Summary of the invention
Main purpose of the present invention is to solve the problem that exists in the rehabilitation training of above-mentioned rehabilitation CP children, provides a kind of not only suitable professional of rehabilitation center to use but also is fit to the training of cerebral palsy integrated motion, the rehabilitation device that the layman of family carries out rehabilitation training.
Cerebral palsy: the traditional Chinese medical science claims children's cerebral palsy.Claim cerebral palsy " CEREBRAL PASLY " to be called for short CP in the world, be meant child's syndrome due to the damage of non-carrying out property in the hindbrain growth course in utero.Thereby, big mesencephalic centre causes the dyskinesia and motion abnormal posture because having lost the function that domination is coordinated to limbs.Cerebral palsy is one of main disease of child's physical disabilities, accounts for the 0.2-0.5% of natus according to the sickness rate of relevant departments statistics China cerebral palsy, and is roughly the same with international ratio.
The treatment of cerebral palsy is extremely difficult, studies carefully its main cause to be: the brain cell partial necrosis is can't repair with activated.The United Nations's health organization is promoted guiding assist type exercise therapy, medicine nutrition role in brain cell also had query, will not affirm, the medicine role only is confined to strengthen the intake of sclerotin, vitamin and microelement, so some western countries abandon Drug therapy and pay attention to exercise therapy.The deformity that has some CP children to occur can adopt plastic surgery that the deformity that occurs is carried out orthomorphia, and postoperative carries out rehabilitation training again.
The technical solution adopted for the present invention to solve the technical problems is:
Form by body supports frame and several attached exercising devices, the body supports frame comprises main support, attached apparatus carrier bar, lifting beam, elevating lever, body carrier bar, locating rod composition, the main support integral body of body supports frame is rectangular, the body supports frame is oppositely arranged two Pin main supports, the bottom of main support is provided with bottom girder anyhow, the both ends of the bottom of bottom girder are provided with castor separately, the both ends on bottom girder top fixedly install the fixedly lifting column that stands on the bottom girder end separately, and two fixedly fixedly install brace summer between the upper end of lifting column anyhow.Fixedly the hollow cylinder internal fixation of lifting column the other end is provided with buffer spring, and fixedly the outside, an end of lifting column fixedly installs the location jackscrew separately.
By the main body of a frame body bracing frame as the rehabilitation training apparatus, dispose the auxiliary body supports frame of several attached exercising devices and carry out rehabilitation training, the training action quality is more effective in the rehabilitation training process, and the action of being done puts in place.The body supports frame is made up of main support, attached apparatus carrier bar, bottom girder, pull bar, brace summer, castor, stretching, extension reference column, lifting beam, elevating lever, body carrier bar, locating rod and buffer spring, the body supports frame is provided with two Pin main supports and constitutes whole body supports frame, the bottom of main support is provided with bottom girder anyhow, the bottom of bottom girder is provided with castor, the both sides of main support uprightly are provided with fixedly lifting column, the upper support beam of column holder, fixedly the both ends of lifting column are connected with brace summer with bottom girder separately.The fixedly lifting column inner bottom part of hollow cylinder is provided with buffer spring, and fixedly the lifting column external wall of upper portion is provided with the location jackscrew.According to different sufferer situations and ill degree utilization main body rack, select different attached exercising devices to be placed on and carry out corresponding rehabilitation training on the body supports frame.The bottom of bottom girder is provided with castor, and the body supports frame can be moved freely on the ground.It is in order to prevent lifting beam and elevating lever tong when the maloperation downslide occurring, to cause accidental injury that buffer spring fixedly is set in the cylinder of lifting column.
The top of main support is provided with the lifting beam anyhow, the both ends of lifting beam bottom vertical fixing separately are provided with elevating lever, integral body is JiongZi Xing, one end of two elevating levers is connected to a fixed with the both ends of lifting beam separately, the other end of two elevating levers is separately relatively vertically from the end insertion of fixing lifting column fixedly in the lifting column, fixedly the cross sectional shape of the cross sectional shape of lifting column and elevating lever is suitable, elevating lever is along fixing lifting column inwall lifting lifting beam, and the location jackscrew by fixing lifting column top is elevating lever fixedly.
The bottom at lifting beam two ends is provided with elevating lever, and the upper end of elevating lever and lifting beam are connected to a fixed, and integral body is JiongZi Xing, and insert in the fixedly lifting column of hollow cylinder the bottom of elevating lever.Regulate the lifting depth of beam according to patient's height, fix with the location jackscrew on the fixing lifting column then.
Anyhow fixedly install attached apparatus carrier bar more than at least two between the bottom girder of two Pin main supports, the spacing between the attached apparatus carrier bar is equidistant the setting.
The both ends of attached carrier bar equidistantly are connected with the bottom girder of two Pin main supports separately, attached exercising device is placed on the attached carrier bar, be not only on the attached apparatus carrier bar and will place attached apparatus and carry out corresponding action training, by limbs fixing can finish incidence, just change return motion all around, and the song of upper limb is stretched, on lift and finish moving doing such as the hand grip is prudent.Do not use attached apparatus also to can be used as pedipulator and use, lower limb body walking between attached apparatus carrier bar, the muscle group of exercise walking improves locomotor activity.
