CN112842814A

CN112842814A - Orthopedic nursing rehabilitation device and using method

Info

Publication number: CN112842814A
Application number: CN202110013541.8A
Authority: CN
Inventors: 沈晓晓; 鲍丽萍
Original assignee: Lishui City Peoples Hospital
Current assignee: Lishui City Peoples Hospital
Priority date: 2021-01-06
Filing date: 2021-01-06
Publication date: 2021-05-28

Abstract

An orthopaedic nursing and rehabilitation device includes a first box body, the top of the first box body communicates with the outside world, a first support table and a second support table are symmetrically and fixedly installed at the bottom of the first box body, and the first A second box body is arranged above the support table and the second support table, a first chute is symmetrically arranged at the bottom of the second box body, and a first slider is slidably connected to the inner wall of the first chute, and the first slider The left and right ends of the groove are fixedly installed with a first sliding rod passing through the first sliding block, and the first sliding block is slidably connected with the first sliding rod. The patient's arm is subjected to segmented muscle exercise, and the forehand and backhand states of the arm can be switched back and forth during the exercise process, so that the entire upper arm muscle group can also be fully coordinated during the exercise process, which greatly improves the patient's health. The recovery speed is simple, efficient, convenient and fast.

Description

Orthopedic nursing rehabilitation device and using method

Technical Field

The invention relates to the technical field of orthopedic nursing, in particular to an orthopedic nursing rehabilitation device and a using method thereof.

Background

Currently, orthopedics is one of the most common departments in all hospitals, and mainly studies the anatomy, physiology and pathology of the skeletal muscle system, and maintains and develops the normal form and function of the system by using medicines, operations and physical methods. With the change of times and society, the orthopedic injury spectrum has obvious changes, for example, diseases such as osteoarticular tuberculosis, osteomyelitis, poliomyelitis and the like are obviously reduced, the injuries caused by traffic accidents are obviously increased, and rehabilitation refers to comprehensively and coordinately applying various methods of medicine, education, society and occupation, so that the functions of patients, injuries and disabled persons which have lost are recovered and rebuilt as soon as possible, the physical, mental, social and economic abilities of the patients, the injuries and the disabled persons are recovered as far as possible, and the patients are led to lives again, work again and society again. The rehabilitation not only aims at diseases, but also focuses on the whole human body, and carries out comprehensive rehabilitation from the aspects of physiology, psychology, society and economic capability, the existing treatment for arm fracture patients needs plaster and steel plate fixation, so that the upper limbs of the patients cannot be exercised within a period of several months, and various problems of joints and muscles, such as varicose veins, arthritis, muscular atrophy and other symptoms, are caused, but the patients often do exercises according to the previous habits after dismantling the steel plate, but the muscle of the upper limbs is inactivated for a long time, so that the muscle is pulled or inflamed, and the muscle is seriously fractured, so that a nursing rehabilitation device which can aim at the upper limb fracture is needed at present.

Disclosure of Invention

The invention aims to solve the problems in the prior art, and provides an orthopedic nursing rehabilitation device which can carry out segmented muscle exercise on the arm of a patient and can switch the positive hand state and the negative hand state of the arm back and forth in the exercise process, so that the muscle group of the whole upper arm can be sufficiently coordinated in the exercise process, and the rehabilitation speed of the patient is greatly improved.

