CN212700102U

CN212700102U - Lung rehabilitation training instrument

Info

Publication number: CN212700102U
Application number: CN202020681027.2U
Authority: CN
Inventors: 王俊华; 王兆坤
Original assignee: Guangzhou Xiaokang Medical Technology Co ltd
Current assignee: Guangzhou Xiaokang Medical Technology Co ltd
Priority date: 2020-04-28
Filing date: 2020-04-28
Publication date: 2021-03-16
Anticipated expiration: 2030-04-28

Abstract

The utility model discloses a lung rehabilitation training appearance, the computer mainframe, respiratory rate sensor, and upper limbs telecontrol equipment and/or belly telecontrol equipment, respiratory rate sensor electric connection host computer, a respiratory rate for real-time sensing training person, pneumatic telecontrol equipment and/or electronic telecontrol equipment are selected to upper limbs telecontrol equipment and/or belly telecontrol equipment, respiratory rate according to respiratory rate sensor real-time sensing training person, upper limbs telecontrol equipment and/or belly telecontrol equipment cooperation respiratory rate, the swing of two upper limbs of upper limbs telecontrol equipment synchronous drive, belly teleblement is drawn to belly telecontrol equipment synchronous drive belly, make two upper limbs and belly along with respiratory motion rate and activity. A lung rehabilitation training appearance, can help training person's pulmonary function recovered, resume the respiratory motion of effectual law.

Description

Lung rehabilitation training instrument

Technical Field

The utility model belongs to the technical field of medical treatment rehabilitation instrument technique and specifically relates to a lung rehabilitation training appearance is related to.

Background

There are many chronic respiratory system disease trainers such as chronic obstructive pulmonary disease, bronchial asthma, interstitial lung disease, etc. clinically, there are trainers with impaired respiratory muscle function caused by neuromuscular diseases such as spinal cord injury, myasthenia gravis, muscular dystrophy, etc., and also there are trainers with lung function abnormality after cardiothoracic and abdominal disease operation, these trainers mainly show respiratory mode abnormality, such as shallow respiratory mode and chest and abdomen paradoxical contraction in respiratory cycle, and respiratory muscle contraction function decline, such as respiratory muscle group muscular atrophy, respiratory muscle strength and endurance decline, which causes the trainers to decline daily activity ability and quality of life, and causes great trouble to family and society.

The respiratory rehabilitation training is approved by the diagnosis and treatment guidelines of related diseases at home and abroad. Respiratory motion of a person, including internal and external motion of the lungs. The internal movement of the lung is mainly contraction and expansion movement of an airway and an alveolus, if the internal movement of the lung is disordered, the internal movement is mainly realized by the aid of a ventilator, the ventilator carries out ventilation by conveying gas into the body, and common ventilators have three types of constant pressure, constant volume or timing. The external movement of the lung is mainly assisted by abdominal movement and thoracic movement, particularly diaphragmatic muscle, abdominal muscle and intercostal muscle, and if the external movement of the lung is disordered, the trainer is assisted to finish the external movement of the lung mainly through abduction of two upper limbs, thoracic expansion, abdominal pressurization movement, stimulation of phrenic nerve and the like. When inhaling, the two upper limbs need to be extended, the thorax needs to be expanded, the abdomen needs to be pressurized for movement, and the diaphragm needs to be contracted.

Heavily trained people, such as deeply unconscious patients, have problems with either breathing patterns, or breathing movements, or both. The lung function can be improved through the breathing mode training and the breathing exercise training, so that the rehabilitation of the lung diseases is promoted, and the incidence rate and the death rate of the lung diseases are reduced. The respiratory mode training is provided for shallow respiration promotion mode and contradictory thoracoabdominal movement in a respiratory cycle, and a respiratory therapist guides a trainer to adjust the respiratory frequency and the respiratory depth and activate the respiratory muscle group of the thoracoabdominal part sequentially by hands or by means of an instrument, so that the trainer rebuilds a physiological and orderly deep slow respiration mode, thereby reducing the respiration-related oxygen consumption and the lung over-inflation, correcting the contradictory respiration activity of the thoracoabdominal part and relieving the shortness symptom of the trainer; the respiratory exercise training is the combination of the internal movement and the external movement of the lung, and is used for the contraction and expansion exercise training of the air passage and the alveolus of a trainer, the thoracic exercise and the abdominal exercise training, so that the contraction and expansion exercise of the air passage and the alveolus has certain depth and elasticity, and the strength and the endurance of the thoracic exercise and the abdominal exercise muscle group are increased.

