CN113018101B - Shoulder and cervical vertebra adjuvant therapy method for neurology - Google Patents

Shoulder and cervical vertebra adjuvant therapy method for neurology Download PDF

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Publication number
CN113018101B
CN113018101B CN202110309460.2A CN202110309460A CN113018101B CN 113018101 B CN113018101 B CN 113018101B CN 202110309460 A CN202110309460 A CN 202110309460A CN 113018101 B CN113018101 B CN 113018101B
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rod
supporting
supporting arm
driving
arm
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CN113018101A (en
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周文华
黄向阳
秦桥梁
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Zhou Wenhua
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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
    • 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
    • A61H1/0222—Traction tables
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0281—Shoulder
    • 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
    • A61H1/0292—Stretching or bending or torsioning apparatus for exercising for the spinal column
    • 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
    • A61H1/0292—Stretching or bending or torsioning apparatus for exercising for the spinal column
    • A61H1/0296—Neck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635—Hand or arm, e.g. handle
    • A61H2201/1638—Holding means therefor
    • 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
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/04—Devices for specific parts of the body neck
    • 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
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/06—Arms
    • A61H2205/062—Shoulders

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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)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention discloses a shoulder and cervical vertebra auxiliary treatment method for neurology, and belongs to the field of medical instruments. The method comprises the following steps: s1, preparing an auxiliary treatment device, wherein the auxiliary treatment device comprises: a base; a support table; a feeding device; a first support arm; a second support arm; a drive device; s2, two arms of the patient are respectively lapped on the first supporting arm and the second supporting arm from bottom to top; s3, the feeding device acts to drive the supporting table to move towards the direction departing from the human body; opening the patient's arm to be flush with the back in a direction moving along the support table; s4, starting a driving device to drive the first supporting arm and the second supporting arm to rotate oppositely; s5, enabling the driving device to drive the first supporting arm and the second supporting arm to reset; s6, the feeding device drives the supporting table to reset. The invention can reduce the working intensity of medical staff, and a plurality of patients can be treated in an auxiliary way under the condition of less medical staff.

Description

Shoulder and cervical vertebra adjuvant therapy method for neurology
Technical Field
The invention relates to the field of medical instruments, in particular to a shoulder and cervical vertebra auxiliary treatment method for neurology.
Background
Pain of the shoulder and cervical vertebrae is a common disease in life. Generally, the pain of the shoulder and the cervical vertebra can be caused by long sitting, lack of movement or unreasonable work. Cervical spondylosis also causes nerve compression, shoulder nerves and the like, causes symptoms of numbness, red swelling, pain, even dizziness and the like of relevant parts, and brings great inconvenience to patients.
The clinical treatment generally adopts methods such as physical therapy, massage, acupuncture and moxibustion and the like to treat and relieve symptoms. The physiotherapy is a treatment method which is widely applied to related similar diseases. In the physiotherapy process of the shoulder cervical vertebra pain, medical personnel generally can recommend auxiliary stretching action to relieve symptoms.
A comparatively common action is that medical personnel's both hands buckle, and the patient's head is located the intra-annular that the arm encloses, and medical personnel's both hands support and lean on the shoulder in patient's back of the head spoon position, and patient's both hands are and embrace the position, and two arms are located medical personnel's both arms, make medical personnel and patient's both arms form criss-cross cyclic structure. The patient is the seat, and medical personnel moves backward, and the in-process patient upper part of the body that moves backward stretches forward, and buttock and shank remain motionless, treat to stretch to when arm and back are on a plane, and medical personnel utilizes the arm strength to drive patient's both arms to open to both sides and both arms and back are in a plane, and after patient's both arms extended to target in place, medical personnel driven patient upper part of the body whole to both sides upset (this action also can rely on patient self strength to go on), and it is reciprocal many times. In the process, the cervical vertebra and the shoulders of the patient are stretched, the waist of the patient is also stretched, and the symptoms of shoulder and cervical vertebra pain can be effectively relieved.
However, when the patient himself/herself performs the above-described operation, the patient lacks external force support, and it is difficult to perform the operation in place. The above-mentioned actions can be completed by means of medical personnel. The number of patients is large, the treatment process needs to be one-to-one, and the treatment time is long, so that the treatment process of the patients is very inconvenient. It is therefore desirable to design a device that can perform the above-described treatment process to assist the patient in performing the relevant action therapy.
Disclosure of Invention
The invention provides a shoulder and cervical vertebra auxiliary treatment method for neurology, which can assist a patient in a physiotherapy process of relevant actions.
A shoulder cervical vertebra auxiliary treatment method for neurology comprises the following steps:
s1, preparing an auxiliary treatment device, wherein the auxiliary treatment device comprises:
a base;
the supporting platform is slidably arranged on the base;
the feeding device is arranged on the base and used for driving the supporting platform to move;
the first supporting arm is rotatably arranged on the supporting platform;
the second supporting arm is rotatably arranged on the supporting platform;
the driving device is used for driving the first supporting arm and the second supporting arm to synchronously rotate in the opposite direction or in the opposite direction;
s2, two arms of the patient are respectively put on the first supporting arm and the second supporting arm from bottom to top, and two hands are folded, so that the end parts, far away from the supporting table, of the first supporting arm and the second supporting arm abut against shoulders;
s3, the feeding device acts to drive the supporting table to move towards the direction departing from the human body, so that the upper half of the patient is forced to bend forwards, and the shoulders of the patient are stretched in the forward direction while the waist muscles are stretched; opening the patient's arm to be flush with the back in a direction moving along the support table;
s4, starting a driving device to drive the first supporting arm and the second supporting arm to rotate oppositely, so that the first supporting arm and the second supporting arm respectively drive the arm of the patient to expand towards two sides until the arm is flush with the shoulder;
s5, enabling the driving device to drive the first supporting arm and the second supporting arm to reset;
and S6, driving the supporting table to reset by the feeding device, and performing the actions for multiple times.
