TWI768252B - Therapeutic active-motion apparatus with electrically-operated pulling force that increases joint-electricity for improving the active motion of frozen shoulder - Google Patents

Therapeutic active-motion apparatus with electrically-operated pulling force that increases joint-electricity for improving the active motion of frozen shoulder Download PDF

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TWI768252B
TWI768252B TW108137687A TW108137687A TWI768252B TW I768252 B TWI768252 B TW I768252B TW 108137687 A TW108137687 A TW 108137687A TW 108137687 A TW108137687 A TW 108137687A TW I768252 B TWI768252 B TW I768252B
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chest
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TW202116283A (en
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康淑美
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康淑美
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Abstract

The present invention is a therapeutic active-motion apparatus with electrically operated pulling force that increases Joint-Electricity for improving the active motion of frozen shoulder. The present invention was invented based on Joint-Electricity therapy and its application therapy ”Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy”. The present invention provides a therapeutic active-motion apparatus with an electrically-operated-pulling force that increases Joint-Electricity for improving the active motion of frozen shoulder. It is comprised of a straight-arm section, one or more than one arm-fixing strap, a hand-position section, one or more than one force-applying-interface section, and an electrically-operated-pulling section, for applying a proper force in a direction toward the affected shoulder joint during training of active motion. A patient with frozen shoulder may use the present invention to achieve the goal with immediate perception of pain reduction, and immediate improvement in range of active motion that is measurable. The present invention is also applicable to the treatment of shoulder problems other than frozen shoulder for promoting the improvement of active motion during the process of removing the major cause of disorder or disease.

Description

藉電動拉力之增強關節電之五十肩之主動動作治療器 Active Action Therapy Device for Fifty Shoulders to Enhance Joint Electricity by Electric Pull

本發明乃依關節電理論及其應用理論「以產生關節電之優勢成分作為動作治療之優勢成分」所研創,本發明係關於一種五十肩之動作治療器,特別指一種藉電動拉力之增強關節電之五十肩之主動動作治療器,用以於患肩關節之主動動作中向肩關節方向施力,其目標至少包括增進其主動動作之角度及減輕疼痛。 The present invention is researched and created according to the theory of joint electricity and its application theory "using the dominant component of producing joint electricity as the dominant component of action therapy". The active action therapy device for fifty shoulders is used to apply force to the shoulder joint during the active action of the affected shoulder joint, and its goals include at least increasing the active action angle and reducing pain.

五十肩又稱為冰凍肩、或粘黏性肩關節囊炎、或病因不明之肩膀僵化,其症狀主要是肩膀之疼痛併有主動動作困難,例如手臂肌肉無力及動作角度侷限,經常聽到之到診之抱怨包括手臂抬不高、無法扣背後之內衣扣,嚴重者甚至無法梳頭髮或抓背。 Fifty shoulder is also known as frozen shoulder, or visco-viscous shoulder capsulitis, or rigid shoulder of unknown etiology. The symptoms are mainly shoulder pain and difficulty in active movement, such as arm muscle weakness and limited movement angle. Complaints include not being able to raise the arms high, not buttoning the underwear behind the back, and in severe cases not even brushing the hair or scratching the back.

五十肩之病因眾說紛紜,且其病理有許多假說,文獻上之說法之主流為(1)粘黏性肩關節囊炎(adhcsive capsulitis),(2)肩關節之某些相關組織纖維化、但其原因不明, 故亦被稱為『病因不明之肩膀僵化(idiopathic stiff shoulder)』(也就是說五十肩並非起始於原發之關節囊炎,若發現有關節囊炎應屬次發)。 There are various theories on the etiology of fifty shoulders, and there are many hypotheses about its pathology. The mainstream of the theory in the literature is (1) adhcsive capsulitis (adhcsive capsulitis), (2) some related tissue fibrosis of the shoulder joint, but its cause unknown, Therefore, it is also known as "idiopathic stiff shoulder" (that is to say, the fifty shoulder does not start with the primary capsulitis, if it is found that there is a capsulitis, it should be a secondary one).

在此病理之觀念下,其治療方法之主流乃為先關節注射,然後復健治療,包括物理治療、職能治療、及居家運動,其治療之明顯改善所需時間通常超過病患之耐性,許多病患因此尋求開刀(capsular release,or release of scapulohumeral motion interface)或麻醉下之關節鬆動術(mobilization with high intensity stretch),此兩者雖然有文獻指出可得到較快速之動作幅度之改善之效果,但文獻報告又顯示許多病患產生症狀復發之問題,但病患畢竟不容易再接受又一次之關節開刀、或麻醉下之關節鬆動術。 Under the concept of this pathology, the mainstream of its treatment method is joint injection first, followed by rehabilitation treatment, including physical therapy, occupational therapy, and home exercise. The time required for the obvious improvement of the treatment usually exceeds the patient's tolerance. Many The patient therefore seeks capsular release, or release of scapulohumeral motion interface, or mobilization with high intensity stretch, both of which have been reported to improve the range of motion at a faster rate. However, reports in the literature show that many patients have the problem of symptom recurrence, but after all, it is not easy for patients to undergo another joint surgery or joint mobilization under anesthesia.

由此可見,五十肩迄今仍是一個尚未有令人滿意之療法的病痛,且目前市面上並未有相關之主動動作治療器。 It can be seen that the fifty shoulders is still a pain that has not yet had a satisfactory treatment, and there is currently no related active action therapy device on the market.

綜觀以上所述,本發明之發明人經多年苦心潛心研究、思索並設計出一種藉電動拉力之增強關節電之五十肩之主動動作治療器,以期突破習知技術之困境,並促進肩關節動作之有效治療,進而增進產業上之實施利用。 In view of the above, the inventor of the present invention, after years of painstaking research, contemplation, and design, has developed an active action therapy device for fifty shoulders that uses electric tension to enhance joint electricity, in order to break through the predicament of the conventional technology and promote the improvement of shoulder joint movement. Effective treatment, and then promote the implementation and utilization of the industry.

本發明之

Figure 108137687-A0305-02-0005-1
電動拉力之增強關節電之五十肩之主動動作治療器之理論根據為本發明人所創之『關節電理論』及其應用理論『以產生關節電之優勢成分作為動作治療之優勢成分所研創(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』。 loan of the invention
Figure 108137687-A0305-02-0005-1
The theoretical basis of the active motion therapy device for the fifty-shoulders, which enhances the joint electricity of electric pulling force, is based on the "joint electrical theory" and its application theory created by the inventor, "researched and created by using the dominant components of joint electricity as the dominant components of action therapy" (Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy).

上述理論與本發明相關之部份至少包括下列數點:(1)、在正常情況下,關節電由『關節軟骨』之具有『壓電性質』及其恆會受到關節內之有效範圍內之『動態之力』而產生。相反地,若因任何原因,其『動態之力』太大以致超出該有效範圍時當時無法產生關節電;另外,若該『動態之力』一直不夠大時其所產生之關節電之量也會不足。(2)、『關節結構組織』(關節囊、韌帶、肌腱...)及該關節之『相關肌肉』(連接於其肌腱或緊鄰於關節軟骨或位於該關節之表層之肌肉)合稱為『該關節之相關組織』,它們必須被該關節所產生之關節電所滋潤(nurtured)。更仔細地說該關節之部份部位(如前面部位)所產生之關節電可滋潤(nurtures)該關節部位(該關節之前面部位)之相關組織。前述所稱之滋潤(nurturing)具有維持其該部位關節結構組織及該部位關節之相關肌肉之長度及張力於正常、及準備好(get ready for)後續之該些肌肉收縮之作用。若該滋潤(nurturing)不足,則有疼痛、該關節之該部位之軟組織變短或張力不足、該關節之該部位之主動及被動之關節活動角度變小、該些肌肉之肌力下降,及最嚴重時出現該些局部組織之纖維化等問題。(3)、某關節之某部位之關節電之產生有障礙或不足之肢體,由於其該部位之關節結構組織及相關肌肉所能得到之關節電之滋潤(nurturing)不足,故該些組織之張力不足,使該關節之該部位所能獲得之關節內之動態之力之數值下降,於是更無法產生足量之關節電,如此惡性循環,使其所能得到之滋潤越來越少,其因滋潤不足所產生之問題(如(2)所述)也越來越嚴重。(4)、由於主動動作需要肌肉之收縮,且依據『關節電理論』,肌肉之收縮需先被關節電所滋潤(nurtured),故如(3)所述之病患之關節之相關肌肉之主動動作,應在適當地補充關節電之後,或以『能在動作中增強關節電之器材(如 本發明)』,使其在能產生增量之關節電之情形下進行動作訓練。(5)、基於『關節電理論』所創之關節電相關理論尚包括:在同一關節之某一部位,在其關節內之動態之力之增加未超出其有效範圍時,其動態之力較大時其所能產生之關節電乃較大於其動態之力較小時所產生者;該相對較大之動態之力且未超出其有效範圍時可稱為『產生關節電之優勢成份』。 The parts related to the above theory and the present invention at least include the following points: (1) Under normal circumstances, the joint electric charge is caused by the "piezoelectric properties" of the "articular cartilage" and it is constantly subjected to the effective range of the joint. "Dynamic power" is generated. On the contrary, if for any reason, its "dynamic force" is too large to generate joint electricity when it exceeds the effective range; in addition, if the "dynamic force" is not strong enough, the amount of joint electricity generated will also be will be insufficient. (2) "Joint structure tissue" (joint capsule, ligament, tendon...) and the "associated muscle" of the joint (connected to its tendon or adjacent to the articular cartilage or located in the superficial layer of the joint) are collectively referred to as The "associated tissues of the joint" must be nourished by the joint electricity produced by the joint. More specifically, the joint electricity generated in a part of the joint (eg, the anterior part) can nourish the related tissues of the joint part (the anterior part of the joint). The above-mentioned nurturing has the function of maintaining the length and tension of the joint structure tissue and the related muscles of the joint at the normal position, and getting ready for the subsequent contraction of the muscles. If the nurturing is insufficient, there is pain, shortening or insufficient tension of the soft tissue in that part of the joint, less active and passive joint movement angles in that part of the joint, decreased strength of the muscles, and The most serious problems such as fibrosis of these local tissues occur. (3) For limbs that have an obstacle or deficiency in the generation of joint electricity in a certain part of a joint, due to the insufficient nurturing of joint electricity that can be obtained by the joint structure tissue and related muscles of the joint, these tissues are Insufficient tension reduces the value of the dynamic force in the joint that can be obtained by this part of the joint, so it is even more unable to generate a sufficient amount of joint electricity. Problems caused by insufficient moisture (as described in (2)) are also getting worse. (4) Since active action requires muscle contraction, and according to the "joint electrical theory", muscle contraction needs to be nourished by joint electricity first, so as described in (3), the related muscles of the joints of the patient are affected. Active movements should be properly supplemented with joint power, or with equipment that can enhance joint power during the movement (such as The present invention)", so that it can perform action training under the condition that the joint electricity can be increased. (5) The related theory of joint electricity based on "joint electrical theory" also includes: in a certain part of the same joint, when the increase of the dynamic force in the joint does not exceed its effective range, the dynamic force is higher than that of the joint. When it is large, the joint electricity it can generate is greater than that generated when its dynamic force is small; when the relatively large dynamic force does not exceed its effective range, it can be called the "predominant component for generating joint electricity".

