CN112891154A - A neural rehabilitation device for cerebral apoplexy patient - Google Patents

A neural rehabilitation device for cerebral apoplexy patient Download PDF

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Publication number
CN112891154A
CN112891154A CN202110235438.8A CN202110235438A CN112891154A CN 112891154 A CN112891154 A CN 112891154A CN 202110235438 A CN202110235438 A CN 202110235438A CN 112891154 A CN112891154 A CN 112891154A
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CN
China
Prior art keywords
transmission
telescopic rod
matched
plate
rod
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Granted
Application number
CN202110235438.8A
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Chinese (zh)
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CN112891154B (en
Inventor
喻明
李莹
李娟�
李国旺
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Suining Central Hospital
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Suining Central Hospital
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Priority to CN202110235438.8A priority Critical patent/CN112891154B/en
Publication of CN112891154A publication Critical patent/CN112891154A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane
    • A61H1/0262Walking movement; Appliances for aiding disabled persons to walk
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/008Using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0452Specially adapted for transcutaneous muscle stimulation [TMS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0492Patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H2003/007Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5069Angle sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/08Other bio-electrical signals
    • A61H2230/085Other bio-electrical signals used as a control parameter for the apparatus

Abstract

The invention relates to the technical field of medical instruments, in particular to a nerve rehabilitation device for a cerebral apoplexy patient; the invention comprises a motion platform, a wearing component, a detection component and a feedback component, wherein the middle part of the top end of the motion platform is provided with a transmission component, one end of the motion platform in front of the transmission direction of the transmission component is provided with a mainframe box, the top end of the mainframe box is in damping type rotation connection with a matched display, the motion platform is also provided with a suspension component matched with the motion platform, the wearing component comprises a transverse plate, an arc plate, a fixing belt, a sliding block, a first telescopic rod, a second telescopic rod, a short rod and a flexible base plate, the detection component comprises a horizontal angle sensor, a vertical angle sensor, a pressure sensing panel and a control box, and the feedback component comprises a group of feedback electrode plates and a group; the invention can effectively solve the problems of poor training effect, pain in the whole training process, poor safety and the like in the prior art.

Description

A neural rehabilitation device for cerebral apoplexy patient
Technical Field
The invention relates to the technical field of medical instruments, in particular to a nerve rehabilitation device for a cerebral apoplexy patient.
Background
Stroke is an acute cerebrovascular disease, a group of diseases in which brain tissue is damaged due to sudden rupture of cerebral vessels or failure of blood flow into the brain due to vascular occlusion, and includes ischemic and hemorrhagic stroke. The stroke patient needs to carry out proper walking exercise in early rehabilitation, and the training begins earlier, and the plasticity of brain is bigger, and the potential that motion function recovers is bigger, often because some patients of limited condition can not insist on taking exercise for a long time and has influenced the recovery of walking function, so the urgent need of a device of supplementary stroke patient's walking exercise in the market.
In the application number: CN 201920491114.9's patent document discloses a cerebral apoplexy patient early rehabilitation appurtenance, including the bottom plate, the equal fixedly connected with in upper surface of bottom plate four corners department supports a section of thick bamboo, it is connected with the threaded rod to support a section of thick bamboo internal rotation, threaded rod external screw thread cup joints a screw thread section of thick bamboo, the upper end fixedly connected with slide bar that the level set up of a screw thread section of thick bamboo, slide bar setting and fixedly connected with turning handle are run through to the upper end of threaded rod, the threaded rod rotates with the slide bar to be connected, the slide bar slides outward and has cup jointed the slip shell, two fixedly connected with the handrail that the level set up on the relative lateral wall of. The utility model discloses a set up the handrail and can support the cerebral apoplexy patient and stand on the bottom plate, and the handrail can slide on the slide bar, supplementary cerebral apoplexy patient walks on the bottom plate, and the security is high, and recovered effectual, through setting up threaded rod and screw thread section of thick bamboo, the height of rotatable regulation handrail is applicable to the cerebral apoplexy patient who does not need the height, and the practicality is high, and application scope is wide.
But the following defects still exist in the practical application process:
firstly, the training effect is poor; because the affected limb of the patient has limited muscle stimulation during gait training, the affected limb has a prolonged ground supporting time (compared with the healthy limb) to relieve the pain of the affected limb when the patient walks, which makes the muscle of the affected limb not be trained effectively.
Secondly, the whole training process is painful, because the affected limb of the patient needs to keep the same supporting workload as the healthy limb when the patient performs gait training, which causes great pain to the early training of the patient, and the above-mentioned comparison document does not provide the patient with a gradual training process.
Thirdly, the security is relatively poor, because the muscle paralysis of one side of the patient of the cerebral apoplexy is powerless, the patient is difficult to keep the body balance when carrying out the gait training, thereby the dangerous condition such as falling is easy to happen, and the device in the above-mentioned comparison document can not prevent the patient from falling well.
Disclosure of Invention
The present invention is directed to solving the problems of the prior art, and the problems set forth in the background above.