Preferably, the driving device comprises a lifting cylinder, a driving rod, a linkage block, a first pull rod and a second pull rod;
the driving rod is fixedly connected to the output end of the lifting cylinder, and the lifting cylinder drives the driving rod to move up and down when acting;
the linkage block is arranged on the driving rod in a vertically sliding mode, and a first limiting block and a second limiting block are arranged on the driving rod and used for limiting the moving range of the linkage block;
one end of the first pull rod is hinged to one end of the linkage block, and the other end of the first pull rod is hinged to the first support arm;
one end of the second pull rod is hinged to the other end of the linkage block, and the other end of the second pull rod is hinged to the second supporting arm;
the driving rod at least has a first working state and a second working state;
when the support device is in a first working state, the driving rod moves upwards, the linkage block abuts against the first limiting block, and the linkage block drives the first pull rod and the second pull rod to act so as to force the first support arm and the second support arm to turn over oppositely;
when the support device is in a second working state, the driving rod moves downwards, the linkage block abuts against the second limiting block, and the linkage block drives the first pull rod and the second pull rod to act so as to force the first support arm and the second support arm to overturn back to back;
the S4 specifically includes:
the lifting cylinder is started to drive the driving rod to move upwards, when the first limiting block is abutted against the linkage block, the linkage block is forced to move upwards, the linkage block moves upwards to drive the first pull rod and the second pull rod to move, the first supporting arm and the second supporting arm are in the first pull rod and the second pull rod to rotate under the forcing, the first supporting arm and the second supporting arm apply force to two arms of a patient to drive the two arms to overturn to two sides, so that the shoulders of the patient are unfolded in the directions of two sides, and the patient is roughly unfolded to keep the arms of the patient on the same plane with the back in the directions of two sides.
More preferably, the auxiliary treatment device further comprises an adjusting device which comprises a driving part, a first adjusting part and a second adjusting part;
the driving part comprises an adjusting rod, a driving gear and a locking part, and the adjusting rod is rotatably arranged on the supporting platform and is used for driving the driving gear to rotate; the locking part is used for braking the driving gear;
the first adjusting part comprises a first connecting block, a first rack, a first sliding block and a first rotating handle, the first connecting block is used for connecting the first rack and the first supporting arm, and the first rack is matched with the driving gear; the first sliding block is slidably arranged on the first rack, one end of the first rotating handle is rotatably arranged on the adjusting rod, and the other end of the first rotating handle is fixedly connected to the first sliding block;
the second adjusting part comprises a second connecting block, a second rack, a second sliding block and a second rotating handle, the second connecting block is used for connecting the second rack and the second supporting arm, and the second rack is matched with the driving gear; the second sliding block is slidably arranged on the second rack, one end of the second rotating handle is rotatably arranged on the adjusting rod, and the other end of the second rotating handle is fixedly connected to the second sliding block;
the first rack and the second rack are located on two opposite sides of the driving gear, and the driving gear drives the first supporting arm and the second supporting arm to be close to or far away from each other when rotating.
Preferably, the locking part comprises a first spring and an external spline rod, one end of the first spring is connected to the supporting platform, and the other end of the first spring is connected to the adjusting rod;
the driving gear is coaxially provided with a containing hole, and the adjusting rod is slidably arranged in the containing hole;
the adjusting rod is provided with a yielding section, and the diameter of the yielding section is smaller than that of the accommodating hole;
the external spline rod is coaxially and fixedly arranged on the yielding section, the length of the yielding section is greater than that of the external spline rod, an internal spline is arranged in the accommodating hole, and the internal spline is matched with the external spline rod;
the adjusting rod at least has a first working state and a second working state;
when the adjusting rod rotates, the driving gear can be driven to rotate;
when the adjusting rod rotates, the driving gear does not rotate;
after S1 and before S2, the method further comprises the following steps:
s11, pressing the adjusting rod to compress the first spring, and driving the outer spline rod to move to be overlapped with the inner spline by the adjusting rod so that the outer spline is in driving connection with the inner spline;
s12, rotating the adjusting rod to enable the adjusting rod to drive the driving gear to rotate, wherein when the driving gear rotates, the driving gear rotates to drive the first rack and the second rack to move towards opposite directions due to the fact that the first rack and the second rack are located on two sides of the driving gear, so that the first supporting arm and the second supporting arm are driven to move in the opposite direction or in the opposite direction, and the distance between the first supporting arm and the second supporting arm is adjusted;
and S13, after the adjustment is finished, loosening the adjusting rod, and resetting the adjusting rod under the action of the first spring to separate the outer spline rod from the inner spline.
More preferably, the feeding device is a feeding air cylinder, and an output end of the feeding air cylinder is in driving connection with the supporting table.
