WO2017111284A1 - Appareil pour thérapie de réadaptation articulaire - Google Patents

Appareil pour thérapie de réadaptation articulaire Download PDF

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Publication number
WO2017111284A1
WO2017111284A1 PCT/KR2016/012265 KR2016012265W WO2017111284A1 WO 2017111284 A1 WO2017111284 A1 WO 2017111284A1 KR 2016012265 W KR2016012265 W KR 2016012265W WO 2017111284 A1 WO2017111284 A1 WO 2017111284A1
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WO
WIPO (PCT)
Prior art keywords
universal joint
joint
patient
joint rehabilitation
rehabilitation therapy
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Application number
PCT/KR2016/012265
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English (en)
Korean (ko)
Inventor
이재화
김국한
하정훈
Original Assignee
(주)대성마리프
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Filing date
Publication date
Application filed by (주)대성마리프 filed Critical (주)대성마리프
Publication of WO2017111284A1 publication Critical patent/WO2017111284A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones

Definitions

  • the present invention relates to a joint rehabilitation therapy device, and more specifically, to freely change the fixed form adaptively to the change in the posture of the patient that can occur during rehabilitation treatment, body weight is biased to prevent excessively inclined forward
  • the present invention relates to a joint rehabilitation device capable of preventing unexpected muscle damage such as shoulders.
  • hemiplegia may be caused by a movement disorder accompanied by paralysis of the central nervous system, such as stroke, traumatic brain injury, or cerebral palsy, deficits in sensation, posture imbalance, and lack of body awareness. It's one of the paralysis of muscles that can't use your muscles to produce the right amount of force when you need it.
  • the one-on-one exercise treatment with the therapist makes posture adjustment and movement, the pain control using the electrotherapy and the strength training using the exercise equipment, Muscle control training, stretching, balance training, etc. will be treated through the patient's own exercise.
  • the therapist and the one-to-one treatment gives the patient a psychological stability, the efficiency of rehabilitation treatment is excellent, but due to the psychological anxiety of the patient, the therapist suffers from excessive work stress and the one-to-one treatment through the therapist There was a problem that the cost is high.
  • the treatment using the rehabilitation apparatus is performed, and the rehabilitation training is performed by forcibly exercising the upper limb of the patient by attaching the rehabilitation apparatus to the upper extremity of the patient in a position where the patient is lying or sitting in bed.
  • the patient's upper limb is first rehabilitated using the rehabilitation apparatus, which is the method described above, and secondly, the joint is exercised with the help of a third party. There was a problem with waiting.
  • the present invention has been made to solve the above problems, the present invention is a joint rehabilitation therapy device that can be changed in the fixed form adaptively to the change in the posture of the patient that can occur during rehabilitation treatment by the individual rotation of the plurality of extensions It aims to provide.
  • Another object of the present invention is to provide a joint rehabilitation therapy device that prevents unexpected muscle damage such as shoulders by making the body weight shifted forward and making it impossible to rotate or tilt over a certain range or a predetermined position. do.
  • the present invention is to provide a joint rehabilitation treatment device capable of setting the range or position by adjusting the position of the stopper to make it impossible to rotate or tilt beyond a certain range or a predetermined position as described above. Another purpose.
  • Joint rehabilitation therapy device for achieving the above object, a fixed part fixed to a specific position, one end is installed on one side of the fixing part, the other end is installed in the joint rehabilitation treatment unit, spontaneous movement of the patient, involuntary And joints rehabilitation treatment unit coupled to the joint and the universal joint part capable of buffering the movement of the patient to be adaptively moved to enable normal rehabilitation treatment of the joint rehabilitation unit even if there is movement or movement by external force.
  • the connection part is adaptively moved to a position where the patient achieves the most stable posture.
  • the joint rehabilitation therapy device is a hand joint rehabilitation therapy device, the universal joint portion, it is impossible to rotate or tilt over a certain range or a predetermined position to the front of the patient, only to rotate or tilt to the left and right of the patient This is possible.
  • the connecting portion is provided on one side of the fixing portion, the first rod for supporting the second rod therein, is installed in the hole formed on the inner surface in the axial direction of the first rod, the length adjustment in the axial direction of the first rod It is possible, the second rod having a predetermined repulsion force, the second end of the second rod can be rotated in the vertical direction, the first end is rotatably coupled to the second rod and the other end of the first extension And a second extension rotatably coupled to the second extension, the nth extension rotatably coupled to the other end of the second extension, wherein n is a natural number of three or more.
