CN219109910U - Oversleeve structure for maintaining good limb position of upper limb after stroke - Google Patents
Oversleeve structure for maintaining good limb position of upper limb after stroke Download PDFInfo
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- CN219109910U CN219109910U CN202222211377.4U CN202222211377U CN219109910U CN 219109910 U CN219109910 U CN 219109910U CN 202222211377 U CN202222211377 U CN 202222211377U CN 219109910 U CN219109910 U CN 219109910U
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- oversleeve
- sponge block
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- joint
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
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Abstract
The utility model discloses a sleeve structure for maintaining good limb positions of upper limbs after stroke, which is characterized by comprising a sleeve, wherein one end of the sleeve is connected with a glove, the other end of the sleeve is connected with a binding belt, and at least two binding structures are arranged on the sleeve at positions between the wrist and the root of an upper arm of a wearer; the inner part of the oversleeve is respectively provided with a first sponge block positioned at the rear part of the shoulder joint, a second sponge block positioned around the olecranon of the elbow joint, a fourth sponge block positioned at the inner side of the wrist joint and a third sponge block positioned at the back side of the wrist joint. The utility model can maintain the good limb position of the upper limb of the patient with the post-stroke flaccid paralysis in supine and lateral positions, and prevent joint contracture and deformity.
Description
Technical Field
The utility model relates to a sleeve structure for maintaining good limb positions of upper limbs after stroke, and belongs to the technical field of medical care products.
Background
The patient suffering from acute phase apoplexy has flaccidity, long-time bedridden, inactive limbs and poor sensation, and can cause joint stiffness and contracture after entering subacute phase and chronic phase and finally joint deformity, thereby seriously affecting rehabilitation and daily life of the patient after illness.
The prior method for maintaining the good limb position of the upper limb mainly uses a plurality of soft pillows and/or triangular pillows to fix the affected limb and maintain the joint at a certain angle, but the method has the following defects: 1) The limbs are pressed on the pillow to deform the pillow, so that the angles are different each time; 2) The position of the pillow after stacking may change if left unattended.
In the past, the inventor also designs a multi-joint device (such as a body position pad) or single-joint fixing equipment for maintaining good limb positions, but the former (such as an upper limb rehabilitation nursing device (CN 215132156U) of a cerebral apoplexy patient) has complicated operation for fixing limbs, such as fixing the limbs by a plurality of binding bands after aligning the limbs and the device, and the depth sensation of the affected limbs can be reduced due to the fact that if the limbs are bound for a long time, the local pressure is too high, crush injury can occur, the illness state is deteriorated, meanwhile, the patient cannot be well matched with joints, and protective support and fixation are difficult to be given; the latter (as shown in fig. 2 in patent "a device for rehabilitation training of hands after stroke and maintaining good limb position" (CN 213965028U)) can only maintain the finger joint position, cannot correct the abnormal posture of the shoulder and elbow joint at the same time, and cannot prevent joint contracture in all directions.
Disclosure of Invention
The utility model aims to solve the technical problems that: how to ensure that the patient with acute phase apoplexy keeps the good limb position of the upper limb, and avoid the problems of joint stiffness, contracture and even joint deformity caused by maintaining abnormal postures.
In order to solve the technical problems, the technical scheme of the utility model provides a sleeve structure for maintaining good limb positions of upper limbs after stroke, which is characterized by comprising a sleeve, wherein one end of the sleeve is connected with a glove, the other end of the sleeve is connected with a binding belt, and at least two binding structures are arranged at positions, between the wrist and the root part of an upper arm of a wearer, on the sleeve; the inner part of the oversleeve is respectively provided with a first sponge block positioned at the rear part of the shoulder joint, a second sponge block positioned around the olecranon of the elbow joint, a fourth sponge block positioned at the inner side of the wrist joint and a third sponge block positioned at the back side of the wrist joint.
Preferably, the sleeve is respectively provided with a first opening and a second opening, the first opening is arranged on one side of the shoulder joint of the wearer, which is close to the body, and the second opening is arranged on the inner side between the wrist and the root part of the upper arm of the wearer; the binding bands are respectively arranged on the first openings.
