CN112370304B - Neurological cerebral apoplexy rehabilitation medical device and rehabilitation method - Google Patents
Neurological cerebral apoplexy rehabilitation medical device and rehabilitation method Download PDFInfo
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- 208000006011 Stroke Diseases 0.000 title claims abstract description 39
- 206010008190 Cerebrovascular accident Diseases 0.000 title claims abstract description 23
- 230000002490 cerebral effect Effects 0.000 title claims abstract description 23
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- 230000000926 neurological effect Effects 0.000 title abstract description 12
- 210000003141 lower extremity Anatomy 0.000 claims abstract description 97
- 230000007246 mechanism Effects 0.000 claims abstract description 93
- 230000033001 locomotion Effects 0.000 claims abstract description 57
- 210000003205 muscle Anatomy 0.000 claims abstract description 52
- 238000004088 simulation Methods 0.000 claims abstract description 14
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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
- 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
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
- A61H1/0262—Walking movement; Appliances for aiding disabled persons to walk
-
- 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
- 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
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/0002—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms
- A63B22/0007—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms by alternatively exercising arms or legs, e.g. with a single set of support elements driven either by the upper or the lower limbs
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/0002—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms
- A63B22/001—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms by simultaneously exercising arms and legs, e.g. diagonally in anti-phase
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/06—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement
- A63B22/0605—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement performing a circular movement, e.g. ergometers
-
- 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
- A61H2201/1253—Driving means driven by a human being, e.g. hand driven
- A61H2201/1261—Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
- A61H2201/1269—Passive exercise driven by movement of healthy limbs
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B2022/0092—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements for training agility or co-ordination of movements
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/06—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement
- A63B22/0605—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement performing a circular movement, e.g. ergometers
- A63B2022/0611—Particular details or arrangement of cranks
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Abstract
The invention discloses a neurological cerebral apoplexy rehabilitation medical device and a neurological cerebral apoplexy rehabilitation method, wherein the neurological cerebral apoplexy rehabilitation medical device comprises a diversified trampling device, the diversified trampling device comprises a plane moving mechanism for horizontal motion training of lower limbs of a human body, a circumferential rotating mechanism for circumferential motion training of lower limbs of the human body, and a bearing base for mounting the plane moving mechanism and the circumferential rotating mechanism, a cavity for the circumferential rotating mechanism to complete circumferential trampling action is formed in the bearing base, the plane moving mechanism and the circumferential rotating mechanism are staggered relatively, and the plane moving mechanism moves in a limiting manner on the upper surface of the cavity to realize the simulation of the horizontal motion training of the lower limbs of the human body; the plane moving mechanism and the circular rotating mechanism are locked into a whole and then do circular motion in the cavity to realize the lower limb circular motion training; the invention has high application flexibility and high function integration level, and is suitable for the whole human body function training of walking simulation recovery, joint activity training and muscle training.
Description
Technical Field
The invention relates to the technical field of rehabilitation medical appliances, in particular to a neurological cerebral apoplexy rehabilitation medical device and a neurological cerebral apoplexy rehabilitation method.
Background
Stroke is also known as stroke and cerebrovascular accident. Is an acute cerebrovascular disease, which is a group of diseases causing brain tissue damage due to sudden rupture of cerebral vessels or blood failure to flow into the brain caused by vessel occlusion.
The rehabilitation training is very important for stroke patients, is beneficial to the recovery of damaged functions, can prevent complications in early rehabilitation treatment, furthest relieves functional disabilities, improves prognosis, generally starts rehabilitation training 24 hours after stroke occurs, sets rehabilitation cycles according to different disease conditions, generally needs months to years to recover partial nerve functions, and respectively performs limb function training, language training, life activity training, cognitive training and psychological rehabilitation training on the patients according to the progress of the rehabilitation cycles, wherein the limb function training also comprises simulated walking training, joint activity training and muscle strength training.
However, the existing rehabilitation machines are adopted, which can realize the rehabilitation training of the lower limbs, but can not adapt to the training requirements of different courses of the rehabilitation period by using a single rehabilitation machine, and most of the existing rehabilitation machines can only realize the single function, such as single walking training or single muscle strength training, so that the treatment process of rehabilitation is slow, and the rehabilitation machines are not beneficial to actively controlling the treatment work of each training stage.
Disclosure of Invention
The invention aims to provide a neurological cerebral apoplexy rehabilitation medical device and a neurological cerebral apoplexy rehabilitation method, and aims to solve the technical problems that most of existing rehabilitation machines in the prior art can only realize single functions, such as single walking training or single muscle strength training, so that the rehabilitation process is slow, and the treatment work of each training stage is not favorably and actively controlled.
In order to solve the technical problems, the invention specifically provides the following technical scheme:
a neurological cerebral apoplexy rehabilitation medical device comprises a diversified trampling device, wherein the diversified trampling device comprises a plane moving mechanism for horizontal motion training of lower limbs of a human body, a circumference rotating mechanism for circumference motion training of lower limbs of the human body, and a bearing base for installing the plane moving mechanism and the circumference rotating mechanism, a cavity for the circumference rotating mechanism to complete circumference trampling action is formed inside the bearing base,
the circular rotating mechanism comprises rotating curved plates which are respectively arranged on the inner walls of the two sides of the cavity and a lower-layer pedal which is movably sleeved between the two rotating curved plates, the plane moving mechanism is movably arranged on the upper surface of the lower-layer pedal and is movably locked on the upper surface of the lower-layer pedal, and the plane moving mechanism and the lower-layer pedal are unlocked and then move along the two side walls of the lower-layer pedal in a limiting manner;
the plane moving mechanism moves on the upper surface of the cavity in a limiting manner along two side walls of the lower pedal so as to realize the training of simulating the horizontal movement of the lower limbs of the human body;
the plane moving mechanism and the lower pedal are locked into a whole and then synchronously do circular motion in the cavity with the rotating curved plate so as to realize lower limb circular motion training.
As a preferable scheme of the present invention, the load-bearing base has open slots on both sides of each cavity, the mounting end of each rotating curved plate passes through the inner wall of the cavity, and a circular synchronizing plate is fixedly disposed on the mounting end of the rotating curved plate, and the radius of the circular synchronizing plate is the same as the length of the straight rod of the rotating curved plate.
