CN209933109U - Traction frame for lumbar disc herniation - Google Patents
Traction frame for lumbar disc herniation Download PDFInfo
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- CN209933109U CN209933109U CN201920121996.XU CN201920121996U CN209933109U CN 209933109 U CN209933109 U CN 209933109U CN 201920121996 U CN201920121996 U CN 201920121996U CN 209933109 U CN209933109 U CN 209933109U
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Abstract
本实用新型公开了一种腰椎间盘突出牵引架,其包括底座、立柱、两个腋部托板、两个髂骨压板、腰椎牵拉机构和腰部按摩装置,所述立柱固定在底座上,两个腋部托板分别顶在患者的两个腋窝处并分别通过两个上夹臂与立柱上端连接;所述腰椎牵拉机构安装在立柱中部,两个髂骨压板压在患者的髂骨上并分别位于患者两侧,每个髂骨压板通过一个下夹臂与腰椎牵拉机构连接,所述腰部按摩装置安装在立柱上并与患者的腰部相对应。本实用新型将牵引和按摩装置巧妙地组合在同一架体上,可以同时实施牵引和推拿疗法,不仅有效提高了腰椎间盘突出疾病的治疗效率和治疗效果,降低了治疗成本,而且占地面积比传统的牵引床和按摩床都小得多,适于家庭和各种医疗机构使用。
The utility model discloses a lumbar intervertebral disc herniation traction frame, which comprises a base, a column, two axillary support plates, two iliac pressure plates, a lumbar traction mechanism and a waist massage device. The column is fixed on the base, and the two Each axillary support plate is placed on the patient's two armpits and connected with the upper end of the column through two upper clamping arms respectively; the lumbar traction mechanism is installed in the middle of the column, and the two iliac bone pressure plates are pressed on the patient's iliac bone and are respectively located on both sides of the patient, each ilium pressure plate is connected with the lumbar spine pulling mechanism through a lower clip arm, and the waist massage device is installed on the upright column and corresponds to the patient's waist. The utility model cleverly combines the traction and massage devices on the same frame, and can perform traction and massage therapy at the same time, which not only effectively improves the treatment efficiency and treatment effect of lumbar intervertebral disc herniation disease, but also reduces the treatment cost, and occupies a smaller area than Both traditional traction beds and massage beds are much smaller and are suitable for home use and various medical facilities.
Description
技术领域technical field
本实用新型涉及一种能够同时实施两种物理疗法的腰椎间盘突出牵引架,可有效治疗腰椎间盘突出疾病,属于医疗装置技术领域。The utility model relates to a lumbar intervertebral disc herniation traction frame capable of simultaneously performing two kinds of physical therapy, which can effectively treat the lumbar intervertebral disc herniation disease, and belongs to the technical field of medical devices.
背景技术Background technique
腰椎间盘突出是一种常见的腰部疾病,其诱发原因很多,例如不良的坐姿和站姿、长期弯腰或从事重体力劳动、长时间伏案工作、经常低头看手机等等。目前,治疗腰椎间盘突出的方法主要有药物治疗、物理治疗和手术治疗。由于药物治疗和手术治疗具有较大的局限性和风险性,因此人们更倾向于物理治疗。Lumbar intervertebral disc herniation is a common low back disease, which can be caused by many reasons, such as poor sitting and standing posture, long-term bending or heavy physical labor, long-term desk work, often looking down at mobile phones and so on. At present, the methods of treating lumbar disc herniation mainly include drug therapy, physical therapy and surgery. Because of the limitations and risks associated with drug therapy and surgery, people prefer physical therapy.
物理疗法包含牵引和推拿。牵引疗法一般需要患者平躺于牵引床上,通过对腰椎及其周围肌肉施加拉伸力进行治疗,这种疗法的缺点是牵引床占地面积较大,其使用地点具有很大的局限性。推拿法是对病灶部位进行针对性的按摩,但人工按摩费用较高且疗效受人为因素影响大,存在一定的风险。利用按摩床进行治疗可以有效降低治疗费用,减少治疗风险,但由于不同患者身高不同,安装在床体固定位置上的腰部按摩装置一般很难对准患者的腰部,从而严重影响了治疗效果。Physical therapy includes traction and massage. Traction therapy generally requires the patient to lie flat on a traction bed and perform treatment by applying stretching force to the lumbar spine and surrounding muscles. The disadvantage of this therapy is that the traction bed occupies a large area and its use site has great limitations. Tuina is a targeted massage on the lesion site, but the cost of manual massage is high and the curative effect is greatly affected by human factors, so there are certain risks. Using a massage bed for treatment can effectively reduce the cost of treatment and reduce the risk of treatment. However, due to the different heights of different patients, it is generally difficult for the waist massage device installed on the fixed position of the bed to be aligned with the patient's waist, which seriously affects the treatment effect.