故,對於關節電之產生有障礙之關節(尤其是該關節之至少有一部位其內之動態之力數值太低者),若於動作治療之訓練時藉由其專業治療師之手或藉使用適當之器材(或裝置)來達成適當增加該關節內之該局部部位之動態之力(但不超出其有效範圍),從而達成治療該相關之動作障礙之目標,可稱為是藉著創造該關節內該部位之『產生關節電之優勢成份』來達成對該相關動作障礙治療之效果,稱為『以產生關節電之優勢成分作為動作治療之優勢成分所研創(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』之理論(但對於其動態之力已經超過或即將超過其有效範圍之關節則此種增加之動態之力是有害的、更不能稱為其優勢成份)。舉例說明如下:例如,為了增加五十肩手臂之前舉之肌力,可以透過如本發明之治療器之構造,在使用者之前舉之主動動作中向該肩關節之前面部位適當施力,來增加肩關節內之前面部位之動態之力(且仍於其有效範圍之內),即,藉正確使用本發明之治療器來創造肩關節內之前面部位之『產生關節電之優勢成份』,可以達到增進該肩關節內之前面部位之關節電,從而獲得其手臂前舉之進步之主動動作之肌力及動作之幅度。此相同之原理可以用於促成該關節之其他部位之肌力及動作幅度之進步,甚至於 用於其它關節。 Therefore, for the joints with obstacles to the generation of joint electricity (especially if the dynamic force value in at least one part of the joint is too low), if the movement therapy training is performed by the hands of their professional therapists or the use of Appropriate equipment (or device) to appropriately increase the dynamic force of the local part in the joint (but not beyond its effective range), so as to achieve the goal of treating the related movement disorder, can be called by creating the "Using the Favorable Component for Joint-electricity" in this part of the joint to achieve the effect of the treatment of the related movement disorder is called "Using the Favorable Component for Joint- Electricity-Generation as the favorable component in motion therapy)" theory (but for joints whose dynamic force has exceeded or is about to exceed its effective range, this increased dynamic force is harmful, and can not be called its advantageous component. ). An example is as follows: For example, in order to increase the muscle strength of the shoulder and arm forward, the structure of the treatment device of the present invention can be used to appropriately apply force to the front part of the shoulder joint during the active movement of the user's previous lifting to increase the strength of the shoulder joint. The dynamic force of the anterior part of the joint (and still within its effective range), that is, by correctly using the treatment device of the present invention to create the "predominant component of generating joint electricity" in the anterior part of the shoulder joint, it is possible to achieve Increase the joint electricity in the front part of the shoulder joint, so as to obtain the muscle strength and the range of movement of the active movement of the advancement of the arm forward. This same principle can be used to promote improvements in strength and range of motion in other parts of the joint, even for other joints.

又,在其對肩關節之施力大小為控制於該關節軟骨之有效範圍,其動作中之施力方向之微量之改變(例如由本發明之電動施力部與施力界面部之連線與手臂軸線間之角度在手臂動作中之變化所提供者),應有助於該隨運動角度之變化而微量改變方向(instantly mild-changing direction)之相對應受力之肩關節多部位(multiple areas in shoulder joint)之產生關節電,從而產生對更多之肩關節相關肌肉之助益。 In addition, when the amount of force exerted on the shoulder joint is controlled within the effective range of the articular cartilage, a slight change in the direction of the force exerted during its action (for example, the connection between the electric force application part and the force application interface part of the present invention and the (provided by the change of the angle between the arm axes in the arm movement), which should contribute to the correspondingly stressed multiple areas of the shoulder joint that change the direction slightly with the change of the movement angle (instantly mild-changing direction). in shoulder joint) to generate joint electricity, thereby producing more benefits for the muscles related to the shoulder joint.

本發明之主要目的在於,針對肩關節之動作障礙併有軟組織疼痛等問題(如五十肩、及其他類似五十肩之肩膀之動作及疼痛等問題)提供一種電動的主動動作治療器,藉本治療器之特殊結構向肩關節施力而達到增加該肩關節之關節電,從而達到促進該肩關節之主動動作能力及減輕其疼痛之效果。 The main purpose of the present invention is to provide an electric active motion therapy device for the movement disorder of the shoulder joint and the problems of soft tissue pain (such as the movement and pain of the 50 shoulder and other shoulders similar to the 50 shoulder). The special structure exerts force on the shoulder joint to increase the joint electricity of the shoulder joint, thereby achieving the effect of promoting the active movement ability of the shoulder joint and reducing its pain.

因此,為達上述目的,本發明提供一種藉電動拉力之增強關節電之五十肩之主動動作治療器,其組成包括一直臂部、一條或一條以上之手臂固定帶、一手位部、一個或一個以上之施力界面部、及向肩關節方向施力之一電動拉力部。 Therefore, in order to achieve the above-mentioned purpose, the present invention provides an active action therapy device for the fifty-shoulders that enhances the joint electricity by electric pulling force, which consists of a straight arm portion, one or more arm fixing belts, a hand portion, one or more than one arm portion. The force-applying interface part, and an electric pulling part that applies force in the direction of the shoulder joint.

所稱之直臂部,具有縱向之剛性,其長度至少含括一使用者患側臂之前臂之上半部、手肘、及上臂之下半部,使其具有保持該患側臂於伸直姿勢之作用。 The so-called straight arm portion has longitudinal rigidity, and its length includes at least the upper half of the forearm, the elbow, and the lower half of the upper arm of a user's affected arm, so that it has the ability to keep the affected arm in a straight posture. effect.

所稱之一條或一條以上之手臂固定帶,係固接或外加於該直臂部之至少該直臂部之近肩膀端以及對應於該患側臂手肘之位置,具有確實固定該直臂部於該使用者之伸直之患側臂上之作用。 The so-called one or more arm fixing straps are fastened or attached to at least the near-shoulder end of the straight arm portion and the position corresponding to the elbow of the affected arm, and have the ability to securely fix the straight arm portion. Action on the user's straight affected arm.

所稱之一手位部,其一端係連接於該直臂部之近手端,且於該直臂部之軸線延伸線上之對應於該使用者手部握持之位置,具有易於被該使用者手部握持或固定該手部之形狀。 One end of the so-called hand part is connected to the proximal hand end of the straight arm part, and the position on the axis extension line of the straight arm part corresponding to the user's hand is easy to be grasped by the user. The shape of the hand to hold or fix the hand.

所稱之一個或一個以上之施力界面部,係設於該直臂部之對應於該患側臂動作方向之位置,用以於主動動作中向該使用者之肩關節方向施力,並具有易於拉動整個固定於該主動動作治療器之患側臂以向該肩關節施力之形狀。 The so-called one or more force-applying interface portions are located at the position of the straight arm portion corresponding to the action direction of the affected arm, and are used to exert force in the direction of the user's shoulder joint in the active action, and have A shape that is easy to pull the entire affected side arm fixed to the active action therapy device to exert force on the shoulder joint.

所稱之一電動拉力部,其組成包括:一電動拉力單元及一肩部胸部帶。 The so-called electric pulling part is composed of an electric pulling unit and a shoulder and chest belt.

所稱之電動拉力單元之組成包括一物件帶、一電動機、一支柱、一力線支撐點、及一力線。所稱之物件帶,為可彎曲之材料所做成,且該物件帶之底面設有一連接部,其頂面用以固接至少一電動機及一支柱;所稱之電動機,具有拉動一力線之作用,係固接於該物件帶之頂面,該電動機產生之拉力可被一拉力數值調整鈕及一啟動/停止鍵所操控;所稱之支柱,係固接於該物件帶之頂面之該電動機有力線出口那面的左側或右側,使該電動拉力單元具有左側用型及右側用型,且該支柱之高度具有可調性;所稱之力線支撐點,係供該力線以低摩擦力經過以便該力線之方向依需求而改變,其組成包括一光滑表面之圓圈,該圓圈底部設接一軸柱,該軸柱以可旋轉的方式固接於該支柱之頂部,當該力線通過該力線支撐點之圓圈之內而到達該圓圈另一面之任何方向時,該圓圈可配合轉動以減少該力線所受到之摩擦力;所稱之力線,其一端係連接該電動機,另一端係經過該力線支撐點之圓圈而連接至該施力界面部,該力線乃由該電動機之拉動而於該力線支撐點上移動。 The components of the so-called electric tension unit include an object belt, a motor, a support column, a force line support point, and a force line. The so-called object belt is made of bendable material, and the bottom surface of the object belt is provided with a connecting part, and its top surface is used for fixing at least one motor and a support; the so-called electric motor has a pulling force line It is fastened to the top surface of the object belt, and the pulling force generated by the motor can be controlled by a pulling force value adjustment button and a start/stop button; the so-called pillar is fastened to the top surface of the object belt. The left or right side of the power line exit side of the motor, so that the electric tension unit has a left-side type and a right-side type, and the height of the pillar is adjustable; the so-called power line support point is used for the power line. Passing through with low friction force so that the direction of the force line can be changed according to the needs, it consists of a circle with a smooth surface, the bottom of the circle is set with a shaft post, the shaft post is rotatably fixed to the top of the post, when When the force line passes through the circle of the force line support point and reaches any direction on the other side of the circle, the circle can be rotated to reduce the friction force on the force line; the so-called force line, one end of which is connected The other end of the motor is connected to the force application interface through the circle of the force line support point, and the force line is pulled by the motor to move on the force line support point.