Preferably, the binding structure is a strip-shaped magic tape; at least one strip-shaped magic tape is positioned on the sleeve at the forearm of the wearer and is wound on the sleeve at the forearm; at least one strip-shaped magic tape is positioned on the oversleeve at the upper arm position of the wearer and is wound on the outer side of the upper arm position on the oversleeve.
Preferably, the first sponge block, the second sponge block, the fourth sponge block and the third sponge block are all platform structures made of memory sponge materials.
Preferably, the first sponge block has a truncated cone structure, the circular diameter of the top surface of the first sponge block is smaller than that of the bottom surface, and the first sponge block gradually descends from the top surface to the bottom surface to the periphery; the second sponge block is of an oval table-shaped structure, and the major axis and the minor axis of the oval of the top surface are respectively smaller than the major axis and the minor axis of the oval of the bottom surface, and gradually decrease from the top surface to the bottom surface to the periphery; the third sponge block and the fourth sponge block are of round table structures, and the circular diameter of the top surface is smaller than that of the bottom surface.
Preferably, the number of the binding bands is two, one ends of the two binding bands are respectively connected to two opposite sides of the end part of the sleeve, metal buckles used for adjusting the tightness of the binding bands are arranged on the binding bands, and the other ends of the two binding bands are connected through the metal buckles.
Preferably, the sleeve is of a hollow three-dimensional structure; the wrist-near portion of the sleeve is narrower than the shoulder-near portion.
Preferably, the end part of the glove is provided with two cuffs which can be respectively sleeved with the thumb and the other four fingers; the ends of the glove are exposed.
Preferably, the glove is of plastic construction; and plastic structure plates are arranged on the adjacent sides of the two sleeve openings of the glove.
Preferably, the included angle between the adjacent sides of the two cuffs on the glove is 45 degrees.
The utility model can maintain the good limb position of the upper limb of the patient with the post-stroke flaccid paralysis in supine and lateral positions, and prevent joint contracture and deformity. By adopting the structure, the oversleeves in good limb positions can be maintained in supine and lateral positions of the post-stroke flaccid paralysis patient, and contracture deformity of joints such as shoulder, elbow and finger caused by hypermuscular tension caused by abnormal postures can be avoided.
Compared with the prior art, the utility model has the following advantages:
1. the binding band can be fixed according to the body position and the joint position of the patient, and the joint can be accurately attached to the sponge block so as to maintain the good limb position.
2. The sponge block is soft and can be shaped, so that local damage caused by long-term pressing of the protruding part is avoided.
3. The structure of the utility model is simple and easy to operate, can be fast bound, is fixed for a long time, is easy to store and does not occupy space.
Drawings
FIG. 1 is a schematic illustration of a cuff structure for maintaining good limb position of an upper limb after a stroke;
figure 2 is a schematic illustration of the junction of the cuff and glove.
Detailed Description
In order to make the utility model more comprehensible, preferred embodiments accompanied with figures are described in detail below.
The utility model provides a sleeve structure for maintaining good limb positions of upper limbs after stroke, which comprises a sleeve 1 as shown in fig. 1 and 2, wherein the sleeve 1 is made of soft skin-friendly transparent materials, so that the limb positions can be conveniently observed. The sleeve 1 has a hollow three-dimensional structure with a narrow bottom and a wide top (i.e., a narrow portion near the wrist and a wide portion near the shoulder). One end of the oversleeve 1 is connected with a glove 10, the oversleeve 1 and the glove 10 are of an integrated structure, the other end of the oversleeve 1 is connected with a binding belt 2, and the oversleeve 1 is bound on the trunk of a patient through the binding belt 2. The number of the binding bands 2 is two, one ends of the two binding bands 2 are respectively connected to two opposite sides of the end part of the oversleeve 1, the other ends of the two binding bands 2 are connected together through the metal buckle 3, and the positions of the metal buckle 3 on the two binding bands 2 can be adjusted, so that the tightness of the oversleeve 1 bound on the trunk of a patient is adjusted. The sleeve 1 is provided with a first opening 11 and a second opening 12, the first opening 11 is arranged on one side of the shoulder joint of the wearer close to the body, and the second opening 12 is arranged on the inner side (namely, one side close to the trunk of the wearer) between the wrist and the root of the upper arm of the wearer. Two straps 2 are provided on the first opening 11, respectively. At least two strip-shaped magic tapes are arranged on the oversleeve 1 at the positions between the wrist and the root of the upper arm of the wearer, and at least one strip-shaped magic tape is arranged at the positions of the forearm of the wearer and is wound around the positions of the forearm on the oversleeve 1 (fixing the forearm at the supination/pronation position); at least one strip-shaped magic tape is positioned on the upper arm of the wearer and is wound on the outer side of the upper arm position on the sleeve 1, so that the space in the sleeve 1 can be adjusted by the strip-shaped magic tape according to the thickness of the upper arm and the forearm of a patient.
