CN112022614B

CN112022614B - Upper limb nursing and exercising device after radiotherapy

Info

Publication number: CN112022614B
Application number: CN202010882961.5A
Authority: CN
Inventors: 武玉真; 李超
Original assignee: First Affiliated Hospital of Zhengzhou University
Current assignee: First Affiliated Hospital of Zhengzhou University
Priority date: 2020-08-28
Filing date: 2020-08-28
Publication date: 2023-04-28
Anticipated expiration: 2040-08-28
Also published as: CN112022614A

Abstract

The upper limb nursing exercise device after radiotherapy effectively solves the problem that the existing breast cancer postoperative stretching device is inconvenient to carry and transport; the novel multifunctional bicycle comprises a bottom plate, wherein a transmission shaft is arranged at the right end of the bottom plate, triangular plates are respectively connected to the front end and the rear end of the transmission shaft in a rotating mode, connecting cylinders are respectively arranged at the front side and the rear side of the transmission shaft, short supporting rods are arranged at the upper end of each connecting cylinder, long supporting rods are arranged at the upper ends of each connecting cylinder, a backrest is arranged between the two long supporting rods, sliding grooves are formed in the long supporting rods, U-shaped sleeves are rotationally connected to the upper ends of the sliding grooves, connecting shafts are arranged in the U-shaped sleeves, swinging rods are arranged at the opposite ends of the two connecting shafts, waist-shaped grooves are formed in the swinging rods, guide columns are connected in a sliding mode in the waist-shaped grooves, transmission rods are arranged at the opposite ends of the two guide columns, the two transmission rods are respectively connected with the short supporting rods in a hinged mode through pin shafts, moving grooves are formed in the left side of the swinging rods, connecting columns are arranged in the moving grooves, and handles are arranged at the opposite ends of the two connecting columns; the structure is simple, the operation is convenient, the conception is novel, and the usability is strong.

Description

Upper limb nursing and exercising device after radiotherapy

Technical Field

The invention relates to the technical field of radiotherapy nursing instruments, in particular to a radiotherapy-rear upper limb nursing exercise device.

Background

Radiotherapy is a topical treatment that uses radiation to treat tumors, and about 70% of cancer patients need radiation therapy during the course of treatment of cancer, and about 40% of cancer can be treated radically by radiotherapy. The role and position of radiation therapy in tumor therapy are increasingly prominent, and radiation therapy has become one of the main means for treating malignant tumors.

The utility model provides a breast cancer patient often causes the obstacle of upper limbs function after radiotherapy, mainly shows edema, and shoulder joint motion range is restricted, muscle strength is low, fatigue etc. appear rapidly after the motion, therefore breast cancer postoperative upper limbs function exercise has very big influence to patient's postoperative rehabilitation, and the mode of patient's exercise is for using the device of stretching to stretch out the upper limbs at present, but current device volume of stretching is great, and transport and carrying are extremely inconvenient, inconvenient patient's use.

Disclosure of Invention

Aiming at the situation, the invention aims to overcome the defects of the prior art, and the invention aims to provide the upper limb nursing exercise device after radiotherapy, which effectively solves the problem that the existing breast cancer postoperative stretching device is inconvenient to carry and transport.

The technical scheme includes that the novel bicycle comprises a bottom plate, a transmission shaft which is axially arranged in the front and the rear direction and can rotate is arranged at the right end of the bottom plate, triangular plates positioned on the right side of the bottom plate are respectively and rotatably connected at the front and the rear ends of the transmission shaft, connecting cylinders positioned between the bottom plate and the triangular plates are respectively and coaxially arranged at the front and the rear sides of the transmission shaft, short support rods in the up-down direction are arranged at the upper end of the connecting cylinders, long support rods positioned between the two short support rods are arranged at the upper end of the connecting cylinders, and a backrest is arranged between the two long support rods;

