CN113101146B - Hemiplegia patient kneels a position rehabilitation training device - Google Patents

Hemiplegia patient kneels a position rehabilitation training device Download PDF

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Publication number
CN113101146B
CN113101146B CN202110518657.7A CN202110518657A CN113101146B CN 113101146 B CN113101146 B CN 113101146B CN 202110518657 A CN202110518657 A CN 202110518657A CN 113101146 B CN113101146 B CN 113101146B
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plate
patient
support
rod
telescopic rod
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CN113101146A (en
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杨留才
杨雅
罗友根
陈根林
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Jiangsu Vocational College of Medicine
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Jiangsu Vocational College of Medicine
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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
    • 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
    • A61H1/0218Drawing-out devices
    • 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
    • A61H1/0244Hip
    • 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
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • 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
    • A61H1/0292Stretching or bending or torsioning apparatus for exercising for the spinal column
    • 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
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0412Kneeling

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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)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a kneeling position rehabilitation training device for a hemiplegic patient, which relates to the technical field of rehabilitation training for the hemiplegic patient and comprises the following components: a base plate; the abdomen push plate is arranged in the middle of the bottom plate in a lifting way; the back pressing plate is arranged above the abdomen pushing plate in a lifting manner and is connected with the bottom plate through a first bracket; the waist moving mechanism comprises a waist fixing structure and a driving structure, and the driving structure can drive the waist fixing structure to move; the upper limb moving mechanism comprises a second support, one end of the second support is connected with the bottom plate, a first telescopic rod is arranged at the other end of the second support, an armpit supporting plate is arranged at the telescopic end of the first telescopic rod, an upper arm protecting plate is arranged on one side of the other end of the second support, the upper arm protecting plate is in an arc shape, and the upper arm protecting plate can cover the outer side of the upper arm of a patient; the device can assist the patient in order to dive kneeling the position and kneel the position and carry out the rehabilitation training of upper limbs and abdomen back muscle, promotes hemiplegia patient's rehabilitation.

Description

Hemiplegia patient kneels a position rehabilitation training device
Technical Field
The invention belongs to the technical field of rehabilitation training of hemiplegic patients, and particularly relates to a kneeling position rehabilitation training device for hemiplegic patients.
Background
At present, cerebrovascular accidents have become a big killer of human beings, the number of hemiplegia patients caused by the cerebrovascular accidents is gradually increased, the hemiplegia patients are often in hemiplegia, and one limb of the hemiplegia patient loses mobility. In the rehabilitation process of the hemiplegic patient, the affected side limb and the abdominal and back muscles of the patient need to be rehabilitated, at present, a rehabilitation teacher is generally adopted in a professional hospital to help the hemiplegic patient to perform rehabilitation training, and the hemiplegic patient is inconvenient to get and high in cost.
Disclosure of Invention
The invention aims to provide a kneeling position rehabilitation training device for a hemiplegic patient, which can assist the patient in performing rehabilitation training on upper limbs and abdominal back muscles in a kneeling position and a bending position and promote rehabilitation of the hemiplegic patient.
In order to achieve the above object, the present invention provides a kneeling rehabilitation training device for a hemiplegic patient, comprising:
the hand-holding type hand-holding sponge chair comprises a base plate, wherein two hand sponge pads are arranged at the front end of the base plate, and two knee sponge pads are arranged at the rear end of the base plate;
the abdomen push plate is arranged in the middle of the bottom plate in a lifting manner;
the back pressing plate is arranged above the abdomen pushing plate in a lifting manner and is movably connected with the bottom plate through a first bracket;
the waist moving mechanism is arranged on one side of the first bracket and comprises a waist fixing structure and a driving structure, and the driving structure can drive the waist fixing structure to move;
the upper limbs moving mechanism set up in one side of hand foam-rubber cushion, the upper limbs moving mechanism includes the second support, second support one end with the bottom plate is connected, be provided with first telescopic link on the other end of second support, the flexible serving of first telescopic link is provided with the armpit layer board, the second support one side of the other end is provided with the upper arm backplate, the upper arm backplate is circular-arc, the upper arm backplate can the cladding in patient's the upper arm outside.
Optionally, the middle part of bottom plate is provided with the second telescopic link, the belly push pedal sets up the flexible of second telescopic link is served, the upper surface of belly push pedal can with patient's belly is laminated mutually.