The existing lung rehabilitation training is mainly the rehabilitation training of the internal movement of the lung, such as a ventilator, and the best lung rehabilitation training effect cannot be achieved because the external movement training of the lung cannot be combined at the same time. Still some trainers have spontaneous breathing, do not need ventilator equipment to help carry out the inside motion of lung, only need the outside motion of lung help can. However, there are few or no ideal rehabilitation training devices on the market to assist external movement of the lungs.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a can help training person respiratory muscle motion's lung rehabilitation training appearance, but the independent use or combine ventilator, diaphragm pacemaker to use together, and this lung rehabilitation training appearance's application method, this lung rehabilitation training appearance is convenient for operate, can help training person to reach the breathing mode of effectual law effectively to improve respiratory motion muscle crowd's strength and endurance.

In order to achieve the above object, the utility model provides a following technical scheme:

a lung rehabilitation training instrument comprises a host machine, a respiratory rate sensor, an upper limb movement device and/or an abdomen movement device, wherein the respiratory rate sensor is electrically connected with the host machine, for sensing the breathing frequency of the trainer in real time, the upper limb movement device and/or the abdomen movement device selects the pneumatic movement device and/or the electric movement device, the respiratory frequency of the trainer is sensed in real time according to the respiratory frequency sensor, the upper limb movement device and/or the abdomen movement device are matched with the respiratory frequency, the upper limb movement device synchronously drives the two upper limbs to swing, the abdomen movement device synchronously drives the abdomen to stretch, so that the two upper limbs and the abdomen move along with the respiratory movement frequency, if the trainee has spontaneous breathing, the breathing motion frequency sensor detects the breathing frequency thereof, and if the trainee does not have spontaneous breathing, the upper limb movement device and/or the abdomen movement device are/is started according to the normal breathing frequency of the person at the same frequency.

As a further technical solution of the utility model: the upper limb movement device comprises a chest support and an upper limb pneumatic assembly, and the chest support is surrounded by a wearing cavity for wearing on the chest.

As a further technical solution of the utility model: the outside of chest support is located to upper limbs pneumatic component, and upper limbs pneumatic component includes first gasbag and upper limbs bandage, and first gasbag links to each other with air compressor through first business turn over trachea, and the one end and the chest leg joint other end of first gasbag are connected upper limbs bandage, upper limbs bandage are used for dressing to the elbow on, are connected with the elastic webbing between upper limbs bandage and the chest support to draw back adjacent chest support with upper limbs bandage when supplying first gasbag to shrink.

As a further technical solution of the utility model: the upper limb movement device selection electric movement device comprises a chest support and an upper limb electric assembly arranged on the chest support and used for driving the two upper limbs to swing.

As a further technical solution of the utility model: the chest support comprises a body width section with adjustable width, and the width of the body width section is adjusted to correspondingly adjust the width of the wearing cavity so as to adapt to different trainers.

As a further technical solution of the utility model: the body width section comprises two butt joint plate sections and an adjusting assembly used for connecting the two butt joint plate sections, the adjusting assembly comprises a plug pin piece, a pin bush and a lock pin, the plug pin piece and the pin bush are oppositely arranged on the two butt joint plate sections, one end of the plug pin piece is sleeved in the pin bush, and the lock pin locks the plug pin piece and the pin bush.

As a further technical solution of the utility model: the chest support includes the curb plate section, connects in the both sides of body width section, and each curb plate section includes linkage segment and flat section, the linkage segment is connected perpendicularly in butt joint board section, and the linkage segment is connected with corresponding first gasbag one end, and the flat section supports the chest support in order to supply the tiling.

As a further technical solution of the utility model: the abdomen exercise device comprises an abdomen bandage and a second air bag arranged on the inner side of the abdomen bandage, the abdomen bandage is used for being worn on the abdomen, and the second air bag is connected with the air compressor through a second air inlet and outlet pipe.

