CN113599180A - Osteonecrosis postoperative rehabilitation tempers device - Google Patents

Osteonecrosis postoperative rehabilitation tempers device Download PDF

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Publication number
CN113599180A
CN113599180A CN202110885343.0A CN202110885343A CN113599180A CN 113599180 A CN113599180 A CN 113599180A CN 202110885343 A CN202110885343 A CN 202110885343A CN 113599180 A CN113599180 A CN 113599180A
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China
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fixedly connected
gear
worm
osteonecrosis
rotatably connected
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CN202110885343.0A
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Chinese (zh)
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王勤俭
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Henan University of Traditional Chinese Medicine HUTCM
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Henan University of Traditional Chinese Medicine HUTCM
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Priority to CN202110885343.0A priority Critical patent/CN113599180A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • 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
    • A61H1/024Knee
    • 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
    • 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
    • A61H1/0266Foot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0119Support for the device
    • A61H2201/0138Support for the device incorporated in furniture
    • A61H2201/0142Beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive

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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)
  • Rehabilitation Tools (AREA)

Abstract

一种骨坏死术后康复锻炼装置,解决了训练的功能单一,繁琐麻烦,费时费力,也降低了患者锻炼的积极的问题;包括可调节的床体、壳体,壳体内设有第一圆环,第一圆环外固接有第一转轴,第一圆环内转接有第二圆环,第二圆环内固接有第二转轴,第二转轴上固接有从动块,从动块上设有导槽,导槽内滑动连接驱动架,第二转轴上固接有两个定位块,每个定位块上固接有圆柱管,每个圆柱管内都套设有升降杆,壳体底部设有第一转盘,第一转盘上固接有第一驱动电机和两个定位柱,每个定位柱上转接有第一齿轮,第一齿轮与升降杆螺接,第一驱动电机固接有第二齿轮,两个升降杆的上端固接有脚部放置架,第一转轴上套设有半圆环,半圆环与壳体左右滑动连接。

Figure 202110885343

A rehabilitation exercise device after osteonecrosis, which solves the single function of training, is cumbersome, time-consuming and labor-intensive, and also reduces the positive problem of patients'exercise; it includes an adjustable bed body and a shell, and a first circle is arranged in the shell. A first rotating shaft is fixedly connected to the outside of the first ring, a second ring is connected to the inside of the first ring, a second rotating shaft is fixedly connected to the second ring, and a driven block is fixedly connected to the second rotating shaft, The driven block is provided with a guide groove, the guide groove is slidably connected to the drive frame, two positioning blocks are fixed on the second rotating shaft, each positioning block is fixed with a cylindrical tube, and each cylindrical tube is sleeved with a lifting rod , the bottom of the casing is provided with a first turntable, a first drive motor and two positioning columns are fixed on the first turntable, a first gear is transferred on each positioning column, the first gear is screwed with the lifting rod, the first The driving motor is fixedly connected with a second gear, the upper ends of the two lifting rods are fixedly connected with a foot placement frame, a semi-circular ring is sleeved on the first rotating shaft, and the semi-circular ring is slidably connected with the casing left and right.

Figure 202110885343

Description

Osteonecrosis postoperative rehabilitation tempers device
Technical Field
The invention belongs to the technical field of medical auxiliary instruments, and particularly relates to a rehabilitation exercise device after osteonecrosis.
Background
Femoral head necrosis, also known as avascular necrosis of the femoral head, is one of the common osteoarthropathies. The main symptoms of the traditional Chinese medicine gradually progress from indirect pain to persistent pain, muscle spasm is caused by the pain, joint movement is limited, and severe disabling and lameness are caused finally. The most conventional treatment mode of femoral head necrosis is surgical treatment, postoperative rehabilitation is very important, and the postoperative rehabilitation mainly follows a comprehensive principle and needs to run through the whole rehabilitation process. The hip joint is the main bearing part of the human body and has high flexibility, so whether the peripheral muscles are strong or not directly influences the flexibility and the stability of the joint.
The functional training has a very effect on relieving pain, the force inside the joint can be uniformly distributed by the functional training, the cartilage regeneration is accelerated, the activity is changed, the load intensity of bones is improved, the blood circulation of lower limbs can be increased by the training of muscle strength, the formation of thrombus is reduced, and the occurrence of complications is reduced.
The heavy burden of the minimize shank when femoral head necrosis patient postoperative trains, and rehabilitation training is a long-term process of insisting on, patient postoperative lies when carrying out rehabilitation training through some simple training apparatus on the sick bed, the function singleness of training, if when obtaining preceding training, need use the training utensil of multiple difference, loaded down with trivial details trouble, waste time and energy, and the training utensil is placed inconvenient nursing work that carries out other to the patient on the sick bed, nursing staff's working strength has been increased, the enthusiasm that the patient took exercise has also been reduced.
Disclosure of Invention
Aiming at the technical problems, the invention provides a rehabilitation exercise device after osteonecrosis, which solves the problems that the training function is single, a plurality of different training appliances are needed, the training appliances are complicated and troublesome, time and labor are wasted, the training appliances are placed on a sickbed, other nursing work is inconvenient for a patient, the working strength of nursing personnel is increased, and the exercise of the patient is also reduced.
