CN114367092B - Assisted chest expansion exercise cardiopulmonary rehabilitation training device - Google Patents
Assisted chest expansion exercise cardiopulmonary rehabilitation training device Download PDFInfo
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- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
- A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
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- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/06—Arms
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Abstract
本发明提供一种辅助扩胸运动心肺康复训练装置,底座通过第一关节与第一臂铰接,第一臂通过第二关节与第二臂铰接,在第一关节和第二关节设有驱动装置,驱动装置驱动第一关节和第二关节的第一转动部和第二转动部之间相对转动,第一臂和第二臂用于与训练人员的手臂连接,在驱动装置与第二转动部之间设有摩擦传动机构,以使第一臂和第二臂能够以可控扭矩的方式,以主动或被动的方式和训练人员的手臂一起摆动。通过设置的辅助机械臂,配合可控扭矩的摩擦传动机构,实现帮助训练人员进行主动或被动的床上扩胸运动,以帮助卧床的训练人员提高心肺功能,进而提高血氧饱和度,减轻训练人员的胸闷、气短症状,大幅减缓心衰进程。
The invention provides a cardiopulmonary rehabilitation training device for assisting chest expansion exercise. , the driving device drives the relative rotation between the first rotating part and the second rotating part of the first joint and the second joint, the first arm and the second arm are used to connect with the arm of the trainer, and the driving device and the second rotating part A friction transmission mechanism is arranged therebetween, so that the first arm and the second arm can swing together with the trainer's arm in an active or passive manner in a controllable torque manner. Through the set auxiliary mechanical arm, with the friction transmission mechanism of controllable torque, it can help trainers to perform active or passive chest expansion on the bed, so as to help the bedridden trainers to improve their cardiopulmonary function, thereby improving blood oxygen saturation, and reducing the weight of the trainers. The symptoms of chest tightness and shortness of breath can greatly slow down the process of heart failure.
Description
技术领域technical field
本发明涉及医疗器械的康复护具领域,尤其是一种辅助扩胸运动心肺康复训练装置。The invention relates to the field of rehabilitation protective gear for medical equipment, in particular to a cardiopulmonary rehabilitation training device for assisting chest expansion exercise.
背景技术Background technique
目前,由于生活规律变化,例如饮食不规律、熬夜、心理压力大等,使心脏相关疾病呈现年轻化趋势,例如高血压、心率失常、心律不齐、心肌梗死、猝死等疾病高发。心肺功能能够影响人体的血氧饱和度,对人体免疫力也具有较大的影响,患者自诉胸闷、气短,通过扩胸运动能够有效增强心肺功能。但是部分卧床病人,例如脑卒中患者,主动扩胸运动存在较大困难,通过护理人员辅助被动运动,导致护理人员的工作强度太高。CN113786581A记载了一种用于心肺功能康复训练的装置,但是该结构较为复杂,而且也不适合卧床病人。CN109223441A记载了一种基于Kinect传感器的人体上肢康复训练及动作辅助系统,记载了能够识别人体运动的传感器,并记载了一种外骨骼装置,但是并未记载相应外骨骼装置的具体结构,仅有功能性的描述。进一步的,对于卧床病人而言,存在主动运动和被动运动两种模式,即对于部分卧床病人或者一段的康复阶段需要由辅助装置帮助卧床病人实现相应被动的扩胸运动,而另外一部分卧床病人或者另一段的康复阶段,则能够主动的实现扩胸运动,但是需要辅助装置提供主动的可调的阻尼来增加扩胸运动的强度,以进一步增强心肺功能,目前尚无相应的设备能够实现该功能。At present, due to changes in life patterns, such as irregular diet, staying up late, and high psychological pressure, heart-related diseases are showing a younger trend, such as high blood pressure, arrhythmia, arrhythmia, myocardial infarction, sudden death and other diseases. Cardiopulmonary function can affect the blood oxygen saturation of the human body, and also has a greater impact on the human immune system. Patients complain of chest tightness and shortness of breath, and chest expansion exercises can effectively enhance cardiopulmonary function. However, some bedridden patients, such as stroke patients, have great difficulty in active chest expansion. Passive exercise is assisted by nursing staff, which leads to high workload of nursing staff. CN113786581A describes a device for cardiopulmonary function rehabilitation training, but the structure is relatively complicated, and it is not suitable for bedridden patients. CN109223441A records a human upper limb rehabilitation training and action assistance system based on Kinect sensor, records a sensor capable of recognizing human motion, and records an exoskeleton device, but does not record the specific structure of the corresponding exoskeleton device, only Functional description. Further, for bedridden patients, there are two modes of active motion and passive motion, that is, for some bedridden patients or a period of rehabilitation stage, auxiliary devices need to help bedridden patients to achieve corresponding passive chest expansion motion, while for other bedridden patients or In another stage of rehabilitation, the chest expansion exercise can be actively realized, but the auxiliary device needs to provide active adjustable damping to increase the intensity of the chest expansion exercise to further enhance the cardiopulmonary function. At present, there is no corresponding equipment that can realize this function. .
