CN211187705U - Shoulder joint subluxation fixing device - Google Patents

Shoulder joint subluxation fixing device Download PDF

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CN211187705U
CN211187705U CN201922078379.9U CN201922078379U CN211187705U CN 211187705 U CN211187705 U CN 211187705U CN 201922078379 U CN201922078379 U CN 201922078379U CN 211187705 U CN211187705 U CN 211187705U
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fixing
support platform
shoulder joint
belt
subluxation
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胡翠琴
王彤
包士雷
贾瑞冬
郭川
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Jiangsu Province Hospital
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Jiangsu Province Hospital
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Abstract

本实用新型公开了一种肩关节半脱位固定装置,包括:固定支撑台、定位手套、肘部牵拉带和固定带。偏瘫患者使用本固定装置可以预防肩关节产生半脱位,如果患者已有肩关节半脱位的情况发生,使用本固定装置可以使已有半脱位肩关节保持在正常位置,减缓半脱位发展,减轻患者疼痛,同时还可以预防和对抗患者手部的痉挛。

Figure 201922078379

The utility model discloses a shoulder joint subluxation fixing device, which comprises: a fixing support platform, a positioning glove, an elbow pulling belt and a fixing belt. Hemiplegic patients can use this fixation device to prevent shoulder subluxation. If the patient has shoulder subluxation, using this fixation device can keep the subluxed shoulder joint in the normal position, slow down the development of subluxation, and relieve the pain of the patient. Pain, while also preventing and combating spasms in the patient's hands.

Figure 201922078379

Description

一种肩关节半脱位固定装置A shoulder joint subluxation fixation device

技术领域technical field

本实用新型属于医疗辅助装置领域,特别涉及一种用于肩关节半脱位的固定装置。The utility model belongs to the field of medical auxiliary devices, in particular to a fixing device for shoulder joint subluxation.

背景技术Background technique

肩关节半脱位(glenohumeral subluxation,GHS)又称不整齐肩(malalignedshoulder),在偏瘫患者中很常见。表现为肱骨头在关节盂下滑,肩峰于肱骨头之间出现明显的凹陷。GHS可能与偏瘫患者的肩痛有关,可合并臂丛神经损伤,是上肢预后差的标志。GHS的发生率的报道差异很大(0~80%),多在30%~50%之间。Shoulder subluxation (glenohumeral subluxation, GHS), also known as malaligned shoulder (malaligned shoulder), is very common in patients with hemiplegia. The humeral head slides down in the glenoid, and the acromion appears indented between the humeral heads. GHS may be related to shoulder pain in hemiplegic patients, and it can be combined with brachial plexus injury, which is a sign of poor prognosis in the upper extremity. The reported incidence of GHS varies widely (0-80%), mostly between 30% and 50%.

肩关节半脱位并非偏瘫后马上出现,多于病后头几周开始坐位等活动后才发现。早期患者可无任何不适感,部分患者当患侧上肢在体侧垂放时间较长时可出现牵拉不适感或疼痛,当上肢被支撑或抬起时,上述症状可减轻或消失。随着时间的延长可出现较剧烈的肩痛,合并肩关节受限者较无半脱位者多。Shoulder subluxation does not appear immediately after hemiplegia, but is more often discovered after starting activities such as sitting in the first few weeks after the disease. In the early stage, patients may not feel any discomfort. Some patients may experience stretch discomfort or pain when the upper limb on the affected side hangs on the side for a long time. When the upper limb is supported or lifted, the above symptoms can be alleviated or disappeared. Severe shoulder pain may appear over time, and more patients with limited shoulder joints than those without subluxation.

软瘫期维持肩关节于正常位置的唯一组织是关节囊及韧带,在上肢重力的持续牵拉下,尤其是外力的牵拉下易拉长、松弛,甚至破坏,而出现肩关节半脱位,一旦出现肩关节半脱位多难以恢复,故早期加以保护、进行预防是必要的。肩关节半脱位的预防和早期康复多主张使用安置在轮椅上的支撑台或采取良好的放置姿势。对各种吊带的使用争议较大,不仅吊带的有效性值得怀疑,其还可能有许多不利影响。During flaccid paralysis, the only tissues that maintain the normal position of the shoulder joint are the joint capsule and ligaments. Under the continuous pull of the upper limb gravity, especially under the pull of external force, it is easy to elongate, relax, or even destroy, resulting in subluxation of the shoulder joint. Once shoulder subluxation occurs, it is difficult to recover, so early protection and prevention are necessary. The prevention and early rehabilitation of shoulder subluxation mostly advocate the use of a support table placed on a wheelchair or a good placement posture. The use of various slings is controversial, and not only is the effectiveness of the sling questionable, it may also have many adverse effects.