Two body carrier bars are set between the lifting beam of two Pin main supports anyhow, equidistantly are provided with between the body carrier bar, the end of lifting beam is provided with body and regulates slideway, by the spacing between the body adjusting slideway adjusting body carrier bar.The symmetrical plug in locating rod of relative cover that is provided with anyhow between the body carrier bar, the two ends of locating rod fixedly install sleeve pipe, the sleeve pipe snare is on the body carrier bar, the external diameter of telescopic internal diameter and body carrier bar is suitable, the location jackscrew is set on the sleeve pipe, locating rod by sleeve pipe along the translation of body carrier bar, two body carrier bars and two locating rods form groined type, locate on the body carrier bar by the location jackscrew, the intersection of two body carrier bars and two locating rods constitutes the body limbs fixing hole that matches with human body.
The both ends of body carrier bar equidistantly are connected to a fixed with the lifting beam of two Pin main supports separately, the both ends of locating rod fixedly install sleeve pipe, the sleeve pipe snare is on the body carrier bar, sleeve pipe drives locating rod along the translation of body carrier bar, by the location jackscrew that is arranged on the sleeve pipe locating rod is positioned at formation body limbs fixing hole on the body carrier bar.Body carrier bar and locating rod constitute patient's body, the body limbs fixing hole of limbs, and patient's body frame gets final product the safe and reliable rehabilitation training of carrying out in body limbs fixing hole; Can make patient's body can be in erectility for a long time, can keep for a long time not lying in bed every day, promotes the running of each internal organs function in the health, improves body constitution; Remove the difficult problem that patient household must accompany the patient constantly, temper the independent voluntarily active ability of patient.
Attached exercising device places on the attached apparatus carrier bar, the plate of deciding of attached exercising device is set on the attached apparatus carrier bar anyhow, attached exercising device to decide plate rectangular, decide symmetrical the fixedly installing fixing card the in both ends of plate bottom, the outside of the fixedly card of symmetrical setting and the attached apparatus carrier bar of symmetrical setting inboard suitable, the plate of deciding of attached exercising device is placed on the attached apparatus carrier bar, and fixedly inlay card is gone between the attached apparatus carrier bar.
The attached exercising device that fixing card constitutes is set is the attached exercising device of fixed flat planar formula by deciding the plate bottom, and the bottom that rectangle decide plate is symmetrical arranged fixing the card.The patient can need not for a long time to accompany and carry out correct rehabilitation training, the rehabilitation training of the correct muscle group that carries out whole body.By limbs can fix can finish incidence, just change return motion all around; The song that can finish upper limb stretches, on lift and finish moving doing such as the hand grip is prudent, as dumbbell exercises etc.; Finish trunk chest, waist, hip, back etc. and, just changeing return motion all around.
Decide equidistantly to be arranged on the plate at least two above spacings adjusting slideways of few 8 above spacing locating holes or equidistant setting, decide symmetrical two orthopedic foots training boots that uprightly are provided with on the plate, orthopedic foot training boots integral body is L-shaped, orthopedic foot training boots top is provided with the semi-cylindrical shaped orthotic training leg of a boot, and orthotic training leg of a boot cross section is curved.The bottom of orthopedic foot training boots is provided with at the bottom of the orthotic training boots, and the end at the bottom of the orthotic training boots and the bottom of the orthotic training leg of a boot are connected to a fixed, at the bottom of the orthotic training boots and the whole formation of the orthotic training leg of a boot L shaped.Fixedly install at least two above fixing holes at the bottom of the orthotic training boots, the aperture of fixing hole and spacing and spacing locating hole or the spacing adjusting slideway decided on the plate are suitable, pass fixing hole and spacing locating hole or spacing with bolt and regulate slideway, orthopedic foot training boots are fixedly installed on decide on the plate.Be arranged on the diverse location that the spacing locating hole of deciding plate or spacing are regulated slideway by adjusting fixing hole at the bottom of the orthotic training boots, regulate two symmetrical orthopedic foots and train spacings between the boots.Symmetrical several constraint fixing holes that is provided with in the edge of the orthotic training leg of a boot of orthopedic foot training boots, hold onto shank, ankle part and sole with restraining by the constraint fixing hole, the attitude of pressure rectification shank, ankle, heel and sole is done the rehabilitation training of waist, abdominal part, chest, back, upper limb body, shoulder, cervical region, shank and ankle part.