人体血液循环系统的驱动是包括心脏和肌肉运动的整体运动的结果,肌肉运动结合静脉瓣的结构,能够有效促进血液循环,卧床病人缺少肌肉运动,使心脏负担大幅增加,容易形成心脏负担增大——心肺功能下降——心脏负担进一步增大的恶性循环,握拳动作能够有效促进血液循环,但是目前尚无能够有效指导握拳动作效果最大化的措施。The driving of the human blood circulation system is the result of the overall movement including the heart and muscle movement. The muscle movement combined with the structure of the venous valve can effectively promote blood circulation. The lack of muscle movement in bedridden patients greatly increases the burden on the heart, and it is easy to increase the burden on the heart. ——Decrease in cardiopulmonary function——The vicious circle of further increase of heart burden. The fist-clenching action can effectively promote blood circulation, but there is no measure that can effectively guide the maximum effect of the fist-clenching action.
在冠状动脉粥样硬化性心脏病的康复过程中需要行远隔缺血适应训练,即在肢体进行短暂、反复、无创的缺血性训练,可促进血液中活性物质,例如缓激肽、腺苷、一氧化氮的产生,增加心肌对缺血缺氧的耐受能力,减轻随后较长时间缺血缺氧引起的心肌损伤,同时通过促进心脏侧支血管循环的形成改善心肌供血,减轻再灌注损伤,有效降低心血管疾病的再发率、死亡率。目前的措施是采用气囊的方式进行肢体的血液阻断,存在体积较大和使用不便的问题,难以与其他训练进行组合。In the rehabilitation process of coronary atherosclerotic heart disease, it is necessary to perform remote ischemic adaptation training, that is, short, repeated, non-invasive ischemic training in the limbs can promote active substances in the blood, such as bradykinin, adrenal The production of glycosides and nitric oxide can increase the tolerance of the myocardium to ischemia and hypoxia, reduce the myocardial damage caused by ischemia and hypoxia for a long time, and improve myocardial blood supply by promoting the formation of collateral blood vessels in the heart. Perfusion injury can effectively reduce the recurrence rate and mortality of cardiovascular disease. The current measure is to block the blood of the limbs by means of airbags, which has the problems of large volume and inconvenient use, and it is difficult to combine with other training.
发明内容SUMMARY OF THE INVENTION
本发明所要解决的技术问题是提供一种辅助扩胸运动心肺康复训练装置,能够为训练人员提供主动或被动的辅助扩胸运动,以提高训练人员的心肺功能,优选的方案中,能够指导训练人员掌握最佳的握拳锻炼时机,实现与心脏泵血功能的合力,进一步促进身体血液循环,能够同时辅助训练人员进行远隔缺血适应训练。The technical problem to be solved by the present invention is to provide an auxiliary chest expansion exercise cardiopulmonary rehabilitation training device, which can provide active or passive auxiliary chest expansion exercise for trainers to improve the cardiopulmonary function of the training personnel. In the preferred scheme, it can guide training The staff can grasp the best time to make a fist, realize the synergy with the pumping function of the heart, further promote the blood circulation of the body, and at the same time assist the training staff to carry out the remote ischemia adaptation training.
为解决上述技术问题,本发明所采用的技术方案是:一种辅助扩胸运动心肺康复训练装置,底座通过第一关节与第一臂铰接,第一臂通过第二关节与第二臂铰接,在第一关节和第二关节设有驱动装置,驱动装置驱动第一关节和第二关节的第一转动部和第二转动部之间相对转动,第一臂和第二臂用于与训练人员的手臂连接,在驱动装置与第二转动部之间设有摩擦传动机构,以使第一臂和第二臂能够以可控扭矩的方式,以主动或被动的方式和训练人员的手臂一起摆动。In order to solve the above-mentioned technical problems, the technical solution adopted in the present invention is: a cardiopulmonary rehabilitation training device for auxiliary chest expansion exercise, the base is hinged with the first arm through the first joint, the first arm is hinged with the second arm through the second joint, A driving device is provided on the first joint and the second joint, and the driving device drives the relative rotation between the first rotating part and the second rotating part of the first joint and the second joint, and the first arm and the second arm are used to communicate with the training personnel. The arm is connected, and a friction transmission mechanism is arranged between the driving device and the second rotating part, so that the first arm and the second arm can swing together with the trainer's arm in an active or passive manner in a controllable torque manner .