实用新型内容Utility model content

本实用新型的目的是针对偏瘫患者易出现肩关节半脱位的现状以及针对肩关节半脱位的康复,提供一种用于肩关节半脱位的固定装置。The purpose of the utility model is to provide a fixing device for shoulder joint subluxation in view of the current situation that hemiplegic patients are prone to shoulder joint subluxation and the rehabilitation of shoulder joint subluxation.

为了实现上述目的,本实用新型采用以下技术方案:一种肩关节半脱位固定装置,包括:固定支撑台、定位手套、肘部牵拉带和固定带;In order to achieve the above purpose, the utility model adopts the following technical solutions: a shoulder joint subluxation fixing device, comprising: a fixing support table, a positioning glove, an elbow traction belt and a fixing belt;

其中所述固定支撑台呈扇面状,截面呈L型,包括竖直面靠板和水平面支撑台,所述水平面支撑台的上表面设置有弧形凹槽,支撑台为中空,侧面设置有拉门;The fixed support platform is fan-shaped and has an L-shaped cross-section, including a vertical support plate and a horizontal support platform. The upper surface of the horizontal support platform is provided with an arc-shaped groove, the support platform is hollow, and the side is provided with a pull Door;

所述定位手套设置在固定支撑台的前端;The positioning gloves are arranged at the front end of the fixed support table;

所述肘部牵拉带包括半包围的肘部护带和可调节牵拉带,所述肘部护带前部开口和水平面支撑台上表面的后端缝合为一体,肘部护带上部两端分别和可调节牵拉带的一端连接;The elbow strap includes a half-enclosed elbow strap and an adjustable strap, the front opening of the elbow strap and the rear end of the upper surface of the horizontal support platform are sewn into one, and the upper part of the elbow strap is two pieces. The ends are respectively connected with one end of the adjustable pulling belt;

所述固定带包括前端固定带、两根后端固定带和固定环,所述前端固定带和两根后端固定带的一端分别固定在固定支撑台竖直面靠板侧面的前部和后部,另一端固定在固定环上。The fixing belt includes a front end fixing belt, two rear end fixing belts and a fixing ring, and one ends of the front end fixing belt and the two rear end fixing belts are respectively fixed on the front and the rear of the side of the vertical surface of the fixed support platform. The other end is fixed on the fixing ring.

进一步的,水平面支撑台上表面从前端到后端呈上升坡状,角度在20°~30°。Further, the upper surface of the horizontal plane support platform presents an upward slope from the front end to the rear end, and the angle is 20°-30°.

进一步的,定位手套包括外层套体和内层套体,所述内层套体包括五根手指指套部、手掌手背部和手腕部,所述外层套体套在内层套体外部,两层之间设置有填充物使得内层五根手指指套相互分离无法合拢;所述定位手套的尾部设置有连接带,连接带固定在固定支撑台的前端。Further, the positioning glove includes an outer layer cover body and an inner layer cover body, the inner layer cover body includes five finger cover parts, the back of the palm of the hand and the wrist part, and the outer layer cover body is covered outside the inner layer cover body. , a filler is arranged between the two layers, so that the five finger covers of the inner layer cannot be separated from each other and cannot be closed; the tail of the positioning glove is provided with a connecting belt, and the connecting belt is fixed on the front end of the fixed support platform.

进一步的,固定支撑台采用轻质材料制成的内壳体,外部依次包裹填充层和外皮层。Further, the fixed support table adopts an inner shell made of lightweight materials, and the outer shell is sequentially wrapped with a filling layer and an outer skin layer.

进一步的,填充层为海绵或棉花,所述外皮层为无纺布、棉布或PU材料制成。Further, the filling layer is sponge or cotton, and the outer skin layer is made of non-woven fabric, cotton cloth or PU material.