L-shaped formation orthopedic foot training boots at the bottom of the orthotic training leg of a boot and the orthotic training boots, two symmetrical uprightly being arranged on of orthopedic foot training boots are decided on the plate, several fixing holes are set at the bottom of the orthotic training boots, decide equidistantly to be provided with on the plate several spacing locating holes, the aperture of fixing hole and spacing and the spacing locating hole of deciding on the plate are suitable, can adopt bolt or screw by fixing hole and spacing locating hole, orthopedic foot training boots are fixedly installed on decide on the plate.According to the concrete condition of cerebral palsy infant, move two spacings between the symmetrical orthopedic foots training boots, the distance of the bipod of cerebral palsy infant when being applicable to rehabilitation training.Symmetrical several constraint fixing holes that is provided with at the edge of the orthotic training leg of a boot, by constraint fixing hole constraint shank and ankle part, the attitude that can directly force to correct shank, ankle, heel and sole is done rehabilitation training with restraining.The heel string of general cerebral palsy infant is short, and limb development is bad, ligament retractility difference and stiff, and muscular hypertonus, heel can not land, and each ankylosis can not natural torsion, when health is soft such as mud, when hard such as rod.These symptoms are alleviated in the pliability rehabilitation training exactly, and the heel string ligament is elongated, and improve ligament retractility and elasticity, strengthen the joint control force, reduce muscular tension as much as possible.When patient fixedly body, limbs, make the body can be upright by main support, foot is placed on deciding in the orthopedic foot training boots on the plate of attached apparatus, with restraining by constraint fixing hole constraint shank and ankle part.Heel string group muscle is drawn back, and stand in correct posture and to decide to do on the plate rehabilitation training action, keep the heel string muscle group to carry out correct rehabilitation training.To heel, the ankle of foot carry out orthopedic, correct orthotic foot with and ankle, foot is stood in stably decide on the plate, reach the purpose of rehabilitation training.The patient can need not for a long time to accompany and carry out correct rehabilitation training, the rehabilitation training of the correct muscle group that carries out whole body.By limbs can fix can finish incidence, just change return motion all around; The song that can finish upper limb stretches, on lift and finish moving doing such as the hand grip is prudent, as dumbbell exercises etc.; Finish trunk, chest, waist, hip, back, upper limb body, shoulder, cervical region, shank and ankle part etc. and, just changeing return motion all around.
Can remove orthopedic foot training boots near normal person's degree when lower limb, heel, sole and the ankle part of cerebral palsy infant is remedied to, can directly be placed on deciding on the plate of attached apparatus to foot, carry out rehabilitation training.Heel string group muscle is drawn back, and stand in correct posture and to decide to do on the plate rehabilitation training action, keep the heel string muscle group to carry out correct rehabilitation training.
Anyhow fixedly install pull bar between the middle part of the fixedly lifting column of one Pin main support, uprightly fixedly install the stretching, extension reference column between the bottom girder of another Pin main support and the brace summer.The side of stretching, extension reference column fixedly installs the constraint fixing hole more than at least 1, on the stretching, extension reference column, hold onto wherein one leg by the constraint fixing hole with restraining, other one leg is done the rehabilitation training of correcting coxa joint, shank joint and ankle part and drawn the rehabilitation training of stretching the shank ligament.
The both ends of pull bar are connected to a fixed anyhow with the middle part of two lifting columns separately.The both ends of stretching reference column are connected to a fixed with the middle part of bottom girder and brace summer separately.The sleeve pipe snare of locating rod is provided with the location jackscrew on the sleeve pipe on the body carrier bar, sleeve pipe is along the reciprocal translation of body carrier bar, with jackscrew location, location.Do not accepted the heavier cerebral palsy infant of rehabilitation training, lower limb are very soft basically, have no support force, can't carry out normal rehabilitation training at all, and its symptom can be to bad development.The recovery training method that also has some cerebral palsy infants to accept is improper, and limbs have formed unstable deformity, turns up as bowlegs, little bowlegs, back bending of leg, S shape lower limb, plantar arch collapse, sole etc.These symptoms all are provided with obstacle to normal rehabilitation training, if do not correct the correct of body and attitude earlier, lopsided symptom then can change into fixing deformity by unstable deformity, and having formed fixedly, deformity just is difficult to rehabilitation again.The patient is positioned at the side of another Pin main support, and wherein lower limb are strapped in and stretch on the reference column, spurs another lower limb and stretches backward or forward or to the left or to the right, stretches the muscle group and the ligament that draw crotch and shank.By limbs can fix can finish incidence, just change return motion all around; The song that can finish upper limb stretches, on lift and finish actions such as the hand grip is prudent, finish trunk chest, waist, hip, back etc. and, just changeing return motion all around.
The plate top of deciding of attached exercising device is provided with the moving plate of balance anyhow, decides to fixedly install at least four above balance springs between the moving plate of plate and balance, and the two ends of balance spring are connected to a fixed with the bottom of the moving plate of balance and the top that balance is decided plate separately.Force the supporting force of sole and enlarge the sole Area of bearing and coordination ankle joint control ability, do the rehabilitation training of waist, abdominal part, hip, ankle and sole.
By deciding that balance spring is set on the plate, the moving plate of balance is set on the balance spring constitutes the moving board-like attached exercising device of balance, deciding uprightly to fixedly install balance spring on the plate, the fixing moving plate of balance that is provided with anyhow in the upper end of balance spring, the both ends of balance spring separately with decide plate and balance and move plate and be connected to a fixed.The balance adjustment ability of cerebral palsy infant is also very poor, is because sole support force inequality causes the sole Area of bearing to dwindle, and causes astasia, body-sway motion, and it is uneven to influence walking.Therefore must carry out the rehabilitation training of balance control, the equilibrium that improves the sole support force enlarges the sole Area of bearing, improves the coordination control ability of joint action.Fixedly body, limbs, under the state that rocks, finish the motion of limbs by the moving plate of balance and balance spring, heel, ankle to foot carry out orthopedic, correct orthotic foot is followed and ankle, foot can be stood on the balance plate stably, improve the rehabilitation training of the muscle group of waist, back, hip and shank, reach the purpose of training patient equilibrium sense.
