1352590 九、發明說明： 【發明所屬之技術領域】 本發明涉及-種防止手肘關節僵硬的手肘關節被動式復健 機。 【先前技術】 一般肘關節是人體較容易僵化的關節，特別是中風、關節退 k 化等不便活動關節之病患，或是傷及手臂和肘關節、與接受手臂 ’開刀手術之患者，前者應定期接受復健治療，而後者應給予 •，當復健運動，若無，則會導致關節僵硬或壞死之情形，二肘關 印僵化之情形可分為三個期程：第—期程是在受創或手術後的幾 個小時之内，賴生Μ脹情形，其是由出血利起的；而接 續的第二期程則是在第-期程後的幾個小時職天，會產生腫服 情形，該腫脹是因為水断引起的，然前述出血和水腫狀態皆會 導致關節周圍組織的腫脹’進而阻礙關節活動，致使關節僵化； 之後的第三期_是在第二期程後的幾天至幾個禮拜，在此期程 •中’術後傷口會開始触’且對受傷陳_聽帶輯修補， 但關節僵錢而使_力量錢，朗致使肌肉萎縮。 因此，會有專業醫生（如復健師）針對上述財關節僵化的三個 期程，藉助檢龍ϋ與數_具，來進行病患之賴節的被動式 活動，避免關節僵化和防止肌肉力量減退，或是醫生以—對一方 式協助病患進行手臂屈曲、伸展等復健運動，能立即橋正姿態， 避免姿態走樣、動作錯誤而造成二次傷金。 【發明内容】 ° (一）所欲解決的問題點： 6 1352590 上述肘關節的復健治療會因每個病患的上肢手臂尺寸相異， 再加上不同期程的復健治療，致使採用的輔具也有所差異，如數 種辅具在操作及配合使用不當，則會造成二次傷害發生，尤以第 一及第二期程更為重要，例如在此二期程中，因更換復健輔具而 使病患之上肢手臂遭受外力碰撞’則會誘發傷口破裂、或關節錯 位等情形發生；而一對一方式的復健治療雖能立即糾正姿態但 * 如醫生施力不當’亦會形成傷害’進而造成醫療糾紛。 •φ 有鑑於此，如何具有調整功能以配合不同上肢手臂、且能針 對上述三個時程進行復健治遼的復健用輔具，便成為本發明欲解 決的問題點。 (二）本發明的技術手段： 本發明的目的在於提供一種具調整功能與自動運作功能、又 能適應患者坐臥姿態、以進行復健治療的手肘關節被動式復健機。 為解決上述問題點及達到本發明的目的，本發明的技術手段 是這樣實現的，為一種手肘關節被動式復健機（1)，其包括：一移 #動裝置（10)，由第-伸縮桿⑴）及其下的活動座⑽所構成，在 第伸縮桿（11)頂端設有靠墊(13)，而在第一伸縮桿⑴）與活動 座（12)之間設有電源控制器（5〇);及一調整裝置（2〇)，其包含有 一端部能於上述第一伸縮桿（11)滑移定位而另端部設有手臂固定 *器⑽的支卿（21)，，設於讀架⑵）下Μ膽支撑姿態 的第二伸縮桿⑽，及-設於手臂固定器（40)旁受電源控制器⑽ 控制以驅動手臂固定器作動的驅動器（3〇)。 根據上述的手肘關節被動式復健機，所述支撐架（21)端部藉 7 1352590 由定位滑塊(23)套設於第一伸縮桿（11)，且能於定位滑塊(23)作 角度調整。 根據上述的手肘關節被動式復健機，所述電源控制器（5〇)具 有一搖控器（51)，該搖控器更包含一顯示螢幕(52)、一伸展功能 開關（53)、一屈曲功能開關（54)、一延遲功能開關（55)、一微調 速率開關（56)、一設定開關（57)及一自動運作開關（58)。 根據上述的手肘關節被動式復健機，所述驅動器（3〇)更包含 有一殼體（31)、一固設於殼内一端的馬達(32)、一固設於殼中的 馬達固定座（33)、一連接馬達(32)由馬達固定座（33)直穿出殼體 (31)另端的導螺桿(34)、一端部具有滑塊(35)且能配合導螺桿以 產生伸縮功能的推桿（36)、至少一以上輔助滑塊(35)滑移的滑桿 (37) ’及一與導螺桿(34)嚅合的計數器（38)。 根據上述的手肘關節被動式復健機，所述手臂固定器（4〇)是 由接合支撐架（21)端部的後臂架（41)、及樞接後臂架（41)的前臂 架（42)所構成，該後臂架（41)側端供驅動器（30)的殼體（31)樞 設，而前臂架（42)側端設有供推桿(36)樞設的孔座（43)，藉由推 桿(36)的伸縮而能使前、後臂架往復的伸展與屈曲。 根據上述的手肘關節被動式復健機，所述孔座（43)具有多個 孔(431)供推桿(36)擇一樞接，使手臂固定器（4〇)的屈曲或伸展角 度能在55〜165度之間作調整。 (二）對照先前技術的功效： 其―，本發明手肘關節被動式復健機（D分別透過調整裴置 (2〇)和移動裝置（10)的支撐架（21)及二伸縮桿（11)、（22)，來調 8 1352590 整靠細）、手臂固定器⑽的高度⑻位置，以供患者坐、臥於 椅、床上時，騎穩定舒適的支撐姿態，且該軸裝置更能搭配 輪椅以隨患者移動位置(如上廁所），更無㈣換輔具，而未使用 復健機時亦不佔空間。 …其二’本發明透過使用移動裝置⑽和調整裝置(20),能形 成靜態式及動態式的復健治療’即依醫生指枝經醫生調整，便 能=持肘關節具奴夠的被動性活動，避免關節僵化和防止肌肉 力篁減退，且在_摘復健法中，設定好自動運作行程便可 自動對上肢手臂進行復健運動，能減少專生的負擔。 其三，上述手臂固定器⑽藉助孔座⑽的數孔⑽），以供 驅動器（30)之推桿(36)調整樞設位置，使該二臂架⑷）、⑽之 間能開合成不同的角度⑻，以針對不同期程來進行上肢手臂的 復健運動。又前述二臂蚊透過架_數孔⑽_整彼此之間 及與孔座、束帶的樞接位置，來固定手臂’以避免在復健運動中 造成二次傷害，且能因應不同上肢手臂尺寸。 其四，上述電源控制器（50)能透過搖控器⑸），利於一邊觀 察一邊操作，如此也方便病患自行操作實施。 其五，上述驅動器⑽透過導螺桿⑽來帶動推桿⑽運 作，並帶動計數H⑽測量肢⑷變化，以顯示於螢幕功操作 者作細微調整。 【實施方式】 本發明手肘關節被動式復健機⑴能針對病患之坐、臥姿態， 進行適當的復健治療，又為髓肘_僵化之三綱程，及避免 在復健過財域二讀害，其耻具有賴纽_式的復健 9 方式，以下即依據圖面所示的實施例詳細說明如後： 如圖1所示為本發明手肘關節被動式復健機的立體圖，圖2、 圖3所示為本發明驅動器實施時的連續動作示意圖，冑4、圖5 所示為本發明復健機之實關側視圖，圖6所示為本發明復健機 收納時的實施侧測。圖巾揭#本發料賴節被動式復健 機⑴是由-移動裝置⑽、及—連接移練置⑽的調整裝置 (20)所組成。 上述移動裝置⑽由-第-伸縮桿（⑴及其下騎動座⑽ 所構成’在第-伸轉頂端設有靠墊⑽，另在第-伸縮桿與活 _之間設有電源控㈣⑽。在實施觸中，該活動座⑽下 設有具煞車功能的輪子，以供移動及定位。 上述調整裝置⑽）更包含有—端部可於上述第—伸縮桿⑴） 軸向滑移定位而另端部具有手臂固定器⑽的支樓架⑵），一拖 設於支辟下用_整支撐姿態的第二伸縮桿(22)，及一設於手 臂固定器⑽旁以驅動手臂固定器⑽作動的驅動器（3Q)。而支 樓架（21)端部乃藉由定位滑塊(23)套設於第—伸轉⑴），且能 於定位滑塊(23)作角度調整。 而上述驅動器⑽如圖2所示，更包含有—殼體(31)、一固 設於殼内-端的馬達(32)、-固設於殼中的馬達固定座⑽、— 連接馬達(32)由馬達固定座⑽直穿出殼體另端的導螺桿(34)、 -端部具有滑塊⑽且能配合導螺桿⑽域生伸縮功能的推桿 (36)、至少一以上辅助滑塊(35)滑移的滑桿（37)、及一與導螺桿 (36)嚷合的計數器⑽。前述滑塊(35)具有與導螺桿(34)對應的 1352590 螺紋結構(351)，在導螺桿(34)被馬達(32)驅動時會帶動推桿(36) 向殼體（31)外移，且帶動計數器（38)的齒輪(381)來供檢測如圖4 所示之前臂架（42)的旋轉角度；反之，則如圖3所示使推桿(36) 向殼體(31)内移，而前述滑桿(37)則能穩定滑塊滑移。 上述手臂固定器（40)是由接合支撐架端部且供驅動器（3〇)之 殼體(31)樞設的後臂架（41)、樞接後臂架的前臂架（42)、及設置 於前臂架（42)側端以供與驅動器（30)之推桿(36)樞設的孔座（43) 所構成，該孔座具有數孔(431)可供驅動器（3〇)之桿體調整樞設位 置，使該二臂架（41)、（42)之間能開合成不同的角度（0)，以針 對不同期程來進行上肢手臂的復健運動。而前述二臂架之兩架侧 各設有數個孔(44),另在二臂架中各設有複數條束帶(45)，亦使 該二臂架透過數孔(44)能調整彼此之間及與孔座（43)、束帶(45) 的樞接位置，來固定手臂’以避免在復健運動中造成二次傷害， 且能因應不同的上肢手臂尺寸。 