TWI715876B - Torso, walking function training system for stroke patient improving - Google Patents

Abstract

A torso, walking function training system provides disability cases due to stroke or brain damage, including: 1^ST level sitting training, 2^nd level hip up training, 3^rd level displacement training with an assistant’s help, four level stand by grabbing a railing training with an assistant’s help, five level stand with back partially straight training while grabbing an armrest by himself, six-level foot lift training with an assistant’s help, seven-level step moving with an assistant’s help training, eight-level solo step moving training, nine-level stair training, and ten-level running training; each of the ten sport levels consists of four stages, each stage has its set goals, corresponding sport items and devices. In the system, each disability case is asked not promoted to the next advent level until the goals of the current sporting level are reached.

Description

Torso and walking function training system

The present invention relates to a scoring and exercise method that is conducive to improving the disability state of the trunk or lower limbs, in particular to provide rehabilitation of disabled patients with stroke, spinal injury, head trauma, and physical weakness after encountering major diseases. Health, achieve the goals set at each stage, and enable the above-mentioned patients to build self-confidence, and then take care of their basic life.

With the advancement of medical technology in developed and developing countries around the world, aging has gradually become the norm. For this reason, we have more or less heard that relatives, elder friends, or neighbors of certain classmates, elder friends, or neighbors who were still healthy had a stroke, a fall, or a car accident, causing brain damage, body organ injury or fracture. Although his life was successfully saved by hospital treatment, the structure of the human body is as mysterious as a small universe. When a certain meridian, blood vessel is blocked or an organ is damaged, health affects the whole body, and other functions are often caused by this. It stops abruptly, and causes big or small problems. Especially those with severe stroke, brain or spine injury, due to the central nervous system injury, will first be affected in sports, including the inability to turn over on their own, from lying to sitting, from sitting or standing, some people even lose the most basic size Control ability, swallowing and language function. For this reason, even though some serious diseases have been treated by the hospital, they still cannot return to their pre-disease state and go home. In addition to relying on others in their daily lives, some people are discharged from the hospital with catheters and nasal feeding tubes. Then this group of people who are unable to take care of their disability will take turns in major rehabilitation hospitals in order to perform long rehabilitation for the disabled body. General clinical experience in medicine believes that the golden period of rehabilitation for disability caused by various diseases is probably within six months after a stroke or a major illness, but the more serious Disease, the longer it takes to recover. If recovery is not possible for a long time, and the family is busy with life and unable to take care of them, they may have to accept long-term care services. If they rely on others to take care of them for several years or even decades, this will be a heavy burden for the disabled and their families.

When a part of the patient's self-care ability is lost, how to take care of the patient is very important. Especially when the patient’s expressive ability is restricted due to disease, it is more difficult to take care of. Once the disease occurs, it is easy to have complications if it is not taken care of. The most common ones are that they cannot turn over due to their own weakness, bedsores, respiratory tract infections, urinary tract infections, or the original disease is further aggravated after long-term bed rest. If the limbs are weak for a period of time without proper and sufficient movement, it will evolve into joint twinning and muscle atrophy. If breathing or swallowing is difficult, pneumonia is prone to occur, especially due to decreased swallowing ability, aspiration pneumonia is prone to coughing. If it is incontinence, it is prone to urinary system infection, buttocks skin ulcers, diaper rash, etc.

Therefore, physical therapists in rehabilitation hospitals will assess the patient's exercise ability and give appropriate physical, functional and language therapy. "Physiotherapy" focuses on joint and muscle training for those with limb movement difficulties, abnormal gait or balance disorders. "Occupational therapy" focuses on upper-limb functional training and recovery of daily self-care ability, assistive device evaluation and training, home barrier-free facilities, equipment evaluation and modification, etc. "Speech Therapy" provides oral cleaning skills, pronunciation training, and swallowing treatment for cases with aphasia, dysphasia, dysphagia, etc. And patients after major illnesses are often accompanied by psychological problems such as depression and depression. Therefore, people after a major illness can recover their self-care ability as soon as possible, such as the ability to move, wash their face, dress, urinate and defecate, and walk. It is a very important step to prevent complications after the disease or to improve depression. For people who are sick, having the ability to take care of themselves can not only reduce the burden on their family members, but also enhance their basic dignity and quality of life. Greater reduction due to major diseases The social costs and medical expenditures that came with it.

The above-mentioned major diseases, such as stroke patients, are not necessarily old people, and strokes in middle and middle-aged people are also heard from time to time. The brain or spine injuries caused by car accidents are more likely to happen to young friends. Middle-aged patients are usually the backbone of the family's economy, while young friends have a bright future in life. After suffering a major illness, their personal and family life goals are lost. If this group of patients fails to recover as quickly as possible, the impact on the family, personal life, psychological, and economic aspects can be imagined. In addition, even if the elderly patients face the impact of the disease, although they are not as severe as the former, their long-term need for care by others will also drag down the family members who take care of them.

Rehabilitation is to re-establish the self-care ability lost after a major illness. Starting from scratch is not an easy task. This again requires the patience and professionalism of the family and the rehabilitation medical team, as well as the patient's willingness to persist and cooperate.

In general, the doctor will prescribe a prescription and be guided by a rehabilitator and arrange for rehabilitation training. If patients want to know the progress of their rehabilitation, they often need to take the initiative to ask or learn about one or two from the explanations and opinions of doctors and rehabilitation practitioners. And these professional information often varies with the personal experience of different physicians and rehabilitation practitioners. It is difficult for patients and their accompanying family members to conduct systematic self-assessment and training. Therefore, during the implementation of a long rehabilitation treatment, if the expected goals are not achieved, the patient and family members may become disoriented, lose patience, or even give up on their own. This usually leads to delayed rehabilitation schedule, reduced rehabilitation effect, Even give up efforts. In particular, patients who have to travel to and from hospitals or clinics by boat are more likely to give up the idea of rehabilitation, and from then on, they lose their mobility and rely on wheelchairs or bedridden care for life.

In view of this, the present invention will provide a systematic torso, walking function score, and training method, and patients can be treated with medical system rehabilitation. Patients can know from this score and training method whether the staged course training has achieved the goal. This score sheet is also a training course. The main purpose of training is to improve the ability of the trunk and lower limbs. If such a scoring training table can be used, in the process of rehabilitation, in addition to the plan provided by the rehabilitation practitioner, patients and their accompanying family members can also use this scoring table to know their own scores from training courses and function scores, and further Also mastered the items of the home training program. Just like a traveler with a map, he knows the current stage and the future direction at any time. Knowing where to go, the cases and families who have suffered major illnesses will have a certain degree of confidence to stick to it, thus increasing the degree of cooperation in rehabilitation needs. Therefore, there is a chance to get rid of the broad road that needs long-term care from others at any time.

The purpose of the present invention is to provide a torso, walking function scoring and training method, which is suitable for cases of hand and foot disability on one side of the body due to brain damage caused by stroke or accident, so as to achieve maximum self-care ability after exercise , Aiming not to rely on the care of others.