the long support rod on set up the sliding tray that link up from top to bottom and front and back, the sliding tray upper end rotates and is connected with fore-and-aft axial U-shaped sleeve, U-shaped sleeve opening is left-facing, be equipped with rotatable and can insert the connecting axle of sliding tray downside in the U-shaped sleeve, two connecting axles are opposite to each other the end and are stretched out the U-shaped sleeve respectively and are equipped with the swinging arms of left and right directions, the swinging arms are located between its same side's the long support rod and the short support rod, the kidney-shaped groove of left and right directions has been seted up on the swinging arms, two kidney-shaped groove openings are on the back of each other, the back of the kidney-shaped groove sliding connection has fore-and-aft axial guide post, two guide post opposite ends stretch out the kidney-shaped groove respectively and are equipped with the transfer line of upper and lower directions, two transfer line downside opposite ends are articulated with the short support rod of its corresponding side respectively, the transfer line right terminal surface can be with triangle-shaped plate left side contact, the movable groove has been seted up in the left side of the swinging arms, two movable groove openings are opposite to each other and its opposite side is linked with the kidney-shaped groove, but be equipped with the spliced pole of left and movable.

The beneficial effects of the invention are as follows: rational in infrastructure, convenient to use sets up bottom plate, short bracing piece, swinging arms and grab handle, can stretch and stretch patient's upper limbs, be favorable to the backward flow of patient's postoperative upper limb vein and the outflow of drainage liquid, do benefit to the regression of postoperative upper limb edema, reduced scar contracture's emergence, improved the functional recovery of suffering side upper limbs and the reconstruction of patient's self-care ability, be equipped with U-shaped sleeve, sliding tray and kidney slot, the packing up of this device of being convenient for, the convenience of use person is to the carrying and the transport of this device, be equipped with massage gasbag and charging box simultaneously, increased patient's comfort level, be favorable to the patient to the use of this device, this simple structure, convenient operation, novel conception, the practicality is strong.

Drawings

Fig. 1 is an isometric view of the present invention.

Fig. 2 is a front isometric view in full section of the present invention.

Fig. 3 is a stepped cut-away isometric view of the present invention.

Fig. 4 is a semi-folded isometric view of the present invention.

Fig. 5 is a fully folded isometric view of the present invention.

Fig. 6 is an enlarged view of a of fig. 2 according to the present invention.

Fig. 7 is an enlarged view of B of fig. 3 according to the present invention.

Fig. 8 is an enlarged view of C of fig. 3 in accordance with the present invention.

Detailed Description

The following describes the embodiments of the present invention in further detail with reference to the drawings.

The device is shown in fig. 1 to 8 and comprises a bottom plate 1, wherein a transmission shaft 2 which is axially arranged in front and back and can rotate is arranged at the right end of the bottom plate 1, triangular plates 3 positioned on the right side of the bottom plate 1 are respectively connected at the front and back ends of the transmission shaft 2 in a rotating way, connecting cylinders 4 positioned between the bottom plate 1 and the triangular plates 3 are respectively coaxially arranged at the front and back sides of the transmission shaft 2, short supporting rods 5 in the up and down directions are arranged at the upper end of the connecting cylinders 4, long supporting rods 6 positioned between the two short supporting rods 5 are arranged at the upper end of the connecting cylinders 4, and a backrest 7 is arranged between the two long supporting rods 6;

the long support rod 6 on set up the slide groove 8 that link up from top to bottom and front and back, slide groove 8 upper end rotation is connected with fore-and-aft axial U-shaped sleeve 9,U shape sleeve 9 opening left, be equipped with rotatable and can insert slide groove 8 downside's connecting axle 10 in the U-shaped sleeve 9, the one end that two connecting axles 10 kept away from back 7 stretches out U-shaped sleeve 9 and is equipped with left and right direction swinging arms 11, swinging arms 11 are located between long support rod 6 and the short support rod 5 of its same side, set up left and right direction's kidney slot 12 on the swinging arms 11, two kidney slot 12 openings are on the back, the direction's of sliding connection has fore-and-aft axial guide post 13 in kidney slot 12, two guide post 13 opposite ends stretch out kidney slot 12 respectively and are equipped with upper and lower direction's transfer line 14, two transfer line 14 downside opposite ends are articulated respectively through round pin 15 and its corresponding side short support rod 5, the right terminal surface of transfer line 14 can contact with triangle plate 3 left surface, the removal groove 16 has been seted up in swinging arms 11 left side, two removal slots 16 open opposite to each other and back side 12 and back side 12 is equipped with respectively and remove in the opposite side 16 and are equipped with the grab handle 17 and are connected to the opposite side 17.

