CN112023334A

CN112023334A - Severe patient rehabilitation exercise device

Info

Publication number: CN112023334A
Application number: CN202010685190.0A
Authority: CN
Inventors: 肖京; 左方田
Original assignee: Nanyang City Center Hospital
Current assignee: Nanyang City Center Hospital
Priority date: 2020-07-16
Filing date: 2020-07-16
Publication date: 2020-12-04
Anticipated expiration: 2040-07-16
Also published as: CN112023334B

Abstract

The invention relates to a rehabilitation exercise device for severe patients, which comprises a support frame and a shell body which vertically slides on the support frame, wherein the shell body is connected with the support frame through a vertically arranged screw rod mechanism to form a structure that the shell body vertically slides on the support frame through the transmission of the screw rod mechanism; the shell is provided with a push rod which vertically slides, the upper end of the push rod is arranged at the inner side of the shell, the lower end of the push rod is arranged above the shell, and the inner side of the shell is provided with a switch arranged above the push rod; the push rod is provided with a handle arranged below the shell; the invention simultaneously realizes active strength training mainly based on the self force of the patient and passive joint movement training assisted by lifting, and provides good comprehensive exercise effect on the premise of ensuring the safety of the patient.

Description

Severe patient rehabilitation exercise device

Technical Field

The invention relates to a medical rehabilitation exercise device, in particular to a rehabilitation exercise device for critically ill patients.

Background

In the later rehabilitation process of severe patients, because the body state of the severe patients is weak, the rehabilitation exercise intensity adopted by the patients is not too high, and the safety of the patients is ensured as much as possible; the existing rehabilitation exercise device is divided into an active exercise device and a passive exercise device, the active exercise device has higher requirements on whole body coordination and strength, the exercise intensity is too large, the passive exercise device is obviously not suitable for severe patients, the passive exercise device focuses on promoting local blood circulation to prevent muscular atrophy and joint hidden dangers, but the patients are difficult to fully participate in the passive exercise device, positive linkage is lacked between all parts of the body, and the training effect is not good.

Disclosure of Invention

Aiming at the situation, in order to make up the technical defects in the prior art, the invention provides a rehabilitation exercise device for critically ill patients, which aims to solve the problems that the prior device cannot be suitable for critically ill patients and is difficult to provide an effective exercise mode for critically ill patients.

The technical scheme for solving the problem is as follows: the device comprises a support frame and a cylindrical shell which is vertically arranged on the support frame in an axis sliding manner, wherein the shell is in transmission connection with a lead screw mechanism which is vertically arranged on the support frame in the axis direction; the shell is provided with a push rod which vertically slides, the upper end of the push rod is arranged on the inner side of the shell, the lower end of the push rod is arranged above the shell, the inner side of the shell is provided with a switch arranged above the push rod, when the push rod slides upwards to extrude the switch to close the switch, the driving device drives the screw rod mechanism to operate to enable the shell to slide upwards on the supporting frame, when the push rod slides downwards to be far away from the switch to disconnect the switch, the driving device drives the screw rod mechanism to operate reversely to enable the shell to slide downwards on the supporting frame, and when the shell slides downwards to an initial position, the driving device stops operating; the push rod is provided with a handle arranged below the shell.

The invention can reduce the excessive consumption of physical ability of the patient during the exercise, ensure the patient to carry out the persistent exercise, and also can avoid the secondary injury of wounds or visceral organs caused by the violent participation of other body parts dragged by the patient during the excessive exertion; meanwhile, the rehabilitation training device is used for rehabilitation training, so that active strength training mainly based on self force of a patient is realized, and passive joint movement training assisted by lifting is realized, so that a good comprehensive training effect is obtained, and the quick rehabilitation of the physical function of the patient is comprehensively assisted on the premise of ensuring the safety of the patient.

Drawings

Fig. 1 is a front view of the present invention.

Fig. 2 is an enlarged view of a portion a of fig. 1 according to the present invention.

Fig. 3 is an axial schematic view of the present invention.

Fig. 4 is a perspective sectional view of the present invention.

Fig. 5 is an enlarged view of portion B of fig. 4 according to the present invention.