As a preferable scheme of the invention, the bearing base is provided with an auxiliary pulling assembly used for balancing the rotation of the two circular synchronous plates between the two cavities, the auxiliary pulling assembly comprises a middle bridge frame arranged between the two cavities, a tunnel channel is arranged inside the middle bridge frame, the upper end surface and the lower end surface of the tunnel channel are respectively provided with a bearing seat, a double-horn through pipe is movably arranged between the two bearing seats and freely rotates around the bearing seats horizontally, a first elastic rope is arranged in a hole groove penetrating through the double-horn through pipe, two ends of the first elastic rope are respectively arranged at the edge positions of the two circular synchronous plates close to the middle bridge, and when the two ends of the first elastic rope are positioned at the diameter position of the cavity, the first elastic rope is always stretched to the maximum elastic strength, and the two circumferential rotating mechanisms assist in circulating rotation under the stretching action of the first elastic rope.
As a preferable scheme of the invention, the load-bearing base is provided with a movable seat with adjustable height and inclination, the weight of the human body on the various treading devices is adjusted by adjusting the height of the movable seat and the inclination angle of the cushion so as to gradually realize muscle training on the lower limbs, and handrails for supporting the patient are arranged on two sides of the cavity of the load-bearing base, and the handrails are used for increasing the stability of the limbs when the patient completely stands and applies force on the various treading devices.
As a preferred scheme of the present invention, the plane moving mechanism includes an upper pedal movably embedded on the upper surface of the lower pedal, and limiting frame plates disposed on the inner walls of two side surfaces of the lower pedal, and the inner wall of each limiting frame plate is movably provided with two elongated frame plates with open ends, and the center position of the inner wall of the limiting frame plate is provided with a baffle separating the two elongated frame plates;
each lengthened frame plate is arranged on the inner wall of each limiting frame plate in a ball bearing mode, the upper-layer pedal is arranged inside each lengthened frame plate, the friction force between the upper-layer pedal and each lengthened frame plate is far larger than the rolling friction force between each lengthened frame plate and each limiting frame plate, and the center of the lower surface of the upper-layer pedal moves along the wire groove in the upper surface of the lower-layer pedal through the straight rod;
the inner end of each lengthened frame plate is provided with a wavy plate with one staggered wave crest, two side end parts of the upper-layer pedal are respectively provided with two staggered tooth-shaped clamping combs, and the upper-layer pedal is clamped with the wavy plate through the tooth-shaped clamping combs so as to limit the maximum moving range of the upper-layer pedal.
As a preferable scheme of the present invention, the load-bearing base is provided with two abutting blocks at front and rear ends of the two cavities, respectively, for supporting the lower-layer pedal and keeping the lower-layer pedal in a horizontal state, one inner side surface of the cavity is provided with a cutting groove having an opening facing the cavity, an upper surface of the cutting groove is provided with a through hole, an upper surface of the abutting block is provided with a pushing point passing through the through hole, and the cavity (an end of the abutting block moves to the sunken groove to keep the lower-layer pedal in a horizontal state).
As a preferable scheme of the invention, a self-resetting component is arranged at a position of the bearing base opposite to the central lines of the two cavities, the self-resetting components are respectively arranged at the same end parts of the two cavities, the self-resetting component is arranged between the two cavities, and the self-resetting component automatically pulls the upper-layer pedal to reset so as to realize the lower limb walking simulation training.
As a preferable scheme of the invention, the self-resetting assembly comprises second fixed pulleys which are coaxially arranged with the two cavities respectively, a second elastic rope movably connected with the end part of the upper-layer pedal is arranged by penetrating through the two second fixed pulleys, the mounting point of the second elastic rope is positioned at the central position of the end part of the upper-layer pedal, and the second elastic rope automatically drives the upper-layer pedal to reset so as to realize walking training and joint movement training of lower limb joints.
In order to solve the above technical problems, the present invention further provides the following technical solutions: a rehabilitation method of a neurology cerebral apoplexy rehabilitation medical device comprises the following steps:
step 100, designing treatment stages of cerebral apoplexy rehabilitation, and determining training steps corresponding to different treatment stages of lower limbs, wherein the training steps comprise walking training, joint activity training and muscle training;
200, separating the structures of various treading devices in the rehabilitation medical device, and enabling the lower limbs to drive a plane moving mechanism positioned on the upper layer to linearly move on a horizontal plane so as to train the joint mobility of the lower limbs and realize the lower limb simulated walking training;
step 300, gradually adjusting the inclination and the height of a cushion of the seat to change the weight applied to the various treading devices so as to gradually change the lower limb joint movement training into the lower limb muscle training;
step 400, the seat is disassembled, the various treading devices are combined in a structure fixing mode, the feet drive the various treading devices to do circular motion on a vertical plane, and the lower limb muscle training is realized by emphasizing.
As a preferable aspect of the present invention, in step 300, when performing lower limb joint movement training and walking simulation training on the lower limb, the height of the movable seat is adjusted to just touch the foot of the patient with the plane moving mechanism, and when gradually changing from lower limb joint movement training to lower limb muscle training, the height of the movable seat is gradually lowered to increase the arc of circular motion of the various stepping devices on the vertical plane, and at the same time, the cushion of the movable seat is gradually rotated downward to increase the weight applied to the various stepping devices.
Compared with the prior art, the invention has the following beneficial effects:
the invention integrates the functional training of the whole recovery process of patients suffering from stroke into a whole, and sequentially realizes walking simulation training, preheating type muscle training, arc enhanced type muscle training and final circumferential lifting type muscle training on the horizontal plane aiming at the exercise work of lower limbs, thereby meeting the requirements of joint activity training, walking simulation training and muscle training of the patients suffering from stroke.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be apparent that the drawings in the following description are merely exemplary, and that other embodiments can be derived from the drawings provided by those of ordinary skill in the art without inventive effort.
Fig. 1 is a schematic structural view of an overall longitudinal cut of a rehabilitation medical device provided in embodiment 1 of the present invention;
fig. 2 is a schematic top view of a rehabilitation medical device according to embodiment 1 of the present invention;
fig. 3 is a schematic structural view of a circumferential pedaling mechanism provided in embodiment 1 of the present invention;
fig. 4 is a schematic structural view of a limiting frame plate provided in embodiment 1 of the present invention;
FIG. 5 is a schematic structural view of an auxiliary pulling assembly provided in embodiment 1 of the present invention;
fig. 6 is a schematic structural view of an overall longitudinal cut of a rehabilitation medical device provided in embodiment 2 of the present invention;
fig. 7 is a schematic top view of a rehabilitation medical device according to embodiment 2 of the present invention.
