CN114288159A - Function exercise device for fixing part - Google Patents

Function exercise device for fixing part Download PDF

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Publication number
CN114288159A
CN114288159A CN202111633347.6A CN202111633347A CN114288159A CN 114288159 A CN114288159 A CN 114288159A CN 202111633347 A CN202111633347 A CN 202111633347A CN 114288159 A CN114288159 A CN 114288159A
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CN
China
Prior art keywords
ankle
plaster
fixing
functional exercise
exercise device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202111633347.6A
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Chinese (zh)
Inventor
姚峰
张福勇
袁泉文
刘一聪
王梓轩
王晓东
甄允方
沈小芳
郭志雄
方建峰
祝振华
乔怡
俞文涛
单斌斌
梁培荣
吴红梅
胡晓琳
朱敏
王琳
张逸群
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Affiliated Childrens Hospital of Soochow University
Original Assignee
Affiliated Childrens Hospital of Soochow University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Affiliated Childrens Hospital of Soochow University filed Critical Affiliated Childrens Hospital of Soochow University
Priority to CN202111633347.6A priority Critical patent/CN114288159A/en
Publication of CN114288159A publication Critical patent/CN114288159A/en
Priority to PCT/CN2022/108978 priority patent/WO2023124060A1/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • 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
    • 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
    • A61H19/00Massage for the genitals; Devices for improving sexual intercourse
    • 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
    • A61H9/00Pneumatic or hydraulic massage

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Reproductive Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Vascular Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)
  • Massaging Devices (AREA)

Abstract

The invention provides a functional exercise device for the ankle in a plaster, belonging to the technical field of functional exercise devices. The plaster internal ankle functional exercise device comprises a fixing device and at least one inflatable or deflatable air bag arranged on the skin-attaching side of the fixing device. The functional training device for fixing the position can perform functional training on the required fracture position.