  • the universal joint part may include a universal joint lower structure part fixed to a distal end of the second extension part or an nth extension part, a universal joint upper structure part coupled to the universal joint lower structure part, and the universal joint upper structure part And a sphere inserted in the space formed inside the universal joint undercarriage to allow rotation in all directions and the sphere, and both ends thereof are fixedly coupled to the universal joint undercarriage and the joint rehabilitation unit, and are elastically coupled to each other. It includes a coupling portion.
  • a stopper is installed in the universal joint upper structure so that the universal joint portion cannot be rotated or inclined forward in a predetermined range or a predetermined position or more, and the universal joint upper structure and the universal joint lower structure part In the space formed therein, there is a gap of a certain size between the universal joint undercarriage in the downward direction of the sphere, so that the sphere can be elastically supported in a partial direction in the downward direction.
  • the stopper may adjust a position installed in the universal joint upper structure portion, and adjust a predetermined range or a predetermined position such that the universal joint portion cannot be rotated or tilted forward.
  • the joint rehabilitation treatment device of the present invention the range or position to prevent the shoulder rotator cuff damage of the patient, and adjusts the installation position of the stopper, the joint rehabilitation treatment unit, caused by the paralysis of the patient It is made of a structure that can be rotated or tilted left and right to match the twisted or twisted muscles.
  • the weight of the body is biased, it is possible to prevent the unexpected muscle damage such as shoulders by making it impossible to rotate or tilt over a certain range or a certain position forward. .
  • FIG. 1 is a view showing a joint rehabilitation therapy device according to a preferred embodiment of the present invention.
  • FIG. 2 and 5 is a view showing an embodiment of the connection of the joint rehabilitation device according to a preferred embodiment of the present invention.
  • FIG 3 is a view showing a joint rehabilitation unit of the joint rehabilitation therapy device according to a preferred embodiment of the present invention.
  • Figure 4 is a view showing a cross-section of the universal joint portion of the joint rehabilitation device according to a preferred embodiment of the present invention.
  • FIG. 5 is a view showing an embodiment of the connection of the joint rehabilitation device according to a preferred embodiment of the present invention.
  • FIG. 1 is a view showing a joint rehabilitation therapy device according to a preferred embodiment of the present invention.
  • the joint rehabilitation treatment device of the present invention is composed of a main body (not shown), the fixing portion 100, the connecting portion and the joint rehabilitation treatment unit 300.
  • the fixing part 100 is an object or furniture in a specific position (for example, a wall, a wardrobe, a window frame, a bed, a railing, a table, a chair, etc., in a position close to a body part where a joint rehabilitation treatment should be performed while the patient is in a comfortable posture).
  • a joint rehabilitation device is fixed to one side, and the connection part is installed at one side.
  • the fixing part 100 is a fastening part 100 which is located through the one side of the "c" shape when the part to be fixed is inserted into the "c" shape is inserted into the thickness portion of the portion to be fixed is fixed portion 100
  • the fixing is achieved by pressing the part inserted in the).
  • a hook form such as a hook, a tongs form, a belt form, etc., the desired angle through the rotating body or the angle adjuster, etc. You can also adjust with.
  • connection portion One end of the connection portion is connected to the fixed portion 100, the other end is installed in the joint rehabilitation treatment unit 300, even if there is an involuntary movement such as spontaneous movement, muscle spasm or seizure or movement by external force, joint rehabilitation treatment It is possible to adaptively move to allow the normal rehabilitation treatment of the unit 300 to buffer the movement of the patient.
  • joint to receive the rehabilitation of the patient is extended to various degrees of freedom through the connection to the most comfortable position to mount the joint rehabilitation treatment unit (300).
  • the joint rehabilitation unit 300 is coupled through the connection portion and the universal joint portion 310, when the movement of the patient, the connection portion is the patient's most stable posture (the person always has the most energy consumption, less power or position or posture The most stable posture is adaptively moved to a position that eventually constitutes a position or posture where energy consumption or power is least consumed.
  • the joint rehabilitation therapy device is a joint rehabilitation therapy device, ankle joint rehabilitation therapy device, knee joint rehabilitation therapy device, etc., the universal joint portion 310, it is impossible to rotate or tilt over a certain range or a predetermined position in front of the patient. It is possible to rotate or tilt only to the left and right and rear of the patient.
