CN114569862B - Self-help positive-sense intervention system for cerebral apoplexy patient - Google Patents
Self-help positive-sense intervention system for cerebral apoplexy patient Download PDFInfo
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- CN114569862B CN114569862B CN202210229161.2A CN202210229161A CN114569862B CN 114569862 B CN114569862 B CN 114569862B CN 202210229161 A CN202210229161 A CN 202210229161A CN 114569862 B CN114569862 B CN 114569862B
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- 208000006011 Stroke Diseases 0.000 title claims abstract description 20
- 206010008190 Cerebrovascular accident Diseases 0.000 title claims abstract description 9
- 230000002490 cerebral effect Effects 0.000 title claims abstract description 9
- 238000012549 training Methods 0.000 claims abstract description 46
- 238000012790 confirmation Methods 0.000 claims abstract description 33
- 210000001015 abdomen Anatomy 0.000 claims description 50
- 238000006243 chemical reaction Methods 0.000 claims description 46
- 238000001514 detection method Methods 0.000 claims description 38
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 23
- 230000003187 abdominal effect Effects 0.000 claims description 11
- 238000009423 ventilation Methods 0.000 claims description 5
- 230000008859 change Effects 0.000 claims description 4
- 230000008447 perception Effects 0.000 claims description 4
- 208000027418 Wounds and injury Diseases 0.000 claims description 3
- 230000006378 damage Effects 0.000 claims description 3
- 208000014674 injury Diseases 0.000 claims description 3
- 238000006073 displacement reaction Methods 0.000 claims description 2
- 230000001788 irregular Effects 0.000 claims description 2
- 238000005259 measurement Methods 0.000 claims description 2
- 230000000241 respiratory effect Effects 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 7
- 230000001960 triggered effect Effects 0.000 description 15
- 210000001364 upper extremity Anatomy 0.000 description 10
- 230000036651 mood Effects 0.000 description 7
- 238000011084 recovery Methods 0.000 description 7
- 230000006870 function Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000004146 energy storage Methods 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 230000036391 respiratory frequency Effects 0.000 description 4
- 230000033228 biological regulation Effects 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 3
- 210000004556 brain Anatomy 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
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- 230000008451 emotion Effects 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 230000006698 induction Effects 0.000 description 2
- 230000006996 mental state Effects 0.000 description 2
- 230000001953 sensory effect Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 206010013954 Dysphoria Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000035565 breathing frequency Effects 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000008034 disappearance Effects 0.000 description 1
- 230000002996 emotional effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000003862 health status Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M21/00—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
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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
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
- A61H3/008—Appliances for aiding patients or disabled persons to walk about using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
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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
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
- A61H2003/007—Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M21/00—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
- A61M2021/0005—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus
- A61M2021/0011—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus in a subliminal way, i.e. below the threshold of sensation
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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Abstract
The invention relates to the technical field of rehabilitation psychological intervention, and discloses a self-help positive-sense intervention system for cerebral apoplexy patients, which comprises a walking training machine, an underarm constraint module and an intervention state sensing clothes, wherein the intervention state sensing clothes are worn on the body of the patients, a plurality of trigger units capable of controlling the touch intensity are fixedly connected to the inner wall of the intervention state sensing clothes, and a confirmation unit corresponding to the trigger units is fixedly connected to the outer wall of the intervention state sensing clothes; the trigger unit on the sensing clothes for detecting the intervention state is randomly started through the controller, the successful count is calculated once when the confirmation unit corresponds to the trigger unit, the trigger intensity of the trigger unit starts to be reduced, and then the patient is guided step by step, so that the patient can be immersed in the positive training slowly, the condition that the labor intensity is increased due to intervention of doctors is avoided, the autonomy of the patient is trained, and the intervention effect is further improved through active intervention.
Description
Technical Field
The invention relates to the technical field of rehabilitation psychological intervention, in particular to a self-help positive-sense intervention system for a cerebral apoplexy patient.
Background
The brain stroke patient is affected by sequelae and has a plurality of psychological disorders which cause the reduction of recovery effect along with negative psychology, so that the mental state of the patient can be interfered when the patient is recovered in a hospital, further, the patient is ensured to keep a good mental state for training, the common brain stroke training device is provided with a walking recovery device, and mainly comprises a walking recovery machine, a lifting support, the lifting support restrains the upper limb of the patient through a binding belt, the leg pressure of the patient is reduced, the patient is prevented from being toppled over to cause secondary injury, however, most of the brain stroke sequelae seriously affect the life of the patient when the patient is in lower limb, at the moment, the patient is in weak condition, the passive psychology generated by the hand problem is actually larger than the passive psychology generated by the hand problem in a certain range due to longer recovery period, and the fact that the patient generates larger pressure when being tired or having the passive psychology for recovery when the patient is trained, so that the effect brought about recovery is reduced.
