CN113908488A - Nasopharynx cancer radiotherapy patient mouth opening exercise assisting device and mouth opening exercise method - Google Patents
Nasopharynx cancer radiotherapy patient mouth opening exercise assisting device and mouth opening exercise method Download PDFInfo
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- CN113908488A CN113908488A CN202111042875.4A CN202111042875A CN113908488A CN 113908488 A CN113908488 A CN 113908488A CN 202111042875 A CN202111042875 A CN 202111042875A CN 113908488 A CN113908488 A CN 113908488A
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- 238000001959 radiotherapy Methods 0.000 title claims abstract description 29
- 201000011216 nasopharynx carcinoma Diseases 0.000 title claims abstract description 27
- 238000000034 method Methods 0.000 title claims abstract description 18
- 208000001894 Nasopharyngeal Neoplasms Diseases 0.000 title claims description 4
- 208000025848 malignant tumor of nasopharynx Diseases 0.000 title claims description 4
- 210000003456 pulmonary alveoli Anatomy 0.000 claims abstract description 39
- 239000000741 silica gel Substances 0.000 claims abstract description 28
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 28
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 27
- 208000002454 Nasopharyngeal Carcinoma Diseases 0.000 claims abstract description 23
- 206010061306 Nasopharyngeal cancer Diseases 0.000 claims abstract description 23
- 239000012530 fluid Substances 0.000 claims description 14
- 239000007788 liquid Substances 0.000 claims description 12
- 210000003781 tooth socket Anatomy 0.000 claims description 10
- 238000007789 sealing Methods 0.000 claims description 3
- 230000005611 electricity Effects 0.000 claims description 2
- 238000004804 winding Methods 0.000 claims description 2
- 235000017166 Bambusa arundinacea Nutrition 0.000 claims 3
- 235000017491 Bambusa tulda Nutrition 0.000 claims 3
- 241001330002 Bambuseae Species 0.000 claims 3
- 235000015334 Phyllostachys viridis Nutrition 0.000 claims 3
- 239000011425 bamboo Substances 0.000 claims 3
- 230000003247 decreasing effect Effects 0.000 claims 1
- 210000000214 mouth Anatomy 0.000 abstract description 60
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 230000008569 process Effects 0.000 description 8
- 210000001738 temporomandibular joint Anatomy 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- 239000007799 cork Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000004283 incisor Anatomy 0.000 description 2
- 210000003784 masticatory muscle Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000001989 nasopharynx Anatomy 0.000 description 2
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/025—Exercising apparatus specially adapted for particular parts of the body for the head or the neck
- A63B23/03—Exercising apparatus specially adapted for particular parts of the body for the head or the neck for face muscles
- A63B23/032—Exercising apparatus specially adapted for particular parts of the body for the head or the neck for face muscles for insertion in the mouth
-
- 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
-
- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
-
- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
-
- 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
- A61H2201/12—Driving means
- A61H2201/1238—Driving means with hydraulic or pneumatic drive
-
- 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
- A61H2201/165—Wearable interfaces
-
- 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
- A61H2201/50—Control means thereof
-
- 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
- A61H2201/50—Control means thereof
- A61H2201/5023—Interfaces to the user
- A61H2201/5043—Displays
- A61H2201/5046—Touch screens
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- Health & Medical Sciences (AREA)
- Physical Education & Sports Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biophysics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Otolaryngology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Epidemiology (AREA)
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Abstract
The invention discloses a mouth opening exercise assistor and a mouth opening exercise method for patients with nasopharyngeal carcinoma radiotherapy, which comprise a lower alveolar support part, an upper alveolar support part, a connecting shaft, a leaf spring, a silica gel bite block, a tension spring and an embedded groove, and compared with the oral cavity exercise assistor in the prior art, the mouth opening exercise assistor has the following advantages in multiple aspects: the device is provided with an active mouth opening exercise assistor and a passive mouth opening exercise assistor, and a patient can select according to the condition of illness, the acceptance degree and the preference; the alveolar lower support piece and the alveolar upper support piece are matched with the contour of a pressure groove of a patient, and the alveolar lower support piece is embedded with the alveolar lower support piece; the upper/lower supporting pieces of the alveolus can be folded, and the whole device is easy to put into the oral cavity, thereby being beneficial to improving the experience of patients.
