CN203724415U - Artificial lower limb passive motion device - Google Patents
Artificial lower limb passive motion device Download PDFInfo
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- CN203724415U CN203724415U CN201320871522.XU CN201320871522U CN203724415U CN 203724415 U CN203724415 U CN 203724415U CN 201320871522 U CN201320871522 U CN 201320871522U CN 203724415 U CN203724415 U CN 203724415U
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- 210000003141 lower extremity Anatomy 0.000 title claims abstract description 15
- 229910000838 Al alloy Inorganic materials 0.000 claims abstract description 13
- 230000000694 effects Effects 0.000 claims description 7
- 238000000034 method Methods 0.000 abstract description 5
- 210000003127 knee Anatomy 0.000 abstract description 3
- 238000011882 arthroplasty Methods 0.000 abstract 1
- 210000000629 knee joint Anatomy 0.000 description 25
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000002695 general anesthesia Methods 0.000 description 4
- 230000000474 nursing effect Effects 0.000 description 4
- 208000006820 Arthralgia Diseases 0.000 description 3
- 208000002193 Pain Diseases 0.000 description 3
- 210000003414 extremity Anatomy 0.000 description 3
- 238000013150 knee replacement Methods 0.000 description 3
- 230000036407 pain Effects 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000002146 bilateral effect Effects 0.000 description 2
- 206010023232 Joint swelling Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 238000001266 bandaging Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000002085 hemarthrosis Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 208000024765 knee pain Diseases 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Abstract
Description
技术领域 technical field
本实用新型涉及关节康复医疗器械技术领域,具体涉及一种人工下肢被动活动器。 The utility model relates to the technical field of joint rehabilitation medical equipment, in particular to an artificial lower limb passive mover.
背景技术 Background technique
随着人们生活水平的提高、寿命的延长和老年人口比例逐渐增加,膝关节的置换率必将越来越高。膝关节置换术后,临床上主要表现为疼痛及膝关节的屈伸受限,而膝关节的屈伸度直接反映了手术的效果。目前,临床上部分专家主张术后采用电动的下肢活动器(电动CPM)进行屈曲练习。电动CPM通过往复、多次、连续的被动屈伸关节,将粘连、僵直的膝关节渐渐“拉软”,最终达到正常的活动度。在关节外科40多年的发展中,它扮演了很重要的作用,但是,随着关节外科理念和技术的进步,专家们发现电动CPM容易导致膝关节疼痛、肿胀及关节腔内出血等因素,将严重影响术后的康复和关节功能恢复,不适合用于膝关节置换后早期的功能锻炼。部分专家主张采用徒手进行膝关节的屈伸练习,但目的性不强,且患者术后因疼痛、创伤较大,加上膝部包扎时间较长等原因,导致锻炼不主动。 With the improvement of people's living standards, the prolongation of life expectancy and the gradual increase in the proportion of elderly people, the replacement rate of knee joints is bound to increase. After knee replacement, the main clinical manifestations are pain and limited flexion and extension of the knee joint, and the degree of flexion and extension of the knee joint directly reflects the effect of the operation. At present, some clinical experts advocate the use of electric lower limb mobilizers (electric CPM) for flexion exercises after surgery. Electric CPM gradually "softens" the sticky and stiff knee joint through reciprocating, multiple, and continuous passive flexion and extension, and finally reaches a normal range of motion. In the development of joint surgery for more than 40 years, it has played a very important role. However, with the advancement of the concept and technology of joint surgery, experts have found that electric CPM is easy to cause knee joint pain, swelling and bleeding in the joint cavity, which will seriously It affects postoperative rehabilitation and joint function recovery, and is not suitable for early functional exercise after knee replacement. Some experts advocate the use of bare hands for knee flexion and extension exercises, but the purpose is not strong, and patients are not active in exercising due to postoperative pain, large trauma, and a long time for knee bandaging.
实用新型内容 Utility model content
为解决上面的问题,申请人在电动CPM及徒手锻炼的基础上,设计了一种人工下肢被动活动器(人工CPM)。人工CPM要求患者的眼、手、脚等多器官的共同协作,在弯曲膝关节的同时进行全身运动,充分调动了患者功能锻炼的依从性;同时患者可以自行控制膝关节弯曲的角度及锻炼的时间,防止了由于角度过大,锻炼时间过长等导致的关节受损等。 In order to solve the above problems, the applicant designed an artificial lower limb passive mover (artificial CPM) on the basis of electric CPM and manual exercise. Artificial CPM requires the cooperation of multiple organs such as the patient's eyes, hands, and feet, and the whole body exercise while bending the knee joint, which fully mobilizes the compliance of the patient's functional exercise; at the same time, the patient can control the bending angle of the knee joint and the degree of exercise. Time, preventing joint damage caused by excessive angle, excessive exercise time, etc.