The invention adopts the technical scheme for solving the technical problems that: the orthopedic nursing and rehabilitation device comprises a first box body, wherein the top of the first box body is communicated with the outside, a first supporting table and a second supporting table are symmetrically and fixedly arranged at the bottom of the first box body, a second box body is arranged above the first supporting table and the second supporting table, first sliding chutes are symmetrically arranged at the bottom of the second box body, first sliding blocks are connected to the inner wall of the first sliding chutes in a sliding manner, first sliding rods penetrating through the first sliding blocks are fixedly arranged at the left end and the right end of each first sliding chute, the first sliding blocks are connected with the first sliding rods in a sliding manner, lifting columns are symmetrically and fixedly arranged at the front and the back of the bottom of each first sliding block, lifting grooves matched with the lifting columns are symmetrically arranged at the tops of the first supporting table and the second supporting table respectively, the lifting columns extend into the lifting grooves and are connected with the lifting grooves in a sliding manner, a third supporting table is fixedly arranged at the left end of the top of the second box body, the rotary drum passes through a third supporting table and is rotationally connected with the third supporting table, a handle passing through the center of a circle is fixedly arranged on the inner wall of the rotary drum, a first rotating shaft is fixedly arranged at the right end of the rotary drum, a first gear is fixedly arranged at the upper end of the first rotating shaft, a clip-shaped frame is arranged at the right end of the third supporting table, a second sliding groove capable of being matched with the second sliding rod is fixedly arranged at the right side of the third supporting table, the second sliding rod extends into the second sliding groove and is in sliding connection with the second sliding groove, a first rack meshed with the first gear is fixedly arranged at the top of the clip-shaped frame, a second rack is fixedly arranged at the top of the inner wall of the clip-shaped frame, a third rack is fixedly arranged at the bottom of the inner wall of the clip-shaped frame, third sliding grooves are arranged at the tops of the inner walls at the left end and the right end of the first box, and a third sliding, a second rotating shaft is rotatably connected between the third sliding rods, the second rotating shaft penetrates through the third supporting platform and the square-shaped frame, a disc is fixedly mounted on the second rotating shaft, gear teeth smaller than one hundred eighty degrees are arranged on the disc in an annular array mode, the gear teeth on the disc can be meshed with a second rack and a third rack, a first bevel gear is fixedly mounted on the second rotating shaft, a first fixing plate penetrating through the third supporting platform is fixedly mounted on the third sliding rod, a third rotating shaft is rotatably connected onto the first fixing plate, a second bevel gear meshed with the first bevel gear is fixedly mounted at one end of the third rotating shaft, a fourth sliding groove and a fifth sliding groove are respectively formed in the inner wall of the top and the inner wall of the bottom of the second box body, the other end of the third rotating shaft penetrates through the fourth sliding groove and the fifth sliding groove and then reaches the lower portion of the second box body, and a second fixing plate penetrating through lifting columns is fixedly mounted on the inner wall of the left, the second fixing plate is provided with a first bearing, the other end of the third rotating shaft penetrates through the second fixing plate, the outer side of the third rotating shaft is connected with a spline on the inner wall of the inner ring of the first bearing, a third bevel gear positioned below the second fixing plate is connected to the third rotating shaft through a spline, a spline on the outer side of the third rotating shaft is a gear tooth, the bottom of the second fixing plate is provided with a first annular chute surrounding the first bearing, a fourth sliding rod extending into the first annular chute and connected with the third bevel gear in a sliding manner is fixedly arranged on the third bevel gear, the first supporting platform is provided with a second annular chute, a fifth sliding rod penetrating through the second annular chute is connected inside the second annular chute in a sliding manner, a fourth bevel gear meshed with the third bevel gear is fixedly arranged on the fifth sliding rod, the first supporting platform is provided with a second bearing, and a fourth rotating shaft is connected to the second bearing through a spline, the left end of the fourth rotating shaft extends to the left end of the first supporting table, a first supporting plate is fixedly installed at the left end of the fourth rotating shaft, a first spring surrounding the fourth rotating shaft is fixedly installed between the first supporting plate and the first supporting table, the other end of the fourth rotating shaft penetrates through the center of the fourth bevel gear and is connected with the fourth bevel gear through a spline, the spline on the surface of the fourth rotating shaft is a gear tooth, a first abutting rod and a second abutting rod are fixedly installed at the bottom of the second box body, a sixth sliding chute is arranged on the first abutting rod, the other end of the fourth rotating shaft extends into the sixth sliding chute and is connected with the sixth sliding chute in a rotating and sliding mode, a sleeve is connected to the outer side of the second abutting rod in a sliding mode, an L-shaped abutting rod is fixedly installed at the bottom of the sleeve, a sliding plate penetrating through the second supporting table is fixedly installed at the outer side of the sleeve, a second supporting plate is fixedly installed at the end of, the second support table is fixedly provided with a motor, the motor is provided with a fifth rotating shaft which passes through the second support table and the first support table, the fifth rotating shaft is fixedly provided with a second gear which is meshed with the teeth of the fourth rotating shaft, the fifth rotating shaft is provided with a moving mechanism, the moving mechanism comprises a cam for controlling the longitudinal movement of the second box body and a guide sleeve for controlling the transverse movement of the second box body, the edge of the cam is provided with a first transverse moving ring, the two sides of the first transverse moving ring are respectively provided with a first forward ramp and a first backward ramp which are connected with the surface of the cam, the guide sleeve is fixedly arranged on one side of the cam, the first transverse moving ring, the first forward ramp and the first backward ramp surround the guide sleeve, the guide sleeve comprises a second transverse moving ring which is longer than the first transverse moving ring, the two ends of the second transverse moving ring are respectively provided with a second forward ramp and a second backward ramp which are connected with the surface of the, the bottom of the first abutting rod is movably connected with a first ball abutting against the edge of the cam, and the L-shaped abutting rod is movably connected with a second ball abutting against the second advancing ramp. This structure can drive the arm and carry out the motion of bending and straightening to at the in-process of bending and straightening, positive and negative hand of automatic switch makes the muscle crowd of arm obtain abundant exercise.

