursing staff uses the device in the scheme to perform rehabilitation training on ankles and shanks of a patient, the device in the scheme is placed at the positions of the legs of the patient needing rehabilitation training, the legs of the patient are placed at the leg placing rack 1, and the soles of the patient are well attached to the placing board 2, because the placing board 2 is provided with the binding belt 32, the soles of the patient and the placing board 2 are convenient to stabilize, after the soles of the patient are placed, the soles of the patient are perpendicular to the leg placing rack 1, as shown in the figure, the rotating piece 4 is driven to rotate by adjusting the rotating piece 4 to a proper rotating speed, so that the ankle bending and stretching movement is realized, and meanwhile, the jacking piece 7 and the rotating piece 4 arranged in the scheme are in contact connection through the transmission piece 16, when the rotating piece 4 rotates, the jacking piece 7 is conveniently driven to move, so that the soft board 6 is jacked up to jack up the muscle of the leg of the patient for massage.

In the scheme, the rotating part 4 comprises a motor 10 installed on one side of the leg placing frame 1, a plate block provided with the motor 10 is arranged on one side of the leg placing frame 1, the output end of the motor 10 is connected with a rotating gear 11, a moving frame 12 is sleeved on the outer side of the rotating gear 11, the inner ring of the moving frame 12 is connected with a tooth groove 13, the rotating gear 11 is meshed with the tooth groove 13, the circumference of the rotating gear 11 is far smaller than the length of the tooth groove 13 of the inner ring of the moving frame 12, the moving frame 12 is moved after the rotating gear 11 rotates for a circle, so that the moving frame 12 is moved in the direction when the rotating gear 11 continues to rotate, intermittent movement of the placing plate 2 is realized, the outer ring of the moving frame 12 is connected with a toothed plate 14, one end of the rotating shaft 3 is connected with a half-sector toothed plate 15, the half-sector toothed plate 15 is meshed with the toothed plate 14, the angle of the outer-sector gear 15 is smaller than one hundred eighty degrees, the design is in satisfying the required angular range of plantarflexion, back extension motion, place board 2 both sides and be equipped with driving medium 16 respectively, and two driving mediums 16 are connected respectively on pivot 3, driving medium 16 is including installing the driving gear 17 on pivot 3, driving chain 18 has been cup jointed to the driving gear 17 outside, and driving gear 17 and driving chain 18 intermeshing, the meshing of the other end of driving chain 18 has driven gear 19, and driven gear 19 one side is connected with pinion 20, be connected with installation axle 21 on driven gear 19, and installation axle 21 one end is connected with fixing base 22, fixing base 22 is connected on shank rack 1, when half sector fluted disc 15 rotates under pinion rack 14 pushing action to rotate pivot 3, when pivot 3 rotates, thereby rotate the driving gear 17 of connecting on pivot 3, because driving gear 17 and driving chain 18 intermeshing, when the driving gear 17 drives the transmission chain 18 to move, thereby driving the driven gear 19 to rotate, the pinion 20 is connected with one end of the jacking piece 7.

The specific operation process comprises the following steps: when the nursing staff uses the device of the scheme, after the legs and ankles of the patient are placed, the rotating speed of the motor 10 is adjusted, the rotating speed of the motor 10 can be set according to the progress of the specific rehabilitation training of the ankles of the patient, when the ankle bending and stretching movement frequency of the patient is large, the rotating speed of the motor 10 is increased, otherwise, the rotating speed of the motor 10 is decreased, the rotating gear 11 starts to rotate under the output power of the motor 10, so as to drive the tooth grooves 13 meshed with the rotating gear to move, in the scheme, the circumference of the rotating gear 11 is smaller than that of the moving frame 12, after the rotating gear 11 rotates for a circle, the moving frame 12 is conveniently driven to move in the opposite direction, when the moving frame 12 is driven to move upwards, the tooth plate 14 drives the half-sector gear plate 15 meshed with the rotating gear to move, because the half-sector gear plate 15 is connected with the rotating shaft 3, when the half-sector gear plate 15 rotates, the ankle-bending and dorsiflexion exercise device is convenient to drive the placing plate 2 to move, the ankle placed on the placing plate 2 rotates by a certain angle, and plantarflexion and dorsiflexion exercises of the ankle of a patient are achieved.