临床经验表明,采用牵引和推拿相结合的组合疗法能够获得更好的治疗效果,但现有的腰椎间盘突出医疗装置功能单一,只能提供一种疗法,要想实施组合疗法只能交替使用牵引床和按摩床进行治疗,不仅延长了治疗时间,降低了治疗效率,而且疗效也会大打折扣,因此设计一种能够同时实施两种物理疗法的腰椎间盘突出医疗装置是十分必要的。Clinical experience shows that the combination therapy of traction and massage can achieve better therapeutic effects, but the existing medical devices for lumbar disc herniation have a single function and can only provide one therapy. To implement combination therapy, only traction can be used alternately. The use of bed and massage bed for treatment not only prolongs the treatment time, reduces the treatment efficiency, but also greatly reduces the efficacy. Therefore, it is very necessary to design a lumbar disc herniation medical device that can perform two kinds of physical therapy at the same time.
实用新型内容Utility model content
本实用新型的目的在于针对现有技术之弊端,提供一种能够同时实施牵引和推拿疗法的腰椎间盘突出牵引架,以提高腰椎间盘突出疾病的治疗效率和治疗效果,降低治疗成本。The purpose of the utility model is to provide a lumbar disc herniation traction frame capable of performing traction and massage therapy at the same time in view of the disadvantages of the prior art, so as to improve the treatment efficiency and treatment effect of lumbar intervertebral disc herniation diseases and reduce the treatment cost.
为实现上述目的,本实用新型采用如下技术方案:To achieve the above object, the utility model adopts the following technical solutions:
一种腰椎间盘突出牵引架,构成中包括底座、立柱、两个腋部托板、两个髂骨压板、腰椎牵拉机构和腰部按摩装置,所述立柱固定在底座上,两个腋部托板分别顶在患者的两个腋窝处并分别通过两个上夹臂与立柱上端连接;所述腰椎牵拉机构安装在立柱中部,两个髂骨压板压在患者的髂骨上并分别位于患者两侧,每个髂骨压板通过一个下夹臂与腰椎牵拉机构连接,所述腰部按摩装置安装在立柱上并与患者的腰部相对应。A traction frame for lumbar intervertebral disc protrusion comprises a base, a column, two axillary support plates, two iliac pressure plates, a lumbar traction mechanism and a waist massage device. The column is fixed on the base, and two axillary support plates are provided. The plates are respectively placed on the patient's two armpits and are respectively connected with the upper end of the column through two upper clamping arms; the lumbar traction mechanism is installed in the middle of the column, and the two iliac bone pressure plates are pressed on the patient's iliac bone and are respectively located in the patient. On both sides, each iliac bone pressing plate is connected with the lumbar spine pulling mechanism through a lower clamping arm, and the waist massage device is installed on the upright column and corresponds to the waist of the patient.
上述腰椎间盘突出牵引架,所述腰椎牵拉机构包括竖直导轨、升降块、牵引电机、牵引齿轮和牵引齿条,所述竖直导轨固定在立柱中部,所述升降块与竖直导轨滑动连接,所述牵引电机固定在立柱上,所述牵引齿轮固定在牵引电机的输出轴上,所述牵引齿条平行于竖直导轨并与牵引齿轮啮合,牵引齿条的一端与升降块固定连接,与两个髂骨压板相连的下夹臂下夹臂与升降块连接。In the above-mentioned lumbar disc herniation traction frame, the lumbar traction mechanism includes a vertical guide rail, a lifting block, a traction motor, a traction gear and a traction rack, the vertical guide rail is fixed in the middle of the column, and the lifting block slides with the vertical guide rail. The traction motor is fixed on the column, the traction gear is fixed on the output shaft of the traction motor, the traction rack is parallel to the vertical guide rail and meshes with the traction gear, and one end of the traction rack is fixedly connected to the lifting block , the lower clamping arm connected with the two iliac bone pressing plates is connected with the lifting block.