In order to achieve the above object, the present invention provides the following technical solutions; the bed comprises a bed body, a seat board is fixedly connected in the middle of the bed body, a supporting frame with adjustable height is arranged at the front end of the seat board, a cover plate is rotatably connected at the front end of the supporting frame, an angle-adjustable back plate is arranged behind the seat board, a shell is fixedly connected to the bed body, the shell is arranged below the cover plate, a first circular ring is arranged in the shell, a first rotating shaft penetrating through the circle center of the first circular ring is fixedly connected to the outer part of the first circular ring, a second circular ring is rotatably connected to the inner part of the first circular ring, a second rotating shaft penetrating through the circle center of the second circular ring is fixedly connected to the inner part of the second circular ring, a driven block perpendicular to the driven block is fixedly connected to the second rotating shaft, a guide groove arranged along the axial direction of the driven block is arranged on the driven block, a driving pin is slidably connected to the guide groove, and a driving frame capable of moving left and right is fixedly connected to the driving pin, the utility model discloses a lifting device, including first pivot, second pivot, first drive motor, the first drive motor of fixedly connected with, the first drive motor of first drive motor, the first drive motor of second drive motor, the second drive motor of second drive motor, the locating piece of two central symmetries of fixedly connected with, the cylinder pipe of the vertical setting of all fixedly connected with on every locating piece, every cylinder intraductal all overlaps and is equipped with the lifter, the bottom of casing is equipped with the first carousel of reciprocating rotation, the reference column of the first drive motor's of fixedly connected with and two central symmetries on the first carousel, the vertical sliding connection of lifter and reference column one-to-one, the upper end of every reference column all rotates and is connected with first gear, first gear and lifter threaded connection, the output fixedly connected with of first drive motor and two second gears of first gear meshing, two the upper end fixedly connected with foot rack of lifter, the cover is equipped with the semicircle ring in the first pivot, semicircle ring and casing horizontal sliding connection.
Preferably, the coaxial rigid coupling of lower extreme of first carousel has the pinion, the pinion meshing has the gear wheel, the coaxial rigid coupling of gear wheel has first worm wheel, first worm wheel rotates with the casing to be connected, first worm wheel meshing has the first worm of being connected with the casing rotation, but first worm reciprocating motion.
Preferably, the driving frame is fixedly connected with a driven rack, the driven rack is meshed with a straight gear, the straight gear is coaxially and fixedly connected with a second worm gear rotatably connected with the shell, and the second worm gear is meshed with a second worm rotatably connected with the shell.
Preferably, be equipped with clutching mechanism between first worm and the second worm, clutching mechanism include with casing horizontal sliding connection's slide, it is connected with intermeshing's driving gear and driven gear to rotate on the slide, the coaxial rigid coupling of driven gear has the driven shaft, the driven shaft cover is established in the inside of first worm, second worm, the right-hand member of first worm is equipped with first spline groove, the left end of second worm is equipped with the second spline groove, fixedly connected with can with first spline groove complex first spline and can with second spline groove complex second spline on the driven shaft, the coaxial rigid coupling of driving gear has second driving motor, second driving motor fixed mounting is on the slide.
Preferably, the rear end of the cover plate is rotatably connected with a reciprocating gear, the left end and the right end of the reciprocating gear are respectively meshed with a reciprocating rack, each reciprocating rack is fixedly connected with a foot support frame, each foot support frame is vertically and slidably connected with the cover plate, and a compression spring is fixedly connected between each foot support frame and the cover plate.
Preferably, the front end of backup plate rotates with the bed body to be connected, the lower extreme of backup plate articulates there is the bracing piece, the one end that the backup plate was kept away from to the bracing piece articulates there is the slider, it is connected with the regulation lead screw to rotate on the bed body, slider and regulation lead screw threaded connection.
Preferably, be equipped with two bilateral symmetry's guardrail on the bed body, spout on the guardrail, the spout includes horizontal slot, chute and vertical groove, vertical groove is less than horizontal slot, and sliding connection has first slide bar and second slide bar in two spouts, common rigid coupling has the panel on first slide bar and the second slide bar, both ends threaded connection all has lock nut about first slide bar and the second slide bar.
Preferably, the sliding seat is connected with a first lead screw in a threaded manner, and the first lead screw is rotatably connected with the shell.
Preferably, the middle of the foot placing frame is fixedly connected with a separation block, a first sliding block is connected in the separation block in a front-back sliding mode, a first spring is fixedly connected between the first sliding block and the separation block, pedals are hinged to the left side and the right side of the foot placing frame, a second connecting rod is hinged to each pedal, and one end, far away from the pedals, of each second connecting rod is hinged to the first sliding block.