本实用新型的肩关节半脱位固定装置使用时,将固定支撑台放置在患者肩关节半脱位侧腰部竖直面靠板紧贴腰部,固定带套在患者另一侧肩部进行固定,将患者的患肢放置在水平面支撑台的弧形凹槽内,肘部放置在肘部护带内,将可调节牵拉带套在患者另一侧颈部,调整合适的长度,使患肢肩部保持上拉状态。偏瘫患者的手部会出现痉挛,在手部痉挛时,手部呈握住状或钩状。患者患肢的手部带上定位手套,将手指五指展开固定,可预防患肢屈肌状态,也可对已有痉挛的手部促进展开,对抗痉挛。When the shoulder joint subluxation fixing device of the utility model is used, the fixing support table is placed on the vertical surface of the waist on the side of the patient's shoulder joint subluxation, and the backboard is close to the waist, and the fixing belt is sleeved on the other shoulder of the patient for fixing, and the patient is fixed. The affected limb is placed in the arc-shaped groove of the horizontal support table, the elbow is placed in the elbow supporter, the adjustable traction belt is put on the other side of the patient's neck, and the appropriate length is adjusted so that the shoulder of the affected limb is Keep it pulled up. People with hemiplegia experience spasms in their hands, which are gripped or hooked during hand spasms. Putting positioning gloves on the patient's hand of the affected limb, spreading and fixing the fingers and five fingers, can prevent the flexor state of the affected limb, and can also promote the expansion of the already spasmodic hand to fight against the spasm.

本实用新型结构新颖,使用便捷,偏瘫患者使用本固定装置可以预防肩关节产生半脱位,如果患者已有肩关节半脱位的情况发生,使用本固定装置可以使已有半脱位肩关节保持在正常位置,减缓半脱位发展,减轻患者疼痛,同时还可以预防和对抗患者手部的痉挛。The utility model has the advantages of novel structure and convenient use, and the use of the fixing device for hemiplegia patients can prevent the subluxation of the shoulder joint. position, slow down the progression of subluxation, relieve the patient's pain, and also prevent and combat spasticity in the patient's hand.

附图说明Description of drawings

图1是实施例肩关节半脱位固定装置的结构示意图。FIG. 1 is a schematic structural diagram of an embodiment of a shoulder joint subluxation fixation device.

具体实施方式Detailed ways

为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。In order to make those skilled in the art better understand the solutions of the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application. Obviously, the described embodiments are only The embodiments are part of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the scope of protection of the present application.

需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。It should be noted that the terms "comprising" and "having" in the description and claims of the present application and the above-mentioned drawings, as well as any modifications thereof, are intended to cover non-exclusive inclusion, for example, including a series of steps or units The processes, methods, systems, products or devices are not necessarily limited to those steps or units expressly listed, but may include other steps or units not expressly listed or inherent to such processes, methods, products or devices.

需要说明的是,以下描述中使用的方位词语“前”、“后”、“左”、“右”、“上”和“下”均指的是附图1中的方向。It should be noted that the orientation words "front", "rear", "left", "right", "upper" and "lower" used in the following description all refer to the directions in FIG. 1 .

如图1所示的肩关节半脱位固定装置,包括:固定支撑台、定位手套、肘部牵拉带和固定带。As shown in Figure 1, the shoulder joint subluxation fixation device includes: a fixed support table, a positioning glove, an elbow traction belt and a fixation belt.

其中固定支撑台呈扇面状,截面呈L型,包括竖直面靠板1和水平面支撑台2。扇面形可以使支撑台竖直面靠板侧面紧贴身体。固定支撑台采用轻质材料制成的内壳体,外部依次包裹填充层和外皮层,填充层为棉花,外皮层为PU材料制成。轻质材料为塑料材料。The fixed support platform is fan-shaped and has an L-shaped cross-section, including a vertical support plate 1 and a horizontal support platform 2 . The fan shape can make the vertical surface of the support platform close to the body against the side of the board. The fixed support table is made of an inner shell made of lightweight materials, and the outside is wrapped with a filling layer and an outer skin layer in turn. The filling layer is cotton and the outer skin layer is made of PU material. The lightweight material is a plastic material.