优选的方案中,在第一臂设有第一伸缩部,在第二臂设有第二伸缩部,第一伸缩部和第二伸缩部的结构为:第一连接部与第二连接部滑动套接,在第一连接部与第二连接部之间设有电动推杆,以驱动第一连接部与第二连接部之间相对滑动。In a preferred solution, the first arm is provided with a first telescopic part, the second arm is provided with a second telescopic part, and the structures of the first telescopic part and the second telescopic part are: the first connecting part slides with the second connecting part In the socket connection, an electric push rod is arranged between the first connecting part and the second connecting part to drive the relative sliding between the first connecting part and the second connecting part.
优选的方案中,在第二臂的自由端设有手柄,手柄横向伸出,以便于训练人员握持;In a preferred solution, a handle is provided at the free end of the second arm, and the handle extends laterally to facilitate the training personnel to hold;
底座位于训练人员睡姿肩颈部的位置,第一关节位于肩部上方与训练人员的肩部转动中心大致同轴,第二关节位于训练人员的手臂向两侧伸展时的肘部上方,第二关节与训练人员的肘部转动中心大致同轴,手柄与训练人员伸展手臂自然握拳的手心轴心大致同轴。The base is located at the shoulder and neck of the trainer in the sleeping position. The first joint is located above the shoulder and is roughly coaxial with the center of rotation of the trainer's shoulder. The second joint is located above the elbow when the trainer's arms are extended to both sides. The two joints are roughly coaxial with the rotation center of the trainer's elbow, and the handle is roughly coaxial with the axis of the palm of the trainer's stretched arm to naturally make a fist.
优选的方案中,在第一臂和/或第二臂设有绑扎带,绑扎带用于绑扎训练人员的手臂,在绑扎带上设有心传感器,用于采集训练人员的心跳数据;In a preferred solution, a binding tape is provided on the first arm and/or the second arm, the binding tape is used to bind the arms of the trainer, and a heart sensor is provided on the binding tape for collecting the heartbeat data of the trainer;
在手柄上设有振动装置,振动装置根据心跳的频率振动,以指导训练人员握拳训练时机。A vibrating device is arranged on the handle, and the vibrating device vibrates according to the frequency of the heartbeat, so as to guide the training staff to make a fist for training.
优选的方案中,在手柄的端部设有按钮,按钮用于控制整个装置的动作;In a preferred solution, a button is provided at the end of the handle, and the button is used to control the action of the entire device;
在手柄的外壁设有弹性层,在弹性层下部设有放射状分布的弹性柱,振动装置固设在弹性层。An elastic layer is arranged on the outer wall of the handle, radially distributed elastic columns are arranged at the lower part of the elastic layer, and the vibration device is fixed on the elastic layer.
优选的方案中,在第一臂和/或第二臂设有绑扎带,绑扎带一端与第一臂或第二臂的臂部可拆卸的固定连接,绑扎带另一端与卷绕杆卷绕连接,卷绕杆可转动的支承在臂部内,卷绕杆通过传动机构与卷绕电机连接,绑扎带用于将训练人员的手臂绑紧一段时间,卷绕电机以定扭矩的模式工作。In a preferred solution, a binding tape is provided on the first arm and/or the second arm, one end of the binding tape is detachably and fixedly connected to the arm of the first arm or the second arm, and the other end of the binding tape is wound with the winding rod Connection, the winding rod is rotatably supported in the arm, the winding rod is connected with the winding motor through the transmission mechanism, the binding tape is used to tie the arm of the trainer for a period of time, and the winding motor works in a fixed torque mode.
优选的方案中,驱动装置的结构为:第一转动部与第二转动部之间通过轴承套接连接,减速器的减速器壳体与第一转动部固定连接,减速器的输出部通过摩擦传动机构与第二转动部连接,关节电机与减速器输入部连接。In a preferred solution, the structure of the driving device is as follows: the first rotating part and the second rotating part are connected by a bearing socket, the reducer housing of the reducer is fixedly connected to the first rotating part, and the output part of the reducer is connected by friction The transmission mechanism is connected with the second rotating part, and the joint motor is connected with the input part of the reducer.
优选的方案中,减速器为行星减速器或摆线针轮减速器,摩擦传动机构为电磁摩擦传动机构或摩擦片传动机构。In a preferred solution, the reducer is a planetary reducer or a cycloidal pinwheel reducer, and the friction transmission mechanism is an electromagnetic friction transmission mechanism or a friction plate transmission mechanism.