In order to achieve the purpose, the invention adopts the following technical scheme: a nerve rehabilitation device for a cerebral apoplexy patient comprises a motion table, a wearing assembly, a detection assembly and a feedback assembly;
the middle of the top end of the motion platform is provided with a transmission assembly, one end of the motion platform in front of the transmission direction of the transmission assembly is provided with a host, the top end of the host is in damped type rotation connection with a matched display, and the motion platform is also provided with a suspension assembly matched with the host;
the wearable assembly comprises a transverse plate, an arc plate, a fixing belt, a sliding block, a first telescopic rod, a second telescopic rod, a short rod and a flexible base plate, wherein the arc plate is rotatably connected to two ends of the transverse plate, the fixing belt is fixed to the tail end of the arc plate, guide rails which are the same as the arc plate and are arranged on the outer ring side wall of the arc plate are arranged on the guide rail, the sliding block is connected to the guide rails in a sliding mode, the first telescopic rod with the central axis vertical to the ground is rotatably connected to the bottom end of the sliding block, the second telescopic rod with the central axis parallel to the ground is rotatably connected to the bottom end of the first telescopic rod, the short rod with the central axis parallel to the ground is rotatably connected to the bottom end of the second telescopic rod, the horizontal flexible base plate is arranged on the inner side of the bottom end of the short rod, fixing rings;
the detection assembly comprises a horizontal angle sensor, a vertical angle sensor, a pressure sensing panel and a control box, wherein the horizontal angle sensor is arranged in a containing cavity in the sliding block close to the bottom end of the sliding block, the vertical angle sensor is arranged at the rotating connection position of the first telescopic rod and the second telescopic rod and the rotating connection position of the second telescopic rod and the short rod, the pressure sensing panel is arranged at the front end and the rear end of the upper end surface and the rear end surface of the flexible base plate, the control box is arranged on the back surface of the transverse plate, a control panel is arranged in a cavity in the control box, and an interface module is also arranged on the control box;
the feedback assembly comprises a group of feedback electrode plates and a group of detection electrode plates with equal quantity; the detection electrode slice is used for being attached to the skin surface of the main muscle group at one side of a limb of a patient, and the feedback electrode slice is used for being attached to the skin surface of the main muscle group at one side of an affected limb of the patient;
the transmission assembly, the display, the driving assembly, the detection assembly and the feedback assembly are all controlled by a host.
Furthermore, one end of the motion table, which is different from the main machine, is provided with a step matched with the motion table, the top end surface of the motion table is provided with an installation groove matched with the transmission component, the motion table is also internally provided with a working cavity isolated from the mounting groove, the transmission assembly comprises a transmission belt, a transmission roller and a rotating motor, a group of driving rollers with the same height and parallel axes are tightly distributed in the mounting groove, the driving belt is tightly wrapped on the outer surface of the group of driving rollers, the two ends of the driving roller are provided with coaxial transmission shafts, the transmission shaft at one end of the driving roller close to the working cavity extends into the working cavity, the end parts of the transmission shafts in the working cavity are all fixed with coaxial transmission gears which are in synchronous transmission connection through matched chains, the rotating motor is arranged in the working cavity and is fixedly connected with any one transmission gear in a coaxial mode.
Further, the width that the width of drive belt equals mounting groove equals the length of driving roller, mounting groove's upper surface and motion platform's up end coplane, the motion platform is in mounting groove's notch position department and is equipped with the complex apron in the equal detachably in both ends of drive assembly transmission direction, the apron covers the space between drive belt and the mounting groove notch completely.
Furthermore, the subassembly that suspends in midair includes the flexible post of the U type frame of falling, hydraulic pressure and roof, the both sides that are in transmission assembly of motion platform all are equipped with the U type frame of falling, the top of the U type frame of falling is equipped with the flexible post of two perpendicular ground of axis symmetrically, the apex angle department of roof bottom face respectively with the free end fixing of the flexible post of corresponding hydraulic pressure, the bottom face of roof still is equipped with a set of couple, the middle part of the two end lever arms of the U type frame of falling all is equipped with the spacing ring.
Furthermore, the inner lateral wall of diaphragm is equipped with the lumbar vertebrae pad that matches with it, the arc recess that matches with it all is seted up on the inner ring lateral wall of arc, all be equipped with the gasbag that matches with it in the arc recess, the interface setting of aerifing of gasbag is in the one end of arc outer loop lateral wall, the both ends that arc outer loop lateral wall just is in the guide rail all are equipped with the go-between, two the end of fixed band is equipped with mutually supported magic subsides son face, magic subsides mother's face respectively, all is equipped with on the slider with guide rail complex lock nut, first telescopic link and second telescopic link are the three-rod body that all the sliding connection has the outer pole at an interior pole both ends, outer pole and the one end that the quarter butt is different from flexible backing plate all are equipped with the eye-splice.