In order to make the transmission shaft 2 rotate, the bottom plate 1 is provided with a left-facing placing groove 19, the transmission shaft 2 is wound with a pull belt 20 inserted into the transmission groove, the free end of the pull belt 20 extends out of the transmission groove and is provided with a pedal 21, the transmission shaft 2 is provided with a first torsion spring 22, and the free end of the first torsion spring 22 is fixedly connected with the bottom plate 1.

In order to rotate the U-shaped sleeve 9, the upper end of the long support rod 6 is provided with an arc-shaped groove 23 which is upward in opening and communicated with the sliding groove 8, the outer edge surface of the U-shaped sleeve 9 is provided with a plurality of worm gear teeth 24 uniformly distributed along the circumferential direction of the U-shaped sleeve, the right end of the long support rod 6 is rotatably connected with a worm 25 meshed with the worm gear teeth 24, and the upper end of the worm 25 is provided with a rotating handle.

In order to facilitate the swinging of the transmission rod 14 and keep the swinging rod 11 in a horizontal position in an initial state, the pin shaft 15 is provided with a second torsion spring, the free end of the second torsion spring is fixedly connected with the transmission rod 14, the left side surface of the triangular plate 3 is provided with a pressing groove 26 with an opening facing left, and the bottom surface of the pressing groove 26 is connected with a stop block 27 which can be contacted with the lower end of the transmission rod 14 through an elastic sheet.

In order to facilitate the movement of the connecting column 17, the left end of the swinging rod 11 is rotatably connected with a rotating wheel 28 which is positioned at the lower side of the swinging rod and is axially arranged in the front-back direction, the left end of the connecting column 17 is provided with a pull rope 29, and the free end of the pull rope 29 bypasses the left side of the rotating wheel 28 and is fixedly connected with the left end of the short supporting rod 5.

In order to restore the connecting post 17 to the initial position, the swing rod 11 is provided with a rectangular slot 30 with an upward opening and a lower side communicated with the moving slot 16, the connecting post 17 is provided with a pull block 31 with an upper end extending out of the rectangular slot 30, the upper end of the pull block 31 is provided with a left-right tension spring 32, and the right end of the tension spring 32 is fixedly connected with the upper end of the swing rod 11.

In order to limit the position of the long support rod 6, the opposite ends of the two triangular plates 3 are respectively provided with a triangular block 33, and the two triangular blocks 33 can be contacted with the right end face of the long support rod 6.

In order to increase comfort level of a patient, the backrest 7 is arc-shaped and is provided with an opening towards the left, the backrest 7 is internally provided with an air inflation cavity 34, a plurality of massage air bags 35 which are uniformly distributed along the left surface of the backrest 7 and are communicated with the air inflation cavity 34 are arranged on the backrest 7, an air inflation box 36 is arranged between the two triangular blocks 33, a piston block 37 which can be tightly attached to the inner side wall of the air inflation box 36 is slidably connected with the air inflation box 36, the upper end of the piston block 37 is provided with an arc-shaped rod 38 which is coaxial with the transmission shaft 2, and the upper end of the arc-shaped rod 38 penetrates through the air inflation box 36 and is fixedly connected with the lower end of the backrest 7, and the left side of the air inflation box 36 is communicated with the air inflation cavity 34 through a connecting pipe 39.