  • it may be provided with a button for adjusting the height of the joint rehabilitation treatment unit 300 by adjusting the length of the connection.
  • FIG. 2 and 5 is a view showing an embodiment of the connecting portion of the joint rehabilitation device according to a preferred embodiment of the present invention
  • Figure 2 is a state in which only two extensions are formed
  • Figure 5 shows a state in which three extensions are formed. .
  • the connecting portion is composed of a first rod 210, a second rod 220 and a plurality of extensions.
  • the first rod 210 is installed on one side of the fixing part 100. As shown in the figure, the first rod 210 may be connected to the other side of the fixing portion 100 of the "c" shape, not the side of the fixing portion 100 of the "c” shape.
  • the second rod 220 is supported therein, and the second rod 220 is installed in a hole formed in the inner surface in the axial direction of the first rod 210, and the length is adjusted in the axial direction of the first rod 210. This is possible and has a certain repulsive force. This predetermined repulsive force provides the patient a comfortable feeling when placing the joint to be rehabilitated.
  • the plurality of extensions basically include a first extension 230 and a second extension 240, and the first extension 230 is rotatable in a vertical plane of the second rod 220. One end is rotatably coupled to the second rod 220, and the second extension portion 240 is rotatably coupled to the other end of the first extension portion 230.
  • n-th extension part 250 rotatably coupled to the other end of the second extension part 240, where n is a natural number of 3 or more.
  • the fixed shape is adaptively changed in response to a change in the posture of the patient, which may occur during the rehabilitation treatment, thereby minimizing the inconvenience of the patient receiving the rehabilitation treatment and maximizing comfort. It is possible.
  • the button may adjust the degree to which the second rod 220 is inserted into the first rod 210, and the second rod 220 may be removed from the first rod 210 while pressing the button. As it exits, the height of the joint rehabilitation treatment unit 300 is increased, and when the patient reaches a desired height, it is possible to stop the rising of the second rod 220 by releasing the force applied to the button.
  • FIG 3 is a view showing the joint rehabilitation unit 300 of the joint rehabilitation therapy device according to an embodiment of the present invention.
  • the joint rehabilitation unit 300 may further include a water polo unit 320 on which the back of the arm and the hand are mounted to prevent the hand of the patient from being separated from the joint rehabilitation unit during the joint rehabilitation treatment.
  • a water polo unit 320 on which the back of the arm and the hand are mounted to prevent the hand of the patient from being separated from the joint rehabilitation unit during the joint rehabilitation treatment.
  • the wrist is fixed through holes on both sides of the wrist (four holes are illustrated in FIG. 3).
  • insert the fixing strap on one side of the wrist insert the fixing strap in the hole on the opposite side of the wrist while wrapping the wrist while allowing the wrist not to press too much.
  • Fix the wrist of the patient by attaching the Velcro existing on opposite sides of each other.
  • Such a fixing strap can be detachably fixed and can be easily cleaned and sterilized even if contaminated by blood or foreign substances of a patient, as well as easily replaced if necessary.
  • the water polo holder 320 is not a glove type inserted into the arm, the wrist, and the hand, but is formed of a skeleton type, and thus sweating is performed on the patient's hand, wrist, or the like. It can be prevented. That is, it consists of only the skeleton of the lower portion of the wrist or arm is mounted, the user's wrist and arm is exposed to the outside can be maximized to ensure good ventilation.
  • the joint rehabilitation treatment unit 300 is made of a structure that can be rotated or tilted left and right to match the twisted or twisted muscles of the patient caused by the paralysis.
  • the finger holder is a configuration in which the finger is mounted to enable the hand rehabilitation exercise. That is, the finger mounting portion is coupled to the water polo mounting portion 320 and the two-axis rotation (up, down, left and right rotation) to enable the movement of the wrist, buckling, long buckling, and buckling of the wrist, as well as the movement of the wrist and buckling.
  • the lumbar and vertebral rehabilitation exercises of the wrist are also possible.
  • the finger holding unit which is a configuration for holding the finger mounted on the finger mounting portion, usually uses a velcro to fix the finger. Similar to the wrist fixing described above, the finger holding portion fixes the finger through holes formed on both sides of the finger mounting portion. That is, insert the fixing strap on one side of the finger, insert the fixing strap in the hole on the opposite side of the finger while enclosing the finger while allowing the space to not press the finger too much, and then wrap the finger in the opposite direction again. Fix the patient's fingers by attaching the Velcro existing on opposite sides of each other.
  • Such a fixing strap can be detachably fixed and can be easily cleaned and sterilized even if contaminated by blood or foreign substances of a patient, as well as easily replaced if necessary.