Furthermore, the action end of the locking nut is rotatably connected with a movable head, and the force application surface of the movable head is provided with a layer of anti-skidding cushion body.
Furthermore, the driving component comprises a track plate, a driving motor, a screw rod, a driving block, a vertical electric telescopic rod and a horizontal electric telescopic rod, track plates are arranged on both sides of one end of the motion platform, which is close to the display, and driving blocks are connected on the track plates in a sliding way, the track plate is provided with a driving motor at one end far away from the motion table, the output end of the driving motor is fixedly connected with the end part of the screw rod inside the track plate extending out of the plate, a screw groove matched with the screw rod penetrates through the part of the driving block positioned in the track plate, five vertical electric telescopic rods with successively reduced types are arranged at the top end of the driving block along the transmission direction of the transmission assembly, the free end of the vertical electric telescopic rod is provided with a horizontal electric telescopic rod pointing to the step and the type of the horizontal electric telescopic rod is matched with the step, and the free end of the horizontal electric telescopic rod is horizontal and points to the connecting rod of the motion table.
Furthermore, the tail ends of the connecting rods are provided with plugs matched with the buckles.
Furthermore, the control board comprises a processing module, a power supply module and a storage module.
Further, the feedback electrode slice and the detection electrode slice are in a delayed mirror image relationship.
Compared with the prior art, the invention has the advantages and positive effects that,
1. according to the invention, by additionally arranging the motion platform, the wearing component detection component and the feedback component, the motion platform is provided with the transmission component, the motion platform is provided with the host and the display at one end in front of the transmission direction of the transmission component, the detection component comprises a horizontal angle sensor, a vertical angle sensor, a pressure sensing panel and a control box, and the feedback component comprises a group of feedback electrode plates and a group of detection electrode plates with equal quantity. The patient wears the subassembly at first like this, then with the main muscle crowd skin surface of detecting electrode piece subsides on patient's healthy limb one side, then paste the feedback electrode piece on the main muscle crowd skin surface of healthy limb one side of patient, then step on the motion platform, the work of host computer control transmission subassembly, then the patient carries out gait training, this in-process host computer reads the numerical value of healthy limb one side detecting element in real time, the numerical value of the detecting element of sick limb one side and the numerical value of the detecting electrode piece of healthy limb one side, thereby control the feedback motor piece of sick limb one side and delay mirror image output electro photoluminescence, thereby make the muscle crowd of sick limb one side obtain the stimulation the same with the muscle crowd of healthy limb one side. The gait training effect of the patient is effectively improved.
2. The invention is designed by additionally arranging a motion table, a transmission assembly, a detection assembly, a host, a display, a wearing assembly, a suspension assembly and a driving assembly. Therefore, the patient can be stably and reliably suspended by the matching of the suspension component and the wearing component, then the supporting force of the affected limb of the patient is reduced by controlling the suspension component through the host machine, and then the passive or active gait training is carried out on the patient under the matching of the host machine, the wearing component, the feedback component and the driving component. The effect of effectively reducing the pain of the patient in the whole rehabilitation training is achieved.
3. The invention increases the design of the wearing component and the suspension component. This allows a reliable and stable suspension of the patient on the motion table. The effect of effectively improving the safety of the patient during gait training is achieved.
Drawings
FIG. 1 is a pictorial view of a first line of sight of the present invention;
FIG. 2 is an exploded view of the motion stage, the wear assembly, the drive assembly, and the suspension assembly from a second perspective of the present invention;
FIG. 3 is an exploded view of the suspension assembly from a third perspective of the present invention;
FIG. 4 is a schematic view of a driving assembly at a fourth viewing angle according to the present invention;
FIG. 5 is an exploded view of a track plate, partially sectioned and with a screw, a drive motor and a drive block, according to a fifth aspect of the present invention;
FIG. 6 is an exploded view of the motion stage, steps, cover plate, drive rollers and belt portion from a sixth perspective of the present invention;
FIG. 7 is a schematic view of a motion stage at a seventh viewing angle with a partially cut-away view of the structure of the motion stage in the working chamber;
FIG. 8 is a pictorial view of the wearing assembly at an eighth viewing angle in accordance with the present invention;
FIG. 9 is a partial exploded view of the wear assembly from a ninth perspective of the present invention;
FIG. 10 is a pictorial view, partially in section, of a control pod at a tenth viewing angle in accordance with the present invention;
FIG. 11 is an exploded view of the slider shown in section with a locking nut from an eleventh perspective of the present invention;
FIG. 12 is an exploded view, partially in section, of a locking nut, with a removable head and anti-slip gasket, according to a twelfth aspect of the present invention;
FIG. 13 is an enlarged view of area A of FIG. 8;
FIG. 14 is an enlarged view of area B of FIG. 8;
fig. 15 is an enlarged view of the region C in fig. 9.