Description
Technical Field
The invention relates to the field of rehabilitation instruments after radiotherapy in oncology, in particular to a mouth opening exercise assisting device and a mouth opening exercise method for patients with nasopharyngeal carcinoma radiotherapy.
Background
In tumor surgery, when nasopharyngeal carcinoma occurs in the nasopharynx, radiotherapy is needed to remove the tumor. The nasopharynx part is in the same plane with important tissues such as the temporomandibular joint and masticatory muscles in anatomical positions, so that radiation therapy inevitably affects the temporomandibular joint and the masticatory muscles to cause degeneration and fibrosis, muscle atrophy and joint hardening, thereby causing functional disorder of the temporomandibular joint. The incidence rate of the mouth opening difficulty disease is different in different time periods after the nasopharyngeal carcinoma radiotherapy, and particularly the incidence rate of the mouth opening difficulty disease reaches a peak when 1 year is over. The initial clinical manifestation of difficult disease of opening one's mouth is that temporomandibular joint is taut, painful, if the situation lasts the development, temporomandibular joint meshing activity can appear limited, and incisor interval dwindles gradually when opening one's mouth, and the mouth is unclear during the speech, can appear the tooth and close tightly when serious, influences the patient and eats, can lead to malnutrition, seriously influences patient's quality of life.
At present, the means commonly adopted for the open-mouth rehabilitation after the nasopharyngeal radiotherapy is to enable a patient to bite objects such as cork for training, and no rehabilitation training device which has pertinence and strong adaptability to the oral cavity exists. When the device such as a cork stopper is used for exercising, only a few teeth such as incisors are occluded by a patient, so that the adaptability to the oral cavity is not strong, uneven stress can be generated, the exercising effect is influenced, meanwhile, potential safety hazards such as the occlusion object is broken open can be caused, and the rehabilitation exercise of the patient is not facilitated; in addition, some oral rehabilitation training devices are difficult to adapt to the oral cavity of a patient due to large body size, and easily cause psychological conflict of the patient in the treatment process.
Disclosure of Invention
In order to solve the technical problems existing in the background technology, the technical scheme provided by the invention is as follows:
an opening exercise assistor for nasopharyngeal carcinoma radiotherapy patients comprises a lower alveolar support part, an upper alveolar support part, a connecting shaft, a leaf spring, a silica gel bite block, a tension spring and an embedded groove. Wherein, support piece all is crescent under the alveolus on support piece and the alveolus, and with human indent profile phase-match, the connecting axle is passed through to support piece's one end and the alveolus of support piece under the alveolus under the support piece, the winding has the leaf spring on the connecting axle, the both sides difference butt of leaf spring support piece and the inboard of support piece on the alveolus under the alveolus, the one end that the connecting axle was kept away from to support piece under the alveolus is passed through the extension spring and is connected with support piece on the alveolus, the embedded groove has all been seted up in support piece's the outside on support piece and the alveolus under the alveolus, the embedded silica gel bite-block in the embedded groove, when the silica gel bite-block was used for patient to open a mouthful to take exercise, provided soft support to the tooth.
Furthermore, a clamping groove is formed in the inner side of the alveolar lower support part, correspondingly, a clamping protrusion is formed in the inner side of the alveolar upper support part, and the clamping groove is used for accommodating the clamping protrusion; in order to prevent the silica gel bite block from falling, the cross section of the embedded groove is set to be in a wedge shape.
Preferably, the nasopharyngeal carcinoma radiotherapy patient mouth opening exercise assistor can also be: the mouth opening exercise assistor comprises a lower tooth socket supporting piece, an upper tooth socket supporting piece, a connecting shaft, a tension spring, an embedded groove, a hydraulic telescopic cylinder, a liquid supply pipe hydraulic device and a touch screen controller. Wherein, support piece all is the crescent under the alveolus on support piece and the alveolus, and with human indent profile phase-match, support piece's one end is passed through the connecting axle and is connected under the alveolus on support piece's one end and the alveolus, support piece keeps away from the one end of connecting axle under the alveolus is passed through the extension spring and is connected with the hydraulic telescoping cylinder, the hydraulic telescoping cylinder is connected with the feed pipe, the feed pipe is used for carrying hydraulic fluid, the embedded groove has all been seted up in support piece and the alveolus outside of support piece on support piece under the alveolus, embedded silica gel bite-block in the embedded groove, when the silica gel bite-block is used for the patient to open one's mouth to take exercise, provides soft support to the tooth.