The present invention discloses a disability case suitable for brain damage caused by a stroke or accident, including the following training steps: (1) assessing the current ability of the disability case; (2) evaluating the rehabilitation potential of the disability case; and comprehensively The evaluation results of (1) and (2) are subject to exercise training suitable for the exercise classification that the disability case can perform. The exercise classification has a total of ten levels, namely first-level sitting training, second-level hip-lifting training, Three-level shift training, four-level support training, five-level stand alone training, six-level stride training, seven-level walking training, eight-level solo training, nine-level stair training, and ten-level running training; and (2) the Each of the ten sports classifications includes corresponding sports items and set goals and scores. The sports items are black chairs, orange chairs, Lego chairs, walkers, walking aids, U-shaped steel tubes, wheelchairs, and armrests. Railings, elastic rings, legs The support frame, small ball, horizontal sliding frame, standing frame, big ball, and ladder are used as auxiliary tools for the staged training of the disability case. The disability case shall be trained with the sports items matched in the sports classification until reaching After the goal of the sports classification, it will be upgraded from the current sports classification training to gradually accumulate achievement points and increase sports classification.

Each of the above ten sports classifications contains four stage goals, each stage goal is 2.5 points

Level 1‧‧‧Sit up training

Level 2 ‧ ‧ butt lift training

Level 3‧‧‧Relocation training

Level 4‧‧‧Support Station Training

Level 5‧‧‧Solo training

Level 6‧‧‧Stride training

Level 7 ‧‧‧Walking Training

Level 8‧‧‧Solo training

Level 9‧‧‧Stairs Training

Tenth level‧‧‧Running training

Stage a, stage b, stage c, stage d

Level 2 a, level b, level c, level d

Three-level a-level, three-level b-level, three-level c-level, and three-level d-level ‧‧‧Phase objectives of shift training

Level 4 a, level 4 b, level 4 c, level 4 d

Level 5 a, 5 b, 5 c, 5 d

Six-level a-level, six-level b-level, six-level c-level, and six-level d-level ‧‧‧Phase goals of step training

Stage goals of 7-level a-level, 7-level b-level, 7-level c-level, and 7-level d-level ‧‧‧Walking training

Eighth level a, eight b, eight c, eight d

Level 9 a-level, 9-level b-level, 9-level c-level, and 9-level d-level ‧‧‧Stair training stage goals

Ten-level a-level, ten-level b-level, ten-level c-level, ten-level d-level ‧‧‧Phase goals of running training

5‧‧‧Classification of exercise assessment for disability cases

10‧‧‧Rehabilitation potential assessment of disability cases

20‧‧‧Ten sports classification

Fig. 1 shows a flow chart of the torso, walking function scoring and training method according to the present invention.

As mentioned above, various major diseases can cause weakness and loss of self-care ability. The most serious ones are the most difficult to recover from neurological impairment. For example, in stroke patients, the central nervous system is damaged due to blockage of blood vessels in the brain or bleeding, which causes the whole body to be affected. Other self-acting functions often stop abruptly, causing major or minor problems. Body functions that have ceased to function due to major diseases must be reawakened. With the core muscle group and walking training courses of the present invention, it can be used for scoring and training. People who have brain damage or other disability due to strokes, falls, can use this step-by-step course arrangement to gradually improve the degree of disability, and its effectiveness Very significant.

Before describing the present invention, the relevant terms and auxiliary tools will be explained below: Disability cases: refer to patients who have torso and walking function training needs or those who cannot take care of themselves in life, regardless of whether they are affected by the motor function of the present invention The score is judged to be 0, 50, or 90, and as long as the training objects conform to the present invention, they are collectively referred to as disability cases.

The healthy side brings the affected side: the healthy side drives the affected side that has lost or blocked functions to make actions.

Orange chair: The height difference between the front and the back is about 6 cm. The chair with armrests and backrest is an orange chair. The orange chair has a wide chair surface and has armrests on both sides to protect the patient and facilitate its grasping. In the present invention, The front end of the orange chair is about 37 cm above the ground, and the rear end of the chair is about 31 cm above the ground. In addition, the color of the orange chair is not limited.

Black chair: a black chair with armrests and a backrest about 43 cm above the ground is a black chair. In addition, the color of the black chair is not limited.

Lego chair: A round stool without armrests and backrest is 40~18 cm above the ground as a Lego chair.

Square tube: It is a square steel tube armrest with a diameter of 4 cm, cut into two sections, fixed on the back of the black chair and the left and right sides of the armrest, around the front of the black chair, like the hollow table top in front of the chair.

Ball: An object that can attract the mind of the disabled person, such as the conventional sphere, the size of which is, for example, a golf ball, a balloon slightly larger than a table tennis ball, a rubber ball, a plastic ball, a silicone ball, or a leather ball. In addition, a string of bells that can make sounds is also fine.

Small ball: Clearly refers to the Gore ball, which is slightly larger than the table tennis ball.

Large ball: Refers to a balloon, rubber ball, plastic ball or silicone ball or leather ball that is one to three times the size of a small ball.

Horizontal sliding frame: a steel support frame, the front end of the support frame is high and the back end is low, and the back end height can be adjusted according to the difficulty of movement. The two ends of a sliding rail frame are respectively arranged at the front and back ends of the support frame. A chair cushion is arranged on the sliding rail, and steel wheels that can slide between the sliding rails are arranged under the chair cushion. The chair cushion is constrained by a spring. Therefore, when the disabled person sits facing the front end and straddles the chair cushion, they can move forward or backward, but they must resist gravity and spring tension. When the difficulty increases to the most difficult, the rear end is much lower than the front end. For example, when the track is 135 cm long, the front end of the track is about 35 cm above the ground and the rear end is about 10 cm above the ground. When the difficulty is adjusted, the back end and the front end are approximately the same height.

Standing frame, structure is similar to horizontal sliding frame, but upright. Among them, on the slide The support frame connected to the end is tilted forward, and the support frame connected to the lower end of the slide rail is backward. The disabled person faces forward with his back against the chair cushion, and the waist and shoulders are tied to the chair cushion with straps, just like wearing suspenders for protection Safety. The disabled person squats and stands under the instruction of the counselor. The same chair cushion has steel wheels to move up and down between the slide rails. Disabled cases must squat and stand against gravity.

People can walk because from the head, neck, shoulders, chest, abdomen, and lower back, the shoulders, chest, abdomen, and lower back are collectively called the trunk or core muscles) and the lower limbs can stand upright, and can control related muscles by themselves Contraction and maintain balance and coordination between movements. Due to the differences in personal abilities and conditions, in the present invention, the rehabilitation exercise course is divided into ten levels. Stroke patients often suffer from half-body disability, that is, there are the above-mentioned healthy and affected sides, and most disability cases are from Starting at level 1, other disability cases not caused by stroke may start at level 2 or level 3. Therefore, the initial participation of a disabled person in an exercise program will vary depending on the individual's own degree of disability. For the flow chart of the implementation of the present invention, please refer to Fig. 1. Step 5 is the motor function assessment for the disabled case. Step 10: Perform rehabilitation potential assessment for the disabled case. After steps 5 and 10, the rehabilitator will assign the disabled case to the appropriate exercise grading step 20, the appropriate exercise grading in the first to ten levels, and the corresponding sports items There are sports content from items 1 to 86 (described later). Part of the sports items can be used as motor function assessment for disabled cases. The typical ones used for motor function assessment are NO.1, NO.2, -NO.3-1, NO,3-2.

Among them, in the No. 1 sport, the disabled person sits in a wheelchair and uses a walker to suspend the ball in front of the wheelchair. The disabled person uses the healthy side to drive the affected side to make the lower limbs lift the foot to make a kicking action. The purpose is to contract the lower abdominal muscles and move the lower limbs.