As a further technical solution of the utility model: the lung rehabilitation training instrument comprises a lung internal movement generating device, the lung internal movement generating device comprises a ventilator, the ventilator is arranged in the main machine and is connected with a face mask of a trainer or a trachea cannula through a third air inlet and outlet pipe to form the ventilator.

As a further technical solution of the utility model: the lung rehabilitation training instrument comprises a diaphragm pacemaker, an electrical stimulation device is arranged in the main machine and is electrically connected with an electrode plate placed at a proper position of the thorax of a trainee to form the external diaphragm pacemaker.

As a further technical solution of the utility model: the first air bag and the second air bag are formed by combining one or more sub-air bags, and the sub-air bags are made of elastic materials.

As a further technical solution of the utility model: and the second air inlet and outlet pipe is provided with an air bag pressure sensor for detecting the air bag pressure of the abdomen.

As a further technical solution of the utility model: the main machine is provided with a touch control screen which is respectively and electrically connected with the respiratory frequency sensor and the air bag pressure sensor so as to receive and display data detected by the respiratory frequency sensor and the air bag pressure sensor.

Compared with the prior art, the beneficial effects of the utility model are that: the utility model provides a lung rehabilitation training appearance is convenient for operate, can help the training person to reach the breathing mode of effectual law effectively, improves the strength and the endurance of breathing motion muscle crowd to use community and family with its easy operability facilitate promotion, improve training person's participation and compliance.

Drawings

Fig. 1 is a schematic diagram of a lung rehabilitation training instrument.

Fig. 2 is a schematic view of a chest support.

Figure 3 is a schematic view of the upper limb pneumatic assembly.

Fig. 4 is a schematic view of an abdominal exercise device.

FIG. 5 is a diagram of a host.

Fig. 6 is a schematic view of the wearing of the respiratory rate sensor and the upper limb movement apparatus.

Detailed Description

The following detailed description of the embodiments of the present invention will be made with reference to the accompanying drawings. It should be understood that the description herein is only for purposes of illustration and explanation, and is not intended to limit the scope of the present disclosure.

Referring to fig. 1 and 5, a lung rehabilitation training instrument includes a main machine 10, a respiratory rate sensor 20, an upper limb movement device 30 and an abdomen movement device 40, wherein the main machine 10 is connected to the respiratory rate sensor 20, the upper limb movement device 30 and the abdomen movement device 40, and an air compressor is arranged in the main machine 10; the respiratory rate sensor 20 is electrically connected with the host 10, the respiratory rate sensor 20 senses the respiratory motion rate of the trainer and transmits a signal to the host 10, the upper limb motion device 30 and/or the abdomen motion device 40 is connected with the air compressor, the respiratory rate of the trainer is sensed in real time according to the respiratory rate sensor 20, the upper limb motion device 30 and/or the abdomen motion device 40 are matched with the respiratory rate, the upper limb motion device 30 synchronously drives the upper limbs to swing, the abdomen motion device 40 synchronously stretches and contracts the abdomen, so that the upper limbs and the abdomen move along with the respiratory motion rate, and if the trainer breathes autonomously, the respiratory motion rate sensor detects the respiratory rate; if the trainer is not breathing spontaneously, the upper limb movement device 30 and/or the abdomen movement device 40 are activated at the same frequency as the normal human breathing frequency.

Upper limbs telecontrol equipment 30 includes chest support 31 and two sets of upper limbs pneumatic component 32, chest support 31 inboard forms wears chamber 311, wears chest support 31 to the thorax through wearing chamber 311 on, and two sets of upper limbs pneumatic component 32 locate chest support 31's both sides relatively, combines to refer to and draws figures 2, 3, and each upper limbs pneumatic component 32 includes first gasbag 321 and upper limbs bandage 322, and first gasbag 321 links to each other with air compressor through first business turn over trachea 51, and the one end and the chest support 31 of first gasbag 321 are connected, and the other end is equipped with upper limbs bandage 322 is equipped with between upper limbs bandage 322 and the chest support 31 and is used for connecting elastic webbing 301 between them, and upper limbs bandage 322 is used for wearing to the elbow. Referring to fig. 4, the abdomen exercise device 40 includes an abdomen bandage 41 and a second air bag 42 disposed inside the abdomen bandage 41, the abdomen bandage 41 is worn on the abdomen to make the second air bag 42 fit the abdomen, the second air bag 42 is connected to an air compressor through a second air inlet/outlet tube 52 for matching the respiratory exercise frequency sensed by the respiratory frequency sensor 20, the air compressor drives the first air bag 321 and the second air bag 42 to expand and contract to make the upper limbs and the abdomen move along with the respiratory exercise frequency, thereby helping the rehabilitation of the lung function of the trainer and recovering the effective regular respiration.