优选的方案中,减速器为行星减速器或摆线针轮减速器,关节电机、减速器、第一转动部和第二转动部为中空的结构;In a preferred solution, the reducer is a planetary reducer or a cycloid reducer, and the joint motor, the reducer, the first rotating part and the second rotating part are hollow structures;
在关节电机的电机输出轴内设有张紧电机,张紧电机与螺杆固定连接,螺杆伸入到第二转动部的中空结构;A tensioning motor is arranged in the motor output shaft of the joint motor, the tensioning motor is fixedly connected with the screw rod, and the screw rod extends into the hollow structure of the second rotating part;
传动套管与第二转动部套接,传动套管位于第一转动部和第二转动部的中空结构内,传动套管的一端与减速器的输出部固定连接,传动套管的外壁设有放射状分布的通槽,在通槽内设有滑动的摩擦片,摩擦片的外缘与传动套管的内壁接触;The transmission sleeve is sleeved with the second rotating part, the transmission sleeve is located in the hollow structure of the first rotating part and the second rotating part, one end of the transmission sleeve is fixedly connected with the output part of the reducer, and the outer wall of the transmission sleeve is provided with The radially distributed through grooves are provided with sliding friction plates in the through grooves, and the outer edges of the friction plates are in contact with the inner wall of the transmission sleeve;
在传动套管内设有锥形螺母,锥形螺母与摩擦片的内缘接触,摩擦片与锥形螺母接触的位置设有斜面,锥形螺母与螺杆螺纹连接。A conical nut is arranged in the transmission sleeve, the conical nut is in contact with the inner edge of the friction plate, the position where the friction plate is in contact with the conical nut is provided with an inclined surface, and the conical nut is connected with the screw thread.
优选的方案中,减速器为行星减速器或摆线针轮减速器,关节电机、减速器、第一转动部和第二转动部为中空的结构;In a preferred solution, the reducer is a planetary reducer or a cycloid reducer, and the joint motor, the reducer, the first rotating part and the second rotating part are hollow structures;
在关节电机的电机输出轴内设有张紧电机,张紧电机与螺杆固定连接,螺杆伸入到第二转动部的中空结构;A tensioning motor is arranged in the motor output shaft of the joint motor, the tensioning motor is fixedly connected with the screw rod, and the screw rod extends into the hollow structure of the second rotating part;
传动套管与第二转动部套接,传动套管位于第一转动部和第二转动部的中空结构内,传动套管的一端与减速器的输出部固定连接,传动套管部分采用弹性变形材质或结构,在弹性变形材质或结构的内壁设有锥形面,在锥形面的位置设有锥形螺母,锥形螺母与螺杆螺纹连接。The transmission sleeve is sleeved with the second rotating part, the transmission sleeve is located in the hollow structure of the first rotating part and the second rotating part, one end of the transmission sleeve is fixedly connected with the output part of the reducer, and the transmission sleeve part adopts elastic deformation The material or structure is provided with a tapered surface on the inner wall of the elastically deformed material or structure, and a tapered nut is provided at the position of the tapered surface, and the tapered nut is connected with the screw thread.
本发明提供了一种辅助扩胸运动心肺康复训练装置,通过设置的辅助机械臂,配合可控扭矩的摩擦传动机构,实现帮助训练人员进行主动或被动的床上扩胸运动,以帮助卧床的训练人员提高心肺功能,进而提高血氧饱和度,减轻训练人员的胸闷、气短症状,减轻心脏的自补偿调节导致的心脏增大症状,大幅减缓心衰进程。优选的方案中,能够通过采集心脏频率并以心脏频率指导握拳时机的方案,提高握拳运动对血液循环的促进作用,提高血液载氧量,进一步提高心肺功能。在进行训练的同时,设置的自动绑扎装置能够根据设定的程序进行远隔缺血适应训练,增加心肌对缺血缺氧的耐受能力。本发明能够大幅减少护理人员的工作强度,大幅提高卧床的训练人员的心肺功能,促进训练人员加快康复,而且结构简单,使用便利。The invention provides a cardiopulmonary rehabilitation training device for assisting chest expansion exercise. The auxiliary mechanical arm is provided and cooperates with a friction transmission mechanism with controllable torque to help trainers perform active or passive chest expansion in bed, so as to help the training in bed The training personnel can improve the cardiopulmonary function, thereby increasing the blood oxygen saturation, reducing the symptoms of chest tightness and shortness of breath of the trainers, reducing the symptoms of cardiac enlargement caused by the self-compensating adjustment of the heart, and greatly slowing down the process of heart failure. In a preferred solution, the heart rate is collected and the heart rate is used to guide the timing of making a fist, so as to improve the effect of making a fist on blood circulation, increase the oxygen carrying capacity of the blood, and further improve the cardiopulmonary function. At the same time of training, the set automatic ligation device can carry out remote ischemia adaptive training according to the set program, so as to increase the tolerance of myocardium to ischemia and hypoxia. The invention can greatly reduce the work intensity of the nursing staff, greatly improve the cardiopulmonary function of the bedridden training staff, and promote the training staff to speed up the recovery, and has a simple structure and convenient use.