For NO.2 exercises, the disabled person sits in the orange chair, and the uninhibited lower limb drives the straight leg of the affected side to raise the straight leg of the affected side. The purpose is to contract the core muscles, contract the pelvic floor muscles, and move both lower limbs.

NO.3-1 sports, lying on the mat, standing on the mat. Lying on the mat is to enable the disabled person to lie on the bed surface with their elbows to support the upper body and raise the patient’s head and neck for the purpose of training the neck The ability to support the weight of the head.

For NO.3-2 sports, standing on the mat is to use the protective restraint belt for safety protection for the disabled case, and stand on a chest-high support frame to make the disabled case stand up straight with hands around the chest. The purpose is to stretch the normal angles of the head, neck, chest, waist, abdomen, pelvis, hip joint, knee joint and ankle joint to avoid complications such as joint stiffness and ligament contracture caused by long-term bed rest and weakness. In addition, standing can correct the loss of heart and lung function caused by long-term bed rest, improve postural hypotension, and reduce bone density loss.

Please refer to Figure 1. Whether the disabled case has the potential to recover is also the key to effective recovery. Including the first point, whether the disabled person has basic cognition, basic learning ability and willingness. The second point is whether the disabled person has basic physical ability, whether they can sit in a wheelchair for 2 hours continuously, and the third point is whether the disabled person can actively participate in the arranged activities. The fourth and most important point is whether the disabled person has enough family support. Because the road to rehabilitation is long, the company and encouragement of family members can achieve twice the result with half the effort. If the disability case is single and there is no family member, it can only rely on the aforementioned three points to make up. If the aforementioned three points are insufficient, of course, it will have a certain impact on the performance of future functional recovery. A more special situation is that, even with the above-mentioned conditions, in addition to participating in training courses, in the process of progress, disability cases actually need the opportunity for empathy and motivation.

Please still refer to the flow chart shown in Figure 1. The exercise classification step 20 of the present invention is divided into ten levels, each with 10 points, and the total score of the trunk, walking function score, and training table is 100 points, as described below. A step [sit], out of up to 10 minutes after the completion of this stage. [Sit upright] Disabled patients who can sit upright for more than 5 minutes without the assistance of others and without relying on the back of the chair or armrests can get 10 points for this cumulative score. In the second step [hip lift], the total score can reach 20 points after the completion of the second step. [Hip lift] Lift the buttocks off the chair surface. When the disabled person lifts their buttocks 5-10 cm away from the chair surface with the assistance of others, they can get the cumulative score of 20 points. The three-level step [shift], the total score can reach 30 points after the third level is completed. [Displacement] With the assistance of others, a disabled person who can cooperate with the instruction to make a partial force support action when moving the position can get the cumulative score of 30 points. Step 4 [Support Station], the total score can reach 40 points after completing the fourth level. [Support station] With the support and assistance of others, the disabled person can use the handrails instead of relying on the wall. The lower limbs can support most of the body weight. If they reach the state of standing for 10 minutes with the support of others, they can get the cumulative score of 40 points. . Five steps [stand alone], the total score can reach 50 points after the completion of this level. [Standing alone] Disability cases do not need assistance from others, and the back can be partially straightened. You can finish standing alone with the armrest for 10 minutes, and you can get the cumulative score of 50 points.

Six steps [stride], the total score can reach 60 points after completion. [Striding] Disability cases can be partially straightened with the assistance of others, and can support the weight of one side of the lower limbs, and the other side of the lower limbs can move forward and step off the ground by more than 1 cm to get the cumulative score of 60 points. Seven steps [walking], the total score can reach 70 points after the completion of this level, [walking] disabled cases with the assistance of others, the back can be partially straightened, the affected foot and the unaffected foot can support one foot off the ground Under the support and guidance of others, the feet can move forward alternately to get the cumulative score of 70 points. Eight steps [Solo], the total score can reach 80 points after this level is completed, [Solo] Disability cases do not need assistance from others, rely on or do not rely on assistive devices, can walk forward on their own to get this accumulation Score 80 points. Nine steps [stairs], after the completion of this level, the total score can reach 90 points, [stairs] disabled persons can lift their feet up the stairs with the support and guidance of others, and alternately go up and down the stairs to get the cumulative score of 90 Minute. Ten steps [Running], after the completion of this level, the total score can reach 100 points. [Running] Disability cases do not need assistance from others. They can walk briskly or do a small run independently to get the cumulative score of 100 points. If you can complete all the contents of the torso, walking function score, and training table, then congratulations, the torso and walking function of the disabled person is no different from the normal person, and it is completely restored to the state before the disease.

The ten levels of the above training are related to each other, such as connecting The ability to sit upright can't be achieved, and its muscle strength can't do the action of raising the hips. If the hips cannot be raised, they cannot cooperate and assist in the moving position. For example, it is impossible to even stand up, it is impossible to walk, etc. Just like the physical development of infants and young children, there is a gradual process. If a set of tools can be used to measure the stages of aging and disability, and to arrange corresponding functional training, it will help maintain and improve the personal functions of the weak or disabled.

Furthermore, the score of each level is divided into four stages, a, b, c, and d. Each stage is 2.5 points, and the four stages total 10 points, and so on. Take the first level [sitting upright] as an example, the first level a is: leaning back, leaning backwards, unable to sit upright without relying on things, and the score is 2.5 points. The first level b is: sitting back upright, the cumulative score is 5 points. The first level c is: sitting alone for 1 minute, the cumulative score is 7.5 points. The first level d level is: sitting alone for more than 5 minutes, the cumulative score is 10 points. By analogy, when the evaluation score reaches a certain level, the score is calculated based on that level.

At the first level, sitting upright for 10 points is a situation where the disability case will be swayed and cannot sit upright without relying on things. You can sit upright after training to level b with your back resting on the chair. After training to level C, you can sit upright for 1 minute if you support yourself without backing. In the end, train to the first level d level alone without back support, can sit upright for 5 minutes, that is, complete the first level course goal.

Level 1 supporting course: Level 1 a. Disability cases are in a sway, and they can sit upright if they rely on things. Sports courses include: NO.3-1, NO.3-2, NO.4 and other courses. Among them, No. 4 is training without support, the orange chair is reclining back, and pillows are placed left and right. To guide the disabled case's trunk muscles to sit upright.

The requirement of the first-level b-level exercise course is that the disabled person must be able to sit upright with the back of the chair. Sports courses include NO.3-1, NO.3-2, NO.5, NO.6, and NO.7. Among them, NO.5 is training for sitting upright without backrest on the orange chair. Use the support of others or the disabled person to grasp the handle of the orange chair with all their strength, and training is not dependent Sit back upright. NO.6 is part of the training that supports the orange chair without back sitting. The disabled person supports part of the orange chair handles and trains to sit upright without backing. NO.7 is part of supporting black chair seat training. The disabled person supports part of the black chair handles and sits upright with the backrest to guide the person to sit upright.

The requirements of the first-level c-level exercise course are: for disabled cases, they must be able to sit upright for 1 minute alone without backing. Sports courses include: NO.7, NO.8 and NO.11 courses. NO.8 is the black chair backrest sitting upright, the healthy side leg kicks the ball with the affected side leg to train the trunk muscles to maintain a balanced sitting position when the lower limbs are active. NO.11 is the adduction and abduction movement of the thigh. It is easy to make the contraction of the adduction and abduction of the hip joints of the lower limbs by using the angle of the orange chair.