Description

Function exercise device for fixing part
Technical Field
The invention relates to the technical field of functional exercise devices, in particular to a gypsum internal ankle functional exercise device.
Background
At present, common fracture or injury, commonly used external fixation methods mainly include plaster fixation, brace fixation, small splint fixation and other brake fixation methods. Immobilization often results in muscle atrophy.
The following description of the background art is given by way of example of an ankle fracture or injury:
the commonly used external fixation methods for ankle fracture or injury mainly include plaster fixation, brace fixation, small splint fixation, etc. Immobilization often results in muscle atrophy. Plaster fixation is most commonly used. The medical plaster is usually soaked in water, wound around limbs, dried and hardened to play a role in fixing, braking and treating. Fractures in children often take 3-4 weeks and more, while fractures in adults require 1-3 months and more to fix. Since braking fixation takes a long time during treatment, functional exercise cannot be performed for a long time in the limb of the part to be restrained from moving during treatment, muscle atrophy of the fixed limb often occurs due to decreased muscle protein synthesis and increased protein degradation.
Other solutions than gypsum: the fracture with better stability can also be fixed by a brace or a small splint. The brace or the small splint is generally made of light aluminum alloy, leather, plastic and the like, has simple and convenient operation and strong plasticity, is mainly applied to fracture without obvious displacement, and has slightly worse stability than plaster fixation. Therefore, after the support is fixed, proper protection is also needed to prevent fracture displacement from affecting recovery.
External fixation brakes such as plaster, splints, braces and the like are needed to be used for symptomatic treatment of fracture or injury local parts, and limbs at the fixation brake parts can not be effectively exercised, so that local joint stiffness, muscle atrophy and osteoporosis are often caused, thereby affecting injury recovery or fracture healing, and sequela such as long-term soreness and the like can be left even after primary recovery.
In order to solve the problem that the commonly used external fixing mode cannot carry out functional exercise, the toe part is exposed to release the mobility of the toe and the metacarpal joints when the ankle part is fixed by using the tubular gypsum clinically at present, and the functional exercise is carried out by moving each joint of the metacarpal and toe, but the method only can move the toes and has limited effect. The second type of functional exercise is a functional exercise performed by moving the hip (and/or knee joint), or by isometric contraction of the muscles of the thigh and lower leg. The method has higher medical requirements on the patients, but the medical characteristics of the children and other patients of small age are generally poor, so that effective functional exercise cannot be performed possibly.
At present, for patients with lower limb fracture and long-term bed rest, if the ankle part of the patient is not subjected to functional exercise for a long time, the movement capacity of the ankle of the patient is reduced, and the conditions of joint stiffness, muscular atrophy and the like can occur, so that a plurality of functional exercise instruments for preventing muscular atrophy appear on the market. However, for fractured patients, these ankle function exercise machines often require installation after removal of the plaster. At the moment, the ankles of the patients have different degrees of joint stiffness, the patients need to be worn by family members with assistance, the patients feel hard to feel pain, the enthusiasm of the patients for functional exercise is directly eliminated, and the subsequent curative effects are different.
The functional exercise at the braking fixing part requires the movement of the local joint of the affected limb, and the treatment principle of injury or fracture is to brake the affected limb fixedly to reduce the movement, so that the two have therapeutic conflict and paradox, so that no effective scheme or method for solving the dilemma exists in the clinical treatment process, and a new treatment tool needs to be developed and designed to hopefully solve the problem.
Disclosure of Invention
In view of the above, in order to solve the technical problem that the ankle cannot be functionally exercised by the conventional external fixation method in the prior art, the invention provides a plaster internal ankle functional exercise device, which can functionally exercise the required fracture part.
In order to achieve the purpose, the invention provides the following technical scheme:
a gesso ankle function exercise device comprising a binding and at least one inflatable or deflatable bladder disposed on a skinned side of the binding.
Preferably, a pressure sensing circuit connected to a pressure monitoring control system is arranged in the air bag;
the pressure monitoring control system is used for controlling the inflation or deflation action of the air bag.
Preferably, the fixing device is at least one of a tubular plaster fixing plate, a plaster splint, a brace and a small splint.
Preferably, air holes are formed between the adjacent air bags.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention provides a plaster internal ankle functional exercise device which can perform functional exercise on a required fracture part.
2. The invention provides a plaster internal ankle functional exercise device which can carry out more effective local functional exercise under the condition of maintaining effective braking and fixing of the fracture part of the ankle.
3. The plaster internal ankle function exercise device provided by the invention can avoid or reduce local muscular atrophy and osteoporosis in the fixing and braking process of the ankle fracture part.
4. The plaster internal ankle functional exercise device provided by the invention can relieve local soreness, promote fracture healing and accelerate injury recovery, prevent deep vein thrombosis, prevent osteofascial compartment syndrome and the like.
Drawings
Fig. 1 is a schematic structural view of the present invention applied to plantarflexion function training;
FIG. 2 is a schematic structural diagram of the present invention applied to training of back body function;
FIG. 3 is a schematic structural diagram of the present invention applied to training of the inversion function;
FIG. 4 is a schematic diagram of the present invention applied to eversion training;
wherein the attachment means is not shown in figures 1-4 for the purpose of clearly showing the location of the air-bag arrangement of the present invention, the air-bag being disposed within the skinning side of the attachment means;
in the figure, 1 is an air bag, 2 is a pressure sensing circuit, and 3 is a pressure monitoring control system.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention; it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work are within the scope of the present invention.