Illustration of the drawings:
1-a motion stage; 2-a host; 3-a display; 4-a transverse plate; 5-arc-shaped plates; 6, fixing the belt; 7-a slide block; 8-a first telescopic rod; 9-a second telescopic rod; 10-short bar; 11-a flexible pad; 12-a guide rail; 13-a fixed ring; 14-horizontal angle sensor; 15-a vertical angle sensor; 16-a pressure sensing panel; 17-a control box; 18-a housing chamber; 19-a cavity; 20-a control panel; 21-an interface module; 22-step; 23-mounting a groove; 24-a working chamber; 25-a transmission belt; 26-a driving roller; 27-a rotating electrical machine; 28-a drive shaft; 29-a transmission gear; 30-a chain; 31-a cover plate; 32-an inverted U-shaped frame; 33-hydraulic telescopic column; 34-a top plate; 35-hanging hooks; 36-a stop collar; 37-lumbar cushion; 38-an air bag; 39-inflation interface; 40-connecting rings; 41-magic tape surface; 42-magic tape mother surface; 43-a locking nut; 44-a plug-in buckle; 45-a movable head; 46-an anti-slip pad body; 47-a track slab; 48-a drive motor; 49-screw; 50-a drive block; 51-vertical electric telescopic rod; 52-horizontal electric telescopic rod; 53-spiral groove; 54-a tie rod; 55-plug; 56-a processing module; 57-a power supply module; 58-memory module.
Detailed Description
In order that the above objects, features and advantages of the present invention can be more clearly understood, the present invention will be further described with reference to the accompanying drawings and examples. It should be noted that the embodiments and features of the embodiments of the present application may be combined with each other without conflict.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, however, the present invention may be practiced in other ways than those specifically described herein, and thus the present invention is not limited to the specific embodiments of the present disclosure.
A neural rehabilitation device for a cerebral apoplexy patient of the embodiment, refer to fig. 1 to 15: including motion platform 1, dress subassembly, detection components and feedback subassembly.
The middle of the top end of the motion platform 1 is provided with a transmission component, one end of the motion platform 1 in front of the transmission direction of the transmission component is provided with a host machine 2, the top end of the host machine 2 is connected with a matched display 3 in a damping mode, and the motion platform 1 is further provided with a suspension component matched with the host machine.
The wearing assembly comprises a transverse plate 4, an arc plate 5, a fixing belt 6, a sliding block 7, a first telescopic rod 8, a second telescopic rod 9, a short rod 10 and a flexible base plate 11, the two ends of the transverse plate 4 are connected with the arc plate 5 in a rotating mode, the tail end of the arc plate 5 is fixed with the fixing belt 6, a guide rail 12 which is connected with the arc plate 5 and shares the same axis with the arc plate is arranged on the outer ring side wall of the arc plate 5, the sliding block 7 is connected on the guide rail 12 in a sliding mode, the first telescopic rod 8 with the perpendicular ground to the axis is connected on the bottom end of the sliding block 7 in a rotating mode, the second telescopic rod 9 with the parallel ground to the axis is connected on the bottom end of the first telescopic rod 8 in a rotating mode, the short rod 10 with the parallel ground to the axis is connected on the bottom end of the second telescopic rod 9 in a rotating mode, a horizontal flexible base plate 11 is arranged on the bottom end of the short, The second telescopic bar 9 and the short bar 10 are fixed on the outside of the leg of the patient), the wearing assembly is driven by the driving assembly.
The detection subassembly includes horizontal angle sensor 14, vertical angle sensor 15, pressure experience panel 16 and control box 17, slider 7 is equipped with horizontal angle sensor 14 in being close to its inside holding chamber of bottom 18, the rotation junction of first telescopic link 8 and second telescopic link 9, the rotation junction of second telescopic link 9 and quarter butt 10 all is equipped with vertical angle sensor 15, on the flexible backing plate 11, the preceding of terminal surface down, back both ends all are equipped with pressure experience panel 16, control box 17 sets up the back at diaphragm 4, be equipped with control panel 20 in the inside cavity 19 of control box 17, still be equipped with interface module 21 on the control box 17.
The feedback assembly comprises a group of feedback electrode plates and a group of detection electrode plates with equal quantity; the detection electrode slice is used for being attached to the skin surface of the main muscle group at one side of a limb of a patient, and the feedback electrode slice is used for being attached to the skin surface of the main muscle group at one side of an affected limb of the patient; and the feedback electrode slice and the detection electrode slice are in a delayed mirror image relationship.
The transmission assembly, the display 3, the driving assembly, the detection assembly and the feedback assembly are all controlled by the host machine 2.
One end of the motion table 1 different from the main machine 2 is provided with a step 22 matched with the main machine (so that a patient can conveniently climb up the motion table 1 and can also walk on stairs for training), the top end face of the motion table 1 is provided with an installation groove 23 matched with a transmission component, the interior of the motion table 1 is also provided with a working cavity 24 isolated from the installation groove 23, the transmission component comprises a transmission belt 25, a transmission roller 26 and a rotating motor 27, a group of transmission rollers 26 with the same height and parallel axes are closely distributed in the installation groove 23, the transmission belt 25 is tightly wrapped on the outer surface of the group of transmission rollers 26, two ends of the transmission rollers 26 are respectively provided with a coaxial transmission shaft 28, the transmission shaft 28 at one end of the transmission roller 26 close to the working cavity 24 is respectively extended into the working cavity 24, the end part of the transmission shaft 28 in the working cavity 24 is respectively fixed with a coaxial transmission gear 29, and the transmission gears 29 are synchronously connected through a, the rotating motor 27 is arranged in the working chamber 24 and is coaxially and fixedly connected with any one of the transmission gears 29.