Optionally, first support is the L shape, the one end of first support through first pivot with first U-shaped seat on the bottom plate rotates to be connected, one side of first pivot is provided with the locating pin, the locating pin can wear to establish first support with in the first U-shaped seat, be provided with the third telescopic link on the other end of first support, the flexible end orientation of third telescopic link the bottom plate and with the upper surface connection of back clamp plate, the lower surface shape of back clamp plate can with patient's back is laminated mutually.
Optionally, the driving structure includes a fourth telescopic rod, the fourth telescopic rod is connected to the first support, the telescopic end of the fourth telescopic rod faces the rear end of the bottom plate, a connecting plate is arranged at the telescopic end of the fourth telescopic rod, a fifth telescopic rod perpendicular to the fourth telescopic rod is arranged on the connecting plate, and the waist fixing structure is connected to the telescopic end of the fifth telescopic rod.
Optionally, waist fixed knot constructs including first circular arc board and second circular arc board, first circular arc board with the flexible end of fifth telescopic link is connected, first circular arc board with the upper end of second circular arc board is passed through the connecting rod and is connected, the connecting rod includes that first pole and cover establish second pole on the first pole, first pole with be provided with locking structure between the second pole.
Optionally, the locking structure includes a first threaded hole and a plurality of second threaded holes, the first threaded hole and the plurality of second threaded holes are respectively disposed on the second rod and the first rod, and a locking screw is movably disposed in the first threaded hole.
Optionally, one end of the second support is rotatably connected with the second U-shaped seat on the bottom plate through a second rotating shaft, a worm gear speed reducer and a driving motor are arranged at one end of the second rotating shaft, and the driving motor is connected with the second rotating shaft through the worm gear speed reducer.
Optionally, the axillary support plates are arc-shaped, and the axillary support plates can lift the axilla of the patient.
Optionally, still include the back board, the one end of back board is rotated and is connected the bottom plate on the rear end, the embedded bracing piece that is equipped with of back board, the one end of bracing piece articulates on the back board, the other end of bracing piece with the connection can be dismantled to the bottom plate, the bracing piece can support the back board makes the back board with the bottom plate is perpendicular.
Optionally, the abdomen pushing plate, the back pressing plate, the waist moving mechanism and the upper limb moving mechanism can be controlled to run by a control unit.
The invention provides a kneeling position rehabilitation training device for a hemiplegic patient, which has the beneficial effects that:
1. the device can assist a hemiplegic patient to form a kneeling position posture through the matching of the abdomen push plate, the waist moving mechanism and the upper limb moving mechanism, at the moment, the upper limb of the patient supports the body and the upper limb is limited by the upper limb protection plate, the waist moving mechanism pushes the waist of the patient, so that the gravity center of the patient is switched between the left upper limb and the right upper limb, and the muscle recovery of the upper limb of the patient is promoted;
2. the device can drive the patient to do repeated back-bending-back stretching movement by moving the back pressing plate and the abdomen pushing plate up and down when the patient keeps the kneeling position, so that the shoulder blades can be stretched forwards to promote the recovery of back and abdomen muscles;
3. the device can also drive the waist fixing structure to move backwards by extending the fourth telescopic rod when the patient keeps a bending and kneeling position posture, further drive the hip of the patient to move backwards, enable the hip to sit to the heel, lift the hip, sit to the heel again, move repeatedly, and play a role in lengthening the trunk and inhibiting spasm of muscles at the affected side;
4. the device can drive stretching out of armpit layer board at first telescopic link and make the patient convert the position posture of kneeling from bowing position posture of kneeling into and kneel the position posture, and the back board can support the patient back simultaneously and avoid it to empty, moves through strong side leg this moment and forms the bow step posture, effectively trains patient waist and abdomen muscle, promotes hemiplegia patient's recovery.
Additional features and advantages of the invention will be set forth in the detailed description which follows.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent by describing in detail exemplary embodiments thereof with reference to the attached drawings, wherein like reference numerals generally represent like parts in the exemplary embodiments of the present invention.
Fig. 1 shows a schematic front view of a kneeling rehabilitation training device for hemiplegic patients according to an embodiment of the present invention.
Fig. 2 shows a schematic side view of a kneeling rehabilitation training device for hemiplegic patients according to an embodiment of the present invention.
