CN112972200B - Lever positioning manipulation force application device - Google Patents
Lever positioning manipulation force application device Download PDFInfo
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- CN112972200B CN112972200B CN202110147958.3A CN202110147958A CN112972200B CN 112972200 B CN112972200 B CN 112972200B CN 202110147958 A CN202110147958 A CN 202110147958A CN 112972200 B CN112972200 B CN 112972200B
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- 238000000034 method Methods 0.000 claims abstract description 55
- 210000001624 hip Anatomy 0.000 claims abstract description 32
- 230000007246 mechanism Effects 0.000 claims abstract description 16
- 210000003141 lower extremity Anatomy 0.000 claims abstract description 11
- 230000005540 biological transmission Effects 0.000 claims abstract description 8
- 230000033001 locomotion Effects 0.000 claims abstract description 7
- 210000002414 leg Anatomy 0.000 abstract description 10
- 238000011282 treatment Methods 0.000 abstract description 9
- 230000000694 effects Effects 0.000 description 7
- 238000010586 diagram Methods 0.000 description 5
- 230000008859 change Effects 0.000 description 4
- 230000008569 process Effects 0.000 description 3
- 208000012287 Prolapse Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 210000000544 articulatio talocruralis Anatomy 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 238000002591 computed tomography Methods 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 229910052755 nonmetal Inorganic materials 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000002221 olecranon process Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 239000002023 wood Substances 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0218—Drawing-out devices
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention relates to a lever positioning technique force application device which is used for applying force to the body of a patient by simulating the lever positioning technique when the patient is prone, and comprises a pressing rod which is abutted against the back waist of the patient, a pressing rod bracket used for installing the pressing rod and a lifting frame which is used for lifting the double lower limbs of the patient and enabling the waist to extend backwards, the lifting frame is provided with a power mechanism, the power mechanism is connected with a control end, and the control end is used for controlling the power mechanism to drive the lifting frame to rotate by taking the hip position of a patient as the center; the lifting frame is connected with a connecting rod, the connecting rod moves horizontally along with the rotation of the lifting frame, and the pressing rod is connected with the connecting rod through a gear transmission fixedly arranged on the pressing rod support, so that the horizontal movement of the connecting rod drives the pressing rod to move in the vertical direction. The device of the invention applies force to the waist and leg of the patient in a linkage way, simulates the lever positioning technique to carry out quick pulling, and the force application condition is more consistent with the force application of the actual treatment technique of doctors.
Description
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to a lever positioning technique force application device.
Background
The lever positioning technique (manipulation of lever location) is a practical technique for treating prolapse of lumbar intervertebral disc, which acts on the prolapse of lumbar intervertebral disc, first exposes the waist of the patient, bends the knee, bends the hip, then crosses the two lower limbs, uses the olecranon of the right hand elbow of the operator to act on the affected lumbar vertebra of the waist, holds the two ankle joints of the patient by two hands, makes the lumbar vertebra produce a bending motion through the arm lever, pulls the two lower limbs and the two ankle joints upwards with force, and uses the 'Qian Jiu' to do a quick pulling when pulling the lumbar vertebra to reach a certain resistance. In order to study the action mechanism of lever positioning technique and better improve the force application mode, the physiological image of the patient needs to be scanned by a CT machine during treatment, however, doctors cannot perform the technique operation when the patient is in CT, so that the force application device is required to simulate the force applied by the technique and send the force application device together with the patient into the CT machine for scanning. The device for simulating lever positioning technique has the advantages that the lower limb of a patient is fixed through the device to simulate lever positioning technique, but the device can only keep the limb of the patient in a fixed form, force cannot be generated completely, the influence on lumbar vertebra when 'Qiaolicunjin' is applied cannot be simulated accurately, and larger errors exist in force application effect and tissue change condition compared with actual conditions.
Therefore, a force application device which can be more in line with the actual manipulation is needed, the force application device can be used for applying force to the waist and leg of a patient in a linkage way, the lever positioning manipulation is simulated to be quickly pulled, the force application condition is more in line with the force application of the actual treatment manipulation of a doctor, the CT scanning image is more in line with the condition of a patient in the actual treatment process, and the experimental mechanism research and the clinical actual application of the lever positioning manipulation are facilitated.
Disclosure of Invention
In view of the foregoing drawbacks and deficiencies of the prior art, it is an object of the present invention to at least solve one or more of the above-mentioned problems of the prior art, in other words, to provide a lever positioning technique force application device that meets one or more of the above-mentioned needs.
