CN2197962Y - Hand orthopedic recovery device for curing brain apoplexy hemiparalysis - Google Patents

Abstract

The utility model relates to a hand orthopedic recovery device for curing brain apoplexy hemiparalysis, which is composed of an arm model hard shell, a holding substance, a sounding member, a fastener, an arm lifting ring, an armlifting belt. The hard shell simulate the functional positions of hand and the hollow hard body can be opened. The fastener and the arm lifting ring are fixed on the hard shell. The holding substance can be reverted after being pressed and is inlaid with the sounding member. The arm lifting belt is connected with the arm lifting ring and can be assembled, disassembled and adjusted arbitrarily. The utility model belongs to the field of medicine and can overcome the defect of the existing improper position fastening of paralysis hands and adverse function exercise. The hand orthopedic recovery device for curing brain apoplexy hemiparalysis is suitable for early patients of brain apoplexy hemiparalysis of various body positions, does not impede other complex treatment for the patients and saves labor.

Description

Hand orthopedic recovery device for curing brain apoplexy hemiparalysis

This utility model relates to a kind of hands orthopedic rehabilitation training aids for the treatment of stroke hemiplegia.

Stroke onset is anxious, mortality rate is high, disability rate is high, at present medical domain to the early treatment of apoplexy to reduce mortality rate, and orthopedic to the early stage hands of patient, rehabilitation training is not enough, often makes survivor miss best orthopedic, training period, and paralysed hands functional rehabilitation is affected.Certainly, this also with current to paralysed hands early stage orthopedic, rehabilitation technique incompatibility clinical requirement is relevant.Behind the general stroke hemiplegia, sick side upper limb, forearm and finger are flexion, and wrist is sagging, as allows the disease hands give free rein to, in the future be easy to take place sequela--the sagging and finger contracture of wrist, so must just make the disease hands be in posture not sagging and that do not roll up in early days in morbidity.Existing rehabilitation technique is to allow patient hold towel volume, and the back of the hand is bent (being to lift on the back of the hand) 15--30 °, or is fixed on this angle with seesaw handle on, receive in elbow is little, elbow underlay one cotton the pad, make forearm a little more than take on, chest.(1992,8 phases of Popular Medicine, 37 pages of Science and Technology of Shanghai publishing houses) are to allow patient's do-it-yourself or allow its family members help finger to stretch to receive training to the training of paralysis finger.Only find a domestic patent " CN 2057100U " at present and can replace manually helping patient to do finger training, but do not see on sale on the market.

The problem of existing rehabilitation technique and shortcoming are only to be used for the patient that disease is light, can cooperate, and can only be used for clinostatism, can not be used for seat, upright position, no arm function, do not have the function that prevents disease hands deformity and fixing arm, more be not suitable for the critical patient, thereby make it lose orthopedic, the training opportunity of hands of optimum training phase, sometimes they still need accompany people help fixedly hands shape, forearm and do finger training, often influence patient's other Comprehensive Treatment and rest.Use that seesaw is fixed (Ke Shi rehabilitation medicine Hunan science and technology publishing house 1984, the 8 front page first impressions) though but the instead of part manpower, but patient wears sense of discomfort for a long time, must take off when doing finger training, bind again after having trained, very require great effort, the own training of patient still accompanies people's training hands function that helps all very dull, uninteresting, of a specified duration be easy to produce complication (as depression etc.), the hands of neither having wholesome effects recovers correct trained reflex early, does not also have the enjoyment that excites patient initiatively to train.Domestic patent " electro-medical start function recovery device " application 5 years does not see that always market is on sale, may be with its complex structure, cost height, be difficult to popularize relevant.This patent advantage only is to replace people's masterpiece finger training, and no hands is orthopedic, arm, sound feedback function.