Compared with the prior art, the invention has the beneficial effects that: the device has complete functions, is convenient to store when not used, and does not influence the daily care of patients; the training is convenient, the limb exercise can be carried out after the cover plate is opened, the upper and lower knee bending exercise, the ankle twisting exercise, the translation exercise of the two legs, the upper and lower leg lifting exercise and the like can be obtained when the two feet of the patient are placed on the foot supporting frame, and the training amplitude can be adjusted and positioned; the posture of the patient can be adjusted by adjusting the angle of the backup plate and the height of the support frame, so that the patient can exercise in different forms, and the exercise comfort of the patient is enhanced; can improve the load intensity of bone through this device, increase the blood circulation of low limbs, reduce the emergence of thrombus and complication, the training function is comprehensive, and labour saving and time saving has reduced nursing staff's working strength, has improved patient's enthusiasm, makes patient can be long-term lasting insist on taking exercise.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic view of the whole structure of the back plate and the cover plate after being lifted.
Fig. 3 is a schematic view showing the overall structure of the casing and its internal structure of the present invention.
Fig. 4 is an overall structural view of the internal structure of the housing of the present invention.
Fig. 5 is a schematic structural view of the second ring driven by the reciprocating motion of the driving frame or the reciprocating motion of the driving frame itself after the angle of the second ring is adjusted according to the present invention.
FIG. 6 is a schematic view of the foot rest of the present invention showing the adjustment of the height of the foot rest.
Fig. 7 is a schematic structural view of the connection of the second circular ring, the first circular ring and the semicircular ring of the present invention.
Fig. 8 is an exploded view of the second ring, the first ring and the semicircular ring connection structure of the present invention.
Fig. 9 is a schematic view of the overall structure of the clutch mechanism of the present invention.
Fig. 10 is a schematic structural view of the second ring of the present invention after being angularly adjusted to cooperate with the driving frame.
FIG. 11 is an exploded view of the pedal of the present invention engaged with a foot rest.
FIG. 12 is a schematic view of the overall structure of the pedal of the present invention connected to the foot rest.
Fig. 13 is a schematic structural view of the panel of the present invention locked after being adjusted by the locking nut.
Fig. 14 is a schematic view of the overall construction of the barrier and chute of the present invention.
Fig. 15 is a schematic structural view of the leg exercise device with two foot supports after the cover plate is lifted.
In the figure: 1-bed body, 2-seat plate, 3-support frame, 4-cover plate, 5-back plate, 6-shell, 7-first circular ring, 8-first rotating shaft, 9-second circular ring, 10-second rotating shaft, 11-driven block, 12-guide groove, 13-drive pin, 14-drive frame, 15-positioning block, 16-cylindrical tube, 17-lifting rod, 18-first rotating disc, 19-first drive motor, 20-positioning column, 21-first gear, 22-second gear, 23-foot placing frame, 24-semicircular ring, 25-pinion, 26-bull gear, 27-first worm gear, 28-first worm, 29-driven gear, 30-straight gear, 31-second worm gear, 32-second worm, 33-sliding seat, 34-driving gear, 35-driven gear, 36-driven shaft, 37-first spline, 38-second spline, 39-second driving motor, 40-reciprocating gear, 41-reciprocating rack, 42-foot support frame, 43-compression spring, 44-supporting rod, 45-sliding block, 46-adjusting screw rod, 47-guardrail, 48-sliding groove, 4801-horizontal groove, 4802-sliding groove, 4803-vertical groove, 49-first sliding rod, 50-second sliding rod, 51-panel, 52-locking nut, 53-first screw rod, 54-separating block, 55-first sliding block, 56-first spring, 57-pedal and 58-second connecting rod.
Detailed Description
The present invention will now be described in further detail with reference to the accompanying drawings. The drawings are simplified schematic views illustrating only the basic structure of the present invention in a schematic manner, and thus show only the constitution related to the present invention.
Referring to fig. 1-15, the invention comprises a bed body 1, a seat plate 2 is fixedly connected in the middle of the bed body 1, a supporting frame 3 with adjustable height is arranged at the front end of the seat plate 2, a cover plate 4 is rotatably connected at the front end of the supporting frame 3, an angle-adjustable back plate 5 is arranged behind the seat plate 2, a shell 6 is fixedly connected on the bed body 1, the shell 6 is arranged below the cover plate 4, a first circular ring 7 is arranged in the shell 6, a first rotating shaft 8 penetrating through the circle center of the first circular ring 7 is fixedly connected to the outside of the first circular ring 7, a second circular ring 9 is rotatably connected to the inside of the first circular ring 7, a second rotating shaft 10 penetrating through the circle center of the second circular ring 9 is fixedly connected to the inside of the second circular ring 9, a driven block 11 perpendicular to the second rotating shaft 10 is fixedly connected to the driven block 11, a guide groove 12 is arranged on the driven block 11 along the axial direction thereof, a driving pin 13 is slidably connected in the guide groove 12, a driving frame 14 capable of moving left and right is fixedly connected on the driving pin 13, two centrosymmetric positioning blocks 15 are fixedly connected on the second rotating shaft 10, a vertically arranged cylindrical tube 16 is fixedly connected on each positioning block 15, a lifting rod 17 is sleeved in each cylindrical tube 16, a first rotating disc 18 capable of rotating in a reciprocating manner is arranged at the bottom of the shell 6, a first driving motor 19 and two centrosymmetric positioning columns 20 are fixedly connected on the first rotating disc 18, the lifting rods 17 are in one-to-one vertical sliding connection with the positioning columns 20, a first gear 21 is rotatably connected at the upper end of each positioning column 20, the first gear 21 is in threaded connection with the lifting rod 17, a second gear 22 meshed with the two first gears 21 is fixedly connected at the output end of the first driving motor 19, and foot placing frames 23 are fixedly connected at the upper ends of the two lifting rods 17, the first rotating shaft 8 is sleeved with a semicircular ring 24, and the semicircular ring 24 is connected with the shell in a sliding mode from left to right.