In order to achieve the aim of the invention, the invention adopts the following technical scheme:
the utility model provides a lever positioning manipulation force application device for carry out the application of force of simulated lever positioning manipulation to its health when patient prone, including the pressure pole of leaning on patient's back waist, the pressure pole support that is used for installing the pressure pole and lifting patient's two low limbs, make the waist stretch backward lift the frame, lift the frame and be equipped with power unit, and power unit is connected with the control end, and the control end is used for controlling power unit drive to lift the frame and rotate taking patient's buttock position as center; the lifting frame is connected with a connecting rod, the connecting rod moves horizontally along with the rotation of the lifting frame, and the pressing rod is connected with the connecting rod through a gear transmission fixedly arranged on the pressing rod support, so that the horizontal movement of the connecting rod drives the pressing rod to move in the vertical direction.
Preferably, the degree of rotation of the lifting frame is limited to bending the patient's lumbar underside to the back by 25 ° -30 °.
As a preferable scheme, a supporting plate which is attached to the two lower limbs of the patient is arranged on the lifting frame.
As a preferable scheme, the pressing rod is provided with a scale value for displaying the pressing force applied to the patient by the current pressing rod position.
Preferably, the power mechanism is an electric motor.
Preferably, the power mechanism is a spring ejector.
Preferably, the lever positioning method force application device further comprises; one side of the pressing rod support is provided with a movable upright post which is hinged with the bed board, when the movable upright post is transversely opened, a space opened by the upright post for a patient enters the device, and when the movable upright post is vertically erected, the pressing rod support is supported.
Preferably, a part of the pressing rod is an elastic member, and the elastic member is compressed or released along with the movement of the pressing rod, so that the pressing force of the pressing rod to the patient is changed.
As a preferable scheme, the tail end of the pressing rod, which is abutted against the back waist of the patient, is provided with a pressing plate for enlarging the contact area between the pressing rod and the waist of the patient.
As the preferable scheme, be equipped with the spout parallel with patient's prone direction on the pressing rod support, pressing rod is through spout sliding connection on pressing rod support, along with the sliding change to the pressing position of patient's waist.
Compared with the prior art, the invention has the beneficial effects that:
the device of the invention applies force to the waist and leg of the patient in a linkage way, simulates the lever positioning technique to carry out quick pulling, and the force application condition is more consistent with the force application of the actual treatment technique of doctors.
Drawings
Fig. 1 is a schematic structural diagram of a lever positioning method force application device according to embodiment 1 of the present invention;
FIG. 2 is a cross-sectional view of a transmission mechanism at a lifting plate of a lever positioning technique force application device according to embodiment 1 of the present invention;
FIG. 3 is a cross-sectional view of a transmission mechanism at a pressing rod of a lever positioning technique force application device of embodiment 1 of the present invention;
fig. 4 is a schematic structural diagram of a lever positioning method force application device according to embodiment 2 of the present invention;
FIG. 5 is a schematic structural diagram of a force applying device according to a lever positioning method in embodiment 5 of the present invention;
FIG. 6 is a schematic structural diagram of a force applying device according to a lever positioning method in embodiment 6 of the present invention;
FIG. 7 is an enlarged view of a portion of the mark in FIG. 1;
fig. 8 is a partial enlarged view of the mark in fig. 5.
Detailed Description
In order to more clearly illustrate the embodiments of the present invention, specific embodiments of the present invention will be described below with reference to the accompanying drawings. It is evident that the drawings in the following description are only examples of the invention, from which other drawings and other embodiments can be obtained by a person skilled in the art without inventive effort.
Example 1: the invention provides a lever positioning technique force application device, which is used for applying force to the body of a patient by simulating the lever positioning technique when the patient is prone, and the structure is shown in figure 1, and comprises: a bed board 1 for allowing a patient to lie on the bed board; a pressing rod bracket 2 which is horizontally arranged in an I shape and is fixed on the bed board 1 through four upright posts at four corners; the pressing rod 3 is arranged at the center of the pressing rod bracket and is abutted against the waist of the patient, and the lifting frame 4 is connected with the rear part of the bed board 1 and used for lifting the two lower limbs of the patient and enabling the waist to extend backwards.