上述腰椎间盘突出牵引架,所述腰部按摩装置包括腹部挡块、滑动支架、高度调节装置、顶压齿轮、顶压电机、顶压齿条、导向套筒、水平顶杆、弧形板和电磁按摩器,所述腹部挡块贴在患者的腹部并通过支架与底座连接,所述滑动支架与竖直导轨滑动连接,所述高度调节装置安装在立柱上并与滑动支架连接;所述顶压电机固定在滑动支架上,所述顶压齿轮固定在顶压电机的输出轴上并与顶压齿条啮合,所述导向套筒固定在滑动支架上,所述水平顶杆滑套在导向套筒中,水平顶杆的一端与顶压齿条对接,另一端固定弧形板,所述电磁按摩器安装在弧形板上,电磁按摩器的多个按摩头在患者腰椎的两侧对称排列。The above-mentioned lumbar intervertebral disc protrusion traction frame, the waist massage device includes an abdominal block, a sliding bracket, a height adjustment device, a pressing gear, a pressing motor, a pressing rack, a guide sleeve, a horizontal ejector, an arc plate and Electromagnetic massager, the abdominal block is attached to the abdomen of the patient and connected to the base through a bracket, the sliding bracket is slidably connected to the vertical guide rail, and the height adjustment device is installed on the column and connected to the sliding bracket; the top The pressing motor is fixed on the sliding bracket, the top pressing gear is fixed on the output shaft of the pressing motor and meshes with the pressing rack, the guide sleeve is fixed on the sliding bracket, and the horizontal top rod sliding sleeve In the guide sleeve, one end of the horizontal ejector rod is butted with the ejection rack, and the other end is fixed with an arc-shaped plate. The electromagnetic massager is installed on the arc-shaped plate. Symmetrical arrangement.
上述腰椎间盘突出牵引架,所述高度调节装置包括调高电机、调高齿轮和调高齿条,所述调高电机固定在立柱上;所述调高齿轮固定在调高电机的输出轴上,所述调高齿条平行于竖直导轨并与调高齿轮啮合,调高齿条的一端与滑动支架固定连接。In the above-mentioned lumbar disc protrusion traction frame, the height adjustment device includes a height adjustment motor, a height adjustment gear and a height adjustment rack, the height adjustment motor is fixed on the column; the height adjustment gear is fixed on the output shaft of the height adjustment motor The height-adjusting rack is parallel to the vertical guide rail and meshes with the height-adjusting gear, and one end of the height-adjusting rack is fixedly connected with the sliding bracket.
上述腰椎间盘突出牵引架,所述底座上设有升降台和举升油缸,所述举升油缸竖直固定在底座上,所述升降台固定在举升油缸的活塞杆上端。In the above-mentioned lumbar intervertebral disc protrusion traction frame, the base is provided with a lifting platform and a lifting cylinder, the lifting cylinder is vertically fixed on the base, and the lifting platform is fixed on the upper end of the piston rod of the lifting cylinder.
上述腰椎间盘突出牵引架,两个上夹臂通过同步开合机构与立柱连接,所述同步开合机构包括托架、上轴制动器、两个相互平行的上转轴和两个上同步齿轮,所述托架固定在立柱上,两个上转轴穿过托架上的竖直通孔并与托架转动连接,每个上转轴上固定一个上夹臂,两个上同步齿轮相互啮合并分别固定在两个上转轴上,所述上轴制动器固定在立柱上并与一个上转轴连接。The above-mentioned lumbar intervertebral disc protrusion traction frame, the two upper clamping arms are connected with the upright column through a synchronous opening and closing mechanism, and the synchronous opening and closing mechanism comprises a bracket, an upper shaft brake, two mutually parallel upper rotating shafts and two upper synchronizing gears, so The bracket is fixed on the upright column, the two upper rotating shafts pass through the vertical through holes on the bracket and are rotatably connected with the bracket, an upper clamping arm is fixed on each upper rotating shaft, and the two upper synchronizing gears are meshed with each other and fixed respectively. On the two upper shafts, the upper shaft brake is fixed on the column and connected with one upper shaft.