Detailed Description

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

As shown in fig. 1 to 5, the invention comprises a support frame 1 and a cylindrical shell 2 which is vertically arranged on the support frame 1 and has an axis capable of vertically sliding, wherein the shell 2 is in transmission connection with the support frame 1 through a screw mechanism 3 which is vertically arranged on the axis, and the screw mechanism 3 is driven by a driving device to form a structure that the shell 2 vertically slides on the support frame 1 through the transmission of the screw mechanism 3; the shell 2 is provided with a push rod 4 which vertically slides, the upper end of the push rod 4 is arranged on the inner side of the shell 2, the lower end of the push rod 4 is arranged above the shell 2, the inner side of the shell 2 is provided with a switch 5 (such as a button switch, a travel switch, a touch switch and the like) which is arranged above the push rod 4, when the push rod 4 slides upwards and the switch 5 is pressed to close the switch 5, the driving device drives the screw rod mechanism 3 to operate, so that the shell 2 slides upwards on the support frame 1, when the push rod 4 slides downwards and is far away from the switch 5 to disconnect the switch 5, the driving device drives the screw rod mechanism 3 to reversely operate, so that the shell 2 slides downwards on the support frame 1, and when the shell 2 slides downwards to an; the push rod 4 is provided with a handle 6 arranged below the shell 2, acting force is applied to the push rod 4 through the handle 6 to control the push rod 4 to slide up and down, the handle 6 comprises but is not limited to a hand-held handle, and the handle can be in any form matched with a force-exerting part according to actual requirements, such as a pull ring, a grab handle, a binding belt and the like.

When in use, firstly, the support frame 1 is fixed on the ground by using a heavy object such as a base or the support frame 1 is fixed on a sickbed by using a connecting piece such as a screw and the like, and then a patient controls the push rod 4 to slide up and down by using the handle 6; in the implementation process of the movement, if the shell 2 continuously slides upwards, the push rod 4 must continuously receive upward thrust and move upwards synchronously with the shell 2, otherwise, the push rod 4 is far away from the switch 5 to disconnect the switch 5, therefore, the patient needs to apply continuous upward thrust to the handle 6, so as to achieve the purpose of rehabilitation exercise, meanwhile, the shell 2 and the push rod 4 are respectively and directly limited and connected to the support frame 1, and in the use process, even if the patient loses control over the push rod 4 due to force removal or other accidents, the patient does not worry about being injured by the push rod 4 or the shell 2, and the personal safety of the patient is guaranteed.

Furthermore, the shell 2 is provided with an annular retainer ring 7 coaxially arranged on the inner side of the shell 2, the push rod 4 is provided with a flange 8 which is arranged on the inner side of the shell 2 and matched with the annular retainer ring 7, the push rod 4 is provided with an upper push ring 9 arranged above the flange 8 and a lower push ring 10 arranged below the flange 8, the upper push ring 9 and the lower push ring 10 are coaxially and slidably connected with the push rod 4, the inner diameters of the upper push ring 9 and the lower push ring 10 are smaller than the outer diameter of the flange 8, the inner side of the shell 2 is provided with an upper spring 11 vertically arranged above the upper push ring 9 and a lower spring 12 vertically arranged below the lower push ring 10, the upper end and the lower end of the upper spring 11 are respectively connected with the shell 2 and the upper push ring 9, the two ends of the lower spring 12 are respectively connected with the lower push ring 10 and the shell 2, the upper push ring 9 moves downwards under the elastic force of the upper spring 11 and is in extrusion contact, the lower push ring 10 moves upwards under the action of the elasticity of a down spring 12 and is in pressing contact with the lower end surface of the annular retainer ring 7; a down switch 13 (such as a button switch, a travel switch, a touch switch and the like) arranged below the lower push ring 10 is arranged on the shell 2; when the push rod 4 slides upwards from an initial position (when the push ring 9 and the push ring 10 are simultaneously in pressing contact with the annular retainer ring 7), the push ring 9 is pushed by the flange 8 to synchronously move upwards and press the upward spring 11, at the moment, the elastic force of the upward spring 11 and the self weight of the push rod 4 are the current exercise intensity of a patient, and when the push rod 4 slides upwards to the switch 5 to close the switch 5, the drive device drives the screw mechanism 3 to operate to enable the shell 2 to slide upwards on the support frame 1, so that the exercise intensity of the patient is not obviously increased, and the exercise intensity cannot be lower than the current intensity (to ensure the closing of the switch 5, the upward spring 11 cannot be lower than the current compression position, otherwise, the switch 5 is disconnected to force the patient again); when the push rod 4 is reset downwards and slides, the push rod 4 is far away from the switch 5 to disconnect the switch 5, and the driving device stops running; when the push rod 4 slides downwards from the initial position, the push down ring 10 is pushed by the flange 8 to synchronously move downwards and extrude the downlink spring 12, the elasticity of the downlink spring 12 is the current exercise intensity of a patient, and after the push down ring 10 moves downwards to the downlink switch 13 to close the downlink switch 13, the driving device drives the screw rod mechanism 3 to reversely operate, so that the shell 2 slides downwards on the support frame 1, and the stability of the downward pull exercise intensity of the patient can be ensured; when the push rod 4 is reset upwards and slides, the push-down ring 10 is far away from the downlink switch 13 to disconnect the downlink switch 13, and the driving device stops running; therefore, the invention simultaneously realizes strength training in the upper and lower directions, and has an instant stopping effect, so that when the push rod 4 cannot be controlled by a patient under the unexpected conditions of force release and the like, the push rod 4 elastically resets and the shell 2 stops at the current position, thereby effectively avoiding the injury of apparatus to the patient.

