CN204618612U - Position for dysphagia ingesting training regulates wheelchair - Google Patents

Position for dysphagia ingesting training regulates wheelchair Download PDF

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Publication number
CN204618612U
CN204618612U CN201520274419.6U CN201520274419U CN204618612U CN 204618612 U CN204618612 U CN 204618612U CN 201520274419 U CN201520274419 U CN 201520274419U CN 204618612 U CN204618612 U CN 204618612U
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China
Prior art keywords
wheelchair
medicated cushion
cylinder
dysphagia
stand
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Expired - Fee Related
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CN201520274419.6U
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Chinese (zh)
Inventor
张宇玲
李根生
周深
赵展
李鹏祥
杜云霄
沈夏锋
徐邵红
喻洪流
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Priority to CN201520274419.6U priority Critical patent/CN204618612U/en
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Abstract

This utility model relates to a kind of position for dysphagia ingesting training and regulates wheelchair, comprises wheelchair frame, head pillow mechanism, backrest, seat mechanism and stand-off mechanism; Head pillow mechanism wherein comprises headrest, upper bracket, lower carriage and two chucks.Backrest comprises back rest, left and right side safety guard and backrest inclination cylinder.Seat mechanism comprises medicated cushion frame and medicated cushion rotary cylinder.Stand-off mechanism comprises foot bracket, pedal, left and right lower limb baffle plate and stand-off lift cylinder.Wheelchair of the present utility model can make patient on this wheelchair, carry out multiple location (head bends and stretches rotation, back rolls compound appearance position, leg inclination appearance position), the adjustment of multi-angle position, effective help patient is in ingesting training, different feed postures is taked according to dysphagia degree, be adjusted to different position, help patient safety effectively to take food.