The pressing rod support 2 is provided with two fixed beams which are arranged at a certain distance, the middle of the pressing rod support is connected with a cross beam, four corners of a rectangle formed by the two fixed beams are respectively provided with an upright post, and the upright posts are fixedly connected with the side edges of the bed board 1. The beam is provided with an opening, the pressing rod 3 is arranged in the opening, the whole pressing rod 3 is a round rod, the upper part of the pressing rod penetrates through the beam of the pressing rod bracket 2, the bottom of the pressing rod penetrates into a sleeve 31, a spring is arranged between the round rod and the bottom of the sleeve 31, and the tail end of the sleeve 31 is also provided with a pressing plate 32 which bulges outwards. When the pressing plate at the end of the sleeve 31 abuts against the waist of the patient, the compression amount of the spring in the sleeve 31 gradually increases along with the continuous pressing of the pressing rod 3, so that the force applied by the pressing plate 32 to the patient gradually increases. The round bar portion of the pressing bar is engraved with graduation marks, which identify the pressing force values applied to the waist of the patient when the pressing bar 3 is compressed to different degrees.
Through the setting of elasticity pressing pole, can make the application of force of pressing pole 3 more directly perceived, and can not make the application of force numerical value change along with the change of patient's size, physique, position when using each time, because the effort is provided by the spring in the sleeve, and the effort that the spring applyed can directly reflect on pressing the line of the body of rod, only need observe the position of spring line just can accurately learn present application of force condition, record or make corresponding adjustment. In addition, in the lever positioning technique, as the force application speed has a certain requirement, namely the effect of 'smart force and inch' is achieved, the arrangement of the spring can buffer the transmitted force, and the damage to a patient caused by too fast and too strong force application is prevented.
The lifting frame 4 is two arc rods which are arranged at a certain distance, the two arc rods are all arranged to take the imaginary position of the leg root of a patient as the circle center, sliding grooves are formed in the two arc rods, the lifting plate 41 is connected in a sliding manner, a motor 43 is connected below the middle part of the lifting plate 41 through a rack 42, the motor 43 is connected with a control end, the control end can instruct the motor 43 to operate, and the rack 42 is driven to move in the vertical direction through the rotation of the motor 43, so that the lifting plate 41 is driven to lift. When a patient is prone on the bed board 1, the legs can be put on the lifting plate 41, so that the double lower limbs are lifted and the waist is bent in a backward stretching way, and the double lower limbs required by the lever positioning method are pulled in a backward stretching way, and the lifting angle is limited by the racks below the lifting plate and the sliding grooves of the arc rods on the two sides of the lifting frame: the legs of the patient can be bent 25-30 degrees from the back side to the waist, and the range beyond the angle can be limited by limit.
In the transmission mechanism at the lifting plate 41, the schematic structural diagram and the matching relation with the rack 42 and the motor 43 are shown in fig. 2: the arc-shaped rack 42 is sleeved in a rack groove 44 with the same radian, and the inner side of the rack groove 44 is provided with an opening to expose the tooth part of the rack 42 to the outside. And a gear meshed with the rack 42 is connected to the rotating shaft of the motor 43, and the rotation of the motor 43 can drive the rack 42 to move along the arc-shaped rack groove 44 in a circumferential direction through the cooperation between the gears. Balls for ensuring smooth movement are also provided between the rack grooves 44 and the racks 42. In addition, the rack slot 44 has an opening only in the middle, so that the rack 42 can only move within a certain range, and if the limit range is reached, the rack 42 cannot move further because the teeth are propped against the edge of the opening, so that the lifting plate 41 connected to the top end of the rack 42 can be limited to move within a range of 25-30 degrees with the bed plate. And the motor 43 is operated at a high speed to apply force to the "Qiaolicunjin" in the lever positioning technique.
A transmission mechanism is arranged between the lifting frame 4 and the pressing rod 3, so that the lifting frame and the pressing rod can synchronously act, and the concrete form is as follows: the two ends of the lifting plate 41 connected with the upper sliding grooves of the arc-shaped rods at the two ends of the lifting frame are also respectively and rotatably connected with a V-shaped rod 5. One end of the V-shaped rod 5 is rotatably connected with the end part of the lifting plate penetrating through the arc-shaped rod chute, the V-shaped bottom is rotatably connected with the bed board through a base with a rotating shaft, the other end of the V-shaped rod 5 is vertically erected, and the vertically erected ends of the two V-shaped rods 5 are connected together through a horizontal cross rod 51. When the lifting plate moves along the chute, the V-shaped rod 5 rotates with it, so that the top end of the vertical part moves laterally. The middle part of the cross rod 51 between the two V-shaped rods 5 is rotatably connected with another connecting rod 52, the other end of the connecting rod 52 extends into the pressing rod frame 53, the connecting part of the cross rod 51 and the connecting rod 52 is a circled mark in the drawing, and the partial enlarged view is shown in fig. 7.