When the device is used, the tension belt 20 in the placing groove 19 is arranged to leave allowance, the device is in an unfolding state in an initial state, the device is placed on a plane, the triangular plate 3 is leveled with the subsurface end surface, the device is placed, a patient sits on the bottom plate 1, holds the grab handle 18 with two hands, the back leans against the backrest 7, the feet push the pedal 21 leftwards, the pedal 21 drives the tension belt 20 to move leftwards, after the tension belt 20 is straightened, the pedal 21 is continuously pushed, the tension belt 20 drives the transmission shaft 2 to rotate clockwise and extrude the first torsion spring 22, the transmission shaft 2 drives the connecting cylinder 4 to synchronously rotate, and the connecting cylinder 4 drives the long support rod 6 and the short support rod 5 to synchronously swing rightwards;

as the long support rod 6 and the short support rod 5 swing rightwards, the short support rod 5 drives the transmission rod 14 to swing rightwards integrally, and as the transmission rod 14 swings, the lower side of the transmission rod 14 swings forwards and extrudes the second torsion spring under the extrusion of the triangular plate 3, the upper side of the transmission rod 14 swings rightwards and drives the guide post 13 to slide rightwards relative to the kidney-shaped groove 12, as the guide post 13 slides rightwards, the guide post 13 pushes the swing rod 11 to swing upwards along the connecting shaft 10, and as the long support rod 6 swings rightwards, the long support rod 6 drives the backrest 7 to swing rightwards, the back of a patient tilts rightwards, and the long support rod 6 drives the swing rod 11 to swing rightwards integrally, as the long support rod 6 swings rightwards with the short support rod 5, the swing rod 11 swings upwards along the connecting shaft 10, as the swing rod 11 swings, the connecting post 17 moves leftwards along the moving groove 16 under the action of the pull rope 29, and drives the arm of the patient to extend upwards through the handle 18, so that as the long support rod 6 and the short support rod 5 enable the upper body of the patient to lean rightwards and extend upwards;

along with the swing of the transmission rod 14, the right end face of the transmission rod 14 contacts with the left end face of the stop block 27 and pushes the stop block 27 to move rightwards into the pressing groove 26, meanwhile, the stop block 27 presses the elastic sheet, when the stop block 27 moves completely into the pressing groove 26, the right end face of the transmission rod 14 is attached to the left side face of the triangular plate 3, meanwhile, the right end face of the short support rod 5 is attached to the left side face of the triangular plate 3, at the moment, the device swings rightwards to the limit position, the transmission rod 14 and the short support rod 5 are in a collinear state, meanwhile, the guide post 13 drives the swing rod 11 to swing on the same line with the short support rod 5, at the moment, the double arms of a patient extend upwards, along with the swing of the backrest 7 rightwards, the backrest 7 drives the arc-shaped rod 38 to slide downwards and pushes the piston block 37 to slide downwards, so that gas in the gas inflation box 36 flows into the inflation cavity 34 through the connecting pipe 39, along with the gas flowing into the inflation cavity 34, the massage air bag 35 is inflated to squeeze the back of the patient and massage the back of the patient, at the moment, the legs loosen the pedals 21, the transmission shaft 2 rotates anticlockwise under the action of the first torsion spring 22, the pull belt 20 is rewound on the transmission shaft 2, the transmission shaft 2 drives the connecting cylinder 4 to synchronously rotate, the connecting cylinder 4 drives the long support rod 6 and the short support rod 5 to swing leftwards to a vertical state at the same time, and under the action of the second torsion spring, the lower side of the transmission rod 14 swings leftwards and drives the guide post 13 to slide leftwards relative to the kidney-shaped groove 12, the guide post 13 pushes the swing rod 11 to swing leftwards along the connecting shaft 10 along with the leftward sliding of the guide post 13, at the moment, the transmission rod 14 does not squeeze the stop block 27, the stop block 27 stretches out of the pressing groove 26 under the action of the elastic sheet, when the swing rod 11 swings to a horizontal state, the lower end of the transmission rod 14 contacts with the lower end surface of the stop block 27, at this time, the swing of the swing rod 11 is limited, and simultaneously, under the action of the tension spring 32, the connecting column 17 moves rightwards relative to the moving groove 16 and drives the grab handle 18 to move rightwards, so that the arm of the patient is retracted, and the patient finishes one-time upper limb flexion and extension, and the upper limb of the patient is stretched and exercised through the steps;