The reference numerals in the drawings denote the following, respectively:
1-various tread devices; 2-pulley follower; 3-a steering assembly; 4-a self-resetting assembly; 5-a resisting block; 6-cutting the groove; 7-a through hole; 8-sinking the tank; 9-an auxiliary pulling assembly;
11-a planar movement mechanism; 12-a circumferential rotation mechanism; 13-a load-bearing base; 14-a cavity; 15-open slots; 16-a movable seat; 17-a hand-held frame;
111-upper deck boards; 112-a limit frame plate; 113-lengthening frame plates; 114-a baffle; 115-wave plates; 116-tooth card comb;
121-rotating curved plate; 122-lower deck tread; 123-circular synchronizing plate;
21-a vertical support; 22-a second fixed pulley; 23-a pull rope;
41-a second fixed pulley; 42-a second elastic cord;
91-an intermediate bridge; 92-tunnel channel; 93-a bearing seat; 94-double horn through pipe; 95-first elastic cord.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
As shown in fig. 1 and 5, the present invention provides a neurological cerebral apoplexy rehabilitation medical device, which comprises a multiple pedaling device 1, wherein the multiple pedaling device 1 comprises a plane moving mechanism 11 for horizontal exercise training of lower limbs of a human body, a circumferential rotating mechanism 12 for circumferential exercise training of lower limbs of the human body, and a bearing base 13 for mounting the plane moving mechanism 11 and the circumferential rotating mechanism 12, and a cavity 14 for the circumferential rotating mechanism 12 to complete circumferential pedaling is formed inside the bearing base 13.
The circumferential rotating mechanism 12 includes rotating curved plates 121 respectively installed on the inner walls of the two sides of the cavity 14, and a lower pedal 122 movably sleeved between the two rotating curved plates 121, the plane moving mechanism 11 is movably installed on the upper surface of the lower pedal 122, the plane moving mechanism 11 is movably locked on the upper surface of the lower pedal 122, and the plane moving mechanism 11 and the lower pedal 122 are unlocked and then move along the two side walls of the lower pedal 122 in a limiting manner.
The plane moving mechanism 11 moves along the two side walls of the lower pedal 122 in a limiting way on the upper surface of the cavity 14 so as to realize the training of simulating the horizontal movement of the lower limbs of the human body.
After the plane moving mechanism 11 and the lower pedal 122 are locked into a whole, the plane moving mechanism and the rotating curved plate 121 synchronously make circular motion in the cavity 14 so as to realize lower limb circular motion training.
The rehabilitation medical device of the embodiment aims at the rehabilitation training of the lower limbs of the human body, and firstly moves the plane moving mechanism 11 along the two side walls of the lower pedal 122 and in the upper surface of the cavity 14 in a limiting mode to realize the training of simulating the horizontal movement of the lower limbs of the human body according to the exercise requirements of different recovery stages, namely the lower limb flexibility training and the walking simulation training, and the muscle training intensity at the moment is low.
Then, according to the training requirement, gradually changing the motion on the plane into the circular muscle motion, locking the plane moving mechanism 11 and the lower pedal 122 into a whole, applying an acting force on the plane moving mechanism 11, so as to drive the lower pedal 122 and the plane moving mechanism 11 to rotate in the cavity 14 integrally through the rotating curved plate 121, and at the moment, the requirement on the muscle strength of the lower limbs is high, thereby realizing the muscle training of the lower limbs.
As shown in fig. 2 and 3, the plane moving mechanism 11 includes an upper pedal 111 movably embedded in the upper surface of the lower pedal 122, and limiting frame plates 112 disposed on the inner walls of the two side surfaces of the lower pedal 122, and the inner wall of each limiting frame plate 112 is movably provided with two elongated frame plates 113 with open ends, and the center position of the inner wall of the limiting frame plate 112 is provided with a baffle 114 separating the two elongated frame plates 113;
each lengthened frame plate 113 is arranged on the inner wall of the limit frame plate 112 in a ball bearing mode, the upper-layer pedal 111 is arranged inside the lengthened frame plate 113, the friction force between the upper-layer pedal 111 and the lengthened frame plate 113 is far greater than the rolling friction force between the lengthened frame plate 113 and the limit frame plate 112, and the central position of the lower surface of the upper-layer pedal 111 moves along the wire groove on the upper surface of the lower-layer pedal 122 through the straight rod;
as shown in fig. 4, the inner end of each elongated frame plate 113 is provided with a wavy plate 115, the wavy plates 115 of two elongated frame plates 113 of the same limiting frame plate 112 are staggered by one peak, two end portions of the upper-layer step plate 111 are respectively provided with two staggered tooth-shaped comb fasteners 116, and the upper-layer step plate 111 is locked with the wavy plates 115 by the tooth-shaped comb fasteners 116 to limit the maximum moving range of the upper-layer step plate 111.
The front end and the rear end of the two cavities 14 of the bearing base 13 are respectively provided with a resisting block 5 which is used for supporting the lower pedal 122 and keeping the lower pedal 122 in a horizontal state, one inner side surface of the cavity 14 is provided with a cutting groove 6 with an opening facing the cavity 14, the upper surface of the cutting groove 6 is provided with a through hole 7, the upper surface of the resisting block 5 is provided with a pushing point which penetrates through the through hole 7, and the end part of the resisting block 5 of the cavity 14 moves to a sinking groove 8 to keep the lower pedal 122 in a horizontal state.
For example, if the lower limbs drive the upper pedal 111 to move forward relative to the human body, the upper pedal 111 and the elongated frame plate 126 are first moved forward by the length of the elongated frame plate 126 synchronously because the friction between the upper pedal 111 and the elongated frame plate 126 is much greater than the rolling friction between the elongated frame plate 126 and the limiting frame plate 112.
Then, the upper-layer pedal 111 is continuously pulled, and when the pulling force is larger than the frictional force between the upper-layer pedal 111 and the lengthened frame plate 126, the upper-layer pedal 111 also moves forwards, at this time, the upper-layer pedal 111 faces the wave trough position of the extended wave plate 115 relative to the tooth-shaped comb 116 at the front end of the human body, when the upper-layer pedal 111 moves forwards to the maximum distance, at this time, the tooth-shaped comb 116 at the rear side of the upper-layer pedal 111 relative to the human body faces the wave crest position of the extended wave plate 115, and at this time, the maximum moving position of the upper-layer pedal 111 is limited by the locking of the tooth-shaped comb 116 and the wave plate 115.
Therefore, in the present embodiment, the span of each walking is the length of two upper steps 111, the patient's foot is fixed to the upper steps 111 by a strap, and when the lower limb pushes the upper steps 111 to displace, the lower limb follows the upper steps 111 to move, thereby realizing the simulated walking training of the lower limb.