For acute phase apoplexy patients, the whole upper limb cannot be wrapped by the sponge, and the whole upper limb cannot be wrapped by a large piece of sponge. If the whole upper limb is covered by the sponge, the upper limb is airtight; if the sponge is wrapped by a large block of sponge, extra pressure is given to the parts of the hemiplegia side except the joints, and the more the pressure acts on the paralysis side, the abnormal reflection is more easily induced, so that the spasm is caused, so that too much pressure is not given to the limbs in the early stage of the apoplexy, and only the joints are fixed to avoid. Therefore, in the utility model, 4 pieces of memory sponges with different shapes are shared in the sleeve 1, and the memory sponges are of a platform structure, namely a first sponge block 6 positioned at the rear part of the shoulder joint, a second sponge block 7 positioned around the olecranon of the elbow joint, a fourth sponge block 9 positioned at the inner side of the wrist joint and a third sponge block 8 positioned at the back side of the wrist joint. The first sponge block 6 is used for elevating the shoulder joint, the second sponge block 7 is used for stretching the elbow joint, the third sponge block 8 and the fourth sponge block 9 are respectively positioned at the two sides of the wrist joint in a bending and stretching way, and the wrist joint is maintained in a neutral position.
The elbow joint of the wearer and the second sponge block 7 can be aligned through the strip-shaped magic tape, namely, after the elbow joint of the wearer and the second sponge block 7 are aligned, the sleeve 1 is bound on the upper arm and the forearm of the wearer through the strip-shaped magic tape.
The glove 10 is of a plastic structure, and two cuffs are arranged at the end parts of the glove 10 and can be respectively sleeved into the thumb and the other four fingers. The exposed fingers at the tail end of the glove 10 (i.e. the two cuffs of the glove 10 are respectively arranged at the tiger mouth position or the position close to the tiger mouth position of the wearer) can reduce perspiration. In order to avoid the contracture of the tiger mouth by abduction of the thumb, the included angles of abduction and palmar abduction between the thumb and the index finger are separated by plastic materials, and are 45 degrees, as shown in figure 2.
In the embodiment, the tightness principle of the binding belt 2 through the metal buckle 3 is the same as that of the prior waistband, schoolbag belt and the like. The binding band 2 is a nylon binding band. The number of the strip-shaped magic tapes is two, namely a first strip-shaped magic tape 4 and a second strip-shaped magic tape 5, wherein the first strip-shaped magic tape 4 is positioned on the forearm of a wearer and is wound on the forearm position on the sleeve 1; the second strip-shaped magic tape 5 is positioned on the upper arm of the wearer and is wound on the outer side of the upper arm position on the sleeve 1. The second strip-shaped magic tape 5 is arranged along the outer side suture of the upper arm sleeve, and has the length of 15cm and the width of 10cm; the first strip-shaped magic tape 4 is arranged along the forearm sleeve suture, and has the length of 10cm and the width of 5cm.
The first sponge block 6 is of a truncated cone structure, the circular diameter of the top surface is 5cm, the circular diameter of the bottom surface is 10cm, the height is 5cm, and the first sponge block gradually descends from the top surface to the bottom surface to the periphery; the second sponge block 7 is of an elliptical table type structure, the top surface of the second sponge block is provided with an elliptical diameter which is 10cm longest (namely a long axis) and 5cm shortest (namely a short axis), the bottom surface of the second sponge block is provided with an elliptical diameter which is 15cm longest (namely a long axis) and 10cm shortest (namely a short axis), and the height of the second sponge block is 5cm, and the second sponge block slowly decreases from the top surface to the bottom surface from the top surface to the periphery; the third sponge block 8 and the fourth sponge block 9 are of round table structures, the round diameters of the top surfaces are 5cm, the round diameters of the bottom surfaces are 7cm, and the height is 3cm.