本实用新型的目的是通过以下方案实现的: The purpose of this utility model is achieved by the following scheme:
本实用新型所述的下肢被动活动器,包括底座、脚踏板,所述的底座上设有铝合金轨道;所述的脚踏板包括底板、踏板和滑轮;所述的踏板的一侧活动安装于底板的上表面上,能够以与底板的接触点为圆心转动;所述的底板通过滑轮安装于铝合金轨道上,能够沿着铝合金轨道做直线进给运动;所述的踏板上设有握带。 The lower limb passive mover described in the utility model includes a base and a pedal, and the base is provided with an aluminum alloy track; the pedal includes a base plate, a pedal and a pulley; one side of the pedal is movable Installed on the upper surface of the bottom plate, it can rotate around the contact point with the bottom plate; the bottom plate is installed on the aluminum alloy track through pulleys, and can perform linear feed motion along the aluminum alloy track; the pedal is equipped with With grip strap.
所述的踏板与底板接触的一侧的侧边设计成斜面,能围绕圆心在0-120°的范围内转动。 The side of the side where the pedal is in contact with the bottom plate is designed as a slope, which can rotate around the center of the circle within the range of 0-120°.
所述的踏板是通过活页安装于底板的上表面上。 The pedal is installed on the upper surface of the bottom plate through a hinge.
本实用新型的目的可以通过以下方案进一步实现: The purpose of this utility model can be further realized by following scheme:
所述的底座的宽为20-40cm,长为60-90cm。 The width of the base is 20-40cm, and the length is 60-90cm.
所述的底板的宽度为20-40cm,长度为25-40cm。 The width of the bottom plate is 20-40cm, and the length is 25-40cm.
所述的踏板的宽度为20-40cm,长度为15-25cm。 The width of described pedal is 20-40cm, and length is 15-25cm.
本实用新型可用于膝关节置换术后患者进行功能锻炼,其整合了电动CPM及徒手功能锻炼的优点,充分调动了患者功能锻炼的积极性,在可以自我控制的基础上进行关节的屈伸练习,同时具有操作方法安全简单,功能锻炼的时间灵活,经济实用等优点。 The utility model can be used for functional exercise for patients after knee joint replacement. It integrates the advantages of electric CPM and manual functional exercise, fully mobilizes the enthusiasm of patients for functional exercise, and can perform joint flexion and extension exercises on the basis of self-control. The utility model has the advantages of safe and simple operation method, flexible time for functional exercise, economical and practical, and the like.
使用时,患者将术肢置于踏板上,手拉握带,拉动踏板转动至合适的角度,然后借助底板滑轮的作用,使得整个脚踏板前后滑行,可以轻松的将膝关节弯曲到需要的角度,同时可以随意控制锻炼的时间,不需要别人的帮助,达到事半功倍的效果。 When in use, the patient places the operated limb on the pedal, pulls the grip belt, pulls the pedal to rotate to an appropriate angle, and then uses the action of the bottom plate pulley to make the whole pedal slide forward and backward, and can easily bend the knee joint to the required position. At the same time, you can control the time of exercise at will, without the help of others, to achieve twice the result with half the effort.
附图说明 Description of drawings
图1为本实用新型的结构示意图。 Fig. 1 is the structural representation of the utility model.
具体实施方式 Detailed ways
下面结合附图具体阐述本实用新型的实施例 Below in conjunction with accompanying drawing, specifically set forth the embodiment of the present utility model
实施例1 Example 1
如图1所示,下肢被动活动器,包括底座1、脚踏板2,所述的底座1上设有铝合金轨道3;所述的脚踏板2包括底板4、踏板5和滑轮6;所述的踏板5的一侧活动安装于底板4的上表面上,能够以与底板4的接触点为圆心转动;所述的底板4通过滑轮6安装于铝合金轨道3上,能够沿着铝合金轨道3做直线进给运动;所述的踏板5上设有握带7。 As shown in Figure 1, the lower limb passive mover includes a base 1 and a pedal 2, and the base 1 is provided with an aluminum alloy track 3; the pedal 2 includes a base plate 4, a pedal 5 and a pulley 6; One side of the pedal 5 is movably mounted on the upper surface of the base plate 4, and can rotate around the contact point with the base plate 4; the base plate 4 is installed on the aluminum alloy track 3 through a pulley 6, and can be moved The alloy track 3 performs linear feed movement; the pedal 5 is provided with a grip belt 7 .