The patient should lie on the sick bed to recover after the operation, and in the process, the patient cannot walk on the ground, but also needs to exercise the limbs to promote the recovery of the limb function and muscle strength; during exercise, as shown in fig. 2, the back plate 5 can be lifted, the support frame 3 falls, the buttocks of the patient sits on the seat plate 2, so that the patient keeps a sitting posture, then the cover plate 4 is lifted from the support frame 3 and fixed, the shell 6 is exposed, and the feet of the patient can be placed on the foot placing frame 23 for lower limb training;
(I) performing knee bending up and down on the legs, as shown in FIG. 6, putting the feet of the patient on a foot placing frame 23, starting a first driving motor 19, driving a second gear 22 to rotate by the first driving motor 19, driving two first gears 21 to synchronously rotate in the same direction by a second gear 2, forming a screw nut structure by the first gears 21 and a lifting rod 17, when the two first gears 21 synchronously rotate, synchronously lifting or falling two lifting rods 17 and driving the foot placing frame 23 to lift or fall, and when the foot placing frame 23 lifts, bending the lower limbs of the patient upwards; when the first driving motor 19 of reversal, patient's low limbs whereabouts, the screw nut structure that first gear 21 and lifter 17 constitute has the auto-lock nature, all can remain stable state when foot rack 23 rises or falls to any height, and the screw thread pitch that sets up on the lifter 17 is little, and at the continuous pivoted in-process of first gear 21, foot rack 23 goes up and down slowly, has guaranteed the gentle of taking exercise, avoids causing the damage to the patient.
And (II) twisting exercise of the ankle, firstly, adjusting the position of the driving frame 14 to enable the driving pin 13 to be located at the circle center position of the second circular ring 9, then locking the position of the driving frame 14, enabling the first rotating disc 18 to rotate in a reciprocating mode and drive the foot placing frame 23 to rotate in a reciprocating mode through the positioning column 21 and the lifting rod 17, enabling the two feet of a patient to be placed on the foot placing frame 23 to do twisting exercise of the ankle, and enabling the semi-circular ring 24 to have no displacement.
(III) the translation training of both legs, a placing plate is fixedly connected to the semicircular ring 24, both feet of a patient are placed on the placing plate, the first rotating disc 18 can drive the positioning block 15 to rotate through the matching of the lifting rod 17 and the cylindrical pipe 16 when rotating in a reciprocating manner, the positioning block 15 drives the second circular ring 9 to rotate through the matching with the second rotating shaft 10, at the moment, the position of the driving frame 14 is adjusted to enable the driving pin 13 to be in the eccentric position of the second circular ring 9, when the second circular ring 9 rotates, the driven block 11 also rotates along with the rotation, when the driven block 11 rotates, the guide groove 12 inclines and the driving pin 13 is matched with the driving pin, at the moment, the second rotating shaft 10 slides with the positioning block 15, so that the second circular ring 9 also needs to move in the front and back direction, the second circular ring 9 drives the first circular ring 7 to move in the same direction, the front and back movement of the first circular ring 7 drives the first rotating shaft 8 and the semicircular ring 24 to slide in the front and back direction, and the left and right movement of the first circular ring 7 drives the semicircular ring 24 to move in the left and right direction on the shell 6, at the moment, the lower limbs of the patient can be subjected to translation training; the further the drive pin 13 is from the centre of the second ring 9, the greater the amount of translation of the patient's leg.
(IV) lift the leg exercise from top to bottom, backplate 5 can fall and be the horizontality this moment, and the patient lies on backplate 5 and bedplate 2, and on foot rack 23 was put to the both legs, initial condition, foot rack 23's height was adjusted to flush with bedplate 2, then lifts the exercise that can lift when can carrying out the both legs to the patient at control foot rack 23.
As shown in fig. 9, in order to realize angle adjustment or reciprocating rotation of the first rotating disk 8 and ensure that the angle of the first rotating disk 8 can be locked after being adjusted to any angle, a pinion 25 is coaxially and fixedly connected to the lower end of the first rotating disk 8, a gearwheel 26 is meshed with the pinion 25, a first worm wheel 27 is coaxially and fixedly connected to the gearwheel 26, the first worm wheel 27 is rotatably connected to the housing 6, a first worm 28 rotatably connected to the housing 6 is meshed with the first worm wheel 27, and the first worm 28 can rotate in a reciprocating manner.