The plate top setting of deciding of attached exercising device stands on the slideway of deciding on the plate, between the slideway of symmetrical setting, be oppositely arranged two yaw hip slide plates anyhow along slideway, the both sides and the slideway of yaw hip slide plate are suitable, to the reciprocal translation in the both ends of slideway, the end of yaw hip slide plate is provided with the auxiliary handle that stands on yaw hip slide plate to yaw hip slide plate along slideway.Each is provided with the orthopedic foot training boots that stand on the yaw hip slide plate yaw hip slide plate top, passing fixing hole with bolt at the bottom of the orthotic training boots of orthopedic foot training boots is fixedly installed on the yaw hip slide plate, symmetrical several constraint fixing holes that is provided with in the edge of orthopedic foot training boots, calf, ankle part and foot palm part are strapped in the orthopedic foot training boots by the constraint fixing hole with restraining, the attitude of pressure rectification calf, ankle part and foot palm part is done the rehabilitation training of shank and hip.
By deciding that slideway is set on the plate, on slideway, be oppositely arranged two yaw hip slide plates and constitute the attached exercising device of step type, symmetrical setting stands on the slideway of deciding on the plate on the plate deciding, be oppositely arranged two yaw hip slide plates on the slideway, yaw hip slide plate stands on the auxiliary handle of yaw hip slide plate, and yaw hip slide plate eye is decided the reciprocal translation of slide plate on the plate.Fixedly body, limbs carry out weaving by slideway and yaw hip slide plate to the muscle group of crotch, hip and shank, proofread and correct the bad action of bowlegs, little bowlegs, back bending of leg, S shape lower limb simultaneously.Horizontal leg pressing and freely swinging etc. is moved to the rehabilitation training of the muscle group of crotch, hip and shank, improves the muscle dynamics of the muscle group of crotch, hip and shank, exercise walking training.
The plate top of deciding of attached exercising device is set up in parallel and stands on two symmetrical slideways deciding on the plate, between every slideway of symmetrical setting, pitch hip slide plate is set anyhow along slideway, the both sides and the slideway of pitch hip slide plate are suitable, pitch hip slide plate along slideway to the reciprocal translation in the both ends of slideway, the end of pitch hip slide plate is provided with the auxiliary handle that stands on pitch hip slide plate, makes the rehabilitation training of hip, shank and ankle of stance or crouching appearance or kneeling position or straight lower limb or the attitude that bends one's legs.
By deciding to be set up in parallel two slideways on the plate, pitch respectively is set on two slideways strides the attached exercising device of slide plate formation walking, fixedly body, limbs, by slideway and pitch hip slide plate the muscle group of crotch, hip and shank is carried out the pitch motion, proofread and correct the bad action of bowlegs, little bowlegs, back bending of leg, S shape lower limb simultaneously.Front and back leg pressing and freely swinging etc. is moved to the rehabilitation training of the muscle group of crotch, hip and shank, improves the muscle dynamics of the muscle group of crotch, hip and shank, and the exercise walking is trained.
The plate top setting of deciding of attached exercising device stands on the T shape support of deciding on the plate, and T shape support top is provided with rotating shaft anyhow, and resistance mill device is set on the rotating shaft, and resistance mill device does work in rotating shaft, and the mill resistance amount of adjustment resistance mill device then changes rotating shaft rotation dynamics.The both ends of rotating shaft are provided with Z-shaped rotation support arm separately, and the arm end of Z-shaped rotation support arm is provided with the rotation pedal.Rotation fixedly installs foot on the pedal separately and rectifys the training boots, and the fixing hole that passes at the bottom of the orthotic training boots with bolt is fixedly installed on the rotation pedal.Calf, ankle part and foot palm part are strapped in the orthopedic foot training boots by the constraint fixing hole with restraining, prevent from the rotation pedal, to skid, force to correct the attitude of calf, ankle part and foot palm part, do the rehabilitation training of hip, shank and ankle part with sitting posture or stance.
By deciding that T shape support is set on the plate, on T shape support, rotating shaft is set, Z-shaped rotation support arm is set rotating shaft terminal and the rotation pedal constitutes the attached exercising device of formula to pedal, at the T type support of deciding to be provided with on the plate band rotating shaft, the both ends of rotating shaft are provided with the Z type rotation support arm of rotation pedal, fixing body, limbs, by deciding plate, T type support, rotating shaft, Z type rotation support arm and rotation pedal are to crotch, the muscle group of hip and shank carries out stepping movement, by the rotation pedal swing and up and down the rotation etc., finish hip, knee joint, motion is stretched in the bending in each joint of ankle, finish lower limb advanced in years, height is lifted lower limb, actions such as the high bent lower limb in front and back, to crotch, the rehabilitation training of the muscle group of hip and shank, improve crotch, the muscle dynamics of the muscle group of hip and shank, exercise walking training.
