CN112370304B - A kind of neurology stroke rehabilitation medical device and rehabilitation method - Google Patents

Abstract

The invention discloses a neurology cerebral apoplexy rehabilitation medical device and a rehabilitation method, comprising a variety of stepping devices, and the multi-stepping device includes a plane moving mechanism for the horizontal movement training of the lower limbs of the human body, and a circular rotation mechanism for the circular movement training of the lower limbs of the human body, And it is used to install the plane moving mechanism and the circular rotating mechanism load-bearing base, and a cavity is formed inside the load-bearing base for the circular rotating mechanism to complete the circular stepping action, the plane moving mechanism and the circular rotating mechanism are relatively staggered and are limited on the upper surface of the cavity. The horizontal movement training of the lower limbs of the simulated human body can be realized by moving in position; the plane moving mechanism and the circular rotating mechanism are locked into one body and then perform circular motion in the cavity to realize the circular motion training of the lower limbs; the application flexibility of the present invention is high, and the function integration Whole body performance training for walking simulation recovery, joint range of motion training and muscle training.

Description

A kind of neurology stroke rehabilitation medical device and rehabilitation method

technical field

The invention relates to the technical field of rehabilitation medical appliances, in particular to a neurological stroke rehabilitation medical device and a rehabilitation method.

Background technique

Stroke is also known as "stroke", "cerebrovascular accident". It is an acute cerebrovascular disease, which is a group of diseases that damage brain tissue due to the sudden rupture of blood vessels in the brain or the inability of blood to flow into the brain due to vascular blockage.

Rehabilitation training is very important for stroke patients, which is helpful for the recovery of damaged functions. Early rehabilitation treatment can prevent complications, minimize functional disability, and improve prognosis. Generally, rehabilitation training starts 24 hours after the onset of stroke, and is set according to different conditions. It usually takes several months to several years to restore part of the neurological function, and according to the progress of the rehabilitation cycle, patients are given limb function training, language training, life activity training, cognitive training and psychological rehabilitation training. Functional training also includes simulated walking training, range of motion training and muscle strength training.

With the existing rehabilitation therapy machines, although the rehabilitation training of the lower limbs can be realized, a single rehabilitation therapy machine cannot be used to meet the training needs of different processes of the rehabilitation cycle, and most of the existing rehabilitation therapy machines can only achieve a single function. , such as a single walking training or a single muscle strength training, thus leading to a slow rehabilitation treatment process, and it is not conducive to actively control the treatment work of each training stage.

SUMMARY OF THE INVENTION

The purpose of the present invention is to provide a neurological stroke rehabilitation medical device and a rehabilitation method, so as to solve the problem that most of the existing rehabilitation treatment machines in the prior art can only achieve a single function, such as a single walking training or a single muscle strength training, thus leading to a slow healing process, and is not conducive to actively managing the technical issues of the therapeutic work in each training phase.

In order to solve the above-mentioned technical problems, the present invention specifically provides the following technical solutions:

A neurology cerebral apoplexy rehabilitation medical device, including a variety of stepping devices, the various stepping devices include a plane moving mechanism for the training of the horizontal motion of the lower limbs of the human body, a circular rotation mechanism for the training of the circular motion of the lower limbs of the human body, and a device for installing the equipment. the plane moving mechanism and the circular rotation mechanism, the load-bearing base, and a cavity for the circular rotation mechanism to complete the circular stepping action is formed inside the load-bearing base, wherein,

The circular rotating mechanism includes rotating curved plates respectively installed on the inner walls of both sides of the cavity, and a lower pedal movably sleeved between the two rotating curved plates, and the plane moving mechanism is movably installed on the two rotating curved plates. the upper surface of the lower pedal, the plane moving mechanism is locked on the upper surface of the lower pedal through the activity, and the plane moving mechanism and the lower pedal are unlocked and move along the two side walls of the lower pedal in a limited position;

The plane moving mechanism is limited and moved on the upper surface of the cavity along the two side walls of the lower pedal to realize the horizontal motion training of simulated human lower limbs;

The plane moving mechanism and the lower pedal are locked as a whole and then perform a circular motion in the cavity in synchronization with the rotating curved plate to realize the circular motion training of the lower limbs.

As a preferred solution of the present invention, the load-bearing base is provided with open grooves on both sides of each cavity, and the installation end of each rotating curved plate passes through the inner wall of the cavity and is located in the cavity. A circular synchronization plate is fixed on the installation end of the rotating curved plate, and the radius of the circular synchronization plate is the same as the length of the straight rod of the rotating curved plate.

As a preferred solution of the present invention, the load-bearing base is provided with an auxiliary pulling component between the two cavities for balancing the rotation of the two circular synchronizing plates, the auxiliary pulling component The middle bridge between the cavities, the interior of the middle bridge is provided with a tunnel channel, the upper and lower end surfaces of the tunnel channel are installed with bearing seats, and a double-trumpet through pipe is movably installed between the two bearing seats. The double-trumpet through-pipe is free to rotate horizontally around the bearing seat, and a first elastic rope is arranged through the hole and groove of the double-horned through-pipe, and the two ends of the first elastic rope are respectively installed on two sides close to the middle bridge. The edge position of the circular synchronization plate, and the two ends of the first elastic rope are always stretched to the maximum elastic strength when the two ends of the first elastic rope are located at the diameter position of the cavity. The cyclic rotation is assisted by an elastic rope stretched.

As a preferred solution of the present invention, the load-bearing base is provided with a movable seat whose height and inclination can be adjusted movably. The weight is used to gradually realize the muscle training of the lower limbs, and the load-bearing base is provided with handrails on both sides of the cavity for the patient to support. Increase the stability of the limbs when on the various pedaling devices.