Furthermore, an adjusting block 14 arranged above the push rod 4 is arranged on the inner side of the shell 2, the adjusting block 14 is coaxially connected with the inner wall of the shell 2 through threads, the adjusting block 14 is connected with the push rod 4 through an upward spring 11 vertically arranged along the axis, and the switch 5 is arranged on the adjusting block 14; the upward spring 11 provides upward sliding resistance for the push rod 4, the adjusting block 14 is rotated to enable the adjusting block 14 to move up and down on the inner side of the shell 2, and the initial elasticity of the upward spring 11 and the stroke of the push rod 4 can be adjusted, so that the exercise intensity and the force accumulation time can be changed according to different requirements.

Furthermore, an adjusting block 14 arranged above the push rod 4 is arranged on the inner side of the shell 2, the adjusting block 14 is annular and is coaxially connected with the inner wall of the shell 2 through threads, and the adjusting block 14 is connected with the push rod 4 through an upward spring 11 which is vertically arranged along the axis; the shell 2 is provided with a supporting ring 15 coaxially arranged above the adjusting block 14, the supporting ring 15 is provided with a turntable 16 coaxially and rotatably connected with the supporting ring 15, the turntable 16 is provided with a connecting column 17 coaxially arranged below the turntable 16, and the switch 5 is arranged on the annular inner side of the adjusting block 14 and connected to the lower end of the connecting column 17; the shell 2 is provided with a coupling member 18 which is coaxially arranged above the turntable 16 and is rotationally connected with the shell 2 along the axis of the turntable 16, the coupling member 18 is provided with a plurality of vertical shafts 19 which are distributed along the circumference of the axis, the upper ends of the vertical shafts 19 are connected with the coupling member 18, the lower ends of the vertical shafts 19 downwards slide to penetrate through the turntable 16 and are vertically and slidably connected with the adjusting block 14, and the adjusting block 14 is provided with a shaft hole 20 which is matched with the vertical shafts 19; the coupling member 18 is rotated, the rotary disc 16 and the adjusting block 14 rotate synchronously therewith, and the rotation of the rotary disc 16 drives the switch 5 to rotate without influencing the height of the switch 5, so that the position of the push rod 4 which slides upwards and triggers the shell 2 to move upwards is unchanged, namely the effective stroke of the push rod 4 is unchanged; the rotation of regulating block 14 makes its self slide from top to bottom in casing 2 inboard to the length that makes ascending spring 11 changes, under the unchangeable condition of the effective stroke of push rod 4, the change of ascending spring 11 length makes its initial elasticity and push rod 4 change to the elasticity that its compression back produced in the effective stroke, thereby realize taking exercise the effective regulation of intensity, so that make exercise intensity and patient self can bear the intensity phase-match according to actual demand, avoid bringing the damage for the patient.

Furthermore, the support frame 1 is provided with a vertical shaft 21 vertically arranged on the right side of the shell 2, the lower end of the shell 2 is provided with a connecting plate 22 horizontally extending rightwards, and the vertical shaft 21 penetrates through the connecting plate 22 in a sliding manner to form a structure that the shell 2 vertically slides on the support frame 1.

Further, the screw mechanism 3 comprises a rotatable screw 23 vertically arranged on the support frame 1, a connecting plate 22 horizontally extending to the screw 23 is arranged on the housing 2, and the connecting plate 22 is in threaded transmission connection with the screw 23 through a screw rod.

Further, the screw mechanism 3 is driven by a lift motor 24.

Furthermore, the housing 2 is provided with an adjusting motor 25 disposed above the coupling member 18, and the coupling member 18 is in transmission connection with the adjusting motor 25, i.e. the coupling member 18 is driven by the adjusting motor 25.