In the scheme, the jacking member 7 comprises fixed racks 23 installed at both sides of the soft board 6, one end of each fixed rack 23 is connected with a pulling rack 24, the pulling rack 24 is meshed with the pinion 20, when the half fluted disc 15 rotates under the pushing action of the toothed plate 14, the rotating shaft 3 is rotated, when the rotating shaft 3 rotates, the driving gear 17 connected to the rotating shaft 3 is rotated, the driving gear 17 is meshed with the transmission chain 18, and when the driving gear 17 drives the transmission chain 18 to move, the driven gear 19 is driven to rotate, so that the pinion 20 is driven to rotate, the pinion 20 is meshed with the pulling rack 24, so that the pulling rack 24 is pulled for a certain distance, the pulling rack 24 is fixedly connected with the fixed racks 23, so that the fixed racks 23 are driven to move, and a plurality of rotating shafts 25 are connected between both sides of the bottom of the leg placing rack 1, the two ends of the rotating shaft 25 are respectively connected with an adjusting gear 26, the two adjusting gears 26 are respectively meshed with the fixed rack 23, the outer side of the rotating shaft 25 is connected with a plurality of jacking lugs 27, the jacking lugs 27 connected on the rotating shafts 25 are staggered, when the fixed rack 23 is pulled, the adjusting gear 26 is driven to rotate when the pulling rack 24 is pulled forwards or pushed backwards due to the mutual meshing of the pulling rack 24 and the adjusting gear 26, the rotating shaft 25 is convenient to rotate due to the sleeve connection of the adjusting gear 26 on the outer side of the rotating shaft 25, meanwhile, the jacking lugs 27 are sleeved on the outer side of the rotating shaft 25, and the multi-layer jacking lugs 27 are distributed in a staggered manner, so that when the rotating shaft 25 rotates, the jacking lugs 27 distributed in a staggered manner are convenient to jack up the soft board 6, and when the motor 10 drives the placing board 2 to assist the pushing and pulling of the ankle, meanwhile, the shank is jacked up and massaged, so that muscles at the shank are conveniently relaxed.

In the scheme, the protruding part 5 comprises an air bag belt 28 installed at the top of the placing plate 2, one side of the air bag belt 28 is communicated with a plurality of air outlet pipes 29, the outer sides of the air outlet pipes 29 are communicated with electromagnetic valves 30 for controlling the air outlet pipes 29 to be opened and closed, one ends of the air outlet pipes 29 are connected with protruding rubber blocks 31 which are in mutual contact with toes, the air bag belt 28 is filled with gas, when the placing plate 2 rotates, the air is opened and closed through the control electromagnetic valves 30, the air is ventilated from big toes according to the toes, the gas in the air bag belt 28 is led into the air outlet pipes 29, the protruding rubber blocks 31 are convenient to jack up, the toes of a patient are convenient to jack up, and meanwhile after jacking up, the gas is pumped out to the air bag belt 28 through the electromagnetic valves 30, and the air is sequentially opened and closed according to the distribution of the toes.

Place one side that board 2 kept away from air bag area 28 and be connected with the ligature area 32, when placing patient's sole department, through placing patient's sole in placing board 2 department, utilize ligature area 32 to tie up patient's sole department simultaneously, be convenient for drive under motor 10 output power and place board 2 when rotating, keep the stability of patient's sole department.

Place board 2 one side and be equipped with two spouts 8, motion frame 12 bottom both sides are connected with slider 9 respectively, and two sliders 9 are sliding connection respectively inside two spouts 8, and when the running gear 11 drove motion frame 12 motion, the slider 9 sliding connection of this time motion frame 12 bottom was in spout 8 department, was convenient for keep the sliding stability of motion frame 12.

One end, far away from the fixed rack 23, of the pulling rack 24 is connected with a limiting strip 33, so that the sliding of the pulling rack 24 is kept when the pulling rack 24 is pulled, and the pulling rack 24 is prevented from being pulled out.