In addition, as shown in fig. 5, the bearing base 11 is provided with open slots 15 on both sides of each cavity 14, the mounting end of each rotating curved plate 121 passes through the inner wall of the cavity 14, and a circular synchronizing plate 123 is fixedly provided on the mounting end of the rotating curved plate 121, and the radius of the circular synchronizing plate 123 is the same as the length of the straight rod of the rotating curved plate 121.
The bearing base 11 is provided with an auxiliary pulling assembly 9 for balancing the rotation of the two circular synchronizing plates 123 between the two cavities 14, the auxiliary pulling assembly 9 comprises a middle bridge 91 arranged between the two cavities 14, a tunnel channel 92 is arranged inside the middle bridge 91, bearing seats 93 are respectively arranged on the upper end surface and the lower end surface of the tunnel channel 92, a double-horn through pipe 94 is movably arranged between the two bearing seats 93, the double-horn through pipe 94 freely rotates around the bearing seat 93 horizontally, a first elastic rope 95 is arranged in a hole groove penetrating through the double-horn through pipe 94, two ends of the first elastic rope 95 are respectively arranged at the edge positions of the two circular synchronizing plates 123 close to the middle bridge 91, and the two ends of the first elastic rope 95 are always stretched to the maximum elastic strength when being positioned at the diameter position of the cavity 14, and the two circumferential rotating mechanisms 12 assist in the cyclic rotation under the stretching action of the first elastic rope 95.
Because the patient of cerebral apoplexy is difficult to do the muscle training like ordinary crowd in the rehabilitation process, consequently this embodiment also reduces the work degree of difficulty that two rotation bent plates 121 rotate in turn through the supplementary pulling work of first elastic cord 95.
That is to say, when carrying out muscle training to the low limbs, just to stepping on the work application of force of layering footboard down, and in the in-process of stepping on one of them layering footboard down, the work of rising of another layering footboard is driven automatically, reduces the degree of difficulty.
The upper pedal 111 is stepped down, so that the upper pedal 111 and the lower pedal 121 integrally rotate in the cavity 14 through the rotating curved plate 121, and the lower limb continuously performs circular motion, thereby realizing muscle training of the lower limb.
In addition, in order to increase the comfort and safety of muscle training and increase the strength of circumferential training in turn, the movable seat 16 with adjustable height and inclination is arranged on the load-bearing base 13, the weight of the human body on the various treading device 1 is adjusted by adjusting the height of the movable seat 16 and the inclination angle of the cushion so as to gradually realize the muscle training on the lower limbs, and the rotation angle of the rotating curved plate 121 can be automatically adjusted and controlled along with the adjustment of the height and inclination of the movable seat 16 so as to realize the circular-arc muscle training on the lower limbs.
As shown in fig. 1 and 2, the load-bearing base 13 is provided with a hand-support frame 17 outside the two cavities 14 for supporting the patient, and the hand-support frame 17 is used for increasing the stability of the limbs when the patient stands completely and applies force on the multi-step device 1.
The position, opposite to the central lines of the two cavities 14, of the bearing base 11 is provided with the self-resetting component 4, the self-resetting components 4 are respectively arranged at the same end parts of the two cavities 14, the self-resetting component 4 is arranged between the two cavities 14, and the self-resetting component 4 automatically pulls the upper-layer pedal 111 to reset so as to realize lower limb walking simulation training.
The self-resetting component 4 comprises second fixed pulleys 41 which are coaxially arranged with the two cavities 14 respectively, a second elastic rope 42 which is movably connected with the end part of the upper-layer pedal 111 is arranged by penetrating through the two second fixed pulleys 41, the installation point of the second elastic rope 42 is positioned at the center position of the end part of the upper-layer pedal 111, and the second elastic rope 42 automatically drives the upper-layer pedal 111 to reset so as to realize walking training and joint movement training of lower limb joints.
In the present embodiment, the movement of the upper step 111 is blocked by the self-resetting unit 4, so that the leg muscles can be previously operated during the simulated walking exercise, and the enhanced exercise work can be performed even when the stroke patient is completely recovered by changing the elastic coefficient of the second elastic cord 42.
Therefore, the present embodiment can specifically realize the following training situations:
1. unlocking and detaching the upper-layer pedal 111 and the lower-layer pedal 121, binding the steps on the upper-layer pedal 111 after the patient sits on the movable seat 16, and twisting the upper-layer pedal 111 forwards and backwards to realize joint activity training and walking simulation training of the lower limbs;
2. two ends of a second elastic rope 42 of the self-resetting component 4 are respectively fixed on the upper-layer pedal 111, and the second elastic rope 42 is continuously stretched along with the forward twisting process of the upper-layer pedal 111, so that a patient needs to overcome the elastic force of the second elastic rope 42 with force, and the preheating muscle training is realized in the walking simulation training process;
3. locking the upper pedal 111 and the lower pedal 121 into a whole, gradually lowering the height of the movable seat 16, detaching the second elastic rope 42, enabling the rotating curved plate 123 to freely rotate in the cavity 14, gradually enlarging the treading angle of the lower limb, and performing circular arc exercise by gradually increasing the rotating angle;
4. when the movable seat 16 is at a certain height, the supporting force of the movable seat 16 to the human body is reduced by adjusting the inclination of the cushion of the movable seat 16, so that the driving force of the lower limbs actively driving the rotating curved plate 123 is reversely increased to perform muscle training on the lower limbs;
5. after the movable seat 16 is disassembled, the hand-held frames on the two sides of the various treading devices are used as supporting points, and the muscle training intensity of the lower limbs is improved through the circumferential motion, so that the safety of the muscle training of the lower limbs is improved.
In addition, the invention also provides a rehabilitation method of the neurological cerebral apoplexy rehabilitation medical device aiming at the rehabilitation treatment device, which comprises the following steps:
step 100, designing a treatment stage of cerebral apoplexy rehabilitation, and determining training steps corresponding to different treatment stages of lower limbs, wherein the training steps comprise walking training, joint activity training and muscle training;
200, separating the structures of various treading devices in the rehabilitation medical device, and enabling the lower limbs to drive a plane moving mechanism positioned on the upper layer to linearly move on a horizontal plane so as to train the joint mobility of the lower limbs and realize the lower limb simulated walking training;
step 300, gradually adjusting the inclination of a cushion of the seat to change the weight applied to the various treading devices so as to gradually change the lower limb joint movement training into the lower limb muscle training;
in this step, when performing lower limb joint movement training and walking simulation training on the lower limb, the height of the movable seat is adjusted to just make the feet of the patient contact with the plane moving mechanism, and when gradually changing from lower limb joint movement training to lower limb muscle training, the height of the movable seat is gradually reduced to increase the radian of the circular motion of the multiple treading device on the vertical plane, and simultaneously, the cushion of the movable seat is gradually rotated downwards to increase the weight applied to the multiple treading device.