FIG. 3 shows a schematic top view of a kneeling rehabilitation training device for a hemiplegic patient according to an embodiment of the present invention.
Fig. 4 shows a schematic structural diagram of a waist moving mechanism of the kneeling rehabilitation training device for hemiplegic patients according to one embodiment of the present invention.
Fig. 5 shows a schematic structural diagram of an upper limb moving mechanism of the kneeling rehabilitation training device for hemiplegic patients according to one embodiment of the invention.
Description of reference numerals:
1. a base plate; 2. a hand sponge pad; 3. a knee sponge pad; 4. an abdomen push plate; 5. a back pressing plate; 6. a first bracket; 7. a waist moving mechanism; 8. a waist fixing structure; 9. an upper limb moving mechanism; 10. a second bracket; 11. a first telescopic rod; 12. an underarm splint; 13. an upper arm guard plate; 14. a second telescopic rod; 15. a third telescopic rod; 16. a fourth telescopic rod; 17. a connecting plate; 18. a fifth telescopic rod; 19. a first arc plate; 20. a second arc plate; 21. a connecting rod; 22. a locking structure; 23. a worm gear reducer; 24. a drive motor; 25. a back board; 26. a support rod.
Detailed Description
Preferred embodiments of the present invention will be described in more detail below. While the following describes preferred embodiments of the present invention, it should be understood that the present invention may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
The invention provides a kneeling position rehabilitation training device for a hemiplegic patient, which comprises:
the hand-holding type hand-holding sponge cushion comprises a bottom plate, wherein two hand-holding sponge cushions are arranged at the front end of the bottom plate, and two knee-holding sponge cushions are arranged at the rear end of the bottom plate;
the abdomen push plate is arranged in the middle of the bottom plate in a lifting way;
the back pressing plate is arranged above the abdomen pushing plate in a lifting way and is movably connected with the bottom plate through a first bracket;
the waist moving mechanism is arranged on one side of the first bracket and comprises a waist fixing structure and a driving structure, and the driving structure can drive the waist fixing structure to move;
upper limbs moving mechanism sets up in one side of hand foam-rubber cushion, and upper limbs moving mechanism includes the second support, and second support one end is connected with the bottom plate, is provided with first telescopic link on the other end of second support, and the flexible end of first telescopic link is provided with the armpit layer board, and one side of the other end of second support is provided with the upper arm backplate, and the upper arm backplate is circular-arcly, and the upper arm backplate can the cladding in patient's the upper arm outside.
Specifically, the two hand foam-rubber cushions and the two knee foam-rubber cushions can play a role in positioning, so that a patient can conveniently make a preparation posture of bending and kneeling positions on the device under the assistance of a family, the buffer effect can be achieved, the comfort level of the patient is improved, when the posture is prepared, the abdomen push plate is supported on the abdomen of the patient, the waist fixing structure is fixed on the waist of the patient, the posture of bending and kneeling positions of the patient is kept, the waist of the patient can be driven to move through the driving structure, the gravity center of the patient can be switched back and forth on the left and right upper limbs, the muscles of the upper limbs of the patient are trained, the upper arm protection plate can limit the affected upper limbs of the patient in the process, and the patient can be helped to complete the switching of the gravity center; then, the back pressing plate is pressed downwards, the abdomen pushing plate descends simultaneously, when the driving structure pushes the waist fixing structure backwards, the patient is promoted to stretch the spine, the trunk of the patient is adjusted, the weight of the elbows and knees is uniformly distributed, the weight is supported for a certain period of time, the abdomen pushing plate and the back pressing plate are lifted up and repeatedly moved, and the back-back stretching movement is carried out to the maximum extent, so that the scapula can stretch forwards, and the recovery of the back and the abdomen muscles is promoted; the waist fixing structure can be driven to move backwards through the driving structure, so that the two upper limbs of the patient do not move after extending forwards, the hip is seated to the heel, the hip is lifted, and the hip is seated to the heel again for a plurality of times, so that the effects of lengthening the trunk and inhibiting the spasm of the muscles on the affected side are achieved; through stretching out of first telescopic link, drive the armpit tray and shift up, the second support rotates along with the health simultaneously, holds up patient's upper part of the body for the patient is kneeling standing position posture, can train patient's waist and abdomen muscle, improves patient's recovered speed.