For further improvement, the first ball is made of metal.

Further perfection, the second ball is made of metal materials.

Further perfection, first supporting bench is the metal material.

Further perfection, the second supporting platform is made of metal materials.

Further perfection, the cam is made of metal materials.

Further perfection, the uide bushing is the metal material.

A using method of an orthopedic nursing rehabilitation device comprises the following steps:

firstly, reciprocating arm exercise: the handle is held, the motor is started, the motor drives the fifth rotating shaft to rotate, the fifth rotating shaft drives the cam and the guide sleeve to rotate, the cam pushes the first abutting rod to ascend, the first abutting rod ascends to push the second box body to ascend, the second box body ascends to drive the third supporting table and the rotary drum to ascend, the guide sleeve rotates to push the L-shaped abutting rod to move rightwards, the L-shaped abutting rod advances to drive the second abutting rod to move rightwards through the sleeve, the second abutting rod moves to drive the second box body to move rightwards, the second box body moves rightwards to drive the third supporting table and the rotary drum to move rightwards, and along with the continuous rotation of the cam and the guide sleeve, the second box body can descend and move leftwards to return to the original position under the action of the first spring and the second spring, therefore, the rotation of the cam and the guide sleeve and the action of the first spring and the second spring can drive the arm to circularly, the device is used for simulating normal bending and straightening of the arm and exercising the muscle of the arm;

secondly, the arms switch the hands: the fifth rotating shaft rotates to drive the second gear to rotate, the second gear rotates to drive the fourth rotating shaft to rotate, the fourth rotating shaft rotates to drive the fourth bevel gear to rotate, the fourth bevel gear rotates to drive the third bevel gear to rotate, the third rotating shaft rotates to drive the third rotating shaft to rotate, the third rotating shaft rotates to drive the second bevel gear to rotate, the second bevel gear rotates to drive the first bevel gear to rotate, the first bevel gear rotates to drive the second rotating shaft to rotate, the second rotating shaft rotates to drive the disk to rotate, the second rack and the third rack are driven by the teeth on the surface of the disk to move in turn when the disk rotates, the second rack and the third rack move to drive the paper frame to reciprocate along the second chute, the paper frame reciprocates to drive the first rack to reciprocate, the first rack reciprocates to drive the first gear meshed with the first rack, and the first gear reciprocates to drive the first rotating shaft to reciprocate, first pivot reciprocating motion drives the reciprocating motion of rotary drum, and the rotary drum is reciprocal through the reciprocal positive and negative hand that switches of handle during reciprocating motion for different muscle crowd obtains abundant exercise on the arm.

The invention has the beneficial effects that: the invention has simple structure and simple and convenient operation, can carry out sectional muscle exercise on the arm of the patient, and can switch the positive hand state and the negative hand state of the arm back and forth in the exercise process, so that the muscle group of the whole upper arm can be fully coordinated in the exercise process, the rehabilitation speed of the patient is greatly improved, and the invention is simple, high-efficiency, convenient and quick.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is an enlarged view A of a portion of FIG. 1;

FIG. 3 is a schematic structural diagram of a clip according to the present invention;

FIG. 4 is a schematic structural view of the lifting groove of the present invention;

FIG. 5 is a schematic structural diagram of a first slider according to the present invention;

FIG. 6 is a schematic illustration of the present invention in operation;

FIG. 7 is a schematic structural view of a moving mechanism according to the present invention;

FIG. 8 is a front view of the moving mechanism of the present invention;

fig. 9 is a plan view of the moving mechanism of the present invention.