Step 400, disassembling the seat, and structurally fixing and combining the various treading devices, wherein the feet drive the various treading devices to do circular motion on a vertical plane, so that lower limb muscle training is realized with great emphasis, and in the step, the hand frames on two sides of the various treading devices are used as supporting points to increase the safety of the lower limb muscle training.
Example 2
In order to realize the synchronous training of the upper and lower limbs and the training of coordination, the invention also provides a comprehensive rehabilitation medical device, which is different from the embodiment 1, specifically as shown in fig. 6 and 7, the comprehensive rehabilitation medical device comprises a various treading device 1 and a pulley follower device 2 which is matched with the various treading device 1 to finish the comprehensive rehabilitation training of the human body, the various treading device 1 comprises a plane moving mechanism 11 for the horizontal movement training of the lower limbs of the human body and a circular rotating mechanism 12 for the circular movement training of the lower limbs of the human body, the pulley follower device 2 is selectively connected to the plane moving mechanism 11 or the circular rotating mechanism 12 according to the requirement of the rehabilitation training of the human body, and the pulley follower device 2 is used for the movement training of the upper limbs of the human body.
Most importantly, the plane moving mechanism 11, the circular rotating mechanism 12 and the pulley follower 2 are mutually driven and matched to complete the multi-mode upper and lower limb matching training.
The rehabilitation medical device of this embodiment can use at cerebral apoplexy patient's integration recovery process, and according to the various whole working method who tramples device 1 and pulley servo device 2 of treatment stage change of difference, consequently, the rehabilitation treatment device of this embodiment uses the flexibility ratio height, and the function integrated level is high, be adapted to walking simulation recovery, the whole human function training of joint activity degree training and muscle training, and be different from current body-building mechanical equipment, it is safer to use, the cerebral apoplexy patient can progressively carry out the rehabilitation training by oneself.
The cooperation relationship between the various treading devices 1 and the pulley follower devices 2 is mainly divided into the following three ways:
the first and the various treading devices 1 actively drive the pulley follower device 2 to act so as to fulfill the aim of actively driving the upper limbs to train by the lower limbs;
secondly, the pulley follow-up device 2 actively drives the various treading devices 1 to act so as to fulfill the aim of actively driving the lower limbs by the upper limbs for training;
thirdly, the various treading devices 1 and the pulley follower devices 2 act simultaneously to fulfill the aim of the coordination and the coordination training of the upper limbs and the lower limbs.
That is, in the present embodiment, by adjusting the connection mode between the multi-tread device 1 and the pulley follower device 2, it is possible to perform joint movement training and muscle training for the upper limbs, joint movement training and muscle training for the lower limbs, and fitting degree training for the upper limbs and the lower limbs.
The multi-pedaling device 1 further comprises a bearing base 13 for mounting the plane moving mechanism 11 and the circumferential rotating mechanism 12, and a cavity 14 for the circumferential rotating mechanism 12 to complete circumferential pedaling is formed in the bearing base 13.
The bearing base 13 is provided with a movable seat 16 with adjustable height and inclination, and the weight of the human body to the various treading devices 1 is adjusted by adjusting the height of the movable seat 16 and the inclination angle of the cushion so as to gradually realize the muscle training of the lower limbs.
As shown in fig. 5 and 6, the circumferential rotating mechanism 12 includes rotating curved plates 121 respectively installed on the inner walls of the two sides of the cavity 14, and a lower pedal 122 movably sleeved between the two rotating curved plates 121, the plane moving mechanism 11 is movably installed on the upper surface of the lower pedal 122, the plane moving mechanism 11 is movably locked on the upper surface of the lower pedal 122, and the plane moving mechanism 11 and the lower pedal 122 are unlocked and then move along the two side walls of the lower pedal 122 in a limiting manner.
The plane moving mechanism 11 moves along the two side walls of the lower pedal 122 in a limiting way on the upper surface of the cavity 14 so as to realize the training of simulating the horizontal movement of the lower limbs of the human body.
After the plane moving mechanism 11 and the lower pedal 122 are locked into a whole, the plane moving mechanism and the rotating curved plate 121 synchronously make circular motion in the cavity 14 so as to realize lower limb circular motion training.
As is well known, the sequelae of the stroke patients are mostly poor in limb flexibility and uncoordinated in limb movement, the embodiment can independently train the upper limbs and the lower limbs, and can also carry out coordinated training through the matching work of the upper limbs and the lower limbs, so that the mode is more favorable for the rehabilitation of the stroke patients.
Pulley follow-up device 2 and various trampling device 1 carry out movable mounting according to the recovery stage of difference, pulley follow-up device 2 and various trampling device 1 independent work time realize the independent training to upper limbs and low limbs, pulley follow-up device 2 and various trampling device 1 combination installation during operation realize the cooperation training to upper limbs and low limbs, this embodiment is through changing circumference and trampling independent work and the combination work of mechanism 12 through the component structure promptly, adapt to patient's training demand in different rehabilitation stages.
When simulation walking training and the nimble training of joint, step on mechanism 12 with the circumference and set up to supporting the linear gliding mode in bearing base 11 surface, need not to use very big strength, when carrying out the muscle training, then progressively increase human pushing down weight to mechanism 12 is stepped on to the circumference, avoids fixed training mode to lead to the too big and safety problem that arouses of intensity of training mode, also avoids intensity undersize to cause the not good problem of training effect simultaneously.
The point of application of the pulley follower 2 is set on the plane moving mechanism 11 to drive the plane moving mechanism 11 to move horizontally along the upper surface of the lower step plate 122 when the plane moving mechanism 11 and the lower step plate 122 are unlocked.
As shown in fig. 7, the position of the load-bearing base 11 facing the center lines of the two cavities 14 is respectively provided with a steering component 3 and a self-resetting component 4, the steering component 3 and the self-resetting component 4 are respectively arranged at two ends of the cavity 14, the force application point of the pulley follower 2 is changed from the vertical direction to the horizontal direction through the steering component 3, and the pull rope of the pulley follower 2 applies unidirectional horizontal pull force to the upper pedal 111, wherein,
the steering component 3 is specifically a first fixed pulley arranged at the end part of the bearing base 13, and the force application end of the pulley follower 2 passes through the first fixed pulley and is fixedly connected with one end part of the upper-layer pedal 111.