The width of the transmission belt 25 is equal to the width of the mounting groove 23 and the length of the transmission roller 26, the upper surface of the mounting groove 23 is coplanar with the upper end surface of the moving platform 1, the moving platform 1 is positioned at the notch position of the mounting groove 23, and both ends in the transmission direction of the transmission assembly are detachably provided with matched cover plates 31, and the cover plates 31 completely cover the gap between the transmission belt 25 and the notch of the mounting groove 23; this can effectively improve the safety during training on the patient table 1.
The suspension assembly comprises an inverted U-shaped frame 32, hydraulic telescopic columns 33 and a top plate 34, the two sides, located on the transmission assembly, of the motion platform 1 are provided with the inverted U-shaped frame 32, the top end of the inverted U-shaped frame 32 is symmetrically provided with the hydraulic telescopic columns 33 with two central axes perpendicular to the ground, the vertex angle of the bottom end face of the top plate 34 is fixed to the free end of the corresponding hydraulic telescopic column 33, the bottom end face of the top plate 34 is further provided with a group of hooks 35, and the middle portions of lever arms at two ends of the inverted U-shaped frame 32 are provided with limit rings 36.
The inner end side wall of the transverse plate 4 is provided with a lumbar cushion 37 matched with the transverse plate (wherein the lumbar cushion 37 can improve the comfort of the waist of a patient), the inner ring side wall of the arc-shaped plate 5 is provided with arc-shaped grooves matched with the inner ring side wall, the arc-shaped grooves are respectively provided with air bags 38 matched with the inner ring side wall (wherein the air bags 38 can improve the comfort of the abdomen of the patient and can also improve the range of the wearing assembly suitable for patients with different body types), an inflation interface 39 of the air bags 38 is arranged at one end of the outer ring side wall of the arc-shaped plate 5, the two ends of the outer ring side wall of the arc-shaped plate 5, which are positioned at the guide rail 12, are respectively provided with magic tape surfaces, female face 42 is pasted to magic, all be equipped with on the slider 7 with guide rail 12 complex lock nut 43, first telescopic link 8 and second telescopic link 9 are the interior pole both ends all the three-rod body that the sliding connection has the outer pole, and outer pole and quarter butt 10 are different from the one end of flexible backing plate 11 and all are equipped with eye-splice 44.
The action end of the locking nut 43 is rotatably connected with a movable head 45, the force application surface of the movable head 45 is provided with a layer of anti-skid pad 46, wherein the movable head 45 can reduce the mechanical abrasion of the locking nut 43 on the guide rail 12, and the anti-skid pad 46 can further improve the stability and reliability of the locking nut 43 for fixing the sliding block 7 on the guide rail 12.
The driving assembly comprises a track plate 47, a driving motor 48 and a screw 49, drive block 50, perpendicular electric telescopic handle 51 and horizontal electric telescopic handle 52, the both sides that motion platform 1 is close to 3 one end of display all are equipped with track board 47, it has drive block 50 all to connect in sliding on the track board 47, the one end that motion platform 1 was kept away from to track board 47 all is equipped with driving motor 48, the tip fixed connection outside screw rod 49 that driving motor 48 output and track board 47 inside stretched out the board, the spiral shell groove 53 that has matched with screw rod 49 is run through to the part that drive block 50 is in track board 47 inside, the drive block 50 top is equipped with five models perpendicular electric telescopic handle 51 that reduce in proper order along the transmission direction of drive assembly, perpendicular electric telescopic handle 51's free end tip all is equipped with directional step 22 and the horizontal electric telescopic handle 52 that the model matches with it, horizontal electric telescopic handle 52 free end tip is equal level and the connecting rod 54 of directional motion platform 1.
The ends of the coupling rods 54 are each provided with a plug 55 which cooperates with the eye-splice 44.
The control panel 20 comprises a processing module 56, a power supply module 57 and a storage module 58; the processing module 56 is used for performing preliminary processing on real-time monitoring data of the detection assembly and the detection electrode plate, and then transmitting the preliminarily processed data to the host computer 2 for final processing, the power supply module 57 is used for ensuring safe operation of each electric appliance component on the control panel 20, and the storage module 58 is used for storing corresponding control programs and data.
When in use:
the preparation process comprises the following steps:
first, the doctor wears the wearing assembly for the patient.
In a second step, the physician supports the patient on the table 1 via the step 22.
Third, the doctor hangs the patient in a vertical direction by using a string through the connection ring 40 and the corresponding hook 35.