The requirement of the first-level d-level exercise course is that the disabled person should be able to sit upright for 5 minutes alone without backing. Courses include: NO.1, NO.2, NO.9, NO.10, NO.11, NO.12 and other courses. Among them, NO.12 means sitting upright in a black chair without support or backing. Make the movement of kicking the ball with the affected side of the lower extremity. In addition to training the lower extremity muscles and joint activities, it has a stronger training effect on the trunk core muscles because it does not support or sit upright.

The second-level hip lift is 20 points, which means that the disabled person cannot make a forward torso and raise the buttocks. Training to the second level b requires assistance, can make a forward torso, but cannot raise the hips. Retraining to the second level c requires the assistance of someone to make a forward torso, and raise the buttocks, leave the chair for more than 1 cm, for 5 seconds. At the end of the training, you will be trained to raise your hips by 5 to 10 centimeters at the second level d, for 5 seconds. That is to say, complete the second-level course goal.

Level 2 supporting course: The initial stage of Level 2 a is the training content for disability cases who cannot make forward torso and raise buttocks. Sports courses include: NO.11, NO.12, NO.13, NO.14 and other courses. among them,

NO.13 is not supporting, sitting in a wheelchair, and repeatedly hitting the suspension ball with the forehead. It can play the role of repeated contraction training of the neck, chest, and abdomen muscles.

NO.14 is independent sitting training without support and sitting in a Lego chair. It can train the lower limb support ability and static balance training for the sitting position of the trunk core muscles.

Level 2 b, for disabled cases, provides training content that can lean forward but cannot raise the hips. Courses include: NO.15, NO.16, NO.17, NO.18 and other courses. among them,

NO.15 is to support, lie down on a large cushion, and do the continuous rolling movement of the whole body with or without assistance. It can play a role in training the head, neck, chest, abdomen, upper and lower limbs, whole body muscle strength, balance and coordination.

NO.16 requires support, lying on the mat, with or without assistance, bending the knees and raising the hips. Training for the trunk core muscles.

NO.17 means sitting on the orange chair without support, lying forward, touching the 40~18 cm high lego chair with your hands. Can play strength training from the head, neck, chest, abdomen and upper and lower limbs.

NO.18 is to support, sit on a black chair, and use the square tube to make the body forward movement. Bend your body forward, open your elbows, and lean on the square steel pipe in front, which is good for training the range of movement of your shoulder joints.

The second level c provides training content that can raise the hip by more than 1 cm and lasts for about 5 seconds for disabled cases. Courses include: NO.19, NO.20, NO.21 and other courses.

NO.19 means sitting on the orange chair without support, completing the movements of reclining back, sitting upright, and lying down. Straighten both upper limbs upwards, and move the body from backward to forward bending to touch the floor continuously, which can achieve the stability of the head, neck, chest, abdomen, upper and lower limbs, and trunk muscle strength training.

NO.20 is to sit on a black chair without support, grasp the four-legged crutches with the upper limbs of the healthy side, and move the body forward and backward. The upper limb of the healthy side grasps the crutches, straightens the arms forward, and drives the body to lean forward and lie down continuously to train the trunk muscle strength.

NO.21 requires support, sitting in a black chair, and using the square tube to make the body forward and buttocks up. Bend your body forward, open your elbows, and lean your upper body on the square steel pipe in front, which is conducive to shifting the center of gravity, raising your hips, and training your lower limb muscles.

Level 2 d, for disabled cases, provide training content that can raise the hips by more than 5 cm and about 5 seconds. Courses include: NO.22, NO.23 and other courses.

NO.22 does not require support, sits in a black chair, and uses a square tube to independently perform body forward and buttocks movements. Bend your body forward, open your shoulders and elbows. The upper body relies on the square steel pipe in front to share the body weight, which is conducive to independent weight transfer to raise the hips and guide the training of the muscles of the lower limbs.

NO.23 does not need support, sits on the orange chair, uses elastic rope to turn around the body. Rotating the body from side to side can train the internal and external oblique muscles.

The third-level displacement is 30 points, which is the disability case from the third-level a-level, and the healthy and affected lower limbs are completely unable to assist in moving the position. After training to level 3 b, the lower limbs of the affected side can make a little effort to help the displacement. Retraining to the third level c can cooperate with the instructions to assist the displaced person to move the body. In the end, it is trained to be a three-level d-level capable of coordinating with instructions, and most of the power shift. That is to say, complete the three-level course goal.

Level 3 supporting courses: Level 3 a provides training content for disabled cases with complete inability to assist in moving the lower limbs on the affected side. Courses include: NO.17, NO.18 and other courses.

Level 3, level b, provides training content for disability cases, where the healthy and affected lower limbs can make a little effort to help the displacement. Courses include: NO.19, NO.20 and other courses.

Level 3 and level c, for disabled cases, provide training content that can raise the hip by more than 1 cm and maintain about 5 seconds. Courses include: NO.20, NO.21, NO.22 and other courses.

Level 3 d level, for disabled cases, the training content that can raise the hips by more than 5 cm, about 5 seconds. Courses include: NO.23, NO.24, NO.25 and other courses.

Among them, NO.25 is to be supported, sit on a treatment bed, and move to a wheelchair. Training the balance and coordination of the whole body muscles.

The level 4 support station is 40 points. It is the disability case from the fourth level a, and the strength cannot be reached. The armrest is supported by one person. Train to level 4 b, with shoulders and elbows against the wall, and hold the stand for 1 minute. Then train to level 4 c, put your shoulders and elbows against the wall, and hold the stand for 5 minutes. At the end, train to level 4 d, with elbows against the wall, and stand alone for more than 10 minutes. That is to say, complete the four-level course goal.

Level 4 supporting course: Level 4 a, the training content for the disabled case cannot be achieved if the strength is insufficient, the armrest supports one person to stand. Courses include: NO.22, NO.23 and other courses.

Level 4, level b, for disabled cases, hold shoulders and elbows against the wall, and maintain the training content of standing support for 1 minute. Courses include: NO.24, NO.25 and other courses.

Level 4 and level c For disabled cases, the shoulders and elbows should be against the wall, and the training content should be maintained for 5 minutes. , Sports courses include: NO.26, NO.27, NO.28 and other courses.

NO.26 requires support, legs gaiters facing the wall, palms grasping the handrails, and standing on the wall. It can achieve the training of guiding the coordination of body muscle strength and the muscle strength of both lower limbs.

NO.27 requires support, leggings on the affected side, facing the wall, grasping the armrest with the palm, and standing prone to the wall. It can achieve the training of guiding the coordination of body muscle strength and the muscle strength of both lower limbs.

NO.28 requires support, no leggings on both lower limbs, shoulders and elbows of the healthy side against the wall, grasping the armrests with the palms, and supporting standing for 5 minutes. It can achieve the training of guiding the coordination of body muscle strength and the muscle strength of both lower limbs.

Level 4 d level, for disabled cases, the elbow should be against the wall, and one person supports the training content of standing for more than 10 minutes. Courses include: NO.28, NO.29, NO.30 and other courses.

NO.29 requires support, no leggings on both lower limbs, elbow on the uninvolved side against the wall, grasping the armrest with the palm of the hand, and supporting standing for 10 minutes. It can achieve the training of guiding the coordination of body muscle strength and the muscle strength of both lower limbs.