所稱之肩部胸部帶,於對應於該使用者之肩膀頂端之位置設有一相對應連接部,以便於與該物件帶之連接部相連接,以定位該電動拉力單元於該使用者之肩膀頂端。該肩部胸部帶之組成包括一胸位帶及一肩位帶;所稱之胸位帶之長度係藉一長度調整裝置而調整,以符合該使用者之胸圍,該胸位帶之一端設有互相連接之第一連接裝置,且該胸位帶具有兩個第二連接裝置,分別設於對應於該使用者之胸部中點處及該胸位帶之另一端;所稱之肩位帶,以約25度角度連接於該胸位帶之對應於該使用者之背部中點處,該肩位帶係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶之胸部中點處之第二連接裝置,又,在肩位帶之對應於肩頂之位置設有該相對應連接部,以便於被物件帶底面之連接部所連接,以定位所稱之電動拉力單元於該肩頂之位置;惟,連接裝置及連接部之種類或其接設於目標位置之接設方法為該領域內之通常之知識。 The so-called shoulder chest strap is provided with a corresponding connecting portion at a position corresponding to the top of the user's shoulder, so as to be connected with the connecting portion of the object strap to position the electric tension unit on the user's shoulder. top. The shoulder-chest belt consists of a chest belt and a shoulder belt; the length of the so-called chest belt is adjusted by a length adjustment device to match the user's bust, and one end of the chest belt is provided with There are first connecting devices connected to each other, and the chest strap has two second connecting devices, which are respectively located at the midpoint of the user's chest and at the other end of the chest strap; the so-called shoulder straps , connected to the chest strap corresponding to the midpoint of the user's back at an angle of about 25 degrees, the shoulder strap is tied above the user's shoulder on the affected side and then folded to the front of the affected shoulder to connect to the The second connecting device at the midpoint of the chest of the chest strap, and the corresponding connecting portion is provided on the shoulder strap at the position corresponding to the top of the shoulder, so as to be connected by the connecting portion of the bottom surface of the object strap, so as to locate the corresponding connecting portion. It is called the position of the electric tension unit at the top of the shoulder; however, the type of connecting device and connecting part or the connecting method of connecting to the target position is the common knowledge in the field.

於一實施例中,更包括一滑行部,係以一滑行部連接裝置連接於該手位部之另一端,該滑行部之末端具有易於滑行之形狀。 In one embodiment, it further includes a sliding portion connected to the other end of the hand portion by a sliding portion connecting device, and the end of the sliding portion has a shape that is easy to slide.

本發明另提供一種使用前述之藉電動拉力之增強關節電之五十肩之主動動作治療器之操作方法,於一實施例中,該方法包括:將該肩部胸部帶藉由該長度調整裝置及該兩個第二連接裝置,以平整而合身地穿戴於該使用者之肩胸部位置;使該使用者之患側臂置放於該直臂部,並以該手臂固定帶固定於該直臂部;該患側臂之手部握著或固定於該手位部,然後選用與患側同側之電動拉力單元,將該電動拉力單元以其物件帶固定於該肩部胸部帶之肩頂部位,確定該次治療預定之動 作方向,將該力線連接至位於預定之患側臂動作方向上之施力界面部;並確定該力線經過該力線支撐點之頂部之圓圈,及調整該支柱之高度,使該力線不會受到該力線支撐點以外之摩擦,以及確定該力線所在之虛擬平面與該預定之患側臂動作方向之虛擬平面皆在同一平面上,以向該使用者之肩關節方向施正確方向之力;且所施之力為小量之力使不超過該關節之有效範圍,於每次之動作訓練時該力之大小可由使用者之動作治療之專業治療師依其經驗及個案之個別現狀為該病患個別決定,並設定於拉力數值調整鈕,初次使用時該治療師可從很小量開始,必要時可使用滑行部,該治療師並在病患之該手臂之主動動作中為該病患操作該電動機之啟動/停止鍵,又當確定病患已學會操作該啟動/停止鍵時,可以交由病患自動操作該啟動/停止鍵。 The present invention further provides an operation method of the active motion therapy device for fifty shoulders using the aforementioned electric tension to enhance joint electricity. In one embodiment, the method includes: using the length adjustment device and the length adjustment device for the shoulder chest strap. Two second connecting devices, to be worn on the shoulders and chest of the user in a flat and well-fitting manner; the affected arm of the user is placed on the straight arm portion, and the arm fixing belt is fixed on the straight arm portion; The hand of the affected arm is held or fixed on the hand, and then the electric tension unit on the same side as the affected side is selected, and the electric tension unit is fixed with its object belt on the shoulder top of the shoulder and chest belt to determine the Sub-treatment scheduled action Make the direction, connect the force line to the force application interface part located in the predetermined action direction of the affected arm; and determine that the force line passes through the circle at the top of the support point of the force line, and adjust the height of the support so that the force line It will not be subject to friction beyond the support point of the force line, and the virtual plane where the force line is located is on the same plane as the virtual plane of the predetermined affected arm movement direction, so as to apply the correct direction to the shoulder joint of the user. And the force applied is a small amount of force that does not exceed the effective range of the joint. The size of the force during each movement training can be determined by the professional therapist of the user's movement therapy according to their experience and individual cases. The current situation is that the patient decides individually and is set on the tension value adjustment button. The therapist can start from a very small amount when using it for the first time. If necessary, the sliding part can be used. The therapist is also in the patient's active movement of the arm Operate the start/stop key of the motor for the patient, and when it is determined that the patient has learned to operate the start/stop key, the patient can automatically operate the start/stop key.

藉此,五十肩患者使用本發明於主動動作訓練時至少可達到減少疼痛及增加該施力側肌肉之肌力及其主動動作幅度。本發明亦可應用於配合處理其他非五十肩之痛肩,在其主要病因去除之過程中幫助其主動動作之較迅速之進步。 In this way, patients with fifty shoulders can at least reduce pain and increase the muscle strength of the force-applying side muscle and its active range of motion when using the present invention in active motion training. The present invention can also be applied to cooperate with other non-fifty shoulder pain shoulders, and help their active actions to progress more rapidly in the process of removing the main cause.

本發明另提供一種電動拉力單元,為可應用於許多不同身體部位之動作治療器材,成為該些治療器材之元件。其組成包括一物件帶、一電動機、一支柱、一力線支撐點及一力線。所稱之物件帶,為可彎曲之材料所做成,且該物件帶之底面設有一連接部,其頂面用以固接至少一電動機及一支柱;所稱之電動機,具有拉動一力線之作用,係固接於該物件帶之頂面,該電動機產生之拉力可被一拉力數值調整鈕及一啟動/停止鍵所操控;所稱之支柱,係固接於該物件帶之頂面之該電動機有力線出口那面的左側或右側,使該電動拉力單元具有左 側用型及右側用型,且該支柱之高度具有可調性;所稱之力線支撐點,係供該力線以低摩擦力經過以便該力線之方向依需求而改變,其組成包括一光滑表面之圓圈,該圓圈底部設接一軸柱,該軸柱以可旋轉的方式固接於該支柱之頂部,當該力線通過該力線支撐點之圓圈之內而到達該圓圈另一面之任何方向時,該圓圈可配合轉動以減少該力線所受到之摩擦力;以及該力線,其一端係連接該電動機,另一端係經過該力線支撐點之圓圈而連接至一施力界面部,該力線乃由該電動機之拉動而於該力線支撐點上移動。 The present invention further provides an electric tension unit, which is an action therapy device that can be applied to many different body parts, and becomes a component of these therapy devices. Its composition includes an object belt, a motor, a pillar, a force line support point and a force line. The so-called object belt is made of bendable material, and the bottom surface of the object belt is provided with a connecting part, and its top surface is used for fixing at least one motor and a support; the so-called electric motor has a pulling force line It is fastened to the top surface of the object belt, and the pulling force generated by the motor can be controlled by a pulling force value adjustment button and a start/stop button; the so-called pillar is fastened to the top surface of the object belt. Therefore, the motor has the left or right side of the wire outlet side, so that the electric tension unit has a left or right side. Side type and right side type, and the height of the pillar is adjustable; the so-called force line support point is for the force line to pass through with low friction so that the direction of the force line can be changed according to the demand, and its composition includes A circle with a smooth surface, the bottom of the circle is connected with an axle post, the axle post is fixed on the top of the post in a rotatable manner, when the force line passes through the circle of the support point of the force line and reaches the other side of the circle In any direction, the circle can be rotated in coordination to reduce the frictional force on the force line; and the force line, one end of which is connected to the motor, and the other end is connected to a force through the circle of the force line support point In the interface part, the force line is pulled by the motor to move on the force line support point.

於一實施例中,該電動拉力單元更與一肩部胸部帶連接,使成為可以應用於肩關節之其他動作治療之元件。該肩部胸部帶之對應於一使用者之肩膀頂端之位置設有一相對應連接部,以便於與該物件帶之連接部相連接,以定位該電動拉力單元於該使用者之目標之肩膀頂端,該肩部胸部帶之組成包括一胸位帶及一肩位帶。所稱之胸位帶之長度係藉一長度調整裝置而調整,以符合該使用者之胸圍,該胸位帶之一端設有互相連接之第一連接裝置,且該胸位帶具有兩個第二連接裝置,分別設於對應於該使用者之胸部中點處及該胸位帶之另一端;所稱之肩位帶,以約25度角度連接於該胸位帶之對應於該使用者之背部中點處,該肩位帶係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶之胸部中點處之第二連接裝置,又,在肩位帶之對應於肩頂之位置設有該相對應連接部,以便於被物件帶底面之連接部所連接,以定位所稱之電動拉力單元於該肩頂之位置;惟,連接裝置及連接部之種類或其接設於目標位置之接設方法為該領域內之通常之知識。 In one embodiment, the electric tension unit is further connected with a shoulder-chest belt, so that it can be used as an element for other motion therapy of the shoulder joint. The shoulder and chest strap is provided with a corresponding connecting part at a position corresponding to the top of a user's shoulder, so as to be connected with the connecting part of the object strap, so as to locate the electric tension unit on the top of the shoulder of the user's target , the composition of the shoulder and chest belt includes a chest belt and a shoulder belt. The length of the so-called chest strap is adjusted by a length adjusting device to match the bust circumference of the user. One end of the chest strap is provided with a first connecting device which is connected to each other, and the chest strap has two first connecting devices. Two connecting devices are respectively arranged at the midpoint of the chest corresponding to the user and the other end of the chest belt; the so-called shoulder belt is connected to the chest belt corresponding to the user at an angle of about 25 degrees At the midpoint of the back, the shoulder strap is tied above the user's shoulder on the affected side and then folded to the front of the shoulder on the affected side to connect to the second connecting device at the midpoint of the chest strap, and at the shoulder The position of the position belt corresponding to the shoulder top is provided with the corresponding connecting part, so as to be connected by the connecting part of the bottom surface of the object belt, so as to locate the so-called electric tension unit at the position of the shoulder top; however, the connecting device and the connection The type of part or the method of connecting it to the target location is the common knowledge in the field.