As a preferred solution of the present invention, the plane moving mechanism includes an upper pedal movably embedded in the upper surface of the lower pedal, and limit frame plates arranged on the inner walls of two side surfaces of the lower pedal, and each The inner wall of the limiting frame plate is movably provided with two sections of elongated frame plates with open ends, and the center of the inner wall of the limiting frame plate is provided with a baffle separating the two sections of the elongated frame plates;

Each of the elongated frame plates is mounted on the inner wall of the limit frame plate by means of balls, the upper pedal is arranged inside the elongated frame plate, and the frictional force between the upper pedal and the elongated frame plate far greater than the rolling friction force between the elongated frame plate and the limit frame plate, and the center position of the lower surface of the upper pedal moves along the wire groove on the upper surface of the lower pedal through a straight rod;

The inner end of each of the elongated frame plates is provided with a corrugated plate that is displaced by one wave crest, and the ends on both sides of the upper pedal are respectively provided with two mutually displaced tooth-shaped combs, and the upper pedal passes through the The tooth-shaped card comb and the wave plate are locked with each other to limit the maximum movement range of the upper pedal.

As a preferred solution of the present invention, at the front and rear ends of the two cavities, the load-bearing base is respectively provided with a blocking block for supporting the lower pedal and keeping the lower pedal in a horizontal state. One of the inner side surfaces is provided with a cutting groove with an opening facing the cavity, and the upper surface of the cutting groove is provided with a through hole, the upper surface of the blocking block is provided with a push point passing through the through hole, the The cavity (the end of the abutting block moves to the sinking groove to maintain the horizontal state of the lower pedal.

As a preferred solution of the present invention, the load-bearing base is provided with a self-resetting component at a position facing the centerline of the two cavities, and the self-resetting components are respectively arranged at the same end of the two cavities , the self-resetting component is arranged between the two cavities, and the self-resetting component automatically pulls the upper pedal to reset to realize the simulated walking training of the lower limbs.

As a preferred solution of the present invention, the self-reset assembly includes second fixed pulleys coaxially arranged with the two cavities, respectively, through which two second fixed pulleys are provided with the upper pedals. A second elastic cord whose ends are movably connected, the installation point of the second elastic cord is located at the center of the end of the upper pedal, and the second elastic cord automatically drives the upper pedal to reset to realize walking on the joints of the lower limbs Training and joint mobility training.

In order to solve the above-mentioned technical problems, the present invention further provides the following technical solutions: a rehabilitation method for a stroke rehabilitation medical device in the department of neurology, comprising the following steps:

Step 100: Design the treatment stages of stroke rehabilitation, and determine the training steps corresponding to different treatment stages of the lower limbs, wherein the training steps include walking training, joint activity training and muscle training;

Step 200: The structures of the various stepping devices in the rehabilitation medical device are separated, and the lower limb drives the plane moving mechanism located on the upper layer to move linearly on the horizontal plane to train the range of motion of the joints of the lower limb and realize the simulated walking training of the lower limb;

Step 300, gradually adjusting the inclination and height of the cushion of the seat to change the weight applied to the various pedaling devices, so as to gradually change from lower limb joint activity training to lower limb muscle training;

Step 400 , disassembling the seat, and combining the various pedaling devices in a fixed structure, the feet drive the various pedaling devices to perform circular motion in a vertical plane, focusing on the realization of lower limb muscle training.

As a preferred solution of the present invention, in step 300, when the lower limb joint activity training and walking simulation training are performed on the lower limbs, the height of the movable seat is adjusted so that the patient's feet touch the plane moving mechanism, and gradually When lower extremity joint activity training is transformed into lower extremity muscle training, the height of the movable seat is gradually lowered to increase the arc of the circular motion of the various pedaling devices in the vertical plane, and at the same time, the movable seat is gradually rotated downward. A seat cushion is used to increase the weight applied to the various pedaling devices.

Compared with the prior art, the present invention has the following beneficial effects:

The present invention integrates the functional training of the entire recovery process of the stroke patient, and sequentially realizes walking simulation training on the horizontal plane, warm-up muscle training, arc-shaped strengthening muscle training and final circular shape for the exercise work of the lower limbs. Pull-up muscle training can meet the needs of joint activity training, walking simulation training and muscle training for stroke patients, and after rehabilitation, it can also be used as an exercise tool, so it has strong practicability and high flexibility.

Description of drawings

In order to illustrate the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that are required to be used in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only exemplary, and for those of ordinary skill in the art, other implementation drawings can also be obtained according to the extension of the drawings provided without creative efforts.

1 is a schematic structural diagram of an overall longitudinal section of a rehabilitation medical device provided in Embodiment 1 of the present invention;

2 is a schematic top-view structural diagram of a rehabilitation medical device provided in Embodiment 1 of the present invention;

3 is a schematic structural diagram of a circular stepping mechanism provided in Embodiment 1 of the present invention;

4 is a schematic structural diagram of a limit frame plate provided in Embodiment 1 of the present invention;

5 is a schematic structural diagram of the auxiliary pulling assembly provided in Embodiment 1 of the present invention;

6 is a schematic structural diagram of the overall longitudinal section of the rehabilitation medical device provided in Embodiment 2 of the present invention;

FIG. 7 is a schematic top-view structural diagram of a rehabilitation medical device provided in Embodiment 2 of the present invention.

The symbols in the figure are as follows:

1-Various pedaling device; 2-Pulley follower device; 3-Steering component; 4-Self-reset component; 5-Resist block; 6-Cutting groove; 7-Through hole; ;

11-plane moving mechanism; 12-circular rotation mechanism; 13-load-bearing base; 14-cavity; 15-opening slot; 16-active seat; 17-armrest;

111-upper pedal; 112-limiting frame plate; 113-extended frame plate; 114-baffle plate; 115-wave plate; 116-tooth comb;

121-rotating curved plate; 122-lower pedal; 123-circular synchronization plate;

21-vertical bracket; 22-second fixed pulley; 23-pull rope;

41-Second fixed pulley; 42-Second elastic rope;

91-intermediate bridge; 92-tunnel passage; 93-bearing seat; 94-double horn pipe; 95-first elastic rope.