if the device needs to be folded, the rotating handle is rotated clockwise, the rotating handle drives the worm 25 to rotate anticlockwise, the worm 25 drives the U-shaped sleeve 9 to rotate anticlockwise through the worm gear teeth 24, when the opening of the U-shaped sleeve 9 faces downwards, the rotating handle stops rotating, at the moment, the position of the U-shaped sleeve 9 is limited, a user swings the backrest 7 backwards through hands, the backrest 7 drives the connecting cylinder 4 to rotate clockwise through the long supporting rod 6, the connecting cylinder 4 drives the short supporting rod 5 to swing rightwards, meanwhile, the drawstring 20 is wound on the transmission shaft 2, the allowance in the placing groove 19 is tightened, when the front side of the short supporting rod 5 is attached to the front side of the triangular plate 3, the swinging rod 11 is collinearly with the long supporting rod 6 from the upper part, at the moment, the swinging rod 11 is pushed downwards, the swinging rod 11 drives the connecting shaft 10 to move out of the U-shaped sleeve 9 and move downwards along the sliding groove 8, along with the downward movement of the swinging rod 11, the swinging rod 11 is inserted between the long supporting rod 6 and the short supporting rod 5, the pull rope 29 is in an untruncated state, after the connecting shaft 10 contacts with the lower end face of the sliding groove 8, the bottom plate 1 is swung upwards, the bottom plate 1 is attached to the left end face of the short supporting rod 5, the device is completed, if the device needs to be restored to an initial state, the bottom plate 1 is swung forwards, the bottom plate 1 is enabled to be flush with the lower end face of the triangular plate 3, the swinging rod 11 is moved upwards, the connecting shaft 10 is driven by the swinging rod 11 to move into the U-shaped sleeve 9 along the sliding groove 8, the rotating handle is rotated anticlockwise, the worm 25 drives the U-shaped sleeve 9 to rotate clockwise and rotate to an initial state, the rotating handle is stopped, and the device is restored to the initial state by swinging the swinging rod 11 leftwards.

Claims

1. The utility model provides an upper limbs nursing exercise device behind radiotherapy, including bottom plate (1), its characterized in that, bottom plate (1) right-hand member is equipped with around axial and rotatable transmission shaft (2), both ends are rotated respectively around transmission shaft (2) and are connected with triangle shaped board (3) that are located bottom plate (1) right-hand, both sides are coaxial connecting cylinder (4) that are located between bottom plate (1) and triangle shaped board (3) respectively around transmission shaft (2), connecting cylinder (4) upper end is equipped with short bracing piece (5) of upper and lower direction, connecting cylinder (4) upper end is equipped with long bracing piece (6) that are located between two short bracing pieces (5), be equipped with a back (7) between two long bracing pieces (6);

the long support rod (6) is provided with a sliding groove (8) which is vertically and longitudinally communicated, the upper end of the sliding groove (8) is rotationally connected with a U-shaped sleeve (9) which is longitudinally and longitudinally axially arranged, the opening of the U-shaped sleeve (9) faces to the left, a connecting shaft (10) which is rotationally and longitudinally inserted into the lower side of the sliding groove (8) is arranged in the U-shaped sleeve (9), one end of the two connecting shafts (10) far away from the backrest (7) extends out of the U-shaped sleeve (9) and is provided with a swinging rod (11) in the left-right direction, the swinging rod (11) is positioned between the long support rod (6) and the short support rod (5) on the same side, a waist-shaped groove (12) in the left-right direction is formed on the swinging rod (11), openings of the two waist-shaped grooves (12) are opposite, guide posts (13) which are axially longitudinally arranged are in sliding connection, the opposite back ends of the two guide posts (13) respectively extend out of the waist-shaped groove (12) and are provided with transmission rods (14) in the upper-down direction, opposite ends of the lower sides of the two transmission rods (14) are respectively hinged with the corresponding short support rods (5) through pins (15), the opposite side surfaces of the two transmission rods (16) are in contact with the left-right side triangular grooves (16) and are in contact with the left-right side opposite side faces of the swing grooves (16) and are formed by the opposite side faces of the swing plates, the movable groove (16) is internally provided with a connecting column (17) which can move left and right, and opposite ends of the two connecting columns (17) respectively extend out of the movable groove (16) and are provided with a grab handle (18).