上述腰椎间盘突出牵引架,与两个髂骨压板相连的下夹臂通过同步张合机构与升降块连接,所述同步张合机构包括下轴制动器、两个相互平行的下转轴和两个下同步齿轮,两个下转轴穿过升降块上的竖直通孔并与升降块转动连接,每个下转轴上固定一个下夹臂,两个下同步齿轮相互啮合并分别固定在两个下转轴上,所述下轴制动器固定在升降块上并与一个下转轴连接。The above-mentioned lumbar intervertebral disc herniation traction frame, the lower clamping arm connected with the two iliac bone pressure plates is connected with the lifting block through a synchronous tensioning and closing mechanism, and the synchronous tensioning and closing mechanism includes a lower shaft brake, two mutually parallel lower rotation shafts and two lower shafts. Synchronous gear, two lower rotating shafts pass through the vertical through holes on the lifting block and are rotatably connected with the lifting block, a lower clamping arm is fixed on each lower rotating shaft, and the two lower synchronizing gears mesh with each other and are respectively fixed on the two lower rotating shafts Above, the lower shaft brake is fixed on the lifting block and connected with a lower rotating shaft.
上述腰椎间盘突出牵引架,所述髂骨压板与患者的髂骨相对应的部位设有电磁振动器。In the above-mentioned lumbar intervertebral disc herniation traction frame, an electromagnetic vibrator is provided on the part of the iliac bone pressure plate corresponding to the patient's iliac bone.
上述腰椎间盘突出牵引架,所述上轴制动器和下轴制动器均为电磁离合制动器。In the above-mentioned lumbar disc herniation traction frame, the upper shaft brake and the lower shaft brake are both electromagnetic clutch brakes.
本实用新型将牵引和按摩装置巧妙地组合在同一架体上,可以同时实施牵引和推拿疗法,不仅有效提高了腰椎间盘突出疾病的治疗效率和治疗效果,降低了治疗成本,而且占地面积比传统的牵引床和按摩床都小得多,适于家庭和各种医疗机构使用。The utility model cleverly combines the traction and massaging devices on the same frame, and can perform traction and massage therapy at the same time, which not only effectively improves the treatment efficiency and treatment effect of lumbar intervertebral disc herniation diseases, but also reduces the treatment cost, and occupies a smaller area than Both traditional traction beds and massage beds are much smaller and are suitable for home use and various medical facilities.
附图说明Description of drawings
下面结合附图和具体实施方式对本实用新型作进一步详细的说明。The present utility model will be described in further detail below with reference to the accompanying drawings and specific embodiments.
图1是腰椎拉伸示意图;Figure 1 is a schematic diagram of lumbar spine stretching;
图2是本实用新型的结构示意图;Fig. 2 is the structural representation of the present utility model;
图3是A向视图;Fig. 3 is A-direction view;
图4是B向视图;Fig. 4 is B-direction view;
图5是C向视图。FIG. 5 is a C-direction view.
图中各标号如下:1、底座,2、举升油缸,3、升降台,4、牵引齿条,5、牵引电机,6、牵引齿轮,7、下同步齿轮,8、下夹臂,9、电磁振动器,10、髂骨压板,11、弧形板,12、电磁按摩器,13、导向套筒,14、水平顶杆,15、顶压齿轮,16、腋部托板,17、上夹臂,18、上轴制动器,19、上转轴,20、托架,21、上同步齿轮,22、调高齿条,23、调高齿轮,24、调高电机,25、顶压电机,26、顶压齿条,27、滑动支架,28、下轴制动器,29、升降块,30、下转轴,31、竖直导轨,32、立柱,33、腹部挡块,34、支架。The symbols in the figure are as follows: 1. Base, 2. Lifting cylinder, 3. Lifting table, 4. Traction rack, 5. Traction motor, 6. Traction gear, 7, Lower synchronizing gear, 8, Lower clamp arm, 9 , Electromagnetic vibrator, 10, Ilium pressure plate, 11, Arc plate, 12, Electromagnetic massager, 13, Guide sleeve, 14, Horizontal ejector rod, 15, Top pressure gear, 16, Axillary support plate, 17, Upper clamp arm, 18, Upper shaft brake, 19, Upper shaft, 20, Bracket, 21, Upper synchronizing gear, 22, Height adjustment rack, 23, Height adjustment gear, 24, Height adjustment motor, 25, Top pressure Machine, 26, Top pressure rack, 27, Sliding bracket, 28, Lower shaft brake, 29, Lifting block, 30, Lower shaft, 31, Vertical guide rail, 32, Upright column, 33, Abdominal block, 34, Bracket.