為便 貴審查委員能對本發明目的、技術特徵及其功效,更進一步之了解及認識,茲舉數實施例配合圖式,詳細說明如下: In order to facilitate your examiners to further understand and recognize the purpose of the present invention, technical features and effects thereof, a number of embodiments are hereby cited to cooperate with the drawings, and the detailed descriptions are as follows:

1:直臂部 1: Straight arm

2:手臂固定帶 2: Arm strap

3:手位部 3: hand part

4:施力界面部 4: Force interface part

5:滑行部 5: Sliding part

6:滑行部連接裝置 6: Sliding part connecting device

7:電動拉力部 7: Electric pulling part

71:電動拉力單元 71: Electric tension unit

711:物件帶 711: Object Belt

712:電動機 712: Motor

713:支柱 713: Pillar

714:力線支撐點 714: Support point of force line

7141:圓圈 7141: Circle

7142:軸柱 7142: Axle column

715:力線 715: Line of Force

72:肩部胸部帶 72: Shoulder Chest Strap

721:胸位帶 721: Chest strap

7211:長度調整裝置 7211: Length adjustment device

7212:第一連接裝置 7212: First connection device

7213、7214:第二連接裝置 7213, 7214: Second connecting device

722:肩位帶 722: Shoulder straps

8:遙控器 8: Remote control

第1圖為使用本發明之藉電動拉力之增強關節電之五十肩之主動動作治療器之一實施例之正面示意圖;及第2圖為第1圖之實施例之患側臂固定於直臂部之側面示意圖;及第3圖為電動拉力單元之詳細構造;及第4圖為電動拉力單元設置於使用者患側肩膀上之示意圖。 Figure 1 is a schematic front view of an embodiment of the active motion therapy device for fifty shoulders using the present invention to enhance joint electricity by electric pulling force; and Figure 2 is the embodiment of Figure 1 where the affected arm is fixed to the straight arm portion The schematic side view; and FIG. 3 is the detailed structure of the electric tension unit; and the fourth diagram is the schematic diagram of the electric tension unit set on the user's affected shoulder.

以下根據第1至4圖所示,而說明本發明的實施方式。該說明並非為限制本發明的實施方式,而為本發明之實施例的一種。 Embodiments of the present invention will be described below with reference to FIGS. 1 to 4 . This description is not intended to limit the embodiments of the present invention, but is an example of the present invention.

本發明係根據本發明人所創之『關節電理論』及其應用理論『以產生關節電之優勢成分作為動作治療之優勢成分所研創(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』所創之藉電動拉力之增強關節電之五十肩之主動動作治療器。 The present invention is based on the "Joint Electric Theory" created by the inventor and its application theory "Using the Favorable Component for Joint-Electricity-Generation as the favorable component" "in motion therapy)" is an active motion therapy device for fifty shoulders that uses electric tension to enhance joint electricity.

請參閱第1至3圖,本發明之藉電動拉力之增強關節電之五十肩之主動動作治療器,其組成包括一直臂部1、一條或一條以上之手臂固定帶2、一手位部3、一個或一個以上之施 力界面部4、及向肩關節方向施力之一電動拉力部7。 Please refer to Figures 1 to 3, the active action therapy device for the fifty shoulders of the present invention to enhance joint electricity by electric pulling force, which consists of a straight arm portion 1, one or more arm fixing belts 2, a hand portion 3, a or more than one The force interface part 4 and the electric pulling part 7 which applies force in the direction of the shoulder joint.

該直臂部1,具有縱向之剛性,其長度至少含括一使用者患側臂之前臂之上半部、手肘、及上臂之下半部,具有足以放置一使用者之患側臂於伸直姿勢之長度,使其具有保持該患側臂於伸直姿勢之作用。例如該直臂部1可由不等或相等厚度之片狀結構所構成,可以具有一個或多個通氣孔,通氣孔之設計指其片狀結構上各種形狀之鏤空或缺口。惟直臂部之製成方法為該領域之既有知識。 The straight arm portion 1 has longitudinal rigidity, and its length at least includes the upper half of the forearm, the elbow, and the lower half of the upper arm of a user's affected arm, and has sufficient length to place a user's affected arm in a straightened position. The length of the posture, so that it has the effect of keeping the affected arm in a straight posture. For example, the straight arm portion 1 can be composed of sheet-like structures of unequal or equal thickness, and can have one or more ventilation holes. However, the manufacturing method of the straight arm portion is the existing knowledge in this field.

該手臂固定帶2可以外加於或直接固接於該直臂部1之至少在該直臂部1之近肩膀端以及對應於該患側臂手肘之位置,具有確實固定該直臂部1於該使用者之伸直之患側臂上之作用,但本發明並未限制手臂固定帶2之製作方法及個別個案使用手臂固定帶之部位,因為它們皆為手臂動作治療領域專業人士之一般之知識。 The arm fixing belt 2 can be externally applied or directly fixed to the straight arm portion 1 at least near the shoulder end of the straight arm portion 1 and at the position corresponding to the elbow of the affected arm, and has the function of securely fixing the straight arm portion 1 to The function of the user's straightening on the affected arm, but the present invention does not limit the manufacturing method of the arm fixation belt 2 and the position where the arm fixation belt is used in individual cases, because they are the general knowledge of professionals in the field of arm movement therapy .

該手位部3之一端係連接於該直臂部1之近手端,且於該直臂部之軸線延伸線上之對應於該使用者手部握持之位置,具有易於被該使用者手部握持或固定該手部之形狀,如第1至2圖所示之持棒狀,或足以固定該手部位置之形狀,如傘柄頭狀、拐杖頭狀或手支架狀等。但凡易於被該使用者手部握持或固定該手部之形狀乃為手臂動作治療領域內人士之既有知識。 One end of the hand position portion 3 is connected to the proximal hand end of the straight arm portion 1, and the position on the axis extension line of the straight arm portion corresponding to the user's hand is easy to be grasped by the user's hand. The shape of the hand to hold or fix the hand, such as the stick shape shown in Figures 1 to 2, or the shape that is sufficient to fix the position of the hand, such as the shape of an umbrella handle, the head of a crutch, or a hand bracket. Any shape that is easy to be held by the user's hand or to fix the hand is known to those in the field of arm movement therapy.

該施力界面部4,係設於該直臂部1之對應於該患側臂動作方向之位置,用以於主動動作中向該使用者之肩關節方向施力,並具有易於拉動整個固定於該主動動作治療器之患側臂以向該肩關節施力之形狀,如直臂部1上之小洞、突出於 直臂部1或外加之圓環或勾狀、或開口背向肩關節之外加之凹槽(如第1及第2圖所示),惟施力界面部之形狀乃為熟悉該領域人士之既有知識。 The force-applying interface portion 4 is located at the position of the straight arm portion 1 corresponding to the movement direction of the affected arm, and is used for applying force to the shoulder joint of the user during active movement, and has the function of being easy to pull the whole and fixed on the arm. The affected arm of the active action therapy device is in the shape of exerting force on the shoulder joint, such as the small hole on the straight arm part 1, protruding from the Straight arm portion 1 or an external ring or hook, or a groove with an opening facing away from the shoulder joint (as shown in Figures 1 and 2), but the shape of the force application interface is for those familiar with the field. existing knowledge.

該施力界面部4若為一個以上時,可設接於該直臂部1之對應於手臂之前方、側方及其綜合角度之位置(如第1及2圖所示),用以於主動動作時擇其在動作方向上者,向肩關節方向施適當之力;當施力界面部4只有一個時,乃設接於該直臂部1上對應於手臂前方、或側方、或其綜合角度之位置。 If there are more than one force-applying interface portion 4, it can be connected to the position of the straight arm portion 1 corresponding to the front, side and the comprehensive angle of the arm (as shown in Figs. 1 and 2), for active When the action is in the direction of action, apply appropriate force to the direction of the shoulder joint; when there is only one force application interface portion 4, it is set on the straight arm portion 1 corresponding to the front of the arm, or the side, or its The position of the composite angle.

該電動拉力部7,係與該施力界面部4連接,以操作向肩關節之施力而達成增加關節電之產生之治療機制。該電動拉力部7其組成包括一電動拉力單元71以及一足以定位該電動拉力單元71於肩膀頂端之肩部胸部帶72。 The electric pulling portion 7 is connected to the force applying interface portion 4 to operate the force applied to the shoulder joint to achieve a therapeutic mechanism of increasing the generation of joint electricity. The electric pulling part 7 is composed of an electric pulling unit 71 and a shoulder chest strap 72 sufficient to position the electric pulling unit 71 at the top of the shoulder.