Description

Position for dysphagia ingesting training regulates wheelchair
Technical field
This utility model relates to a kind of device for healing and training, particularly relates to a kind of position for dysphagia ingesting training and regulates wheelchair.
Background technology
Dysphagia due to lower jaw, lips, tongue, soft palate, throat, esophageal sphincter or Esophagus Function impaired, safely and effectively food can not be transported to stomach to obtain the eating difficulties of enough nutrition and moisture from oral cavity.Dysphagia easily causes inhaling by mistake, causes aspiration pneumonitis, suffocates, the serious consequence such as malnutrition.At present, dysphagia there is no special effect medicine therapeutic, and rehabilitation training has become the Main Means for the treatment of.Therefore, for the patient of dysphagia, early stage basic ingesting training can help patient to improve function of deglutition, improves the life quality of patient.
In ingesting training process, the position of head pose and health is particularly crucial to swallowing safety.General desirable trunk about 30 ° dorsal positions during feed, anteflexion, this position is conducive to pharyngeal cavity and opens, and is conducive to food group and transports to the root of the tongue, and can reduce the danger of nasal cavity reflux and pharynx by mistake.When the pharyngeal existing food of patient remains, as continued feed, then residual accumulation increases, and easily causes pharynx by mistake, now repeatedly should do sky several times and gulp down and take food.If now the position of adjustment headrest, makes patient's esophagus communicate with throat, then more easily takes food; Find according to the study, the piriform recess of pharyngeal both sides is places of the easiest food residual, so often allow patient turn left to turn right respectively in ingesting training, does side and swallows.Now left rotation and right rotation can regulate headrest, make patients head's lateral deviation certain angle, facilitate it to do side and swallow; Meanwhile, epiglottic vallecula is the position of the easy food residual of another one, and when stretching after neck, epiglottic vallecula can become narrow and small, food residual is extruded, if now collare is as far as possible anteflexion, likeness in form is nodded, then empty pharynx action is done, then can remove food residual, if regulate headrest to rotate to an angle forward, then assisting patients can do this empty pharynx action, if and rotation adjusts headrest certain angle backward, due to the deadweight of food, food arrives root of the tongue portion by oral cavity, helps dysphagia person to take food food group.For patient's dysphagia in various degree, adjustment feed position (different angles lie on the back or side sit), changes feed posture (rotary head, low first-class), maybe can improve or eliminate to swallow and inhale symptom by mistake, recover or improve the function of deglutition of patient, improve Nutritional condition of body.Vary with each individual, formulate difference and to ingest position and posture, by swallowing selection that contrast examination is remedy measures (feed attitude and postural therapy) and curative effect evaluation provides foundation.
Position in ingesting training is regulated, domestic there is no similar accessory occur, it is all carry out under being assisted by patient's active and therapist on adjustable-angle bed mostly that the position of patient regulates, generally speaking also there is following defect: 1, dining is difficult to keep health in bed, use towel, medicated cushion, repeatability is low, and position regulates and is difficult to quantize; 2, the inspection adjusting postural position aspect is difficult to assessment; 3, unstable posture, patient is also tired, and appetite declines.Therefore, the various attitudes how wheelchair and position regulated effectively in conjunction with design one ingest position regulating wheel chair apparatus for the rehabilitation of patient and daily nursing most important.
Utility model content
The purpose of this utility model, exactly in order to solve the problem, provides a kind of position for dysphagia ingesting training to regulate wheelchair.
In order to achieve the above object, this utility model have employed following technical scheme: a kind of position for dysphagia ingesting training regulates wheelchair, comprises wheelchair frame, head pillow mechanism, backrest, seat mechanism and stand-off mechanism;
Described head pillow mechanism comprises headrest, upper bracket, lower carriage, two chucks and pin, headrest is fixedly mounted on upper bracket, upper bracket and lower carriage are connected by pin can realize 0 ° of-60 ° of left rotation and right rotation, chuck is connected to the two ends of lower carriage, rotates by lower carriage being driven to realize 0 °-30 ° front and back with back rest effect.
Described backrest comprises back rest, left and right side safety guard and backrest inclination cylinder, left and right side safety guard is rotatably connected with back rest respectively, backrest inclination cylinder is connected between back rest and wheelchair frame, back rest can be driven to realize 0 ° of-40 ° of tilt rotation by the contraction of backrest inclination cylinder;
Described seat mechanism comprises medicated cushion frame and medicated cushion rotary cylinder, and medicated cushion rotary cylinder is connected between medicated cushion frame and wheelchair frame, medicated cushion frame can be driven to realize 0 °-90 ° rotations by the rotation of medicated cushion rotary cylinder;
Described stand-off mechanism comprises foot bracket, pedal, left and right lower limb baffle plate and stand-off lift cylinder, pedal is arranged on foot bracket, left and right lower limb baffle plate is arranged on the left and right sides of foot bracket respectively, stand-off lift cylinder is connected between foot bracket and medicated cushion frame, foot bracket can be driven to realize 0 °-40 ° swing up and down by stand-off lift cylinder flexible;