2. The upper limb nursing exercise device after radiotherapy according to claim 1, wherein the bottom plate (1) is provided with a left-facing opening placing groove (19), the transmission shaft (2) is wound with a pull belt (20) inserted into the transmission groove, the free end of the pull belt (20) extends out of the transmission groove and is provided with a pedal (21), the transmission shaft (2) is provided with a first torsion spring (22), and the free end of the first torsion spring (22) is fixedly connected with the bottom plate (1).

3. The upper limb nursing and exercising device after radiotherapy according to claim 1, wherein the upper end of the long supporting rod (6) is provided with an arc-shaped groove (23) with an upward opening and communicated with the sliding groove (8), the outer edge surface of the U-shaped sleeve (9) is provided with a plurality of worm gear teeth (24) uniformly distributed along the circumferential direction of the U-shaped sleeve, the right end of the long supporting rod (6) is rotationally connected with a worm (25) meshed with the worm gear teeth (24), and the upper end of the worm (25) is provided with a rotating handle.

4. The upper limb nursing and exercising device after radiotherapy according to claim 1, wherein the pin shaft (15) is provided with a second torsion spring, the free end of the second torsion spring is fixedly connected with the transmission rod (14), the left side surface of the triangular plate (3) is provided with a pressing groove (26) with an opening facing left, and the bottom surface of the pressing groove (26) is connected with a stop block (27) which can be contacted with the lower end of the transmission rod (14) through an elastic sheet.

5. The upper limb nursing and exercising device after radiotherapy according to claim 1, wherein the left end of the swinging rod (11) is rotatably connected with a rotating wheel (28) which is positioned at the lower side of the swinging rod and is axially arranged at the front and the rear, the left end of the connecting column (17) is provided with a pull rope (29), and the free end of the pull rope (29) bypasses the left side of the rotating wheel (28) and is fixedly connected with the left end of the short supporting rod (5).

6. The upper limb nursing and exercising device after radiotherapy according to claim 1, wherein the swing rod (11) is provided with a rectangular groove (30) with an upward opening and a lower side communicated with the movable groove (16), the connecting column (17) is provided with a pull block (31) with an upper end extending out of the rectangular groove (30), the upper end of the pull block (31) is provided with a left-right tension spring (32), and the right end of the tension spring (32) is fixedly connected with the upper end of the swing rod (11).

7. The upper limb care exercise device after radiotherapy according to claim 1, wherein triangular blocks (33) are respectively arranged at opposite ends of the two triangular plates (3), and the two triangular blocks (33) can be contacted with the right end face of the long support rod (6).

8. The upper limb nursing exercise device after radiotherapy according to claim 1, wherein the backrest (7) is arc-shaped and is provided with an opening towards the left, an air inflation cavity (34) is formed in the backrest (7), a plurality of massage air bags (35) which are uniformly distributed along the left surface of the backrest and are communicated with the air inflation cavity (34) are arranged on the backrest (7), an air inflation box (36) is arranged between the two triangular blocks (33), a piston block (37) which can be tightly attached to the inner side wall of the air inflation box (36) is connected in a sliding manner, an arc-shaped rod (38) which is coaxial with the transmission shaft (2) is arranged at the upper end of the piston block (37), the upper end of the arc-shaped rod (38) penetrates through the air inflation box (36) and is fixedly connected with the lower end of the backrest (7), and the left side of the air inflation box (36) is communicated with the air inflation cavity (34) through a connecting pipe (39).