Description of reference numerals: the device comprises a first box body 1, a first supporting platform 2, a second gear 3, a first ball 4, a moving mechanism 5, a second ball 6, a motor 7, an L-shaped abutting rod 8, a sleeve 9, a second spring 10, a sliding plate 11, a second supporting plate 12, a second abutting rod 13, a third bevel gear 14, a guide sleeve 15, a second rotating shaft 16, a second box body 17, a first abutting rod 18, a first annular chute 19, a second bevel gear 20, a third rotating shaft 21, a first bevel gear 22, a fourth chute 23, a disc 24, a second rack 25, a first rack 26, a first rotating shaft 27, a first gear 28, a third supporting platform 29, a rotating drum 30, a handle 31, a second chute 32, a square frame 33, a second slide bar 34, a third slide bar 35, a third rack 36, a first fixing plate 37, a first slide block 38, a first slide bar 39, a first chute 40, a lifting column 41, a fourth slide bar 42, a fifth supporting plate 43, a first supporting plate 44, a first sliding bar 44, A first spring 45, a second annular slide groove 46, a fourth bevel gear 47, a fifth rotating shaft 48, a sixth slide groove 49, a lifting groove 50, a first traverse ring 51, a second traverse ring 52, a first backward ramp 53, a second backward ramp 54, a second forward ramp 55, a first forward ramp 56, a second support table 57, a fifth slide groove 58, a cam 59, a third slide groove 60, a fourth rotating shaft 61, a second fixing plate 62, a first bearing 63 and a second bearing 64.

Detailed Description

The invention will be further described with reference to the accompanying drawings in which:

referring to figures 1 to 9: the orthopedic nursing rehabilitation device in the embodiment comprises a first box body 1, the top of the first box body 1 is communicated with the outside, a first supporting table 2 and a second supporting table 57 are symmetrically and fixedly installed at the bottom of the first box body 1, a second box body 17 is arranged above the first supporting table 2 and the second supporting table 57, a first sliding chute 40 is symmetrically arranged at the bottom of the second box body 17, a first sliding block 38 is connected to the inner wall of the first sliding chute 40 in a sliding manner, a first sliding rod 39 penetrating through the first sliding block 38 is fixedly installed at the left end and the right end of the first sliding chute 40, the first sliding block 38 is connected with the first sliding rod 39 in a sliding manner, lifting columns 41 are symmetrically and fixedly installed at the front and back of the bottom of the first sliding block 38, lifting grooves 50 matched with the lifting columns 41 are respectively and symmetrically arranged at the tops of the first supporting table 2 and the second supporting table 57, the lifting columns 41 extend into the lifting grooves 50 and are, a third supporting platform 29 is fixedly installed at the left end of the top of the second box 17, a rotating drum 30 with the left end communicated with the outside is arranged on the third supporting platform 29, the rotating drum 30 passes through the third supporting platform 29 and is rotatably connected with the third supporting platform 29, a handle 31 passing through the circle center is fixedly installed on the inner wall of the rotating drum 30, a first rotating shaft 27 is fixedly installed at the right end of the rotating drum 30, a first gear 28 is fixedly installed at the upper end of the first rotating shaft 27, a clip frame 33 is arranged at the right end of the third supporting platform 29, a second sliding rod 34 is fixedly installed at one end of the clip frame 33, a second sliding groove 32 capable of being matched with the second sliding rod 34 is arranged at the right side of the third supporting platform 29, the second sliding rod 34 extends into the second sliding groove 32 and is slidably connected with the second sliding groove 32, a first rack 26 meshed with the first gear 28 is fixedly installed at the top of the clip frame 33, a third rack 36 is fixedly installed at the bottom of the inner wall of the square frame 33, third sliding grooves 60 are formed in the tops of the inner walls of the left end and the right end of the first box body 1, third sliding rods 35 which penetrate through the tops of the third sliding grooves 60 and then reach the upper portion of the first box body 1 are respectively connected to the inner walls of the third sliding grooves 60 in a sliding manner, a second rotating shaft 16 is rotatably connected between the third sliding rods 35, the second rotating shaft 16 penetrates through a third supporting platform 29 and the square frame 33, a disc 24 is fixedly installed on the second rotating shaft 16, gear teeth smaller than one hundred eighty degrees are arranged on the disc 24 in an annular array manner, the gear teeth on the disc 24 can be meshed with the second rack 25 and the third rack 36, a first bevel gear 22 is fixedly installed on the second rotating shaft 16, a first fixing plate 37 which penetrates through the third supporting platform 29 is fixedly installed on the third sliding rod 35, and a third rotating shaft 21 is rotatably, one end of the third rotating shaft 21 is fixedly provided with a second bevel gear 20 engaged with the first bevel gear 22, the inner wall of the top and the inner wall of the bottom of the second box 17 are respectively provided with a fourth chute 23 and a fifth chute 58, the other end of the third rotating shaft 21 passes through the fourth chute 23 and the fifth chute 58 and then reaches the lower part of the second box 17, the inner wall of the left end of the first box 1 is fixedly provided with a second fixing plate 62 passing between the lifting columns 41, the second fixing plate 62 is provided with a first bearing 63, the other end of the third rotating shaft 21 passes through the second fixing plate 62, the outer side of the third rotating shaft 21 is connected with the inner wall of the inner ring of the first bearing 63 through a spline, the third rotating shaft 21 is connected with a third bevel gear 14 positioned below the second fixing plate 62 through a spline, the outer spline of the third rotating shaft 21 is a gear tooth, the bottom of the second fixing plate 62 is provided with a first, a fourth slide bar 42 extending into the first annular slide groove 19 and slidably connected with the first annular slide groove 19 is fixedly installed on the third bevel gear 14, a second annular slide groove 46 is arranged on the first support table 2, a fifth slide bar 43 penetrating through the second annular slide groove 46 is slidably connected inside the second annular slide groove 46, a fourth bevel gear 47 engaged with the third bevel gear 14 is fixedly installed on the fifth slide bar 43, a second bearing 64 is installed on the first support table 2, a fourth rotating shaft 61 is splined-connected inside the second bearing 64, the left end of the fourth rotating shaft 61 extends to the left end of the first support table 2, a first support plate 44 is fixedly installed at the left end of the fourth rotating shaft 61, a first spring 45 surrounding the fourth rotating shaft 61 is fixedly installed between the first support plate 44 and the first support table 2, and the other end of the fourth rotating shaft 61 penetrates through the center of the fourth bevel gear 47 and is splined-connected with the fourth bevel gear 47, the spline of the surface of the fourth rotating shaft 61 is a gear tooth, the bottom of the second box 17 is fixedly provided with a first abutting rod 18 and a second abutting rod 13, the first abutting rod 18 is provided with a sixth sliding chute 49, the other end of the fourth rotating shaft 61 extends into the sixth sliding chute 49 and is rotationally and slidably connected with the sixth sliding chute 49, the outer side of the second abutting rod 13 is slidably connected with a sleeve 9, the bottom of the sleeve 9 is fixedly provided with an L-shaped abutting rod 8, the outer side of the sleeve 9 is fixedly provided with a sliding plate 11 penetrating through a second supporting platform 57, one end of the sliding plate 11 penetrating through the second supporting platform 57 is fixedly provided with a second supporting plate 12, one ends of the second supporting plate 12 and the second supporting platform 57 are fixedly provided with a second spring 10, the second supporting platform 57 is fixedly provided with a motor 7, the motor 7 is provided with a fifth rotating shaft 48 penetrating through the second supporting platform 57 and the first supporting platform 2, the fifth rotating shaft 48 is fixedly provided with a second gear 3 engaged with the, the fifth rotating shaft 48 is provided with a moving mechanism 5, the moving mechanism 5 comprises a cam 59 for controlling the longitudinal movement of the second box 17 and a guide sleeve 15 for controlling the transverse movement of the second box 17, the edge of the cam 59 is provided with a first traverse ring 51, two sides of the first traverse ring 51 are provided with a first advancing ramp 56 and a first retreating ramp 53 which are respectively connected with the surface of the cam 59, the guide sleeve 15 is fixedly arranged at one side of the cam 59, the first traverse ring 51, the first advancing ramp 56 and the first retreating ramp 53 surround the guide sleeve 15, the guide sleeve 15 comprises a second traverse ring 52 which is longer than the first traverse ring 51, two ends of the second traverse ring 52 are respectively provided with a second advancing ramp 55 and a second retreating ramp 54 which are connected with the surface of the cam 59, the bottom of the first resisting rod 18 is movably connected with the first ball 4 at the edge of the cam 59, the L-shaped resisting rod 8 is movably connected with a second ball 6 for resisting the second advancing ramp 55, first ball 4 is the metal material, second ball 6 is the metal material, first brace table 2 is the metal material, second brace table 57 is the metal material, cam 59 is the metal material, uide bushing 15 is the metal material.