該電動拉力單元71之組成包括一物件帶711、一電動機712、一支柱713、一力線支撐點714及一力線715。該物件帶711為可彎曲之材料所做成,以便於連接於非平面之使用部位,且該物件帶711之底面設有一連接部(如魔鬼氈之勾面或毛面)以便於使用時之連接,使用於本發明時與已穿戴於使用者患側肩部之肩部胸部帶72連接,該物件帶711之頂面用以固接至少一電動機712及一支柱713;該電動機712,具有拉動一力線715之作用,係固接於該物件帶711之頂面,該電動機712產生之拉力可被一拉力數值調整鈕及一起動/停止鍵所操控,所稱之拉力數值調整鈕之調整範圍,該範圍例如0-300gcm/sec2、0-500gcm/sec2或0-1000gcm/sec2、、、等,可讓使用者之治療師依據該使用者之人體計測值(anthropology)之大小,惟本發明並不限定該拉力數值調整鈕之調整範圍;該支柱713係固接於該物件帶711之頂面之該電動機712有力線出 口那面的左側或右側,使該電動拉力單元具有左側用型及右側用型,且該支柱713之高度具有可調性,可由使用者之治療師依目前所訓練之動作角度之需求而調整;該力線支撐點714係供該力線715以低摩擦力經過以便該力線715之方向依需求而改變,其組成包括一光滑表面之圓圈7141,該表面光滑之圓圈7141可為均勻之圓管所製成,惟該光滑之圓圈之製成之方法為該領域之通常之知識,該圓圈7141底部設接一軸柱7142,該軸柱7142以可旋轉的方式固接於該支柱713之頂部,惟前述之可旋轉方式之固接方法為該領域之通常之知識,當該力線715通過該力線支撐點714之圓圈7141之內而到達該圓圈7141另一面之任何方向時,該圓圈7141可配合轉動以減少該力線715所受到之摩擦力;該力線715之一端係連接該電動機712,另一端係經過該力線支撐點714之圓圈7141而連接至位於當時手臂動作方向上之該施力界面部4,該力線715乃由該電動機712之拉動而於該力線支撐點714上移動。 The electric tension unit 71 includes an object belt 711 , a motor 712 , a support column 713 , a force line support point 714 and a force line 715 . The object belt 711 is made of a bendable material, so as to be connected to a non-planar use part, and the bottom surface of the object belt 711 is provided with a connecting part (such as a hook surface or a rough surface of a devil felt) to facilitate the use of When used in the present invention, it is connected to the shoulder chest strap 72 which has been worn on the affected shoulder of the user. The top surface of the object strap 711 is used to fasten at least one motor 712 and a support 713; the motor 712 has a pull The action of a force line 715 is fastened to the top surface of the object belt 711, and the pulling force generated by the motor 712 can be controlled by a pulling force value adjustment button and a start/stop button, so-called adjustment of the pulling force value adjustment button The range, such as 0-300gcm/sec 2 , 0-500gcm/sec 2 or 0-1000gcm/sec 2 , , , etc., allows the user's therapist to determine the size of the user's anthropology , but the present invention does not limit the adjustment range of the tension value adjustment knob; the support 713 is fastened to the left or right side of the electric motor 712 on the top surface of the object belt 711 on the side where the power line exits, so that the electric tension unit has There are left-side and right-side types, and the height of the pillar 713 is adjustable, which can be adjusted by the user's therapist according to the needs of the currently trained movement angle; the force line support point 714 is for the force line 715 to The low friction force passes through so that the direction of the force line 715 can be changed as required, and its composition includes a circle 7141 with a smooth surface. The circle 7141 with a smooth surface can be made of a uniform round tube, but the smooth circle The method is a common knowledge in the field. The bottom of the circle 7141 is connected with a shaft column 7142, and the shaft column 7142 is fixed to the top of the support column 713 in a rotatable manner, but the aforementioned rotatable fixing method is the It is common knowledge in the field that when the force line 715 passes through the inside of the circle 7141 of the force line support point 714 and reaches any direction on the other side of the circle 7141, the circle 7141 can be rotated to reduce the impact on the force line 715. Frictional force; one end of the force line 715 is connected to the motor 712, and the other end is connected to the force application interface portion 4 in the direction of the arm movement through the circle 7141 of the force line support point 714. The force line 715 is formed by The motor 712 is pulled to move on the force line support point 714 .

該肩部胸部帶72之對應於該使用者之肩膀頂端之位置設有一相對應連接部(如魔鬼氈之勾面或毛面),以便於與該物件帶711底面之連接部(如魔鬼氈之毛面或勾面)相連接,以定位該電動拉力單元71於該使用者之肩膀頂端,該肩部胸部帶72之組成包括一胸位帶721及一肩位帶722;所稱之胸位帶721,其長度係藉由一長度調整裝置7211調整,使其符合該使用者之胸圍,所稱之胸位帶721之一端設有互相連接之第一連接裝置7212(如魔鬼氈之勾面或毛面),且該胸位帶721具有兩個第二連接裝置7213、7214,例如呈長方形的D環,分別設於對應於該使用者之胸部中點處及該胸位帶721之另一端;該肩位帶722以約25度角度連接於該胸位帶721之對應於該使用者 之背部中點處,該肩位帶係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶之胸部中點處之第二連接裝置7213。又,在肩位帶之對應於肩頂之位置設有該相對應連接部,以便於被物件帶底面之連接部所連接,以定位所稱之電動拉力單元於該肩頂之位置;惟,連接裝置及連接部之種類或其接設於目標位置之接設方法為該領域內之通常之知識。 The shoulder and chest belt 72 is provided with a corresponding connecting portion (such as a hooked surface or a rough surface of devil felt) at a position corresponding to the top of the user's shoulder, so as to facilitate the connection with the bottom surface of the object belt 711 (such as devil felt) The rough surface or hook surface) is connected to position the electric tension unit 71 at the top of the shoulder of the user, and the composition of the shoulder chest belt 72 includes a chest belt 721 and a shoulder belt 722; the so-called chest belt The length of the strap 721 is adjusted by a length adjusting device 7211 to make it fit the user's chest circumference. One end of the so-called chest strap 721 is provided with a first connecting device 7212 (such as a hook of a devil felt) that is connected to each other. surface or rough surface), and the chest strap 721 has two second connecting devices 7213, 7214, such as rectangular D-rings, which are respectively set at the midpoint of the chest corresponding to the user and between the chest strap 721 The other end; the shoulder strap 722 is connected to the chest strap 721 at an angle of about 25 degrees corresponding to the user At the midpoint of the back, the shoulder strap is tied over the user's shoulder on the affected side and then folded to the front of the shoulder on the affected side to be connected to the second connecting device 7213 at the midpoint of the chest of the chest strap. In addition, the corresponding connecting portion is provided on the shoulder belt at the position corresponding to the shoulder top, so as to be connected by the connecting portion on the bottom surface of the object belt to locate the so-called electric tension unit at the position of the shoulder top; however, The type of the connecting device and the connecting portion or the connecting method of connecting to the target position are common knowledge in the field.

再者,於一實施例中,本發明更包括一遙控器8,所稱之啟動/停止鍵及拉力數值調整鈕可設置於其上,又所稱之遙控器可為手控,但本發明並未限定其控制方式。又電動裝置使用遙控器為該領域之通常之知識。 Furthermore, in one embodiment, the present invention further includes a remote controller 8, on which the so-called start/stop button and the tension value adjustment button can be arranged, and the so-called remote controller can be manually controlled, but the present invention The control method is not limited. It is common knowledge in the field to use a remote control for an electric device.

於另一實施例,本發明之主動動作治療器更包括一滑行部5,係連接於該手位部3之另一端,可為從手位部3向遠端延伸出去或從直臂部1之適當位置連接出去之一段長度,該滑行部5之末端具有低阻力之形狀,例如光滑、小、且圓,惟,低阻力之形狀之製作方法為該領域之通常之知識,所稱之滑行部可以直接固接或以滑行部連接裝置6(例如螺絲)連接於手位部3或直臂部1,不用時可以拿下來,於治療早期(其關節電很少、或關節可活動角度很有限、或其肌肉易疲勞等病情嚴重時期)之動作訓練時,可以藉其末端之滑行於某固定表面(如牆壁)以減輕來自手臂及該治療器之重量之負擔。 In another embodiment, the active action therapy device of the present invention further includes a sliding portion 5, which is connected to the other end of the hand portion 3, which can be extended from the hand portion 3 to the distal end or from the straight arm portion 1. The end of the sliding part 5 has a low-resistance shape, such as smooth, small, and round. However, the manufacturing method of the low-resistance shape is a common knowledge in the field, so-called sliding The joint can be directly fixed or connected to the hand part 3 or the straight arm part 1 with a sliding part connecting device 6 (such as a screw), and can be taken off when not in use. During the movement training of limited or severe diseases such as muscle fatigue, etc.), the end of it can be used to slide on a fixed surface (such as a wall) to reduce the burden of the weight from the arm and the treatment device.

進一步說明其使用方法,該使用方法包括:首先,將該肩部胸部帶72藉由該長度調整裝置7211及該兩個第二連接裝置7213、7214,以平整而合身地穿戴於該使用者之患側之肩胸部位置,然後使該使用者之患側臂伸直置放於該直臂部1,並以該手臂固定帶2固定該伸直之手臂於該直臂部1,該患 側臂之手部握著或固定於該手位部3,然後選用與患側同側之電動拉力單元,將該電動拉力單元以其物件帶固定於該肩部胸部帶之肩頂部位,使該支柱713比電動機712更靠近肩肱關節,確定該次訓練預定之患側臂之動作方向,將該力線715連接至位於預定之患側臂動作方向上之施力界面部4,必須強調的是連接電動拉力單元71於肩部胸部帶72須由該使用者之專業治療師在每一動作方向決定後進行,以確保該力線715經過該力線支撐點714圓圈7141,及調整該支柱713之高度,因為所稱之訓練乃對月標角度附近之小範圍角度之來回動作,故以該來回動作之中間角度為調整支柱713高度之目標,使該力線715能不受到任何力線支撐點714以外之摩擦,以及確定該力線715所在之虛擬平面與該預定之患側臂動作方向之虛擬平面皆在同一平面上,以向該使用者之肩關節方向施正確方向之力。 The usage method is further described. The usage method includes: firstly, using the length adjusting device 7211 and the two second connecting devices 7213 and 7214, the shoulder and chest belt 72 is flatly and fitted on the user's body. The position of the shoulder and chest of the affected side, and then the user's affected arm is placed straight on the straight arm portion 1, and the straight arm is fixed on the straight arm portion 1 with the arm fixing belt 2. The hand of the side arm is held or fixed on the hand part 3, and then the electric tension unit on the same side as the affected side is selected, and the electric tension unit and its object belt are fixed on the shoulder top of the shoulder and chest belt, so that the The strut 713 is closer to the shoulder-humeral joint than the motor 712, determines the movement direction of the affected arm in this training, and connects the force line 715 to the force application interface portion 4 located in the predetermined movement direction of the affected arm. It must be emphasized that the connection The electric tension unit 71 on the shoulder and chest belt 72 must be performed by the professional therapist of the user after each movement direction is determined, so as to ensure that the force line 715 passes through the force line support point 714 and the circle 7141, and adjust the position of the support 713. Height, because the so-called training is a back-and-forth movement of a small range of angles near the angle of the moon mark, so the middle angle of the back-and-forth movement is the goal of adjusting the height of the pillar 713, so that the force line 715 can not be affected by any force line support point The friction other than 714, and the virtual plane where the force line 715 is located is on the same plane as the virtual plane in the predetermined affected arm movement direction, so as to apply the force in the correct direction to the shoulder joint of the user.

