CN201033143Y

CN201033143Y - Intelligent limb guiding healing and training therapeutic machine

Info

Publication number: CN201033143Y
Application number: CNU200720031424XU
Authority: CN
Inventors: 时正
Original assignee: Individual
Current assignee: Individual
Priority date: 2007-03-28
Filing date: 2007-03-28
Publication date: 2008-03-12
Anticipated expiration: 2017-03-28

Abstract

The utility model relates to a medical appliance, in particular to an intelligent therapy apparatus for leading extremity rehabilitation training, which is used for extremity rehabilitation training. The utility model comprises a main body, a bracket, a power mechanism, a control mechanism, a transmission mechanism and a training mechanism, which is characterized in that: the training mechanism comprises a pair of palm model carriers (6), five finger carriers (3) are provided on the palm model carrier (6), each finger joint position of the dinger carriers (3) has a sliding shaft (2), each finger top has a connecting recess clamped on an inner frame cover (5) attached with a hand grip trajectory groove, a spring (4) is connected to the top of the finger recess, and the finger top is connected to a driving wheel (9) through a flexible transmission chain, the driving wheel (9) is connected with a motor by driving. The utility model can carry through both passive training and active training for joints of fingers, knees and ankles of the patient, and has strong pertinence, high safety and obvious rehabilitation effect.

Description

Intelligently guiding limb rehabilitation training therapy apparatus

Technical field

This utility model relates to a kind of medical apparatus and instruments, particularly a kind of intelligently guiding limb rehabilitation training therapy apparatus that is used for limb rehabilitation training.

Background technology

Hemiplegia of limb is the very big disease of a kind of hazardness, and tangible ascendant trend is arranged in clinical investigation.Hypertension, hyperlipidemia causes cerebral infarction and becomes the important cause of disease that causes apoplexy, and patient leaves the hemiplegia sequela later on mostly in apoplexy.Comprise some cerebral trauma reasons, limb trauma, some patients that severed limb is transplanted need to carry out limb rehabilitation training, and these patients can recover the limbs motility, what life can recover self-care ability is few, has caused huge misery often for individual and family.General stroke patient stable disease can begin rehabilitation training after 48 hours, yet it is better than ordinary movement amount training effect whether to strengthen the quantity of motion training, and arguement is still arranged at present.It is generally acknowledged that stroke patient is 3～6 middle of the month after morbidity, function is improved maximum, curative effect the best of limb function rehabilitation training, and the training of self-care viability also will be strengthened in this half a year.In sum, the rehabilitation training of limbs becomes unique valid approach of rehabilitation after the stroke patient stable disease.At present China so that in the world the stroke patient rehabilitation all under entourage's guidance, resume training, often medical personnel will instruct the multidigit patient, and the fixed pattern of neither one.The rehabilitation training apparatus of hospital all is the exercising device of ask for something people initiative now, for the patient of apoplexy, do not accomplish this point substantially, do not reach the purpose of training, because every patient is because the state of an illness is different, the training effect that the exercising device of use initiative reaches is also different, there are a lot of patients to can not get effective training, oneself can only slowly move some patient the step, finger function is forfeiture substantially also, if cooperate medical personnel's guidance training like this by patient oneself, basically do not recover limbs probability flexibly, this also is that present stroke patient recovers the very low reason of self-care ability, the patient's legs and feet that have can be walked about, but finger has lost motility, and life does not still reach the purpose of self-care.

Summary of the invention

The purpose of this utility model provides a kind of intelligently guiding limb rehabilitation training therapy apparatus, it can carry out passive type and active two kinds of training to patients fingers joint, knee joint and ankle joint, it is with strong points, safe, the information guiding of accepting by patient's vision and audition cooperates training, the rehabilitation training that cerebral neural sense organ guiding stimulates and limbs are accepted is combined, make patient recover the most basic viability, rehabilitation efficacy is obvious.

The technical solution of the utility model is: intelligently guiding limb rehabilitation training therapy apparatus, it comprises body, support, actuating unit, controlling organization, drive mechanism, training institution, it is characterized in that: there is a pair of palm model holder 6 in its training institution, five finger holders 3 are arranged in the palm model holder 6, there is movable axis 2 at each finger-joint position of finger holder 3, the connection draw-in groove is arranged at each finger top, be stuck on the inner casing 5 of band hand grasping track groove, the top of finger draw-in groove is connected with spring 4, the finger top is connected on the driving wheel 9 by flexible transmission chain, driving wheel 9 and motor driving coupling.

Described spring 4 is Return spring or following pressing spring.

The connection draw-in groove at described each finger top is the metalwork 1 of band worker shape chute.