In the scheme, the motor 10 is preferably 86BG156, and the electromagnetic valve 30 is preferably 4V100, and the circuits and control related to the present invention are all the prior art, and are not described in detail herein.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides an adjunctie therapy appearance that is used for bed patient low limbs and ankle activity, includes shank rack (1), its characterized in that: a placing plate (2) for placing soles is arranged at one end of the leg placing frame (1), a rotating shaft (3) is connected to the bottom of the placing plate (2), two ends of the rotating shaft (3) are connected with two ends of the leg placing frame (1), one end of the rotating shaft (3) is connected with a rotating piece (4) which drives the placing plate (2) for placing soles to rotate by corresponding angles to complete plantar flexion and dorsal extension movements of ankle joints, a protruding piece (5) for massaging toes is connected to the top of the placing plate (2), a soft plate (6) for massaging shanks is connected to the bottom of the leg placing frame (1), and a jacking piece (7) for jacking the soft plate (6) in sequence is connected to the bottom of the soft plate (6);

the rotating piece (4) comprises a motor (10) installed on one side of the leg placing frame (1), the output end of the motor (10) is connected with a rotating gear (11), a moving frame (12) is sleeved on the outer side of the rotating gear (11), the inner ring of the moving frame (12) is connected with a tooth groove (13), the rotating gear (11) is meshed with the tooth groove (13), the outer ring of the moving frame (12) is connected with a toothed plate (14), one end of the rotating shaft (3) is connected with a half toothed disc (15), the half toothed disc (15) is meshed with the toothed plate (14), two sides of the placing plate (2) are respectively provided with a transmission piece (16), and the two transmission pieces (16) are respectively connected to the rotating shaft (3);

the transmission piece (16) comprises a driving gear (17) arranged on the rotating shaft (3), a transmission chain (18) is sleeved on the outer side of the driving gear (17), the driving gear (17) is meshed with the transmission chain (18), a driven gear (19) is meshed at the other end of the transmission chain (18), a small gear (20) is connected to one side of the driven gear (19), an installation shaft (21) is connected to the driven gear (19), a fixing seat (22) is connected to one end of the installation shaft (21), the fixing seat (22) is connected to the leg placing frame (1), and the small gear (20) is connected with one end of the jacking piece (7);

jacking piece (7) are including installing fixed rack (23) in soft board (6) both sides, fixed rack (23) one end is connected with pulling rack (24), and pulling rack (24) and pinion (20) intermeshing, be connected with a plurality of axis of rotation (25) between shank rack (1) bottom both sides, axis of rotation (25) both ends are connected with adjusting gear (26) respectively, and two adjusting gear (26) respectively with fixed rack (23) intermeshing, axis of rotation (25) outside is connected with a plurality of jack-up lugs (27), and the jack-up lug (27) of having gone up the connection in a plurality of axis of rotation (25) stagger each other.

2. The therapeutic apparatus as claimed in claim 1, wherein the therapeutic apparatus comprises: protruding piece (5) are including installing air bag area (28) at placing board (2) top, one side intercommunication has a plurality of outlet ducts (29) on air bag area (28), and outlet duct (29) outside intercommunication control outlet duct (29) open and shut off solenoid valve (30) of gas, outlet duct (29) one end is connected with protruding rubber block (31) with toe mutual contact.

3. The therapeutic aid for the lower limb and ankle movement of the bedridden patient according to claim 2, wherein the therapeutic aid comprises: one side of the placing plate (2) far away from the air bag belt (28) is connected with a binding belt (32).

4. The therapeutic aid for the lower limb and ankle movement of the bedridden patient according to claim 3, wherein the therapeutic aid comprises: place board (2) one side and be equipped with two spout (8), motion frame (12) bottom both sides are connected with slider (9) respectively, and just two slider (9) are inside two spout (8) sliding connection respectively.

5. The therapeutic aid for the lower limb and ankle movement of the bedridden patient according to claim 4, wherein the therapeutic aid comprises: one end, far away from the fixed rack (23), of the pulling rack (24) is connected with a limiting strip (33).