Referring to fig. 2 again, the chest support 31 is provided with a body width section 60 between two sides, the width of the wearing cavity 311 is adjusted by the body width section 60 to adapt to the physique of different trainers, the body width section 60 includes two pairs of connecting plate sections 61 and an adjusting assembly 62 for connecting the two pairs of connecting plate sections 61, the adjusting assembly 62 includes a pin member 621, a pin sleeve 622 and a fixing member 623, the pin member 621 and the pin sleeve 622 are oppositely arranged on the two pairs of connecting plate sections 61, one end of the pin member 621 is inserted into the pin sleeve 622, and the fixing member 623 is mounted on the pin sleeve 622 to fix the connection after the pin member 621 is inserted into the pin sleeve 622.

The body width section 60 adjusts the width of the wearing cavity 311 in the following manner: after the fixing element 623 is loosened, the length of one end of the bolt element 621 inserted into the pin sleeve 622 is adjusted, and then the fixing element 623 is locked again, so that the distance between the two abutting plate sections 61 can be adjusted, and the width of the wearing cavity 311 can be adjusted.

The both sides of chest support 31 are equipped with curb plate section 63 relatively, curb plate section 63 is the L type, including linkage segment 631 and flat section 632, linkage segment 631 is roughly perpendicular to be connected in butt joint board section 61, the linkage segment 631 outside is connected with the first gasbag 321 one end that corresponds to on supplying to dress chamber 311 and dress to the thorax, and the relative centre gripping of two linkage segments 631 plays centre gripping fixed action in the both sides of training person's thorax, flat section 632 is used for the bearing upper limbs, and the upper limbs of being convenient for swings along with the drive of first gasbag 321 on flat section 632.

Further, the first airbag 321 and the second airbag 42 are formed by combining one or more sub-airbags, and the sub-airbags are made of elastic materials.

Furthermore, the shape of the first air cell 321 is related to the movement tracks of the two upper limbs, the shape of the second air cell 42 is related to the shape of the abdomen, and both the first air cell 321 and the second air cell 42 can be arc-shaped, so that when the air compressor drives the first air cell 321 and the second air cell 42 to expand and contract, the upper limbs and the abdomen move along with the expansion and contraction of the first air cell 321 and the second air cell 42.

Further, the first air inlet/outlet pipe 51 and the second air inlet/outlet pipe 52 may be respectively provided with a balloon pressure sensor 501 for detecting the abdominal balloon pressure.

Furthermore, the host 10 is provided with a touch control panel 11, and the touch control panel 11 is electrically connected to the respiratory rate sensor 20 and the air bag pressure sensor 501 respectively, so as to receive and display data detected by the respiratory rate sensor 20 and the air bag pressure sensor 501.

The lung rehabilitation training instrument further comprises an external diaphragm pacemaker 70 and a ventilator, wherein an electrical stimulation device is arranged in the main machine 10 and is electrically connected with an electrode plate placed at a proper position of the thorax of a trainer to form the external diaphragm pacemaker 70, and a ventilation device is arranged in the main machine 10 and is connected with a mask or a trachea cannula of the trainer through a third air inlet and outlet pipe 53 to form the ventilator 80.

It can be understood that the lung rehabilitation training instrument may not be installed with the external diaphragm pacemaker 70 and the ventilator, but a simplified version of the lung rehabilitation training instrument is composed of the host 10, the respiratory rate sensor 20, the upper limb movement device 30 and/or the abdominal movement device 40, or the external diaphragm pacemaker 70 and the ventilator may be additionally installed, and the simplified version of the lung rehabilitation training instrument is combined with the host 10, the respiratory rate sensor 20, the upper limb movement device 30 and the abdominal movement device 40.

