CN111956447B - A dynamic and static combined upper limb rehabilitation brace - Google Patents
A dynamic and static combined upper limb rehabilitation brace Download PDFInfo
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- CN111956447B CN111956447B CN202010604456.4A CN202010604456A CN111956447B CN 111956447 B CN111956447 B CN 111956447B CN 202010604456 A CN202010604456 A CN 202010604456A CN 111956447 B CN111956447 B CN 111956447B
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- 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
- A61H1/0277—Elbow
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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
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
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- A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
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- A—HUMAN NECESSITIES
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- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
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- A—HUMAN NECESSITIES
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- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
- A63B23/1245—Primarily by articulating the shoulder joint
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- A—HUMAN NECESSITIES
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- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
- A63B23/1281—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles primarily by articulating the elbow joint
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- A—HUMAN NECESSITIES
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- 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
- A61H2001/0207—Nutating movement of a body part around its articulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1238—Driving means with hydraulic or pneumatic drive
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Abstract
Description
技术领域technical field
本发明涉及肢体康复辅助器械领域,具体涉及一种动静态结合的上肢康复支具及其使用方法。The invention relates to the field of limb rehabilitation aids, in particular to a dynamic and static combined upper limb rehabilitation support and a method for using the same.
背景技术Background technique
肢体活动障碍就是人的四肢中,其中一部分或者全部没有了正常的运动功能,不能像正常人一样活动,比如偏侧肢体瘫痪,截瘫,单瘫等。偏侧肢体瘫痪,指一侧的肢体活动功能障碍,比如上肢不能上举,外展,内旋,外旋,手不能持物,持物不稳,或持物无力,下肢行走拖地,或行走画圈。截瘫,单瘫是指四肢中的一肢瘫痪。Limb movement disorder refers to that some or all of the limbs of a person have no normal motor function and cannot move like normal people, such as hemiplegia, paraplegia, monoplegia, etc. Hemilateral limb paralysis, refers to the dysfunction of one side of the limb, such as the inability to lift the upper limb, abduction, internal rotation, external rotation, the inability to hold the object with the hand, the unstable holding of the object, or the weakness of holding the object, the lower limb walking and mopping the floor, or walking in circles . Paraplegia, monoplegia is the paralysis of one of the four limbs.
上肢活动障碍需要进行一定的康复训练来防止肌肉萎缩,恢复运动机能,保持上肢运动神经活性;适当的康复训练也能有助脑部神经恢复。现在上肢康复训练有人工辅助理疗、外机械辅助康复;人工辅助理疗是人工推拿,辅助活动肢体等,理疗效果好但局限性明显,需要一定专业手法和理疗费用较高,上肢活动障碍需要长时间的恢复,理疗费用难以承受。外机械辅助康复是借助机械进行辅助肢体活动,现有的主要是有两种,机械外骨骼形式和支架形式的辅助器械,外骨骼机械通过附着在手臂上的机械带动上肢活动,该类型的机械大多结构复杂,价格高,装置保养护理也困难也是大部分患者难以承受的;支架形式的辅助器械结构简单,但移动不方便,需要依托床之类的物品,应用场所不灵活。Upper limb movement disorder requires certain rehabilitation training to prevent muscle atrophy, restore motor function, and maintain upper limb motor nerve activity; appropriate rehabilitation training can also help brain nerve recovery. At present, the upper limb rehabilitation training includes artificial assisted physiotherapy and external mechanical assisted rehabilitation; artificial assisted physiotherapy is manual massage, auxiliary movable limbs, etc. The physiotherapy effect is good but the limitations are obvious, requiring certain professional techniques and physiotherapy costs are high, and upper limb movement disorders take a long time recovery, the cost of physical therapy is unbearable. Exo-mechanical assisted rehabilitation is the use of machinery to assist limb activities. There are mainly two types of assistive devices in the form of mechanical exoskeletons and brackets. Exoskeleton machinery drives upper limb activities through machinery attached to the arm. This type of machinery Most of them have complex structure, high price, and difficult maintenance and care of the device, which is unbearable for most patients; auxiliary devices in the form of brackets are simple in structure, but inconvenient to move, need to rely on items such as beds, and the application site is not flexible.
总说所述,本发明所要解决的问题是:In general, the problems to be solved by the present invention are:
机械辅助上肢康复的设备中外骨骼类造价高,结构复杂,保养维护普通患者难以承受;支架形式的辅助设备移动不方便,应用场所不灵活的问题。Among the equipment for mechanically assisted upper extremity rehabilitation, exoskeletons have high cost and complex structure, and the maintenance and maintenance are unbearable for ordinary patients; the auxiliary equipment in the form of brackets is inconvenient to move and the application site is inflexible.
发明内容SUMMARY OF THE INVENTION
为解决以上技术问题本发明的方案为:提供一种动静态结合的上肢康复支具及其使用方法。In order to solve the above technical problems, the solution of the present invention is to provide a dynamic and static combined upper limb rehabilitation support and a method of using the same.