具体实施方式Detailed ways
腰椎间盘突出症是骨科最常见的疾病之一,严重影响患者的生活质量,运用椎间盘突出牵引架治疗轻中度的突出,可获得不错的疗效。参看图1,腰椎间盘突出牵引架是利用牵拉力与反牵拉力作用于腰椎,通过向相反方向的牵拉来达到治疗腰椎间盘突出的目的。腰椎牵引可使腰椎间隙增大,主要是腰3、4、5,骶1间隙。研究表明,腰椎间隙在牵引后较牵引前增宽1.5~2.5mm,椎间隙的增宽可使其内成为负压,加之后纵韧带的紧张,有利于突出的髓核部分还纳或改变其与神经根的关系。椎间隙的增大,关节突关节的拉开,使椎间孔恢复正常的外形,从而解除对神经根的挤压。牵引还可使腰椎得到充分的休息,减少运动的刺激,有利于组织充血水肿的吸收、消退,还可缓解肌肉痉挛、减轻椎间压力。本实用新型采用竖直牵引架,与传统水平牵引架不同的是,患者站立位牵引,更符合生物力学和人体工程学。Lumbar intervertebral disc herniation is one of the most common diseases in orthopedics, which seriously affects the quality of life of patients. The use of intervertebral disc herniation traction frame to treat mild to moderate herniation can achieve good results. Referring to Fig. 1, the traction frame for lumbar intervertebral disc herniation utilizes the traction force and the reverse traction force to act on the lumbar spine, and achieves the purpose of treating lumbar intervertebral disc herniation by pulling in the opposite direction. Lumbar traction can increase the lumbar intervertebral space, mainly the lumbar 3, 4, 5, and sacral 1 space. Studies have shown that the lumbar intervertebral space is widened by 1.5-2.5 mm after traction, and the widening of the intervertebral space can make it a negative pressure, and the tension of the posterior longitudinal ligament is conducive to the recovery of the protruding nucleus pulposus or changing its shape. relationship with nerve roots. The increase of the intervertebral space and the opening of the facet joints restore the normal shape of the intervertebral foramen, thereby releasing the compression of the nerve root. Traction can also make the lumbar spine get enough rest, reduce the stimulation of exercise, help the absorption and subsidence of tissue congestion and edema, relieve muscle spasm and reduce intervertebral pressure. The utility model adopts a vertical traction frame, which is different from the traditional horizontal traction frame in that the patient is pulled in a standing position, which is more in line with biomechanics and ergonomics.