The pulley follower 2 in this embodiment comprises a vertical bracket 21 disposed on the load-bearing base 11, two second fixed pulleys 22 mounted on the vertical bracket 21, and a pulling rope 23 passing through the two second fixed pulleys 22, wherein one end of the pulling rope 23 is held by the patient, the pulling rope 23 passes through the second fixed pulleys 22 and is fixed on the plane moving mechanism 11 through the steering assembly 3, and since the pulling rope 23 of the pulley follower 2 is changed from the vertical direction to the horizontal direction through the steering assembly 3, the pulling rope 23 of the pulley follower 2 exerts a unidirectional horizontal pulling force on the plane moving mechanism 11, so that the user exerts a horizontal force on the plane moving mechanism 11 by operating the pulley follower 2, thereby driving the lower limb to simulate walking training.
As shown in fig. 3 and 4, the plane moving mechanism 11 includes an upper pedal 111 movably embedded in the upper surface of the lower pedal 122, and limiting frame plates 112 disposed on the inner walls of the two sides of the lower pedal 122, and the inner wall of each limiting frame plate 112 is movably provided with two elongated frame plates 113 with open ends, and the center position of the inner wall of the limiting frame plate 112 is provided with a baffle 114 separating the two elongated frame plates 113.
Each lengthened frame plate 113 is arranged on the inner wall of the limit frame plate 112 in a ball bearing mode, the upper pedal 111 is arranged inside the lengthened frame plate 113, the friction force between the upper pedal 111 and the lengthened frame plate 113 is far greater than the rolling friction force between the lengthened frame plate 113 and the limit frame plate 112, and the center position of the lower surface of the upper pedal 111 moves along the wire groove on the upper surface of the lower pedal 122 through the straight rod.
The inner end of each lengthened frame plate 113 is provided with a wavy plate 115 with one wave crest staggered, two side end parts of the upper-layer pedal 111 are respectively provided with two tooth-shaped clamping combs 116 staggered with each other, and the upper-layer pedal 111 is mutually clamped with the wavy plate 115 through the tooth-shaped clamping combs 116 to limit the maximum moving range of the upper-layer pedal 111.
For example, if the pull rope 23 of the pulley follower 2 is pulled downward and drives the upper pedal 111 to move forward relative to the human body, the upper pedal 111 and the elongated frame plate 126 are first moved forward by a length of the elongated frame plate 126 synchronously because the friction between the upper pedal 111 and the elongated frame plate 126 is much greater than the rolling friction between the elongated frame plate 126 and the limiting frame plate 112.
Then, the upper-layer pedal 111 is continuously pulled, and when the pulling force is larger than the frictional force between the upper-layer pedal 111 and the lengthened frame plate 126, the upper-layer pedal 111 also moves forwards, at this time, the upper-layer pedal 111 faces the wave trough position of the extended wave plate 115 relative to the tooth-shaped comb 116 at the front end of the human body, when the upper-layer pedal 111 moves forwards to the maximum distance, at this time, the tooth-shaped comb 116 at the rear side of the upper-layer pedal 111 relative to the human body faces the wave crest position of the extended wave plate 115, and at this time, the maximum moving position of the upper-layer pedal 111 is limited by the locking of the tooth-shaped comb 116 and the wave plate 115.
Therefore, when this embodiment simulates the walking training, the span of walking at every turn is the length of two upper pedals 111, fix the patient's foot on upper pedal 111 through the bandage, when the stay cord 23 of pulley follower 2 pulls upper pedal 111 to shift, the lower leg follows upper pedal 111 to move, the upper limb is in the mode of pulley follower 2's drive alternate cycle pulling, specifically, pull pulley follower 2 up and down alternately, can drive the linear motion of lower limb on the horizontal plane, thereby the side weight realizes the upper limb joint activity training and the lower limb walking training.
It should be added that, as shown in fig. 2, a self-resetting assembly 4 is arranged between the two cavities 14, the self-resetting assembly 4 is used for automatically pulling the upper pedal 111 to reset when the application point of the pulley follower 2 stops applying horizontal pulling force, and the self-resetting assembly 4 is matched with the alternate and opposite work of the two pulley followers 2 to simulate walking training.
The self-resetting component 4 comprises second fixed pulleys 41 which are coaxially arranged with the two cavities 14 respectively, a second elastic rope 42 which is movably connected with the other end part of the upper-layer pedal 111 is arranged by penetrating through the two second fixed pulleys 41, the second elastic rope 42 and the pulling work of the pulling rope of the pulley follow-up device 2 passing through the steering component 3 are on the same straight line, the second elastic rope 42 blocks the movement of the upper-layer pedal 111 when the pulling rope of the pulley follow-up device 2 is pulled so as to realize the muscle training of the arm of the upper limb, and the second elastic rope 42 automatically drives the upper-layer pedal 111 to reset when the pulling rope of the pulley follow-up device 2 stops being pulled so as to realize the walking training and the joint movement training of the joint of the lower limb.
In order to realize the simulated walking training, in the present embodiment, the front end and the rear end of the two cavities 14 are respectively provided with a resisting block 5 for supporting the lower pedal 122 and keeping the lower pedal 122 in a horizontal state, one inner side surface of the cavity 14 is provided with a cutting groove 116 with an opening facing the cavity 14, the upper surface of the cutting groove 116 is provided with a through hole 7, the upper surface of the resisting block 5 is provided with a pushing point passing through the through hole 7, the other inner side surface of the cavity 14 is provided with a sinking groove 8, and the resisting block 5 is pushed to move along the cutting groove 116 until the end of the resisting block 5 moves to the sinking groove 8 so as to keep the lower pedal 122122 in a horizontal state.
Of course, if the patient chooses to sit for leg muscle training, the leg muscle training can be accomplished by pulling the pull cord 23 in the sliding follower 2 directly when the stopper 5 is retracted into the cutting groove 116.
Furthermore, the bearing base 11 is provided with an open slot 15 on both sides of each cavity 14, the mounting end of each rotating curved plate 121 passes through the inner wall of the cavity 14, a circular synchronizing plate 123 is fixedly arranged on the mounting end of the rotating curved plate 121, and the radius of the circular synchronizing plate 123 is the same as the length of the straight rod of the rotating curved plate 121;
the force application point of the pulley follower 2 is arranged at the edge of the circular synchronizing plate 123 when the plane moving mechanism 11 and the lower pedal 122 are locked to drive the rotating curved plate 121 to make circular motion in the cavity 14.