水平面支撑台的上表面从前端到后端呈上升坡状,角度在20°,上表面设置有弧形凹槽3。上表面的填充层内可以放置有小型振动仪,可以对上肢屈曲痉挛起到辅助治疗的作用。支撑台为中空,侧面设置有拉门4,可以在支撑台放置一些质量轻的治疗物品。The upper surface of the horizontal plane support platform presents an upward slope from the front end to the rear end, the angle is 20°, and the upper surface is provided with an arc-shaped groove 3 . A small vibrator can be placed in the filling layer on the upper surface, which can play an auxiliary role in the treatment of upper limb flexion spasm. The support table is hollow, and a sliding door 4 is arranged on the side, so that some light therapeutic items can be placed on the support table.

定位手套包括外层套体5和内层套体6。内层套体包括五根手指指套部、手掌手背部和手腕部,外层套体套在内层套体外部,两层之间设置有填充物使得内层五根手指指套相互分离无法合拢,定位手套的尾部设置有连接带7,连接带固定在固定支撑台的前端。连接带为弹性带。The positioning glove includes an outer cover 5 and an inner cover 6 . The inner layer cover body includes five finger cuffs, the back of the palm and the wrist, the outer layer cover body is placed outside the inner layer cover body, and a filler is arranged between the two layers, so that the inner layer five finger cuffs cannot be separated from each other. When folded, the tail of the positioning glove is provided with a connecting belt 7, and the connecting belt is fixed on the front end of the fixed support platform. The connecting strap is an elastic strap.

肘部牵拉带包括半包围的肘部护带8和可调节牵拉带9。肘部护带前部开口部和水平面支撑台上表面的后端缝合为一体,肘部护带上部两端分别和可调节牵拉带的一端连接;The elbow stretcher includes a half-enclosed elbow strap 8 and an adjustable stretcher 9 . The front opening of the elbow support belt and the rear end of the upper surface of the horizontal plane support platform are sewn together, and the upper two ends of the elbow support belt are respectively connected with one end of the adjustable pulling belt;

固定带包括前端固定带10、两根后端固定带11和固定环12。前端固定带的一端固定在固定支撑台竖直面靠板侧面的前部,两根后端固定带的一端都固定在固定支撑台竖直面靠板侧面的后部,三根固定带的另一端都固定在固定环上,并且三根固定带上都设置有调节长度的调节扣。The fixing belt includes a front end fixing belt 10 , two rear end fixing belts 11 and a fixing ring 12 . One end of the front-end fixing belt is fixed at the front of the vertical surface of the fixed support platform against the side of the board, one end of the two rear-end fixing belts is fixed at the rear of the vertical surface of the fixed support platform against the side of the board, and the other ends of the three fixing belts They are all fixed on the fixing ring, and adjustment buckles for adjusting the length are arranged on the three fixing straps.

肩关节半脱位固定装置使用时,将固定支撑台放置在患者肩关节半脱位侧腰部竖直面靠板紧贴腰部,固定带套在患者另一侧肩部进行固定,将患者的患肢放置在水平面支撑台的弧形凹槽内,肘部放置在肘部护带内,将可调节牵拉带套在患者另一侧颈部,调整合适的长度,使患肢肩部保持上拉状态。偏瘫患者的手部会出现痉挛,在手部痉挛时,手部呈握住状或钩状。患者患肢的手部带上定位手套,将手指五指展开固定,可预防患肢屈肌状态,也可对已有痉挛的手部促进展开,对抗痉挛。When using the shoulder joint subluxation fixation device, place the fixed support table on the vertical face of the waist on the subluxated side of the patient's shoulder and close to the waist. In the arc-shaped groove of the horizontal support table, place the elbow in the elbow supporter, put the adjustable traction belt on the other side of the patient's neck, and adjust the appropriate length to keep the shoulder of the affected limb in an upward state. . People with hemiplegia experience spasms in their hands, which are gripped or hooked during hand spasms. Putting positioning gloves on the patient's hand of the affected limb, spreading and fixing the fingers and five fingers, can prevent the flexor state of the affected limb, and can also promote the expansion of the already spasmodic hand to fight against the spasm.

以上描述了本实用新型的主要特征和优点,需要说明的是:以上实施例仅用以说明本实用新型的技术方案,而不是对其限制。在不脱离本实用新型精神和范围的前提下,本领域内的技术人员对本实用新型的部分技术方案进行同等替换或修改,依然落入本实用新型的保护范围之内。The main features and advantages of the present invention have been described above. It should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, but not to limit them. Under the premise of not departing from the spirit and scope of the present invention, those skilled in the art can equally replace or modify some of the technical solutions of the present invention, which still fall within the protection scope of the present invention.