In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "top/bottom", and the like, indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience in describing the present invention and simplifying the description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "disposed," "sleeved/connected," "connected," and the like are to be construed broadly, e.g., "connected," which may be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
The invention provides a plaster internal ankle functional exercise device, which comprises a fixing device and at least one inflatable or deflatable air bag 1 arranged on the skin-attaching side of the fixing device (not shown in the figure).
The functional exercise device for the ankle in the plaster provided by the invention can perform functional exercise by inflating or deflating the air bag 1.
In the invention, a pressure sensing loop 2 connected with a pressure monitoring control system 3 is arranged in the air bag 1;
the pressure monitoring control system 3 is used for controlling the inflation or deflation action of the air bag 1.
Various programmed inflation and deflation operations can be set in the pressure monitoring control system 3, various effects can be achieved according to needs, and inflation or deflation can be carried out according to the pressure value transmitted by the pressure sensing loop 2 so as to achieve the needed value.
In the invention, the fixing device is at least one of a tubular gypsum fixing plate, a gypsum splint, a brace and a small splint;
the fixing devices can be combined to use according to different parts, so that the function exercise of a plurality of parts is achieved.
In the invention, air holes are formed between adjacent air bags 1, so that external airflow circulation is increased to discharge sweat and the like, the humidity of a fixed part is avoided, and the growth of bacteria is further inhibited.
The functional exercise notations of the dorsiflexion, plantar flexion, inversion and eversion of the ankle are detailed below.
Main movement direction of ankle joint: dorsiflexion (toe-up, instep-up, toe-off, ankle-joint dorsiflexion), plantar flexion (toe-down, sole-down, flat instep, ankle-joint plantar flexion), inversion (foot-turning to the inside, toe-up, sole turning to the inside), eversion (foot-turning to the outside, toe-up, foot-turning to the outside), and the like.
The ankle joint is similar to a pulley type joint, but has the mobility of inversion and eversion compared with the pulley type joint, the ankle part is not fixed, so that the inversion and eversion of the ankle part are limited, but the dorsiflexion and plantarflexion of a certain degree are not limited.
Therefore, it is necessary to ensure that the ankle joint cannot be turned inside out or outside out under the condition that the ankle joint has a certain degree of dorsiflexion-plantarflexion activity, so as to ensure that the ankle joint is effectively fixed. The cast of the traditional lower limb over the ankle is usually the one that limits all movements of the ankle joint including the dorsal and plantar flexion directions.
However, the effective fixation of the ankle joint is not affected by a certain degree of dorsiflexion and plantarflexion, so that the device can ensure the effective fixation of the ankle joint.
In conventional fixtures, such as: the leather-attached side, the sole part and the instep part of the tubular gypsum are preset with air bags which can be inflated and deflated to retract.
As shown in figures 1-2, the air bags on the instep are sequentially divided into 2-3 (or more) special structure air bags from the toe to the heel, continuous or discontinuous 3-5 (or more or less) special structure air bags are also arranged on the sole, and the ankle joint stretches and bends back and forth through programmed reciprocating operation of inflation and deflation, but the ankle joint cannot be inverted or everted because the medial and lateral sides of the ankle joint still have cast plaster brakes. In the use process of the device, effective lower limb tubular plaster fixation is maintained, and more effective functional exercise of the ankle is completed.
As shown in fig. 3-4, showing the installation schematic diagram of the eversion and inversion air bags, the air bags are respectively arranged at the inner side and the outer side of 2 groups (or more), and in the process of fixing the cast plaster, the operations of inflating and filling the air bag at the outer side group of the instep, deflating and retracting the inner side group of the instep, inflating and filling the air bag at the inner side group of the sole and deflating and retracting the outer side group of the sole can be realized under the condition of need, so that the ankle joint in the process of fixing the plaster can move in the eversion way. Otherwise, it is turned outward.
The foot can be passively squeezed through the reciprocating operation of full inflation and deflation of the air bag, the muscle pump effect of the human body is simulated, the blood backflow is promoted, the swelling resolution of the swelling period of acute injury is promoted, and deep venous thrombosis and the like are prevented. Meanwhile, the traditional Chinese medicine composition has the effects of preventing osteofascial compartment syndrome, preventing joint stiffness, preventing muscular atrophy, preventing local disuse osteoporosis and the like.
A pressure sensing circuit 2 may be provided within the air bag 1.
Various procedural inflation and deflation operations can be set in the pressure monitoring control system 3, and various effects can be achieved according to requirements.
The general air bag connecting pipeline is arranged in the middle of all the air bags (or arranged at other places except the middle part) so as to save the whole space and increase the operability and controllability of the air bags.
It should be noted that, in order to clearly show the inventive concept of the present invention, a fixing means is not shown in the accompanying drawings of the present invention, and the fixing means may be selected from at least one of a pipe-type plaster fixing plate, a plaster splint, an anchor and a splint, which are conventional in the art.
Cast fixation of the ankle is the most suitable and common scenario for the device described in the present invention and should not be considered as a self-limiting limitation of the scope of protection of the invention. It is also within the scope of the present application to use similar devices for performing functional exercises on the muscles of the thighs, knees and calves, or for performing plaster immobilization of the elbows and wrists of the upper limbs, as in the plaster immobilization process.
The above are merely preferred embodiments of the present invention; the scope of the invention is not limited thereto. Any person skilled in the art should be able to cover the technical scope of the present invention by equivalent or modified solutions and modifications within the technical scope of the present invention.