Fourthly, the doctor uses a string to pass through the connection ring 40 and the corresponding stop collar 36, thereby ensuring the stability of the patient in the horizontal direction.
Fifthly, pasting a detection electrode slice on the skin surface of the main muscle group at the limb strengthening side of the patient by the doctor, and then pasting a feedback electrode slice on the position, corresponding to the detection electrode slice, at the affected limb side of the patient by the doctor.
Sixthly, the doctor electrically connects the detection assembly and the feedback assembly to the control panel 20 through the interface module 21 by using a cable, and then electrically connects the control panel 20 to the host 2 through the interface module 21 by using another cable.
Completely passive training:
in the first step, the doctor controls the hydraulic telescopic column 33 to extend through the host machine 2, so that the feet of the patient are suspended, and whether the real-time monitoring data of the pressure sensing panel 16 from the lower end face of the flexible cushion plate 11 is zero or not is judged.
Secondly, the doctor controls the driving block 50 to move to a proper position through the main machine 2, and the vertical electric telescopic rod 51 and the horizontal electric telescopic rod 52 extend to a specified length, so that the plug 55 on the connecting rod 54 is inserted and fixed with the corresponding buckle 44.
And thirdly, the doctor selects a corresponding gait walking training mode through the host machine 2.
Fourthly, the main machine 2 controls the driving components to work, thereby controlling the legs of the patient to walk back and forth.
At this time, the host 2 monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15, the pressure sensing panel 16 and the detection electrode plate on the healthy limb side of the patient in real time, and monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on the affected limb side of the patient in real time. The main machine 2 mainly collects myoelectric signals of each main muscle group of the healthy limb when the healthy limb of the patient is in different postures in the walking process.
Then, when the affected limb of the patient reaches the same posture as the healthy limb in the walking process (namely, the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the affected limb are all equal to the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the healthy limb), the host machine 2 can output corresponding electrical stimulation signals to the main muscle group on one side of the affected limb through the feedback electrode slice, so that the stimulation to the muscle group of the affected limb is increased, and the rehabilitation training effect of the affected limb of the patient is improved.
Namely, the detection electrode slice and the feedback electrode slice are in a delayed mirror image relationship.
(II) semi-active and semi-passive training:
in the first step, the doctor controls the hydraulic telescopic column 33 to extend through the host machine 2, so that the patient is suspended, the supporting force required by the patient to support the body of the patient is reduced, and the real-time monitoring data from the pressure sensing panel 16 at the position of the flexible cushion plate 11 is judged.
Secondly, the doctor controls the driving block 50 to move to a proper position through the main machine 2, and the vertical electric telescopic rod 51 and the horizontal electric telescopic rod 52 extend to a specified length, so that the plug 55 on the connecting rod 54 is inserted and fixed with the corresponding buckle 44.
And thirdly, the doctor selects a corresponding gait walking training mode through the host machine 2.
And fourthly, the main machine 2 controls the transmission assembly and the driving assembly to work, so that the legs of the patient are controlled to walk back and forth.
In the process, the patient needs to control the movement of the two legs autonomously, but the patient walks passively under the guidance of the driving assembly.
At this time, the host 2 monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15, the pressure sensing panel 16 and the detection electrode plate on the healthy limb side of the patient in real time, and monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on the affected limb side of the patient in real time. The main machine 2 mainly collects myoelectric signals of each main muscle group of the healthy limb when the healthy limb of the patient is in different postures in the walking process.
Then, when the affected limb of the patient reaches the same posture as the healthy limb in the walking process (namely, the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the affected limb are all equal to the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the healthy limb), the host machine 2 can output corresponding electrical stimulation signals to the main muscle group on one side of the affected limb through the feedback electrode slice, so that the stimulation to the muscle group of the affected limb is increased, and the rehabilitation training effect of the affected limb of the patient is improved.
(III) completely active training:
in the first step, the doctor controls the extension amount of the hydraulic telescopic column 33 through the host machine 2, thereby properly adjusting the supporting force required by the patient to support the body of the patient with both legs, and determining the real-time monitoring data from the pressure sensing panel 16 on the flexible cushion plate 11.
And secondly, the doctor selects a corresponding gait walking training mode through the host machine 2, and simultaneously adjusts the display 3 to a proper angle.
And thirdly, the main machine 2 controls the transmission component to work.
And fourthly, immediately after the third step, the patient completely controls the two legs to walk autonomously.
At this time, the host 2 monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15, the pressure sensing panel 16 and the detection electrode plate on the healthy limb side of the patient in real time, and monitors the values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on the affected limb side of the patient in real time. The main machine 2 mainly collects myoelectric signals of each main muscle group of the healthy limb when the healthy limb of the patient is in different postures in the walking process.