Detailed ways

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

Example 1

As shown in FIG. 1 and FIG. 5 , the present invention provides a neurology stroke rehabilitation medical device, including a multi-stepping device 1, and the multi-stepping device 1 includes a plane moving mechanism 11 for horizontal motion training of the lower limbs of the human body. A circular rotation mechanism 12 for lower limb circular motion training, and a load-bearing base 13 for installing the plane moving mechanism 11 and the circular rotation mechanism 12, and a cavity 14 for the circular rotation mechanism 12 to complete the circular stepping action is formed inside the load-bearing base 13.

The circular 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 lower pedal 122. On the upper surface, 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 move along the two side walls of the lower pedal 122 in a limited manner.

The plane moving mechanism 11 is limited and moved on the upper surface of the cavity 14 along the two side walls of the lower pedal 122 so as to simulate the horizontal motion training of the lower limbs of the human body.

The plane moving mechanism 11 and the lower pedal 122 are locked together to perform circular motion in the cavity 14 in synchronization with the rotating curved plate 121 to realize the circular motion training of the lower limbs.

The rehabilitation medical device of this embodiment is aimed at the rehabilitation training of the lower limbs of the human body. According to the exercise requirements in different recovery stages, the plane moving mechanism 11 is firstly moved along the two side walls of the lower pedal 122 and on the upper surface of the cavity 14 to achieve a limit movement. Simulate the horizontal movement training of the lower limbs of the human body, that is, the flexibility training of the lower limbs and the walking simulation training, and the muscle training intensity at this time is low.

Then, according to the training requirements, gradually change the movement on the plane to the circular muscle movement, lock the plane moving mechanism 11 and the lower pedal 122 into one, and apply force to the plane moving mechanism 11 to drive the lower pedal 122 and the plane. The whole moving mechanism 11 rotates in the cavity 14 by rotating the curved plate 121 , at this time, the requirement for the muscle strength of the lower limbs is high, so as to realize the muscle training of the lower limbs.

As shown in FIG. 2 and FIG. 3 , the plane moving mechanism 11 includes an upper pedal 111 movably embedded in the upper surface of the lower pedal 122 , and limit frame plates 112 arranged on the inner walls of two side surfaces of the lower pedal 122 , and each limit The inner wall of the positioning frame plate 112 is movably provided with two elongated frame plates 113 with open ends, and the inner wall of the limiting frame plate 112 is provided with a baffle plate 114 separating the two elongated frame plates 113 at the center position;

Each elongated frame plate 113 is mounted on the inner wall of the limit frame plate 112 by means of balls, the upper pedal 111 is arranged inside the elongated frame plate 113 , and the frictional force between the upper pedal 111 and the elongated frame plate 113 is much greater than that of the elongated frame The rolling friction force between the 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;

As shown in FIG. 4 , the inner end of each elongated frame plate 113 is provided with a corrugated plate 115 , and the corrugated plates 115 of the two elongated frame plates 113 of the same limiting frame plate 112 are displaced by a wave crest. The ends are respectively provided with two toothed combs 116 displaced from each other. The upper pedal 111 is locked with each other by the toothed combs 116 and the wave plate 115 to limit the maximum moving range of the upper pedal 111 .

The load-bearing base 13 is provided with a blocking block 5 at the front and rear ends of the two cavities 14 respectively for supporting the lower pedal 122 and keeping the lower pedal 122 in a horizontal state. The upper surface of the cutting slot 6 is provided with a through hole 7, the upper surface of the resisting block 5 is provided with a push point passing through the through hole 7, and the end of the resisting block 5 of the cavity 14 moves to the sinking groove 8 to Keep the lower pedal 122 level.

For example, if the lower limb drives the upper pedal 111 to move forward relative to the human body, since the frictional force between the upper pedal 111 and the elongated frame plate 126 is much greater than the rolling frictional force between the elongated frame plate 126 and the limit frame plate 112 , Therefore, the upper pedal 111 and the elongated frame plate 126 first move forward by one length of the elongated frame plate 126 synchronously.

Then continue to pull the upper pedal 111, and when the pulling force is greater than the friction force between the upper pedal 111 and the elongated frame plate 126, the upper pedal 111 also moves forward. At this time, the upper pedal 111 is facing the tooth-shaped comb 116 at the front of the human body. The wave trough position of the wave plate 115, when the upper pedal 111 moves forward to the maximum distance, the tooth-shaped comb 116 located on the rear side of the upper pedal 111 relative to the human body is facing the wave crest position of the protruding wave plate 115. , at this time, the maximum moving position of the upper pedal 111 is limited by the locking of the toothed card comb 116 and the wave plate 115 .

Therefore, when this embodiment simulates walking training, the span of each walk is the length of the two upper pedals 111 , the patient's feet are fixed on the upper pedals 111 by straps, and when the lower limbs push the upper pedals 111 to displace, the lower legs follow the upper pedals 111 moves, so as to focus on the simulated walking training of the lower limbs.

In addition, as shown in FIG. 5 , the load-bearing base 11 is provided with open slots 15 on both sides of each cavity 14 , and the installation end of each rotating curved plate 121 passes through the inner wall of the cavity 14 and is installed on the rotating curved plate 121 A circular synchronizing plate 123 is fixed on the end, 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 load-bearing base 11 is provided with an auxiliary pulling assembly 9 between the two cavities 14 for balancing the rotation of the two circular synchronizing plates 123 . The auxiliary pulling assembly 9 includes a middle bridge 91 arranged between the two cavities 14. The middle bridge The interior of 91 is provided with a tunnel channel 92, the upper and lower ends of the tunnel channel 92 are installed with bearing seats 93, and a double-trumpet tube 94 is movably installed between the two bearing seats 93, and the double-trumpet tube 94 freely surrounds the bearing seat 93 horizontally. Rotating, the first elastic rope 95 is provided through the hole and groove of the double horn pipe 94. When the two ends of the elastic rope 95 are located at the diameter of the cavity 14 , they are always stretched to the maximum elastic strength.