Described headrest lower carriage and back rest realize being rotationally connected by chuck, medicated cushion frame and back rest, realize being rotationally connected by pin between foot bracket and medicated cushion frame, realize being rotationally connected between medicated cushion frame and wheelchair frame by motor.
The main body of described headrest upper bracket takes the shape of the letter U, and is provided with connecting rod below U-shaped main body, connecting rod is provided with the bulge loop that multiple parallel interval is arranged, and uniform intervals is provided with multiple adjustment hole vertically, and the orientation angles of multiple adjustment hole increases by 10 degree from top to bottom successively.
The connection tube that described headrest lower carriage comprises cross bar and is connected with cross bar central vertical, in connection tube, be provided with the annular groove that multiple parallel interval is arranged, and uniform intervals is provided with the through pin-and-hole of multiple radial direction vertically, each pin-and-hole is positioned at same axis; Described upper bracket is rabbeted with lower carriage and is connected and is fixed by pin, is rotated by the connection tube of upper bracket along lower carriage, can realize left rotation and right rotation of resting the head on, and its anglec of rotation is 0 °-60 °.
Described two chucks are connected with the cross bar two ends keyed jointing of lower carriage respectively, and chuck circumference is gear shape structure, and the angle between each tooth is identical, is 15 °, is provided with the gear shape groove matched with chuck at wheelchair head side, and chuck is rabbeted with groove and is connected.
The goniometer at the angle of inclination for showing back rest described left and right side safety guard is equipped with.
Described backrest inclination cylinder and stand-off lift cylinder are electric expansion cylinder, and described medicated cushion rotary cylinder is electronic rotation cylinder; Described medicated cushion frame both sides are respectively equipped with three groups of switches, often organize switch and be provided with both direction control knob, control the inclination of back rest respectively by backrest inclination cylinder, controlled the rotation of medicated cushion frame by medicated cushion rotary cylinder, by the lifting of stand-off lift cylinder control pin bracket.
Described wheelchair frame rear portion is provided with after two, left and right is prevented topples over steamboat.
Upper end and the medicated cushion frame of described medicated cushion rotary cylinder are fixedly linked, and lower end is rotatably connected with wheelchair frame.
Described foot bracket is provided with horizontal concrete chute, and described left and right lower limb baffle plate is inlaid in respectively on chute and can horizontally slips.
The beneficial effects of the utility model are:
1, rest the head on and can realize left rotation and right rotation and anterior flexion and rear stretching by pin and chuck effect, backrest, foot bracket can carry out angular adjustment within the specific limits by shrinking cylinder action, medicated cushion can be rotated by rotary cylinder effect within the scope of 0 °-90 °, the power-assisted position that a chaptrel chair realizes patient regulates, patient is helped to find the best to ingest posture, safe ingestion, improves nutriture.
What 2, patient can carry out different position on wheelchair swallows contrast examination, to ingest position training car, swallow contrast examination car, common wheelchair three function concentrates on a chaptrel chair, both compensate for domestic blank of swallowing ingesting training wheelchair, again can real-time inspection and the assessment state of an illness of dysphagia and curative effect, contribute to improving function of deglutition.
3, the adjustment rolling (rotation) angle adopts three electric cylinders to control, and independently can regulate position for patient, power button formula is easy to adjust, laborsaving.
The position when patient ingestion that this utility model is intended to meet dysphagia trains regulates, help them to carry out suitable appearance position to control, meet on this basis and swallow contrast examination car demand, realize swallowing training real-time inspection, a tractor serves several purposes, avoid the risk of patient's displacement, provide convenience to patient.
Accompanying drawing explanation
Fig. 1, Fig. 2, Fig. 3 are the perspective view of this utility model for the position adjustment wheelchair of dysphagia ingesting training;
Fig. 4 is the overall structure schematic diagram of this utility model for the position adjustment wheelchair headrest of dysphagia ingesting training;
Fig. 5 is the annexation sectional view of upper bracket and the lower carriage of resting the head in this utility model;
Fig. 6 is the view of left-handed 30 ° of headrest;
Fig. 7 is the view of left-handed 60 ° of headrest;
Fig. 8 is headrest view of anteflexion 30 ° on wheelchair;
Fig. 9 be headrest on wheelchair after stretch the view of 30 °;
Figure 10 is that back rest tilts backwards 20 ° of schematic diagrams;
Figure 11 is that back rest tilts backwards 40 ° of schematic diagrams;
Figure 12 is that medicated cushion frame rotates 45 ° of schematic diagrams;
Figure 13 is medicated cushion frame half-twist schematic diagram.
Detailed description of the invention
See Fig. 1, Fig. 2, Fig. 3, the position for dysphagia ingesting training of the present utility model regulates wheelchair, comprises wheelchair frame 1, head pillow mechanism 2, backrest 3, seat mechanism 4, stand-off mechanism 5 and traveling mechanism 6.Be provided with after two, left and right is prevented at wheelchair frame 1 rear portion and topple over steamboat 11.Traveling mechanism 6 comprises under two front universal wheels 61 and two trailing wheels, 62, two front universal wheels 61 and two trailing wheels 62 are arranged on the forward and backward rigid frame of wheelchair frame 1 respectively.