The reciprocating rotation of first worm 28 can drive first worm wheel 27 and the gear wheel 26 rotation reciprocating motion with first worm wheel 27 rigid coupling, gear wheel 26 drives pinion 25 reciprocating rotation simultaneously, finally, drive the reciprocating rotation of first carousel 8 through pinion 25, the worm gear structure has auto-lock nature, be in stable condition after the angle modulation of first carousel 8, the patient both feet are fixed to foot rack 23 on, the ankle wrench movement that can carry out certain angle keeps fixed, the ankle also can drive the ankle through the reciprocating rotation of first worm 28 and carry out reciprocal wrench movement.
Further, in order to realize the adjustment of the left and right positions of the driving frame 14 and to lock the driving frame after the adjustment, a driven rack 29 is fixedly connected to the driving frame 14, a straight gear 30 is meshed with the driven rack 29, a second worm wheel 31 rotatably connected with the housing 6 is coaxially fixedly connected to the straight gear 30, and a second worm 32 rotatably connected with the housing 6 is meshed with the second worm wheel 31.
When the left and right positions of the driving frame 14 are adjusted, the second worm 32 can be rotated, the second worm 32 drives the second worm wheel 21 and the straight gear 30 fixedly connected with the second worm wheel 21 to rotate, the straight gear 30 drives the driven rack 29 to be adjusted left and right, so that the position of the driving frame 14 is adjusted, and the adjusted driving frame 14 is in a stable state through the self-locking performance of the worm wheel and the worm.
Be equipped with clutching mechanism between first worm 28 and the second worm 32, clutching mechanism includes slide 33 with 6 horizontal sliding connection of casing, it is connected with intermeshing's driving gear 34 and driven gear 35 to rotate on slide 33, the coaxial rigid coupling of driven gear 35 has driven shaft 36, driven shaft 36 cover is established in the inside of first worm 28, second worm 32, the right-hand member of first worm 28 is equipped with first spline groove, the left end of second worm 32 is equipped with the second spline groove, fixedly connected with can with first spline groove complex first spline 37 and can with second spline groove complex second spline 38 on the driven shaft 36, the coaxial rigid coupling of driving gear 34 has second driving motor 39, second driving motor 39 fixed mounting is on slide 33.
Wherein, a first lead screw 53 is connected to the slide carriage 33 through a thread, and the first lead screw 53 is rotatably connected to the housing 6.
When the rotation of the second worm 32 needs to be realized, the first lead screw 53 can be rotated, the first lead screw 53 and the slide seat 33 form a lead screw nut structure, when the first lead screw 53 is rotated in the forward direction, the slide seat 33 moves rightwards, meanwhile, the slide seat 33 drives the driven shaft 36 to move rightwards so as to enable the second spline 38 to be matched with the second spline groove, at the moment, the second driving motor 39 is started to drive the driving gear 34 to rotate, the driving gear 34 drives the driven shaft 36 to rotate through the driven gear 35 meshed with the driving gear 34, and the driven shaft 36 enables the second worm 32 to rotate through the matching of the second spline 38 and the second spline groove, so that the position of the driving frame 14 is adjusted;
when the angle of the first rotary disc 18 needs to be adjusted, the first lead screw 53 can be rotated reversely, so that the slide carriage moves leftwards, the gradually-changed second spline 38 and the second spline groove lose fit, the first spline is gradually inserted into the first spline groove, at this time, the second driving motor 39 is started, and the reciprocating rotation and the angle adjustment of the first rotary disc 18 can be realized when the second driving motor 39 rotates forwards or backwards.
As shown in fig. 15, in order to perform the alternate leg lifting exercise on both legs of the patient, a reciprocating gear 40 is rotatably connected to the rear end of the cover plate 4, reciprocating racks 41 are respectively engaged with the left and right ends of the reciprocating gear 40, a foot support 42 is fixedly connected to each reciprocating rack 41, each foot support 42 is vertically slidably connected to the cover plate 4, and a compression spring 43 is fixedly connected between each foot support 42 and the cover plate 4.
After the cover plate 4 is lifted and positioned, two feet are respectively placed on the foot supporting frames 42 on the same side, when one leg falls, the reciprocating rack 41 on the same side is driven to fall, then the reciprocating rack 41 and the foot supporting frames 42 on the other side rise through the transmission of the reciprocating gear 40, and the compression spring 43 is used for keeping the initial positions of the two foot supporting frames 42 so that the two reciprocating racks 41 can be meshed with the reciprocating gear 40, and meanwhile, the exercise intensity can be enhanced in a proper amount; the supporting frame 3 can be adjusted in a lifting way to realize the height of the initial position of the foot supporting frame 42, and the swing range of the leg part is improved.
As shown in fig. 2, in order to realize the angle adjustment and the positioning of the backup plate 5, the front end of the backup plate 5 is rotatably connected with the bed body 1, the lower end of the backup plate 5 is hinged with a support rod 44, one end of the support rod 44 far away from the backup plate 5 is hinged with a slide block 45, the bed body 1 is rotatably connected with an adjusting screw 46, and the slide block 45 is in threaded connection with the adjusting screw 46.
The adjusting screw 46 and the sliding block 45 form a screw nut structure, when the adjusting screw 46 is rotated, the sliding block 45 moves left and right, and when the sliding block 45 moves left and right, the angle of the backup plate 5 can be adjusted through the supporting rod 44.