Then, when the affected limb of the patient reaches the same posture as the healthy limb in the walking process (namely, the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the affected limb are all equal to the numerical values of the horizontal angle sensor 14, the vertical angle sensor 15 and the pressure sensing panel 16 on one side of the healthy limb), the host machine 2 can output corresponding electrical stimulation signals to the main muscle group on one side of the affected limb through the feedback electrode slice, so that the stimulation to the muscle group of the affected limb is increased, and the rehabilitation training effect of the affected limb of the patient is improved.
Meanwhile, the host machine 2 analyzes the walking direction of the patient according to the values of all the horizontal angle sensors 14, the vertical angle sensors 15 and the pressure sensing panel 16 in the detection assembly, and displays the walking direction on the display 3 in real time, and then the patient adjusts the walking posture and direction according to the real-time simulation picture on the display 3.
The above description is only a preferred embodiment of the present invention, and not intended to limit the present invention in other forms, and any person skilled in the art may apply the above modifications or changes to the equivalent embodiments with equivalent changes, without departing from the technical spirit of the present invention, and any simple modification, equivalent change and change made to the above embodiments according to the technical spirit of the present invention still belong to the protection scope of the technical spirit of the present invention.

Claims (10)

1. A neural rehabilitation device for cerebral apoplexy patient which characterized in that: comprises a motion table (1), a wearing component, a detection component and a feedback component;
the middle of the top end of the motion platform (1) is provided with a transmission assembly, one end of the motion platform (1) in front of the transmission direction of the transmission assembly is provided with a host (2), the top end of the host (2) is in damping type rotation connection with a matched display (3), and the motion platform (1) is further provided with a suspension assembly matched with the motion platform;
the wearing assembly comprises a transverse plate (4), an arc-shaped plate (5), a fixing belt (6), a sliding block (7), a first telescopic rod (8), a second telescopic rod (9), a short rod (10) and a flexible base plate (11), wherein the arc-shaped plate (5) is rotatably connected to two ends of the transverse plate (4), the fixing belt (6) is fixed to the tail end of the arc-shaped plate (5), guide rails (12) which are the same as the arc-shaped plate and are arranged on the outer ring side wall of the arc-shaped plate (5), the sliding block (7) is slidably connected to the guide rails (12), the first telescopic rod (8) with the central axis vertical to the ground is rotatably connected to the bottom end of the sliding block (7), the second telescopic rod (9) with the central axis parallel to the ground is rotatably connected to the bottom end of the first telescopic rod (8), the short rod (10) with the central axis parallel to the ground, a horizontal flexible base plate (11) is arranged on the inner side of the bottom end of the short rod (10), fixing rings (14) and (13) are arranged on the first telescopic rod (8), the second telescopic rod (9) and the short rod (10), and the wearing component is driven by a driving component;
the detection assembly comprises a horizontal angle sensor, a vertical angle sensor (15), a pressure sensing panel (16) and a control box (17), the horizontal angle sensor is arranged in a containing cavity (18) of the sliding block (7) close to the inner part of the bottom end of the sliding block, the vertical angle sensor (15) is arranged at the rotating joint of the first telescopic rod (8) and the second telescopic rod (9) and the rotating joint of the second telescopic rod (9) and the short rod (10), the pressure sensing panel (16) is arranged at the front end and the rear end of the upper end surface and the lower end surface of the flexible base plate (11), the control box (17) is arranged on the back surface of the transverse plate (4), a control plate (20) is arranged in a cavity (19) in the control box (17), and an interface module (21) is further arranged on the control box (17);
the feedback assembly comprises a group of feedback electrode plates and a group of detection electrode plates with equal quantity; the detection electrode slice is used for being attached to the skin surface of the main muscle group at one side of a limb of a patient, and the feedback electrode slice is used for being attached to the skin surface of the main muscle group at one side of an affected limb of the patient;
the transmission assembly, the display (3), the driving assembly, the detection assembly and the feedback assembly are all controlled by the host (2).
2. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: the moving table is characterized in that a step (22) matched with the moving table is arranged at one end, different from the main machine (2), of the moving table (1), an installation groove (23) matched with a transmission assembly is formed in the top end face of the moving table (1), a working cavity (24) isolated from the installation groove (23) is further formed in the moving table (1), the transmission assembly comprises a transmission belt (25), a transmission roller (26) and a rotating motor (27), a group of transmission rollers (26) with the same height and parallel axes are closely distributed in the installation groove (23), the transmission belt (25) is tightly wrapped on the outer surfaces of the group of transmission rollers (26), coaxial transmission shafts (28) are arranged at two ends of the transmission rollers (26), the transmission shafts (28) at one end, close to the working cavity (24), of the transmission rollers (26) extend into the working cavity (24), and coaxial transmission gears (29) are fixed at the end parts, located in the working cavity (24), of the transmission shafts (28), the transmission gears (29) are in synchronous transmission connection through a chain (30) matched with each other, and the rotating motor (27) is arranged in the working cavity (24) and is fixedly connected with any one transmission gear (29) in a coaxial mode.