  • the finger air bladder is configured to induce the sliding plate installed in the finger rest so as to slide forward in the finger rest so that the finger is naturally stretched while the finger mounted on the finger rest is slid forward.
  • the fingers curled inwardly are guided to extend, while the finger rests are coupled to the water brace for biaxial rotation, that is, the wrist rests coupled to allow the lumbar and vertebral movements of the wrist.
  • the wrist air bladder is operated to allow movement of the long buckles.
  • the wrist air bladder is a structure which makes it possible to induce the buckling and long buckling motion of a wrist.
  • the hose air connection portion for the finger air bladder, and the hose connection for the wrist air bladder, the hose air connection for the finger air bladder is connected to the pneumatic pump that is usually present in the body, to inject or discharge air to the finger air bladder
  • the hose connection portion for the wrist air bladder is also connected to the pneumatic pump and is controlled by the main body so as to inject or discharge air to the wrist air bladder.
  • FIG 4 is a cross-sectional view of the universal joint part 310 of the joint rehabilitation device according to an embodiment of the present invention.
  • the universal joint 310 is composed of a universal joint substructure 311, a universal joint upper structure 312, a sphere 313, and an elastic coupling portion 314.
  • the universal joint lower structure 311 is fixedly coupled to the distal end of the second extension 240 or the n-th extension 250 and the universal joint upper structure 312 is the universal joint lower structure 311. Combined with.
  • the elastic coupling part 314 penetrates the sphere 313 inserted into the universal joint upper structure 312 and the universal joint lower structure 311 so as to be able to rotate in all directions, and both ends thereof.
  • Universal joint lower structure 311 and joint rehabilitation treatment unit 300 is fixed and elastically coupled.
  • a stopper is installed in the universal joint upper structure 312 so that the universal joint 310 cannot be rotated or tilted forward by a predetermined range or a predetermined position or more forward.
  • the stopper adjusts the position installed in the universal joint upper structure portion 312, it is possible to adjust a predetermined range or a predetermined position so that the universal joint 310 is impossible to rotate or tilt forward, shoulder rotation of the patient It is possible to adjust the range or position to prevent damage.
  • the movable section of the stopper may be a stopper extending from the sphere 313 or an extension of the sphere 313 (the sphere 313 is extended to the water polo unit 320). It is formed within a range that can limit the movement of the connected portion), and a separate adjustment handle for moving the stopper along the formed movable section is provided to the outside for the patient or a person around to adjust.
  • the stopper is composed of a plurality of protrusions to form a switch for controlling the protrusion of each protrusion, so as to control the position where the stopper is in contact with the sphere 313 or the extension of the sphere 313, etc. It is possible to apply the embodiment.
  • a predetermined size bin between the universal joint lower structure 311 in the downward direction of the sphere 313 there is a gap 315, which makes it possible for the sphere 313 to be partially elastically supported in the downward direction.
  • the sphere 313 is elastically supported not only through the elastic coupling portion 314 but also through the empty space 315. It is possible to maximize the elastic support for the sphere 313. In this way, when the patient passes through the joint to receive rehabilitation treatment, it is possible to maximize the comfort by providing a feeling of cushion.
  • a main body including a user interface (UI) having a pneumatic pump for providing pneumatic pressure to the joint rehabilitation therapy device of the present invention, a touch screen operation button that can be operated by a doctor or a nurse, or the patient himself. It may further include.
  • UI user interface
  • a touch screen operation button that can be operated by a doctor or a nurse, or the patient himself. It may further include.
  • the main body further includes a display to visually show the patient's rehabilitation motion to the patient through the display, thereby recognizing the rehabilitation motion as the brain, thereby stimulating a brain region necessary for the exercise.
  • the main body further includes a speaker, through the speaker, to inform the patient in a motion of the rehabilitation of his own rehabilitation, it is possible to stimulate the brain area necessary for the exercise by recognizing the rehabilitation operation to the brain.
  • the joint rehabilitation therapy device when used for a predetermined period or more, the effect of the rehabilitation treatment no longer appears, and the state of saturation comes. At this time, it is possible to visually see the operation of the patient's rehabilitation treatment through the user interface of the main body and to recognize it with the brain, thereby actively stimulating the brain to maintain or improve the effectiveness of the rehabilitation treatment.
  • the main body may further include a control unit and a speaker for indicating, "I am currently rehabilitating the OO site" so that the brain can also be stimulated acoustically.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