。上述電源控制11(50)具有-搖控||(51)，能利於—邊觀察一 邊插作，如此也方便病患自行操作實施。前述搖㈣⑼更包含 -顯示螢幕(52)、-伸展功能開_)、—屈曲功能開關⑽、 一延遲功能關㈤、-微調速率_⑽、—設定開關（57)及 一自動運作開關（58)等構件功能如下說明： ♦顯示螢幕(52):能顯示的數字以供操作者參考。（在實施例 中’將二臂架之開合角度分割為95個等份，以便顯示及供 微調操控，然本發明不限以95之數，也能以其它方式劃分。） ♦伸展功能關⑽：㈣騎⑽驅解_(34)，讓導 1352590 螺桿迫使滑塊(35)推動推桿（36)向外伸出殼體（π)(請參 閱圖5)，並帶動前臂架(42)旋動張開，間接讓病患手肘達 到伸展動作。 ♦屈曲功能開關（54):控制馬達(32)驅動導螺桿(34)，讓導 螺桿使滑塊(35)拉動推桿(36)向内縮入殼體請參閱 圖6) ’並帶動前臂架(42)旋動合起，間接讓病患手肘達到 • 屈曲動作。 ·· ♦賴功能開關⑽：在啟動自動運作功能後，可啟動延遲 功能’使前臂架在往返之間可稍微停留。往順時針方向微 調月b延長㈣時n往逆時針方向微糊駿停留時間。 ♦微調速率開關(56):藉由控制馬達(32)的旋轉速度來影響 前臂架(42)在單位時間内旋動角度的變量。往順時針方二 微調能增快旋轉速度；而往逆時針方向微酬減慢旋轉速 度。 ♦設定開關（57) ··在啟動復健機之自動運作功能前，得先設 • 定前臂架（42)起始角度的位置，此配合伸展及屈曲功能開 關（53)、⑽達成目標角度位置後，才得以啟動設定開關 (57)紀錄自動運作的行程（請參閱圖811所示）。 ♦自動運作開關⑽：用以啟閉手肘關節被動式復健機⑴的 自動運作功能。 又由於病患會呈坐、臥姿態，致使本發明手肘關節被動式復 健機（1)如圖4所示’驗第—伸縮桿⑻以降低靠塾⑽高度位 置，又降低定位滑塊(23)來旋高支擇架⑻並伸長第二伸縮桿⑽ 12 1352590 斜抵於地，使第二伸轉與活魅G2)形成相輯應的支樓點， 以穩定手臂_器⑽之前臂架（42)進行屈曲、伸展動作，此一 實施例是以病患呈坐姿時實施較佳。 再如圖5所示，伸長第—伸縮桿⑴）來升高靠墊⑽高度位 置，並同時升高定位滑塊(23)來旋低讀架⑻，且縮短第二伸 縮桿(22)直抵於地，如此使手臂固定器⑽之前臂架(42)在伸展 • 後趨近平舉姿態’此—實關是以病患纽姿時實練佳。而未 'φ 使用復健機時，則能呈圖6所示之姿態收納而不佔空間。 藉由上述手肘關節被動式復健機（1)，來針對病患之上肢手臂 進行一種手肘關節被動式復健機之用法，該復健法如圖7所示， 其特徵在於： 步驟1，移動復健機位置並調整其第一伸縮桿（H)、第二伸縮 桿(22)至適合病患放置上肢手臂的高度(jj); 步驟2 ’再操控搖控器（51)以調整手臂固定器（4〇)屈曲或伸展 至適合病患放置上肢手臂開合的角度（Θ)，並視情況調整二伸縮 -· 桿（丨1)、（22)，以獲穩定舒適的支撐姿態； 步驟3，接續啟動復健機之屈曲及/或伸展功能以微調上肢手 臂開合的極限角度（<91)、（02)，並視病患狀況設定上肢手臂屈 曲及/或伸展的自動運作行程； 步驟4，之後便可啟動復健機之自動運作功能。 上述中，步驟1至步驟2皆為靜態式的復健治療，能依醫生 指示於每隔一段時間將手臂固定器（40)、二伸縮桿（11)、（22)調 整至最佳開合的角度（0)及高度(Η)位置，給予關節被動式活動， 13 1352590 避免肘關節僵化，適用於肘關節僵化的第一及第二期程， — 三期程時，雖術後傷口已癒合，亦仍需防範肘關節僵硬， 肌肉力量減退，因此可如步驟3至步驟4之方式進行動態式的= 健治療’定時做拉筋運動’加強肌腱的延展性。 < 其次，在上述步驟3巾’該手臂m定器⑽會依推桿⑽拖 設於孔座（43)之孔(431)的位置，開合成不同的極限角度（01)、 • (Θ2)，例如圖8、圖9所示，該驅動器（30)之桿體（即推 •鲁樞设在孔座（43)前端之孔(431)中，能使手臂固定器（4〇)之前臂架 (42)屈曲或伸展的角度在55〜100度之間，因此當手臂固定器Q们 開合至55度(請參閱圖9)、100度(請參閱圖8)位置時，按下搖押 器（51)的設定開關（57)後，即便將前臂架（42)的自動運作行程^ 定在二極限角度（01)、（0 2)範圍内。又為便於上肢手臂能開人 較大角度，例如圖10、圖11所示，將上述驅動器（3〇)之桿體（即 推桿）端部樞設在孔座（43)後端之孔(431)中，便能使手臂固定器 (40)之前臂架（42)屈曲或伸展開合的角度範圍在95〜165度内而 ♦ 95度與165度便是此實施例之自動運作行程的二極限角度 (Θ 2)、（ 01)。因此’上述步驟3之設定自動運作行程的步驟 徵在於： ’ 步驟3-1，啟動復健機的伸展功能，並視病患之上肢手臂的伸 展狀況以微調伸展的極限角度（Θ1); 步驟3-2，待步驟3-1之上肢手臂伸展至適合極限角度（01) 時，啟動設定開關（57),以將該極限角度（Θ1)作為自動運作行程 的起點； v驟3 3 ’接續啟動復健機的屈曲功能，並視病患之上肢手臂 的屈曲狀況以微調屈曲的極限角度（02); v驟3 4，待步驟3-3之上肢手臂屈曲至適合極限角度（μ) 時，啟動設定開關（57),以將該極限角度（6>2)作為自動運作行程 的終點。 $1352590 IX. Description of the Invention: [Technical Field of the Invention] The present invention relates to an elbow joint passive rehabilitation machine that prevents stiffness of an elbow joint. [Prior Art] Generally, the elbow joint is a joint that is more prone to rigidity in the human body, especially a patient with inconvenient joints such as a stroke or joint retreat, or a patient who suffers from an arm and an elbow joint, and an arm that undergoes an operation. Rehabilitation treatment should be received regularly, and the latter should be given. When the rehabilitation exercise, if not, it will lead to joint stiffness or necrosis. The situation of the two elbows can be divided into three stages: the first stage Within a few hours after the trauma or surgery, Lai Sheng’s swelling is caused by bleeding; the second phase of the continuation is a few hours after the first period. Will cause a swollen situation, the swelling is caused by water break, but the above-mentioned bleeding and edema state will cause swelling of the tissue around the joint 'and thus hinder joint activity, resulting in joint rigidity; the third phase _ is in the second period A few