When the present embodiment trains the muscles of the lower limbs, the upper pedal 111 and the lower pedal 122 are fixed and locked, then the second elastic cord 42 on the self-resetting component 4 is detached from the upper pedal 111, the pulling cord 23 of the pulley follower 2 is movably installed at the edge positions of the two circular synchronizing plates 123 located at the outer sides, when the patient pulls the pulling cord 23 of the pulley follower 2 downwards, the pulling cord 23 will generate an upward pulling force on the circular synchronizing plates 123 to promote the rotation of the rotating curved plate 121, so that the rotation of the rotating curved plate 121, that is, the bicycle pedaling action, is assisted by pulling the pulling cord 23 of the pulley follower 2.
In addition, as shown in fig. 5, the auxiliary pulling assembly 9 for balancing the rotation of the two circular synchronization plates 123 is disposed between the two cavities 14 of the bearing base 11, the auxiliary pulling assembly 9 includes a middle bridge 91 disposed between the two cavities 14, a tunnel channel 92 is disposed inside the middle bridge 91, bearing seats 93 are disposed on both upper and lower end surfaces of the tunnel channel 92, a dual-bell-shaped tube 94 is movably disposed between the two bearing seats 93, the dual-bell-shaped tube 94 freely rotates around the bearing seat 93, a first elastic rope 95 is disposed through a hole of the dual-bell-shaped tube 94, two ends of the first elastic rope 95 are respectively disposed on the two circular synchronization plates 123 close to the middle bridge 91, and both ends of the first elastic cord 95 are stretched to the maximum elastic strength when located at the diameter position of the cavity 14, and the two circumferential rotation mechanisms 12 alternately and cyclically rotate under the stretching action of the first elastic cord 95 and the pulley follower 2.
Further, the rotating curved plates 121 are movably mounted on the inner side surface of the cavity 14, a circular synchronizing plate 123 is fixedly mounted on a movable mounting end of each rotating curved plate 121, the radius of the circular synchronizing plate 123 is the same as the length of a straight rod of the rotating curved plate 121, two ends of the first elastic rope 95 are respectively mounted on the edge positions of the two circular synchronizing plates 123 located on the inner side, and the pulling rope of the pulley follower 2 is movably mounted on the edge positions of the two circular synchronizing plates 123 located on the outer side when fixed between the plane moving mechanism 11 and the lower pedal 122 through a buckle 124.
Because the patient of cerebral apoplexy is in the rehabilitation process, hardly do the muscle training like ordinary crowd, consequently this embodiment passes through pulley slave unit 2 and the supplementary pulling work of first elastic cord 95, also reduce the work degree of difficulty that two rotate bent plates 121 alternate rotations, that is to say, when carrying out the muscle training to the low limbs, just to the work application of force of stepping on the layering footboard down, and step on the in-process of one of them layering footboard down, the work of rising of another layering footboard is driven automatically, reduce the degree of difficulty, and the stability of this kind of application of force mode is high, also improve the security in the rehabilitation process.
In addition, as another innovative point of the present embodiment, in the present embodiment, the circumferential pedaling mechanism 12 is disposed in the cavity 14 of the supporting load-bearing base 11, and the circular motion work of the circumferential pedaling mechanism 12 is completely inside the supporting load-bearing base 11, so even if the patient cannot stand stably, the two rotating curved plates 121 sink to the lowest end synchronously under the influence of gravity by loosening the two hands, and therefore the sinking depth can effectively avoid the patient from falling down, and the use safety is improved.
In conclusion, the rehabilitation treatment method of the neurology cerebral apoplexy rehabilitation medical device comprises the following steps:
step 100, designing treatment stages of cerebral apoplexy rehabilitation, and determining training steps corresponding to different treatment stages, wherein the training steps comprise walking training, joint activity training and muscle training;
200, structurally separating various treading devices in the rehabilitation medical device, movably connecting a pulley follow-up device with the various treading devices, sitting on a seat, and driving lower limbs to linearly move on a horizontal plane in an alternate circulating pulling mode of the pulley follow-up device, so as to realize the activity training of upper limb joints and the walking training of the lower limbs;
step 300, gradually adjusting the inclination of a cushion of the seat to simulate different weights applied to the upper limb joint movement training, and driving the lower limbs to linearly move on a horizontal plane in an alternate and cyclic pulling mode of a pulley follower device, so as to realize the upper limb muscle training and the lower limb joint movement training with emphasis;
step 400, the seat is disassembled, the various treading devices are combined in a structure fixing mode, the pulley follow-up devices are movably connected with the various treading devices integrally, the upper limbs of the pulley follow-up devices are pulled in an alternate and cyclic mode to drive the lower limbs to do circular motion on a vertical plane, and the upper limb muscle training and the lower limb muscle training are realized by emphasizing.
The structure separation and the fixed combination are carried out on various treading devices in the rehabilitation medical device so as to respectively realize the training steps of different treatment stages, and the specific realization method comprises the following steps:
the structure of the various treading devices in the rehabilitation medical device is separated, the various treading devices are kept in a horizontal state at the moment, and the structure binding the lower limbs linearly moves along the horizontal plane under the action of the pulley follow-up device;
the pulley follow-up device is movably connected with the structure for binding the lower limbs, and the lower limbs are driven to simulate walking training on a horizontal plane in an alternate circulating pulling mode of the pulley follow-up device;
the various treading devices in the rehabilitation medical device are combined in a fixed structure mode, the structure binding the lower limbs does circular motion on a vertical plane under the action of the pulley follow-up device, and the upper limb muscle training and the lower limb muscle training are realized in a mode of alternately and circularly pulling through the pulley follow-up device.
Therefore, the rehabilitation training of this embodiment can be according to the self-defined recovered mode of selection of treatment step, can satisfy the total operation from recovered initial stage to recovered completion, simultaneously after the complete recovery, can also regard as motion body-building apparatus to use, realize multi-functional integration, and in muscle training use, because the circumference is stepped on the mechanism and is set up in the sunken inslot of foot step point, even when the user releases both hands, patient's foot is avoided empting by the constraint of foot step point, consequently, factor of safety is high in the use, avoid appearing other accidents in the rehabilitation work.
The above embodiments are only exemplary embodiments of the present application, and are not intended to limit the present application, and the protection scope of the present application is defined by the claims. Various modifications and equivalents may be made by those skilled in the art within the spirit and scope of the present application and such modifications and equivalents should also be considered to be within the scope of the present application.