As shown in fig. 2, 13 and 14, two bilateral symmetry guard rails 47 are arranged on the bed body 1, the upper sliding grooves 48 of the guard rails include horizontal grooves 4801, inclined grooves 4802 and vertical grooves 4803, the vertical grooves 4803 are lower than the horizontal grooves 4801, a first sliding rod 49 and a second sliding rod 50 are slidably connected in the two sliding grooves 48, a panel 51 is fixedly connected to the first sliding rod 49 and the second sliding rod 50, and locking nuts 52 are connected to the left end and the right end of the first sliding rod 49 and the second sliding rod 50 through threads.
The guardrail 47 can protect the patient, the panel 51 can be moved from the vertical groove 4803 to the horizontal groove 4801, the panel 51 can be locked by the locking nut 52 when being positioned in the horizontal groove 4801, and nursing products can be temporarily placed on the panel 51, so that the operation of nursing staff is facilitated, and the daily dining and other needs of the patient can be facilitated; the panel 51 can be fixedly connected with a handle, and when the locking nut 52 is in a loose state, the patient can hold the handle to pull the panel 51 back and forth to exercise the upper limbs of the patient; when the panel 51 is positioned in the chute 4802, the bed tail of the bed body 1 can be protected, and unrelated people can be prevented from sitting on the bed tail and pressing the legs of a patient; when the panel 51 is in the vertical groove 4803, the lifting of the cover 4 is not affected.
As shown in fig. 11 and 12, in order to implement the back-and-forth swing training of the foot of the patient, a separating block 54 is fixedly connected to the middle of the foot placing frame 23, a first sliding block 55 is slidably connected to the separating block 54 in the back-and-forth direction, a first spring 56 is fixedly connected between the first sliding block 55 and the separating block 54, pedals 57 are hinged to the left and right sides of the foot placing frame 23, a second connecting rod 58 is hinged to each pedal 57, and one end of the second connecting rod 58, which is far away from the pedal 57, is hinged to the first sliding block 55.
Under the normal condition, two pedals 57 can be fixed on the foot support 23 through the hook to keep the pedals 57 horizontal, when the back and forth swing exercise of foot is carried out, the hook can be disengaged from the foot support 23, under the action of the first spring 56, the two pedals 57 are lifted upwards, the foot of the patient is put on the pedals 57, when the foot swings forwards and backwards, the pedals 57 are pressed downwards, the first sliding block 55 is driven by the second connecting rod 58 to compress the first spring 56, when the foot of the patient is lifted, under the action of the first spring 56, the pedals 57 are reset upwards, and the back and forth swing exercise of the ankle of the patient can be realized.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (9)

1.一种骨坏死术后康复锻炼装置,包括床体(1),其特征在于:所述床体(1)的中间固定连接有座板(2),所述座板(2)的前端设有可调节高度的支撑架(3),所述支撑架(3)的前端转动连接有盖板(4),所述座板(2)的后方设有可调节角度的背板(5),所述床体(1)上固定连接有壳体(6),所述壳体(6)在盖板(4)的下方,所述壳体(6)内设有第一圆环(7),所述第一圆环(7)的外部固定连接有穿过第一圆环(7)圆心的第一转轴(8),所述第一圆环(7)的内部转动连接有第二圆环(9),所述第二圆环(9)的内部固定连接有贯穿第二圆环(9)圆心的第二转轴(10),所述第二转轴(10)上固定连接有与其垂直的从动块(11),所述从动块(11)上设有沿其轴向设置的导槽(12),所述导槽(12)内滑动连接有驱动销(13),所述驱动销(13)上固定连接有可左右运动的驱动架(14),所述第二转轴(10)上固定连接有两个中心对称的定位块(15),每个定位块(15)上都固定连接有竖直设置的圆柱管(16),每个圆柱管(16)内都套设有升降杆(17),所述壳体(6)的底部设有可往复转动第一转盘(18),所述第一转盘(18)上固定连接有第一驱动电机(19)和两个中心对称的定位柱(20),所述升降杆(17)与定位柱(20)一一对应的竖直滑动连接,每个定位柱(20)的上端都转动连接有第一齿轮(21),所述第一齿轮(21)与升降杆(17)螺纹连接,所述第一驱动电机(19)的输出端固定连接有与两个第一齿轮(21)啮合的第二齿轮(22),两个所述升降杆(17)的上端固定连接有脚部放置架(23),所述第一转轴(8)上套设有半圆环(24),所述半圆环(24)与壳体左右滑动连接。1. A rehabilitation exercise device after osteonecrosis, comprising a bed body (1), characterized in that: the middle of the bed body (1) is fixedly connected with a seat plate (2), and the front end of the seat plate (2) A height-adjustable support frame (3) is provided, the front end of the support frame (3) is rotatably connected with a cover plate (4), and the rear of the seat plate (2) is provided with an angle-adjustable back plate (5) , the bed body (1) is fixedly connected with a casing (6), the casing (6) is below the cover plate (4), and the casing (6) is provided with a first ring (7) ), the outside of the first ring (7) is fixedly connected with a first shaft (8) passing through the center of the first ring (7), and