The manufacturing principle of the utility model is as follows:
the shoulder joint near end on the oversleeve 1 is limb inserting port (namely first opening 11), the edge is trapezoid, the middle side of trapezoid is connected with the binding bands 2, the two binding bands 2 are connected with the metal buckle 3, and the length of the binding bands 2 can be adjusted. The oblique sides of the front trapezoid and the rear trapezoid are fused into an upper cavity and a lower cavity, the shoulder inlets (namely the first openings 11) are jointed to form an included angle which extends downwards, and the hollow oversleeves with wide upper parts and narrow lower parts for accommodating arms are formed.
At the rear of the shoulder cavity (i.e. in the sleeve 1 at a position at the rear of the shoulder joint) is a first sponge block 6 for shoulder-lifting. A second sponge 7 is provided at half of the horizontal line between the wrist and the armpit. A third sponge block 8 and a fourth sponge block 9 are respectively arranged at the flexion side and the extension side of the wrist end (the narrowest part downwards) of the oversleeve 1.
The sleeve 1 is connected with the glove 10 at the distal end of the round platform type sponge structure of the wrist. The glove 10 is made of a porous thermoplastic material, the lengths of the palm surface materials of the four fingers and the thumb are 15cm and 7cm respectively, and the lengths of the back surface materials of the hand are 16cm and 8cm respectively. The end is a longitudinal cutting edge. The angle between the lumens formed by the thumb and the remaining four fingers is 45 ° (the angle of the thumb abduction horizontally and the palm-side abduction).
The application process of the utility model is as follows:
supine position good limb position: the affected limb is sleeved into the sleeve 1 with the help of other people, the tiger mouth is propped against the bifurcation position of the sleeve 10 as much as possible, the knuckles are straightened, the position of the sleeve 10 is adjusted, the thumb and the other four fingers are confirmed to be positioned in two plastic sleeves, the front of the forearm is screwed, the first long strip-shaped magic tape 4 for fixing the forearm is bound, the second sponge block 7 for fixing the elbow is aligned with the rear side of the elbow, the second long strip-shaped magic tape 5 for fixing the upper arm is bound and fixed, the position of the shoulder joint is adjusted, the first sponge block 6 at the rear part of the shoulder is aligned with the shoulder joint, the shoulder is raised, and the binding tape 2 of the shoulder is wound around the opposite side of the trunk and is fixed through the metal buckle 3.
Good limb position of patient on side lying position: the patient firstly takes the supine position, the affected limb is sleeved into the sleeve 1, shoulder abduction is kept, the tiger mouth is propped against the bifurcation position of the sleeve 10, the finger joints are straightened and the finger positions are adjusted, the first long strip-shaped magic tape 4 for fixing the forearm is adjusted after the forearm is screwed, the elbow sponge position is adjusted, the second long strip-shaped magic tape 5 for fixing the upper arm is changed into the affected lateral position after the forearm is fixed, the binding band 2 of the shoulder is wound around the trunk on the opposite side and is fixed through the metal buckle 3, and the pillow is placed on the back of the patient to maintain lateral lying.
Good limb position for the side lying position: the patient firstly takes the supine position, the affected limb is sleeved into the sleeve 1, shoulder abduction is kept, the tiger mouth is propped against the bifurcation position of the sleeve 10, the finger joints are straightened and the finger positions are adjusted, the first strip-shaped magic tape 4 for fixing the forearm is arranged in front of the forearm, the elbow sponge positions are adjusted, the second strip-shaped magic tape 5 for fixing the upper arm is used for stretching the elbow joints, the binding band 2 of the shoulder is wound on the opposite side of the trunk and is fastened through the metal buckle 3, the patient takes the lateral position of the patient, the shoulder joint is bent forwards by 90 degrees, and the sleeve 1 is padded with a pillow to maintain the good limb position.