days to a few weeks after the journey, in this period, the 'postoperative wounds will start to touch' and repair the injured Chen _ listening band, but the joints are stiff and make the muscles shrink. Therefore, there will be a professional doctor (such as a rehabilitation teacher) to carry out the passive activities of the patient's Laijie in order to avoid the rigidity of the joints and prevent the muscle strength from diminishing. Or the doctor can assist the patient to perform rehabilitation exercises such as arm flexion and extension in a way that can immediately bridge the posture and avoid the second injury gold caused by posture deviation and movement error. [Summary of the Invention] ° (1) Problem to be solved: 6 1352590 The above-mentioned elbow joint rehabilitation treatment will vary depending on the size of the upper limbs of each patient, plus rehabilitation treatments of different stages. The accessories are also different. If several kinds of accessories are used improperly and mismatched, it will cause secondary injury, especially in the first and second phases. For example, in the second phase, due to the replacement If the health equipment is used to cause the patient's upper limb to be subjected to an external force collision, it will induce a wound rupture or joint dislocation. The one-on-one rehabilitation treatment can correct the posture immediately but *if the doctor does not apply properly, Forming injuries' and causing medical disputes. • φ In view of this, it is a problem to be solved by the present invention as to how to have an adjustment function to match different upper limbs and to rehabilitate the above three time courses for rehabilitation. (2) Technical means of the present invention: An object of the present invention is to provide a passive rehabilitation machine for an elbow joint having an adjustment function and an automatic operation function, and being adapted to a patient's sitting posture for rehabilitation treatment. In order to solve the above problems and achieve the object of the present invention, the technical means of the present invention is realized as an elbow joint passive rehabilitation machine (1), which comprises: a shifting device (10), by - The telescopic rod (1)) and the movable seat (10) therebelow are provided with a cushion (13) at the top end of the first telescopic rod (11), and a power controller between the first telescopic rod (1) and the movable seat (12). (5〇); and an adjusting device (2〇), comprising a branch (21) having an end portion capable of slidingly positioning the first telescopic rod (11) and an arm fixing device (10) at the other end portion, a second telescopic rod (10) disposed in the lower bracket of the reading frame (2), and a driver (3〇) disposed adjacent to the arm holder (40) and controlled by the power controller (10) to drive the arm holder. According to the elbow joint passive rehabilitation machine described above, the end of the support frame (21) is sleeved on the first telescopic rod (11) by the positioning slider (23) by means of the 7 1352590, and the positioning slider (23) can be positioned. Angle adjustment. According to the above-described elbow joint passive rehabilitation machine, the power controller (5〇) has a remote controller (51), and the remote controller further includes a display screen (52), an extension function switch (53), A buckling function switch (54), a delay function switch (55), a fine adjustment