Described movable axis 2 is hinge or hinge.

Described palm model holder 6 and five finger holders 3 are the hand model or the software hand model of band movable axis, and the finger fixing band is arranged above.

There is display 12 in described training institution, and display 12 is liquid crystal display or regular display, and display 12 is electrically connected with controlling organization.

Touch screen controller 14 and acoustic control device are arranged in the described controlling organization.

The metalwork 1 of described each band worker shape chute is stuck in the inner casing 5 corresponding inner casing chutes of band hand grasping track groove, and is in transmission connection by the driving wheel 9 of pull rope and drive mechanism; Driving wheel 9 is connected with synchronous transmission device 11, synchronous transmission device 11 and motor 8 driving coupling, and motor 8 connects by motor driver 18, and motor driver 18 is electrically connected with touch screen controller 14.

Described palm model holder 6 is fixed on the base by the inner casing 5 and the hand exercise device column 10 of band hand grasping track groove, hand exercise device outer protecting shell 7 is arranged at hand exercise device column 10 tops, and parallel place with arm, palm model holder 6 belows is connected with fixedly supporting plate 13 of arm.

Described training institution has band to regulate the adjustable safety seat 17 of the far and near chute in seat, the simulation that training institution also includes the training of lower limb and foot is action training mechanism to pedal, simulate to pedal action training mechanism and be electrically connected with drive motors 15 through motor drivers 18 by touch screen controller 14, drive motors 15 is by back gear 16 and lower limb backplate foot holder 19 formation that is in transmission connection.

Characteristics of the present utility model are: it can carry out the passive type training in earlier stage to finger-joint, knee joint and the ankle treatment of joint disease of hemiplegic patient, recover the later stage and carry out two kinds of training of active/passive, it is with strong points, training needs the entourage in earlier stage and helps operation, training later stage patient can oneself pass through the voice Control Training, it is safe, and effect is obvious.

The patient carries out the training of rehabilitation limbs under display image vision and audition guiding, stimulate cerebral nerve simultaneously with the limbs training action, can make the patient recover its self care ability as early as possible, not only strengthened targetedly the hand finger-joint, the rehabilitation training in shank and foot joint, and emphasized that vision and audition are to cerebral neural stimulation.Some deviations and defective at present this technical field, design and allow the patient under the situation of passive pulling motion, also can carry out initiative simultaneously to make training action, realize that the patient can independently change main passive exercise pattern at any time, strong limb and deformed limb move simultaneously, allow the patient feel difference of them, intensification in the deformed limb pulling motion process to the cognition of the neural action of muscle sensitivity, when carrying out limb rehabilitation training, brain control maincenter is also taken exercise, make patient's eye, brain, hands, foot, the linguistic competence obtains taking exercise, and makes patient's eye, brain, hands, foot, the mutual harmony of language is improved, and recovers self care ability as soon as possible.In this utility model structural design lay special stress on hommization, intellectuality and training process comprehensive.

Description of drawings

Below in conjunction with the embodiment accompanying drawing this utility model is described further.

Fig. 1 is the example structure sketch map;

Fig. 2 is a hand exercise apparatus structure sketch map;

Fig. 3 is a hand model structure sketch map.

Among the figure: 1, the metalwork of band worker shape chute; 2, movable axis; 3, finger holder; 4, spring; 5, the inner casing of band hand grasping track groove; 6, palm model holder; 7, hand exercise device outer protecting shell; 8, motor; 9, driving wheel; 10, hand exercise device column; 11, synchronous transmission device; 12, display; 13, the fixing supporting plate of arm; 14, touch screen controller; 15, drive motors; 16, back gear; 17, adjustable safety seat; 18, motor driver; 19, lower limb backplate foot holder.