一种动静态结合的上肢康复支具,包括肘关节支架、肩关节活动架、控制器;A dynamic and static combined upper limb rehabilitation support includes an elbow joint support, a shoulder joint movable frame and a controller;
所述肘关节支架包括小臂固定杆、手肘固定杆;所述小臂固定杆一端下方安置固定带,固定带固定在小臂上,另一端设有圆形通孔,设有圆形通孔的一端侧壁上有能插入手肘固定杆的凹槽;所述手肘固定杆一端下方安置手臂固定带,固定带固定在手肘上,上方有突出的轴,轴的侧面上开有圆形通孔,另一端安置有圆柱轴,圆柱轴将小臂固定杆、手肘固定杆连接,小臂固定杆、手肘固定杆连接处安置有角度传感器;所述圆柱轴的上端连接伺服电机Ⅰ输出轴,下端上设有制动器Ⅰ;所述伺服电机Ⅰ和制动器Ⅰ固定在小臂固定杆上,伺服电机Ⅰ带有减速齿轮箱;The elbow joint bracket includes a forearm fixing rod and an elbow fixing rod; a fixing belt is arranged under one end of the forearm fixing rod, the fixing belt is fixed on the forearm, and the other end is provided with a circular through hole, which is provided with a circular through hole. There is a groove on the side wall of one end of the hole that can be inserted into the elbow fixing rod; an arm fixing strap is arranged under one end of the elbow fixing rod, the fixing strap is fixed on the elbow, there is a protruding shaft above, and the side of the shaft is opened with a A circular through hole, and a cylindrical shaft is arranged at the other end, the cylindrical shaft connects the forearm fixing rod and the elbow fixing rod, and an angle sensor is arranged at the connection of the forearm fixing rod and the elbow fixing rod; the upper end of the cylindrical shaft is connected to the servo The output shaft of the motor I has a brake I on the lower end; the servo motor I and the brake I are fixed on the forearm fixing rod, and the servo motor I has a reduction gear box;
所述肩关节活动架包括旋转圆盘、圆盘驱动支撑机构、汽缸;所述旋转圆盘正面同一半径上凸起有线性阵列的轴,轴的侧面上开有圆孔,旋转圆盘的轴与手肘固定杆之间由活动连杆连接;旋转圆盘的背面中央设有转轴;所述圆盘驱动支撑机构的四块侧壁组成的方形框,上侧面中线上设有圆管,圆管上开有矩形齿轮槽和制动器Ⅱ的槽,内部设有伺服电机座和伺服电机驱动器,下侧面内部中央设有下端开口的带内螺纹的汽缸连接管;所述旋转圆盘的转轴插入圆盘驱动支撑机构的圆管中,齿轮固定在转轴上放置在齿轮槽内,制动器Ⅱ固定在制动器Ⅱ的槽上,连接转轴;所述伺服电机Ⅱ带有减速齿轮箱,伺服电机Ⅱ固定安装在伺服电机座上,伺服电机Ⅱ输出轴上设有齿轮与转轴上的齿轮啮合;所述汽缸底面上设有汽缸座,伸缩杆与圆盘驱动支撑机构的气缸连接管螺纹连接;The shoulder joint movable frame includes a rotating disk, a disk driving support mechanism, and a cylinder; a linear array of shafts is protruded on the same radius on the front of the rotating disk, and a circular hole is opened on the side of the shaft. It is connected with the elbow fixing rod by a movable link; the center of the back of the rotating disk is provided with a rotating shaft; the square frame formed by the four side walls of the disk driving support mechanism has a round tube on the middle line of the upper side, and the circular There are rectangular gear grooves and brake II grooves on the pipe, a servo motor seat and a servo motor driver are arranged inside, and a cylinder connecting pipe with an inner thread with an opening at the lower end is arranged in the center of the lower side; the rotating shaft of the rotating disc is inserted into the circular In the circular tube of the disk drive support mechanism, the gear is fixed on the rotating shaft and placed in the gear groove, and the brake II is fixed on the groove of the brake II, which is connected to the rotating shaft; the servo motor II has a reduction gear box, and the servo motor II is fixedly installed in the On the base of the servo motor, the output shaft of the servo motor II is provided with a gear meshing with the gear on the rotating shaft; the bottom surface of the cylinder is provided with a cylinder base, and the telescopic rod is threadedly connected with the cylinder connecting pipe of the disc drive support mechanism;
所述控制器为方形盒子,内部装有单片机,上表面上设有控制面板。The controller is a square box with a single chip inside and a control panel on the upper surface.
进一步的,所述肘关节支架弯曲活动方向为手臂内弯方向,手肘固定杆的凹槽在向外弯曲的一侧设有挡片,手肘固定杆相对于小臂固定杆90°范围活动。Further, the bending movement direction of the elbow joint support is the inward bending direction of the arm, the groove of the elbow fixing rod is provided with a blocking plate on the side that is bent outward, and the elbow fixing rod is movable in a range of 90° relative to the forearm fixing rod. .
进一步的,所述活动连杆包括连杆、旋转连接头;所述连杆为实心杆,两端为小圆柱;所述旋转连接头为圆柱,下底面侧壁上有凹槽,凹槽侧上开有圆形通孔;旋转连接头的上底面上是圆柱槽,上底面配有盖子;所述盖子底面开有圆形通孔,盖子与旋转连接头螺纹连接;连杆两端小圆柱安置在旋转连接头的圆柱槽内,盖子防止小圆柱脱出,连杆、旋转连接头形成旋转连接;活动连杆一端的旋转连接头通过螺栓螺帽连接在旋转圆盘的其中一个轴上,另一个旋转连接头通过螺栓螺帽连接在手肘固定杆的轴上,旋转连接头与轴的连接为活动连接。Further, the movable connecting rod includes a connecting rod and a rotating joint; the connecting rod is a solid rod, and the two ends are small cylinders; A circular through hole is opened on the top; the upper bottom surface of the rotary joint is a cylindrical groove, and the upper bottom surface is equipped with a cover; the bottom surface of the cover is provided with a circular through hole, and the cover is threadedly connected with the rotary joint; small cylinders at both ends of the connecting rod It is placed in the cylindrical groove of the rotating joint, the cover prevents the small cylinder from coming out, the connecting rod and the rotating joint form a rotating connection; A swivel joint is connected to the shaft of the elbow fixing rod through a bolt and nut, and the connection between the swivel joint and the shaft is an active connection.