且所施之力為小量之力,使不超過該關節之有效範圍,於每次之動作訓練時該力之大小可由使用者之動作治療之專業治療師依其經驗及個案之個別現狀(例如病情嚴重度、復原階段、手臂之重量之不同)為該病患個別決定,並設定於拉力數值調整鈕;初次使用時該治療師可從很小量開始,必要時可使用滑行部,使該治療能更輕鬆進行。該治療師並在病患之該手臂之主動動作中為該病患操作該電動機之啟動/停止鍵,又當確定病患已學會操作該啟動/停止鍵時,可以交由病患自行操作該啟動/停止鍵。 And the force applied is a small amount of force, so that it does not exceed the effective range of the joint. The size of the force can be determined by the professional therapist of the user's action therapy according to his experience and the individual status of the case ( For example, the severity of the disease, the stage of recovery, and the weight of the arm) are determined individually for the patient, and are set on the tension value adjustment button; the therapist can start from a very small amount when using it for the first time, and can use the sliding part if necessary to make This treatment can be done more easily. The therapist also operates the start/stop button of the motor for the patient during the active movement of the patient's arm, and when it is determined that the patient has learned to operate the start/stop button, the patient can operate the start/stop button by himself. Start/Stop key.

使用本發明於主動動作之訓練可達到之目標至少包括可立即感知之降低疼痛、以及可立即量測出來之增加主動動作之幅度。 The goals that can be achieved by using the present invention in the training of active movements include at least a reduction in pain that can be immediately perceived, and an increase in the amplitude of active movements that can be measured immediately.

本發明之主動動作治療器之使用注意事項至少如 下:對於肩關節之主動動作之幅度不足且疼痛之患者(如五十肩),其使用本發明以進行主動動作之訓練時,應在其專業治療師(經過此種理論之課程及相關訓練之職能治療師或物理治療師)之指導(supervise)之下使用或學會使用(應由其專業治療師為之進行個別化之位置之調整、及拉力大小之設定,以及配合指揮動作之口令為個案操作其啟動/停止鍵,但可視個案之學習情況決定是否讓個案自行操作其啟動/停止鍵)。 The precautions for using the active action therapy device of the present invention are at least as follows: Bottom: For patients with insufficient range of active movements of the shoulder joint and pain (such as fifty shoulders), when they use the present invention to carry out active movement training, their professional therapists (who have gone through the course of this theory and related training functions) Use or learn to use under the supervision of a therapist or physiotherapist (the professional therapist should make individual adjustment of the position, set the size of the pulling force, and use the password in conjunction with the command action to operate on a case-by-case basis. Its start/stop button, but it depends on the learning situation of the case to decide whether to let the case operate its own start/stop button).

適用於使用本發明之所稱主動動作之訓練,為該患側臂主動之運動並且企圖增強其主動動作之角度,如前舉高(shoulder flexion)(或側舉高(shoulder abduction))、平面側舉(shoulder horizontal abduction)、及其綜合角度之動作,但不包括甩手。 The so-called active movement training applicable to the use of the present invention is the active movement of the affected arm and attempts to enhance the angle of its active movement, such as shoulder flexion (or shoulder abduction), plane side Lifting (shoulder horizontal abduction), and its combined angle movements, but does not include hand shake.

又由於肩關節其實包括多個關節,其動作角度之增加過程(尤其是120到180度之間)需軸向及旋轉向之動作之配合,故其專業治療師應於治療前對病患教育說明「肩關節之動作需有該兩動作之配合」;且為了配合肩關節之特殊解剖構造,前述手臂舉高於超過120度以後應同時漸增手臂之外轉、故而一開始就可以先固定其手臂姿勢於可能之最大外轉角度於該直臂部,然後進行前述之舉高動作之訓練。且使用前應將所稱之直臂部正確而適當地固定於其患側之伸直之手臂,若未正確固定即開始使用,將不容易控制正確之施力方向。 And because the shoulder joint actually includes multiple joints, the increase of the action angle (especially between 120 and 180 degrees) requires the coordination of axial and rotational movements, so its professional therapist should educate the patient before treatment. Explain that "the movement of the shoulder joint requires the cooperation of these two movements"; and in order to match the special anatomical structure of the shoulder joint, the arm should be turned outward gradually after the arm is raised above 120 degrees, so it can be fixed at the beginning. The arm posture is at the maximum possible external rotation angle to the straight arm, and then the training of the aforementioned lifting action is performed. And before use, the so-called straight arm should be correctly and properly fixed on the straight arm on the affected side.

並應注意不同方向之舉高時須選用各該運動方向之施力界面部。當其主動動作為前舉時,可以選用當時位於手臂前方之施力界面部,當其主動動作為平面側舉時,可以選用位於當時手臂該側方之施力界面部,當其主動動作為其綜合之角度之舉高時,可以選用位於當時手臂運動方向之施力界面 部,當其主動動作為側舉高時,可以將手臂儘量外轉並選用位於當時手臂運動方向之施力界面部(如果其外轉角度足夠的話其實是手臂前方之施力界面部)。 It should also be noted that when lifting heights in different directions, the force-applying interface part of each movement direction must be selected. When the active action is forward lift, the force application interface part located in front of the arm at that time can be selected. When the active action is a plane lateral lift, the force application interface part located on the side of the arm at that time can be selected. When the active action is When the comprehensive angle is raised, the force application interface located in the direction of arm movement at that time can be selected. When the active action is side elevation, the arm can be turned outward as much as possible and the force application interface part located in the direction of arm movement at that time is selected (if the outward rotation angle is sufficient, it is actually the force application interface part in front of the arm).

且於前述之使用本發明之動作治療時應有「小幅度漸進及分成多次訓練(每次訓練之反覆舉高次數不宜太多)以避免疲勞」之觀念;且在每次動作之到達最大角度時不要『太努力(over effort)』,即,不要在該同一角度繼續用力企圖增加角度、(但其實並無法增加角度),若其超過其極限時間(6秒左右、各個案不同)可能會有不良後果,某些患者對上述之繼續同角度之用力之耐受力更低,可能在更短時間即產生該不良後果。不但訓練時、於評估其進步與否時,皆會有與上述相同之問題,故應限制其上述之時間為3秒或4秒。 And in the above-mentioned use of the action therapy of the present invention, there should be a concept of "small steps and divided into multiple trainings (the number of repeated lifts in each training should not be too many) to avoid fatigue"; Don't "over effort" when making an angle, that is, don't try to increase the angle by continuing to exert force at the same angle (but it is not possible to increase the angle), if it exceeds the limit time (about 6 seconds, different for each case) There will be adverse consequences, and some patients have lower tolerance to the above-mentioned continuous force at the same angle, which may occur in a shorter period of time. Not only during training, but also when evaluating its progress, there will be the same problems as above, so the above time should be limited to 3 seconds or 4 seconds.

本發明可依個案之上肢長度、胖瘦等提供其個別且適合之直臂部之長度寬度或形狀,及依其個別之手之形狀大小及握持力等個別差異提供適合之手位部之大小及形狀及其與該直臂部之對應位置。 The present invention can provide an individual and suitable length, width or shape of the straight arm according to the length of the upper limb, fat and thinness of the individual case, and provide suitable hand parts according to the individual differences such as the shape and size of the individual hand and the gripping force. Size and shape and their corresponding position with the straight arm.

本發明之優於先前技術者包括:本發明之主動動作治療器乃依關節電理論所研創,可以藉該器材之助,於主動動作時獲得關節電之有效補充,使該相關肌肉獲得更充足之滋潤,不但降低其原有之疼痛,且使其主動動作之動作幅度進步;使用本發明於主動動作之訓練,有其立即之效果(即該進步可以立即感知及量測出來),且經過持續數天(到數周)之使用本發明於主動動作之訓練,其組織之疼痛會漸漸減少,且其無痛之主動動作角度可明顯增加。由於藉助本發明之器材可較快速達成明顯之治療效果,實際上大為減省其治療師之體力之消耗及各種醫療成本,並較快速改善病患之生活品質及日常生活 動作之功能。 The advantages of the present invention over the prior art include: the active action therapy device of the present invention is developed according to the theory of joint electricity. With the help of the device, the joint electricity can be effectively supplemented during active movement, so that the relevant muscles can obtain more sufficient energy. Moisturizing not only reduces the original pain, but also improves the range of active movements; the use of the present invention in the training of active movements has an immediate effect (that is, the improvement can be immediately perceived and measured), and after continuous After several days (to several weeks) of using the present invention in active movement training, the pain of the tissue will gradually decrease, and the painless active movement angle can be significantly increased. Because the device of the present invention can achieve obvious therapeutic effect more quickly, in fact, the physical consumption of the therapist and various medical costs can be greatly reduced, and the quality of life and daily life of the patients can be improved more quickly. Action function.

請參閱第3及4圖,本發明另提供一種電動拉力單元71,為可應用於許多不同身體部位之動作治療器材,成為該些治療器材之元件。該電動拉力單元71之組成包括一物件帶711、一電動機712、一支柱713、一力線支撐點714及一力線715。 Please refer to FIGS. 3 and 4 , the present invention further provides an electric pulling unit 71 , which is an action therapy device that can be applied to many different body parts, and becomes a component of the therapy device. The electric pulling unit 71 includes an object belt 711 , a motor 712 , a support column 713 , a force line support point 714 and a force line 715 .