Claims (10)
1. The oversleeve structure for maintaining good limb positions of upper limbs after stroke is characterized by comprising a oversleeve (1), wherein one end of the oversleeve (1) is connected with a glove (10), the other end of the oversleeve (1) is connected with a binding belt (2), and at least two binding structures are arranged at positions, between the wrist and the root part of an upper arm of a wearer, on the oversleeve (1); the interior of the oversleeve (1) is respectively provided with a first sponge block (6) positioned at the rear part of the shoulder joint, a second sponge block (7) positioned around the olecranon of the elbow joint, a fourth sponge block (9) positioned at the inner side of the wrist joint and a third sponge block (8) positioned at the back side of the wrist joint.
2. The oversleeve structure for maintaining good upper limb position after stroke according to claim 1, wherein the oversleeve (1) is provided with a first opening (11) and a second opening (12) respectively, the first opening (11) is arranged on one side of the shoulder joint of the wearer close to the body, and the second opening (12) is arranged on the inner side between the wrist and the upper arm root of the wearer; the binding bands (2) are respectively arranged on the first openings (11).
3. A sleeve structure for maintaining good upper limb position after stroke according to claim 1 or 2, wherein the binding structure is a strip-shaped magic tape; the at least one strip-shaped magic tape is positioned on the oversleeve (1) at the forearm of the wearer and is wound on the forearm of the oversleeve (1); at least one strip-shaped magic tape is positioned on the oversleeve (1) at the position of the upper arm of the wearer and is wound and stuck on the outer side of the upper arm position on the oversleeve (1).
4. The oversleeve structure for maintaining good upper limb position after stroke according to claim 1, wherein the first sponge block (6), the second sponge block (7), the fourth sponge block (9) and the third sponge block (8) are all platform structures made of memory sponge materials.
5. A sleeve structure for maintaining good upper limb position after stroke according to claim 1 or 4, wherein the first sponge block (6) has a round table structure, the round diameter of the top surface is smaller than that of the bottom surface, and the first sponge block gradually descends from the top surface to the bottom surface to the periphery; the second sponge block (7) is of an oval table-shaped structure, and the major axis and the minor axis of the oval of the top surface are respectively smaller than the major axis and the minor axis of the oval of the bottom surface, and gradually decrease from the top surface to the bottom surface to the periphery; the third sponge block (8) and the fourth sponge block (9) are of round table structures, and the circular diameter of the top surface is smaller than that of the bottom surface.
6. The oversleeve structure for maintaining good limb positions of upper limbs after stroke according to claim 1, wherein the number of the two binding bands (2) is two, one ends of the two binding bands (2) are respectively connected to two opposite sides of the end part of the oversleeve (1), the binding bands (2) are provided with metal buckles (3) for adjusting the tightness of the binding bands (2), and the other ends of the two binding bands (2) are connected through the metal buckles (3).
7. The oversleeve structure for maintaining good limb position of upper limb after stroke according to claim 1, wherein the oversleeve (1) is a hollow three-dimensional structure; the wrist-near part of the sleeve (1) is narrower than the shoulder-near part.
8. The oversleeve structure for maintaining good upper limb position after stroke according to claim 1, wherein the end part of the glove (10) is provided with two cuffs which can be respectively sleeved with a thumb and the other four fingers; the tail end of the glove (10) is exposed.
9. A sleeve structure for maintaining a good upper limb position after a stroke according to claim 8, wherein the glove (10) is of plastic construction; a plastic structural plate on the glove (10) at one side adjacent to two cuffs.
10. A sleeve structure for maintaining a good upper limb position after a stroke as claimed in claim 9 wherein said glove (10) has an angle of 45 ° between adjacent sides of said two cuffs.
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CN202222211377.4U CN219109910U (en) | 2022-08-22 | 2022-08-22 | Oversleeve structure for maintaining good limb position of upper limb after stroke |
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CN202222211377.4U CN219109910U (en) | 2022-08-22 | 2022-08-22 | Oversleeve structure for maintaining good limb position of upper limb after stroke |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN117159251A (en) * | 2023-09-20 | 2023-12-05 | 首都医科大学附属北京康复医院(北京工人疗养院) | Shoulder joint dislocation fixing band |
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2022
- 2022-08-22 CN CN202222211377.4U patent/CN219109910U/en active Active
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN117159251A (en) * | 2023-09-20 | 2023-12-05 | 首都医科大学附属北京康复医院(北京工人疗养院) | Shoulder joint dislocation fixing band |
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