Optionally, the middle part of bottom plate is provided with the second telescopic link, and the setting of belly push pedal is served at the flexible of second telescopic link, and the upper surface of belly push pedal can be laminated with patient's belly mutually.
Specifically, the second telescopic rod can drive the abdomen push plate to ascend and descend, and can lift the abdomen of the patient; the abdomen push plate can support the body of a patient when in a preparation posture, and can be matched with the back press plate to realize the flexion and extension movement of the waist, the abdomen and the trunk of the patient.
Optionally, the first support is L-shaped, one end of the first support is rotatably connected with the first U-shaped seat on the bottom plate through a first rotating shaft, one side of the first rotating shaft is provided with a positioning pin, the positioning pin can penetrate through the first support and the first U-shaped seat, the other end of the first support is provided with a third telescopic rod, the telescopic end of the third telescopic rod faces the bottom plate and is connected with the upper surface of the back pressing plate, and the lower surface shape of the back pressing plate can be attached to the back of a patient.
Specifically, first support can rotate to one side of bottom plate, also can rotate the back clamp plate to the bottom plate directly over, can realize the locking of first support through the locating pin, and the third telescopic link can drive the back clamp plate and rise and descend, realizes pushing down patient's back.
Optionally, the driving structure comprises a fourth telescopic rod, the fourth telescopic rod is connected with the first support, the telescopic end of the fourth telescopic rod faces the rear end of the bottom plate, a connecting plate is arranged at the telescopic end of the fourth telescopic rod, a fifth telescopic rod perpendicular to the fourth telescopic rod is arranged on the connecting plate, and the waist fixing structure is connected to the telescopic end of the fifth telescopic rod.
Specifically, the drive structure can drive the waist fixed knot construct and remove along the length and the width direction of bottom plate, and then drive patient's hip and remove, and the fourth telescopic link can be followed the front and back end length direction of bottom plate and stretched out and draw back, and the width direction of bottom plate can be followed to the fifth telescopic link and stretched out and draw back.
Optionally, the waist fixing structure comprises a first arc plate and a second arc plate, the first arc plate is connected with the telescopic end of the fifth telescopic rod, the upper ends of the first arc plate and the second arc plate are connected through a connecting rod, the connecting rod comprises a first rod and a second rod sleeved on the first rod, and a locking structure is arranged between the first rod and the second rod.
The patient waist can be fixed when the patient is in the preparation posture of bending down and kneeling position, and the patient waist can be driven to move along the length and the width direction of the bottom plate.
Optionally, the locking structure includes a first threaded hole and a plurality of second threaded holes, the first threaded hole and the plurality of second threaded holes are respectively disposed on the second rod and the first rod, and the first threaded hole is movably disposed with a locking screw.
Specifically, the locking screw is arranged in the first thread in a penetrating mode, and the length of the connecting rod is adjusted through the matching of the locking screw and the second threaded holes.
Optionally, one end of the second support is rotatably connected to the second U-shaped seat on the bottom plate through a second rotating shaft, a worm and gear speed reducer and a driving motor are arranged at one end of the second rotating shaft, and the driving motor is connected to the second rotating shaft through the worm and gear speed reducer.
Specifically, the worm gear reducer is arranged to enable the second support to be fixed in a free state, and the second support can only be driven to rotate by the driving motor through the worm gear reducer.
Optionally, the underarm splint is arc-shaped, the underarm splint being capable of lifting the patient's underarm.
Optionally, still include the back board, the one end of back board is rotated and is connected on the rear end of bottom plate, and the embedded bracing piece that is equipped with of back board, the one end of bracing piece articulate on the back board, and the other end and the bottom plate of bracing piece can be dismantled and be connected, and the bracing piece can support the back board and make the back board perpendicular with the bottom plate.
Particularly, the backrest plate can be matched with an upper limb moving mechanism when the patient changes from bending down and kneeling to kneeling, the patient can be protected behind the body, and the patient can be prevented from bending back and falling.
Optionally, the device further comprises a control unit, wherein the control unit can control the operation of the abdomen push plate, the back press plate, the waist moving mechanism and the upper limb moving mechanism.
Specifically, the control unit can coordinate and control the operation of the abdomen push plate, the back press plate, the waist moving mechanism and the upper limb moving mechanism to complete the various training actions.
