CN108852743B

CN108852743B - Multifunctional hemiparalysis training instrument

Info

Publication number: CN108852743B
Application number: CN201810412328.2A
Authority: CN
Inventors: 陈小花; 罗伟香; 林博文; 王�华; 罗奇
Original assignee: Shenzhen Peoples Hospital
Current assignee: Shenzhen Peoples Hospital
Priority date: 2018-05-03
Filing date: 2018-05-03
Publication date: 2021-01-05
Anticipated expiration: 2038-05-03
Also published as: CN108852743A

Abstract

The invention provides a multifunctional hemiplegic training instrument, which comprises a longitudinal support rod which is fixed on the edge of a sickbed and can move horizontally, a training frame which is vertically connected to the support rod and can move up and down, and a bearing plate which is detachably connected to the training frame and is used for fixing hands or feet; a plurality of first mounting holes or hanging rings are arranged on the training frame at intervals, and a guide rail which is horizontally and vertically arranged is arranged on the training frame; the support plate is hung on the training frame through a cord belt, five finger fixing rings for five fingers to pass through are arranged on the support plate, and a palm fixing band and a wrist fixing band for fixing hands are arranged at positions corresponding to the palm and the wrist respectively. The invention can not only assist the patient to do flexion and extension training, but also can do hip abduction or adduction and limb shaking training.

Description

Multifunctional hemiparalysis training instrument

Technical Field

The invention relates to the technical field of medical rehabilitation instruments, in particular to a multifunctional hemiplegia training instrument.

Background

The stroke is a common disease in neurology, the disability rate is as high as 70-80%, the main complication is hemiplegia, and 55-75% of patients with hemiplegia after stroke have impaired functions of the upper limbs due to hemiplegia, so that the individual mobility is greatly limited. In the prior art, there are many rehabilitation therapies for recovering the upper limb functions of patients, such as mandatory motor therapy, traditional hand function training, auxiliary robot rehabilitation training, functional electrical stimulation and co-training of both upper limbs. However, most of the above therapies require intensive training of the upper limbs of the patients, and the treatment requires a therapist to perform one-to-one training for the patients for several weeks, which makes it difficult for most patients to insist on the completion and makes the treatment expensive. In addition, the upper limb hemiplegia and shoulder pain reach 30% after four months of stroke occurrence, so that the patients are collided to carry out limb function training, the treatment effect is reduced, the upper limb function of the patients is recovered slowly, and the diseases such as shoulder-hand syndrome, shoulder joint subluxation, upper limb flexor spasm and the like are further caused.

The patient of four limbs fracture when the limbs need to be raised, the affected limb is raised to the pillow of common use clinically to do benefit to blood circulation, upper limbs bed hedgehopping especially often makes the patient feel uncomfortable, and in postoperative day or the first day because of limbs move about inconveniently, more makes the affected part painful aggravation. The existing documents also report that the upper limb is supported by the improved shoulder, neck and wrist support belt to facilitate the detumescence and the movement of the affected limb and relieve the pain, but the upper limb is not provided with an elastic device, and the comfort is poor because the upper limb is suspended and lifted for a long time.

In order to prevent deep vein thrombosis, joint stiffness and muscular atrophy, a therapist often guides a patient to do ankle pump training, lower limb flexion and extension training, lower limb shaking training and hip abduction and adduction training, but the elderly are unwilling to train by themselves after the operation because the elderly have hypofunction and are accompanied with senile dementia or diseases of multiple organ functions of the whole body, so that high risk factors of the complications are increased. Clinical medical staff often assist patients to do limb movement in person or guide nursing, but the nursing staff cannot last, for assisting the limb training of the patients by applying CPM (continuous passive training device), because the CPM is a passive training instrument, the recovery significance of the CPM on limb functions is not large in the current domestic and foreign literature reports, while for self-help limb linkage training instruments developed by the department of China, the nursing staff can assist the patients to do passive training, but most nursing staff cannot assist the patients for a long time, and the training instruments can only do flexion and extension training, but cannot do hip abduction or adduction training and limb shaking training.