At least 4 of the plate top settings of deciding of attached exercising device stand on the tilt adjustment bar of deciding on the plate, the top of tilt adjustment bar is provided with the inclination angle and decides plate, the leading section setting that plate is decided at the inclination angle stands on the inclination angle and decides handle on the plate, the rearward end setting that plate is decided at the inclination angle stands on the inclination angle and decides foot retaining on the plate, regulate the inclination angle by the tilt adjustment bar and decide plate, the handle end that plate is decided at the inclination angle is higher than foot retaining end and forms the angle of inclination, with the stance orthotic foot with and the rehabilitation training of the heel string group muscle of ankle or with crouching appearance rectification waist, the back, hip, shank, ankle part, the rehabilitation training of heel and sole.
By deciding that at least 4 tilt adjustment bars are set on the plate, the inclination angle is set on the top of tilt adjustment bar decides the board-like attached exercising device of plate formation inclination, when patient fixedly body, limbs, make the body can be upright by main support, foot is placed on the inclination angle of attached apparatus to be decided on the plate, heel string group muscle is drawn back in pressure, and stands in correct posture and to do rehabilitation training action on the top board, keeps the heel string muscle group to carry out correct rehabilitation training.It is fixing downwards with the tiptoe of the sole heel that makes progress to decide plate by the inclination angle, to heel, the ankle of foot carry out orthopedic, correct orthotic foot with and ankle, can make foot stand in the inclination angle stably and decide on the plate, reach the purpose of rehabilitation training.The patient can need not for a long time to accompany and carry out correct rehabilitation training, the rehabilitation training of the correct muscle group that carries out whole body.Finish trunk chest, waist, hip, back etc. and, just changeing return motion all around.
Also can decide the attached apparatus of plate and directly be placed on and carry out rehabilitation training on the more smooth ground when patient training reaches certain degree having the inclination angle, both hands pulling handle on the plate is decided in patient's crouching at the inclination angle, heel props up the foot retaining, decides to do on the plate action of rehabilitation training at the inclination angle.Along with the raising of training degree, readjust the angle at inclination angle, deepen the degree of training.
The subject that the cerebral palsy infant is carried out rehabilitation training was divided into for three megastages.The subject of phase I physical ability grounding is figure's basis rehabilitation training, mainly is to correct body and attitude, eliminates bad action and deformity action, improves muscle strength and joint strength; The stand subject of shifting foundation training of second stage is the physical ability rehabilitation training, under the correct state of body and attitude trend, mainly is the ability that improves muscle group and ligament; The subject of phase III walking training is for standing and walk rehabilitation training, body and attitude correctly and the ability of muscle group and ligament reach certain standard and can stand and walk rehabilitation training.
The Administrative Assistant is carrying out CP children in the subject of above-mentioned three class rehabilitation trainings, the basic rehabilitation training of first kind figure's basis rehabilitation training section's purpose is most important, the cerebral palsy infant must carry out the rehabilitation training subject of " figure's rehabilitation training " earlier, must correctly correct the figure and the attitude of CP children, reach figure's rehabilitation training section purpose standard.Along with the raising of " matter " and " amount " of rehabilitation training, the subject of three class rehabilitation trainings intersects mutually, and is incremental.The Administrative Assistant is according to the practical situation of CP children, selects the rehabilitation training subject of respective classes for use in the different rehabilitation training stages, and CP children is carried out rehabilitation training.
Clinical application cases:
Clinical case one
The patient: the woman, 2 years old half a day people from Jinshi City
Treatment time: in December, 2003 so far
State of an illness symptom: the mental representation ability is comparatively normal, and the word speed frequency is slow, and the sound of speaking is little, and pronounces indistinctly.Holding function does not have, and muscular tension is extremely strong.Palm is song and holds shape, can not hold thing.Upper limb becomes bending, and not tensible is stretched; Lower limb become the straight elevator shape can not crooked sitting, and sole can't be set level and land, and whole body is stiff substantially, lie supine bed.During eyeball and on turn over, slight sound will be frightened, general performance is dull.
Diagnosis is identified: during 1 one full year of life, diagnosis is accredited as through Tianjin Children's hospital: spasm type quadriplegia, serious symptom cerebral palsy.
The treatment medical history: this infant rose and begins to receive treatment in 1 years old, once went to man large hospital of domestic number and rehabilitation center, did not feel any better.Treat to private clinic again, what take is barbarous therapy, give birth to draw firmly and split, each infant in treatment all be pain unbearably, dripping sweat, cry, but the state of an illness is not felt any better all the time, and muscular tension is more and more stronger, and extremity are more and more stiff, symptom is obvious all the more, has also spent the great number medical expense for this reason.
Symptom analysis: from the movement angle observation analysis, infant muscle has problem, and the muscular states of infant one deck water as suitcase.The brain nervus centralis of infant has problem, but does not influence muscle development.The main cause that causes the state of an illness not feel any better is: muscle does not obtain movable fully and training, and infant treatment is not in the past suited the medicine to the illness, so treatment must be started with from the training muscle strength earlier.
Treatment place: patient family
Therapeutic scheme:
1, utilization cerebral palsy integrated motion training, rehabilitation device carry out exercise therapy.Carry out muscle strength training earlier, so that health is to fully stretching, the patient can be erected earlier, and then do the training of some physical ability, pliability training by easy stages, balanced support training, meticulous training are to improve the various functions of health, to reduce muscular tension, rectification and inhibition faulty posture.The training of walking has again been accomplished fluently on the basis;
2, training standard: the action of various motions must standard put in place;
3, training quantity: follow conditioned reflex principle, training quantity notices that according to the health ability to bear athletic injury is a standard to reach near limit of sports record;
4, arrangement of time: on every Saturdays day, Sunday no collection.3 hours every mornings, 2 hours afternoons;
5, criterion of cure: the various actions action is near normal.