Furthermore, the support frame 1 is composed of two horizontal plates 26 arranged in parallel up and down and a support plate 27 arranged vertically, and the lower end of the support plate 27 is connected with the right ends of the two horizontal plates 26; the shell 2 is arranged above the two horizontal plates 26 and is in transmission connection with a screw rod mechanism 3 which is vertically arranged on the supporting plate 27 through an axis; the gap between the two horizontal plates 26 is used for clamping the support frame on objects such as sickbeds, chairs and the like; a plurality of bolts 28 are horizontally distributed on the horizontal plate 26 arranged below, the bolts 28 penetrate through the horizontal plate 26 arranged below from bottom to top in a screwed mode, and the clamping force between the two horizontal plates 26 can be adjusted by rotating the bolts 28, so that the support frame 1 is fixed more stably and reliably.

Furthermore, a round cushion block 29 is arranged between the two horizontal plates 26 on the bolt 28, and the cushion block 29 is coaxially and rotatably connected with the bolt 28; when the bolt 28 is rotated to adjust the clamping force, the cushion block 29 is in direct contact with the bed body or the chair and does not rotate along with the bolt 28, so that the damage to the bed body or the chair and the like when the screw 28 rotates can be effectively avoided.

Further, casing 2 be the vertical cylindrical cavity structure that sets up of axis, have the vertical spout that matches with casing 2 on the support frame 1, casing 2 is arranged in the vertical spout, constitutes casing 2 vertical gliding structure on support frame 1.

Furthermore, a pressure sensor is arranged between the push rod 4 and the push-up ring 9, the pressure sensor and the lifting motor are simultaneously connected to the processor, after the switch 5 is closed, the lifting motor 24 is electrified to operate, when the pressure is increased, the signal value of the pressure sensor is increased, the processor controls the lifting motor 24 to moderately accelerate and rotate according to the increased amplitude to accelerate and rise the shell 2, when the pressure is reduced, the signal value of the pressure sensor is weakened, and the processor controls the lifting motor to moderately decelerate and rotate according to the weakened amplitude to decelerate and rise the shell 2; when the switch is disconnected, the lifting motor is powered off and stops rotating; through the feedback control between pressure sensor and the treater, can make the patient exert oneself anyhow, can only change the movement speed of casing promptly and temper speed, but the exercise resistance that it received is in steady interval or is in stable value all the time, effectively prevents to cause muscle damage to the patient, and compulsory guide patient takes exercise step by step to reach anticipated rehabilitation purpose.

In the using process, according to actual needs (arm exercise, leg exercise and the like), a plurality of rehabilitation exercise devices provided by the invention are fixed at corresponding positions on a sickbed or other objects (the specific positions are based on that the parts of the patients required to exercise can be easily operated), and then the rehabilitation exercise devices are connected with a power supply to be put into use.

The invention is different from the existing rehabilitation exercise device, adopts a more flexible additional fixing method, is convenient to call, move and store in time, does not occupy the space of a ward or a rehabilitation room when not used, and has wide applicability. Meanwhile, the strength required by exercise is provided by using the resistance of the spring, the shell is stopped and moved immediately by using the feedback between the switch and the lifting motor, so that the shell is lifted automatically after the force of a patient reaches a preset value, on one hand, the physical energy excessive consumption caused by directly pushing the shell to lift by the force of the patient can be reduced, the patient is ensured to exercise durably, and on the other hand, the secondary injury of wounds or visceral organs caused by the violent participation of dragging other body parts when the patient excessively exerts the force can be avoided; in addition, because the switch-on state of the switch can be ensured only by the patient always keeping certain strength of force in the lifting process of the shell and the switch is synchronously moved up and down along with the shell, in the using process, the invention not only realizes active strength training taking the patient to overcome the spring resistance as the main part, but also realizes passive joint movement training taking the lifting of the shell as the auxiliary part, thereby realizing good comprehensive exercise effect and comprehensively assisting the quick rehabilitation of the physical function of the patient on the premise of ensuring the safety of the patient.

Claims

1. The rehabilitation exercise device for the critically ill patients comprises a support frame (1) and a shell (2) which vertically slides on the support frame (1), and is characterized in that the shell (2) is connected with the support frame (1) through a vertically arranged screw rod mechanism (3) to form a structure that the shell (2) vertically slides on the support frame (1) through the transmission of the screw rod mechanism (3); a push rod (4) which vertically slides is arranged on the shell (2), the upper end of the push rod (4) is arranged on the inner side of the shell (2), the lower end of the push rod (4) is arranged above the shell (2), and a switch (5) arranged above the push rod (4) is arranged on the inner side of the shell (2); the push rod (4) is provided with a handle (6) arranged below the shell (2).