rate switch (56), a setting switch (57) and an automatic operation switch (58). According to the elbow joint passive rehabilitation machine described above, the driver (3) further includes a housing (31), a motor (32) fixed to one end of the housing, and a motor mount fixed in the housing. (33) A connecting motor (32) is straightly passed through the motor mounting seat (33) through the lead screw (34) at the other end of the housing (31), has a slider (35) at one end, and can be fitted with a lead screw to generate a telescopic function. The push rod (36), the at least one auxiliary slider (35) slides the slide rod (37)' and a counter (38) that is coupled to the lead screw (34). According to the elbow joint passive rehabilitation machine described above, the arm holder (4〇) is a rear arm frame (41) that engages the end of the support frame (21), and a forearm frame that pivots the rear arm frame (41). (42), the side end of the rear arm frame (41) is pivoted to the housing (31) of the driver (30), and the side end of the front arm frame (42) is provided with a hole seat for pivoting the push rod (36) (43) The front and rear arms can be reciprocated and flexed by the expansion and contraction of the push rod (36). According to the elbow joint passive rehabilitation machine described above, the socket (43) has a plurality of holes (431) for pivoting the push rod (36) so that the buckling or stretching angle of the arm holder (4〇) can be Adjust between 55 and 165 degrees. (2) According to the efficacy of the prior art: - the elbow joint passive rehabilitation machine of the present invention (D through the adjustment device (2) and the support device (21) of the mobile device (10) and the two telescopic rods (11 ), (22), to adjust the height of the 1 1352590 (by thin), arm holder (10) (8) position, for the patient to sit, lying on the chair, bed, riding a stable and comfortable support posture, and the shaft device can be more compatible The wheelchair is moved with the patient (such as the toilet), and there is no (four) replacement aids, and no space is occupied when the rehabilitation machine is not used. ...the second invention of the present invention can form a static and dynamic rehabilitation treatment by using the mobile device (10) and the adjustment device (20), that is, according to the doctor's instructions, the physician can adjust the passive elbow joint with the slave. Sexual activities, to avoid joint rigidity and prevent muscle loss, and in the _ 复 健 健 method, set the automatic operation of the stroke can automatically carry out rehabilitation exercises on the upper limbs, which can reduce the burden of special students. Thirdly, the arm holder (10) is adjusted by the number of holes (10) of the hole holder (10) for the push rod (36) of the driver (30) to adjust the pivoting position, so that the two arms (4)) and (10) can be synthesized differently. Angle (8) to rehabilitate the upper limbs for different periods. In addition, the aforementioned two-armed mosquitoes are fixed to the arm by the number of holes (10)_the whole body and the pivotal position with the hole seat and the band, to avoid secondary injury in the rehabilitation exercise, and can respond to different upper limbs. size. Fourth, the power controller (50) can pass through the remote controller (5), which facilitates observation and operation, and is convenient for the patient to operate by himself. Fifth, the driver (10) drives