Because it is difficult for stroke patients to do muscle training like ordinary people during the rehabilitation treatment process, this embodiment also reduces the difficulty of alternately rotating the two rotating curved plates 121 through the auxiliary pulling work of the first elastic rope 95 . .

That is to say, when the muscles are trained for the lower limbs, only the work of stepping down the layered pedal is applied, and in the process of stepping down one of the layered pedals, the other layered pedal is automatically driven to rise to reduce the difficulty.

Step down on the upper pedal 111, so that the upper pedal 111 and the lower pedal 121 are rotated in the cavity 14 by rotating the curved plate 121, and the lower limbs continuously perform circular motions to achieve muscle training for the lower limbs.

In addition, in order to increase the comfort and safety of muscle training and sequentially increase the intensity of circular training, in this embodiment, a movable seat 16 whose height and inclination can be adjusted movably is provided on the load-bearing base 13 , and the height of the movable seat 16 is adjusted by adjusting the height of the movable seat 16 and the inclination angle of the seat cushion to adjust the gravity component of the human body to the various pedaling devices 1 to gradually realize the muscle training of the lower limbs, and the lower limbs of the human body can adjust the rotation of the rotating curved plate 121 by themselves with the adjustment of the height and inclination of the movable seat 16 Angled for circular muscle training.

As shown in FIG. 1 and FIG. 2 , and the load-bearing base 13 is provided with handrails 17 on the outer sides of the two cavities 14 respectively for the patient to support. Increase the stability of the limbs when on.

The load-bearing base 11 is provided with a self-resetting component 4 at the position facing the centerlines of the two cavities 14 , the self-resetting components 4 are respectively arranged at the same end of the two cavities 14 , and the self-resetting component 4 is arranged in the two cavities 14 . During this time, the self-resetting component 4 automatically pulls the upper pedal 111 to reset to realize the simulated walking training of the lower limbs.

The self-reset assembly 4 includes second fixed pulleys 41 coaxially disposed with the two cavities 14 respectively, and a second elastic rope 42 movably connected to the end of the upper pedal 111 is provided through the two second fixed pulleys 41 . The installation point of the two elastic cords 42 is located at the center of the end of the upper pedal 111 , and the second elastic cord 42 automatically drives the upper pedal 111 to reset to realize walking training and joint activity training for lower limb joints.

In this embodiment, the self-resetting component 4 is used to hinder the movement of the upper pedal 111, so that while simulating walking training, pre-experimental operations on the leg muscles can also be performed. Intensive training can also be achieved when the patient is fully recovered.

Therefore, this embodiment can specifically implement the following training situations:

1. Unlock and separate the upper pedal 111 and the lower pedal 121, and after the patient sits on the movable seat 16, bind the footsteps to the upper pedal 111, and rub the upper pedal 111 back and forth to realize the joint movement of the lower limbs degree training and walking simulation training;

2. Fix the two ends of the second elastic cord 42 of the self-resetting component 4 on the upper pedal 111 respectively. Since the second elastic cord 42 is continuously stretched as the upper pedal 111 is rubbed forward, the patient needs to Forcefully overcome the elastic force of the second elastic rope 42, so as to realize the warm-up muscle training in the process of walking simulation training;

3. Lock the upper pedal 111 and the lower pedal 121 into one, gradually lower the height of the movable seat 16, remove the second elastic rope 42, so that the rotating curved plate 123 can rotate freely in the cavity 14, and gradually expand the lower limbs. Pedal angle, by gradually increasing the angle of rotation for circular arc exercise;

4. When the movable seat 16 is at a certain height, by adjusting the inclination of the cushion of the movable seat 16, the supporting force of the movable seat 16 to the human body is reduced, thereby increasing the driving force of the lower limbs to the rotating curved plate 123 in the opposite direction. strength to train the muscles of the lower limbs;

5. When the movable seat 16 is disassembled, the armrests on both sides of the various pedaling devices are used as support points, and the lower limbs can improve the muscle training intensity and increase the safety of the lower limb muscle training through circular movements.

In addition, the present invention also provides a rehabilitation method for a neurological stroke rehabilitation medical device for the above-mentioned rehabilitation treatment device, comprising the following steps:

Step 100: Design the treatment stages of stroke rehabilitation, and determine the training steps corresponding to different treatment stages of the lower limbs, wherein the training steps include walking training, joint activity training and muscle training;

Step 200: The structures of the various stepping devices in the rehabilitation medical device are separated, and the lower limb drives the plane moving mechanism located on the upper layer to move linearly on the horizontal plane to train the range of motion of the joints of the lower limb and realize the simulated walking training of the lower limb;

Step 300, gradually adjusting the inclination of the cushion of the seat to change the weight applied to the various pedaling devices, so as to gradually change from lower limb joint activity training to lower limb muscle training;

In this step, when the lower limb joint activity training and walking simulation training are performed on the lower limbs, the height of the movable seat is adjusted so that the patient's feet are in contact with the plane moving mechanism, and the lower limb joint activity training is gradually transformed into the lower limb muscle training. At the same time, the height of the movable seat is gradually lowered to increase the arc of the circular motion of the various pedaling devices in the vertical plane, and at the same time, the cushion of the movable seat is gradually rotated downward to increase the amount of the pedals applied to the various pedaling devices. the weight of the device.

Step 400: Disassemble the seat, and combine the various pedaling devices for structural fixation. The feet drive the various pedaling devices to make circular motions in the vertical plane, focusing on the realization of lower limb muscle training. In this step, the various pedaling devices are used. The handrail acts as a support point to increase the safety of lower body muscle training.