所述的踏板5与底板4接触的一侧的侧边设计成斜面,能围绕圆心在0-120°的范围内转动。 The side of the side of the pedal 5 in contact with the bottom plate 4 is designed as a slope, which can rotate around the center of the circle within the range of 0-120°. the
所述的踏板5是通过活页8安装于底板4的上表面上。 The pedal 5 is mounted on the upper surface of the base plate 4 through a hinge 8 .
所述的底座1的宽为20cm,长为60cm。 The width of described base 1 is 20cm, and length is 60cm.
所述的底板4的宽度为20cm,长度为25cm。 The width of described base plate 4 is 20cm, and length is 25cm.
所述的踏板5的宽度为20cm,长度为15cm。 The width of described pedal 5 is 20cm, and length is 15cm.
本实施例的使用方法如下: The usage method of this embodiment is as follows:
使用时,患者将术肢置于踏板5上,手拉握带7,拉动踏板5转动至合适的角度,然后借助底板4下的滑轮6的作用,使得整个脚踏板2前后滑行,可以轻松的将膝关节弯曲到需要的角度,同时可以随意控制锻炼的时间,不需要别人的帮助,达到事半功倍的效果。 When in use, the patient places the operated limb on the pedal 5, pulls the grip belt 7, pulls the pedal 5 to rotate to an appropriate angle, and then uses the action of the pulley 6 under the bottom plate 4 to make the entire pedal 2 slide back and forth, which can be easily The knee joint can be bent to the desired angle, and at the same time, the exercise time can be controlled at will, without the help of others, so as to achieve twice the result with half the effort.
实施例2 Example 2
实施例1 Example 1
如图1所示,下肢被动活动器,包括底座1、脚踏板2,所述的底座1上设有铝合金轨道3;所述的脚踏板2包括底板4、踏板5和滑轮6;所述的踏板5的一侧活动安装于底板4的上表面上,能够以与底板4的接触点为圆心转动;所述的底板4通过滑轮6安装于铝合金轨道3上,能够沿着铝合金轨道3做直线进给运动;所述的踏板5上设有握带7。 As shown in Figure 1, the lower limb passive mover includes a base 1 and a pedal 2, and the base 1 is provided with an aluminum alloy track 3; the pedal 2 includes a base plate 4, a pedal 5 and a pulley 6; One side of the pedal 5 is movably mounted on the upper surface of the base plate 4, and can rotate around the contact point with the base plate 4; the base plate 4 is installed on the aluminum alloy track 3 through a pulley 6, and can be moved The alloy track 3 performs linear feed movement; the pedal 5 is provided with a grip belt 7 .
所述的踏板5与底板4接触的一侧的侧边设计成斜面,能围绕圆心在0-120°的范围内转动。 The side of the side of the pedal 5 in contact with the bottom plate 4 is designed as a slope, which can rotate around the center of the circle within the range of 0-120°. the
所述的踏板5是通过活页8安装于底板4的上表面上。 The pedal 5 is mounted on the upper surface of the base plate 4 through a hinge 8 .
所述的底座1的宽为40cm,长为90cm。 The width of described base 1 is 40cm, and length is 90cm.
所述的底板4的宽度为40cm,长度为40cm。 The width of described base plate 4 is 40cm, and length is 40cm.
所述的踏板5的宽度为40cm,长度为25cm。 The width of described pedal 5 is 40cm, and length is 25cm.
本实施例的使用方法如下: The usage method of this embodiment is as follows:
使用时,患者将术肢置于踏板5上,手拉握带7,拉动踏板5转动至合适的角度,然后借助底板4下的滑轮6的作用,使得整个脚踏板2前后滑行,可以轻松的将膝关节弯曲到需要的角度,同时可以随意控制锻炼的时间,不需要别人的帮助,达到事半功倍的效果。 When in use, the patient places the operated limb on the pedal 5, pulls the grip belt 7, pulls the pedal 5 to rotate to an appropriate angle, and then uses the action of the pulley 6 under the bottom plate 4 to make the entire pedal 2 slide back and forth, which can be easily The knee joint can be bent to the desired angle, and at the same time, the exercise time can be controlled at will, without the help of others, so as to achieve twice the result with half the effort.