the inside of the first ring (7) is rotatably connected with a second A circular ring (9), the interior of the second circular ring (9) is fixedly connected with a second rotating shaft (10) penetrating the center of the second circular ring (9), and the second rotating shaft (10) is fixedly connected with the second rotating shaft (10) A vertical driven block (11), the driven block (11) is provided with a guide groove (12) arranged along its axial direction, and a driving pin (13) is slidably connected in the guide groove (12), so A drive frame (14) that can move left and right is fixedly connected to the drive pin (13), and two center-symmetrical positioning blocks (15) are fixedly connected to the second rotating shaft (10). Each positioning block (15) Vertically arranged cylindrical tubes (16) are fixedly connected to the tops, each cylindrical tube (16) is sleeved with a lifting rod (17), and the bottom of the casing (6) is provided with a reciprocatingly rotatable first turntable (18), a first drive motor (19) and two centrally symmetrical positioning columns (20) are fixedly connected to the first turntable (18), and the lifting rods (17) and the positioning columns (20) are one by one. Corresponding vertical sliding connection, the upper end of each positioning column (20) is rotatably connected with a first gear (21), the first gear (21) is threadedly connected with the lifting rod (17), and the first drive motor The output end of (19) is fixedly connected with a second gear (22) meshing with the two first gears (21), and the upper ends of the two lifting rods (17) are fixedly connected with a foot rest (23), so A semi-circular ring (24) is sleeved on the first rotating shaft (8), and the semi-circular ring (24) is slidably connected with the casing left and right. 2.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述第一转盘(8)的下端同轴固接有小齿轮(25),所述小齿轮(25)啮合有大齿轮(26),所述大齿轮(26)同轴固接有第一蜗轮(27),所述第一蜗轮(27)与壳体(6)转动连接,所述第一蜗轮(27)啮合有与壳体(6)转动连接的第一蜗杆(28),所述第一蜗杆(28)可往复转动。2. A rehabilitation exercise device after osteonecrosis surgery according to claim 1, characterized in that: a pinion (25) is coaxially fixed to the lower end of the first turntable (8), and the pinion (25) ) is meshed with a large gear (26), the large gear (26) is coaxially fixed with a first worm gear (27), the first worm gear (27) is rotatably connected with the housing (6), and the first worm gear (27) (27) A first worm (28) rotatably connected to the housing (6) is engaged, and the first worm (28) can rotate back and forth. 3.根据权利要求2所述的一种骨坏死术后康复锻炼装置,其特征在于:所述驱动架(14)上固定连接有从动齿条(29),所述从动齿条(29)啮合有直齿轮(30),所述直齿轮(30)同轴固接有与壳体(6)转动连接的第二蜗轮(31),所述第二蜗轮(31)啮合有与壳体(6)转动连接的第二蜗杆(32)。3. A rehabilitation exercise device after osteonecrosis operation according to claim 2, characterized in that: a driven rack (29) is fixedly connected to the drive frame (14), and the driven rack (29) ) is meshed with a spur gear (30), the spur gear (30) is coaxially fixed with a second worm gear (31) rotatably connected to the housing (6), and the second worm gear (31) is meshed with the housing (6). (6) Rotate the connected second worm (32). 4.根据权利要求3所述的一种骨坏死术后康复锻炼装置,其特征在于:所述第一蜗杆(28)与第二蜗杆(32)之间设有离合机构,所述离合机构包括与壳体(6)左右滑动连接的滑座(33),所述滑座(33)上转动连接有相互啮合的主动齿轮(34)和从动齿轮(35),所述从动齿轮(35)同轴固接有从动轴(36),所述从动轴(36)套设在第一蜗杆(28)、第二蜗杆(32)的内部,所述第一蜗杆(28)的右端设有第一花键槽,所述第二蜗杆(32)的左端设有第二花键槽,所述从动轴(36)上固定连接有可与第一花键槽配合的第一花键(37)和可与第二花键槽配合的第二花键(38),所述主动齿轮(34)同轴固接有第二驱动电机(39),所述第二驱动电机(39)固定安装到滑座(33)上。4. A rehabilitation exercise device after osteonecrosis operation according to claim 3, characterized in that: a clutch mechanism is provided between the first worm (28) and the second worm (32), and the clutch mechanism comprises A sliding seat (33) slidably connected to the casing (6) left and right, the sliding seat (33) is rotatably connected with a driving gear (34) and a driven gear (35) that mesh with each other, the driven gear (35) ) coaxially fixed with a driven shaft (36), the driven shaft (36) is sleeved inside the first worm (28) and the second worm (32), and the right end of the first worm (28) A first spline groove is provided, the left end of the second worm (32) is provided with a second spline groove, and the driven shaft (36) is fixedly connected with a first spline (37) that can cooperate with the first spline groove ) and a second spline (38) that can be matched with the second spline groove, the driving gear (34) is coaxially fixed with a second drive motor (39), and the second drive motor (39) is fixedly mounted to the on the slide (33). 