Example 2

In order to realize the synchronous training and coordination training of the upper and lower limbs, the present invention also provides a comprehensive rehabilitation medical device, which is different from Embodiment 1 in that, as shown in Figures 6 and 7, it includes a variety of stepping devices. 1, and the pulley follower 2 that cooperates with the various stepping devices 1 to complete the comprehensive rehabilitation training of the human body, and the various stepping devices 1 include a plane moving mechanism 11 used for the horizontal movement training of the lower limbs of the human body and a circle for the circular movement training of the lower limbs of the human body. The rotation mechanism 12 and the pulley follower 2 are selectively connected to the plane moving mechanism 11 or the circular rotation mechanism 12 according to the needs of human rehabilitation training, and the pulley follower 2 is used for exercise training of the upper limbs of the human body.

Most importantly, the plane movement mechanism 11 , the circular rotation mechanism 12 and the pulley follower 2 drive and cooperate with each other to complete various modes of upper and lower limb coordination training.

The rehabilitation medical device of this embodiment can be applied to the integrated recovery process of stroke patients, and the overall working modes of the various stepping devices 1 and the pulley follower device 2 can be changed according to different treatment stages, so the rehabilitation treatment device of this embodiment can be applied flexibly High degree of functional integration, suitable for the whole human body function training of walking simulation recovery, joint activity training and muscle training, and different from the existing fitness machinery and equipment, it is safer to use, and stroke patients can gradually carry out rehabilitation training on their own. .

The cooperation relationship between the various pedaling device 1 and the pulley follower device 2 is mainly divided into the following three ways:

First, the various pedaling device 1 actively drives the pulley follower device 2 to act to complete the purpose of the lower limbs actively driving the upper limbs training;

Second, the pulley follower device 2 actively drives the action of the various pedaling devices 1 to complete the purpose of the upper limbs actively driving the lower limbs training;

Third, the multi-stepping device 1 and the pulley follower device 2 act simultaneously to accomplish the purpose of coordinating training of upper and lower limbs.

That is to say, this embodiment can realize joint activity training and muscle training for upper limbs, joint activity training and muscle training for lower limbs, and joint activity training and muscle training for lower limbs, and Co-ordination training.

The multiple pedaling device 1 further includes a load-bearing base 13 for installing the plane moving mechanism 11 and the circular rotation mechanism 12 , and a cavity 14 is formed inside the load-bearing base 13 for the circular rotation mechanism 12 to complete the circular treading action.

The load-bearing base 13 is provided with a movable seat 16 whose height and inclination can be adjusted movably. By adjusting the height of the movable seat 16 and the inclination angle of the cushion, the weight of the human body to the various pedaling devices 1 can be adjusted to gradually realize the muscle training of the lower limbs.

As shown in FIG. 5 and FIG. 6 , the circular 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 , and moves in a plane. The mechanism 11 is movably installed on the upper surface of the lower pedal 122, the plane moving mechanism 11 is locked on the upper surface of the lower pedal 122 through the activity, and the plane moving mechanism 11 and the lower pedal 122 are unlocked and move along the two side walls of the lower pedal 122 to limit the movement .

The plane moving mechanism 11 is limited and moved on the upper surface of the cavity 14 along the two side walls of the lower pedal 122 so as to simulate the horizontal motion training of the lower limbs of the human body.

The plane moving mechanism 11 and the lower pedal 122 are locked together to perform circular motion in the cavity 14 in synchronization with the rotating curved plate 121 to realize the circular motion training of the lower limbs.

It is well known that the sequelae of stroke patients are mostly poor limb flexibility and uncoordinated limb movements. This embodiment can independently train the upper and lower limbs, and can also perform coordinated training through the cooperation of the upper and lower limbs. It is more conducive to the rehabilitation of stroke patients.

The pulley follower 2 and the various pedaling devices 1 are installed according to different recovery stages. The pulley follower 2 and the various pedaling devices 1 work independently to achieve independent training of the upper and lower limbs. The pulley follower 2 and the various pedaling devices 1. The combination training of the upper and lower limbs is realized during the combined installation work, that is, this embodiment adapts to the training needs of the patient in different rehabilitation treatment stages by changing the circular stepping mechanism 12 to work independently and in combination through the composition structure.

When simulating walking training and joint flexibility training, the circular stepping mechanism 12 is set to slide linearly on the surface of the support base 11 without using a lot of force. When performing muscle training, the circular stepping mechanism 12 is gradually increased by the human body. The pressing weight of the mechanism 12 avoids the problem of safety problems caused by the excessive intensity of the training mode caused by the fixed training mode, and at the same time, it also avoids the problem of poor training effect caused by too small intensity.

The force application point of the pulley follower 2 is set on the plane moving mechanism 11 when the plane moving mechanism 11 and the lower pedal 122 are unlocked to drive the plane moving mechanism 11 to slide horizontally along the upper surface of the lower pedal 122 .

As shown in FIG. 7 , the position of the load-bearing base 11 facing the centerlines of the two cavities 14 is respectively provided with a steering assembly 3 and a self-resetting assembly 4 , and the steering assembly 3 and the self-resetting assembly 4 are respectively arranged at both ends of the cavity 14 , the force application point of the pulley follower 2 changes from the vertical direction to the horizontal direction through the steering assembly 3, and the pull rope of the pulley follower 2 exerts a unidirectional horizontal pulling force on the upper pedal 111, wherein,

The steering assembly 3 is specifically a first fixed pulley installed on the end of the load-bearing base 13 , and the force-applying end of the pulley follower 2 is fixedly connected to one end of the upper pedal 111 through the first fixed pulley.

In this embodiment, the pulley follower device 2 includes a vertical support 21 arranged on the load-bearing base 11 , two second fixed pulleys 22 installed on the vertical support 21 , and two second fixed pulleys 22 passing through. Pull rope 23, one end of the pull rope 23 is held by the patient, the pull rope 23 passes through the second fixed pulley 22 and is fixed to the plane moving mechanism 11 through the steering assembly 3, because the pull rope 23 of the pulley follower 2 passes through the steering assembly 3. The vertical direction becomes the horizontal direction. At this time, the pull rope 23 of the pulley follower 2 exerts a one-way horizontal pulling force on the plane moving mechanism 11. Therefore, the user applies a horizontal upward force to the plane moving mechanism 11 by operating the pulley follower 2. The power to drive the lower limbs to simulate walking training.