The specific embodiment

Embodiment 1 as shown in Figure 1, it is mainly connected by body, support, actuating unit, controlling organization, drive mechanism, training institution and constitutes, and is connected with the adjustable safety seat 17 of patient on the body base, the patient is adjustable, and safety seat 17 has the chute of regulating the seat distance.Adjustable safety seat 17 dead aheads be sitting in the parallel place of seat patient arm a pair of palm model holder 6 arranged, open five finger holders 3 are arranged in the palm model holder 6, there is movable axis 2 at each finger-joint position of finger holder 3, movable axis 2 can be that hinge also can be a hinge, it is connected to the joint part of five finger holders 3, so that the finger activity freely, the hand model hand rest that this five fingers separate, also can be the whole software hand model that fixing band is arranged, directly the hands with the patient be fixed on the hand model of software.Each finger root has chute can adjust distance between the finger, points between each joint and can adjust finger length.The finger that each movable axis 2 connects asks 3 tops to be connected with the metalwork 1 of band worker shape chute respectively, the metalwork 1 of each band worker shape chute is stuck in the inner casing 5 corresponding grooves of band hand grasping track groove, and is in transmission connection by the driving wheel 9 of pull rope and drive mechanism; The metalwork 1 of finger top band worker shape chute connects spring 4 simultaneously and is installed on the hand exercise device outer protecting shell 7.Drive the come back rotation of driving wheel 9 by motor 8 like this at fixed interval.The patient stretchs out finger, lie on the hand model hand rest, each finger and palm are fixed with fixing band, the parallel fixedly supporting plate 13 of arm that is connected with of palm model holder 6 lower edges, the patient is fixed in palm model holder 6 and the finger holder 3 at handle, also can be that direct hands with the patient is fixed on the whole software hand model of fixing band; Simultaneously, can be fixed on arm to arm fixedly on the supporting plate 13.Patient's hand is made identical action along with the palm model holder 6 and the grasp motion that bends and stretches rotation back and forth of finger holder 3 are passive, after making action, the Return spring 4 that the finger tip connects will point holder 3 and palm model holder 6 retracts straight configuration, follow rotation with fixing on top patient's palm, perseveration like this, reach the purpose of training patient hand rehabilitation, the patient also can carry out the hand exercise of initiative according to the video/audio of the following display of mentioning 12.

On the hand exercise device column 10 between two palm models holder 6 of patient a support is arranged, be fixed with motion guiding image display 12 on the support, display 12 can be liquid crystal display or regular display, touch screen controller 14 control display 12.Synchronous transmission device 11 and motor 8 driving coupling, motor 8 connects by motor driver 18, motor driver 18 is subjected to touch screen controller 14 signal controlling, control can be operated by the entourage, also can add voice control in the rehabilitation training later stage, so just can be by the simple control of patient oneself after energized.

The simulation that described training institution also includes the training of lower limb and foot is action training mechanism to pedal, the leg training device is to give motor driver 18 signals by touch screen controller among Fig. 1 14, start drive motors 15 and drive back gear 16 rotations, the lower limb backplate foot holder 19 that is installed in adjustable safety seat 17 belows is rotated slowly, touch screen controller 14 is connected with image display panel 12 simultaneously, show the lower extremity movement analog image, the therapist can allow the patient do out identical action according to the simulated action of display 12 with voice suggestion as far as possible, reach when patient's visual stimulus and limbs are stimulated with this and to carry out, accelerate to recover the control ability of cranial nerve, make limbs self muscle function of nervous system obtain training and rehabilitation limbs.

When on display 12, simulating synchronous training action by software program during use, can control two cover training devicess more respectively, corresponding hand device for healing and training or lower limb rehabilitation training device are also issued in instruction when touch screen controller 14 is issued display 12, make the patient under self passive situation, be made limb activity reach the purpose of training by the machine traction, the athletic performance of self finger and limbs is in full accord under computer software simulated action of seeing by optic nerve and the passive situation, realize synchronously, stimulate the sensitivity induction of nervus centralis to reach to limb motion by the vision auditory nerve, stimulate the command ability of brain simultaneously with the limb action under the passive situation to the control limb action, finally make the patient under the training of passive acceptance action traction, recovering self at leisure can initiative make action, to reach the purpose of limb rehabilitating.

This scheme rehabilitation training effective, it can resume training people's eye, brain, hands, foot simultaneously, and the linguistic competence, and makes brain, eye, hands, foot, and the coordination ability between saying is improved, and trains more comprehensively, and cost is higher.

Embodiment 2 is the simulation action training mechanisms to pedal that removed the training of lower limb and foot on the basis of embodiment 1, complete machine is only installed hand exercise device and analog image display 12, adjustable safety seat 17 etc., can save leg training device departmental cost like this, the machine floor space also can be dwindled, the specific aim treatment is stronger, is suitable for the patient who only needs hand function to recover.