进一步的,所述汽缸座为圆盘,与汽缸螺栓连接,汽缸座能将肩关节活动架支撑立起。Further, the cylinder seat is a disc, which is connected with the cylinder bolt, and the cylinder seat can support the shoulder joint movable frame upright.
进一步的,所述控制面板上设有制动器Ⅰ、制动器Ⅱ的旋钮开关,伺服电机Ⅰ启动关闭按钮、伺服电机Ⅱ启动关闭按钮、汽缸上升按钮、汽缸下降按钮。Further, the control panel is provided with knob switches for brake I and brake II, a start-off button for servo motor I, a start-off button for servo motor II, a cylinder up button, and a cylinder down button.
进一步的,所述角度传感器预设小臂固定杆、手肘固定杆180°时为0°,角度传感器在0°和90°时返回一次信号值给单片机。Further, the angle sensor is preset to be 0° when the forearm fixing rod and the elbow fixing rod are 180°, and the angle sensor returns a signal value to the microcontroller when the angle is 0° and 90°.
进一步的,所述固定带为加厚尼龙带,通过魔术贴缠绕在手肘和小臂上;尼龙带上固定有圆柱,圆柱与小臂固定杆、手肘固定杆固定连接。Further, the fixing belt is a thickened nylon belt, which is wrapped around the elbow and the forearm through Velcro; a cylinder is fixed on the nylon belt, and the cylinder is fixedly connected with the forearm fixing rod and the elbow fixing rod.
一种动静态结合的上肢康复支具的使用方法,包括以下方法:A method for using a dynamic and static combined upper limb rehabilitation brace, comprising the following methods:
(1)肘关节被动伸屈:将肘关节支架通过固定带固定在使用者的上肢上,按下控制器上的伺服电机Ⅰ启动关闭按钮,伺服电机Ⅰ启动,手肘固定杆相对于小臂固定杆弯曲,弯曲达90°时角度传感器发送信号给单片机,单片机驱动伺服电机驱动器使伺服电机Ⅰ反转,肘关节支架伸直,达到0°时角度传感器发送信号给单片机,单片机驱动伺服电机驱动器使伺服电机Ⅰ再次反转,肘关节支架弯曲;反复上述过程,活动肘关节;(1) Passive extension and flexion of the elbow joint: fix the elbow joint bracket on the user's upper limb through the fixing belt, press the servo motor I on the controller to start and close the button, the servo motor I starts, and the elbow fixing rod is relative to the forearm When the fixed rod is bent, when the bending reaches 90°, the angle sensor sends a signal to the single-chip microcomputer, and the single-chip microcomputer drives the servo motor driver to reverse the servo motor I, and the elbow joint bracket is straightened. When it reaches 0°, the angle sensor sends a signal to the single-chip computer, and the single-chip microcomputer drives the servo motor driver. Reverse the servo motor I again, and bend the elbow joint bracket; repeat the above process to move the elbow joint;
(2)肘关节静止固定:将肘关节支架通过固定带固定在使用者的上肢上,手动弯曲肘关节支架,在合适位置用制动器Ⅰ的旋钮开关将阻力调到最大,固定肘关节支架的形状,从而固定肘关节形状,需要调整肘关节支架的形状再用制动器Ⅰ固定形状以达到静止的目的;(2) Static fixation of the elbow joint: fix the elbow joint support on the user's upper limb through the fixing belt, manually bend the elbow joint support, adjust the resistance to the maximum with the knob switch of brake I at the appropriate position, and fix the shape of the elbow joint support , so as to fix the shape of the elbow joint, it is necessary to adjust the shape of the elbow joint bracket and then use the brake I to fix the shape to achieve the purpose of static;
(3)肘关节主动锻炼:将肘关节支架通过固定带固定在使用者的上肢上,使用者凭自身肌肉力量弯曲手肘,随锻炼的深入用制动器Ⅰ的旋钮开关逐渐增大制动器Ⅰ的阻力,达到增强锻炼的结果;(3) Active exercise of elbow joint: fix the elbow joint bracket on the user's upper limb through the fixing belt, the user bends the elbow with his own muscle strength, and gradually increases the resistance of the brake I with the knob switch of the brake I as the exercise progresses , to achieve the results of enhanced exercise;
(4)肩关节被动活动:使用者采取坐姿使用控制器上的汽缸上升按钮、汽缸下降按钮升降旋转圆盘,调整肩关节活动架的位置使人肩膀正对旋转圆盘的圆心,肘关节支架通过固定带固定在使用者的上肢上使手臂保持伸直状态,活动连杆连接旋转圆盘和肘关节支架,使用控制器的伺服电机Ⅱ启动关闭按钮开启伺服电机Ⅱ,伺服电机Ⅱ驱动旋转圆盘旋转,带动肘关节支架前端绕圈旋转,从而活动肩关节,根据不同的需求连接旋转圆盘上不同偏心位置的轴,增大或减小绕圈旋转的半径;(4) Passive movement of shoulder joint: the user takes a sitting position and uses the cylinder up button and cylinder down button on the controller to lift and rotate the disc, adjust the position of the shoulder joint movable frame so that the shoulders face the center of the rotary disc, and the elbow joint supports It is fixed on the user's upper limb with a fixed belt to keep the arm straight, the movable link connects the rotating disc and the elbow joint bracket, and the servo motor II of the controller is used to start and close the button to turn on the servo motor II. The disk rotates to drive the front end of the elbow joint bracket to rotate in a circle, thereby activating the shoulder joint, connecting the shafts with different eccentric positions on the rotating disk according to different needs, and increasing or decreasing the circle rotation radius;