Preferably, the auxiliary treatment device further comprises a limiting device and a control device;
the limiting device comprises a supporting table, a supporting plate, a pressing rod and a second spring, the supporting plate is fixedly arranged on the pressing rod, the supporting table is arranged on the base, a control sliding groove is formed in the supporting table, the pressing rod is arranged in the control sliding groove in a vertically sliding mode, the second spring is located in the control sliding groove, one end of the second spring is connected into the control sliding groove, and the other end of the second spring is connected to the pressing rod;
the control device comprises a controller and a travel switch, the travel switch is fixedly arranged in the control chute, and the travel switch can be touched when the pressing rod moves downwards; the travel switch, the lifting cylinder and the feeding cylinder are in signal connection with the controller;
the S3 specifically includes:
the feeding device acts to drive the supporting table to move towards the direction deviating from the human body, the supporting table drives the upper half of the patient to bend forwards, the abdomen of the upper half of the patient abuts against the supporting plate and presses the supporting plate downwards in the process of bending forwards, the supporting plate moves downwards to apply pressure to the second spring, the second spring is compressed, when the pressing rod on the supporting plate presses the travel switch downwards, the travel switch sends a signal to the controller, and the controller receives the signal to perform S4 action.
Preferably, the supporting platform is provided with external threads, the base is provided with thread adjusting holes, and the supporting platform is in threaded connection with the thread adjusting holes.
Preferably, the auxiliary treatment device further comprises two third springs, a linkage chute is formed in the support platform, and the lifting cylinder is slidably arranged in the linkage chute; the two third springs are symmetrically arranged on two sides of the lifting cylinder, one end of each third spring is connected to the lifting cylinder, and the other end of each third spring is connected to the inside of the linkage sliding groove.
The invention provides a shoulder and cervical vertebra auxiliary treatment method for neurology, which is characterized in that the process of forward and backward movement of medical staff is realized through a feeding device, a first supporting arm and a second supporting arm simulate the arms of the medical staff, and the first supporting arm and the second supporting arm are driven by a driving device to rotate in opposite directions or in back directions so as to drive the arms of patients to extend, so that the working intensity of the medical staff is reduced, and under the condition that the number of the medical staff is small, a plurality of patients can be subjected to auxiliary treatment at the same time.
Drawings
Fig. 1 is a schematic structural view of a shoulder cervical vertebra auxiliary treatment method for neurology provided by the invention;
FIG. 2 is an enlarged view of a portion A of FIG. 1;
FIG. 3 is an enlarged view of a portion B of FIG. 1;
FIG. 4 is a right side view of FIG. 1;
FIG. 5 is a schematic view of the adjustment device of FIG. 4;
FIG. 6 is an enlarged view of a portion E of FIG. 5;
FIG. 7 is a cross-sectional view taken along line D-D of FIG. 4;
FIG. 8 is a cross-sectional view taken at C-C of FIG. 4;
fig. 9 is a first schematic view of a first operating state of the shoulder cervical spine auxiliary treatment method for neurology provided by the invention;
fig. 10 is a schematic view of a second working state of the shoulder cervical vertebra auxiliary treatment method for neurology provided by the invention;
fig. 11 is a partial enlarged view of fig. 9 at F.
Description of reference numerals:
10 a base; 11, supporting a table; 20 a feed cylinder; a 30-liter cylinder; 31 driving the rod; 311 a first stopper; 312 second stopper; 32 a linkage block; 33 a first pull rod; 34 a second pull rod; 40 a first connecting block; 41 a first support arm; 42 a first rack; 421 a first chute; 43 a first slide; 44 a first stem; 50 a second connecting block; 51 a second support arm; 52 a second rack; 521 a second chute; 53 second slide block; 54 a second stem; 60 driving a gear; 601 an internal spline; 61 adjusting the rod; 611 an externally splined rod; 612 a abdication rod; 62 a first spring; 70, a supporting plate; 71 a compression bar; 72 second spring.
Detailed Description
An embodiment of the present invention will be described in detail below with reference to the accompanying drawings, but it should be understood that the scope of the present invention is not limited to the embodiment.
Because the two arms of the patient extend outwards, the two arms and the back are difficult to be in the same plane so as to fully relax the shoulder and neck parts, when the patient moves forwards by using self force, the waist is easy to bend, the action is not standard, and the action training is realized by depending on the external force of medical staff. Therefore, the invention realizes the process of simulating the force application of the two arms of the medical staff by simulating the two arms of the medical staff by using the first supporting arm 41 and the second supporting arm 51 and driving the first supporting arm 41 and the second supporting arm 51 to rotate by using the driving device. The feeding device drives the supporting table 11 to move, and the process that medical staff drives the upper half of the patient to move is simulated.
The first embodiment is as follows:
as shown in fig. 1, the shoulder cervical vertebra auxiliary treatment method for neurology provided by the embodiment of the invention comprises the following steps:
s1, preparing an auxiliary treatment device, wherein the auxiliary treatment device comprises:
a base 10;
the supporting platform 11 is slidably arranged on the base 10, a sliding groove is formed in the base 10, a sliding seat is arranged on the supporting platform 11, and the supporting platform 11 is slidably arranged on the supporting platform 11 through the sliding seat;
the feeding device is arranged on the base 10 and used for driving the supporting table 11 to move, and the feeding device can be a structure capable of realizing reciprocating driving in the prior art, such as a driving cylinder, an electric telescopic rod, a screw rod and screw rod structure and the like;
a first support arm 41 rotatably provided on the support base 11 for simulating one arm of a human body;
a second support arm 51 rotatably provided on the support base 11 for simulating the other arm of the human body;
the first supporting arm 41 and the second supporting arm 51 have the same height in the vertical direction, so that the arm state of the medical staff can be better simulated. The ends of the first support arm 41 and the second support arm 51 far away from the support platform 11 gradually extend and retract towards each other so as to simulate the structure of a hand embracing shape of a medical staff.