附图说明Description of drawings
下面结合附图和实施例对本发明作进一步说明:Below in conjunction with accompanying drawing and embodiment, the present invention will be further described:
图1为本发明使用时的卧床头部向侧视图。Figure 1 is a side view of the head of the bed when the present invention is in use.
图2为本发明的头部向侧视图。Figure 2 is a side view of the head of the present invention.
图3为本发明的俯视图。Figure 3 is a top view of the present invention.
图4为图3的A-A局部剖视图。FIG. 4 is a partial cross-sectional view taken along line A-A of FIG. 3 .
图5为图4的B-B局部剖视图。FIG. 5 is a partial cross-sectional view taken along line B-B of FIG. 4 .
图6为自动绑扎装置的结构示意图。FIG. 6 is a schematic structural diagram of an automatic binding device.
图7为图3的C向视图。FIG. 7 is a view from the direction C of FIG. 3 .
图8为本发明的第一伸缩部和第二伸缩部的结构示意图。FIG. 8 is a schematic structural diagram of the first telescopic part and the second telescopic part of the present invention.
图9为本发明的第一关节和第二关节的另一可选结构示意图。FIG. 9 is a schematic diagram of another optional structure of the first joint and the second joint of the present invention.
图中:底座1,第一臂2,第二臂3,手柄4,弹性层41,弹性柱42,按钮43,振动装置44,第二关节5,第一关节6,减速器601,关节电机602,张紧电机603,第一转动部604,第二转动部605,电机输出轴606,减速器壳体607,传动套管608,轴承609,摩擦片610,锥形螺母611,螺杆612,摩擦层613,训练人员7,第一伸缩部8,第一连接部81,第二连接部82,电动推杆83,自动绑扎装置9,卷绕杆91,传动齿轮92,卷绕电机93,绑扎带94,卷绕齿轮95,心传感器96,臂部97,第二伸缩部10。In the figure: base 1,
具体实施方式Detailed ways
实施例1:Example 1:
如图1~3中,一种辅助扩胸运动心肺康复训练装置,底座1的两侧通过第一关节6与第一臂2铰接,第一臂2通过第二关节5与第二臂3铰接,在第一关节6和第二关节5设有驱动装置,驱动装置驱动第一关节6和第二关节5的第一转动部604和第二转动部605之间相对转动,第一臂2和第二臂3用于与训练人员7的手臂连接,在图1中展示的是训练人员7卧位,从头顶往下看的示意图,优选的,在第一臂2或第二臂3设有绑扎装置,绑扎在训练人员7的手臂上,训练人员7的手握持在手柄4上。优选的,对于体力不佳的训练人员7,在手柄4上设有手套,用于固定训练人员的手部。在驱动装置与第二转动部605之间设有摩擦传动机构,以使第一臂2和第二臂3能够以可控扭矩的方式,以主动或被动的方式和训练人员7的手臂一起摆动。由于训练人员7的状态不同,有些训练人员7体力较好,能够主动做扩胸运动,但是运动量不足,此时在抬起第一臂2和第二臂3时,第一转动部604和第二转动部605之间摩擦传动机构为松配合,驱动装置不出力,第一臂2和第二臂3为被动摆动,从而增加训练人员7的运动量。而在放下第一臂2和第二臂3时,第一转动部604和第二转动部605之间摩擦传动机构为紧配合,缓冲第一臂2和第二臂3放下时的冲击。对于上肢体力更佳的训练人员7,在抬起第一臂2和第二臂3时,第一转动部604和第二转动部605之间摩擦传动机构为紧配合,驱动装置提供反向扭矩,以进一步提高运动量。而当训练人员7的体力不佳,则在抬起和方向第一臂2和第二臂3时,第一转动部604和第二转动部605之间摩擦传动机构为紧配合,驱动装置驱动第一臂2和第二臂3摆动,训练人员7的手臂随着摆动,从而辅助训练人员7完成扩胸运动,通过扩胸运动增加血氧饱和度,减轻胸闷、气短症状,减缓心衰进程。As shown in Figures 1 to 3, a cardiopulmonary rehabilitation training device for assisting chest expansion exercise, both sides of the base 1 are hinged with the
实施例2:Example 2:
在实施例1的基础上,优选的方案如图1、2、8中,在第一臂2设有第一伸缩部8,在第二臂3设有第二伸缩部10,第一伸缩部8和第二伸缩部10的结构为:第一连接部81与第二连接部82滑动套接,滑动套接结构的横截面优选为圆形,可选为矩形,在第一连接部81与第二连接部82之间设有电动推杆83,即电动推杆83的一端与第一连接部81连接,电动推杆83的另一端与第二连接部82连接,电动推杆83为市售的产品,以驱动第一连接部81与第二连接部82之间相对滑动。由此结构,能够根据训练人员7的手臂长度,相应的对第一臂2和第二臂3的长度进行调节。On the basis of Embodiment 1, the preferred solution is shown in Figures 1, 2, and 8. The
实施例3:Example 3:
在实施例1或2的基础上,优选的方案如图1、2中,在第二臂3的自由端设有手柄4,手柄4横向伸出,本例中的横向伸出,是指手柄4的轴线与第二臂3的轴线大致垂直,以便于训练人员7的手掌握持;On the basis of
优选的方案如图1中,底座1位于训练人员7睡姿肩颈部的位置,第一关节6位于肩部上方与训练人员7的肩部转动中心大致同轴,第二关节5位于训练人员7的手臂向两侧伸展时的肘部上方,第二关节5与训练人员7的肘部转动中心大致同轴,手柄4与训练人员7伸展手臂自然握拳的手心轴心大致同轴。由此结构,使训练人员7的伸展动作自然。尤其是绑扎的手臂与第一臂2和第二臂3之间无相对滑动。要实现该技术效果,第一臂2和第二臂3均为非线性曲面结构,以使第一臂2和第二臂3能够更好的适合手臂的运动。肩部上方是指人站立时,肩部以上靠近头部的位置。The preferred solution is as shown in Figure 1, the base 1 is located at the shoulder and neck of the trainer 7 in the sleeping position, the first joint 6 is located above the shoulder and is approximately coaxial with the rotation center of the shoulder of the trainer 7, and the
实施例4:Example 4:
在实施例1~3任一项的基础上,优选的方案如图1、6中,在第一臂2和/或第二臂3设有绑扎带94,绑扎带94用于绑扎训练人员7的手臂,在绑扎带94上设有心传感器96,用于采集训练人员7的心跳数据;所述的心传感器96为市售的产品,心传感器96优选为光学心率传感器,主要用于采集训练人员7的心率,除了心率外,心传感器96还能够采集血氧饱和度。On the basis of any one of Embodiments 1 to 3, a preferred solution as shown in FIGS. 1 and 6 is that a binding
如图7中,在手柄4上设有振动装置44,振动装置44采用手机用振动电机,振动装置44根据心跳的频率发出振动信号,以指导训练人员7握拳训练时机。经分析,握拳动作有助于促进血液循环,而在心脏收缩时,握拳动作的促进效果更佳,因此,利用振动装置44提醒训练人员7握拳,能够有效提高握拳训练的效果。优选的,心传感器96将采集的心率转化为波形数据,并根据当前的数据利用人工智能算法预测未来波形数据。在手柄4还设有压力传感器,压力传感器在图中未示出,压力传感器用于采集训练人员7的握拳动作,在振动装置44给出振动信号后,采集握拳动作的时刻,以振动信号发出时刻和握拳动作的时刻求差值,得出训练人员7的反应时差,将反应时差带入到预测的心率波形数据,得出提前预判的振动信号发送时刻,即根据预测心率波形数据提前给出振动信号。由此方案,辅助训练人员7掌握握拳训练时机。即每次训练人员7握拳训练时机正好处于心脏收缩时,此时动脉血管内背压处于最大值,使促进血液循环的效果最大化。As shown in Figure 7, the
优选的方案如图7中,在手柄4的端部设有按钮43,按钮43用于控制整个装置的动作;便于由训练人员7的拇指操作。按钮43为数字按钮,其作用仅是用于给出一个开关信号,具体操作由主控装置,例如PLC中的程序进行解释。In a preferred solution, as shown in FIG. 7 , a button 43 is provided at the end of the
在手柄4的外壁设有弹性层41,在弹性层41下部设有放射状分布的弹性柱42,优选的,压力传感器设置在其中一个弹性柱42上,通过弹性柱42的变形测得训练人员7传递给手柄4的握拳动作,振动装置44固设在弹性层41,以便于将振动传递给训练人员7。An
实施例5:Example 5:
在实施例1~4任一项的基础上,优选的方案如图1、2、6中,在第一臂2和/或第二臂3设有绑扎带94,绑扎带94一端与臂部97可拆卸的固定连接,包括螺钉连接或卡扣连接,绑扎带94另一端与卷绕杆91卷绕连接,卷绕杆91可转动的支承在第一臂2或第二臂3的臂部97内,卷绕杆91通过传动机构与卷绕电机93连接,本例中的传动机构采用互相啮合的传动齿轮92和卷绕齿轮95,其中卷绕齿轮95与卷绕杆91连接,传动齿轮92与卷绕电机93的输出轴连接,绑扎带94用于将训练人员7的手臂绑紧一段时间,卷绕电机93以定扭矩的模式工作。卷绕电机93为伺服电机,通过卷绕绑扎带94的端头使绑扎带94将训练人员7的手臂绑紧。由此实现远隔缺血适应训练。每次训练时间为5秒,重复10次。然后间隔一段时间后再次重复。On the basis of any one of Embodiments 1 to 4, in a preferred solution as shown in Figures 1, 2, and 6, a binding