Disclosure of Invention

The invention aims to provide a self-help semi-automatic multifunctional hemiplegic training instrument for upper limb/lower limb paralysis or obstacle limbs, which can assist a patient in flexion and extension training and hip abduction or adduction and limb shaking training.

In order to solve the technical problem, the invention provides a multifunctional hemiplegic training instrument, which comprises a longitudinal support rod which is fixed on the edge of a sickbed and can move horizontally, a training frame which is vertically connected on the support rod and can move up and down, and a bearing plate which is detachably connected on the training frame and is used for fixing hands or feet; a plurality of first mounting holes or first hanging rings are arranged on the training frame at intervals, a horizontally placed guide rail is arranged on the training frame, and a sliding block capable of sliding back and forth is arranged in the guide rail; the support plate is hung on the training frame through a cord belt, five finger fixing rings for five fingers to pass through are arranged on the support plate, and a palm fixing band and a wrist fixing band for fixing hands are arranged at positions corresponding to the palm and the wrist respectively.

Preferably, the strap is an elastic strap.

Preferably, five first mounting holes or first hanging rings are arranged on the training frame at intervals, five second mounting holes or second hanging rings are arranged at the top of the bearing plate, and five elastic straps are detachably connected between the training frame and the mounting holes or hanging rings of the bearing plate.

Preferably, the outer surface of the elastic magic tape at the palm part of the supporting plate is provided with a fixing sleeve which is penetrated left and right, and a training rod is transversely inserted into the fixing sleeve.

Preferably, the strap is an inelastic strap.

Preferably, a third mounting hole or a third hanging ring is arranged at the top of the supporting plate, and the inelastic strap is connected between the sliding block and the third mounting hole or the third hanging ring.

Preferably, the guide rail is a linear motor guide rail.

Preferably, the support plate is made of a rigid plastic plate.

Preferably, the lower end of the support rod is provided with a base clamping plate, the base clamping plate is clamped on the bed edge, and an adjusting bolt vertically penetrates through the top of the clamping plate, so that the end part of the adjusting bolt is arranged on the bed edge in an overhead mode, namely the support rod is fixed on the bed edge.

Preferably, a sleeve is arranged on the side edge of the training frame, the sleeve is sleeved on the supporting rod, and an adjusting bolt vertically penetrates through the side surface of the sleeve, so that the end part of the adjusting bolt is arranged on the side surface of the supporting rod in an overhead mode.

The invention relates to a multifunctional hemiplegy training instrument, compared with the existing design, the invention has the advantages that: (1) the supporting plate is connected to the training frame through the elastic cord, the up-and-down bouncing of limbs is realized through the elasticity of the elastic cord, and the shaking training of the limbs is realized; (2) the supporting plate is connected to the training frame through the elastic cord belt, and the bending and stretching training of the upper limbs can be carried out through the elasticity of the elastic cord belt; (3) when the patient is flaccid paralysis or flexospasm type paralysis, a training rod is arranged on the bearing plate in a penetrating way, the sick upper limb is fixed on the bearing plate, and the healthy upper limb of the patient holds the training rod to drive the sick upper limb to carry out flexion and extension training; (4) the training frame is provided with a guide rail which is horizontally and vertically arranged, the bearing plate is detachably connected to the slide block of the linear guide rail through an inelastic strap, a patient can automatically reciprocate, the slide block on the linear motor guide rail can also drive the bearing plate to realize the passive reciprocating motion of the limb of the patient, the abduction and adduction training of the limb of the patient is realized, and the shoulder joint or the hip joint can be effectively prevented from being stiff.

Drawings

Fig. 1 is a schematic view of a multifunctional hemiplegia training instrument of the embodiment 1 of the invention.

Fig. 2 is a schematic view of the multifunctional hemiplegic training instrument of the embodiment 2 of the present invention.

Fig. 3 is a schematic view of the multifunctional hemiplegia training instrument of the embodiment 3 of the invention.