The driving device is used for driving the first supporting arm 41 and the second supporting arm 51 to synchronously rotate in an opposite or back direction, wherein the driving device can be a driving motor and the like;
s2, two arms of the patient are respectively lapped on the first supporting arm 41 and the second supporting arm 51 from bottom to top, and two hands are folded, so that the end parts, far away from the supporting table 11, of the first supporting arm 41 and the second supporting arm 51 abut against shoulders;
s3, the feeding device acts to drive the supporting table to move towards the direction departing from the human body, so that the upper half of the patient is forced to bend forward, and the shoulders of the patient are stretched in the forward direction while the waist muscles are stretched; opening the patient's arm to be flush with the back in a direction moving along the support table 11;
s4, starting a driving device to drive the first supporting arm 41 and the second supporting arm 51 to rotate oppositely, so that the first supporting arm 41 and the second supporting arm 51 respectively drive the arms of the patient to expand towards two sides until the arms are flush with the shoulders;
s5, enabling the driving device to drive the first supporting arm 41 and the second supporting arm 51 to reset;
and S6, enabling the feeding device to drive the supporting table 11 to reset, and carrying out the actions for multiple times.
Example two:
in order to conveniently simulate the medical staff to drive the arms of the patient to expand and open outwards and realize the synchronous, opposite or back-to-back actions of the first support arm 41 and the second support arm 51, so as to relax the shoulders and the neck, in the embodiment, the driving device comprises a lifting cylinder 30, a driving rod 31, a linkage block 32, a first pull rod 33 and a second pull rod 34;
the lifting cylinder 30 is fixedly arranged on the support platform 11, the driving rod 31 is fixedly connected to the output end of the lifting cylinder 30, and the driving rod 31 is driven to move up and down when the lifting cylinder 30 acts; a sliding hole is formed in the linkage block 32, the linkage block 32 is sleeved on the driving rod 31 in a vertically slidable manner, as shown in fig. 2, a first limiting block 311 and a second limiting block 312 are arranged on the driving rod 31 and used for limiting the moving range of the linkage block 32, and a certain distance is formed between the first limiting block 311 and the second limiting block 312;
as shown in fig. 1, one end of the first tie bar 33 is hinged to one end of the linkage block 32, and the other end of the first tie bar 33 is hinged to the first support arm 41; one end of the second pull rod 34 is hinged to the other end of the linkage block 32, and the other end of the second pull rod 34 is hinged to the second supporting arm 51;
the driving rod 31 has at least a first operating condition and a second operating condition;
when the support arm is in the first working state, the driving rod 31 moves upwards, the linkage block 32 abuts against the first limiting block 311, and the linkage block 32 drives the first pull rod 33 and the second pull rod 34 to act to force the first support arm 41 and the second support arm 51 to turn over oppositely;
when the support arm is in the second working state, the driving rod 31 moves downward, the linkage block 32 abuts against the second limiting block 312, and the linkage block 32 drives the first pull rod 33 and the second pull rod 34 to act so as to force the first support arm 41 and the second support arm 51 to turn back and forth.
The S4 specifically includes:
the lifting cylinder 30 is started, the lifting cylinder 30 drives the driving rod 31 to move upwards, when the first limiting block 311 abuts against the linkage block 32, the linkage block 32 is forced to move upwards, the linkage block 32 moves upwards to drive the first pull rod 33 and the second pull rod 34 to act, the first supporting arm 41 and the second supporting arm 51 rotate under the forcing of the first pull rod 33 and the second pull rod 34, force is further applied to two arms of a patient, the two arms are driven to turn over towards two sides, the shoulders of the patient are unfolded in the directions of the two sides, and the patient is opened to the direction of the two sides of the arms of the patient and the back of the arms of the patient are kept on the same plane.
During operation, in the initial state, the positions of the first supporting arm 41 and the second supporting arm 51 are lower, and the first supporting arm 41 and the second supporting arm 51 are arranged in a splayed shape, so that the arms of a patient can be conveniently erected. The two arms of the patient are respectively lapped on the first supporting arm 41 and the second supporting arm 51 from bottom to top, and the two hands are closed, so that the ends of the first supporting arm 41 and the second supporting arm 51 far away from the supporting platform 11 are abutted against the shoulders.
The feeding device is then actuated to move the support platform 11 in a direction away from the human body, so as to force the upper half of the patient to bend forward, thereby stretching the waist muscles and simultaneously stretching the shoulders of the patient in a forward facing direction. When the patient's arm is opened to be flush with the back in the direction of movement along the support base 11, the arm and back are generally in a plane.
The lifting cylinder 30 is started to drive the driving rod 31 to move, the driving rod 31 moves upwards, when the first limiting block 311 abuts against the linkage block 32, the linkage block 32 is forced to move upwards, the linkage block 32 moves upwards to drive the first pull rod 33 and the second pull rod 34 to move, and as the first supporting arm 41 and the second supporting arm 51 are rotatably arranged on the supporting table 11, the first supporting arm 41 and the second supporting arm 51 rotate under the force of the first pull rod 33 and the second pull rod 34, so that force is applied to two arms of a patient, the two arms are driven to turn over towards two sides, arm movement of medical staff is simulated, shoulders of the patient are enabled to be unfolded in the directions of the two sides, and muscles of the shoulder and the neck of the patient are unfolded. Open substantially until the patient's arms remain in the same plane in a bilateral orientation and back. The above operations are cyclically performed.