参看图2~图5,本实用新型包括底座1、举升油缸2、升降台3、牵引齿条4、牵引电机5、牵引齿轮6、下同步齿轮7、下夹臂8、电磁振动器9、髂骨压板10、弧形板11、电磁按摩器12、导向套筒13、水平顶杆14、顶压齿轮15、腋部托板16、上夹臂17、上轴制动器18、上转轴19、托架20、上同步齿轮21、调高齿条22、调高齿轮23、调高电机24、顶压电机25、顶压齿条26、滑动支架27、下轴制动器28、升降块29、下转轴30、竖直导轨31、立柱32、腹部挡块33和支架34。2 to 5, the utility model includes a base 1, a lifting cylinder 2, a
两个腋部托板16用于承载患者的肌体并对腰椎提供向上的牵拉力,腋部托板16通过上夹臂17与立柱32连接,为了适应不同体型的患者,两个腋部托板16之间的间隙可通过由上轴制动器18、上转轴19、托架20、上同步齿轮21构成的同步调节机构进行调节,调节完毕后通过上轴制动器18锁死。The two
两个髂骨压板10压在患者的髂骨上,用于对腰椎施加向下的牵拉力,该牵拉力由腰椎牵拉机构提供。腰椎牵拉机构包括牵引齿条4、牵引电机5、牵引齿轮6、升降块29和竖直导轨31。两个髂骨压板10之间的间隙可通过由下同步齿轮7、下轴制动器28和下转轴30构成的同步调节机构进行调节和锁死。The two iliac
腰部按摩装置用于对患者的腰椎进行矫正和按摩,包括弧形板11、电磁按摩器12、导向套筒13、水平顶杆14、顶压齿轮15、调高齿条22、调高齿轮23、调高电机24、顶压电机25、顶压齿条26、滑动支架27和腹部挡块33。其中,弧形板11位于患者的腰部后方,其上设有电磁按摩器12,电磁按摩器12的按摩头设置两列,每列按摩头按人体腰椎生理曲线排列,两列按摩头分别位于患者腰椎的两侧,为了适应不同的患者,按摩头的位置可以微调。顶压电机25旋转时,可通过顶压齿轮15和顶压齿条26驱动水平顶杆14沿导向套筒13滑动,从而带动弧形板11和电磁按摩器12沿水平方向移动。调高电机24可通过调高齿轮23和调高齿条22驱动滑动支架27沿竖直导轨31上下移动,从而带动电磁按摩器12上下移动。因此通过控制调高电机24和顶压电机25,可使电磁按摩器12对准患者的腰椎。腹部挡块33用于对患者腰腹部进行限位,防止其在电磁按摩器12的推动下出现较大的位移。The waist massage device is used to correct and massage the patient's lumbar spine, including
升降台3的功能是将患者提升至合适的高度,待腋部托板16将患者托住后再向下移动,使患者的双脚悬空,身体处于自然下垂的状态。The function of the lift table 3 is to lift the patient to a suitable height, and then move down after the
电磁按摩器12是一种由患者自己进行治疗和保健的理疗器械。该理疗器械由永久磁铁加装带偏心重物的电机组成,改变电机转速即改变按摩频率。因此它既有机械按摩作用,又有脉动磁场作用。该器械结构简单,调节容易,使用方便,安全可靠。电磁振动器9是带偏心重物的电机。The
本实用新型的操作步骤:Operation steps of the present utility model:
1.将两个髂骨压板10之间的距离和两个腋部托板16之间的距离均调到最大。1. Adjust the distance between the two
2.患者站到升降台3上,腹部与腹部挡块33相对,启动举升油缸2,升降台3上升,当患者的腋窝高于腋部托板16时,升降台3停止上升。2. The patient stands on the
3.将两个腋部托板16移至患者的两个腋窝内,同时调整两个髂骨压板10的高度和间距,使二者高于患者的髂骨并分别紧贴患者的两侧,然后利用上轴制动器18和下轴制动器28将上转轴19和下转轴30锁死,使两个髂骨压板10之间的距离和两个腋部托板16之间的距离不再发生变化。3. Move the two
4.升降台3下降,使患者双脚悬空,身体吊挂在两个腋部托板16上。4. The
5.启动牵引电机5,牵引电机5通过牵引齿轮6和牵引齿条4驱动升降块29下行,同时带动两个髂骨压板10向下移动,对患者的髂骨施加向下的力,使腰椎承受适当的拉伸力。5. Start the
6.启动电磁振动器9,使腰椎受到的拉伸力在一定范围内变化,增强治疗效果。6. Activate the electromagnetic vibrator 9, so that the tensile force on the lumbar vertebra varies within a certain range, so as to enhance the therapeutic effect.
7.启动调高电机24和顶压电机25,使电磁按摩器12对准患者的腰椎,启动电磁按摩器12,对患者腰椎的两侧进行按摩治疗。7. Start the height-adjusting
8.到达设定的治疗时间后,关闭电磁按摩器12和电磁振动器9,电磁按摩器12后退离开患者肌体,升降台3上升托住患者双脚,上轴制动器18和下轴制动器28解锁,患者离开升降台3,治疗完毕。8. After reaching the set treatment time, turn off the
本牵引架可由医护人员控制,也可由患者通过操作面板或遥控器进行控制。The traction frame can be controlled by medical staff, and can also be controlled by patients through the operation panel or remote control.
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