Hand joint training devices is fixed on five finger holder 3 tops that connected by movable axis 2 in the palm model holder 6 by the metalwork 1 of being with worker's shape chute in Fig. 3, movable axis 2 can be that hinge also can be a hinge, it is connected to the joint part of five finger holders 3, so that the finger activity freely, simultaneously in Fig. 2, five 4 one of Return springs are connected on the hand exercise device outer protecting shell 7, the other end is connected on the metalwork 1 of the band worker shape chute on palm model holder 6 fingers that can bend and stretch, the metalwork 1 of band worker shape chute is stuck in five grooves of the inner casing 5 of being with hand grasping track groove, by pull rope to the driving wheel 9 that is connected among Fig. 1, driving wheel 9 is connected with synchronous transmission device 11, synchronous transmission device 11 is driven by motor 8, motor 8 is by motor driver 18 controls, motor driver 18 is connected and receives instruction on the touch screen controller 14, touch screen controller 14 is connected with analog image display screen 12, arm is supporting plate 13 and the 10 parallel connections of hand exercise device column fixedly, the patient that adjustable safety seat 17 is seated stretchs out finger, lie on the hand model hand rest, each finger and palm are fixed with fixing band, the sick limb of patient is along with identical action is made in the grasping rotation of palm model holder 6 and finger holder 3, reach the purpose of training patient hand rehabilitation, the patient also can carry out the training of moving property according to the video/audio of display.

Embodiment 3 has removed leg training device and analog image display 12 on the basis of embodiment 1, complete machine is only installed hand exercise device and adjustable safety seat 17 etc., can save most of cost like this, and the machine floor space is little, cost is relatively low, and therapeutic effect is relatively slow.

The metalwork 1 of five finger tip band worker shape chutes among Fig. 3, the garden fixes in five finger holders 3 that connected by movable axis 2 in the palm model, simultaneously in Fig. 2, five 4 one of Return springs are connected on the hand exercise device outer protecting shell 7, the other end is connected palm model holder 6 fingers that can bend and stretch and goes up on the metalwork 1 of band worker shape chute, the metalwork 1 of band worker shape chute is stuck in five grooves of the inner casing 5 of being with hand grasping track groove, by pull rope to the driving wheel 9 that is connected among Fig. 1, driving wheel 9 is connected with synchronous transmission device 11, synchronous transmission device 11 is driven by motor 8, motor 8 is by motor driver 18 controls, motor driver 18 is connected and receives instruction on the touch screen controller 14, supporting plate 13 and the 10 parallel connections of hand exercise device column are decided in the arm garden, the patient stretchs out finger, lie on the hand model hand rest, each finger and palm are fixed with the fixing band garden, and the sick limb of patient is passive to be made action and carry out rehabilitation training.

Claims

1. intelligently guiding limb rehabilitation training therapy apparatus, it comprises body, support, actuating unit, controlling organization, drive mechanism, training institution, it is characterized in that: there is a pair of palm model holder (6) in its training institution, five finger holders (3) are arranged in the palm model holder (6), there is movable axis (2) at each finger-joint position of finger holder (3), the connection draw-in groove is arranged at each finger top, be stuck on the inner casing (5) of band hand grasping track groove, the top of finger draw-in groove is connected with spring (4), the finger top is connected on the driving wheel (9) by flexible transmission chain, and driving wheel (9) is in transmission connection with motor.

2. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: described spring (4) is Return spring or following pressing spring.

3. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: the connection draw-in groove at described each finger top is the metalwork (1) of band worker shape chute.

4. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: described movable axis (2) is hinge or hinge.

5. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: described palm model holder (6) and five finger holders (3) are the hand model or the software hand model of band movable axis, and the finger fixing band is arranged above.

6. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: there is display (12) in described training institution, and display (12) is liquid crystal display or regular display, and display (12) is electrically connected with controlling organization.

7. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1 is characterized in that: touch screen controller (14) and acoustic control device are arranged in the described controlling organization.

8. intelligently guiding limb rehabilitation training therapy apparatus according to claim 3, it is characterized in that: the metalwork (1) of described each band worker shape chute is stuck in the corresponding inner casing chute of inner casing (5) of band hand grasping track groove, and is in transmission connection by the driving wheel (9) of pull rope and drive mechanism; Driving wheel (9) is connected with synchronous transmission device (11), and synchronous transmission device (11) is in transmission connection with motor (8), and motor (8) connects by motor driver (18), and motor driver (18) is electrically connected with touch screen controller (14).

9. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1, it is characterized in that: described palm model holder (6) is fixed on the base by the inner casing (5) and the hand exercise device column (10) of band hand grasping track groove, hand exercise device outer protecting shell (7) is arranged at hand exercise device column (10) top, and parallel place with arm, palm model holder (6) below is connected with fixedly supporting plate (13) of arm.

10. intelligently guiding limb rehabilitation training therapy apparatus according to claim 1, it is characterized in that: described training institution has band to regulate the adjustable safety seat (17) of the far and near chute in seat, the simulation that training institution also includes the training of lower limb and foot is action training mechanism to pedal, simulate to pedal action training mechanism and be electrically connected with drive motors (15) through motor driver (18) by touch screen controller (14), drive motors (15) is by back gear (16) and lower limb backplate foot holder (19) formation that is in transmission connection.