the push rod (10) through the lead screw (10), and drives the count H (10) to measure the limb (4) change, which is displayed on the screen operator for fine adjustment. [Embodiment] The passive rehabilitation machine for the elbow joint of the present invention (1) can perform appropriate rehabilitation treatment for the sitting and lying posture of the patient, and is also the third course of the elbow-elbow, and avoids the rehabilitation in the financial field. The second reading is harmful, and the shame has a Rehabilitation 9 method. The following is a detailed description of the following embodiment: Figure 1 shows a perspective view of the elbow joint passive rehabilitation machine of the present invention. 2 and 3 are schematic views showing the continuous operation of the actuator according to the present invention, and FIG. 5 is a side view of the rehabilitation machine of the present invention, and FIG. 6 is a view showing the rehabilitation machine of the present invention. Implement side measurements. Figure towel disclosure #本发料赖节 passive rehabilitation machine (1) is composed of - mobile device (10), and - adjustment device (20) connected to the training device (10). The moving device (10) is provided with a cushion (10) at the first extension end by a - telescopic rod ((1) and its lower rider (10), and a power supply (4) (10) is provided between the first telescopic rod and the live_. In the implementation of the touch, the movable seat (10) is provided with a wheel with a braking function for moving and positioning. The adjusting device (10) further comprises an end portion which can be axially slidably positioned on the first telescopic rod (1). The other end has a support frame (2) of the arm holder (10), a second telescopic rod (22) that is dragged under the support, and a side of the arm holder (10) to drive the arm holder. (10) Actuated drive (3Q). The end of the truss (21) is sleeved on the first extension (1) by the positioning slider (23), and can be adjusted by the positioning slider (23). As shown in FIG. 2, the above-mentioned driver (10) further includes a casing (31), a motor (32) fixed to the inner end of the casing, a motor fixing seat (10) fixed in the casing, and a connecting motor (32). a push rod (34) that passes through the motor holder (10) straight out of the other end of the housing, a push rod (36) having a slider (10) at the end and capable of supporting the telescopic function of the lead screw (10), and at least one auxiliary slider ( 35) A sliding slider (37) and a counter (10) coupled to the lead screw (36). The slider (35) has a 1352590 thread structure (351) corresponding to the lead screw (34), and the push rod (36) is driven to move outward from the housing (31) when the lead screw (34) is driven by the motor (32). And driving the gear (381) of the counter (38) for detecting the rotation angle of the front boom (42) as shown in FIG. 4; otherwise, pushing the push rod (36) toward the housing (31) as shown in FIG. Move inside, and the aforementioned slider (37) can stabilize the slider slip. The arm holder (40) is a rear arm frame (41) pivotally connected to a housing (31) of the driver (3), a front arm frame (42) pivotally connected to the rear arm frame, and The utility model is disposed at a side end of the forearm (42) for arranging a hole (43) pivoted with a push rod (36) of the driver (30), the hole holder having a plurality of holes (431) for the driver (3〇) The