The treatment time limit: 1 year-1 year half.
Therapeutic effect: the figure just stretches to some extent after 10 days, and upper limb can stretch after 20 days, and hands can be held thing and hold a pen.Muscle strength, joint strength obviously strengthen after 30 days.Sitting posture also can the downward lost article found in upper body voluntarily.Can lean on after 3 months and stand, muscular tension obviously descends, and lower limb can be from line bend.Hind paw can land substantially in 6 months, can lift lower limb by external force and take a step.The household is leading and can walk for a long time after 1 year, and paces are standard comparatively, stands on tiptoe the step, and shears step disappears, and misconduct such as turns over, afraid of one's shadow on the eyeball and disappears.Limbs outward appearance, figure are near the normal person.
Clinical case two
Patient: man 1 years old 08 months
State of an illness symptom: upper limb is stood on tiptoe, and lower limb can be walked, and the step appearance is for standing on tiptoe the shears step, and figure's condition of illness is obvious.
Medical diagnosis: the spasm type extremity middle disease cerebral palsy of getting involved.
Therapeutic Method: the training of utilization cerebral palsy integrated motion, rehabilitation device carry out exercise therapy, strengthen the training of correct status.
Treatment time: in April, 2004-July
Therapeutic effect: the transference cures such as step, shears step of standing on tiptoe after 4 months, paces, figure etc. are near normal.
The present invention is the training of cerebral palsy integrated motion, rehabilitation device.Design science, compact conformation, volume is little, and is multiple functional, the curative effect height, rational in infrastructure, simple installation, easy to use, the individual event function of equipment such as the multiple medical device of its design collection, body-building apparatus, cerebral palsy equipment, sports equipment and the function of original creation are one, hints on operation is simple and easy to grasp, and is beneficial to specialty and master by non-professional persons and uses.On an apparatus, can finish the training of parts of body high-quality physical ability, trunk, chest, back, waist, abdominal part, upper limb body, shoulder, cervical region, hip, lower limb body, ankle and sole are carried out rehabilitation training, cooperate meticulous training and other complementary therapy again, the state of an illness can reach improvement fully.Use the present invention also to make instruction and guide personnel and family numbers of patients feel laborsaving, save worry, increase the confidence of Administrative Assistant and family numbers of patients, the patient is felt tired and not uninteresting, training subject is many and not loaded down with trivial details.Rehabilitation training through the short time can increase substantially muscle strength and each joint strength, improves the degree of tightness elasticity of muscle, the pliability of ligament.Reduce muscular tension, suppress abnormal operation, the paces standard reaches upright and walking.Each side behavioral competences such as after reaching certain training burden, patient's the bodily form, manner, seat crouch, walking are basic near normal person of the same age.To the rehabilitation training of individual event physical handicaps, before the suitable especially SPR art and the rehabilitation training of postoperative.The present invention can also rectify appearance, the training of orthopedic, pliability, physical ability training to athletic limbs, especially to young athlete rectify appearance, orthopedic, pliability is trained, effect is very obvious.
The specific embodiment
Embodiment 1
Form by body supports frame (30) and several attached exercising devices (31), body supports frame (30) comprises main support (1), attached apparatus carrier bar (5), lifting beam (2), elevating lever (4), body carrier bar (8), locating rod (9) is formed, the main support (1) of body supports frame (30) is whole rectangular, body supports frame (30) is oppositely arranged two Pin main supports (1), the bottom of main support (1) is provided with bottom girder (6) anyhow, the both ends of the bottom of bottom girder (6) are provided with castor (15) separately, the both ends on bottom girder (6) top fixedly install the fixedly lifting column (3) that stands on bottom girder (6) end separately, and two fixedly fixedly install brace summer (7) between the upper end of lifting column (3) anyhow.
Fixedly the hollow cylinder internal fixation of lifting column (3) the other end is provided with buffer spring (14), and fixedly the outside, an end of lifting column (3) fixedly installs location jackscrew (10) separately.The top of main support (1) is provided with lifting beam (2) anyhow, the both ends of lifting beam (2) bottom vertical fixing separately are provided with elevating lever (4), integral body is JiongZi Xing, one end of two elevating levers (4) is connected to a fixed with the both ends of lifting beam (2) separately, in the other end of two elevating levers (4) relatively vertically inserts fixedly lifting column (3) from an end of fixing lifting column (3) separately, fixedly the cross sectional shape of the cross sectional shape of lifting column (3) and elevating lever (4) is suitable, elevating lever (4) is along fixing lifting column (3) inwall lifting lifting beam (2), and the location jackscrew (10) by fixing lifting column (3) top is elevating lever (4) fixedly.
Anyhow fixedly install attached apparatus carrier bar (5) more than at least two between the bottom girder (6) of two Pin main supports (1), the spacing between the attached apparatus carrier bar (5) is equidistant the setting.