As shown in FIG. 3 and FIG. 4 , the plane moving mechanism 11 includes an upper pedal 111 movably embedded in the upper surface of the lower pedal 122 , and limit frame plates 112 arranged on the inner walls of two side surfaces of the lower pedal 122 , and each limit The inner wall of the positioning frame plate 112 is movably provided with two elongated frame plates 113 with open ends, and the inner wall of the limiting frame plate 112 is provided with a baffle plate 114 separating the two elongated frame plates 113 at the center position.

Each elongated frame plate 113 is mounted on the inner wall of the limit frame plate 112 by means of balls, the upper pedal 111 is arranged inside the elongated frame plate 113 , and the frictional force between the upper pedal 111 and the elongated frame plate 113 is much greater than that of the elongated frame The rolling friction force between the 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 elongated frame plate 113 is provided with a corrugated plate 115 which is displaced by one wave crest, and the two side ends of the upper pedal 111 are respectively provided with two toothed combs 116 which are mutually displaced. The mutual locking of the comb 116 and the wave plate 115 limits the maximum movement range of the upper pedal 111 .

For example, if the pull rope 23 of the pulley follower 2 is pulled downward and the upper pedal 111 is moved forward relative to the human body, the frictional force between the upper pedal 111 and the elongated frame plate 126 is much greater than that between the elongated frame plate 126 and the limiter plate 126 . Because of the rolling friction between the frame plates 112 , the upper pedal 111 and the elongated frame plate 126 first move forward by one length of the elongated frame plate 126 synchronously.

Then continue to pull the upper pedal 111, and when the pulling force is greater than the friction force between the upper pedal 111 and the elongated frame plate 126, the upper pedal 111 also moves forward. At this time, the upper pedal 111 is facing the tooth-shaped comb 116 at the front of the human body. The wave trough position of the wave plate 115, when the upper pedal 111 moves forward to the maximum distance, the tooth-shaped comb 116 located on the rear side of the upper pedal 111 relative to the human body is facing the wave crest position of the protruding wave plate 115. , at this time, the maximum moving position of the upper pedal 111 is limited by the locking of the toothed card comb 116 and the wave plate 115 .

Therefore, when this embodiment simulates walking training, the span of each walk is the length of two upper pedals 111 , the patient's feet are fixed on the upper pedals 111 by straps, and the pull rope 23 of the pulley follower 2 pulls the upper pedals 111 During displacement, the calf moves with the upper pedal 111, and the upper limb is driven by the pulley follower 2 to alternately and cyclically pull. For upper limb joint activity training and lower limb walking training.

It also needs to be supplemented that, as shown in FIG. 2 , the self-resetting component 4 is arranged between the two cavities 14 , and the self-resetting component 4 is used to automatically pull the upper layer when the force application point of the pulley follower 2 stops applying horizontal pulling force. The pedal 111 is reset, and the self-resetting component 4 cooperates with the alternate and opposite work of the two pulley follower devices 2 to simulate walking training.

The self-reset assembly 4 includes second fixed pulleys 41 coaxially disposed with the two cavities 14 respectively, and a second elastic rope 42 movably connected to the other end of the upper pedal 111 is provided through the two second fixed pulleys 41 , the pulling work of the second elastic rope 42 and the pulling rope of the pulley follower 2 of the steering assembly 3 are in the same line, and the second elastic rope 42 hinders the movement of the upper pedal 111 when the pull rope of the pulley follower 2 is pulled In order to realize the muscle training of the upper limbs and arms, and the second elastic rope 42 automatically drives the upper pedal 111 to reset when the pull rope of the pulley follower 2 stops pulling to realize the walking training and joint activity training of the lower limbs.

In order to realize the simulated walking training, in this embodiment, the front and rear ends of the two cavities 14 are respectively provided with blocking blocks 5 for supporting the lower pedal 122 and keeping the lower pedal 122 in a horizontal state, and an inner side of the cavity 14 is provided with an opening The cutting groove 116 facing the cavity 14, and the upper surface of the cutting groove 116 is provided with a through hole 7, the upper surface of the blocking block 5 is provided with a push point passing through the through hole 7, and the other inner side of the cavity 14 is provided with a lower surface. Recessing groove 8, push the blocking block 5 to move along the cutting groove 116 until the end of the blocking block 5 moves to the sinking groove 8 to maintain the horizontal state of the lower pedal 122122.

Of course, if the patient chooses to sit for leg muscle training, the leg muscle training can be achieved by pulling the pull cord 23 in the sliding follower device 2 directly when the resisting block 5 is retracted into the cutting slot 116 .

Further, the load-bearing base 11 is provided with open grooves 15 on both sides of each cavity 14 , and the mounting end of each rotating curved plate 121 passes through the inner wall of the cavity 14 and is fixed on the mounting end of the rotating curved plate 121 . There is a circular synchronization plate 123, and the radius of the circular synchronization 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 set on 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 a circular motion in the cavity 14 .

When training the muscles of the lower limbs in this embodiment, firstly, the upper pedal 111 and the lower pedal 122 are fixed and locked, and then the second elastic rope 42 on the self-reset assembly 4 is removed from the upper pedal 111, and the pulley follower device is removed. The pull rope 23 of 2 is movably installed at the edge of the two circular synchronization plates 123 located on the outside. When the patient pulls the pull rope 23 of the pulley follower device 2 downward, the pull rope 23 will produce an upward pulling force on the circular synchronization plate 123. Only by promoting the rotation of the rotating curved plate 121, the pulling rope 23 of the pulley follower device 2 is pulled to assist the rotation of the rotating curved plate 121, that is, the action of stepping on a bicycle.