Examples
As shown in fig. 1 to 5, the present invention provides a kneeling rehabilitation training device for hemiplegic patients, comprising:
the hand-held electric hand-held massage chair comprises a bottom plate 1, wherein two hand spongy cushions 2 are arranged at the front end of the bottom plate 1, and two knee spongy cushions 3 are arranged at the rear end of the bottom plate 1;
the abdomen push plate 4 is arranged in the middle of the bottom plate 1 in a lifting way;
the back pressing plate 5 is arranged above the abdomen pushing plate 4 in a lifting way, and the back pressing plate 5 is movably connected with the bottom plate 1 through a first bracket 6;
the waist moving mechanism 7 is arranged on one side of the first bracket 6 and comprises a waist fixing structure 8 and a driving structure, and the driving structure can drive the waist fixing structure 8 to move;
upper limbs moving mechanism 9 sets up in one side of hand foam-rubber cushion 2, and upper limbs moving mechanism 9 includes second support 10, and second support 10 one end is connected with bottom plate 1, is provided with first telescopic link 11 on the other end of second support 10, and the flexible end of first telescopic link 11 is provided with armpit layer board 12, and one side of the other end of second support 10 is provided with upper arm backplate 13, and upper arm backplate 13 is circular-arc, and upper arm backplate 13 can be wrapped in the upper arm outside of patient.
In this embodiment, the middle part of the bottom plate 1 is provided with the second telescopic rod 14, the abdomen push plate 4 is arranged on the telescopic end of the second telescopic rod 14, and the upper surface of the abdomen push plate 4 can be attached to the abdomen of the patient.
In this embodiment, first support 6 is the L shape, the one end of first support 6 is passed through first pivot and is connected with the rotation of the first U-shaped seat on the bottom plate 1, one side of first pivot is provided with the locating pin, the locating pin can wear to establish in first support 6 and the first U-shaped seat, be provided with third telescopic link 15 on the other end of first support 6, the flexible end of third telescopic link 15 towards bottom plate 1 and with the upper surface connection of back clamp plate 5, the lower surface shape of back clamp plate 5 can be laminated with patient's back mutually.
In this embodiment, the driving structure includes a fourth telescopic rod 16, the fourth telescopic rod 16 is connected to the first support 6, the telescopic end of the fourth telescopic rod 16 faces the rear end of the bottom plate 1, a connecting plate 17 is disposed on the telescopic end of the fourth telescopic rod 16, a fifth telescopic rod 18 perpendicular to the fourth telescopic rod 16 is disposed on the connecting plate 17, and the waist fixing structure 8 is connected to the telescopic end of the fifth telescopic rod 18.
In this embodiment, waist fixed knot constructs 8 and includes first circular arc board 19 and second circular arc board 20, and first circular arc board 19 is connected with the flexible end of fifth telescopic link 18, and the upper end of first circular arc board 19 and second circular arc board 20 is passed through connecting rod 21 and is connected, and connecting rod 21 includes first pole and the second pole of cover on first pole, is provided with locking structure 22 between first pole and the second pole.
In this embodiment, the locking structure includes a first threaded hole and a plurality of second threaded holes, the first threaded hole and the plurality of second threaded holes are respectively disposed on the second rod and the first rod, and the locking screw is movably disposed in the first threaded hole.
In this embodiment, one end of the second bracket 10 is rotatably connected to the second U-shaped seat on the bottom plate 1 through a second rotating shaft, one end of the second rotating shaft 10 is provided with a worm gear reducer 23 and a driving motor 24, and the driving motor 24 is connected to the second rotating shaft through the worm gear reducer 23.
In this embodiment, the armpit support plate 12 is in the shape of a circular arc, and the armpit support plate 12 can lift the armpit of the patient.
In this embodiment, the back plate 25 is further included, one end of the back plate 25 is rotatably connected to the rear end of the bottom plate 1, a support rod 26 is embedded in the back plate 25, one end of the support rod 26 is hinged to the back plate 25, the other end of the support rod 26 is detachably connected to the bottom plate 1, and the support rod 26 can support the back plate 25 so that the back plate 25 is perpendicular to the bottom plate 1.
In this embodiment, a control unit is further included, which is capable of controlling the operation of the abdomen-pushing plate 4, the back-pressing plate 5, the waist-moving mechanism 7, and the upper limb-moving mechanism 9.