Between the lifting beam (2) of two Pin main supports (1) two body carrier bars (8) are set anyhow, equidistantly be provided with between the body carrier bar (8), the end of lifting beam (2) is provided with body and regulates slideway (12), by the spacing between body adjusting slideway (12) the adjusting body carrier bar (8).The symmetrical plug in locating rod (9) of relative cover that is provided with anyhow between the body carrier bar (8), the two ends of locating rod (9) fixedly install sleeve pipe (33), sleeve pipe (33) snare is on body carrier bar (8), the external diameter of the internal diameter of sleeve pipe (33) and body carrier bar (8) is suitable, location jackscrew (10) is set on the sleeve pipe (33), locating rod (9) passes through sleeve pipe (33) along body carrier bar (8) translation, two body carrier bars (8) and two locating rods (9) form groined type, go up the location by location jackscrew (10) at body carrier bar (8), the intersection of two body carrier bars (8) and two locating rods (9) constitutes the body limbs fixing hole (11) that matches with human body, as Fig. 1, shown in Figure 2.
Embodiment 2
Attached exercising device (31) places on the attached apparatus carrier bar (5), what attached exercising device (31) was set on the attached apparatus carrier bar (5) anyhow decides plate (17), attached exercising device (31) to decide plate (17) rectangular, decide the symmetrical fixing card (16) that fixedly installs in both ends of plate (17) bottom, the outside of the fixedly card (16) of symmetrical setting and the attached apparatus carrier bar (5) of symmetrical setting inboard suitable, the plate (17) of deciding of attached exercising device (31) is placed on the attached apparatus carrier bar (5), fixing card (16) embeds between the attached apparatus carrier bar (5), as Fig. 2, shown in Figure 3.
Embodiment 3
Decide equidistantly to be provided with on the plate (17) 12 spacing locating holes (40), decide plate (17) and go up symmetrical two the orthopedic foot training boots (37) that uprightly are provided with, orthopedic foot training boots (37) are whole L-shaped, orthopedic foot training boots (37) top is provided with the semi-cylindrical shaped orthotic training leg of a boot (41), and the orthotic training leg of a boot (41) cross section is curved.The bottom of orthopedic foot training boots (37) is provided with (42) at the bottom of the orthotic training boots, and the bottom of an end of (42) and the orthotic training leg of a boot (41) is connected to a fixed at the bottom of the orthotic training boots, and (42) and the orthotic training leg of a boot (41) integral body formation is L shaped at the bottom of the orthotic training boots.Fixedly install at least two above fixing holes (39) at the bottom of the orthotic training boots on (42), the aperture and the spacing of fixing hole (39) and the spacing locating hole of deciding on the plate (17) (40) are suitable, pass fixing hole (39) and spacing locating hole (40) with bolt, orthopedic foot training boots (37) are fixedly installed on decide on the plate (17).By adjusting the diverse location that the fixing hole (39) of (42) at the bottom of the orthotic training boots is arranged on the spacing locating hole (40) of deciding plate (17), regulates two symmetrical orthopedic foots and train spacings between the boots (37).The edge of the orthotic training leg of a boot (41) of orthopedic foot training boots (37) is symmetrical to be provided with 12 constraint fixing holes (38), hold onto shank, ankle part and ankle part with restraining by constraint fixing hole (38), the attitude of pressure rectification shank, ankle, heel and sole is done the rehabilitation training of waist, abdominal part, chest, back, upper limb body, shoulder, cervical region, shank and ankle part, as Fig. 1, Fig. 2, Fig. 3, shown in Figure 5.
Embodiment 4
Decide equidistantly to be provided with on the plate (17) 4 stripe pitch and regulate slideway (43), decide plate (17) and go up symmetrical two the orthopedic foot training boots (37) that uprightly are provided with, orthopedic foot training boots (37) are whole L-shaped, orthopedic foot training boots (37) top is provided with the semi-cylindrical shaped orthotic training leg of a boot (41), and the orthotic training leg of a boot (41) cross section is curved.The bottom of orthopedic foot training boots (37) is provided with (42) at the bottom of the orthotic training boots, and the bottom of an end of (42) and the orthotic training leg of a boot (41) is connected to a fixed at the bottom of the orthotic training boots, and (42) and the orthotic training leg of a boot (41) integral body formation is L shaped at the bottom of the orthotic training boots.Fixedly install at least two above fixing holes (39) at the bottom of the orthotic training boots on (42), the aperture and the spacing of fixing hole (39) and the spacing adjusting slideway of deciding on the plate (17) (43) are suitable, pass fixing hole (39) and spacing adjusting slideway (43) with bolt, orthopedic foot training boots (37) are fixedly installed on decide on the plate (17).By adjusting the diverse location that the fixing hole (39) of (42) at the bottom of the orthotic training boots is arranged on the spacing locating hole (40) of deciding plate (17), regulates two symmetrical orthopedic foots and train spacings between the boots (37).The edge of the orthotic training leg of a boot (41) of orthopedic foot training boots (37) is symmetrical to be provided with 12 constraint fixing holes (38), hold onto shank, ankle part and ankle part with restraining by constraint fixing hole (38), the attitude of pressure rectification shank, ankle, heel and sole is done the rehabilitation training of waist, abdominal part, chest, back, upper limb body, shoulder, cervical region, shank and ankle part, as Fig. 1, Fig. 2, shown in Figure 6.