所稱之物件帶711,為可彎曲之材料所做成,且該物件帶711之底面設有一連接部,其頂面用以固接至少一電動機712及一支柱713;所稱之電動機712,具有拉動一力線715之作用,係固接於該物件帶711之頂面,該電動機712產生之拉力可被一拉力數值調整鈕及一起動/停止鍵所操控;所稱之支柱713,係固接於該物件帶711之頂面之該電動機712有力線出口那面的左側或右側,使該電動拉力單元具有左側用型及右側用型,且該支柱713之高度具有可調性;所稱之力線支撐點714,係供該力線715以低摩擦力經過以便該力線715之方向依需求而改變,其組成包括一光滑表面之圓圈7141,圓圈7141為均勻之圓管所製成,惟該光滑表面圓圈之製成方法為該領域之通常之知識,該圓圈7141底部設接一軸柱7142,該軸柱7142以可旋轉的方式固接於該支柱713之頂部,惟該可旋轉之固接方式為該領域之通常之知識,當該力線715通過該力線支撐點714之圓圈7141之內而到達該圓圈7141另一面之任何方向時,該圓圈7141可配合轉動以減少該力線715所受到之摩擦力;所稱之力線715,其一端係連接該電動機712,另一端係經過該力線715支撐點之圓圈而連接至一施力界面部4,該力線715乃由該電動機712之拉動而於該力線支撐點714上移動。 The so-called object belt 711 is made of a bendable material, and the bottom surface of the object belt 711 is provided with a connecting part, and the top surface is used for fixing at least one motor 712 and a support 713; The so-called motor 712, It has the function of pulling a force line 715, and is fastened to the top surface of the object belt 711. The pulling force generated by the motor 712 can be controlled by a pulling force value adjustment button and a start/stop button; the so-called pillar 713 is a The motor 712 fixed on the top surface of the object belt 711 is on the left or right side of the side where the power line exits, so that the electric tension unit has a left-side type and a right-side type, and the height of the support 713 is adjustable; so It is called the support point 714 of the force line, which is for the force line 715 to pass through with low friction force so that the direction of the force line 715 can be changed according to the demand, and it consists of a circle 7141 with a smooth surface, and the circle 7141 is made of a uniform round tube However, the method of making the circle with smooth surface is the common knowledge in the field. The bottom of the circle 7141 is connected with a shaft 7142, and the shaft 7142 is fixed on the top of the support 713 in a rotatable manner. The fixing method of rotation is a common knowledge in the field. When the force line 715 passes through the circle 7141 of the force line support point 714 and reaches any direction on the other side of the circle 7141, the circle 7141 can be rotated to reduce The frictional force received by the force line 715; the so-called force line 715, one end of which is connected to the motor 712, and the other end is connected to a force application interface portion 4 through the circle of the support point of the force line 715. The force line 715 is pulled by the motor 712 to move on the support point 714 of the force line.

於一實施例中,該電動拉力單元71更與一肩部胸 部帶72連接,該肩部胸部帶72之對應於一使用者之肩膀頂端之位置設有一相對應連接部,以便於與所稱之電動拉力單元之該物件帶711之連接部相連接,以定位該電動拉力單元71於該使用者之肩膀頂端,該肩部胸部帶72之組成包括一胸位帶721及一肩位帶。 In one embodiment, the electric tension unit 71 is further connected with a shoulder chest The shoulder strap 72 is connected with the shoulder strap 72, and a corresponding connecting portion is provided at the position of the shoulder chest strap 72 corresponding to the top of the shoulder of a user, so as to be connected with the connecting portion of the object strap 711 of the so-called electric tension unit, so as to The electric tension unit 71 is positioned at the top of the shoulder of the user, and the shoulder-chest belt 72 includes a chest belt 721 and a shoulder belt.

所稱之胸位帶721之長度係藉一長度調整裝置7211而調整,以符合該使用者之胸圍,該胸位帶721之一端設有互相連接之第一連接裝置7212,且該胸位帶具有兩個第二連接裝置7213、7214,分別設於對應於該使用者之胸部中點處及該胸位帶721之另一端。所稱之肩位帶722,以約25度角度連接於該胸位帶721之對應於該使用者之背部中點處,該肩位帶722係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶721之胸部中點處之第二連接裝置7213,肩位帶之肩頂部位之頂面設有連接部,用以連接電動拉力單元之物件帶底面之連接部。惟,連接裝置及連接部之種類及接設於目標部位之接設方法為該領域內通常之知識。 The length of the so-called chest strap 721 is adjusted by a length adjusting device 7211 to match the bust circumference of the user. One end of the chest strap 721 is provided with a first connecting device 7212 connected to each other, and the chest strap There are two second connecting devices 7213 and 7214 , which are respectively disposed at the midpoint of the user's chest and at the other end of the chest belt 721 . The so-called shoulder strap 722 is connected to the chest strap 721 at an angle of about 25 degrees at the midpoint of the user's back. The shoulder strap 722 passes over the user's affected shoulder and then folds toward the user's shoulder. The front of the shoulder of the affected side is connected to the second connecting device 7213 at the midpoint of the chest of the chest belt 721. The top surface of the shoulder top of the shoulder belt is provided with a connecting part for connecting the bottom surface of the object belt of the electric tension unit. the connection part. However, the types of the connecting device and the connecting portion and the method of connecting to the target portion are common knowledge in this field.

按,以上所述,僅係本發明之部分實施例,惟本發明所主張之權利範圍並不侷限於此,按凡熟悉該項技藝人士,依據本申請書所揭露之內容,可輕易思及之等效變化,均應屬不脫離本發明之保護範圍。 According to the above, it is only a part of the embodiments of the present invention, but the scope of the rights claimed by the present invention is not limited to this. According to those who are familiar with the art, based on the contents disclosed in this application, they can easily think of The equivalent changes shall not depart from the protection scope of the present invention.

1:直臂部 1: Straight arm

2:手臂固定帶 2: Arm strap

3:手位部 3: hand part

4:施力界面部 4: Force interface part

5:滑行部 5: Sliding part

7:電動拉力部 7: Electric pulling part

71:電動拉力單元 71: Electric tension unit

711:物件帶 711: Object Belt

712:電動機 712: Motor

713:支柱 713: Pillar

714:力線支撐點 714: Support point of force line

715:力線 715: Line of Force

72:肩部胸部帶 72: Shoulder Chest Strap

721:胸位帶 721: Chest strap

7211:長度調整裝置 7211: Length adjustment device

7212:第一連接裝置 7212: First connection device

7213、7214:第二連接裝置 7213, 7214: Second connecting device

722:肩位帶 722: Shoulder straps

8:遙控器 8: Remote control

Claims (5)