Referring to fig. 1 and 6, the use method of the lung rehabilitation training device includes the following steps:

according to the degree of the lung dysfunction of the trainer, a corresponding lung rehabilitation training scheme is adopted, the lung rehabilitation movement comprises the internal lung movement such as contraction and expansion movement of alveoli and air passages and the external lung movement such as movement of respiratory muscles, namely abdominal movement and thoracic movement; the specifically adopted lung rehabilitation training scheme standard is as follows:

severe lung dysfunction: if the trainer does not breathe autonomously, the trainer gives upper limb movement and abdominal movement, and ventilation movement and diaphragm pacing movement are combined;

those with moderate lung dysfunction: when the trainer breathes in a superficial autonomous manner, the trainer gives upper limb movement, and/or abdominal movement, and/or diaphragm pacing movement;

mild pulmonary dysfunction: giving upper limb movements, and/or abdominal movements.

When the rehabilitation training is carried out on the patient with serious pulmonary dysfunction,

step 1, preparing the movement of the two upper limbs: the trainer lies on the bed, the width of the wearing cavity 311 of the chest support 31 is adjusted to adapt to trainees with different body types, the chest support 31 is worn on the chest through the wearing cavity 311, the body width section 60 is positioned above the chest, the connecting sections 631 of the two side plate sections 63 relatively clamp two sides of the chest, the two upper limb straps 322 are relatively worn on two upper limbs, and the two upper limbs are relatively placed on the flat plate sections 632 of the two side plate sections 63; the first air inlet and outlet pipe 51 is oppositely connected with the first air bag 321 and the air compressor;

step 2, abdomen exercise preparation: the abdomen bandage 41 is worn on the abdomen, and the second bladder 42 is attached to the abdomen; a second air inlet and outlet pipe 52 is oppositely connected with the second air bag 42 and the air compressor, and the respiratory frequency sensor 20 is attached to the proper position of the chest of the trainer;

step 3, preparing a diaphragm pacemaker: two pairs of electrode plates of the external diaphragm pacemaker 70 are attached to proper positions of the chest of the trainer and connected with an electrical stimulation device;

step 4, ventilator preparation: the face mask or the trachea cannula used by the trainer is connected with the ventilator through a third air inlet and outlet pipe 53;

and 5: the upper limb movement driving frequency, the abdominal movement assisting frequency, the ventilator frequency and the diaphragm pacing frequency are matched with the respiratory frequency of the trainer obtained by the respiratory frequency sensor 20 and work is started, specifically, when breathing in, the two upper limbs stretch out, the abdominal pressurization movement, the diaphragm pacing contraction and the ventilator blows into the lung.

It is understood that when the simplified version of the lung rehabilitation training device is used according to the severity of the illness, step 3/4 is not needed, and only in step 5 is the upper limb movement device 30 and/or the abdomen movement device 40 match the respiratory rate of the trainer obtained by the respiratory rate sensor 20 and start working.

If the patient does not breathe spontaneously or breathes weakly and the breathing frequency sensor 40 cannot detect the breathing frequency, the operation is started according to the breathing frequency matching of a normal person.

It is understood that the upper limb exercising device 30 or the abdomen exercising device 40 may be an electric driving device, and the electric upper limb exercising device 30 is provided at both sides of the chest support 31 to swing the upper limb by electric driving. The motorized abdominal exercise device 40 assists abdominal exercise by being driven by a motorized member.

To sum up, the utility model relates to a lung rehabilitation training appearance is convenient for operate, can help the training person to reach the breathing mode of effectual law effectively, improves the strength and the endurance of respiratory motion muscle crowd to use community and family with its easy operability facilitate promotion, improve training person's participation and compliance.

As long as the idea created by the present invention is not violated, various different embodiments of the present invention can be arbitrarily combined, and all the embodiments should be regarded as the content disclosed by the present invention; the utility model discloses an in the technical conception scope, carry out multiple simple variant and different embodiments to technical scheme and go on not violating the utility model discloses the arbitrary combination of the thought of creation all should be within the protection scope.