Claims (8)
1. The utility model provides a department of neurology cerebral apoplexy rehabilitation medical device which characterized in that: comprises a diversified trampling device (1), wherein the diversified trampling device (1) comprises a plane moving mechanism (11) for the horizontal motion training of the lower limbs of the human body, a circumference rotating mechanism (12) for the circumference motion training of the lower limbs of the human body, and a bearing base (13) for installing the plane moving mechanism (11) and the circumference rotating mechanism (12), and a cavity (14) for the circumference trampling action to be completed by the circumference rotating mechanism (12) is formed inside the bearing base (13), wherein,
the circumference rotating mechanism (12) comprises rotating curved plates (121) respectively arranged on the inner walls of the two sides of the cavity (14) and a lower-layer pedal (122) movably sleeved between the two rotating curved plates (121), the plane moving mechanism (11) is movably arranged on the upper surface of the lower-layer pedal (122), the plane moving mechanism (11) is movably locked on the upper surface of the lower-layer pedal (122), and the plane moving mechanism (11) and the lower-layer pedal (122) are unlocked and then move along the two side walls of the lower-layer pedal (122) in a limiting manner;
the plane moving mechanism (11) moves on the upper surface of the cavity (14) in a limiting manner along two side walls of the lower pedal (122) so as to simulate the horizontal movement training of the lower limbs of the human body;
after the plane moving mechanism (11) and the lower pedal (122) are locked into a whole, the plane moving mechanism and the rotating curved plate (121) synchronously do circular motion in the cavity (14) so as to realize lower limb circular motion training.
2. The neurologic stroke rehabilitation medical device according to claim 1, wherein: bearing base (13) are every the both sides of cavity (14) all are equipped with open slot (15), every the installation end of rotating bent plate (121) passes the inner wall of cavity (14) just is in the fixed circular synchronous board (123) that is equipped with on the installation end of rotating bent plate (121), the radius of circular synchronous board (123) with the straight-bar length that rotates bent plate (121) is the same.
3. The neurologic stroke rehabilitation medical device according to claim 2, wherein: the bearing base (13) is provided with a middle bridge (91) between two cavities (14) for balancing two circular synchronous plates (123) and rotating auxiliary pulling assemblies (9), each auxiliary pulling assembly (9) comprises two middle bridges (91) arranged between the two cavities (14), a tunnel channel (92) is arranged inside each middle bridge (91), bearing seats (93) are respectively arranged on the upper end face and the lower end face of each tunnel channel (92), a double-horn through pipe (94) is movably arranged between the two bearing seats (93), the double-horn through pipe (94) freely rotates around the bearing seat (93), a hole groove penetrating through the double-horn through pipe (94) is provided with a first elastic rope (95), the two ends of the first elastic rope (95) are respectively arranged at two positions close to the edge of the circular synchronous plates (123) of the middle bridges (91), and when the two ends of the first elastic rope (95) are positioned at the diameter position of the cavity (14), the two ends of the first elastic rope (95) are always stretched to the maximum elastic strength, and the two circumferential rotating mechanisms (12) assist in circulating rotation under the stretching action of the first elastic rope (95).
4. The neurologic stroke rehabilitation medical device according to claim 1, wherein: bearing base (13) are equipped with movable seat (16) of height and gradient activity regulation and control, through the adjustment the height and the cushion inclination of movable seat (16) are right in order to adjust the human body the weight component of various trampling device (1) is in order to progressively realize right the muscle training of low limbs, just bearing base (13) are two the outside of cavity (14) is equipped with hand rest (17) that supply the patient to support respectively, hand rest (17) are used for standing the application of force completely at the patient and are in increase the stability of limbs when various trampling device (1) is gone up.
5. The neurologic stroke rehabilitation medical device according to claim 1, wherein: the plane moving mechanism (11) comprises an upper pedal (111) movably embedded on the upper surface of the lower pedal (122) and limiting frame plates (112) arranged on the inner walls of two side surfaces of the lower pedal (122), the inner wall of each limiting frame plate (112) is movably provided with two lengthened frame plates (113) with open ends, and the center position of the inner wall of each limiting frame plate (112) is provided with a baffle (114) for separating the two lengthened frame plates (113);
each lengthened frame plate (113) is mounted on the inner wall of the limit frame plate (112) in a ball bearing mode, the upper-layer pedal (111) is arranged inside the lengthened frame plate (113), the friction force between the upper-layer pedal (111) and the lengthened frame plate (113) is far larger than the rolling friction force between the lengthened frame plate (113) and the limit frame plate (112), and the center position of the lower surface of the upper-layer pedal (111) moves along a wire groove in the upper surface of the lower-layer pedal (122) through a straight rod;
every the inner of extension deckle board (113) all is equipped with wave board (115), and is same two in spacing deckle board (112) wave board (115) a crest of dislocation of extension deckle board (113), just the both ends of upper footboard (111) are equipped with two profile of tooth card combs (116) that misplace each other respectively, upper footboard (111) pass through profile of tooth card comb (116) with the mutual card of wave board (115) is in order to restrict the maximum range of movement of upper footboard (111).
6. The neurologic stroke rehabilitation medical device according to claim 5, wherein: bearing base (13) are two be equipped with respectively at the front and back both ends of cavity (14) and be used for supporting lower floor footboard (122) just make lower floor footboard (122) keep the horizontality support dog (5), an medial surface of cavity (14) is equipped with the opening and faces cutting groove (6) of cavity (14), just the upper surface of cutting groove (6) is equipped with through-hole (7), the upper surface of support dog (5) is equipped with the propulsion point of passing through-hole (7), another medial surface of cavity (14) is equipped with sunken groove (8) down, the tip of support dog (5) moves to sunken groove (8) is in order to keep the horizontality of lower floor footboard (122).
7. The neurologic stroke rehabilitation medical device according to claim 5, wherein: the self-resetting component (4) is arranged at a position, opposite to the central lines of the two cavities (14), of the bearing base (13), the self-resetting component (4) is arranged at the same end of the two cavities (14), the self-resetting component (4) is arranged between the two cavities (14), and the self-resetting component (4) automatically pulls the upper-layer pedal (111) to reset so as to achieve lower limb walking simulation training.
8. The neurologic stroke rehabilitation medical device according to claim 7, wherein: the self-resetting component (4) comprises two second fixed pulleys (41) which are coaxially arranged with the cavity (14) respectively, a second elastic rope (42) which is movably connected with the end part of the upper-layer pedal (111) penetrates through the two second fixed pulleys (41), the installation point of the second elastic rope (42) is located at the central position of the end part of the upper-layer pedal (111), and the second elastic rope (42) automatically drives the upper-layer pedal (111) to reset so as to realize walking training and joint activity training of lower limb joints.
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| JP2006341052A (en) * | 2005-06-09 | 2006-12-21 | Masaru Mimura | Rehabilitation walking exercise apparatus |
| KR101963869B1 (en) * | 2018-02-05 | 2019-07-31 | 김형식 | Upper and lower limbs gait rehabilitation apparatus |
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