Furthermore, a clamping groove is formed in the inner side of the alveolar lower support part, correspondingly, a clamping protrusion is formed in the inner side of the alveolar upper support part, and the clamping groove is used for accommodating the clamping protrusion; in order to prevent the silica gel bite block from falling, the cross section of the embedded groove is set to be in a wedge shape.
Further, the hydraulic telescopic cylinder comprises a cylinder body, an end cover, connecting holes, a hydraulic piston and a hydraulic rod, wherein two opening parts of the cylinder body are in threaded connection with the end cover, the cylinder body is internally provided with the two hydraulic pistons which are reversely arranged, the hydraulic piston is connected with the hydraulic rod, the hydraulic rod penetrates out of the end cover and is hinged to the lower support piece of the tooth socket or the upper support piece of the tooth socket, the connecting holes are formed in the cylinder body and are connected with a liquid supply pipe, hydraulic fluid is provided through the liquid supply pipe, and the hydraulic fluid is filled in a cavity between the two hydraulic pistons.
Furthermore, a hinged support is arranged on the hydraulic piston and hinged with a hinged hole of the hydraulic rod, an opening is formed in the center of the end cover, the diameter of the opening is larger than the outer diameter of the hydraulic rod, the hydraulic rod and the end cover are sealed through a flexible sealing element, on one hand, leakage of hydraulic fluid is prevented, on the other hand, saliva in the oral cavity of a patient can be prevented from entering the hydraulic telescopic cylinder in the process of mouth opening treatment, and the hydraulic rod can deflect in a vertical plane.
The other end and the hydraulic means of feed pipe are connected, hydraulic means is connected with the touch-screen controller electricity, hydraulic means includes hydraulic pump and hydraulic tank, the hydraulic tank is used for holding hydraulic fluid, the hydraulic pump is used for carrying hydraulic fluid, the hydraulic pump passes through the touch-screen controller and realizes controlling, and the patient can set up the operating frequency and the duty cycle of hydraulic pump through the touch-screen controller, and can feel the operating frequency and the duty cycle of adjustment hydraulic pump according to actual treatment.
In summary, compared with the oral cavity exercise assisting device and the oral cavity exercise method in the prior art, the oral cavity exercise assisting device for the nasopharyngeal carcinoma radiotherapy patients has the following advantages:
1) the invention is divided into an active mouth opening exercise assistor and a passive mouth opening exercise assistor, a patient can select according to the state of illness, the acceptance degree and the preference of the patient, and the passive mouth opening exercise assistor can realize intelligent control;
2) the alveolar lower support part and the alveolar upper support part are matched with the contour of a pressure groove of a patient, and the alveolar lower support part is embedded with the silica gel tooth cushion;
3) the upper/lower alveolar supporting part can be folded, has a simple structure, is easy to put into the oral cavity as a whole, and is favorable for improving the experience of a patient during rehabilitation treatment.
Drawings
FIG. 1 is a side view of a training aid for mouth opening of a nasopharyngeal carcinoma patient according to an embodiment of the present invention;
FIG. 2 is a top view of an exercise aid for training the mouth opening of a nasopharyngeal carcinoma patient according to an embodiment of the present invention;
FIG. 3 is a cross-sectional view of a socket support portion of the present invention;
FIG. 4 is a side view of a training aid for nasopharyngeal carcinoma radiotherapy;
FIG. 5 is a top view of another embodiment of the exercise assisting device for mouth opening of a nasopharyngeal carcinoma radiotherapy patient according to the present invention;
FIG. 6 is a schematic view of the hydraulic telescopic cylinder of the present invention;
FIG. 7 is a schematic diagram of the connection of the hydraulic system of the present invention;
in the drawings, 1-alveolar lower support; 2-alveolar upper support; 3-connecting the shaft; 4-leaf springs; 5-silica gel bite block; 6-a tension spring; 7-embedding grooves; 8-hydraulic telescopic cylinder; 9-a liquid supply tube; 10-a hydraulic piston; 11-a hydraulic rod; 12-a hinged support; 13-hydraulic means; 14-touch screen controller.