2. The rehabilitation and exercise device for critically ill patients according to claim 1, wherein the housing (2) is provided with an annular collar (7) arranged inside the housing (2), the push rod (4) is provided with a flange (8) matching the annular collar (7), the push rod (4) is provided with an upper push ring (9) arranged above the flange (8) and a lower push ring (10) arranged below the flange (8), an upward spring (11) arranged above the upper push ring (9) and a downward spring (12) arranged below the lower push ring (10) are arranged on the inner side of the shell (2), the push-up ring (9) moves downwards under the action of the elasticity of the upward spring (11) and is in pressing contact with the annular retainer ring (7), the downward pushing ring (10) moves upwards under the action of the elastic force of the downward spring (12) and is in pressing contact with the annular retainer ring (7); the shell (2) is provided with a down switch (13) arranged below the lower push ring (10).

3. The rehabilitation and exercise device for critically ill patients according to claim 1, wherein an adjusting block (14) is arranged on the upper side of the push rod (4) on the inner side of the shell (2), the adjusting block (14) is coaxially connected with the shell (2) through threads, the adjusting block (14) is connected with the push rod (4) through an upward spring (11), and the switch (5) is arranged on the adjusting block (14).

4. The rehabilitation exercise device for the critically ill patients according to claim 1, wherein an adjusting block (14) is arranged on the upper part of the push rod (4) on the inner side of the shell (2), the adjusting block (14) is annular and is coaxially connected with the shell (2) through threads, and the adjusting block (14) is connected with the push rod (4) through an upward spring (11); the shell (2) is provided with a supporting ring (15) coaxially arranged above the adjusting block (14), the supporting ring (15) is provided with a turntable (16) coaxially and rotatably connected with the supporting ring (15), the turntable (16) is provided with a connecting column (17) coaxially arranged below the turntable (16), and the switch (5) is arranged on the annular inner side of the adjusting block (14) and connected to the lower end of the connecting column (17); the shell (2) is provided with a coupling piece (18) which is coaxially arranged above the turntable (16) and is rotationally connected with the shell (2), the coupling piece (18) is provided with a plurality of vertical shafts (19) which are distributed along the circumference of the axis of the coupling piece, the upper end of each vertical shaft (19) is connected with the coupling piece (18), and the lower end of each vertical shaft (19) downwards slides to penetrate through the turntable (16) and is vertically connected with the adjusting block (14) in a sliding manner.

5. The rehabilitation and exercise device for critically ill patients according to claim 1, wherein the support frame (1) is provided with a vertical shaft (21), the housing (2) is provided with a connecting plate (22) extending horizontally, and the vertical shaft (21) penetrates through the connecting plate (22) in a sliding manner to form a structure in which the housing (2) slides vertically on the support frame (1).

6. The rehabilitation and exercise device for critically ill patients according to claim 1, wherein the screw mechanism (3) comprises a rotatable screw (23) vertically arranged on the support frame (1), the housing (2) is provided with a connecting plate (22) horizontally extending to the screw (23), and the connecting plate (22) is in threaded transmission connection with the screw (23) through the screw.

7. The rehabilitation and exercise device for critically ill patients according to claim 1, wherein the screw mechanism (3) is driven by a lifting motor (24).

8. A critical patient rehabilitation and exercise device according to claim 4, characterized in that the housing (2) has an adjustment motor (25) placed above the coupling (18), said coupling (18) being driven by the adjustment motor (25).

9. The rehabilitation exercise device for the critically ill patients according to claim 1, wherein the support frame (1) consists of two horizontal plates (26) which are arranged side by side up and down and a support plate (27) which is arranged vertically, and the lower end of the support plate (27) is connected with the right ends of the two horizontal plates (26); the shell (2) is arranged above the two horizontal plates (26) and is connected with the supporting plate (27) through a vertically arranged screw rod mechanism (3); the horizontal plates (26) arranged below are provided with a plurality of bolts (28) which are horizontally distributed, the bolts (28) penetrate through the horizontal plates (26) below from bottom to top and are in screwed connection with the horizontal plates (26) below, and the bolts (28) can be rotated to adjust the clamping force between the two horizontal plates (26), so that the support frame (1) is more stable and reliable to fix.

10. The rehabilitation and exercise device for critically ill patients according to claim 9, wherein the bolt (28) is provided with a spacer (29) disposed between the two horizontal plates (26), the spacer (29) being rotatably connected to the bolt (28).