(5)肩关节静止固定:使用者采取坐姿使用控制器上的汽缸上升按钮、汽缸下降按钮升降旋转圆盘,调整肩关节活动架的位置使人肩膀正对旋转圆盘的圆心,肘关节支架通过固定带固定在使用者的上肢上使手臂保持伸直状态,活动连杆连接旋转圆盘和肘关节支架,协助者手动转动旋转圆盘,在某一位置将制动器Ⅱ的阻力调整至最大,固定肩关节的位置;(5) The shoulder joint is stationary and fixed: the user adopts the seated position to use the cylinder up button and the cylinder down button on the controller to lift the rotating disc, adjust the position of the shoulder joint movable frame so that the shoulders face the center of the rotating disc, and the elbow joint supports It is fixed on the user's upper limb with a fixed belt to keep the arm straight, and the movable link connects the rotating disc and the elbow joint bracket. fix the position of the shoulder joint;
(6)肩关节主动锻炼:使用者采取坐姿使用控制器上的汽缸上升按钮、汽缸下降按钮升降旋转圆盘,调整肩关节活动架的位置使人肩膀正对旋转圆盘的圆心,肘关节支架通过固定带固定在使用者的上肢上使手臂保持伸直状态,活动连杆连接旋转圆盘和肘关节支架,使用者凭借自身肌肉力量带动旋转圆盘转动,随锻炼的深入用制动器Ⅱ的旋钮开关逐渐增大制动器Ⅱ的阻力,达到增强锻炼的结果。(6) Active exercise of shoulder joint: the user adopts the seated position to use the cylinder up button and cylinder down button on the controller to lift the rotating disc, adjust the position of the shoulder joint movable frame so that the shoulders face the center of the rotating disc, and the elbow joint supports It is fixed on the user's upper limb with a fixed belt to keep the arm straight, and the movable link connects the rotating disc and the elbow joint bracket. The switch gradually increases the resistance of the brake II to achieve the result of strengthening the exercise.
进一步的,所述步骤(4)中使用者康复后期可以用手握住活动连杆动跟随旋转圆盘转动。Further, in the step (4), in the later stage of rehabilitation, the user can hold the movable link by hand to follow the rotation of the rotating disc.
进一步的,所述步骤(6)中使用者康复后期可以用手握住活动连杆动推动旋转圆盘转动。Further, in the step (6), in the later stage of recovery, the user can hold the movable link by hand to push the rotating disc to rotate.
发明的有益效果Beneficial Effects of Invention
(1)该上肢康复支具构造简易,可替换零件多且容易获取,日常维护简单,造价低;(1) The upper limb rehabilitation brace has a simple structure, many replaceable parts and easy acquisition, simple daily maintenance and low cost;
(2)该上肢康复支具并不是固定位置的,可以移动到患者觉得合适的场所。(2) The upper limb rehabilitation brace is not in a fixed position, and can be moved to a place that the patient feels appropriate.
附图说明Description of drawings
为了更清晰地说明本发明实施例中的技术方案,下面将对实施例中所需要使用的附图简单地介绍,显而易见地,下面描述中的附图仅仅是本发明中记载的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其它的附图。In order to illustrate the technical solutions in the embodiments of the present invention more clearly, the following briefly introduces the accompanying drawings that need to be used in the embodiments. Obviously, the drawings in the following description are only some embodiments described in the present invention. For those of ordinary skill in the art, other drawings can also be obtained from these drawings without any creative effort.
图1为动静态结合的上肢康复支具的结构示意图:Fig. 1 is the structure schematic diagram of the upper limb rehabilitation brace combined with dynamic and static:
图2为活动连杆与手肘固定杆连接的结构示意图:Figure 2 is a schematic diagram of the structure of the connection between the movable link and the elbow fixed rod:
图3为圆盘驱动支撑机构的主视面结构示意图:Figure 3 is a schematic diagram of the front view of the disk drive support mechanism:
图4为圆盘驱动支撑机构的俯视结构示意图:Figure 4 is a schematic top view of the disk drive support mechanism:
图5为圆盘驱动支撑机构的框架结构示意图:Figure 5 is a schematic diagram of the frame structure of the disk drive support mechanism:
图6为控制器示意图:Figure 6 is a schematic diagram of the controller:
说明书附图中各部件及其标号如下:The components and their labels in the accompanying drawings are as follows:
肘关节支架1、小臂固定杆1-1、手肘固定杆1-2、固定带1-3、轴1-4、角度传感器1-5、伺服电机Ⅰ1-6、圆柱轴1-7、挡片1-8、制动器Ⅰ1-9;Elbow joint bracket 1, forearm fixing rod 1-1, elbow fixing rod 1-2, fixing belt 1-3, axis 1-4, angle sensor 1-5, servo motor I 1-6, cylindrical axis 1-7, Blocks 1-8, Brakes 1-9;
肩关节活动架2、旋转圆盘2-1、圆盘驱动支撑机构2-2、汽缸2-3、轴2-4、活动连杆2-5、转轴2-6、圆管2-7、矩形齿轮槽2-8、制动器Ⅱ的槽2-9、伺服电机座2-10、伺服电机驱动器2-11、汽缸连接管 2-12、齿轮2-13、汽缸座2-14、伺服电机Ⅱ2-15、制动器Ⅱ2-16、连杆2-17、旋转连接头2-18、盖子2-19;Shoulder joint movable frame 2, rotating disc 2-1, disc drive support mechanism 2-2, cylinder 2-3, shaft 2-4, movable connecting rod 2-5, rotating shaft 2-6, circular tube 2-7, Rectangular gear slot 2-8, brake II slot 2-9, servo motor base 2-10, servo motor driver 2-11, cylinder connecting pipe 2-12, gear 2-13, cylinder base 2-14, servo motor II 2 -15, Brake II 2-16, connecting rod 2-17, rotary joint 2-18, cover 2-19;
控制器3、制动器Ⅰ的旋钮开关3-1、制动器Ⅱ的旋钮开关3-2、伺服电机Ⅰ启动关闭按钮3-3、伺服电机Ⅱ启动关闭按钮3-4、汽缸上升按钮3-5、汽缸下降按钮3-6、单片机3-7。Controller 3, knob switch of brake I 3-1, knob switch of brake II 3-2, servo motor I start and close button 3-3, servo motor II start and close button 3-4, cylinder up button 3-5, cylinder Down button 3-6, MCU 3-7.