实施例6:Example 6:
在实施例1~5任一项的基础上,优选的方案如图4、5中,驱动装置的结构为:第一转动部604与第二转动部605之间通过轴承609套接连接,第二转动部605的横截面为“凸”字形,第二转动部605部分的穿入到第一转动部604的内孔,在第一转动部604的内孔设有轴承609,本例中采用滑动轴承,减速器601的减速器壳体607与第一转动部604固定连接,减速器601的输出部通过摩擦传动机构与第二转动部605连接,关节电机602与减速器601输入部连接。On the basis of any one of Embodiments 1 to 5, the preferred solution is as shown in Figures 4 and 5. The structure of the driving device is as follows: the first
实施例7:Example 7:
在实施例6的基础上,优选的方案如图4、5中,图中为便于观察,关节电机602和减速器601的具体结构省略,以便于更好的观察具有创新性的其他结构,本例中,关节电机602和减速器601均为市售的产品。减速器601优选为行星减速器或摆线针轮减速器,关节电机602采用伺服电机,摩擦传动机构为电磁摩擦传动机构或摩擦片传动机构。On the basis of
优选的方案如图4中,减速器601为行星减速器或摆线针轮减速器,关节电机602、减速器601、第一转动部604和第二转动部605为中空的结构;The preferred solution is as shown in Figure 4, the
第一转动部604与第二转动部605之间设有角度传感器。用于采集第一转动部604与第二转动部605之间的转角,并根据转角信号调节张紧电机603。An angle sensor is provided between the first
在关节电机602的电机输出轴606内固设有张紧电机603,张紧电机603与螺杆612固定连接,螺杆612伸入到第二转动部605的中空结构;A
如图4中,传动套管608与第二转动部605套接,传动套管608位于第一转动部604和第二转动部605的中空结构内,传动套管608的一端与减速器601的输出部固定连接,本例中采用法兰和螺钉的结构连接,传动套管608的外壁设有多个放射状分布的通槽,在各个通槽内设有滑动的摩擦片610,摩擦片610的外缘与传动套管608的内壁接触;摩擦片610的外缘是指多个摩擦片610的外接圆,如图5中所示。As shown in FIG. 4 , the
在传动套管608内设有锥形螺母611,锥形螺母611与摩擦片610的内缘接触,优选的,在锥形螺母611的外壁设有止转的槽,槽与摩擦片610的厚度大致相当,摩擦片610与锥形螺母611接触的位置设有斜面,锥形螺母611与螺杆612螺纹连接。由此结构,通过控制张紧电机603,能够精确控制摩擦片610与第二转动部605之间以传动或脱开的方式连接。优选的,如图4中,所述的锥形螺母611为两个,分别位于靠近摩擦片610两端的位置,锥形螺母611的螺纹旋向相反,对应的螺杆612上的螺纹的旋向也相反,从而螺杆612的旋转使两个锥形螺母611相向或相背运动。由此结构,使摩擦片610的平行度较高,摩擦片610的力量传递更加稳定,阻尼分级清晰。A
实施例7:Example 7:
在实施例6的基础上,优选的方案如图9中,减速器601为行星减速器或摆线针轮减速器,关节电机602、减速器601、第一转动部604和第二转动部605为中空的结构;On the basis of
在关节电机602的电机输出轴606内设有张紧电机603,张紧电机603与螺杆612固定连接,螺杆612伸入到第二转动部605的中空结构;张紧电机603采用伺服电机。A
传动套管608与第二转动部605套接,传动套管608位于第一转动部604和第二转动部605的中空结构内,传动套管608的一端与减速器601的输出部固定连接,传动套管608部分采用弹性变形材质或结构,例如传动套管608部分采用橡胶材质,或者采用放射状的割缝结构,在弹性变形材质或结构的内壁设有锥形面,在锥形面的位置设有锥形螺母611,锥形螺母611与螺杆612螺纹连接。通过锥形螺母611的轴向移动,使传动套管608部分胀粗或者缩回。从而实现传动套管608与第二转动部605之间可调的摩擦传动或者脱开。由此结构,简化了摩擦传动的机构复杂程度。The
实施例8:Example 8:
为便于更好的理解本发明,在上述实施例的基础上,结合具体控制方法进一步对本发明加以说明。使用时,训练人员7仰卧位,底座1置于训练人员7的肩颈部下方,第一臂2和第二臂3上的第一伸缩部8和第二伸缩部10通过电动推杆83调节至适合训练人员7的长度,该调节方式通过控制面板进行调节。训练人员7的大臂穿入到自动绑扎装置9内,控制面板输入控制PLC驱动卷绕电机93动作,卷绕电机93带动卷绕杆91转动,将绑扎带94卷绕到卷绕杆91上,直至将训练人员7的手臂绑扎紧,然后卷绕电机93反转一个角度,例如180°,略微松开绑扎带94,完成绑扎带94的固定操作。训练人员7的手掌握住手柄4,即完成与机械臂的连接。如果训练人员7体力不佳,无法握紧手柄4,则利用手套将手与手柄4绑扎连接。按下按钮,并循环选择相应的训练模式。或者从面板输入选择训练模式。对体能不佳的训练人员7选择被动训练模式,张紧电机603动作,螺杆612转动,使锥形螺母611将摩擦片610顶起,关节电机602的电机输出轴606与第二转动部605之间构成摩擦传动,关节电机602带动第一臂2和第二臂3摆动,完成扩胸运动,直至完成预设的次数。对于体能逐渐恢复的训练人员7,在PLC的控制面板中选择较大的训练强度,张紧电机603动作,螺杆612转动,使锥形螺母611将摩擦片610松开,摩擦片610离开第二转动部605,由训练人员7的动作带动第一臂2和第二臂3的向上摆动。第一转动部604与第二转动部605之间的角传感器,例如绝对值编码器检测到转角达到预设值,张紧电机603再次动作,在向下摆动开始后,即使螺杆612转动,使锥形螺母611将摩擦片610顶紧,实现摩擦传动,并由关节电机602提供反向扭矩,使第一臂2和第二臂3缓慢落下,避免产生冲击,通过张弛结合的训练,提高心肺功能以及促进血液循环的效果。对于体力较佳的训练人员7,张紧电机603驱动螺杆612和锥形螺母611,使摩擦片610始终处于摩擦传动状态,在向上摆动过程中,关节电机602提供可调的反向扭矩,以提高训练强度。放下时,关节电机602提供反向扭矩,使第一臂2和第二臂3缓慢落下,避免产生冲击。In order to facilitate a better understanding of the present invention, on the basis of the foregoing embodiments, the present invention is further described in conjunction with a specific control method. When in use, the trainer 7 is in a supine position, the base 1 is placed under the shoulder and neck of the trainer 7, the first
在需要握拳动作时机辅助时,心传感器96采集心率,通过人工智能预测算法,在手柄4的振动装置44在适当的时机提示训练人员7进行握拳动作。When the timing of making a fist is needed, the
当需要进行远隔缺血适应训练时,PLC控制卷绕电机93动作,将绑扎带94收紧,每次训练时间为5秒,重复10次。然后间隔一段时间后再次重复。When remote ischemia adaptation training is required, the PLC controls the action of the winding
本发明以简单的结构,精准的控制,实现了心肺功能的锻炼,以及高效率的促进血液循环。对于心肌缺血的训练人员7,能够行远隔缺血适应训练。With simple structure and precise control, the present invention realizes the exercise of cardiopulmonary function and promotes blood circulation with high efficiency. For the trainer 7 of myocardial ischemia, remote ischemia adaptation training can be performed.
上述的实施例仅为本发明的优选技术方案,而不应视为对于本发明的限制,本申请中的实施例及实施例中的特征在不冲突的情况下,可以相互任意组合。本发明的保护范围应以权利要求记载的技术方案,包括权利要求记载的技术方案中技术特征的等同替换方案为保护范围。即在此范围内的等同替换改进,也在本发明的保护范围之内。The above-mentioned embodiments are only the preferred technical solutions of the present invention, and should not be regarded as limitations of the present invention. The embodiments and features in the present application may be arbitrarily combined with each other without conflict. The protection scope of the present invention shall take the technical solutions described in the claims, including the equivalent alternatives of the technical features in the technical solutions described in the claims, as the protection scope. That is, equivalent replacements and improvements within this scope are also within the protection scope of the present invention.
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