NO.30 requires support, no leggings on both lower limbs, hold the handrails with palms, and stand against the wall. Guide the overall function coordination and the training of the muscle strength of both lower limbs.

Level 5 stands alone with a score of 50 points. It is a disability case whose balance and muscle strength are insufficient from level 5 a and cannot stand on their own armrests. After training to level 5 b-step stand alone for 1 minute, the body is obviously tilted to one side. Then train to level 5 c and stand alone for 5 minutes, with a slight asymmetric body. At the end of the training, "d" d stand upright and stand alone for 10 minutes. Immediately complete the five-level course goal.

Level 5 supporting courses: Level 5 a, training content for disabled cases with insufficient balance and muscle strength, unable to stand on their own armrests. Courses include: NO.29, NO.30, NO.31 and other courses. Of which sports courses

NO.31 is no need to support, sit on a black chair, use a walker to assist sitting and standing training. Guide the overall function coordination and the training of the muscle strength of both lower limbs.

The training content of level 5 b, for disabled cases, stand alone for 1 minute, and the body is obviously to one side. Sports courses include: NO.31, NO.32, NO.33 and other courses. among them,

NO.31 is no need to support, sit on a black chair, use a walker to assist sitting and standing training. Guide the overall function coordination and the training of the muscle strength of both lower limbs.

NO.32 is to use a walker to assist in squatting training without support, sitting in a black chair. Guide the overall function coordination and the training of the muscle strength of both lower limbs.

NO.33 is to support, hold the armrest with the palm, and stand sideways. Guide the overall function coordination and the training of the muscle strength of both lower limbs.

Level 5 c, for disabled cases, stand alone for 5 minutes, with slightly asymmetrical training content. Courses include: NO.33, NO.34, NO.35, NO.36 and other courses.

NO.34 is to support, hold the handrails, stand sideways and lift the lower limbs of the healthy side for 1 minute. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

NO.35 does not need to support, hold the handrail, stand sideways alone for 5 minutes. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

NO.36 is no need to support, hold the handrails, stand sideways alone, lift the lower limbs of the healthy side from the ground for more than 1 minute. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

Level 5 d, for disabled cases, stand upright and stand alone for 10 minutes. The training content of level 5 is completed. Courses include: NO.37, NO.38, NO.39, NO.40 and other courses. among them,

NO.37 does not need to support, hold the armrest, lift the lower limbs of the healthy side off the ground to kick the ball. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

NO.38 does not need to support, hold the armrest, lift the healthy side lower limbs from the ground for more than 5 minutes. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

NO.39 means that the lower limbs of the healthy side move forward and backward without supporting or holding the armrest. Guide the overall function coordination and the training of the muscle strength of the affected lower limbs.

NO.40 is easy to sit on a horizontal sliding frame without support, the soles of the feet are in place, and the body slides back and forth. Guide the dynamic balance of the core muscles in the sitting position, and train the flexion and extension of the knee joint muscles of the affected side.

A step of 60 minutes at level 6 is a state where the disabled person cannot move forward from level 6 a. Training to level 6 b requires assistance and guidance, and the affected foot moves slightly forward. Retraining to level 6 c requires assistance. Although the affected foot cannot leave the ground, it can be dragged forward. In the final training, the affected foot can be more than 1 cm off the ground and step forward on its own. That is to say, you have completed the six-level course goal.

Level 6 supporting courses: Level 6 a, training content for disabled cases that cannot move forward. Courses include: NO.40, NO.41, NO.42 and other courses. among them,

NO.41 is to stand up and down on a stand with feet shoulder-width apart. Guide the overall functional coordination and trunk stability, muscle strength of the affected side of the lower limbs, ankle and sole control.

NO.42 does not need to support, lie on the side pad, suspend the affected side of the lower limbs, bend and extend the hip and knee joints. Train the flexion and extension of the hip and knee muscles of the affected side.

Level 6 b, for disabled cases, need to be assisted and guided by the training content of the affected foot moving forward slightly. Courses include: NO.41, NO.42, NO.43 and other courses. among them,

NO.43 is no need to support, the orange chair is reclined back, and the healthy leg drives the affected leg to bend and raise the hip. Train the muscle strength of the hip and knee joints of the affected lower limbs.

Level 6 and level c. For disabled cases, it needs to be assisted. Although the affected foot cannot leave the ground, the training content can be dragged forward. Courses include: NO.43, NO.44, NO.45, NO.46, NO.47 and other courses. among them,

NO.44 means sitting on the Lego chair without support, flexing the hip on the affected side and raising it. Train the muscle strength of the hip and knee joints of the affected lower limbs.

NO.45 is to lie flat on the treatment bed without support, with the affected side facing out, and the lower limbs bend hips and knees from the ground to the bed. Train the muscle strength of the hip and knee joints of the affected lower limbs.

NO.46 is no need to support, slope handrails, the healthy side's lower limbs are stretched straight on the ground, and the affected side's foot is steady without rolling away. Train the stability and muscle strength of the hip and knee joints of the affected side.

NO.47 is no need to support, slope handrails, the healthy side's lower limbs stretch straight on the ground, and the affected side's lower limbs slide back and forth on the skateboard. Train the stability and muscle strength of the hip and knee joints of the affected side.

Level 6 d, for disabled cases, stand upright and stand alone for 10 minutes. It is calculated that the training content of level 6 is completed. Courses include: NO.48, NO.49, NO.50, NO.51 and other courses. among them,

NO.48 does not need support, sits on a horizontal sliding frame, walks back and forth with both lower limbs flexing and knee extension. Guide the dynamic balance of the core muscles in the sitting position, the muscle strength of the lower limbs of the affected side and the control of the ankle and sole.

NO.49 is no need to support, sitting on the orange chair without backrest, the healthy leg drives the affected leg to bend and raise the hip. Train the muscle strength of the hip and knee joints of the affected lower limbs.

NO.50 is no need to support, sit on the orange chair, sit back, legs with elastic rope for both lower limbs, adduction and abduction of the hips and thighs. Train the muscle strength of the affected lower limbs.

NO.51 is to support and hold the handrail to assist the affected foot to step forward and backward. Train the stability and muscle strength of the affected lower limbs.

70 minutes of walking at level 7 is a disability case from level 7 a, unable to reach, walking upright with the support of one person. Training to level 7 b requires assistance. Under the leggings of the affected side, the weight of the foot off the ground can be supported on the contralateral foot. Although the torso is obviously offset, it can move forward. Retraining to level 7 c requires assistance. The affected side can support the weight of the healthy foot off the ground without leggings. The torso may be slightly asymmetrical, but it can move forward. At the end of the training to the seventh level D. With support, the affected foot can support the weight of the healthy foot off the ground, and can partially match the goal of walking forward with the head up and chest up. That is to say, complete the seven-level course goal.

Complementary courses for level 7: Level 7 a, which cannot be done for disabled cases, training content for upright walking with one person's support. Courses include: NO.49, NO.50, NO.51, NO.52 and other courses. among them,

NO.52 requires support, facing the wall, and holding the handrail to assist the side of the affected foot to step out. Training the lower limb abduction and muscle strength of the affected hip.