实施例Example
下面将通过具体实施例对本发明的技术方案进行清楚、完整地描述。The technical solutions of the present invention will be clearly and completely described below through specific embodiments.
实施例ⅠExample I
本发明的动静态结合的上肢康复支具的结构如图1~6所示,包括肘关节支架1、肩关节活动架2、控制器3;The structure of the dynamic and static combined upper limb rehabilitation brace of the present invention is shown in FIGS. 1 to 6 , including an elbow joint support 1 , a shoulder joint movable frame 2 , and a controller 3 ;
所述肘关节支架1包括小臂固定杆1-1、手肘固定杆1-2;所述小臂固定杆1-1一端下方安置固定带1-3,固定带1-3固定在小臂上,另一端设有圆形通孔,设有圆形通孔的一端侧壁上有能插入手肘固定杆 1-2的凹槽;所述手肘固定杆1-2一端下方安置手臂固定带1-3,固定带1-3固定在手肘上,上方有突出的轴1-4,轴1-4的侧面上开有圆形通孔,另一端安置有圆柱轴1-7,圆柱轴1-7将小臂固定杆1-1、手肘固定杆1-2连接2-5,小臂固定杆1-1、手肘固定杆1-2连接处安置有角度传感器1-5;所述圆柱轴1-7的上端连接伺服电机Ⅰ1-6输出轴1-4,下端上设有制动器Ⅰ1-9;所述伺服电机Ⅰ1-6和制动器Ⅰ1-9固定在小臂固定杆1-1上,伺服电机Ⅰ1-6带有减速齿轮箱;所述肘关节支架1弯曲活动方向为手臂内弯方向,手肘固定杆 1-2的凹槽在向外弯曲的一侧设有挡片1-8,手肘固定杆1-2相对于小臂固定杆90°范围活动,防止机械故障运行扭伤使用者的关节;所述固定带1-3为加厚尼龙带,通过魔术贴缠绕在手肘和小臂上;尼龙带上固定有圆柱,圆柱与小臂固定杆1-1、手肘固定杆1-2固定连接。The elbow joint bracket 1 includes a forearm fixing rod 1-1 and an elbow fixing rod 1-2; a fixing belt 1-3 is arranged under one end of the forearm fixing rod 1-1, and the fixing belt 1-3 is fixed on the forearm The other end is provided with a circular through hole, and the side wall of one end of the circular through hole is provided with a groove for inserting the elbow fixing rod 1-2; the arm is fixed under one end of the elbow fixing rod 1-2 Belt 1-3, the fixing belt 1-3 is fixed on the elbow, there is a protruding shaft 1-4 above, a circular through hole is opened on the side of the shaft 1-4, and the other end is placed with a cylindrical shaft 1-7. The axis 1-7 connects the forearm fixing rod 1-1 and the elbow fixing rod 1-2 to 2-5, and the angle sensor 1-5 is arranged at the connection between the forearm fixing rod 1-1 and the elbow fixing rod 1-2; The upper end of the cylindrical shaft 1-7 is connected to the output shaft 1-4 of the servo motor I1-6, and the lower end is provided with a brake I1-9; the servo motor I1-6 and the brake I1-9 are fixed on the forearm fixing rod 1- 1, the servo motor I1-6 is equipped with a reduction gear box; the bending and moving direction of the elbow joint bracket 1 is the inward bending direction of the arm, and the groove of the elbow fixing rod 1-2 is provided with a blocking plate on the side of the outward bending 1-8, the elbow fixing rod 1-2 can move in a range of 90° relative to the forearm fixing rod to prevent the mechanical failure from spraining the user's joints; the fixing belts 1-3 are thickened nylon belts, which are wound on the On the elbow and the forearm; a cylinder is fixed on the nylon belt, and the cylinder is fixedly connected with the forearm fixing rod 1-1 and the elbow fixing rod 1-2.