rod body adjusts the pivoting position so that the two arms (41) and (42) can be combined into different angles (0) to perform the rehabilitation movement of the upper limbs for different periods. The two legs are respectively provided with a plurality of holes (44) on the two sides, and a plurality of straps (45) are respectively disposed in the two arms, so that the two arms can adjust each other through the plurality of holes (44) The arm is fixed between the pivotal position of the socket (43) and the strap (45) to avoid secondary injury during the rehabilitation exercise and to accommodate different upper limb sizes. . The above power control 11 (50) has - remote control | | (51), which can facilitate the observation while inserting, which is convenient for the patient to operate by himself. The aforementioned shaking (4) (9) further includes - display screen (52), - stretching function opening _), - flexing function switch (10), a delay function off (5), - fine adjustment rate _ (10), - setting switch (57) and an automatic operation switch (58) The functions of the components are as follows: ♦ Display screen (52): The number that can be displayed for the operator's reference. (In the embodiment, the split angle of the two booms is divided into 95 equal parts for display and for fine adjustment control, but the invention is not limited to 95, and can be divided in other ways.) ♦ Stretch function off (10): (d) ride (10) to dispel _ (34), let the guide 1352590 screw force the slider (35) to push the push rod (36) outwardly out of the housing (π) (see Figure 5), and drive the forearm (42) ) Rotating open, indirectly let the patient's elbow reach the stretching action. ♦ Buckling function switch (54): The control motor (32) drives the lead screw (34) so that the lead screw causes the slider (35) to pull the push rod (36) inwardly into the housing. See Figure 6) 'and drive the forearm The frame (42) is rotated and indirectly causes the patient's elbow to reach the buckling action. ·· ♦ Function switch (10): After the automatic operation function is activated, the delay function can be activated to make the forearm stay slightly between round trips. In the clockwise direction, finely adjust the month b to extend (4). ♦ Fine-tuning rate switch (56): A variable that affects the angle of rotation of the forearm (42) per unit time by controlling the rotational speed of the motor (32). To the clockwise side, the fine adjustment can increase the rotation speed; while the counterclockwise direction will slow down the rotation speed. ♦Setting switch (57) ·Before starting the automatic operation function of the rehabilitation machine, the position of the starting angle of the forearm (42) must be set first. This is used to achieve the target angle with the extension and flexion function switches (53) and (10). After the position, the setting switch (57) is activated to record the automatic operation of the stroke (see Figure 811). ♦ Automatic operation switch (10): It is used to open and close the automatic operation function of the elbow joint passive rehabilitation machine (1). Moreover, since the patient will be in a sitting and lying posture, the elbow joint passive rehabilitation machine of the present invention (1) is shown in Fig. 4 as the 'experimental- telescopic rod (8) to lower the height position of the chin (10) and lower the positioning slider ( 23) To rotate the support frame (8) and extend the second telescopic