5.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述盖板(4)的后端转动连接有往复齿轮(40),所述往复齿轮(40)的左右两端分别啮合有往复齿条(41),每个往复齿条(41)上都固定连接有脚撑架(42),每个脚撑架(42)都与盖板(4)竖直滑动连接,每个脚撑架(42)与盖板(4)之间都固定连接有压缩弹簧(43)。5. A rehabilitation exercise device after osteonecrosis operation according to claim 1, characterized in that: a reciprocating gear (40) is rotatably connected to the rear end of the cover plate (4), and the The left and right ends are respectively engaged with reciprocating racks (41), each reciprocating rack (41) is fixedly connected with a foot support (42), and each foot support (42) is vertical to the cover plate (4) For sliding connection, a compression spring (43) is fixedly connected between each foot support (42) and the cover plate (4). 6.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述靠板(5)的前端与床体(1)转动连接,所述靠板(5)的下端铰接有支撑杆(44),所述支撑杆(44)远离靠板(5)的一端铰接有滑块(45),所述床体(1)上转动连接有调节丝杠(46),所述滑块(45)与调节丝杠(46)螺纹连接。6. A rehabilitation exercise device after osteonecrosis operation according to claim 1, characterized in that: the front end of the backing plate (5) is rotatably connected with the bed body (1), and the lower end of the backing plate (5) is rotatably connected. A support rod (44) is hingedly connected, and a slider (45) is hinged at one end of the support rod (44) away from the backing plate (5), and an adjusting screw (46) is rotatably connected to the bed body (1), so The slider (45) is threadedly connected with the adjusting screw (46). 7.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述床体(1)上设有两个左右对称的护栏(47),所述护栏上滑槽(48),所述滑槽(48)包括水平槽(4801)、斜槽(4802)和竖直槽(4803),所述竖直槽(4803)低于水平槽(4801),两个滑槽(48)内滑动连接有第一滑杆(49)和第二滑杆(50),所述第一滑杆(49)与第二滑杆(50)上共同固接有面板(51),所述第一滑杆(49)和第二滑杆(50)的左右两端都螺纹连接有锁紧螺母(52)。7. A rehabilitation exercise device for osteonecrosis after operation according to claim 1, characterized in that: the bed body (1) is provided with two left-right symmetrical guardrails (47), and the upper chute (47) on the guardrail 48), the chute (48) includes a horizontal slot (4801), an inclined slot (4802) and a vertical slot (4803), the vertical slot (4803) is lower than the horizontal slot (4801), and two chute (48) is slidably connected with a first sliding rod (49) and a second sliding rod (50), the first sliding rod (49) and the second sliding rod (50) are jointly fixed with a panel (51), The left and right ends of the first sliding rod (49) and the second sliding rod (50) are screwed with locking nuts (52). 8.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述滑座(33)上螺纹连接有第一丝杠(53),所述第一丝杠(53)与壳体(6)转动连接。8 . The rehabilitation exercise device after osteonecrosis surgery according to claim 1 , wherein a first lead screw ( 53 ) is threadedly connected to the sliding seat ( 33 ), and the first lead screw ( 53 ). ) is rotatably connected with the housing (6). 9.根据权利要求1所述的一种骨坏死术后康复锻炼装置,其特征在于:所述脚部放置架(23)的中间固定连接有分隔块(54),所述分隔块(54)内前后滑动连接有第一滑块(55),所述第一滑块(55)与分割块(54)之间固定连接有第一弹簧(56),所述脚部放置架(23)的左右两侧都铰接有踏板(57),每个踏板(57)上都铰接有第二连杆(58),所述第二连杆(58)远离踏板(57)的一端与第一滑块(55)铰接。9 . The rehabilitation exercise device after osteonecrosis operation according to claim 1 , wherein a partition block ( 54 ) is fixedly connected in the middle of the foot placing frame ( 23 ), and the partition block ( 54 ) A first sliding block (55) is slidably connected inside and outside the first sliding block (55) and a first spring (56) is fixedly connected between the first sliding block (55) and the dividing block (54). The left and right sides are hinged with pedals (57), and each pedal (57) is hinged with a second connecting rod (58), the end of the second connecting rod (58) away from the pedal (57) and the first sliding block (55) Hinged.
CN202110885343.0A 2021-08-03 2021-08-03 Osteonecrosis postoperative rehabilitation tempers device Withdrawn CN113599180A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114601682A (en) * 2022-01-21 2022-06-10 曲靖市第一人民医院 Gout patient foot trainer
CN117960926A (en) * 2024-03-29 2024-05-03 江苏昊冠精密机械制造有限公司 Valve core armature synchronous radial riveting device of electromagnetic valve

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114601682A (en) * 2022-01-21 2022-06-10 曲靖市第一人民医院 Gout patient foot trainer
CN117960926A (en) * 2024-03-29 2024-05-03 江苏昊冠精密机械制造有限公司 Valve core armature synchronous radial riveting device of electromagnetic valve
CN117960926B (en) * 2024-03-29 2024-05-31 江苏昊冠精密机械制造有限公司 Valve core armature synchronous radial riveting device of electromagnetic valve

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