In addition, as shown in FIG. 5 , the load-bearing base 11 is provided with an auxiliary pulling component 9 between the two cavities 14 for balancing the rotation of the two circular synchronization plates 123 . The middle bridge 91 is provided with a tunnel channel 92 inside the middle bridge 91, the upper and lower ends of the tunnel channel 92 are installed with bearing seats 93, and the two bearing seats 93 are movably installed with double horn pipes 94 and double horn pipes The 94 freely rotates horizontally around the bearing base 93, and a first elastic cord 95 is provided through the hole of the double-trumpet through-pipe 94. , and the two ends of the first elastic rope 95 are stretched to the maximum elastic strength when the two ends of the first elastic rope 95 are located at the diameter position of the cavity 14 , and the two circular rotation mechanisms 12 are alternately under the stretching action of the first elastic rope 95 and the pulley follower 2 Cycle rotation.

Further, the rotating curved plate 121 is movably installed on the inner surface of the cavity 14, and the movable mounting end of each rotating curved plate 121 is fixedly provided with a circular synchronization plate 123, the radius of the circular synchronization plate 123 is the same as that of the rotating curved plate 121. The lengths of the straight rods are the same, and the two ends of the first elastic rope 95 are respectively installed at the edge positions of the two circular synchronizing plates 123 located on the inner side. When fixed by the buckle 124, it is movably installed at the edge positions of the two circular synchronization plates 123 located on the outside.

Because it is difficult for stroke patients to do muscle training like ordinary people during the rehabilitation treatment, this embodiment also lowers the two rotating curved plates through the auxiliary pulling work of the pulley follower device 2 and the first elastic rope 95 . 121 Difficulty of alternating rotation, that is to say, when training the muscles of the lower limbs, only apply force to the work of stepping down the layered pedals, and in the process of stepping down one of the layered pedals, it will automatically drive the other layered pedal. It can increase the work, reduce the difficulty, and the stability of this force application method is high, and it also improves the safety in the process of rehabilitation treatment.

In addition, as another innovation of this embodiment, this embodiment sets the circular stepping mechanism 12 in the cavity 14 supporting the load-bearing base 11 , and the circular motion work of the circular stepping mechanism 12 is completely in the position of supporting the load-bearing base 11 . Therefore, even if the patient is unable to stand firm, release his hands, the two rotating curved plates 121 will sink to the lowest end synchronously under the influence of gravity, so the sinking depth can effectively prevent the patient from falling and improve the safety of use.

To sum up, the rehabilitation treatment method of the stroke rehabilitation medical device in the neurology department includes the following steps:

Step 100: Designing treatment stages of stroke rehabilitation, and determining training steps corresponding to different treatment stages, wherein the training steps include walking training, joint activity training and muscle training;

Step 200: Separate the structure of the various stepping devices in the rehabilitation medical device, and movably connect the pulley follow-up device with the various stepping devices, sit on the seat and drive the lower limbs on the horizontal plane by alternately pulling the pulley follow-up device. Upper linear movement, focusing on the realization of upper limb joint activity training and lower limb walking training;

Step 300: Gradually adjust the inclination of the cushion of the seat to simulate different weights applied to the upper limb joint activity training, and drive the lower limbs to move linearly on the horizontal plane through the alternate cyclic pulling of the pulley follower device, focusing on the realization of upper limb muscle training and training. lower extremity joint activity training;

Step 400 , disassemble the seat, and perform structural fixed combination of the various stepping devices, connect the pulley follow-up device with the various stepping devices as a whole, and drive the lower limbs in the vertical plane by alternately pulling the upper limbs of the pulley follower device. Do circular motions, focusing on upper-body muscle training and lower-body muscle training.

The various trampling devices in the rehabilitation medical device are structurally separated and fixedly combined to respectively realize the training steps for different treatment stages. The specific realization method is as follows:

The structure of the various pedaling devices in the rehabilitation medical device is separated, and at this time, the various pedaling devices are kept in a horizontal state, and the structure that binds the lower limbs moves linearly along the horizontal plane under the action of the pulley follow-up device;

The pulley follow-up device is movably connected with the structure binding the lower limbs, and the lower limbs are driven to simulate walking training on the horizontal plane through the alternate cycle pulling of the pulley follower device;

The various trampling devices in the rehabilitation medical device are structurally fixed and combined. At this time, the structure binding the lower limbs makes a circular motion in the vertical plane under the action of the pulley follower device, and is realized by the alternate cycle pulling of the pulley follower device. For upper body muscle training and lower body muscle training.

Therefore, the rehabilitation training in this embodiment can be customized to select the rehabilitation mode according to the treatment steps, which can meet the total operation from the initial stage of rehabilitation to the completion of rehabilitation. And in the process of muscle training, because the circular stepping mechanism is set in the sinking groove of the stepping point, even when the user releases his hands, the patient's foot is bound by the stepping point to avoid falling, so the safety factor is high. Avoid other surprises in your recovery efforts.

The above embodiments are only exemplary embodiments of the present application, and are not intended to limit the present application. The protection scope of the present application is defined by the claims. Those skilled in the art can make various modifications or equivalent replacements to the present application within the spirit and protection scope of the present application, and such modifications or equivalent replacements should also be regarded as falling within the protection scope of the present application.