Coordinate see Fig. 4, Fig. 5, head pillow mechanism 2 comprises headrest 21, upper bracket 22, lower carriage 23, two chucks 24 and pin 25, headrest is fixedly mounted on upper bracket, upper bracket and lower carriage are connected by pin 25 can realize 0 ° of-60 ° of left rotation and right rotation, chuck is connected to the two ends of lower carriage, rotates by lower carriage being driven to realize 0 °-30 ° front and back with back rest effect.
Backrest 3 comprises back rest 31, left and right side safety guard 32 and backrest inclination cylinder 33, left and right side safety guard is rotatably connected with back rest respectively, backrest inclination cylinder is connected between back rest and wheelchair frame, back rest can be driven to realize 0 ° of-40 ° of tilt rotation by the contraction of backrest inclination cylinder, left and right side safety guard 32 is equipped with the goniometer 34 at the angle of inclination for showing back rest.
Seat mechanism 4 comprises medicated cushion frame 41 and medicated cushion rotary cylinder 42, and medicated cushion rotary cylinder is connected between medicated cushion frame and wheelchair frame, and its upper end and medicated cushion frame are fixedly linked, and lower end is rotatably connected with wheelchair frame.Medicated cushion frame can be driven to realize 0 °-90 ° rotations by the rotation of medicated cushion rotary cylinder.
Stand-off mechanism 5 comprises foot bracket 51, pedal 52, left and right lower limb baffle plate 53 and stand-off lift cylinder 54, pedal is arranged on foot bracket, left and right lower limb baffle plate is arranged on the left and right sides of foot bracket respectively, stand-off lift cylinder is connected between foot bracket and medicated cushion frame, foot bracket can be driven to realize 0 °-40 ° swing up and down by the contraction of stand-off lift cylinder; Foot bracket 51 is provided with horizontal concrete chute 511, and left and right lower limb baffle plate 53 is inlaid in respectively on chute and can horizontally slips.
Above-mentioned headrest lower carriage 23 realizes being rotationally connected by chuck 24 with back rest 31, medicated cushion frame 41 and back rest 31, utilize pin to be connected between foot bracket 51 with medicated cushion frame 41 can to realize rotating, be connected by motor between medicated cushion frame 41 with wheelchair frame 1 and also can realize rotating.
Coordinate see Fig. 5, in this utility model, the left rotation and right rotation of headrest is realized by the cooperation of upper bracket 22 and lower carriage 23.The connecting rod 222 of upper bracket has been beaten the adjustment hole 223 (the present embodiment has beaten 6 holes, from top to bottom twist) of several helically formula distribution.And on the connection tube 232 of lower carriage, beaten the pin-and-hole 233 (the present embodiment has beaten 6 holes, is arranged in order) of same quantity from top to bottom, the center of circle in each hole of lower carriage and the center of circle one_to_one corresponding in each hole of upper bracket are in the same horizontal line.During initial position, upper bracket is connected by first hole with lower carriage, rests the head at front position.When left-handed 30 ° of headrest, upper bracket is connected by the 4th hole with lower carriage, as shown in Figure 6.In like manner, when left-handed 60 °, upper bracket is connected by the 6th hole with lower carriage, as shown in Figure 7.
Coordinate see Fig. 5, in this utility model, it is rotarily driving by the cross bar 231 of lower carriage that the front and back of headrest are rotated.Be connected by key between chuck 24 with this cross bar.So the rotation of chuck can drive the rotation of this cross bar, thus drive headrest to rotate, realize anterior flexion and rear stretching function.Angle between each tooth of chuck is certain, is 15 °.So often rotate a tooth, headrest just anteflexion or after stretch 15 °.As long as reasonably arrange the angle of two between cog, then can realize headrest and rotate at any angle.The angular range of the anterior flexion and rear stretching arranged in this utility model is 0 °-30 °, as shown in Figure 8 and Figure 9.
Above-mentioned backrest inclination cylinder and stand-off lift cylinder are electric expansion cylinder, and medicated cushion rotary cylinder is electronic rotation cylinder.Medicated cushion frame both sides are respectively equipped with three groups of switches (out not shown), often organize switch and be provided with both direction control knob, the inclination of back rest is controlled respectively by backrest inclination cylinder, the rotation of medicated cushion frame is controlled, by the lifting of stand-off lift cylinder control pin bracket by medicated cushion rotary cylinder.
Backrest inclination cylinder in this utility model can drive back rest to realize 0 ° of-40 ° of tilt rotation; Figure 10 is that back rest tilts backwards 20 ° of schematic diagrams; Figure 11 is that back rest tilts backwards 40 ° of schematic diagrams.
Medicated cushion rotary cylinder in this utility model can drive medicated cushion frame to realize 0 °-90 ° rotations; Figure 12 is that medicated cushion frame rotates 45 ° of schematic diagrams; Figure 13 is medicated cushion frame half-twist schematic diagram.
Wheelchair of the present utility model can make patient on this wheelchair, carry out multiple location (head bends and stretches rotation, back rolls compound appearance position, leg inclination appearance position), the adjustment of multi-angle position, and the suitability position meeting different patient regulates.Under the effect of gauge tap, effectively add user's self-care ability, under the effect of safety guard, ensure the safety of user further simultaneously.