1-1-a clamping groove; 2-1-engaging the protrusion;
8-1-cylinder; 8-2-end cap; 8-3-connecting hole; 8-4-a flexible seal;
11-1-hinge hole.
Detailed Description
In order to make the technical solutions and advantages of the present invention more clearly understood by those skilled in the art, the present invention is further described in detail with reference to the accompanying drawings and specific embodiments. It is understood that the drawings illustrate only some of the possible embodiments of the invention and should not be taken as a specific limitation on the scope of protection.
Example 1
Referring to fig. 1-2, an exercise aid for mouth opening of nasopharyngeal carcinoma patients comprises a lower alveolar support 1, an upper alveolar support 2, a connecting shaft 3, a leaf spring 4, a silica gel bite block 5, a tension spring 6, and an embedded groove 7, wherein the lower alveolar support 1 and the upper alveolar support 2 are crescent and matched with the contour of a human body pressure groove, one end of the lower alveolar support 1 and one end of the upper alveolar support 2 are connected through the connecting shaft 3, the leaf spring 4 is wound on the connecting shaft 3, two sides of the leaf spring 4 are respectively abutted against the inner sides of the lower alveolar support 1 and the upper alveolar support 2, one end of the lower alveolar support 1, which is far away from the connecting shaft 3, is connected with the upper alveolar support 2 through the tension spring 6, the outer sides of the lower alveolar support 1 and the upper alveolar support 2 are respectively provided with the embedded groove 7, the silica gel bite block 5 is embedded in the embedded groove 7, and the silica gel bite block 5 is used for mouth opening exercise of the patients, providing gentle support to the teeth.
Continuing to examine fig. 3, specifically, the inner side of the alveolar lower support member 1 is provided with a clamping groove 1-1, correspondingly, the inner side of the alveolar upper support member 2 is provided with a clamping protrusion 2-1, and the clamping groove 1-1 is used for accommodating the clamping protrusion 2-1; in order to prevent the silica gel bite-block 5 from dropping, the section of the embedded groove 7 is set to be wedge-shaped, and the silica gel bite-block 5 is made of silica gel materials and can be tightly clamped in the embedded groove 7 in the wedge-shaped.
Further, in order to prevent the alveolar support (including the alveolar lower support 1 and the alveolar upper support 2) from colliding against the oral mucosa, the outer edges of the alveolar lower support 1 and the alveolar upper support 2 have a curvature, as shown in fig. 3.
The treatment method of the nasopharynx cancer radiotherapy patient mouth opening exercise assisting device comprises the following steps: the patient opens the mouth, the mouth-opening exercise aid is placed into the oral cavity of the patient, the alveolar lower support 1 is abutted to the lower pressure groove of the patient, the alveolar upper support 2 is abutted to the upper pressure groove of the patient, the leaf spring 4 is gradually compressed in the process of occlusion of the patient in a closed mouth, the elastic force is gradually increased, and at the moment, the tensile force of the tension spring 6 is gradually reduced; when the patient is difficult to continue biting, the tension spring 6 is contracted to be in an original unstressed state at the moment, because the elastic force of the leaf spring 4 is large, under the elastic force action of the leaf spring 4, the lower alveolar support 1 and the upper alveolar support 2 are gradually opened, so that the patient opens the mouth (namely the patient does not need to exert force in the mouth opening process), in the mouth opening process, the elastic force of the leaf spring 4 is gradually reduced, the tension force of the tension spring 6 is gradually increased, when the tension force of the tension spring 6 is balanced with the elastic force of the leaf spring 4, the mouth opening exercise assistor is in a static state, at the moment, the patient can bite the mouth opening exercise assistor again, the reciprocating is carried out, and the patient can adjust the biting amplitude and the biting frequency of the mouth opening exercise assistor according to the feeling of the patient.