The purpose of this utility model is the deficiency that overcomes existing rehabilitation technique, the early stage patient of a kind of all apoplexy, orthopedic, the recovery training appliance for recovery of all spendable paralysed hands of various body appearance are provided, to replace artificial fixing arm position and arm, anti-hands deformity and functional atrophy reduce disability rate, bring out interest and confidence that patient produces initiatively training, make full use of orthopedic, the training of optimal rehabilitation phase, recover the normal condition reflection of hands, get twice the result with half the effort, as early as possible rehabilitation.

Below in conjunction with accompanying drawing, the utility model is described in further detail with embodiment: (is example with the first type)

Drawing explanation: Fig. 1, first type: left hand arm model sketch map, anterior view.1, arm model duricrust, 2, hold thing, 3, sound spare, 4, securing member, 5, arm band, 6, the arm band, 7, the duricrust passage, 8, the duricrust centre joint, 9, hold thing air flue hole, 10,15--30 ° of shape of duricrust dorsiflex, 11, duricrust metacarpophalangeal joint filleted corner, 12, the duricrust carpal joint bends face.

Fig. 2, B-mode: left hand arm model is from forefinger vertical cut-away schematic view, anterior view.Indicate (summary) with first type same section title, 13, first and second interphalangeal joint filleted corner arc of duricrust, 14, second and third interphalangeal joint filleted corner arc of duricrust, 15, slap the bull nose arc of 150-170 ° of root, 16, palm root and four arcwall faces of linking to each other of finger, 17, be positioned at the hollow model hold thing 2 and sound spare 3.

The feature of hands orthopedic rehabilitation device is: duricrust 1 is made hollow for partly the clench fist functional position of shape of artificial hand with resin or plastics polypropylene, whole shell wall is covered with hole 7, shell has 2-4 outward to securing member 4, and the nearly wrist face of bending has an arm band 5, and sound spare 3 is contained in holds thing 2 gas port places.First type duricrust 1 outward appearance is the back of the hand and bends 15-30 °, be 110--150 ° of filleted corner at metacarpophalangeal joint, be the both ends open shape, an end reaches and the forearm middle part, the other end is close to that the centre of the palm prolongs and five finger first segments, and other is provided with 1--2 bar seam 8 stretch and two ends parallel with the shell wall major axis.Hold thing 2 outward appearance approximate circle columns, diameter is reducible after greater than 4CM, hollow, pressurized, and be in one's hands thing gas port 9 places and sound spare are inlayed.

B-mode duricrust only is at the arm end opening, extend to downwards and can hold hands and take the hollow hold thing 2 box-like, the centre of the palm is not close to the shell inwall, be 110--150 ° of filleted corner arc at first and second interphalangeal joint 13 and second and third interphalangeal joint 14 places, root 15 places are 150--170 ° bull nose arc at the palm, and take advantage of a situation to join to being with four finger end faces and show slightly arcual.

After stroke onset, no matter how critical the state of an illness is, when patient is carried out the internal medicine Comprehensive Treatment, as early as possible paralysed arm is placed in the duricrust 1 and (divides the right-hand man), making each position of paralysed hands bend each degree in the wrong of degree and duricrust 1 inner arm coincide, reuse securing member 4 is adjusted duricrust 1 elasticity, after the hook of arm band 6 is hooked arm band 5, hang over patient's neck after being adjusted to Len req, sick hands just presents the position of clinical requirement.If patient's energy sitting or walking are also used the arm band, in case forearm is sagging in three months.As state of an illness permission, an also available isometric loose taut band and arm tape alternation use later on, practice elbow joint function with auxiliary patient.

In duricrust 1, one deck heating wire or magnetic sheet be can serve as a contrast, insulation and magnetotherapy effect played.With the first type is that the centre of the palm and duricrust 1 inwall are close to, and does not comprise the following part of five fingers, second joint.Can cooperate as patient, then advise its with finger extruding shell outer hold thing 2, make built-in sound spare sounding, finger loosens then, makes to hold the thing reduction.Advantage is: as accompany the people to help when instructing, needn't open duricrust.So repeatedly, reach the active purpose of training finger.Audible signal is the sure and feedback to patient's training achievement simultaneously, can bring out patient and want to listen the desire of bigger sound equipment next time, thereby can more aggressive training.The easier trained reflex of setting up hands of repetition training like this, more early result of use is good more.Than prior art is a much progress very, artificial auxiliaryly needn't take off when doing finger training.