一種藉電動拉力之增強關節電之五十肩之主動動作治療器,其組成包括:一直臂部,具有縱向之剛性,其長度至少含括一使用者患側臂之前臂之上半部、手肘、及上臂之下半部,使其具有保持該患側臂於伸直姿勢之作用;一條或一條以上之手臂固定帶,係固接或外加於該直臂部之至少該直臂部之近肩膀端以及對應於該患側臂手肘之位置,具有確實固定該直臂部於該使用者之伸直之患側臂上之作用;一手位部,其一端係連接於該直臂部之近手端,且於該直臂部之軸線延伸線上之對應於該使用者手部握持之位置,具有易於被該使用者手部握持或固定該手部之形狀;一個或一個以上之施力界面部,係設於該直臂部之對應於該患側臂動作方向之位置,用以於主動動作中向該使用者之肩關節方向施力,並具有易於拉動整個固定於該主動動作治療器之患側臂以向該肩關節施力之形狀;以及一電動拉力部,其組成包括:一電動拉力單元,包括:一物件帶,為可彎曲之材料所做成,且該物件帶之底面設有一連接部,其頂面用以固接至少一電動機及一支柱;該電動機,具有拉動一力線之作用,係固接於該物件帶之頂面,該電動機產生之拉力可被一拉力數值調整鈕及一啟動/停止鍵所操控; 該支柱,係固接於該物件帶之頂面之該電動機有該力線出口那面的左側或右側,使該電動拉力單元具有左側用型及右側用型,且該支柱之高度具有可調性;一力線支撐點,係供該力線以低摩擦力經過以便該力線之方向依需求而改變,其組成包括一光滑表面之圓圈,該圓圈底部設接一軸柱,該軸柱以可旋轉的方式固接於該支柱之頂部,當該力線通過該力線支撐點之圓圈之內而到達該圓圈另一面之任何方向時,該圓圈可配合轉動以減少該力線所受到之摩擦力;及該力線,其一端係連接該電動機,另一端係經過該力線支撐點之圓圈而連接至該施力界面部,該力線乃由該電動機之拉動而於該力線支撐點上移動;及一肩部胸部帶,該肩部胸部帶之對應於該使用者之肩膀頂端之位置設有一相對應連接部,以便於與該物件帶之連接部相連接,以定位該電動拉力單元於該使用者之肩膀頂端,該肩部胸部帶包括:一胸位帶,該胸位帶之長度係藉一長度調整裝置而調整,以符合該使用者之胸圍,該胸位帶之一端設有互相連接之第一連接裝置,且該胸位帶具有兩個第二連接裝置,分別設於對應於該使用者之胸部中點處及該胸位帶之另一端;及一肩位帶,以約25度角度連接於該胸位帶之對應於該使用者之背部中點處,該肩位帶係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶之胸部中點處之第二連接裝置,該肩 位帶之肩頂部位之頂面設有相對應連接部,用以連接電動拉力單元之物件帶底面之連接部。 An active action therapy device for the fifty-shoulders that enhances joint electricity by electric pulling force, which consists of: a straight arm, with longitudinal rigidity, and its length at least includes the upper half of the forearm of the user's affected arm, the elbow, and the The lower half of the upper arm to keep the affected arm in a straight position; one or more arm straps are fastened or attached to at least the shoulder near the straight arm part of the straight arm part; Corresponding to the position of the elbow of the affected side arm, it has the function of definitely fixing the straight arm portion on the straight affected side arm of the user; a hand portion, one end of which is connected to the proximal hand end of the straight arm portion, and The position on the axis extension line of the straight arm portion corresponding to the grip of the user's hand has a shape that is easy to be held or fixed by the user's hand; one or more force-applying interface portions, It is attached to the position of the straight arm portion corresponding to the action direction of the affected arm, so as to exert force on the shoulder joint of the user during active action, and has the function of easily pulling the entire affected arm fixed to the active action treatment device. In the shape of applying force to the shoulder joint; and an electric pulling part, which consists of: an electric pulling unit, including: an object belt, which is made of bendable material, and the bottom surface of the object belt is provided with a connecting part , the top surface of which is used to fasten at least one motor and a support column; the motor has the effect of pulling a force line and is fastened to the top surface of the object belt, and the tension generated by the motor can be adjusted by a tension value adjustment button and Controlled by a start/stop key; The support is fastened to the left or right side of the electric motor on the top surface of the object belt with the outlet of the force line, so that the electric tension unit has a left-side type and a right-side type, and the height of the support is adjustable. A force line support point for the force line to pass through with low friction so that the direction of the force line can be changed according to demand, which consists of a circle with a smooth surface, the bottom of the circle is connected to an axle post, the axle post is It is fixed to the top of the support in a rotatable way. When the force line passes through the circle of the force line support point and reaches any direction on the other side of the circle, the circle can be rotated to reduce the impact on the force line. friction force; and the force line, one end of which is connected to the motor, and the other end is connected to the force application interface through the circle of the force line support point, the force line is pulled by the motor to the force line support point Move up; and a shoulder chest strap, the position of the shoulder chest strap corresponding to the top of the user's shoulder is provided with a corresponding connecting part, so as to be connected with the connecting part of the object strap to locate the electric pulling force The unit is located at the top of the user's shoulder, the shoulder and chest belt includes: a chest belt, the length of the chest belt is adjusted by a length adjustment device to match the user's bust, one end of the chest belt There are first connecting devices connected to each other, and the chest strap has two second connecting devices, which are respectively set at the midpoint of the user's chest and the other end of the chest strap; and a shoulder strap , connected to the chest strap corresponding to the midpoint of the user's back at an angle of about 25 degrees, the shoulder strap is tied above the user's shoulder on the affected side and then folded to the front of the affected shoulder to connect to the The second connecting device at the midpoint of the chest of the chest strap, the shoulder The top surface of the shoulder top part of the belt is provided with a corresponding connecting part for connecting the connecting part of the bottom surface of the object belt of the electric tension unit. 如請求項1所述之藉電動拉力之增強關節電之五十肩之主動動作治療器,更包括一滑行部,係以一滑行部連接裝置連接於該手位部之另一端,該滑行部之末端具有易於滑行之形狀。 The active motion therapy device for fifty shoulders by enhancing joint electricity by electric pulling force as described in claim 1, further comprising a sliding portion connected to the other end of the hand portion by a sliding portion connecting device, and the end of the sliding portion Has an easy-to-glide shape. 一種使用如請求項1所述之藉電動拉力之增強關節電之五十肩之主動動作治療器之操作方法,包括:將該肩部胸部帶藉由該長度調整裝置及該兩個第二連接裝置,以平整而合身地穿戴於該使用者之肩胸部位置;使該使用者之患側臂置放於該直臂部,並以該手臂固定帶固定於該直臂部;以及該患側臂之手部握著或固定於該手位部,然後選用與該患側同側之電動拉力單元,將該電動拉力單元以其物件帶固定於該肩部胸部帶之肩頂部位,確定該次治療預定之動作方向,將該力線連接至位於預定之患側臂動作方向上之施力界面部,並確定該力線經過該力線支撐點之圓圈,及調整該支柱之高度,因為所稱之訓練乃對目標角度附近之小範圍角度之來回動作,故以該來回動作之中間角度為調整該支柱高度之目標,使該力線不會受到該力線支撐點以外之摩擦,以及確定該力線所在之虛擬平面與該預定之患側臂動作方向之虛擬平面皆在同一平面上,以向該使用者之肩關節方向施正確方向之力,且所施之力為小量之力使不超過該患側肩關節之有效範圍,於每次之動作訓練時該力之大小可由該使用者之動作治療之專業治療師依其經驗及個案之個別現狀為該使用者 個別決定,並設定於該拉力數值調整鈕,初次使用時該治療師可從很小量開始,該治療師並在該使用者之該患側臂之主動動作中為該使用者操作該電動機之啟動/停止鍵,又當確定該使用者已學會操作該啟動/停止鍵時,可以交由病患自行操作該啟動/停止鍵。 An operation method of using the active motion therapy device for fifty shoulders using electric tension to enhance joint electricity as described in claim 1, comprising: using the length adjustment device and the two second connecting devices for the shoulder chest strap, Wear it on the shoulder and chest of the user in a flat and well-fitting manner; place the affected arm of the user on the straight arm, and fix it with the arm fixing belt on the straight arm; and the hand of the affected arm Hold or fix it on the hand part, then select the electric tension unit on the same side as the affected side, fix the electric tension unit with its object belt on the shoulder top of the shoulder chest belt, and determine the predetermined action of the treatment direction, connect the force line to the force-applying interface part located in the predetermined direction of action of the affected arm, and determine that the force line passes through the circle of the support point of the force line, and adjust the height of the support, because the so-called training is for The back-and-forth action of a small range of angles near the target angle, so the middle angle of the back-and-forth action is used as the goal of adjusting the height of the pillar, so that the force line will not be subject to friction beyond the support point of the force line, and determine where the force line is located. The virtual plane and the virtual plane in the predetermined direction of the affected arm are on the same plane, so as to apply a force in the correct direction to the user's shoulder joint, and the applied force is a small amount so that it does not exceed the affected shoulder The effective range of joints, the size of the force in each movement training can be determined by the professional therapist of the user's movement therapy based on his experience and the individual status of the case. Individually determined and set on the tension value adjustment button, the therapist can start from a very small amount when using it for the first time, and the therapist operates the start of the motor for the user during the active movement of the affected arm of the user /stop key, and when it is determined that the user has learned to operate the start/stop key, the patient can operate the start/stop key by himself. 一種電動拉力單元,包括:一物件帶,為可彎曲之材料所做成,且該物件帶之底面設有一連接部,其頂面用以固接至少一電動機及一支柱;該電動機,具有拉動一力線之作用,係固接於該物件帶之頂面,該電動機產生之拉力可被一拉力數值調整鈕及一啟動/停止鍵所操控;該支柱,係固接於該物件帶之頂面之該電動機有該力線出口那面的左側或右側,使該電動拉力單元具有左側用型及右側用型,且該支柱之高度具有可調性;一力線支撐點,係供該力線以低摩擦力經過以便該力線之方向依需求而改變,其組成包括一光滑表面之圓圈,該圓圈底部設接一軸柱,該軸柱以可旋轉的方式固接於該支柱之頂部,當該力線通過該力線支撐點之圓圈之內而到達該圓圈另一面之任何方向時,該圓圈可配合轉動以減少該力線所受到之摩擦力;以及該力線,其一端係連接該電動機,另一端係經過該力線支撐點之圓圈而連接至一施力目標相關之施力界面部,該力線乃由該電動機之拉動而於該力線支撐點上移動。 An electric tension unit, comprising: an object belt, which is made of a bendable material, and the bottom surface of the object belt is provided with a connecting part, the top surface of which is used for fixing at least one motor and a support; the electric motor has a pulling force The action of a force line is fastened to the top surface of the object belt, and the pulling force generated by the motor can be controlled by a pulling force value adjustment button and a start/stop button; the pillar is fastened to the top of the object belt The motor on the side has the left or right side of the side of the force line outlet, so that the electric tension unit has a left-side type and a right-side type, and the height of the pillar is adjustable; a force line support point is used for the force The line passes with low friction so that the direction of the line of force can be changed as required, and it consists of a circle with a smooth surface, the bottom of which is connected with a shaft post, which is rotatably fixed to the top of the post, When the force line passes through the circle of the force line support point and reaches any direction on the other side of the circle, the circle can be rotated to reduce the friction force on the force line; and the force line, one end of which is connected The other end of the motor is connected to a force application interface part related to a force target through the circle of the force line support point, and the force line is pulled by the motor to move on the force line support point. 如請求項4所述之電動拉力單元,其中該電動拉力單元更與一肩部胸部帶連接,該肩部胸部帶之對應於一使用者之肩膀頂端之位置設有一相對應連接部,以便於與該物件帶之 連接部相連接,以定位該電動拉力單元於該使用者之肩膀頂端,該肩部胸部帶包括:一胸位帶,該胸位帶之長度係藉一長度調整裝置而調整,以符合該使用者之胸圍,該胸位帶之一端設有互相連接之第一連接裝置,且該胸位帶具有兩個第二連接裝置,分別設於對應於該使用者之胸部中點處及該胸位帶之另一端;及一肩位帶,以約25度角度連接於該胸位帶之對應於該使用者之背部中點處,該肩位帶係經過該使用者之患側肩膀上方然後折向該患側肩膀之前方,以連接於該胸位帶之胸部中點處之第二連接裝置,該肩位帶之肩頂部位之頂面設有連接部,用以連接電動拉力單元之物件帶底面之連接部。 The electric tension unit according to claim 4, wherein the electric tension unit is further connected with a shoulder chest belt, and a corresponding connection part is provided on the shoulder chest belt at a position corresponding to the top of a user's shoulder, so as to facilitate the with the object The connecting part is connected to locate the electric tension unit on the top of the shoulder of the user. The shoulder chest belt includes: a chest belt, the length of which is adjusted by a length adjusting device to suit the use One end of the chest strap is provided with a first connecting device connected to each other, and the chest strap has two second connecting devices, which are respectively set at the midpoint of the user's chest and the chest position The other end of the belt; and a shoulder belt, connected to the chest belt at an angle of about 25 degrees and corresponding to the midpoint of the user's back, the shoulder belt is tied over the shoulder of the user's affected side and then folded towards The front of the shoulder of the affected side is connected to the second connecting device at the midpoint of the chest of the chest belt. The top surface of the shoulder top of the shoulder belt is provided with a connecting part for connecting the bottom surface of the object belt of the electric tension unit. the connection part.
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI354550B (en) * 2008-05-09 2011-12-21 Univ Nat Taiwan Rehabilitating and training device and controlling
US8888724B2 (en) * 2008-01-25 2014-11-18 M.A.R.B. Rehab International, Llc Reciprocating brace
TWM574912U (en) * 2018-11-15 2019-03-01 東庚企業股份有限公司 Suspension aid
TWM583754U (en) * 2019-05-13 2019-09-21 臺北榮民總醫院 The assistant device for hand rehabilitation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8888724B2 (en) * 2008-01-25 2014-11-18 M.A.R.B. Rehab International, Llc Reciprocating brace
TWI354550B (en) * 2008-05-09 2011-12-21 Univ Nat Taiwan Rehabilitating and training device and controlling
TWM574912U (en) * 2018-11-15 2019-03-01 東庚企業股份有限公司 Suspension aid
TWM583754U (en) * 2019-05-13 2019-09-21 臺北榮民總醫院 The assistant device for hand rehabilitation

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