The reference numbers are as follows:

1-sickbed, 2-support rod, 21-base splint, 3-training frame, 31-sleeve, 32-first mounting hole or first hanging ring, 33-ball linear guide rail, 331-sliding block, 332-linear guide rail, 4-supporting plate, 41-finger fixing ring, 42-palm fixing band, 421-fixing sleeve, 43-wrist fixing band, 44-second mounting hole or second hanging ring, 45-third mounting hole or third hanging ring, 5-elastic cord band, 6-training rod and 7-inelastic cord band.

Detailed Description

Example 1

As shown in fig. 1, the multi-functional hemiplegia training instrument of this embodiment comprises a longitudinal support rod 2, a training frame 3, and a support plate 4, wherein the support rod 2 arranged longitudinally is fixed on the edge of a sickbed 1 in a horizontally movable manner, the training frame 3 is vertically sleeved on the support rod 2 in a vertically movable manner, and the support plate 4 for fixing hands or feet is detachably connected to the training frame 3 through a cord.

The cross section of the support rod 2 is a square steel pipe, a base clamping plate 21 is arranged at the lower end of the support rod 2, the longitudinal section of the base clamping plate 21 is U-shaped, the base clamping plate 21 is clamped on the bed edge, and an adjusting bolt vertically penetrates from the outside to the inside of the top clamping plate, so that the end part of the adjusting bolt is arranged on the bed edge in an overhead mode, and the support rod 2 is fixed on the bed edge. The support rod 2 can be horizontally moved on the bed edge according to the training requirement.

The side of training frame 3 is equipped with sleeve 31, and sleeve 31 cover is established on bracing piece 2, penetrates adjusting bolt perpendicularly from sleeve 31's side outside-in, makes adjusting bolt's tip overhead in bracing piece 2 sides to install training frame 3 on bracing piece 2, can reciprocate on bracing piece 2 with training frame 3 according to the training demand.

The supporting plate 4 is made of hard plastic and is similar to the shape of a human hand. Five finger fixing rings 41 made of elastic belts are arranged on the front surface of the bearing plate 4 at positions corresponding to the five fingers, and the five fingers of the patient respectively penetrate through the five finger fixing rings 41 to realize the unfolding, straightening and fixing of the fingers; as a specific implementation mode, a through hole is arranged at a corresponding position on the bearing plate, and the elastic belt passes through the through hole to form the finger fixing ring. The parts of the supporting plate 4 corresponding to the palm and the wrist are respectively provided with a palm fixing band 42 and a wrist fixing band 43 which are made of elastic magic tapes and used for fixing the palm and the wrist of the hand of the patient. As a specific implementation mode, the corresponding position of the bearing plate is provided with a through hole, and the elastic magic tape is transmitted to the front side from the back side of the bearing plate and is adhered and fixed.

The training frame 3 is a long strip, a guide rail 33 which is horizontally and vertically placed is arranged on the training frame 3, five first mounting holes or first hanging rings 32 are horizontally arranged at intervals below the guide rail 33 on the training frame 3, second mounting holes or second hanging rings 44 are respectively arranged at positions corresponding to five fingers on the top of the bearing plate 4, and five elastic straps 5 are detachably connected between the training frame 3 and the mounting holes or hanging rings of the bearing plate 4, namely the bearing plate 4 is hung on the training frame 3.

When a patient carries out limb trembling training, the training frame is moved to the highest position of the supporting rod, the elbow or the ankle is horizontally placed, the up-and-down bouncing of the limb is realized through the elasticity of the elastic cord, and the trembling training of the limb is realized.

When the patient carries out the bending and stretching training of the upper limbs, the support frame is moved to a position far away from the hands, and meanwhile, the training frame is moved to the middle lower section of the support rod, so that the training frame is parallel to the height of the hand supporting plate lifted when the patient bends the elbows. The hands of the patient are fixed on the supporting plate, and the bending and stretching training of the limbs of the upper limbs can be carried out.

Example 2

This embodiment is basically the same as embodiment 1, except that, as shown in fig. 2, a fixing sleeve 421 penetrating from left to right is further provided on the outer surface of the palm fixing band 42, and the training rod 6 is transversely inserted into the fixing sleeve 421.