Embodiment 5
Anyhow fixedly install pull bar (32) between the middle part of the fixedly lifting column (3) of one Pin main support (1), uprightly fixedly install between the bottom girder (6) of another Pin main support (1) and the brace summer (7) and stretch reference column (13).The side of stretching reference column (13) fixedly installs 3 constraint fixing hole (38), on stretching, extension reference column (13), hold onto wherein one leg by constraint fixing hole (38) with restraining, other one leg is done the rehabilitation training of correcting coxa joint, shank joint and ankle part and drawn the rehabilitation training of stretching the shank ligament, as Fig. 1, Fig. 2, shown in Figure 3.
Embodiment 6
Plate (17) top of deciding of attached exercising device (31) is provided with the moving plate (19) of balance anyhow, decide to fixedly install at least four above balance springs (18) between the moving plate (19) of plate (17) and balance, the two ends of balance spring (18) are connected to a fixed with the bottom of the moving plate (19) of balance and the top that balance is decided plate (19) separately, force the supporting force of sole and enlarge the sole Area of bearing and coordination ankle joint control ability, do the rehabilitation training of waist, abdominal part, hip, ankle and sole, as Fig. 1, Fig. 2, shown in Figure 7.
Embodiment 7
Plate (17) the top setting of deciding of attached exercising device (31) stands on the slideway of deciding on the plate (20), between the slideway (20) of symmetrical setting, be oppositely arranged two yaw hip slide plates (21) anyhow along slideway (20), the both sides of yaw hip slide plate (21) and slideway (20) are suitable, to the reciprocal translation in the both ends of slideway (20), the end of yaw hip slide plate (21) is provided with the auxiliary handle (35) that stands on yaw hip slide plate (21) to yaw hip slide plate (21) along slideway (20).Each is provided with the orthopedic foot training boots (37) that stand on the yaw hip slide plate (21) yaw hip slide plate (21) top, (42) are passed fixing hole (39) with bolt and are fixedly installed on the yaw hip slide plate (21) at the bottom of the orthotic training boots of orthopedic foot training boots (37), the edge of orthopedic foot training boots (37) is symmetrical to be provided with 12 constraint fixing holes (38), pass through constraint fixing hole (38) calf with restraining, ankle part and foot palm part are strapped in the orthopedic foot training boots (37), force to correct calf, the attitude of ankle part and foot palm part is done the rehabilitation training of shank and hip, as Fig. 1, shown in Figure 8.
Embodiment 8
Plate (17) top of deciding of attached exercising device (31) is set up in parallel and stands on two symmetrical slideways (20) of deciding on the plate, between every slideway (20) of symmetrical setting, pitch hip slide plate (34) is set anyhow along slideway (20), the both sides of pitch hip slide plate (34) and slideway (20) are suitable, pitch hip slide plate (34) along slideway (20) to the reciprocal translation in the both ends of slideway (20), the end of pitch hip slide plate (34) is provided with the auxiliary handle (35) that stands on pitch hip slide plate (34), do hip with stance or crouching appearance or kneeling position or straight lower limb or the attitude that bends one's legs, the rehabilitation training of shank and ankle is as Fig. 1, shown in Figure 9.
Embodiment 9
Plate (17) the top setting of deciding of attached exercising device (31) stands on the T shape support of deciding on the plate (17) (23), T shape support (23) top is provided with rotating shaft (24) anyhow, resistance mill device (36) is set on the rotating shaft (24), resistance mill device (36) does work in rotating shaft (24), and the mill resistance amount of adjusting resistance mill device (36) then changes rotating shaft (24) rotation dynamics.The both ends of rotating shaft (24) are provided with Z-shaped rotation support arm (25) separately, and the arm end of Z-shaped rotation support arm (25) is provided with rotation pedal (26).Fixedly install foot in rotation pedal (26) separately and rectify training boots (37), pass with bolt that the fixing hole (39) of (42) is fixedly installed on the rotation pedal (26) at the bottom of the orthotic training boots; Calf, ankle part and foot palm part are strapped in the orthopedic foot training boots (37) by constraint fixing hole (38) with restraining, prevent from rotation pedal (26), to skid, force to correct the attitude of calf, ankle part and foot palm part, do the rehabilitation training of hip, shank and ankle part with sitting posture or stance, as Fig. 1, shown in Figure 10.
Embodiment 10
Plate (17) top of deciding of attached exercising device (31) is provided with 4 and stands on the tilt adjustment bar of deciding on the plate (17) (29), the top of tilt adjustment bar (29) is provided with the inclination angle and decides plate (27), the leading section setting that plate (27) is decided at the inclination angle stands on the inclination angle and decides handle (28) on the plate (27), the rearward end setting that plate (27) is decided at the inclination angle stands on the inclination angle and decides foot retaining (22) on the plate (27), regulate the inclination angle by tilt adjustment bar (29) and decide plate (27), handle (28) end that plate (27) are decided at the inclination angle is higher than foot retaining (22) end formation angle of inclination, with the stance orthotic foot with and the rehabilitation training of the heel string group muscle of ankle or with crouching appearance rectification waist, the back, hip, shank, ankle part, the rehabilitation training of heel and sole is as Fig. 1, shown in Figure 11.