Referring to figures 1 to 9: a using method of an orthopedic nursing rehabilitation device comprises the following steps:

firstly, reciprocating arm exercise: holding the handle 31, starting the motor 7, the motor 7 driving the fifth rotating shaft 48 to rotate, the fifth rotating shaft 48 driving the cam 59 and the guide sleeve 15 to rotate, the cam 59 driving the first resisting rod 18 to ascend, the first resisting rod 18 ascending driving the second box 17 to ascend, the second box 17 ascending driving the third supporting platform 29 and the rotary drum 30 to ascend, the guide sleeve 15 rotating driving the L-shaped resisting rod 8 to move rightwards, the L-shaped resisting rod 8 advancing through the sleeve 9 driving the second resisting rod 13 to move rightwards, the second resisting rod 13 moving driving the second box 17 to move rightwards, the second box 17 moving rightwards driving the third supporting platform 29 and the rotary drum 30 to move rightwards, with the continued rotation of the cam 59 and the guide sleeve 15, under the action of the first spring 45 and the second spring 10, the second box 17 will descend and move leftwards to return to the original position, therefore, through the rotation of the cam 59 and the guide sleeve 15 and the action of the first spring 45 and the second spring 10, the arm can be driven to circularly ascend → move rightwards → descend → move leftwards, and the four actions are used for simulating normal bending and straightening of the arm and exercising the muscle of the arm;

secondly, the arms switch the hands: the fifth rotating shaft 48 rotates to drive the second gear 3 to rotate, the second gear 3 rotates to drive the fourth rotating shaft 61 to rotate, the fourth rotating shaft 61 rotates to drive the fourth bevel gear 47 to rotate, the fourth bevel gear 47 rotates to drive the third bevel gear 14 to rotate, the third bevel gear 14 rotates to drive the third rotating shaft 21 to rotate, the third rotating shaft 21 rotates to drive the second bevel gear 20 to rotate, the second bevel gear 20 rotates to drive the first bevel gear 22 to rotate, the first bevel gear 22 rotates to drive the second rotating shaft 16 to rotate, the second rotating shaft 16 rotates to drive the disc 24 to rotate, the disc 24 rotates to drive the second rack 25 and the third rack 36 to move in turn through the gear teeth on the surface, the second rack 25 and the third rack 36 move to drive the square frame 33 to reciprocate along the second chute 32, the square frame 33 reciprocates to drive the first rack 26 to reciprocate, the first rack 26 reciprocates to drive the first gear 28 engaged with the first rack to reciprocate, the first gear 28 rotates to and fro to drive the first rotating shaft 27 to rotate to and fro, the first rotating shaft 27 rotates to and fro to drive the rotating drum 30 to rotate to and fro, and the handle 31 switches the positive hand and the negative hand to and fro when the rotating drum 30 rotates to and fro, so that different muscle groups on the arms can be fully exercised.

While the invention has been shown and described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the scope of the appended claims.