The device belongs to an active treatment device, is simple in structure and easy to operate, and because the supporting piece 2 on the supporting piece 1/alveolus under the alveolus is matched with the pressure groove profile of a patient, the silica gel tooth pad 5 is always abutted with teeth in the process of mouth opening treatment of the patient, the stress is balanced, the comfort level of the patient during treatment can be improved, and the user experience is improved.
Example 2
Different from the embodiment 1, in this embodiment, the mouth opening exercise assisting device for the nasopharyngeal carcinoma radiotherapy patient is a passive therapeutic device, and the mouth opening/closing of the patient is realized through hydraulic control, and the specific scheme is as follows:
referring to fig. 4-5, a mouth opening exercise auxiliary device for nasopharyngeal carcinoma radiotherapy patients comprises a lower alveolar support 1, an upper alveolar support 2, a connecting shaft 3, a tension spring 6, an embedded groove 7, a hydraulic telescopic cylinder 8, a liquid supply tube 9, a hydraulic device 13 and a touch screen controller 14, wherein the lower alveolar support 1 and the upper alveolar support 2 are both crescent and matched with the profile of a human body pressure groove, one end of the lower alveolar support 1 is connected with one end of the upper alveolar support 2 through the connecting shaft 3, one end of the lower alveolar support 1, which is far away from the connecting shaft 3, is connected with the hydraulic telescopic cylinder 8 through the tension spring 6, the hydraulic telescopic cylinder 8 is connected with the liquid supply tube 9, the liquid supply tube 9 is used for supplying hydraulic pressure, the outer sides of the lower alveolar support 1 and the upper alveolar support 2 are both provided with the embedded groove 7, a silica gel bite block 5 is embedded in the embedded groove 7, and the silica gel bite block 5 is used for mouth opening exercise of the patients, providing gentle support to the teeth.
Continuing to examine fig. 3, specifically, the inner side of the alveolar lower support member 1 is provided with a clamping groove 1-1, correspondingly, the inner side of the alveolar upper support member 2 is provided with a clamping protrusion 2-1, and the clamping groove 1-1 is used for accommodating the clamping protrusion 2-1; in order to prevent the silica gel bite-block 5 from dropping, the section of the embedded groove 7 is set to be wedge-shaped, and the silica gel bite-block 5 is made of silica gel materials and can be tightly clamped in the embedded groove 7 in the wedge-shaped.
Referring to fig. 6-7, the hydraulic telescopic cylinder 8 includes a cylinder 8-1, an end cap 8-2, a connecting hole 8-3, a hydraulic piston 10, and a hydraulic rod 11, wherein two openings of the cylinder 8-1 are connected with the end cap 8-2 by threads, two hydraulic pistons 10 are disposed in the cylinder 8-1 in opposite directions, the pistons of the hydraulic pistons 10 are connected with the hydraulic rod 11, the hydraulic rod 11 penetrates through the end cap 8-2 and is connected with the alveolar lower support 1 or the alveolar upper support 2, the connecting hole 8-3 is formed in the cylinder 8-1, the connecting hole 8-3 is connected with a liquid supply pipe 9, a hydraulic fluid is supplied through the liquid supply pipe 9, and the hydraulic fluid fills a cavity between the two hydraulic pistons 10.
Further, in order to enable the degree of freedom of the hydraulic telescopic cylinder 8 to be larger, a hinged support 12 is arranged on the hydraulic piston 10, the hinged support 12 is hinged to a hinged hole 11-1 of the hydraulic rod 11, an opening is formed in the center of an end cover 8-2, the diameter of the opening is larger than the outer diameter of the hydraulic rod 11, the hydraulic rod 11 and the end cover 8-2 are sealed through a flexible sealing piece 8-4, on one hand, leakage of hydraulic fluid is prevented, on the other hand, saliva in the oral cavity of a patient can be prevented from entering the hydraulic telescopic cylinder 8 in the process of mouth opening treatment, and the hydraulic rod 11 can deflect in a vertical plane.