The matching relationship between the connecting rod 52 and the pressing rod 3 is as shown in fig. 3: a gear is arranged in the pressing rod 53, a groove is formed in the part, extending into the pressing rod frame 53, of the connecting rod 52 and the pressing rod 3, a tooth opening meshed with the gear is formed in the groove, the connecting rod 52 is meshed with the gear from the horizontal direction, the pressing rod 3 is meshed with the gear from the vertical direction, when one end, connected with the lifting frame 4, of the V-shaped frame 5 is lifted, the connecting rod moves towards the head direction of a patient, and the gear drives the pressing rod 3 to descend; when the end of the V-shaped frame 5 connected with the lifting frame 4 descends, the connecting rod moves towards the foot direction of the patient, and the gear transmission pressing rod 3 ascends. Therefore, when the two lower limbs of the patient are pulled, the pressure is synchronously applied to the waist to achieve the effect of the lever positioning force application method. In addition, a pin is provided between the link 52 and the pressing bar frame 53 to prevent the link 52 from falling.
In the above structure, the bed plate 1, the pressing rod support 2, the pressing rod 3, the sleeve 31, the pressing plate 32, the pressing rod support 53, the connecting rod 52 and the connecting pieces therebetween are made of non-metal materials such as wood, plastic, rubber and the like, and particularly, the springs in the sleeve 31 can be plastic springs because the non-metal materials need to enter the CT machine when scanning physiological structures.
When the device is used, a patient drills into the pressing rod support 2 and is prone to lie on the bed board 1, legs are put on the lifting frame 4 to form 25 degrees, the pressing rod 2 is contacted with the affected part of the waist of the patient, then the device and the patient are sent into the CT machine, the motor is started, the lifting frame 4 drives the legs of the patient to rapidly further pull 5 degrees, the pressing rod of the waist is driven to move downwards at the same time, and the pressing rod is used as a lever supporting point to apply force to the waist of the patient, so that the force is applied by the spring in a buffering way in the process. During the process of the above-mentioned action, the tissue image of the waist stress position when the 'Qiaolicunjin' is applied in the lever positioning technique can be scanned and acquired.
Example 2: the present embodiment provides another lever positioning method force application device, and the difference between the structure of the lever positioning method force application device and embodiment 1 is that: the structure of the pressing rod bracket is shown in fig. 4, the bottoms of the two upright posts on one side are connected with the bed board 1 through a hinge 6, and the top can be opened. When the device is used, two upright posts provided with hinges are opened, a patient can more conveniently enter the inner space of the pressing rod support from the opened space, and the upright posts are erected again after entering to support the pressing rod support.
Example 3: the present embodiment provides another lever positioning method force application device, and the difference between the structure and the embodiment 2 is that: the junction of the round rod and the sleeve on the pressing rod is provided with a scale value, and the scale value is the pressing force applied to a patient when the pre-measured pressing rod is compressed to the position. Therefore, various different pressing forces can be conveniently and accurately observed or regulated during use, and the effect of the pressing force of different waists can be conveniently regulated and studied.
Other structures and methods of use may be referred to in example 1.
Example 4: the present embodiment provides another lever positioning method force application device, and the difference between the structure of the lever positioning method force application device and embodiment 1 is that: the spring ejector is used instead of a motor, the spring storage force is compressed in advance, the spring is released under the instruction of the control end, the horizontal support rod is lifted, the sliding groove on the lifting frame can be limited at the position where the leg of a patient is lifted by 5 degrees, and the horizontal support rod cannot be lifted further.
Through the arrangement of the spring ejector, compared with the technical scheme of the motor in the embodiment 1, the effect of 'Qiaolicunjin' can be better simulated, so that the force application of the lever positioning operation force application device of the embodiment is more consistent with the actual treatment operation of doctors, and if the force application effect of the lever positioning operation is researched by using the device, the scanned image is more consistent with the actual treatment situation.
Other structures and methods of use may be referred to in example 1.