Claims (8)

1. A neurology stroke rehabilitation medical device, characterized in that it comprises a multi-stepping device (1), and the multi-stepping device (1) comprises a plane moving mechanism (11) for horizontal motion training of the lower limbs of the human body, and is used for A circular rotation mechanism (12) for circular motion training of human lower limbs, and a load-bearing base (13) for installing the plane moving mechanism (11) and the circular rotation mechanism (12), and the load-bearing base (13) A cavity (14) is formed inside for the circular rotation mechanism (12) to complete the circular stepping action, wherein, The circular rotation mechanism (12) comprises rotating curved plates (121) respectively installed on the inner walls of both sides of the cavity (14), and a lower layer movably sleeved between the two rotating curved plates (121) A pedal (122), 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 After the plane moving mechanism (11) is unlocked from the lower pedal (122), it moves along the two side walls of the lower pedal (122) in a limited position; The plane moving mechanism (11) moves along the two side walls of the lower pedal (122) in a limited position on the upper surface of the cavity (14) to realize horizontal motion training for simulating the lower limbs of the human body; The plane moving mechanism (11) and the lower pedal (122) are locked together to perform a circular motion in the cavity (14) in synchronization with the rotating curved plate (121) to realize the circular motion training of the lower limbs. 2 . The neurology stroke rehabilitation medical device according to claim 1 , wherein the load-bearing base ( 13 ) is provided with open grooves ( 15 ) on both sides of each cavity ( 14 ). 3 . ), the mounting end of each rotating curved plate (121) passes through the inner wall of the cavity (14) and a circular synchronization plate (123) is fixed on the mounting end of the rotating curved plate (121). , the radius of the circular synchronization plate (123) is the same as the length of the straight rod of the rotating curved plate (121). 3. A neurology stroke rehabilitation medical device according to claim 2, characterized in that: the load-bearing base (13) is provided with two circular cavities (14) for balancing the two cavities (14). An auxiliary pulling assembly (9) for the rotation of the synchronization plate (123), the auxiliary pulling assembly (9) includes an intermediate bridge (91) arranged between the two cavities (14), the intermediate bridge (91) A tunnel channel (92) is provided inside the tunnel channel (92), bearing seats (93) are installed on the upper and lower end surfaces of the tunnel channel (92), and a double horn pipe (94) is movably installed between the two bearing seats (93). ) and the double horn pipe (94) freely rotates horizontally around the bearing seat (93), a first elastic cord (95) is provided through the hole groove of the double horn pipe (94), the first elastic The two ends of the rope (95) are respectively installed at the edge positions of the two circular synchronization plates (123) close to the intermediate bridge (91), and the two ends of the first elastic rope (95) are located in the The diameter of the cavity (14) is always stretched to the maximum elastic strength, and the two circular rotation mechanisms (12) assist the circular rotation under the stretching action of the first elastic rope (95). 4. A neurology stroke rehabilitation medical device according to claim 1, characterized in that: the load-bearing base (13) is provided with a movable seat (16) whose height and inclination can be adjusted and adjusted. The height of the movable seat (16) and the inclination angle of the seat cushion can adjust the gravitational component of the human body to the various stepping devices (1) to gradually realize the muscle training of the lower limbs, and the load-bearing base (13) is located in two places. The outer side of the cavity (14) is respectively provided with a handrail (17) for the patient to support, and the handrail (17) is used for increasing the pressure when the patient is completely standing and exerting force on the various pedaling device (1). Limb stability. 5. A neurology stroke rehabilitation medical device according to claim 1, characterized in that: the plane moving mechanism (11) comprises an upper pedal (111) movably embedded in the upper surface of the lower pedal (122). ), and the limit frame plates (112) arranged on the inner walls of the two side surfaces of the lower pedal (122), and the inner wall of each limit frame plate (112) is movably provided with two elongated sections with open ends a frame plate (113), a baffle plate (114) separating the two lengthened frame plates (113) is provided at the center of the inner wall of the limiting frame plate (112); Each of the elongated frame plates (113) is mounted on the inner wall of the limit frame plate (112) by means of balls, and the upper pedals (111) are arranged inside the elongated frame plates (113). The frictional force between the pedal (111) and the elongated frame plate (113) is far greater than the rolling frictional force between the elongated frame plate (113) and the limit frame plate (112), and the upper pedal The center position of the lower surface of (111) moves along the wire groove on the upper surface of the lower pedal (122) through a straight rod; The inner end of each elongated frame plate (113) is provided with a corrugated plate (115), and the corrugated plates ( 115) A wave crest is dislocated, and the two ends of the upper pedal (111) are respectively provided with two toothed combs (116) that are displaced from each other, and the upper pedal (111) passes through the toothed combs (116) The mutual locking with the wave plate (115) limits the maximum movement range of the upper pedal (111). 6 . The neurology stroke rehabilitation medical device according to claim 5 , wherein the load-bearing base ( 13 ) is provided at the front and rear ends of the two cavities ( 14 ) for supporting the The lower pedal (122) and the blocking block (5) for keeping the lower pedal (122) in a horizontal state, an inner side surface of the cavity (14) is provided with a cutting groove opening toward the cavity (14) (6), and the upper surface of the cutting groove (6) is provided with a through hole (7), the upper surface of the blocking block (5) is provided with a push point passing through the through hole (7), the The other inner side of the cavity (14) is provided with a sinking groove (8), and the end of the blocking block (5) moves to the sinking groove (8) to maintain the level of the lower pedal (122). state. 7 . The neurology stroke rehabilitation medical device according to claim 5 , wherein the load-bearing base ( 13 ) is provided with a self-resetting component at the position facing the centerlines of the two cavities ( 14 ). 8 . (4), the self-resetting components (4) are respectively arranged at the same end of the two cavities (14), and the self-resetting components (4) are arranged between the two cavities (14). During this time, the self-resetting component (4) automatically pulls the upper pedal (111) to reset to realize the simulated walking training of the lower limbs. 8 . The neurological stroke rehabilitation medical device according to claim 7 , wherein the self-resetting component ( 4 ) comprises a second fixed position coaxially disposed with the two cavities ( 14 ) respectively. 9 . A pulley (41), passing through the two second fixed pulleys (41) is provided with a second elastic cord (42) movably connected to the end of the upper pedal (111), the second elastic cord (42) ) is installed at the center of the end of the upper pedal (111), and the second elastic cord (42) automatically drives the upper pedal (111) to reset to realize walking training and joint activity training for lower limb joints.

Images