3. The neurological rehabilitation device for stroke patients according to claim 2, characterized in that: the width that the width of drive belt (25) equals mounting groove (23) equals the length of driving roller (26), the up surface of mounting groove (23) and the up end coplane of motion platform (1), the equal detachably in both ends that motion platform (1) is in the notch position department of mounting groove (23) and is in drive assembly transmission direction is equipped with complex apron (31), apron (31) cover the space between drive belt (25) and mounting groove (23) notch completely.
4. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: hang the subassembly in midair and include inverted U type frame (32), the flexible post of hydraulic pressure (33) and roof (34), the both sides that are in transmission assembly of motion platform (1) all are equipped with inverted U type frame (32), the top of inverted U type frame (32) is equipped with the flexible post of hydraulic pressure (33) on two axis vertical ground symmetrically, the apex angle department of roof (34) bottom face respectively with the free end fixing of the flexible post of hydraulic pressure (33) that corresponds, the bottom face of roof (34) still is equipped with a set of couple (35), the middle part of the flexible arm in inverted U type frame (32) both ends all is equipped with spacing ring (36).
5. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: the inner end side wall of the transverse plate (4) is provided with a lumbar cushion (37) matched with the transverse plate, the inner ring side walls of the arc-shaped plates (5) are provided with arc-shaped grooves matched with the arc-shaped plates, air bags (38) matched with the arc-shaped grooves are arranged in the arc-shaped grooves, an inflation interface (39) of each air bag (38) is arranged at one end of the outer ring side wall of the arc-shaped plate (5), the outer ring side wall of the arc-shaped plate (5) and two ends of the guide rail (12) are respectively provided with a connecting ring (40), the tail ends of the two fixing belts (6) are respectively provided with a magic tape surface (41) and a magic tape female surface (42) which are matched with each other, the sliding block (7) is respectively provided with a locking nut (43) which is matched with the guide rail (12), the first telescopic rod (8) and the second telescopic rod (9) are three rod bodies, wherein the two ends of the inner rod are both connected with outer rods in a sliding way, the outer rod and the short rod (10) are provided with buckles (44) at the ends different from the flexible cushion plate (11).
6. The neurological rehabilitation device for stroke patients according to claim 5, characterized in that: the action end of the locking nut (43) is rotatably connected with a movable head (45), and the force application surface of the movable head (45) is provided with a layer of anti-skidding cushion body (46).
7. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: the driving assembly comprises a track plate (47), a driving motor (48), a screw rod (49), a driving block (50), a vertical electric telescopic rod (51) and a horizontal electric telescopic rod (52), the two sides of one end, close to the display (3), of the motion table (1) are respectively provided with the track plate (47), the track plate (47) is connected with the driving block (50) in a sliding mode, one end, far away from the motion table (1), of the track plate (47) is provided with the driving motor (48), the output end of the driving motor (48) is fixedly connected with the end part, outside the track plate, of the screw rod (49) inside the track plate (47) and fixedly connected with the end part, located inside the track plate (47), of the driving block (50) penetrates through a spiral groove (53) matched with the screw rod (49), the top end of the driving block (50) is provided with five vertical electric telescopic rods (51) of which the models are reduced in sequence, the free end part of each vertical electric telescopic rod (51) is provided with a horizontal electric telescopic rod (52) pointing to the step (22) and the type of the horizontal electric telescopic rod is matched with that of the step, and the free end part of each horizontal electric telescopic rod (52) is horizontal and points to a connecting rod (54) of the motion platform (1).
8. The neurological rehabilitation device for stroke patients according to claim 5 or 7, characterized in that: the tail ends of the connecting rods (54) are provided with plugs (55) matched with the inserting buckles (44).
9. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: the control board (20) comprises a processing module (56), a power supply module (57) and a storage module (58).
10. The neurological rehabilitation device for stroke patients according to claim 1, characterized in that: the feedback electrode slice and the detection electrode slice are in a delayed mirror image relationship.
CN202110235438.8A 2021-03-03 2021-03-03 A neural rehabilitation device for cerebral apoplexy patient Active CN112891154B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107157712A (en) * 2017-06-20 2017-09-15 深圳市瀚翔生物医疗电子股份有限公司 A kind of leg training rehabilitation equipment
CN110936356A (en) * 2019-12-09 2020-03-31 西安交通大学 Waist device of exoskeleton robot
CN111672025A (en) * 2020-05-29 2020-09-18 南京锐诗得医疗科技有限公司 Hand function rehabilitation training device and method

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107157712A (en) * 2017-06-20 2017-09-15 深圳市瀚翔生物医疗电子股份有限公司 A kind of leg training rehabilitation equipment
US20200100977A1 (en) * 2017-06-20 2020-04-02 Shenzhen Hanix United, Ltd. Lower Limb Training Rehabilitation Apparatus
CN110936356A (en) * 2019-12-09 2020-03-31 西安交通大学 Waist device of exoskeleton robot
CN111672025A (en) * 2020-05-29 2020-09-18 南京锐诗得医疗科技有限公司 Hand function rehabilitation training device and method

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