实施例3 Example 3
病例1:于X珍,女,67岁,住院号227168,广西某医院退休职工,因右侧膝关节反复疼痛、活动受限入院。于2010年10月18日 在全麻下行右膝关节置换术,术后在常规治疗及护理的基础上使用人工CPM进行膝关节的屈伸练习,术后14天治愈出院。术前膝关节HSS评分45分,出院前HSS评分85分,手术效果满意。 Case 1: Yu Xzhen, female, 67 years old, hospital number 227168, a retired employee of a hospital in Guangxi, was admitted to the hospital due to repeated pain in the right knee joint and limited mobility. On October 18, 2010, the right knee replacement was performed under general anesthesia. On the basis of routine treatment and nursing after the operation, artificial CPM was used to perform knee joint flexion and extension exercises. He was cured and discharged 14 days after the operation. The knee joint HSS score was 45 points before operation, and the HSS score was 85 points before discharge. The operation effect was satisfactory.
病例2:雷X华,女,75岁,广西某市铁路医院退休职工,住院号346688,,因双侧膝关节反复疼痛、活动受限入院。于2010年10月20日 在全麻下行右膝关节置换术,术后在常规治疗及护理的基础上使用人工CPM进行膝关节的屈伸练习,术前膝关节HSS评分45分,出院前HSS评分90分,手术效果满意。 Case 2: Lei Xhua, female, 75 years old, a retired employee of a certain railway hospital in Guangxi, hospital number 346688, was admitted to the hospital due to recurrent bilateral knee joint pain and limited mobility. On October 20, 2010, the right knee joint replacement was performed under general anesthesia. On the basis of routine treatment and nursing after the operation, artificial CPM was used to perform knee joint flexion and extension exercises. The preoperative knee joint HSS score was 45 points, and the HSS score before discharge was 90 points, the operation effect is satisfactory.
病例3:郑X莲,女,64岁,住院号364345,家住柳州市北站路,因左侧膝关节反复疼痛、活动受限入院。于2011年5月14日 在全麻下行左膝关节置换术,术后在常规治疗及护理的基础上使用人工CPM进行膝关节的屈伸练习,术后14天治愈出院。术前膝关节HSS评分40分,出院前HSS评分86分,手术效果满意。 Case 3: Zheng Xlian, female, 64 years old, hospital number 364345, who lives in Beizhan Road, Liuzhou City, was admitted to the hospital due to repeated pain in the left knee joint and limited mobility. On May 14, 2011, the left knee joint replacement was performed under general anesthesia. On the basis of routine treatment and nursing after the operation, artificial CPM was used to perform knee joint flexion and extension exercises. He was cured and discharged 14 days after the operation. The knee joint HSS score was 40 before operation and 86 before discharge. The operation effect was satisfactory.
病例4:廖X敏,男,73岁,住院号377579,广西某文化体育局退休职工,因双侧膝关节反复疼痛、活动受限入院。于2011年10月15日 ,在全麻下行双膝关节置换术,术后在常规治疗及护理的基础上使用人工CPM进行膝关节的屈伸练习,术后14天治愈出院。术前左膝关节HSS评分左侧45分,右侧 35分;出院前左侧HSS评分83分,右侧HSS评分86分,手术效果满意。 Case 4: Liao Xmin, male, 73 years old, hospital number 377579, a retired employee of a cultural and sports bureau in Guangxi, was admitted to the hospital due to repeated bilateral knee pain and limited mobility. On October 15, 2011, double knee joint replacement was performed under general anesthesia. On the basis of routine treatment and nursing after surgery, artificial CPM was used to perform knee joint flexion and extension exercises. He was cured and discharged 14 days after surgery. Before operation, the HSS score of the left knee joint was 45 points on the left side, and 35 points on the right side; before discharge, the HSS score on the left side was 83 points, and the HSS score on the right side was 86 points. The operation effect was satisfactory.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103705367A (en) * | 2013-12-27 | 2014-04-09 | 柳州市工人医院 | Manual lower limb passive motion device |
| CN108379035A (en) * | 2018-04-23 | 2018-08-10 | 青岛市中心医院 | A kind of device for cardiovascular postoperative exercise |
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2013
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103705367A (en) * | 2013-12-27 | 2014-04-09 | 柳州市工人医院 | Manual lower limb passive motion device |
| CN103705367B (en) * | 2013-12-27 | 2016-03-23 | 柳州市工人医院 | Artificial lower limb passive activity device |
| CN108379035A (en) * | 2018-04-23 | 2018-08-10 | 青岛市中心医院 | A kind of device for cardiovascular postoperative exercise |
| CN108379035B (en) * | 2018-04-23 | 2020-03-17 | 青岛市中心医院 | Device for cardiovascular postoperative exercise |
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