rod (10) 12 1352590 to the ground, so that the second extension and the living charm G2) form a corresponding branch point to stabilize the arm _ (10) front arm The frame (42) performs a flexion and extension operation, and this embodiment is preferably implemented when the patient is in a sitting position. As shown in FIG. 5, the first telescopic rod (1) is extended to raise the height position of the cushion (10), and at the same time, the positioning slider (23) is raised to lower the reading frame (8), and the second telescopic rod (22) is shortened to be directly opposite to Therefore, the front arm frame (42) of the arm holder (10) is approached in a flat posture after stretching and stretching. This is a good practice when the patient is in a posture. When the rejuvenator is not used, it can be stored in the posture shown in Fig. 6 without occupying space. The elbow joint passive rehabilitation machine (1) is used to perform an elbow joint passive rehabilitation machine for the upper limb of the patient. The rehabilitation method is as shown in FIG. 7 and is characterized by: Step 1: Move the rehabilitation machine position and adjust its first telescopic rod (H) and second telescopic rod (22) to the height (jj) suitable for the patient to place the upper limb arm; Step 2 'Re-operate the remote control (51) to adjust the arm The fixator (4〇) flexes or stretches to an angle (Θ) suitable for the patient to place the upper limb's arm opening and closing, and adjusts the two telescopic rods (丨1) and (22) as needed to obtain a stable and comfortable supporting posture; Step 3: Continue to activate the flexion and/or extension function of the rehabilitation machine to fine-tune the extreme angle of the upper limb opening and closing (<91), (02), and set the automatic operation of the upper limb arm flexion and/or extension depending on the patient's condition. Itinerary; Step 4, after which the automatic operation function of the rehabilitation machine can be started. In the above, steps 1 to 2 are static rehabilitation treatments, and the arm holder (40) and the two telescopic rods (11) and (22) can be adjusted to the optimal opening and closing at intervals according to the doctor's instructions. Angle (0) and height (Η) position, giving joint passive activity, 13 1352590 Avoid elbow joint rigidity, suitable for the first and second phases of elbow joint rigidity, - in the third stage, although the postoperative wound has healed It is also necessary to prevent the elbow joint from being stiff and the muscle strength is reduced. Therefore, as in steps 3 to 4, the dynamic type = health treatment 'timed lacing exercise' can be used to strengthen the tendon ductility. < Next, in the above step 3, the arm m (10) is dragged to the hole (431) of the socket (43) according to the push rod (10), and different limit angles (01), (Θ2) are synthesized. For example, as shown in FIG. 8 and FIG. 9, the rod body of the driver (30) is placed in the hole (431) at the front end of the hole holder (43) to enable the arm holder (4〇). The angle at which the boom (42) flexes or stretches is between 55 and 100 degrees, so when the arm holders Q open and close to 55 degrees (see Figure 9), 100 degrees (see Figure 8), press After setting switch (57) of sweller (51), even if the automatic operation stroke of the forearm (42) is within the range of two extreme angles (01) and (0 2), it is also convenient for the upper limb to open. For a