Claims

1. The utility model provides a lung rehabilitation training appearance which characterized in that: comprises a host (10), a respiratory rate sensor (20), an upper limb movement device (30) and/or an abdomen movement device (40), wherein the respiratory rate sensor (20) is electrically connected with the host (10) and is used for sensing the respiratory rate of a trainer in real time, the upper limb movement device (30) and/or the abdomen movement device (40) select a pneumatic movement device and/or an electric movement device, the respiratory rate of the trainer is sensed in real time according to the respiratory rate sensor (20), the upper limb movement device (30) and/or the abdomen movement device (40) are matched with the respiratory rate, the upper limb movement device (30) synchronously drives two upper limbs to swing, the abdomen movement device (40) synchronously drives the abdomen to stretch, so that the two upper limbs and the abdomen move along with the respiratory rate, if the trainer breathes autonomously, the respiratory rate sensor detects the respiratory rate, if the trainer does not breathe spontaneously, the upper limb movement device (30) and/or the abdomen movement device (40) are started according to the normal breathing frequency of the person and the same frequency.

2. The lung rehabilitation training instrument according to claim 1, wherein: an air compressor is arranged in the host (10), the upper limb movement device (30) and/or the abdomen movement device (40) are connected with the air compressor, the upper limb movement device (30) comprises a chest support (31) and an upper limb pneumatic assembly (32), the chest support (31) is surrounded to form a wearing cavity (311) for being worn on the chest, the upper limb pneumatic assembly (32) is arranged on the outer side of the chest support (31), the upper limb pneumatic assembly (32) comprises a first air bag (321) and an upper limb bandage (322), the first air bag (321) is connected with the air compressor through a first air inlet and outlet pipe (51), one end of the first air bag (321) is connected with the chest support (31) and the other end is connected with the upper limb bandage (322), the bandage (322) is used for being worn on the elbow, and an elastic belt (301) is connected between the upper limb bandage (322) and the chest support (31), for pulling back the upper limb strap (322) adjacent the chest support (31) when the first air bag (321) contracts.

3. The lung rehabilitation training instrument according to claim 1, wherein: the upper limb movement device (30) is an electric movement device, and comprises a chest support (31) and an upper limb electric assembly arranged on the chest support (31) and used for driving the two upper limbs to swing.

4. The lung rehabilitation training instrument according to claim 2 or 3, wherein: the chest support (31) comprises a body width section (60) with adjustable width, and the width of the body width section (60) is adjusted to correspondingly adjust the width of the wearing cavity (311) so as to adapt to different trainers.

5. The lung rehabilitation training instrument according to claim 4, wherein: the breast width section (60) comprises two butt joint plate sections (61) and an adjusting assembly (62) used for connecting the two butt joint plate sections (61), the adjusting assembly (62) comprises a bolt piece (621), a bolt sleeve (622) and a lock pin (623), the bolt piece (621) and the pin sleeve (622) are oppositely arranged on the two butt joint plate sections (61), one end of the bolt piece (621) is sleeved into the pin sleeve (622), the lock pin (623) locks the bolt piece (621) and the pin sleeve (622), the breast support (31) comprises side plate sections (63) which are connected to two sides of the breast width section (60), each side plate section (63) comprises a connecting section (631) and a flat plate section (632), the connecting section (631) is vertically connected to the butt joint plate section (61), the connecting section (631) is connected with one end of a corresponding first air bag (321), and the flat plate sections (632) are used for flatly laying and supporting the breast support (31).

6. The lung rehabilitation training instrument according to claim 1, wherein: the abdomen exercise device (40) comprises an abdomen bandage (41) and a second air bag (42) arranged on the inner side of the abdomen bandage (41), the abdomen bandage (41) is used for being worn on the abdomen, and the second air bag (42) is connected with an air compressor through a second air inlet and outlet pipe (52).

7. The lung rehabilitation training instrument according to claim 1, wherein: the device comprises a lung internal movement generating device, wherein the lung internal movement generating device comprises a ventilator (80), a ventilation device is arranged in a host (10), and the ventilator (80) is formed by connecting a third air inlet and outlet pipe (53) with a mask of a trainer or a trachea cannula.

8. The lung rehabilitation training instrument according to claim 1, wherein: comprises a diaphragm pacemaker (70), an electrical stimulation device is arranged in a host (10) and is electrically connected with an electrode plate placed at a proper position of the thorax of a trainer to form the external diaphragm pacemaker (70).