Claims (5)

1.一种肩关节半脱位固定装置,其特征在于包括:固定支撑台、定位手套、肘部牵拉带和固定带;1. a shoulder joint subluxation fixing device is characterized in that comprising: a fixed support table, a positioning glove, an elbow traction belt and a fixing belt; 其中所述固定支撑台呈扇面状,截面呈L型,包括竖直面靠板和水平面支撑台,所述水平面支撑台的上表面设置有弧形凹槽,支撑台为中空,侧面设置有拉门;The fixed support platform is fan-shaped and has an L-shaped cross-section, including a vertical support plate and a horizontal support platform. The upper surface of the horizontal support platform is provided with an arc-shaped groove, the support platform is hollow, and the side is provided with a pull Door; 所述定位手套设置在固定支撑台的前端;The positioning gloves are arranged at the front end of the fixed support table; 所述肘部牵拉带包括半包围的肘部护带和可调节牵拉带,所述肘部护带前部开口和水平面支撑台上表面的后端缝合为一体,肘部护带上部两端分别和可调节牵拉带的一端连接;The elbow strap includes a half-enclosed elbow strap and an adjustable strap, the front opening of the elbow strap and the rear end of the upper surface of the horizontal support platform are sewn into one, and the upper part of the elbow strap is two pieces. The ends are respectively connected with one end of the adjustable pulling belt; 所述固定带包括前端固定带、两根后端固定带和固定环,所述前端固定带和两根后端固定带的一端分别固定在固定支撑台竖直面靠板侧面的前部和后部,另一端固定在固定环上。The fixing belt includes a front end fixing belt, two rear end fixing belts and a fixing ring, and one ends of the front end fixing belt and the two rear end fixing belts are respectively fixed on the front and the rear of the side of the vertical surface of the fixed support platform. The other end is fixed on the fixing ring. 2.根据权利要求1所述的肩关节半脱位固定装置,其特征在于:所述水平面支撑台上表面从前端到后端呈上升坡状,角度在20°~30°。2 . The shoulder joint subluxation fixation device according to claim 1 , wherein the upper surface of the horizontal plane support platform is in an ascending slope shape from the front end to the rear end, and the angle is 20°˜30°. 3 . 3.根据权利要求1所述的肩关节半脱位固定装置,其特征在于:所述定位手套包括外层套体和内层套体,所述内层套体包括五根手指指套部、手掌手背部和手腕部,所述外层套体套在内层套体外部,两层之间设置有填充物使得内层五根手指指套相互分离无法合拢;所述定位手套的尾部设置有连接带,连接带固定在固定支撑台的前端。3. The shoulder joint subluxation fixing device according to claim 1, wherein the positioning glove comprises an outer cover body and an inner cover body, and the inner cover body comprises five finger cover parts, a palm On the back of the hand and the wrist, the outer sleeve body is sleeved outside the inner sleeve body, and a filler is arranged between the two layers so that the five finger sleeves of the inner layer cannot be separated from each other and cannot be closed; the tail of the positioning glove is provided with a connection The connecting belt is fixed on the front end of the fixed support table. 4.根据权利要求1所述的肩关节半脱位固定装置,其特征在于:所述固定支撑台采用轻质材料制成的内壳体,外部依次包裹填充层和外皮层。4 . The shoulder joint subluxation fixing device according to claim 1 , wherein the fixing support table adopts an inner shell made of light-weight materials, and the outer shell is sequentially wrapped with a filling layer and an outer skin layer. 5 . 5.根据权利要求4所述的肩关节半脱位固定装置,其特征在于:所述填充层为海绵或棉花,所述外皮层为无纺布、棉布或PU材料制成。5 . The shoulder joint subluxation fixing device according to claim 4 , wherein the filling layer is sponge or cotton, and the outer skin layer is made of non-woven fabric, cotton cloth or PU material. 6 .
CN201922078379.9U 2019-11-27 2019-11-27 Shoulder joint subluxation fixing device Expired - Fee Related CN211187705U (en)

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