所述肩关节活动架2包括旋转圆盘2-1、圆盘驱动支撑机构2-2、汽缸2-3;所述旋转圆盘2-1正面同一半径上凸起有线性阵列的轴2-4,轴2-4的侧面上开有圆孔,旋转圆盘2-1的轴2-4与手肘固定杆1-2 之间由活动连杆2-5连接;旋转圆盘2-1的背面中央设有转轴2-6;所述圆盘驱动支撑机构2-2四块侧壁组成的方形框,上侧面中线上设有圆管2-7,圆管2-7上开有矩形齿轮槽2-8和制动器Ⅱ2-16的槽2-9,内部设有伺服电机座2-10和伺服电机驱动器2-11,下侧面内部中央设有下端开口的带内螺纹的汽缸连接管2-12;所述旋转圆盘2-1的转轴2-6插入圆盘驱动支撑机构2-2的圆管2-7中,齿轮2-13固定在转轴2-6上放置在齿轮2-13槽内,制动器Ⅱ2-16固定在制动器Ⅱ2-16 的槽2-9上,连接转轴2-6;所述伺服电机Ⅱ2-15带有减速齿轮2-13 箱,伺服电机Ⅱ2-15固定安装在伺服电机座2-10上,伺服电机Ⅱ2-15输出轴2-4上设有齿轮2-13与转轴2-6上的齿轮2-13啮合;所述汽缸2-3底面上设有汽缸座2-14,伸缩杆与圆盘驱动支撑机构2-2的螺纹管螺纹连接;所述角度传感器1-5预设小臂固定杆1-1、手肘固定杆1-2180°时为0°,角度传感器1-5在0°和90°时返回一次信号值给单片机,实现反复伸屈手臂的功能。所述活动连杆2-5包括连杆 2-17、旋转连接头2-18;所述连杆2-17为实心杆,两端为小圆柱;所述旋转连接头2-18为圆柱,下底面侧壁上有凹槽,凹槽侧上开有圆形通孔;旋转连接头2-18的上底面上是圆柱槽,上底面配有盖子 2-19;所述盖子2-19底面开有圆形通孔,盖子2-19与旋转连接头2-18 螺纹连接;连杆2-17两端小圆柱安置在旋转连接头2-18的圆柱槽内,盖子2-19防止小圆柱脱出,连杆2-17、旋转连接头2-18形成旋转连接;所述汽缸座2-14为圆盘,与汽缸2-3螺栓连接,汽缸座2-14能将肩关节活动架2支撑立起。The shoulder joint movable frame 2 includes a rotating disk 2-1, a disk driving support mechanism 2-2, and a cylinder 2-3; the front surface of the rotating disk 2-1 has a linear array of shafts 2-1 protruding on the same radius. 4. A round hole is opened on the side of the shaft 2-4, and the shaft 2-4 of the rotating disc 2-1 and the elbow fixing rod 1-2 are connected by the movable link 2-5; the rotating disc 2-1 There is a rotating shaft 2-6 in the center of the back of the disk; the disk drive support mechanism 2-2 is a square frame composed of four side walls, and a round tube 2-7 is arranged on the midline of the upper side, and a rectangular shape is opened on the round tube 2-7. Gear slot 2-8 and brake II 2-16 slot 2-9, there are servo motor base 2-10 and servo motor driver 2-11 inside, and the inner center of the lower side is provided with a cylinder connecting pipe 2 with an inner thread with a lower end opening -12; the rotating shaft 2-6 of the rotating disc 2-1 is inserted into the circular tube 2-7 of the disc drive supporting mechanism 2-2, and the gear 2-13 is fixed on the rotating shaft 2-6 and placed on the gear 2-13 In the groove, the brake II2-16 is fixed on the groove 2-9 of the brake II2-16, and is connected to the rotating shaft 2-6; the servo motor II2-15 has a reduction gear 2-13 box, and the servo motor II2-15 is fixedly installed in the On the servo motor base 2-10, the output shaft 2-4 of the servo motor II 2-15 is provided with a gear 2-13 which meshes with the gear 2-13 on the rotating shaft 2-6; the bottom surface of the cylinder 2-3 is provided with a cylinder block 2-14, the telescopic rod is threadedly connected with the threaded pipe of the disc drive support mechanism 2-2; the angle sensor 1-5 is preset to 0° when the forearm fixing rod 1-1 and the elbow fixing rod 1-2180° , the angle sensor 1-5 returns a signal value to the microcontroller at 0° and 90° to realize the function of repeatedly stretching and flexing the arm. The movable connecting rod 2-5 includes a connecting rod 2-17 and a rotating connecting head 2-18; the connecting rod 2-17 is a solid rod, and both ends are small cylinders; the rotating connecting head 2-18 is a cylinder, There is a groove on the side wall of the lower bottom surface, and a circular through hole is opened on the side of the groove; the upper bottom surface of the rotary joint 2-18 is a cylindrical groove, and the upper bottom surface is equipped with a cover 2-19; the bottom surface of the cover 2-19 There is a circular through hole, the cover 2-19 is screwed with the rotary joint 2-18; the small cylinders at both ends of the connecting rod 2-17 are placed in the cylindrical groove of the rotary joint 2-18, and the cover 2-19 prevents the small cylinders The connecting rod 2-17 and the rotary joint 2-18 form a rotary connection; the cylinder base 2-14 is a disc, which is bolted to the cylinder 2-3, and the cylinder base 2-14 can support the shoulder joint movable frame 2 stand up.