Claims

1. The utility model provides an orthopedics nursing is strong device again, includes first box (1), characterized by: the top of the first box body (1) is communicated with the outside, a first supporting platform (2) and a second supporting platform (57) are symmetrically and fixedly installed at the bottom of the first box body (1), a second box body (17) is arranged above the first supporting platform (2) and the second supporting platform (57), a first sliding groove (40) is symmetrically arranged at the bottom of the second box body (17), a first sliding block (38) is connected to the inner wall of the first sliding groove (40) in a sliding manner, a first sliding rod (39) penetrating through the first sliding block (38) is fixedly installed at the left end and the right end of the first sliding groove (40), the first sliding block (38) is connected with the first sliding rod (39) in a sliding manner, lifting columns (41) are symmetrically installed at the front and back of the bottom of the first sliding block (38), and lifting grooves (50) matched with the lifting columns (41) are symmetrically arranged at the tops of the first supporting platform (2) and the second supporting platform (57, the lifting column (41) extends into the lifting groove (50) and is connected with the lifting groove in a sliding manner, a third supporting platform (29) is fixedly installed at the left end of the top of the second box body (17), a rotary drum (30) with the left end communicated with the outside is arranged on the third supporting platform (29), the rotary drum (30) penetrates through the third supporting platform (29) and is connected with the third supporting platform in a rotating manner, a handle (31) passing through the center of a circle is fixedly installed on the inner wall of the rotary drum (30), a first rotary shaft (27) is fixedly installed at the right end of the rotary drum (30), a first gear (28) is fixedly installed at the upper end of the first rotary shaft (27), a clip-shaped frame (33) is arranged at the right end of the third supporting platform (29), a second sliding rod (34) is fixedly installed at one end of the clip-shaped frame (33), a second sliding groove (32) capable of being matched with the second sliding rod (34) is arranged at the right side of the third supporting platform (29), the utility model discloses a box structure, including shape frame (33), return shape frame (33) top fixed mounting have with first gear (28) meshing first rack (26), return shape frame (33) inner wall top fixed mounting have second rack (25), return shape frame (33) inner wall bottom fixed mounting have third rack (36), both ends inner wall top is equipped with third spout (60) about first box (1), third spout (60) inner wall sliding connection respectively has third slide bar (35) that reachs first box (1) top after passing third spout (60) top, it is connected with second pivot (16) to rotate between third slide bar (35), third pivot (29) and return shape supporting bench (33) are passed in second pivot (16), fixed mounting has disc (24) on second pivot (16), annular array is equipped with the teeth of a cogwheel that are less than one hundred eighty degrees on disc (24), the gear teeth on the disc (24) can be meshed with a second rack (25) and a third rack (36), a first bevel gear (22) is fixedly installed on the second rotating shaft (16), a first fixing plate (37) penetrating through a third supporting table (29) is fixedly installed on the third sliding rod (35), a third rotating shaft (21) is rotatably connected onto the first fixing plate (37), a second bevel gear (20) meshed with the first bevel gear (22) is fixedly installed at one end of the third rotating shaft (21), a fourth sliding groove (23) and a fifth sliding groove (58) are respectively arranged on the inner wall of the top and the inner wall of the bottom of the second box body (17), the other end of the third rotating shaft (21) penetrates through the fourth sliding groove (23) and the fifth sliding groove (58) and then reaches the lower part of the second box body (17), and a second fixing plate (62) penetrating through lifting columns (41) is fixedly installed on the inner wall of the left end of the first box body (1), a first bearing (63) is mounted on the second fixing plate (62), the other end of the third rotating shaft (21) penetrates through the second fixing plate (62), the outer side of the third rotating shaft (21) is in splined connection with the inner wall of the inner ring of the first bearing (63), a third bevel gear (14) positioned below the second fixing plate (62) is in splined connection with the third rotating shaft (21), the outer side of the third rotating shaft (21) is provided with gear teeth, a first annular sliding groove (19) surrounding the first bearing (63) is arranged at the bottom of the second fixing plate (62), a fourth sliding rod (42) extending into the first annular sliding groove (19) and in sliding connection with the first annular sliding groove is fixedly mounted on the third bevel gear (14), a second annular sliding groove (46) is arranged on the first supporting platform (2), and a fifth sliding rod (43) penetrating through the second annular sliding groove (46) is slidably connected inside the second annular sliding groove (46), a fourth bevel gear (47) meshed with the third bevel gear (14) is fixedly mounted on the fifth slide bar (43), a second bearing (64) is mounted on the first supporting table (2), a fourth rotating shaft (61) is connected to the inner portion of the second bearing (64) in a spline manner, the left end of the fourth rotating shaft (61) extends to the left end of the first supporting table (2), a first supporting plate (44) is fixedly mounted at the left end of the fourth rotating shaft (61), a first spring (45) surrounding the fourth rotating shaft (61) is fixedly mounted between the first supporting plate (44) and the first supporting table (2), the other end of the fourth rotating shaft (61) penetrates through the center of the fourth bevel gear (47) and is connected with the fourth bevel gear in a spline manner, splines on the surface of the fourth rotating shaft (61) are gear teeth, a first abutting rod (18) and a second abutting rod (13) are fixedly mounted at the bottom of the second box body (17), a sixth sliding chute (49) is arranged on the first supporting rod (18), the other end of the fourth rotating shaft (61) extends into the sixth sliding chute (49) and is connected with the sixth sliding chute in a rotating and sliding manner, a sleeve (9) is connected with the outer side of the second supporting rod (13) in a sliding manner, an L-shaped supporting rod (8) is fixedly installed at the bottom of the sleeve (9), a sliding plate (11) penetrating through a second supporting table (57) is fixedly installed on the outer side of the sleeve (9), a second supporting plate (12) is fixedly installed at one end of the sliding plate (11) penetrating through the second supporting table (57), a second spring (10) is fixedly installed at one end of the second supporting plate (12) and one end of the second supporting table (57), a motor (7) is fixedly installed on the second supporting table (57), and a fifth rotating shaft (48) penetrating through the second supporting table (57) and the first supporting table (2) is installed, a second gear (3) meshed with gear teeth of a fourth rotating shaft (61) is fixedly installed on the fifth rotating shaft (48), a moving mechanism (5) is installed on the fifth rotating shaft (48), the moving mechanism (5) comprises a cam (59) for controlling the longitudinal movement of the second box body (17) and a guide sleeve (15) for controlling the transverse movement of the second box body (17), a first transverse moving ring (51) is arranged at the edge of the cam (59), a first advancing ramp (56) and a first retreating ramp (53) which are connected with the surface of the cam (59) are respectively arranged on two sides of the first transverse moving ring (51), the guide sleeve (15) is fixedly installed on one side of the cam (59), the guide sleeve (15) is surrounded by the first transverse moving ring (51), the first advancing ramp (56) and the first retreating ramp (53), and the guide sleeve (15) comprises a second transverse moving ring (52) which is longer than the first transverse moving ring (51), two ends of the second traverse ring (52) are respectively provided with a second advancing ramp (55) and a second retreating ramp (54) which are connected with the surface of the cam (59), the bottom of the first butting rod (18) is movably connected with a first ball (4) which butts against the edge of the cam (59), and the L-shaped butting rod (8) is movably connected with a second ball (6) which butts against the second advancing ramp (55).