Example three:
in the second embodiment, the fixed width cannot be adapted to different people due to the different widths of the two arms of different individuals.
Therefore, in the present embodiment, as shown in fig. 3, 4, 5, 8 and 9, an adjusting device is further included, which includes a driving portion, a first adjusting portion and a second adjusting portion;
as shown in fig. 5 and 6, the driving part includes an adjusting lever, a driving gear 60 and a locking part, the adjusting lever is rotatably disposed on the support base 11 for driving the driving gear 60 to rotate; the lock portion is used for braking the drive gear 60;
as shown in fig. 1 and 8, the first adjusting portion includes a first connecting block 40, a first rack 42, a first slider 43 and a first rotating handle 44, the first connecting block 40 is used for connecting the first rack 42 and the first supporting arm 41, and the first rack 42 is matched with the driving gear 60; the first sliding block 43 is slidably disposed on the first rack 42, wherein the first rack 42 is provided with a first sliding slot 421, the first sliding block 43 is slidably disposed in the first sliding slot 421, one end of the first rotating handle 44 is rotatably disposed on the adjusting rod, and the other end is fixedly connected to the first sliding block 43;
as shown in fig. 3, the second adjusting part includes a second connecting block 50, a second rack 52, a second slider 53 and a second handle 54, the second connecting block 50 is used for connecting the second rack 52 and the second supporting arm 51, and the second rack 52 is matched with the driving gear 60; the second sliding block 53 is slidably disposed on the second rack 52, wherein the second rack 52 is provided with a second sliding groove 521, the second sliding block 53 is slidably disposed in the second sliding groove 521, one end of the second rotating handle 54 is rotatably disposed on the adjusting rod, and the other end is fixedly connected to the second sliding block 53;
the first rack 42 and the second rack 52 are located on opposite sides of the driving gear 60, and when the driving gear 60 rotates, the first supporting arm 41 and the second supporting arm 51 are driven to approach or separate from each other.
Since the first rack 42 and the second rack 52 are located at both sides of the driving gear 60, a height difference exists between the first supporting arm 41 and the second supporting arm 51, and the first connecting block 40 and the second connecting block 50 can compensate for the height difference, so that the first supporting arm 41 and the second supporting arm 51 can keep the same height in the vertical direction, and the arm condition of the actual human body can be approached.
When the adjusting device works, when the distance between the first supporting arm 41 and the second supporting arm 51 needs to be adjusted, the adjusting rod is rotated to enable the adjusting rod to drive the driving gear 60 to rotate, and when the driving gear 60 rotates, because the first rack 42 and the second rack 52 are located on two sides of the driving gear 60, the driving gear 60 rotates to drive the first rack 42 and the second rack 52 to move towards opposite directions, so that the first supporting arm 41 and the second supporting arm 51 are driven to move towards or away from each other, and the distance between the first supporting arm 41 and the second supporting arm 51 is adjusted. During the adjustment process, the first slider 43 slides in the first sliding groove 421, the second slider 53 slides in the second sliding groove 521, and during the adjustment process, when the first support arm 41 and the second support arm 51 move toward each other or back, the first pull rod 33 and the second pull rod 34 are driven to move, so that the linkage block 32 is forced to move up and down, and the sliding space of the linkage block 32 is provided by the space between the first limiting block 311 and the second limiting block 312. When the adjustment is completed, the drive gear 60 is locked by the locking portion.
When the lifting cylinder 30 acts, the driving rod 31 is driven to move upwards, before the first limiting block 311 butts against the linkage block 32, the lifting cylinder 30 has no stroke, and when the first limiting block 311 butts against the linkage block 32, the linkage block 32 is driven to move upwards; the process of the lifting cylinder 30 is similar when moving in the reverse direction, the driving rod 31 firstly performs a section of idle stroke, and when the second limiting block 312 butts against the linkage block 32, the linkage block 32 is driven to move. When the linkage block 32 acts, the first pull rod 33 and the second pull rod 34 are driven to act, the first pull rod 33 and the second pull rod 34 are stressed, and because the first rotating handle 44 and the second rotating handle 54 are both rotatably arranged on the adjusting rod, the first rotating handle 44 drives the first supporting arm 41 and the second rotating handle 54 drives the second supporting arm 51 to rotate along the axial lead of the driving gear 60, and by enabling the first supporting arm 41 and the second supporting arm 51 to rotate along the same axial lead and act synchronously, the rotating speed, amplitude and preset rotating direction of the first supporting arm 41 and the second supporting arm 51 can be ensured to be close to the action process of the medical staff arms (when the medical staff arms drive the patient arms to overturn, the medical staff arms basically keep rotating around the same rotating center), and the training effect is improved. The first rack 42 and the second rack 52 are both meshed with the driving gear 60, and in the rotating process of the first supporting arm 41 and the second supporting arm 51, the first rack 42 and the second rack 52 both roll on the driving gear 60 at the same rotating angle, so that synchronous action can be realized.