Level 7 level b. For disabled cases, assistance is needed. The affected leg can support the weight of the uninhibited foot off the ground. Although the torso is obviously offset, it can be moved forward. Courses include: NO.53, NO.54, NO.57 and other courses. among them

NO.53 is to support, hold the handrail, and step forward and backward independently of the lower limbs of the affected side. Train the flexion and extension of the affected hip joint, the control ability of knee joint extension and flexion, and the muscle strength of the lower limbs.

NO.54 is to support and use suspension tools to walk. Training both lower limb coordination, step stability and muscle strength.

NO.57 is to use a walker under the support of one person and walk 10 meters. Training both lower limb coordination, step stability and muscle strength.

Level 7 and level c. For disabled cases, it needs to be assisted. The affected side can support the weight of the foot off the ground without leggings. The torso may be slightly asymmetrical, but the training content can be moved forward. Courses include: NO.54, NO.55, NO.58 and other courses. among them,

NO.55 does not need to support, hold the armrest, lift the ball on the knee of the patient. Training core muscle strength, pelvis, and muscle stability of the affected lower extremity.

NO.58 is to use a walker under the support of one person and walk 10-50 meters. Training both lower limb coordination, step stability and trunk core muscle strength.

Level 7 D. For disabled cases, the affected foot can support the weight of the healthy foot off the ground, and can be partly matched with the goal of walking forward with the head up and chest up. That is to say, complete the training content of level seven. Courses include: NO.56, NO.59 and other courses. among them,

NO.56 is a horizontal sliding frame that does not need to be supported, the front is high and the back is low, the knee joint is extended and flexed in place, and the seat slides forward and backward. Train the stability of the trunk, the muscle strength of the lower limbs of the affected side, and the control of the ankle and sole.

NO.59 requires support, using a walker with single support, and walking 50-100 meters. Training both lower limb coordination, step stability and muscle strength.

A score of 80 for walking alone at level 8 is the status quo of disabled cases from level 8 a, unable to reach, and without support, walking alone. Training to level 8 b can use assistive equipment Walk, but the balance of the body is unstable, and a little help is needed to maintain balance or remind the step to move forward. Then train to level 7 c, can walk independently with assistive devices, and move forward at 10 meters. In the end, you will be trained to a seven-level d-level target, which does not require support and can walk 50 meters without assistive devices. That is to say, the completion of the eighth level course goal.

Supporting courses for level 8: Level 8 a, training content for walking alone without support for disabled cases. Courses include: NO.56, NO.59 and other courses.

Level 8 level b, for disabled cases, use assistive devices to walk, but the body balance is unstable, and a little help is needed to maintain balance or remind the pace to move forward. Courses include: NO.59, NO.60, NO.61 and other courses. among them,

NO.60 means stand alone without support or armrests. Training overall balance, lower limb coordination, stability and muscle strength.

NO.61 does not require support, sits on a horizontal sliding frame, high in the front and low in the back, and steps forward and backward with both lower limbs. Train the stability and muscle strength of the affected lower limbs.

Level 8 and level c. For disabled cases, the training content must be able to walk independently with assistive devices and move forward at 10 meters. Courses include: NO.62, NO.63, NO.64, NO.65 and other courses.

NO.62 is for walking under 10 meters without support and independently using walking aids. Training both lower limb coordination, step stability and muscle strength. among them,

NO.63 is to stand independently without support or armrests while raising the upper limbs. Training overall balance, lower limb coordination, stability and muscle strength.

NO.64 is to stand independently without support or armrests, and at the same time the upper limbs are lifted up and left and right. Training overall balance, lower limb coordination, stability and muscle strength.

NO.65 means stand alone on the healthy side or the affected side without support, independent without armrests. Training both lower limb coordination, step stability and muscle strength.

Level 8 d level, for disability cases to achieve no support, can be A goal of walking 50 meters under certain conditions. The training content of Level 8 is completed. Courses include: NO.66, NO.67, NO.68, NO.69 and other courses. among them,

NO.66 does not require support, the affected side is in front, the healthy side is behind, the center of gravity is on the core, and the lunge is squatting and stretching. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

NO.67 does not require support, sitting in a black chair, walking aid, sitting and standing training. Training the coordination, stability and muscle strength of both lower limbs.

NO.68 does not require support, sits on a horizontal sliding frame, it is difficult to be high in the front and low in the back, and the knee joints slide forward and backward in place. Train the stability of the trunk, the lower limbs of the affected side, the muscle strength of the calf, and the control of the ankle and sole.

NO.69 is to walk 50 meters independently without support, use or use of assistive devices. Training both lower limb coordination, step stability and muscle strength.

A score of 90 for the nine-stairs is a disability case from the ninth-a-step, overall muscle strength and balance, and cannot achieve the status quo of supporting stairs. Train to ninth level b, and need others to assist in trunk balance and foot lift. After training to ninth level c, with the assistance of others, the torso balance can be controlled by itself and assisted in raising the foot. At the end of the training to level 9 d, with the assistance of others, you can balance the torso and both feet up and down the stairs. That is to say, complete the nine-level course goal.

Complementary courses for level 9: Level 9 a, for disabled cases, the overall muscle strength and balance cannot reach the training content of supporting stairs. Courses include: NO.68, NO.69, NO.70, NO.71 and other courses. Of which sports courses

NO.70 means no need to support, face the wall, hold the handrails, feet shoulder-width apart , body up on tiptoes. Train the stability of the trunk, the lower limbs of the affected side, the muscle strength of the calf, and the control of the ankle and sole.

NO.71 does not need to support, face the wall, hold the handrail, feet shoulder-width apart , push the wall on tiptoes. Train the stability of the trunk, the lower limbs of the affected side, the muscle strength of the calf, and the control of the ankle and sole.

Level 9 level b is a training content that requires others to assist in trunk balance and foot-lifting. Courses include: NO.72, NO.73, NO.74, NO.75 and other courses.

NO.72 means no need to support, face the wall, hold the handrails, feet should be shoulder-width apart, and the affected side's lower limbs are abducted and extended back. Train the stability of the trunk, the lower limbs of the affected side, the muscle strength of the calf, and the control of the ankle and sole.

NO.73 does not require support, sits on a horizontal sliding frame, is difficult to move forward and backward, and steps forward and backward with both feet. Train the stability of the trunk, the lower limbs of the affected side, the muscle strength of the calf, and the control of the ankle and sole.

NO.74 is to lie down on the treatment bed without support, with the healthy side facing outward, the lower limbs bend knees on the ground, and sit up from the bed. Train the trunk, lower limb coordination, stability and overall muscle strength.

NO.75 requires support, sitting in the orange chair, assisted by others, sitting to standing from the orange chair. Train the trunk, lower limb coordination, stability and overall muscle strength.

Level 9 and level c. For disabled cases, they must be assisted by others, and the trunk balance can be self-controlled and assisted in the training content of raising the foot. Courses include: NO.73, No.76, No.77 and other courses.