Advantage with B-mode duricrust is: needn't manually help disease to hold thing again, but all put into duricrust after disease held holdfast 2, the degree in the wrong of itself and B-mode inner wall is coincide, other programs and characteristics be with the first type.Because of this type at finger tip opening not, so the finger mobility is less, when the need people helps to do the finger exercise, need open duricrust, so bother than the first type.Another advantage of this type is that production technology is simple, cost is low, is easy to produce.If make transparence, can outside duricrust, see the finger activity in the shell.

The right arm model of first, second amphitypy is relative with the left hand arm.All can not cooperate with above amphitypy as patient, family members also can help patient to push and hold thing, so that unlikely the disappearing of the original trained reflex of sick hands prevents disuse atrophy.Because the degree in the wrong of model duricrust 1 meets physiological requirement, whole shell wall has many holes to be convenient to the skin ventilation, also can adjust duricrust 1 elasticity by securing member 4, so wear no sense of discomfort for a long time, does not influence other treatment and sleep to patient.Arm band 6 can take off at any time, does not influence patient and does elbow, shoulder joint activity.

The advantage that the utility model compared with prior art has is: 1, be applicable to various positions, the early stage patient of various cerebral apoplexy, do not affect other complex treatments and rest to patient. 2, can take full advantage of fixing paralysed arm position of optimum training phase, both save manpower, be beneficial to again paralysed hand training. 3, sound feedback is arranged, can excite patient's active, lasting training, eliminate depression, form good conditioned reflex. 4, simple to operate, be easy to promote, popularize, situation of all-level hospitals all can usefulness, general patient can accept. 5, production technology is simple, and required raw material are easy to get, and the huge market demand is easily produced in enormous quantities. 6, social benefit is good, can reduce disability rate, alleviates social pressures and relatives' burden.

Claims (4)

1, a kind of hands orthopedic rehabilitation device for the treatment of stroke hemiplegia, divide the right-hand man, by arm model 1, hold thing 2, sound spare 3, securing member 4, arm band 5, arm band 6 and form, it is characterized in that: duricrust 1 has many holes 7 for partly clench fist functional position, hollow, the shell wall of shape of artificial hand, shell has 2-4 outward to securing member 4, the nearly wrist face of bending has an arm band 5, and sound spare 3 is contained in holds thing 2 gas port places.

2, rehabilitation device according to claim 1, it is characterized in that: first type duricrust 1 outward appearance is the back of the hand and bends 15--30 °, be 110-150 ° of filleted corner at metacarpophalangeal joint, be the both ends open shape, one end reaches and the forearm middle part, the other end is close to that the centre of the palm prolongs and five finger first segments, and other is provided with 1--2 bar seam 8 stretch and two ends parallel with the shell wall major axis.

3, according to claim 1 and 2 described rehabilitation devices, it is characterized in that: hold thing 2 outward appearance approximate circle columns, diameter is reducible after greater than 4CM, hollow, pressurized, and be in one's hands thing gas port 9 places and sound spare 3 are inlayed.

4, according to claim 1 and 2 described rehabilitation devices, it is characterized in that: B-mode duricrust only is at the arm end opening, extend to downwards and can hold hands and take the hollow hold thing 2 box-like, the centre of the palm is not close to the shell inner arm, be 110--150 ° of filleted corner arc at first and second interphalangeal joint 13 and second and third interphalangeal joint 14 places, root 15 places are 150-170 ° bull nose arc at the palm, and take advantage of a situation to join to being with four finger end faces and show slightly arcual.