Specifically, as shown in fig. 5 and 6, the locking part includes a first spring 62 and an externally splined rod 611, one end of the first spring 62 is connected to the support table 11, and the other end is connected to the adjusting lever, for enabling the adjusting lever to be reset when no external force is applied;
as shown in fig. 6, a receiving hole is coaxially formed on the driving gear 60, and the adjusting rod is slidably disposed in the receiving hole; the adjusting rod is provided with a yielding section 612, and the diameter of the yielding section 612 is smaller than that of the accommodating hole, so that the yielding section 612 cannot interfere with the accommodating hole;
the outer spline rod 611 is coaxially and fixedly arranged on the abdicating section 612, the abdicating section 612 is longer than the outer spline rod 611, the inner spline 601 is arranged inside the accommodating hole, that is, part of the abdicating section 612 is an inner spline 601 hole and part of the abdicating section 612 is a unthreaded hole in the extending direction of the shaft axis of the accommodating hole, wherein the inner spline 601 is matched with the outer spline rod 611, so that the inner spline 601 and the outer spline rod 611 can be arranged in a staggered manner in the extending direction of the shaft axis, and can be separated from each other, or can be partially or completely overlapped, so as to realize driving connection, it can be understood that no matter the inner spline 601 and the outer spline rod 611 are staggered or overlapped, the adjusting rod is designed to not to be separated from the accommodating hole, that is, the length of the abdicating section 612 in the direction of the shaft axis should be shorter than the length of the accommodating hole in the direction of the shaft axis;
the adjusting rod at least has a first working state and a second working state;
when the adjusting rod is in the first working state, the first spring 62 is compressed, the external spline rod 611 is matched with the internal spline 601, and the adjusting rod can drive the driving gear 60 to rotate when rotating;
when in the second working state, the first spring 62 is extended, the externally splined rod 611 is disengaged from the internally splined rod 601, and when the adjustment rod is rotated, the driving gear 60 is not rotated.
After the step S1 and before the step S2, the method further comprises:
s11, pressing the adjusting rod to compress the first spring 62, and driving the outer spline rod 611 to move to be overlapped with the inner spline 601 by the adjusting rod so that the outer spline rod 611 and the inner spline 601 are in driving connection;
s12, rotating the adjusting lever to enable the adjusting lever to drive the driving gear 60 to rotate, wherein when the driving gear 60 rotates, because the first rack 42 and the second rack 52 are located at two sides of the driving gear 60, the driving gear 60 rotates to drive the first rack 42 and the second rack 52 to move in opposite directions, so as to drive the first supporting arm 41 and the second supporting arm 51 to move in the opposite direction or in the opposite direction, so as to adjust the distance between the first supporting arm 41 and the second supporting arm 51;
s13, after the adjustment is finished, the adjusting rod is loosened, and the adjusting rod is reset under the action of the first spring 62, so that the external spline rod 611 is separated from the internal spline 601.
During operation, if the distance between the first support arm 41 and the second support arm 51 needs to be adjusted, the adjusting rod is pressed to compress the first spring 62, and the adjusting rod drives the external spline rod 611 to move to overlap with the internal spline 601, so that the two arms are in driving connection. It can be understood that after the spline fit is disengaged, due to dislocation and the like, tooth positions may not be accurately matched when the spline fit is re-engaged, and at the moment, only the adjusting rod needs to be slightly rotated and force is applied along the axis direction, so that the tooth positions are matched and then meshed when the adjusting rod is rotated. When the external spline rod 611 is matched with the internal spline 601, the adjusting rod is rotated, the adjusting rod drives the driving gear 60 to rotate, and the driving gear 60 drives the first rack 42 and the second rack 52 to move in the opposite direction or in the opposite direction, so as to adjust the distance between the first supporting arm 41 and the second supporting arm 51.
Specifically, the feeding device is a feeding cylinder 20, and an output end of the feeding cylinder 20 is drivingly connected to the supporting table 11.
Example four:
when the patient moves, the hands are tightly held, other actions cannot be performed, that is, the control of the device is inconvenient, and during training, the shapes of the waist (abdomen) and the arms need to be monitored, when the waist (abdomen) is basically horizontal and the arms and the back are basically in the same horizontal plane, the movement is in place, and the next action needs to be performed (it can be understood that the initial switch action can be controlled through the hands or the feet, the embodiment focuses on the problem that whether the arms and the back are basically in the same horizontal plane, that is, whether the movement is in place or not), however, the guidance of medical staff is lacked, and when the patient trains alone, the body posture cannot be effectively controlled and monitored, and whether the next training step needs to be performed or not is judged, so the embodiment further comprises a limiting device and a control device;
as shown in fig. 7, the limiting device includes a supporting platform 11, a supporting plate 70, a pressing rod 71 and a second spring 72, the supporting plate 70 is fixedly arranged on the pressing rod 71, the supporting platform 11 is arranged on the base 10, a control chute is arranged on the supporting platform 11, the pressing rod 71 is arranged in the control chute in a vertically slidable manner, the second spring 72 is located in the control chute, one end of the second spring 72 is connected into the control chute, and the other end is connected to the pressing rod 71;
the control device comprises a controller and a travel switch, the travel switch is fixedly arranged in the control chute, and the travel switch can be touched in the process that the pressing rod 71 moves downwards; the travel switch, lift cylinder 30 and feed cylinder 20 are all signally connected to the controller.
The S3 specifically includes:
the feeding device acts to drive the supporting table to move towards the direction departing from the human body, so that the upper half of the patient is forced to bend forwards, in the process of bending the upper half of the patient forwards, the abdomen abuts against the supporting plate 70 and presses the supporting plate 70 downwards, the supporting plate 70 moves downwards to press the second spring 72, the second spring 72 is compressed, when the pressing rod 71 on the supporting plate 70 presses the travel switch downwards, the travel switch sends a signal to the controller, and the controller receives the signal to perform S4 action.
Furthermore, an external thread is arranged on the supporting platform 11, a thread adjusting hole is arranged on the base 10, and the supporting platform 11 is in threaded connection with the thread adjusting hole.