When the patient is flaccid paralysis or flexospasm type paralysis, the diseased upper limb is fixed on the supporting plate, one end of the training rod is inserted into the fixing sleeve, the healthy upper limb of the patient holds the other end of the training rod, and the healthy upper limb performs flexion and extension training, so that the diseased upper limb is driven to perform flexion and extension training simultaneously.

Example 3

The embodiment is basically the same as the embodiment 1, except that as shown in fig. 3, a third mounting hole or a third hanging ring 45 is arranged at the top of the bearing plate 4, a guide rail 33 which is transversely and vertically arranged is arranged on the training frame 3, a sliding block 331 slides in the guide rail 33 in a reciprocating manner, an inelastic cable band 7 is arranged on a hook of the sliding block 331 in a penetrating manner, a force-bearing iron strip can be adopted, and the other end of the inelastic cable band 7 is connected to the third mounting hole or the third hanging ring 45 at the top of the bearing plate 4. Further, the guide rail 33 is a linear motor guide rail, so that the sliding block can automatically slide in a reciprocating manner in the linear guide rail, and the bearing plate is driven to reciprocate.

The elastic cord is removed, the bearing plate is hung on the training frame through the inelastic cord, and the sliding block slides in the linear guide rail in a reciprocating mode, so that the bearing plate is driven to move in a reciprocating mode, abduction and adduction training of limbs of a patient is achieved, and shoulder joints or hip joints can be effectively prevented from being stiff.

Claims

1. A multi-functional hemiplegia training appearance which characterized in that: comprises a longitudinal support rod (2) which is fixed on the edge of a sickbed (1) and can move horizontally, a training frame (3) which is vertically connected with the support rod (2) and can move up and down, and a bearing plate (4) which is detachably connected with the training frame (3) and is used for fixing hands; five first mounting holes or first hanging rings (32) are arranged on the training frame (3) at intervals, a guide rail (33) which is horizontally arranged is arranged on the training frame (3), and a sliding block (331) capable of sliding back and forth is arranged in the guide rail (33); the supporting plate (4) is hung on the training frame (3) through five elastic straps (5), five finger fixing rings (41) for five fingers to pass through are arranged on the supporting plate (4), and a palm fixing band (42) and a wrist fixing band (43) for fixing a hand are arranged on the supporting plate (4) corresponding to the palm and the wrist respectively; the outer surface of the palm fixing strap (42) is provided with a fixing sleeve (421) which is communicated left and right;

five second mounting holes or second hanging rings (44) are formed in the positions, corresponding to the five fingers, of the top of the bearing plate (4), and the five elastic straps (5) are detachably connected between the training frame (3) and the mounting holes or hanging rings of the bearing plate (4);

a third mounting hole or a third hanging ring (45) is arranged at the top of the bearing plate (4), and the inelastic strap (7) is connected between the sliding block (331) and the third mounting hole or the third hanging ring (45); the inelastic strap (7) is detachably connected with the sliding block (331).

2. The multifunctional hemiplegia trainer as claimed in claim 1, wherein: the fixed sleeve (421) is internally and transversely inserted with a training rod (6).

3. The multifunctional hemiplegia trainer as claimed in claim 1, wherein: the guide rail (33) is a linear motor guide rail.

4. The multifunctional hemiplegia trainer as claimed in claim 1, wherein: the bearing plate (4) is made of a hard plastic plate.

5. The multifunctional hemiplegia trainer as claimed in claim 1, wherein: the lower extreme of bracing piece (2) is equipped with base splint (21), base splint (21) centre gripping is on the bed edge, penetrates adjusting bolt perpendicularly from the splint top, makes adjusting bolt's tip overhead on the bed edge, is about to fix bracing piece (2) at the bed edge.

6. The multifunctional hemiplegia trainer as claimed in claim 1, wherein: the side of the training frame (3) is provided with a sleeve (31), the sleeve (31) is sleeved on the supporting rod (2), and an adjusting bolt vertically penetrates through the side surface of the sleeve (31), so that the end part of the adjusting bolt is arranged on the side surface of the supporting rod (2).