In conclusion, when the kneeling rehabilitation training device for the hemiplegic patient is used, one rehabilitation training is taken as an example:
firstly, a hemiplegic patient can be in a kneeling position on a bottom plate 1 with the assistance of a family, at the moment, the two knees of the patient kneel on a knee sponge pad 3, the two palms of the patient are supported on a hand sponge pad 2, meanwhile, an abdomen push plate 4 can support the abdomen of the patient, the length of a connecting rod 21 is adjusted, the waist of the patient is wrapped by a first arc plate 19 and a second arc plate 20, the waist of the patient is positioned, and the patient is helped to complete the posture;
then, the second bracket 10 is rotated to enable the upper arm protection plate 13 to cover the outer side of the upper arm of the patient, the upper arm of the patient is limited, the upper arm on the affected side of the patient is prevented from bending and losing the supporting effect, the fifth telescopic rod 18 is started, the waist and the upper body of the patient are driven to move back and forth through the extension and retraction of the fifth telescopic rod 18, the gravity center of the patient is switched between the left upper limb and the right upper limb, the muscle recovery of the upper limb of the patient is promoted, and the action can be intermittently carried out for multiple times;
after the actions are completed, on the premise of keeping the posture of the patient in the kneeling position, the second telescopic rod 11 and the third telescopic rod 15 are started to drive the abdomen push plate 4 and the back press plate 5 to move up and down, when the back press plate 5 and the abdomen push plate 4 move downwards simultaneously, the center of the back of the patient is pressed down to promote the patient to stretch the spine, the trunk of the patient is adjusted to ensure that the double elbows and the double knees uniformly distribute the weight and support the weight for 10-30 seconds, then the back press plate 5 and the abdomen push plate 4 are lifted up simultaneously to move repeatedly to do the arch back-stretching back movement to the maximum extent, so that the shoulder blade can stretch forwards to promote the recovery of the back and the abdominal muscles.
After the actions are completed, the fourth telescopic rod 16 is opened on the premise of keeping the posture of the patient in the bending and kneeling position, the fourth telescopic rod 16 drives the waist fixing structure to move backwards, and then drives the hip of the patient to move backwards, so that the hip is seated to the heel, the hip is lifted again, the heel is seated to the heel again, the repeated movement is carried out, the trunk is stretched, and the effect of inhibiting the spasm of muscles on the affected side is achieved.
After the above-mentioned action is accomplished, under the posture prerequisite that keeps the patient position of kneeling on bending down, rotate first support 6, remove first support 6, rotate back board 25, support back board 25 through bracing piece 26 and make back board 25 upright, then start first telescopic link 11 and driving motor 24 simultaneously, first telescopic link 11 drives armpit layer board 12 and rises and driving motor 24 drives second support 10 through worm gear speed reducer 23 and rotates simultaneously, utilize armpit layer board 12 to hold up the patient upper part of the body, make the patient be the position of kneeling on.
Finally, the leg of the patient is strengthened forward to form a bow step, the toe of the foot is enabled to be forward (the sole of the foot is flatly placed on the pad) and is in a straight line with the crus at the affected side, the weight of the patient is moved to the affected leg for a period of time, the waist and abdomen muscles of the patient are effectively trained, and the recovery of the patient with hemiplegia is promoted.
Having described embodiments of the present invention, the foregoing description is intended to be exemplary, not exhaustive, and not limited to the embodiments disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments.