La présente invention concerne un appareil destiné à une thérapie de réadaptation articulaire, comprenant : une unité de fixation fixée dans une position particulière; une unité de liaison, dont une extrémité est installée au niveau d'un côté de l'unité de fixation et l'autre extrémité est installée au niveau d'une unité de thérapie de réadaptation articulaire; et l'unité de thérapie de réadaptation articulaire accouplée à l'unité de liaison au moyen d'une unité de joint universel.
PCT/KR2016/012265 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire WO2017111284A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2015-0186594 2015-12-24
KR1020150186594A KR101757564B1 (ko) 2015-12-24 2015-12-24 관절 재활치료기

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Publication Number Publication Date
WO2017111284A1 true WO2017111284A1 (fr) 2017-06-29

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Family Applications (5)

Application Number Title Priority Date Filing Date
PCT/KR2015/014306 WO2017111193A1 (fr) 2015-12-24 2015-12-28 Dispositif de rééducation articulaire
PCT/KR2016/012265 WO2017111284A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire
PCT/KR2016/012267 WO2017111286A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire
PCT/KR2016/012266 WO2017111285A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire
PCT/KR2016/012262 WO2017111283A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire

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PCT/KR2015/014306 WO2017111193A1 (fr) 2015-12-24 2015-12-28 Dispositif de rééducation articulaire

Family Applications After (3)

Application Number Title Priority Date Filing Date
PCT/KR2016/012267 WO2017111286A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire
PCT/KR2016/012266 WO2017111285A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire
PCT/KR2016/012262 WO2017111283A1 (fr) 2015-12-24 2016-10-28 Appareil pour thérapie de réadaptation articulaire

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KR (1) KR101757564B1 (fr)
CN (4) CN206334064U (fr)
WO (5) WO2017111193A1 (fr)

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KR102227425B1 (ko) * 2019-05-22 2021-03-15 (주)대성마리프 관절재활 치료시스템
CN110170104B (zh) * 2019-06-25 2023-03-14 北京石油化工学院 一种耦合理疗装置的运动治疗康复机器人
CN111297637B (zh) * 2020-03-19 2022-06-14 山东建筑大学 一种用于上肢康复的手臂托架装置

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US20040067832A1 (en) * 2001-01-11 2004-04-08 Andreas Hassler Therapeutic and training device for the shoulder joint
KR20110010256A (ko) * 2009-07-24 2011-02-01 (주)대성마리프 수관절 재활치료 훈련기구
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Publication number Publication date
CN206334064U (zh) 2017-07-18
WO2017111286A1 (fr) 2017-06-29
KR101757564B1 (ko) 2017-07-26
WO2017111193A1 (fr) 2017-06-29
KR20170076393A (ko) 2017-07-04
CN206334066U (zh) 2017-07-18
WO2017111285A1 (fr) 2017-06-29
CN206334065U (zh) 2017-07-18
CN206334063U (zh) 2017-07-18
WO2017111283A1 (fr) 2017-06-29

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