NO.76 must be supported, stand on the side of the armrest and be assisted by others, bend over to pick up the ball and lose the ball. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

NO.77 requires support, standing in front of the steps, using assistive devices, and assisting others to go up and down the steps. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

Nine level d level. For disabled cases, it is necessary to reach the assistance of others, and you can balance the torso and both feet up and down the stairs by yourself. The training content of level 9 is completed. class Courses include: NO.75, NO.78, NO.79 and other courses. among them,

NO.78 does not need support, stand in front of the steps, use assistive devices, and go up and down independently. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

NO.79 means that you don’t need support, stand in front of the steps, don’t use assistive devices, and go up and down the steps independently. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

A score of 100 for tenth-level running is based on the disability cases from tenth-level a, insufficient balance and coordination, and unable to independently perform brisk walking and trotting. Train to the tenth level b, can jump on the spot, keep your feet off the ground, and keep your trunk balanced. Then train to tenth level c, balance and stability, speed up walking. At the end of the training, you can reach the tenth level and be able to balance and stabilize, and you can walk or jog alone. In this way, it is considered that the goal of the tenth level of the course has been completed, and at the same time, their personal mobility can basically return to home and live independently.

Level 10 supporting courses: Level 10 a, lack of balance and coordination for disabled cases, and unable to independently perform training content of brisk walking and trotting. Courses include: NO.80, NO.81, NO.82 and other courses.

NO.80 means sitting on the orange chair without support, using assistive devices or not, sitting on the orange chair to standing. Train trunk coordination, stability of both lower limbs, balance ability and whole body muscle strength.

NO.81 does not need to support, stand against the wall, hold hands high, feet shoulder-width apart , stand on tiptoes or jump to make a shot. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

NO.82 does not need to support, stand, raise both hands flat, with feet shoulder-width apart, jump to do the front and back, left and right opening and closing movements of the feet. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

Level 10, level b, for disabled cases, can jump on the spot, with both feet The training content of keeping the balance of the trunk off the ground. Courses include: NO.82, NO.83, NO.84 and other courses. among them,

NO.83 is the dynamic balance training for playing football without support, standing, hands and feet natural. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

NO.84 requires no support, hands and feet swing naturally, and walk fast independently. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

Tenth level and c level, the training content for the disabled cases to achieve balance and stability, and accelerate the walking speed. Courses include: NO.83, NO.84, NO.85 and other courses.

NO.85 is no need to support, hands and feet naturally swing forward and trot . Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

Tenth grade d, for the disabled case, it is necessary to achieve balance and stability, and take a long walk or a small jog alone. That is to say, complete the training content of level 10. Courses include: NO.85, NO.86 and other courses. among them,

NO.86 is no need to support, the affected side is in front, the healthy side is in the back, the center of gravity is in the back, and the lunge is squat and stretched. Train trunk coordination, both lower limbs and ankles, sole stability, balance ability and overall muscle strength.

The training aid of the present invention is the same as above. It does not require large equipment or medical equipment, but general household furniture or its modified products, general elastic rings, walking aids used by general elderly, crutches, wheelchairs, etc. Easy to get in life. For example, for sitting upright training, the required auxiliary equipment includes black chairs, orange chairs, Lego chairs, cushions, balls, walkers, pillows or quilts. The equipment required for hip-lifting training includes black chair, orange chair, square steel tube, ball, elastic rope, crutches, bucket, etc. Lifting training requires auxiliary equipment including bed, wheelchair, black chair, etc. Support station training, auxiliary equipment required The materials include railings and support frames. Stand alone training requires auxiliary equipment including walking aids, black chairs, handrails, small balls, horizontal sliding frames, etc. Striding training requires auxiliary equipment including elastic ring, standing frame, horizontal sliding frame, orange chair, small ball, and Lego chair. Walking training requires auxiliary equipment including: elastic ring, standing frame, horizontal sliding frame, handrail, walking aids. For solo training, the necessary auxiliary equipment includes: elastic ring, standing frame, horizontal sliding frame, handrail, one-handed walking aid, black chair. Stair training requires auxiliary equipment including: elastic ring, horizontal sliding frame, handrail, walking aids, black chair, step, orange chair, etc. Running training requires auxiliary equipment including balls, big balls, handrails, etc.

In addition, it should be supplemented that although the exercise training courses provided by the present invention take the majority (about 60%) of stroke disability cases as an example, one side is the affected side and the other side is the healthy side. In practice, sports training courses are also applicable. For fractures or pneumonia, or spine injury due to illness, or for the elderly who have replaced hip or knee joints due to falls or other reasons, patients with muscle weakness due to long-term bed rest, or patients with severe sarcopenia, they may suffer from both physical problems. Both sides are unhealthy (more correctly, semi-unhealthy, because there is no stable strength on both sides). They usually start with a higher level when they cut in. The other type is that both sides of the body are affected by a stroke. This type of disability is more difficult to rehabilitate, and the rehabilitation period is much higher than that of the unilateral unhealthy side. But as long as you have a high degree of cooperation and willpower in the aforementioned assessment of rehabilitation potential, the road to successful rehabilitation is still promising.

The invention has the following advantages:

1) The training courses provided by the present invention are specially designed for disabled cases of general weakness or hemiplegia due to major diseases, strokes or other diseases.

2) Different from rehabilitation, patients passively receive treatment, such as acupuncture, low-frequency treatment, or hot compress. The present invention does not use any invasive treatments or medications, etc., but gradually through the patient’s own exercise training, from human assistance to independent progress. Yes, the training of the healthy side allows the affected side to imitate and gradually wake up the coordination of the affected side muscles to achieve the goal of rehabilitation.

3) The training aid of the present invention does not require large equipment or medical equipment, but is general household furniture or modified products, general cloth or elastic cloth strips, and general walkers used by the elderly. Equipment is easy to get together.

4) The training course of the present invention is simple and easy to learn, as long as the tools are prepared and safe training methods are taught. Each training, as long as the rehabilitation personnel and accompanying family members or foreign carers have seen it, can be strengthened for patients even at home work out.

5) The training course of the present invention is simple and can be used by hospitals and long-term nursing staff to take care of disabled cases, so as to increase the health of the caring cases, and escape the fate of always relying on others to take care of them.

6) The training course of the present invention has stage targets, as long as the target is met, points are awarded (full marks). Disabled cases can understand their current rehabilitation degree and how far they are from recovery through points.

The above description is only a preferred embodiment of the present invention, and is not intended to limit the scope of patent application of the present invention; all other equivalent changes or modifications made without departing from the spirit of the present invention should be included in the following Within the scope of the patent application.

Level 1: sitting upright training

Level 2: hip lift training

Level 3: shift training

Level 4: Support station training

Level 5: Stand alone training

Level 6: Stride training

Level 7: Walking training

Level 8: solo training

Level 9: Stair Training

Tenth level: running training

Level a, level b, level c, level d: the stage goal of sitting upright training

Level two a, level two b, level two c, level two d: the stage goal of hip-lift training

Three-level a-level, three-level b-level, three-level c-level, and three-level d-level: the stage goal of shift training

Level 4 a, level 4 b, level 4 c, level 4 d: the stage goal of supporting station training

Five-level a-level, five-level b-level, five-level c-level, and five-level d-level: the stage goal of solo training

Six-level a-level, six-level b-level, six-level c-level, and six-level d-level: the stage goal of step training

Seven-level a-level, seven-level b-level, seven-level c-level, and seven-level d-level: the stage goal of walking training

Eight-level a-level, eight-level b-level, eight-level c-level, and eight-level d-level: the stage goal of solo training

Nine-level a, nine-level b, nine-level c, and nine-level d: the stage goal of stair training

Ten-level a, ten-level b, ten-level c, and ten-level d: the stage goal of running training

5: Exercise classification assessment of disability cases

10: Rehabilitation potential assessment of disability cases

20: Ten sports ratings

Claims (7)