Continuing with fig. 7, the other end of the liquid supply tube 9 is connected to a hydraulic device 13, the hydraulic device 13 is electrically connected to a touch screen controller 14, the hydraulic device 13 includes a hydraulic pump and a hydraulic tank, the hydraulic tank is used for containing hydraulic fluid, the hydraulic pump is used for delivering the hydraulic fluid, the hydraulic pump is controlled by the touch screen controller 14, a patient can set the working frequency and the working period of the hydraulic pump by the touch screen controller 14, and the working frequency and the working period of the hydraulic pump can be adjusted according to the actual treatment feeling.
Therefore, the invention is based on the technical scheme in the embodiment 2, and further comprises a mouth opening exercise method for a nasopharyngeal carcinoma radiotherapy patient, which comprises the following specific steps:
step 1: setting a preset operating frequency range f on the touch screen controller 140,min,f0,max]And a working period T0, and starting the hydraulic pump to work, so that the hydraulic pump works in a preset working frequency range, wherein the lowest hydraulic working frequency f0,min< maximum hydraulic operating frequency f0,max;
Step 2: when the patient feels uncomfortable or painful after the treatment time t1, the frequency f1 is reduced to make the current working frequency f0,max-f1, wherein f1 < f0,min,t1<T0;
And step 3: on the basis of step 2, after the treatment time t2 is continued, the patient still feelsWhen the discomfort or the pain is reached, the frequency f1 is continuously reduced to make the current working frequency f0,max-2f1, wherein t2 < t 1;
and 4, step 4: on the basis of the step 3, when the patient still feels uncomfortable or pain after the treatment time t3, the situation is not suitable for the auxiliary treatment of mouth opening, and the hydraulic device is closed; and when the patient feels good, after the treatment time reaches a working period T0, the hydraulic device is turned off, wherein T3 < T1.
In conclusion, both the active mouth opening exercise assistor and the passive mouth opening exercise assistor belong to rehabilitation training devices which are simple in structure and easy to operate, and because the alveolar lower support piece/the alveolar upper support piece are matched with the contour of the pressure groove of the patient and the alveolar upper support piece/the alveolar lower support piece can be folded, the silica gel bite block always abuts against the teeth in the mouth opening treatment process of the patient, the stress is balanced, the comfort degree of the patient during treatment can be improved, and the device is easy to put into the mouth and is beneficial to improving the experience of the patient; in addition, the passive mouth opening exercise assistor can realize intelligent control.
The above embodiments are only preferred embodiments of the present invention, and are not intended to limit the present invention, and various modifications and optimization methods may be possible to those skilled in the art. 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 (10)
1. The utility model provides a nasopharyngeal darcinoma radiotherapy patient opens a mouthful exercise assistor, includes support piece, connecting axle, leaf spring, silica gel bite-block, extension spring, embedded groove under the alveolus, its characterized in that: the one end of support piece under the alveolus and the one end of support piece on the alveolus pass through the connecting axle to be connected, the winding has the leaf spring on the connecting axle, the both sides of leaf spring butt respectively under the alveolus support piece and the inboard of support piece on the alveolus, the one end that the connecting axle was kept away from to the support piece under the alveolus is passed through extension spring and is connected with support piece on the alveolus, the embedded groove has all been seted up in the outside of support piece on support piece and the alveolus under the alveolus, the embedded silica gel bite-block in the embedded groove, the silica gel bite-block is used for the patient to open one's mouth when taking exercise, provides soft support to the tooth.
2. The open mouth exercise assisting device for the radiotherapy patient of nasopharyngeal carcinoma according to claim 1, wherein: the supporting piece all is crescent form under the alveolus and supporting piece on the alveolus, and matches with human indent profile phase.
3. The open mouth exercise assisting device for the radiotherapy patient of nasopharyngeal carcinoma according to claim 2, wherein: the tooth socket lower supporter is inboard to have seted up the block groove, correspondingly, the block arch has been seted up to the inboard of tooth socket upper supporter, the block groove is used for holding the block arch, the embedded groove cross-section sets up to the wedge shape.