Claims (9)

1. A kneeling rehabilitation training device for hemiplegic patients is characterized by comprising:
the hand-holding type hand-holding device comprises a base plate, wherein two hand spongy cushions are arranged at the front end of the base plate, and two knee spongy cushions are arranged at the rear end of the base plate;
the abdomen push plate is arranged in the middle of the bottom plate in a lifting manner;
the back pressing plate is arranged above the abdomen pushing plate in a lifting manner and is movably connected with the bottom plate through a first support; the patient is driven to do the back-to-back stretching movement repeatedly by the up-and-down movement of the back pressing plate and the abdomen pushing plate;
the waist moving mechanism is arranged on one side of the first bracket and comprises a waist fixing structure and a driving structure, and the driving structure can drive the waist fixing structure to move; the waist of the patient is pushed by the waist moving mechanism, so that the gravity center of the patient is switched between the left upper limb and the right upper limb;
the upper limb moving mechanism is arranged on one side of the hand sponge cushion and comprises a second support, one end of the second support is connected with the bottom plate, a first telescopic rod is arranged at the other end of the second support, an armpit supporting plate is arranged at the telescopic end of the first telescopic rod, an upper arm protecting plate is arranged on one side of the other end of the second support, the upper arm protecting plate is in an arc shape, and the upper arm protecting plate can be covered on the outer side of the upper arm of a patient;
the driving structure comprises a fourth telescopic rod, the fourth telescopic rod is connected with the first support, the telescopic end of the fourth telescopic rod faces the rear end of the bottom plate, a connecting plate is arranged on the telescopic end of the fourth telescopic rod, a fifth telescopic rod perpendicular to the fourth telescopic rod is arranged on the connecting plate, and the waist fixing structure is connected to the telescopic end of the fifth telescopic rod; the waist fixing structure is driven to move backwards by the extension of the fourth telescopic rod, so that the hip of the patient is driven to move backwards, the hip is seated to the heel, and then the hip is lifted and seated to the heel.
2. The kneeling rehabilitation training device for the hemiplegic patient according to claim 1, wherein a second telescopic rod is arranged in the middle of the bottom plate, the abdomen push plate is arranged on the telescopic end of the second telescopic rod, and the upper surface of the abdomen push plate can be attached to the abdomen of the patient.
3. The kneeling position rehabilitation training device for the hemiplegic patient according to claim 1, wherein the first support is L-shaped, one end of the first support is rotatably connected with the first U-shaped seat on the bottom plate through a first rotating shaft, a positioning pin is arranged on one side of the first rotating shaft, the positioning pin can be arranged in the first support and the first U-shaped seat in a penetrating manner, a third telescopic rod is arranged on the other end of the first support, the telescopic end of the third telescopic rod faces the bottom plate and is connected with the upper surface of the back pressing plate, and the lower surface shape of the back pressing plate can be attached to the back of the patient.
4. The kneeling rehabilitation training device for hemiplegic patients according to claim 1, wherein the waist fixing structure comprises a first circular arc plate and a second circular arc plate, the first circular arc plate is connected with the telescopic end of the fifth telescopic rod, the first circular arc plate is connected with the upper end of the second circular arc plate through a connecting rod, the connecting rod comprises a first rod and a second rod, the second rod is arranged on the first rod, and a locking structure is arranged between the first rod and the second rod.
5. The kneeling rehabilitation training device for hemiplegic patients according to claim 4, wherein the locking structure comprises a first threaded hole and a plurality of second threaded holes, the first threaded hole and the plurality of second threaded holes are respectively arranged on the second rod and the first rod, and a locking screw is movably arranged in the first threaded hole.
6. The kneeling rehabilitation training device for the hemiplegic patient according to claim 1, wherein one end of the second bracket is rotatably connected with the second U-shaped seat on the bottom plate through a second rotating shaft, one end of the second rotating shaft is provided with a worm and gear speed reducer and a driving motor, and the driving motor is connected with the second rotating shaft through the worm and gear speed reducer; the first telescopic link drives the armpit supporting plate to rise, meanwhile, the driving motor drives the second support to rotate through the worm gear and worm speed reducer, and the armpit supporting plate is utilized to support the upper body of the patient, so that the patient is in a kneeling standing posture.
7. The kneeling rehabilitation training device for hemiplegic patients according to claim 1, wherein the armpit supporting plates are arc-shaped, and can lift the armpits of the patients.
8. The kneeling position rehabilitation training device for the hemiplegic patient according to claim 1, further comprising a back board, wherein one end of the back board is rotatably connected to the bottom board at the rear end, a support rod is embedded in the back board, one end of the support rod is hinged to the back board, the other end of the support rod is detachably connected to the bottom board, and the support rod can support the back board to enable the back board to be perpendicular to the bottom board.
9. The device for kneeling rehabilitation training of hemiplegic patient according to claim 1, further comprising a control unit capable of controlling operation of said abdomen push plate, said back pressure plate, said waist moving mechanism and said upper limb moving mechanism.
CN202110518657.7A 2021-05-12 2021-05-12 Hemiplegia patient kneels a position rehabilitation training device Active CN113101146B (en)

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CN114712152A (en) * 2022-03-06 2022-07-08 北京工业大学 Reconfigurable waist muscle strength training device

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