Example 5: the present embodiment provides another lever positioning method force application device, and the difference between the structure of the lever positioning method force application device and embodiment 1 is that: as shown in fig. 5, a sliding groove 72 parallel to the prone direction of the patient is formed in a cross beam in the pressing rod support, a sliding block 71 is slidingly connected in the sliding groove, the pressing rod and the pressing rod support are mounted on the sliding block 71, locking screws 73 are further arranged at four corners of the sliding block 71, and when the sliding block 71 is moved to a required position, the locking screws 73 can be screwed to prevent sliding when the device is used;
at the same time, a sliding groove 82 is also formed on the cross bar between the vertical parts of the two V-shaped frames, the sliding block 81 is slidingly connected in the sliding groove 82, the connecting rod is connected with the sliding block 81 through the base of the connecting rod, and locking screws with the same functions as the locking screws 73 are also arranged at four corners of the sliding block 81. An enlarged view of a part of the circle mark drawn at the slide 81 and the slide groove 82 is shown in fig. 8. Through the arrangement, the pressing rod can move along the spine direction of a patient on the basis of achieving the original function, so that the force application position of the pressing rod can be conveniently adjusted to achieve a more accurate force application effect, and the force application position can be quickly replaced to perform other treatments or tests.
Other structures and methods of use may be referred to in example 1.
Example 6: the present embodiment provides another lever positioning method force application device, and the difference between the structure of the lever positioning method force application device and embodiment 1 is that: as shown in fig. 6, the support plate 9 is provided with a support plate which is obliquely attached to the leg of the patient, so that the comfort level of the patient during treatment or CT scanning can be improved.
Other structures and methods of use may be referred to in example 1.
It should be noted that the above embodiments can be freely combined as needed. The foregoing is only illustrative of the preferred embodiments and principles of the present invention, and changes in specific embodiments will occur to those skilled in the art upon consideration of the teachings provided herein, and such changes are intended to be included within the scope of the invention as defined by the claims.
Claims (10)
1. The lever positioning manipulation force application device is used for applying force to the body of a patient by simulating a lever positioning manipulation when the patient is prone and is characterized by comprising a pressing rod, a pressing rod support, a lifting frame and a lifting frame, wherein the pressing rod is abutted against the rear waist of the patient, the pressing rod support is used for installing the pressing rod, the lifting frame is used for lifting the two lower limbs of the patient and enabling the waist to extend backwards, a power mechanism is arranged on the lifting frame, the power mechanism is connected with a control end, and the control end is used for controlling the power mechanism to drive the lifting frame to rotate by taking the hip position of the patient as the center; the lifting frame is connected with a connecting rod, the connecting rod moves horizontally along with the rotation of the lifting frame, and the pressing rod is connected with the connecting rod through a gear transmission fixedly installed on the pressing rod support, so that the horizontal movement of the connecting rod drives the pressing rod to move in the vertical direction.
2. A lever positioning technique force application device as in claim 1 wherein the degree of rotation of the lifting frame is limited to a rearward extension of the patient's waist of 25 ° -30 °.
3. The lever positioning technique force application device as in claim 1, wherein the lifting frame is provided with a support plate which is attached to the lower limbs of the patient.
4. The lever positioning technique force application device as in claim 1, wherein the pressing bar is provided with a scale value indicating the pressing force applied to the patient by the current pressing bar position.
5. The lever positioning technique force application device as in claim 1, wherein the power mechanism is a motor.
6. The lever positioning technique force application device as in claim 1, wherein the power mechanism is a spring ejector.
7. The lever positioning technique force application device according to claim 1, wherein the lever positioning technique force application device further comprises; one side of the pressing rod support is provided with a movable upright post hinged with the bed board, when the movable upright post is transversely opened, a space opened by the upright post for a patient enters the device, and when the movable upright post is vertically erected, the pressing rod support is supported.
8. A lever positioning technique force application device as in claim 1, wherein a portion of said pressing bar is an elastic member which is compressed or released in response to movement of said pressing bar, thereby changing the pressing force of said pressing bar to the patient.
9. The lever positioning technique force application device as in claim 1, wherein the end of the pressing rod abutting against the back waist of the patient is provided with a pressing plate.
10. The lever positioning technique force application device according to claim 1, wherein the pressing bar support is provided with a chute parallel to the prone direction of the patient, the pressing bar is slidingly connected to the pressing bar support through the chute, and the pressing position of the waist of the patient is changed along with the sliding.
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KR20180106563A (en) * | 2017-03-21 | 2018-10-01 | 최동환 | A Health Apparatus for Strengthening a Waist Muscle Having a Structure Rotating a Leg |
CN211272076U (en) * | 2019-11-23 | 2020-08-18 | 曾莹 | Paediatrics rehabilitation exercise bed |
CN111317639A (en) * | 2020-03-11 | 2020-06-23 | 常万生 | Auxiliary device is lifted in department of neurology inspection |
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