A torso and walking function training system, suitable for stroke or brain injury disability cases, at least including: first-level sitting upright training equipment, including pillows, front high and low back orange chairs with armrests and backrests to assist sitting in the The disabled person on the orange chair is trained to sit upright without assistance for more than 5 minutes. It is the first level goal. When the disabled person reaches the first level goal, he can transfer and use the second level hip lift Training equipment for exercise; the secondary hip-lift training equipment includes a square tube fixed horizontally on a black chair with armrests and a backrest for the disabled person sitting on the black chair to use the square tube Lean your elbows on the square tube and move your body forward. With the assistance of someone, you can raise your hips by 5-10 cm into the secondary goal. When the disability case reaches the secondary goal, you can transfer and use the three The three-level lift training equipment for exercise; the three-level lift training equipment includes a treatment bed and a wheelchair, for the disabled person sitting on the wheelchair to be transferred from the wheelchair to the treatment bed, and the goal is to be able to cooperate with instructions in assisting In the disability case, a part of the strength shift can be a level 3 goal. When the disability case reaches the level 3 goal, it can be transferred and exercised with the level 4 support station training equipment; the fourth level support station training equipment , Including a protective restraint belt and an armrest, the armrest is fixed on the wall, one end of the protective restraint belt is tied to a stable point around the armrest, and the other end is tied to the disabled case body to provide the disabled case hand grip The goal of safety protection during the handrail is the four-level goal of the disabled person holding the handrail by himself and standing against the wall for more than 10 minutes with the assistance of one person and under the protection of the protective restraint belt. Achieve the four-level goal, you can transfer and use five-level stand-alone training equipment to exercise; The five-level stand-alone training equipment includes a standing frame, the standing frame is tied to a first steel support frame, the two ends of the first slide rail are respectively erected on the upper end and the lower end of the standing frame, and the first slide rail is provided with There is a chair cushion with steel wheels that can slide between the first slide rails under the chair cushion. The disabled case faces forward and backs against the chair cushion of the standing frame, and its waist and shoulders are tied with straps On the chair cushion, to ensure safety, the disability case must be supported, with feet shoulder-width apart on the stand, squat and stand without assistance, hold the handrail attached to the stand by yourself, The lower back can be partially upright and stand alone for 10 minutes as a level five goal. When the disabled person achieves the level five goal, he can transfer and use the level six step training equipment for exercise; the level six step training equipment, It includes a horizontal sliding frame, the standing frame and a suspension belt. The horizontal sliding frame is a second steel frame supporting frame, including a second sliding rail erected at the front and rear ends of the second steel frame supporting frame, and the second sliding rail The height of the rear end can be adjusted according to the difficulty of movement. When the front end and the rear end of the second slide rail are the same height, the difficulty of the movement is easy. When the front end is adjusted higher than the rear end, the difficulty of movement increases, and the second slide rail A seat cushion is provided on the upper part of the seat cushion, and steel wheels that can slide between the second slide rails are arranged under the seat cushion. The seat cushion is restricted by a spring. The standing frame must be supported for progress. The feet of the disabled person are the same width as the shoulders. Standing up and squatting on the stand, guiding the overall functional coordination and trunk stability, without supporting and lying on the side cushion, suspend the affected lower limb with the suspension strap, flex and extend the hip and knee joints and the disabled person sitting there On a horizontal sliding frame, the lower limbs are flexed, knees extended, and stepped forward and backward with the assistance of one person. Although the affected foot cannot leave the ground, it can be dragged forward until the affected foot can be more than 1 cm off the ground. If the front step is the sixth-level goal, you can transfer and use the seventh-level walking training equipment to exercise; the seventh-level walking training equipment includes a walker, and the disabled person uses the walker to walk with the support of a single person , Raise your head and chest forward with partial cooperation The transfer behavior is a seven-level goal. When the disability case reaches the seventh-level goal, he can transfer and use the eight-level solo training equipment for exercise; the eight-level solo training equipment includes the horizontal sliding frame, so that it is not necessary to proceed Support, the disabled person sits on the cushion of the horizontal sliding frame, the second sliding rail is adjusted to the front high and the back low, so that the difficulty is moderate, and the two lower limbs step forward and backward to achieve the In the case of assistive devices, walking independently for more than 50 meters is an eight-level goal. When the disabled person achieves the eight-level goal, he can transfer and use the nine-stair training equipment for exercise; the nine-stair training equipment includes steps And assistive devices, from the need for the assistive device to enable the disabled person to be able to go up and down the step with two feet to one step up and down the step without the aid of the assisted device is a nine-level goal. For example, the torso and walking function training system described in item 1 of the scope of patent application, wherein the above-mentioned first-level sitting upright training equipment further includes the use of the tilt angle of the orange chair for the thigh adduction and abduction exercises and the use of the black The back of the chair sits upright, and the lower limb of the healthy side kicks the ball with the lower limb of the affected side. The ball is hung on the walking aid and the height of the lower limb of the disabled person sitting on the black chair can be kicked. For example, the torso and walking function training system described in item 1 of the scope of patent application, wherein the above-mentioned secondary hip-lift training equipment further includes a wheelchair, bungee cord, Lego chair, four-legged crutches and a suspension ball. The height of the suspension ball is When the disabled person sits on the wheelchair, the height that the forehead can touch forward to carry out the movement of the disabled person sitting in the wheelchair, the forehead repeatedly hitting the suspension ball and the disabled person sitting on the orange chair Using the elastic ropes tied to the left and right armrests of the orange chair, the body turns left and right and lies on a large cushion. With or without assistance, the disabled person does a continuous rolling movement and does not need support, The disability case sits on the black chair, the upper limb of the contralateral side grasps the four feet Crutches, movement of the front and back of the body and no support, the disabled person sits on the orange chair, the body is lying forward, and the movement of the lego chair that is 40 to 18 cm high is touched. For example, the torso and walking function training system described in item 1 of the scope of patent application, in which the above-mentioned lifting training equipment further includes the black chair and the four-leg crutches to perform without support, and the disabled person sits on the black chair , The upper limb of the healthy side grasps the four-legged crutches, and the body moves forward and backward, and the upper limbs of the healthy side grasp the four-legged crutches, and the arms are straightened forward to drive the training of the continuous movement of the body forward and lying down. For example, the torso and walking function training system described in item 1 of the scope of patent application, wherein the above-mentioned supporting station training equipment also includes the handrails and the body that need to be supported, the leggings of the lower limbs of the disabled case, the palms grasping the wall Standing prone to the wall, facing the wall with both lower limbs without leggings, grasping the armrest of the wall with the palms, and standing prone to the wall. Such as the trunk and walking function training system described in item 1 of the scope of the patent application, wherein the above-mentioned stand-alone training equipment further includes the disabled person sitting on the black chair and using the walker to assist in sitting and standing training exercises. For example, the torso and walking function training system described in item 1 of the scope of patent application further includes ten-level running training equipment. The ten-level running training equipment includes the orange chair for the disabled person to sit on the orange chair and use assistive devices Or do not use assistive devices, the movement from the orange chair to the stand without support, the disabled person stands against the wall, hands raised, feet shoulder-width apart, tiptoes or jumps to make a ball movement , The goal is from lack of balance and coordination, unable to independently perform brisk walking and jogging, training to be able to balance and stabilize, speed up the walking forward speed, and finally training to be balanced and stable, and to take long strides or jogging alone.

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