larger angle, for example, as shown in FIG. 10 and FIG. 11, the end of the rod (ie, the push rod) of the driver (3〇) is pivoted in the hole (431) at the rear end of the socket (43), so that The arm holder (40) has an angle of flexion or extension of the arm frame (42) in the range of 95 to 165 degrees and ♦ 95 degrees and 165 degrees is the second limit angle of the automatic operation stroke of this embodiment (Θ 2) , ( 01). So ' The steps of setting the automatic operation stroke of step 3 are as follows: 'Step 3-1, start the stretching function of the rehabilitation machine, and adjust the extension angle of the upper limbs of the patient to fine-tune the limit angle of extension (Θ1); Step 3 2. When the upper limb of step 3-1 is extended to the limit angle (01), the setting switch (57) is activated to use the limit angle (Θ1) as the starting point of the automatic operation stroke; v3 3 3 'Continuous start-up complex The flexion function of the health machine, and depending on the flexion condition of the upper limb of the patient to fine-tune the limit angle of flexion (02); v. 3 4, when the upper limb of the step 3-3 is flexed to the appropriate limit angle (μ), start Set the switch (57) to use this limit angle (6 > 2) as the end point of the automatic operation stroke.
本發明設定自動運作行程的步驟流程不限於上述實施方式， 亦可如圖12所不，將上述步驟h與步骤3_3、步骤3_2盥步骤 3-4的順序互換以便定義自動運作行程的起點、終點。據此針對 病患設計合適健運動組合，振強肌肉的力度，保触帶和肌 腱的長度與拉力，令到關節的活動能回復正常。 以上是依據圖面所示的實施例詳細說明了本發明的構造 徵及侧效果，減符合_錢步性要件，妓依法提=發明 專利申請。 ⑦月 15 丄*^ ：)9〇 【圖式簡單說明】 圖1 .本發明手肘關節被動式復健機的立體圖。 圖2、圖3:本發明驅動器實施時的連續動作示意圖。 圖4、圖5 :本發明復健機之實施例側視圖。 圖6:本發明復健機收納時的實施例側視圖。 圖7 :本發明復健法之流程圖。 圖8、圖9 :本發明驅動器之推桿樞接孔座前端孔的連續動作 不意圖。 圖10、圖11 :本發明驅動器之推桿樞接孔座後端孔的連續動 作示意圖。 圖12 :本發明復健法之另一流程圖。 16The flow of the step of setting the automatic operation stroke of the present invention is not limited to the above embodiment, and the order of the above step h and the step 3-1, the step 3_2 盥 the step 3-4 may be interchanged to define the start point and the end point of the automatic operation stroke. . According to this, we design a suitable exercise combination for the patient, strengthen the muscles, and maintain the length and tension of the contact belt and the tendon, so that the joint activity can return to normal. The above is a detailed description of the structure and side effects of the present invention in accordance with the embodiment shown in the drawings, which is in accordance with the requirements of the _ money step, and the invention patent application. July 15 丄*^ :)9〇 [Simplified illustration of the drawing] Fig. 1. A perspective view of the passive rehabilitation machine for the elbow joint of the present invention. 2 and 3 are schematic views showing the continuous operation of the actuator of the present invention. 4 and 5 are side views of an embodiment of the rehabilitation machine of the present invention. Fig. 6 is a side view showing an embodiment of the rehabilitation machine of the present invention when it is housed. Figure 7 is a flow chart of the rehabilitation method of the present invention. Fig. 8 and Fig. 9 are views showing the continuous operation of the front end hole of the push rod pivot hole holder of the actuator of the present invention. Fig. 10 and Fig. 11 are schematic diagrams showing the continuous operation of the rear end hole of the push rod pivoting socket of the actuator of the present invention. Figure 12: Another flow chart of the rehabilitation method of the present invention. 16