When the device works, the upper half of the patient leans forwards along with the backward movement of the feeding device, the abdomen leans against the supporting plate 70 in the forward tilting process, the supporting plate 70 is pressed downwards, the supporting plate 70 moves downwards to apply pressure to the second spring 72, the second spring 72 is compressed, when the pressure rod 71 on the supporting plate 70 is pressed downwards to the travel switch, the travel switch sends a signal to the controller, the controller receives the signal, and when the waist (abdomen) is adjusted in place, other components are controlled to perform the next step of action. It can be understood that, because the external thread arranged on the supporting platform 11 is matched with the thread adjusting hole on the base 10, the supporting platform 11 can be adjusted to lift through the thread, so that the pressing rod 71 is just touched to the travel switch under the standard posture according to different individual body positions.
Example five:
since the first support arm 41 and the second support arm 51 are relatively independent, when the upper body is turned over by applying a force to the waist after the preceding movement is completed, the first support arm 41 and the second support arm 51 need to rotate around the same axis, and the first pull rod 33 and the second pull rod 34 have the same movement direction during the rotation, but the drive rod 31 is fixed, which may hinder the operation of the device.
Therefore, in this embodiment, as shown in fig. 11, the lifting device further includes two third springs 35, a linkage sliding slot is formed on the supporting platform 11, and the lifting cylinder 30 is slidably disposed in the linkage sliding slot; the two third springs 35 are symmetrically arranged on two sides of the lifting cylinder 30, one end of each third spring 35 is connected to the lifting cylinder 30, and the other end of each third spring is connected to the inside of the linkage sliding groove.
Because the lifting cylinder 30 is slidably disposed on the supporting platform 11, when the first pull rod 33 and the second pull rod 34 are stressed, the displacement compensation in the horizontal direction can be provided by the sliding of the lifting cylinder 30, and the two third springs 35 are symmetrically disposed on the two sides of the lifting cylinder 30, so that the two sides of the lifting cylinder 30 are stressed in the same magnitude and in opposite directions, and after the training is finished, the lifting cylinder 30 can be automatically reset to return to the middle position.
The above disclosure is only for a few specific embodiments of the present invention, however, the present invention is not limited to the above embodiments, and any variations that can be made by those skilled in the art are intended to fall within the scope of the present invention.

Claims (4)

1. The utility model provides a shoulder cervical vertebra adjunctie therapy device for department of neurology which characterized in that, adjunctie therapy device includes:
a base;
the supporting platform is slidably arranged on the base;
the feeding device is arranged on the base and used for driving the supporting table to move;
the first supporting arm is rotatably arranged on the supporting platform;
the second supporting arm is rotatably arranged on the supporting platform;
the heights of the first supporting arm and the second supporting arm in the vertical direction are the same, and one ends of the first supporting arm and the second supporting arm, which are far away from the supporting table, extend and retract gradually and oppositely;
the driving device is used for driving the first supporting arm and the second supporting arm to synchronously rotate in the opposite direction or in the opposite direction;
the driving device comprises a lifting cylinder, a driving rod, a linkage block, a first pull rod and a second pull rod;
the driving rod is fixedly connected to the output end of the lifting cylinder, and the lifting cylinder drives the driving rod to move up and down when acting;
the linkage block is arranged on the driving rod in a vertically sliding manner, and a first limiting block and a second limiting block are arranged on the driving rod and used for limiting the moving range of the linkage block;
one end of the first pull rod is hinged to one end of the linkage block, and the other end of the first pull rod is hinged to the first support arm;
one end of the second pull rod is hinged to the other end of the linkage block, and the other end of the second pull rod is hinged to the second supporting arm;
the driving rod at least has a first working state and a second working state;
when the support device is in a first working state, the driving rod moves upwards, the linkage block abuts against the first limiting block, and the linkage block drives the first pull rod and the second pull rod to act so as to force the first support arm and the second support arm to turn over oppositely;
when the support device is in a second working state, the driving rod moves downwards, the linkage block abuts against the second limiting block, and the linkage block drives the first pull rod and the second pull rod to act so as to force the first support arm and the second support arm to turn back and forth;
the auxiliary treatment device further comprises an adjusting device which comprises a driving part, a first adjusting part and a second adjusting part;
the driving part comprises an adjusting rod, a driving gear and a locking part, and the adjusting rod is rotatably arranged on the supporting platform and is used for driving the driving gear to rotate; the locking part is used for braking the driving gear;
the first adjusting part comprises a first connecting block, a first rack, a first sliding block and a first rotating handle, the first connecting block is used for connecting the first rack and the first supporting arm, and the first rack is matched with the driving gear; the first sliding block is slidably arranged on the first rack, one end of the first rotating handle is rotatably arranged on the adjusting rod, and the other end of the first rotating handle is fixedly connected to the first sliding block;
the second adjusting part comprises a second connecting block, a second rack, a second sliding block and a second rotating handle, the second connecting block is used for connecting the second rack and the second supporting arm, and the second rack is matched with the driving gear; the second sliding block is slidably arranged on the second rack, one end of the second rotating handle is rotatably arranged on the adjusting rod, and the other end of the second rotating handle is fixedly connected to the second sliding block;
the first rack and the second rack are positioned on two opposite sides of the driving gear, and the driving gear drives the first supporting arm and the second supporting arm to approach or separate from each other when rotating;