Claims (4)

1. A plaster internal ankle function exercise device comprising a immobilisation device and at least one inflatable or deflatable bladder provided on the skinned side of the immobilisation device.
2. The device of claim 1, wherein said bladder is provided with a pressure sensing circuit connected to a pressure monitoring and control system;
the pressure monitoring control system is used for controlling the inflation or deflation action of the air bag.
3. The device of claim 1, wherein said means for fixing is at least one of a tubular plaster plate, a plaster splint, a brace and a splint.
4. The device of claim 1, wherein air holes are formed between adjacent air cells.
CN202111633347.6A 2021-12-29 2021-12-29 Function exercise device for fixing part Pending CN114288159A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202111633347.6A CN114288159A (en) 2021-12-29 2021-12-29 Function exercise device for fixing part
PCT/CN2022/108978 WO2023124060A1 (en) 2021-12-29 2022-07-29 Functional exercise device for fixed part

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Application Number Priority Date Filing Date Title
CN202111633347.6A CN114288159A (en) 2021-12-29 2021-12-29 Function exercise device for fixing part

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CN114288159A true CN114288159A (en) 2022-04-08

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023124060A1 (en) * 2021-12-29 2023-07-06 苏州大学附属儿童医院 Functional exercise device for fixed part

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JP5390043B1 (en) * 2013-08-01 2014-01-15 順 岡田 Pneumatic articulation device
US20170128237A1 (en) * 2015-11-09 2017-05-11 Rehabilitation Institute Of Chicago Torque Generating Pouch And Related Methods
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CN110840700A (en) * 2019-11-22 2020-02-28 苏州软体机器人科技有限公司 Prefabricated air bag actuator structure
CN210991578U (en) * 2019-09-23 2020-07-14 郑鹏云 Ankle pump exercise machine

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CN114288159A (en) * 2021-12-29 2022-04-08 苏州大学附属儿童医院 Function exercise device for fixing part

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002119556A (en) * 2000-10-19 2002-04-23 Nippon Colin Co Ltd Foot bending and stretching device
WO2009062198A2 (en) * 2007-11-08 2009-05-14 Advensys, Llc Neuromorphic controlled powered orthotic and prosthetic system
JP4716456B2 (en) * 2009-10-05 2011-07-06 圭治郎 山本 Joint motion support device
JP5390043B1 (en) * 2013-08-01 2014-01-15 順 岡田 Pneumatic articulation device
US20170128237A1 (en) * 2015-11-09 2017-05-11 Rehabilitation Institute Of Chicago Torque Generating Pouch And Related Methods
CN106963610A (en) * 2017-05-06 2017-07-21 汕头大学医学院第附属医院 A kind of lower limb rehabilitation therapeutic system
CN210991578U (en) * 2019-09-23 2020-07-14 郑鹏云 Ankle pump exercise machine
CN110840700A (en) * 2019-11-22 2020-02-28 苏州软体机器人科技有限公司 Prefabricated air bag actuator structure

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023124060A1 (en) * 2021-12-29 2023-07-06 苏州大学附属儿童医院 Functional exercise device for fixed part

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