活动连杆2-5一端的旋转连接头2-18分别通过螺栓螺帽连接在旋转圆盘2-1的其中一个轴2-4上,另一个旋转连接头2-18通过螺栓螺帽连接在手肘固定杆1-2的轴2-4上,旋转连接头2-18与轴2-4的连接为活动连接。旋转圆盘2-1带动肩关节活动架2。The rotary joints 2-18 at one end of the movable link 2-5 are respectively connected to one of the shafts 2-4 of the rotating disc 2-1 through bolts and nuts, and the other rotary joints 2-18 are connected to each other through bolts and nuts. On the shaft 2-4 of the elbow fixing rod 1-2, the connection between the rotary joint 2-18 and the shaft 2-4 is an active connection. The rotating disc 2-1 drives the shoulder joint movable frame 2.
所述控制器3为方形盒子,内部装有单片机3-7,上表面上设有控制面板;所述控制面板上设有制动器Ⅰ1-9、制动器Ⅱ2-16的旋钮开关,伺服电机Ⅰ启动关闭按钮3-3、伺服电机Ⅱ启动关闭按钮3-4、汽缸上升按钮3-5、汽缸下降按钮3-6。The controller 3 is a square box with a single-chip microcomputer 3-7 inside, and a control panel on the upper surface; the control panel is provided with knob switches for brakes I1-9 and brakes II2-16, and the servo motor I starts and closes. Button 3-3, servo motor II start and close button 3-4, cylinder up button 3-5, cylinder down button 3-6.
实施例ⅡExample II
一种动静态结合的上肢康复支具的使用方法(1)如下:A use method (1) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肘关节被动伸屈:将肘关节支架1通过固定带1-3固定在使用者的上肢上,按下控制器3上的伺服电机Ⅰ启动关闭按钮3-3,伺服电机Ⅰ1-6启动,手肘固定杆1-2相对于小臂固定杆1-1弯曲,弯曲达 90°时角度传感器1-5发送信号给单片机3-7,单片机3-7驱动伺服电机驱动器2-11使伺服电机Ⅰ1-6反转,肘关节支架1伸直,达到0°时角度传感器1-5发送信号给单片机3-7,单片机3-7驱动伺服电机驱动器2-11使伺服电机Ⅰ1-6再次反转,肘关节支架1伸直;反复上述过程,活动肘关节;Passive extension and flexion of the elbow joint: Fix the elbow joint bracket 1 on the user's upper limb through the fixing belt 1-3, press the servo motor I on the controller 3 to start and close the button 3-3, the servo motor I1-6 is activated, and the hand The elbow fixing rod 1-2 is bent relative to the forearm fixing rod 1-1. When the bending reaches 90°, the angle sensor 1-5 sends a signal to the microcontroller 3-7, and the microcontroller 3-7 drives the servo motor driver 2-11 to make the servo motor I1 -6 is reversed, the elbow joint bracket 1 is straightened, and when it reaches 0°, the angle sensor 1-5 sends a signal to the single-chip microcomputer 3-7, and the single-chip microcomputer 3-7 drives the servo motor driver 2-11 to make the servo motor I1-6 reverse again, The elbow joint support 1 is straightened; the above process is repeated to move the elbow joint;
实施例ⅢExample III
一种动静态结合的上肢康复支具的使用方法(2)如下:A use method (2) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肘关节静止固定:将肘关节支架1通过固定带1-3固定在使用者的上肢上,手动弯曲肘关节支架1,在合适位置用制动器Ⅰ的旋钮开关3-1将阻力调到最大,固定肘关节支架1的形状,从而固定肘关节形状,需要调整肘关节支架1的形状再用制动器Ⅰ1-9固定形状以达到静止的目的;Static fixation of the elbow joint: Fix the elbow joint bracket 1 on the user's upper limb through the fixing belt 1-3, manually bend the elbow joint bracket 1, and adjust the resistance to the maximum with the knob switch 3-1 of the brake I at the appropriate position, and fix it. The shape of the elbow joint bracket 1, so as to fix the shape of the elbow joint, it is necessary to adjust the shape of the elbow joint bracket 1 and then use the brake I1-9 to fix the shape to achieve the purpose of static;
实施例ⅣExample IV
一种动静态结合的上肢康复支具的使用方法(3)如下:A use method (3) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肘关节主动锻炼:将肘关节支架1通过固定带1-3固定在使用者的上肢上,使用者凭自身肌肉力量弯曲手肘,随锻炼的深入用制动器Ⅰ的旋钮开关3-1逐渐增大制动器Ⅰ1-9的阻力,达到增强锻炼的结果;Active Elbow Exercise: Fix the elbow joint bracket 1 on the user's upper limb through the fixing belt 1-3, the user bends the elbow with his own muscle strength, and gradually increases the knob switch 3-1 of the brake I with the deepening of the exercise The resistance of the brakes I1-9 achieves the result of enhanced exercise;
实施例ⅤExample V
一种动静态结合的上肢康复支具的使用方法(4)如下:A use method (4) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肩关节被动活动:使用者采取坐姿使用控制器3上的汽缸2-3上升按钮3-5、汽缸2-3下降按钮3-6升降旋转圆盘2-1,调整肩关节活动架2的位置使人肩膀正对旋转圆盘2-1的圆心,肘关节支架1通过固定带1-3固定在使用者的上肢上使手臂保持伸直状态,活动连杆2-5 连接旋转圆盘2-1和肘关节支架1,使用控制器3的伺服电机Ⅱ启动关闭按钮3-4开启伺服电机Ⅱ2-15,伺服电机Ⅱ2-15驱动旋转圆盘2-1 旋转,带动肘关节支架1前端绕圈旋转,从而活动肩关节,根据不同的需求旋转连接旋转圆盘2-1上不同偏心位置的轴2-4,增大或减小绕圈旋转的半径;Passive shoulder movement: the user takes a sitting position and uses the cylinder 2-3 ascending button 3-5, cylinder 2-3 descending button 3-6 on the controller 3 to lift the rotating disc 2-1 to adjust the position of the shoulder joint movable frame 2 Make the shoulders face the center of the rotating disc 2-1, the elbow joint bracket 1 is fixed