2. The orthopedic care rehabilitation device of claim 1, wherein: the first ball (4) is made of metal.

3. The orthopedic care rehabilitation device of claim 1, wherein: the second ball (6) is made of metal.

4. The orthopedic care rehabilitation device of claim 1, wherein: the first supporting platform (2) is made of metal.

5. The orthopedic care rehabilitation device of claim 1, wherein: the second support platform (57) is made of metal.

6. The orthopedic care rehabilitation device of claim 1, wherein: the cam (59) is made of metal.

7. The orthopedic care rehabilitation device of claim 1, wherein: the guide sleeve (15) is made of metal.

8. A method of using the orthopaedic care rehabilitation apparatus of claim 1, comprising the steps of:

firstly, reciprocating arm exercise: the handle (31) is held, the motor (7) is started, the motor (7) drives the fifth rotating shaft (48) to rotate, the fifth rotating shaft (48) rotates to drive the cam (59) and the guide sleeve (15) to rotate, the cam (59) pushes the first abutting rod (18) to ascend, the first abutting rod (18) ascends to push the second box body (17) to ascend, the second box body (17) ascends to drive the third supporting platform (29) and the rotary drum (30) to ascend, the guide sleeve (15) rotates to push the L-shaped abutting rod (8) to move rightwards, the L-shaped abutting rod (8) advances to drive the second abutting rod (13) to move rightwards through the sleeve (9), the second abutting rod (13) moves to drive the second box body (17) to move rightwards, the second box body (17) moves rightwards to drive the third supporting platform (29) and the rotary drum (30) to move rightwards, the cam (59) and the guide sleeve (15) continue to rotate, and under the action of the first spring (45) and the, the second box body (17) can descend and move leftwards to return to the initial position, so that the arm can be driven to circularly ascend → rightwards move → descend → leftwards to move through the rotation of the cam (59) and the guide sleeve (15) and the action of the first spring (45) and the second spring (10) so as to simulate the normal bending and straightening of the arm and exercise the muscle of the arm;

secondly, the arms switch the hands: the fifth rotating shaft (48) rotates to drive the second gear (3) to rotate, the second gear (3) rotates to drive the fourth rotating shaft (61) to rotate, the fourth rotating shaft (61) rotates to drive the fourth bevel gear (47) to rotate, the fourth bevel gear (47) rotates to drive the third bevel gear (14) to rotate, the third bevel gear (14) rotates to drive the third rotating shaft (21) to rotate, the third rotating shaft (21) rotates to drive the second bevel gear (20) to rotate, the second bevel gear (20) rotates to drive the first bevel gear (22) to rotate, the first bevel gear (22) rotates to drive the second rotating shaft (16) to rotate, the second rotating shaft (16) rotates to drive the disc (24) to rotate, the second rack (25) and the third rack (36) are driven to move in turn by the teeth on the surface of the disc (24), the second rack (25) and the third rack (36) move to drive the square frame (33) to reciprocate along the second chute (32), the reciprocating motion of the square frame (33) drives the first rack (26) to reciprocate, the reciprocating motion of the first rack (26) drives the first gear (28) meshed with the first rack to rotate in a reciprocating mode, the first gear (28) rotates in a reciprocating mode to drive the first rotating shaft (27) to rotate in a reciprocating mode, the first rotating shaft (27) rotates in a reciprocating mode to drive the rotating drum (30) to rotate in a reciprocating mode, the handle (31) is used for switching the positive hand and the negative hand in a reciprocating mode when the rotating drum (30) rotates in a reciprocating mode, and therefore different muscle groups on arms can be fully exercised.