4. The utility model provides a nasopharyngeal darcinoma radiotherapy patient opens a mouthful and tempers assistor, includes support piece, connecting axle, extension spring, embedded groove, hydraulic stretching section of thick bamboo, supplies liquid pipe hydraulic means and touch screen controller under the alveolus, its characterized in that: the one end of support piece and the one end of support piece on the alveolus under the alveolus are passed through the connecting axle and are connected, the one end that the support piece kept away from the connecting axle under the alveolus is connected with the hydraulic stretching section of thick bamboo through the extension spring, the hydraulic stretching section of thick bamboo is connected with the feed line, the feed line is used for carrying hydraulic fluid, the embedded groove has all been seted up in the outside of support piece and the alveolus on support piece under the alveolus, embedded silica gel bite-block in the embedded groove, when the silica gel bite-block is used for the patient to open a mouthful to take exercise, provide soft support to the tooth.
5. The device for assisting in the nasopharynx cancer radiotherapy patient mouth opening exercise of claim 4, wherein: the supporting piece all is crescent form under the alveolus and supporting piece on the alveolus, and matches with human indent profile phase.
6. The open mouth exercise assisting device for patients with nasopharyngeal carcinoma radiotherapy according to claim 5, wherein: the tooth socket lower supporter is inboard to have seted up the block groove, correspondingly, the block arch has been seted up to the inboard of tooth socket upper supporter, the block groove is used for holding the block arch, the embedded groove cross-section sets up to the wedge shape.
7. The open mouth exercise aid for nasopharyngeal carcinoma radiotherapy patients according to any one of claims 4-6, wherein: the hydraulic telescopic cylinder comprises a cylinder body, an end cover, a connecting hole, a hydraulic piston and a hydraulic rod, wherein two opening parts of the cylinder body are in threaded connection with the end cover, the cylinder body is internally provided with the two hydraulic pistons which are reversely arranged, the hydraulic piston is connected with the hydraulic rod, the hydraulic rod penetrates out of the end cover and is hinged to the lower supporting piece of the tooth socket or the upper supporting piece of the tooth socket, the connecting hole is formed in the cylinder body and is connected with the liquid supply pipe.
8. The open mouth exercise assisting device for the radiotherapy patient of nasopharyngeal carcinoma according to claim 7, wherein: the hydraulic piston is provided with a hinged support, the hinged support is hinged with a hinged hole of the hydraulic rod, the center of the end cover is provided with an opening, the aperture of the opening is larger than the outer diameter of the hydraulic rod, and the hydraulic rod and the end cover are sealed through a flexible sealing element.
9. The open mouth exercise assisting device for the radiotherapy patient of nasopharyngeal carcinoma according to claim 7, wherein: the other end and the hydraulic means of feed pipe are connected, hydraulic means is connected with the touch-screen controller electricity, hydraulic means includes hydraulic pump and hydraulic tank, the hydraulic tank is used for holding hydraulic fluid, the hydraulic pump is used for carrying hydraulic fluid, the hydraulic pump passes through the touch-screen controller and realizes controlling, and the patient can set up the operating frequency and the duty cycle of hydraulic pump through the touch-screen controller, and can feel the operating frequency and the duty cycle of adjustment hydraulic pump according to actual treatment.
10. A method for training mouth opening of a nasopharyngeal carcinoma radiotherapy patient, which is used for the mouth opening training aid of the nasopharyngeal carcinoma radiotherapy patient according to any one of claims 4 to 9, wherein the method comprises the following steps:
step 1: setting a preset working frequency range [ f ] on a touch screen controller0,min,f0,max]And a working period T0, and starting the hydraulic pump to work, so that the hydraulic pump works in a preset working frequency range, wherein the lowest hydraulic working frequency f0,min< maximum hydraulic operating frequency f0,max;
Step 2: when the patient feels uncomfortable or painful after the treatment time t1, the frequency f1 is reduced to make the current working frequency f0,max-f1, wherein f1 < f0,min,t1<T0;
And step 3: on the basis of step 2, when the patient still feels uncomfortable or painful after continuing the treatment for time t2, the frequency f1 is continuously decreased to make the current working frequency f0,max-2f1, wherein t2 < t 1;
and 4, step 4: on the basis of the step 3, when the patient still feels uncomfortable or pain after the treatment time t3, the situation is not suitable for the auxiliary treatment of mouth opening, and the hydraulic device is closed; and when the patient feels good, after the treatment time reaches a working period T0, the hydraulic device is turned off, wherein T3 < T1.
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