the locking part comprises a first spring and an external spline rod, one end of the first spring is connected to the supporting platform, and the other end of the first spring is connected to the adjusting rod;
the driving gear is coaxially provided with a containing hole, and the adjusting rod is slidably arranged in the containing hole;
the adjusting rod is provided with a yielding section, and the diameter of the yielding section is smaller than that of the accommodating hole;
the external spline rod is coaxially and fixedly arranged on the yielding position section, the length of the yielding position section is greater than that of the external spline rod, an internal spline is arranged in the accommodating hole, and the internal spline is matched with the external spline rod;
the adjusting rod at least has a first working state and a second working state;
when the adjusting rod rotates, the adjusting rod can drive the driving gear to rotate;
when the adjusting rod rotates, the driving gear does not rotate;
the feeding device is a feeding cylinder, and the output end of the feeding cylinder is in driving connection with the supporting table;
the use method of the auxiliary treatment device comprises the following steps:
s1, pressing the adjusting rod to compress the first spring, and driving the outer spline rod to move to be overlapped with the inner spline by the adjusting rod so that the outer spline is in driving connection with the inner spline;
s2, the adjusting rod is rotated to enable the adjusting rod to drive the driving gear to rotate, when the driving gear rotates, the first rack and the second rack are driven to move towards opposite directions by the rotation of the driving gear due to the fact that the first rack and the second rack are located on two sides of the driving gear, so that the first supporting arm and the second supporting arm are driven to move in the opposite direction or in the opposite direction, and therefore the distance between the first supporting arm and the second supporting arm is adjusted;
s3, after the adjustment is finished, loosening the adjusting rod, and resetting the adjusting rod under the action of the first spring to separate the outer spline rod from the inner spline;
s4, two arms of the patient are respectively lapped on the first supporting arm and the second supporting arm from bottom to top, and two hands are folded, so that the end parts, far away from the supporting table, of the first supporting arm and the second supporting arm abut against shoulders;
s5, the feeding device acts to drive the supporting table to move towards the direction departing from the human body, so that the upper half of the patient is forced to bend forwards, and the shoulders of the patient are stretched in the forward direction while the waist muscles are stretched; opening the patient's arm to be flush with the back in a direction moving along the support table;
s6, the lifting cylinder is started to drive the driving rod to move upwards, when the first limiting block abuts against the linkage block, the linkage block is forced to move upwards, the linkage block moves upwards to drive the first pull rod and the second pull rod to move, the first supporting arm and the second supporting arm rotate under the force of the first pull rod and the second pull rod, the first supporting arm and the second supporting arm apply force to two arms of a patient to drive the two arms to turn over towards two sides, so that the shoulders of the patient are unfolded in the directions of the two sides and are approximately unfolded until the arms of the patient and the back of the patient keep on the same plane in the directions of the two sides;
s7, enabling the driving device to drive the first supporting arm and the second supporting arm to reset;
and S8, driving the supporting table to reset by the feeding device, and performing the actions for multiple times.
2. The shoulder cervical spine auxiliary treatment device for neurology department of claim 1, wherein the auxiliary treatment device further comprises a limiting device and a control device;
the limiting device comprises a supporting table, a supporting plate, a pressing rod and a second spring, the supporting plate is fixedly arranged on the pressing rod, the supporting table of the limiting device is arranged on the base, a control sliding groove is formed in the supporting table of the limiting device, the pressing rod is arranged in the control sliding groove in a vertically sliding mode, the second spring is located in the control sliding groove, one end of the second spring is connected into the control sliding groove, and the other end of the second spring is connected to the pressing rod;
the control device comprises a controller and a travel switch, the travel switch is fixedly arranged in the control chute, and the travel switch can be touched when the pressing rod moves downwards; the travel switch, the lifting cylinder and the feeding cylinder are in signal connection with the controller;
the S5 specifically comprises the following steps:
the feeding device acts to drive the supporting table to move towards the direction deviating from the human body, the supporting table drives the upper half of the patient to bend forwards, the abdomen of the upper half of the patient abuts against the supporting plate and presses the supporting plate downwards in the process of bending forwards, the supporting plate moves downwards to apply pressure to the second spring, the second spring is compressed, when the pressing rod on the supporting plate presses the travel switch downwards, the travel switch sends a signal to the controller, and the controller receives the signal to perform S7 action.
3. The device as claimed in claim 2, wherein the supporting platform of the position limiting device is externally threaded, the base is provided with a threaded adjusting hole, and the supporting platform of the position limiting device is threaded in the threaded adjusting hole.
4. The shoulder cervical vertebra auxiliary treatment device for the neurology department as claimed in claim 3, wherein the auxiliary treatment device further comprises two third springs, the support platform is provided with a linkage chute, and the lifting cylinder is slidably disposed in the linkage chute; the two third springs are symmetrically arranged on two sides of the lifting cylinder, one end of each third spring is connected to the lifting cylinder, and the other end of each third spring is connected to the inside of the linkage sliding groove.
CN202110309460.2A 2021-03-23 2021-03-23 Shoulder and cervical vertebra adjuvant therapy method for neurology Active CN113018101B (en)

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JP4063821B2 (en) * 2004-12-28 2008-03-19 株式会社ワールドウィングエンタープライズ Training equipment
CN204207994U (en) * 2014-11-10 2015-03-18 汪毅 Two upper limb coordination exercise training and testing equipment
CN204447150U (en) * 2014-12-22 2015-07-08 上海帝诺医疗科技有限公司 A kind of exerciser for wheeling shoulder-joint
CN204655458U (en) * 2015-02-10 2015-09-23 东北大学 A kind of scapulohumeral periarthritis medical auxiliary apparatus
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