on the upper limb of the user through the fixing belt 1-3 to keep the arm straight, and the movable link 2-5 is connected to the rotating disc 2- 1 and the elbow joint bracket 1, use the servo motor II of the controller 3 to start and close the button 3-4 to turn on the servo motor II 2-15, the servo motor II 2-15 drives the rotating disc 2-1 to rotate, and drives the front end of the elbow joint bracket 1 to make a circle Rotate, thereby activating the shoulder joint, and rotating the shaft 2-4 connecting the different eccentric positions on the rotating disc 2-1 according to different needs, increasing or decreasing the radius of the circle rotation;
实施例ⅥExample VI
一种动静态结合的上肢康复支具的使用方法(5)如下:A use method (5) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肩关节静止固定:使用者采取坐姿使用控制器3上的汽缸2-3上升按钮3-5、汽缸2-3下降按钮3-6升降旋转圆盘2-1,调整肩关节活动架2的位置使人肩膀正对旋转圆盘2-1的圆心,肘关节支架1通过固定带1-3固定在使用者的上肢上使手臂保持伸直状态,活动连杆2-5 连接旋转圆盘2-1和肘关节支架1,协助者手动转动旋转圆盘2-1,在某一位置将制动器Ⅱ2-16的阻力调整至最大,固定肩关节的位置;The shoulder joint is stationary and fixed: the user takes a sitting position and uses the cylinder 2-3 ascending button 3-5, cylinder 2-3 descending button 3-6 on the controller 3 to lift the rotating disc 2-1 to adjust the position of the shoulder joint movable frame 2 Make the shoulders face the center of the rotating disc 2-1, the elbow joint bracket 1 is fixed on the upper limb of the user through the fixing belt 1-3 to keep the arm straight, and the movable link 2-5 is connected to the rotating disc 2- 1 and the elbow joint bracket 1, the assistant manually rotates the rotating disc 2-1, adjusts the resistance of the brake II 2-16 to the maximum at a certain position, and fixes the position of the shoulder joint;
实施例ⅦExample VII
一种动静态结合的上肢康复支具的使用方法(6)如下:A use method (6) of a dynamic and static combined upper limb rehabilitation brace is as follows:
肩关节主动锻炼:使用者采取坐姿使用控制器3上的汽缸2-3上升按钮3-5、汽缸2-3下降按钮3-6升降旋转圆盘2-1,调整肩关节活动架2的位置使人肩膀正对旋转圆盘2-1的圆心,肘关节支架1通过固定带1-3固定在使用者的上肢上使手臂保持伸直状态,活动连杆2-5 连接旋转圆盘2-1和肘关节支架1,使用者凭借自身肌肉力量带动旋转圆盘2-1转动,随锻炼的深入用制动器Ⅱ2-16的旋钮开关逐渐增大制动器Ⅱ2-16的阻力,达到增强锻炼的结果。Shoulder joint active exercise: the user takes a seated position and uses the cylinder 2-3 ascending button 3-5, cylinder 2-3 descending button 3-6 on the controller 3 to lift the rotating disc 2-1 to adjust the position of the shoulder joint movable frame 2 Make the shoulders face the center of the rotating disc 2-1, the elbow joint bracket 1 is fixed on the upper limb of the user through the fixing belt 1-3 to keep the arm straight, and the movable link 2-5 is connected to the rotating disc 2- 1 and elbow joint bracket 1, the user drives the rotating disc 2-1 to rotate with his own muscle strength, and gradually increases the resistance of the brake II2-16 with the knob switch of the brake II2-16 with the deepening of the exercise to achieve the result of enhanced exercise.
所述方法(4)中使用者康复后期可以用手握住活动连杆2-5动跟随旋转圆盘2-1转动。In the method (4), in the later stage of rehabilitation, the user can hold the movable link 2-5 by hand and follow the rotation of the rotating disc 2-1.
所述方法(6)中使用者康复后期可以用手握住活动连杆2-5动推动旋转圆盘2-1转动。In the method (6), in the later stage of rehabilitation, the user can hold the movable link 2-5 by hand to push the rotating disc 2-1 to rotate.
上面所述的实施例仅仅是本发明的优选实施方式进行描述,并非对本发明的构思和范围进行限定,在不脱离本发明设计构思的前提下,本领域中普通工程技术人员对本发明的技术方案做出的各种变型和改进均应落入本发明的保护范围,本发明的请求保护的技术内容,已经全部记载在技术要求书中。The above-mentioned embodiments are only the preferred embodiments of the present invention to describe, and do not limit the concept and scope of the present invention. Various modifications and improvements made should fall within the protection scope of the present invention, and the technical content of the claimed protection of the present invention has been fully recorded in the technical requirements.
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| CN113181002B (en) * | 2021-04-28 | 2022-08-09 | 青岛大学附属医院 | Upper limb exercising device and exercising method |
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| CN2393527Y (en) * | 1999-01-05 | 2000-08-30 | 徐志远 | Electric physiotherapeutical instrument |
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| CN2393527Y (en) * | 1999-01-05 | 2000-08-30 | 徐志远 | Electric physiotherapeutical instrument |
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