Claims (9)

1. the position for dysphagia ingesting training regulates a wheelchair, comprises wheelchair frame, head pillow mechanism, backrest, seat mechanism and stand-off mechanism; It is characterized in that:
Described head pillow mechanism comprises headrest, upper bracket, lower carriage, two chucks and pin, headrest is fixedly mounted on upper bracket, upper bracket and lower carriage are connected by pin can realize 0 ° of-60 ° of left rotation and right rotation, chuck is connected to the two ends of lower carriage, rotates by lower carriage being driven to realize 0 °-30 ° front and back with back rest effect;
Described backrest comprises back rest, left and right side safety guard and backrest inclination cylinder, left and right side safety guard is rotatably connected with back rest respectively, backrest inclination cylinder is connected between back rest and wheelchair frame, back rest can be driven to realize 0 ° of-40 ° of tilt rotation by the contraction of backrest inclination cylinder;
Described seat mechanism comprises medicated cushion frame and medicated cushion rotary cylinder, and medicated cushion rotary cylinder is connected between medicated cushion frame and wheelchair frame, medicated cushion frame can be driven to realize 0 °-90 ° rotations by the rotation of medicated cushion rotary cylinder;
Described stand-off mechanism comprises foot bracket, pedal, left and right lower limb baffle plate and stand-off lift cylinder, pedal is arranged on foot bracket, left and right lower limb baffle plate is arranged on the left and right sides of foot bracket respectively, stand-off lift cylinder is connected between foot bracket and medicated cushion frame, foot bracket can be driven to realize 0 °-40 ° swing up and down by stand-off lift cylinder flexible;
Described headrest lower carriage and back rest realize being rotationally connected by chuck, medicated cushion frame and back rest, realize being rotationally connected by pin between foot bracket and medicated cushion frame, realize being rotationally connected between medicated cushion frame and wheelchair frame by motor.
2. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: the main body of described headrest upper bracket takes the shape of the letter U, connecting rod is provided with below U-shaped main body, connecting rod is provided with the bulge loop that multiple parallel interval is arranged, and uniform intervals is provided with multiple adjustment hole vertically, the orientation angles of multiple adjustment hole increases by 10 degree from top to bottom successively.
3. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: the connection tube that described headrest lower carriage comprises cross bar and is connected with cross bar central vertical, the annular groove that multiple parallel interval is arranged is provided with in connection tube, and uniform intervals is provided with the through pin-and-hole of multiple radial direction vertically, each pin-and-hole is positioned at same axis; Described upper bracket is rabbeted with lower carriage and is connected and is fixed by pin, is rotated by the connection tube of upper bracket along lower carriage, can realize left rotation and right rotation of resting the head on, and its anglec of rotation is 0 °-60 °.
4. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: described two chucks are connected with the cross bar two ends keyed jointing of lower carriage respectively, chuck circumference is gear shape structure, angle between each tooth is identical, be 15 °, be provided with the gear shape groove matched with chuck at wheelchair head side, chuck is rabbeted with groove and is connected.
5. regulating wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: the goniometer described left and right side safety guard being equipped with the angle of inclination for showing back rest.
6. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: described backrest inclination cylinder and stand-off lift cylinder are electric expansion cylinder, described medicated cushion rotary cylinder is electronic rotation cylinder; Described medicated cushion frame both sides are respectively equipped with three groups of switches, often organize switch and be provided with both direction control knob, control the inclination of back rest respectively by backrest inclination cylinder, controlled the rotation of medicated cushion frame by medicated cushion rotary cylinder, by the lifting of stand-off lift cylinder control pin bracket.
7. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: described wheelchair frame rear portion is provided with after two, left and right is prevented topples over steamboat.
8. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: upper end and the medicated cushion frame of described medicated cushion rotary cylinder are fixedly linked, and lower end is rotatably connected with wheelchair frame.
9. regulate wheelchair for the position of dysphagia ingesting training as claimed in claim 1, it is characterized in that: described foot bracket is provided with horizontal concrete chute, described left and right lower limb baffle plate is inlaid in respectively on chute and can horizontally slips.
CN201520274419.6U 2015-04-29 2015-04-29 Position for dysphagia ingesting training regulates wheelchair Expired - Fee Related CN204618612U (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106176067A (en) * 2015-04-29 2016-12-07 上海理工大学 Position for dysphagia ingesting training regulates wheelchair
CN106420252A (en) * 2016-10-31 2017-02-22 丹阳正联知识产权运营管理有限公司 Adjustable medical transfusion chair
CN108654018A (en) * 2018-05-15 2018-10-16 安徽工程大学 A kind of multi-functional adjustable ab lounge
CN109009731A (en) * 2017-04-18 2018-12-18 常熟市平方轮椅有限公司 A kind of comfort type electric wheel-chair vehicle

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106176067A (en) * 2015-04-29 2016-12-07 上海理工大学 Position for dysphagia ingesting training regulates wheelchair
CN106176067B (en) * 2015-04-29 2017-08-25 上海理工大学 Position for aphetite disorder ingesting training adjusts wheelchair
CN106420252A (en) * 2016-10-31 2017-02-22 丹阳正联知识产权运营管理有限公司 Adjustable medical transfusion chair
CN109009731A (en) * 2017-04-18 2018-12-18 常熟市平方轮椅有限公司 A kind of comfort type electric wheel-chair vehicle
CN108654018A (en) * 2018-05-15 2018-10-16 安徽工程大学 A kind of multi-functional adjustable ab lounge

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20150909

Termination date: 20160429