Positive training is used as a perception process consisting of intention, attention and attitude, and is often accompanied by improvement in three aspects of attention, emotion adjustment and awareness, so that a patient can control own emotion by himself, and further, the application of positive intervention in the training of the patient can help the patient to finish psychological and emotional adjustment by himself, but as positive is a method and a process, for non-professionals, intervention is carried out in advance, a great amount of time is required for teaching how to enter the optimal state of positive training, and the task amount of doctors is increased.
Disclosure of Invention
The invention aims to provide a self-service positive intervention system for a cerebral apoplexy patient, which solves the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: a self-help positive-sense intervention system for cerebral apoplexy patients comprises a walking training machine, an underarm restraint module and a sensing garment for detecting intervention states; the top of the walking training machine is fixedly connected with a lifting frame, the armpit constraint module is fixedly connected with the lifting frame through a longitudinal supporting unit and used for being fixed with a patient by penetrating through the armpit of the patient through the armpit constraint module, upward tension is provided for the patient through the longitudinal supporting unit and the lifting frame, leg pressure of the patient is reduced, and meanwhile falling secondary injury caused by leg loss of the patient is avoided; the sensing clothes for detecting the intervention state is worn on the body of a patient, the inner wall of the sensing clothes for detecting the intervention state is fixedly connected with a plurality of trigger units capable of controlling the pressure, the outer wall of the sensing clothes for detecting the intervention state is fixedly connected with a confirmation unit corresponding to the trigger units, the sensing clothes for detecting the intervention state are used for enabling the patient to irregularly feel contact pressure areas through irregular opening of the trigger units when the patient is tired in training and gets lost, positive-sense intervention is carried out on the patient through non-selective detection exercise to decompress the patient, meanwhile, the sensing clothes are matched with the confirmation units for use, when the trigger units are opened, the corresponding confirmation units are pressed for checking, and the execution state of the non-selective detection exercise of the patient is judged.
As still further aspects of the invention: the detection intervention state sensing clothes are positioned below the armpit constraint modules and are used for avoiding the pressure range of the armpit constraint modules, so that errors in judgment of the confirmation unit caused by overlapping of the detection intervention state sensing clothes and constraint pressure of the armpit constraint modules when the detection intervention state sensing clothes perform non-selective detection exercise on a patient are avoided.
As still further aspects of the invention: the front and rear parts of the sensing clothes for detecting the intervention state are respectively and fixedly connected with a front chest expanding unit attached to the front chest of a patient and a back supporting unit attached to the back of the patient, and the triggering unit and the confirmation unit are both arranged on the inner surface and the outer surface of the front chest expanding unit and used for enlarging the sensing area of the patient and avoiding the pressing difficulty problem caused by difficult touch areas.
As still further aspects of the invention: the detection intervention state sensing clothing is elastically connected with the front chest expansion unit through an abdomen respiration fluctuation sensing module, the abdomen respiration fluctuation sensing module comprises an elastic connecting band, a dynamic conversion tube, a center rod, an execution piston and a ventilation tube, and the elastic connecting band plays an elastic connection role on the detection intervention state sensing clothing and the front chest expansion unit; the dynamic conversion tube is fixedly connected to opposite sides of the detection intervention state sensing clothing and the forechest expanding unit respectively, the center rod is connected between the two opposite dynamic conversion tubes in a sliding mode, two ends of the center rod are fixedly connected with the executing piston, the executing piston is used for monitoring a breathing mode of a patient in rehabilitation movement of the patient, displacement difference is generated through the detection intervention state sensing clothing and the forechest expanding unit through telescopic change of bellies during abdominal breathing, the executing piston at two ends of the center rod slides to drive the dynamic conversion tube to suck and release gas inside the dynamic conversion tube, the detection intervention state sensing clothing and the opposite sides of the forechest expanding unit are fixedly connected with the ventilating pipe, and the ventilating pipe is communicated with the dynamic conversion tube and used for transmitting the gas to the outside through the ventilating pipe and monitoring the gas change through the outside.
As still further aspects of the invention: the bottom surface fixedly connected with of the intervention state sensing clothes of feeling with the connecting pipe of breather pipe intercommunication, the bottom of connecting pipe can be dismantled and be connected with the right abdomen formula of breathing the inside gas pressure detection of induction module of abdomen and inhale detection module for lead to different patient's health status reason abdomen formula breathing the induction module takes place deformation condition in advance, through wearing the back right abdomen formula of breathing and inhale detection module dock, evade the error that the health cause led to, improve the rate of accuracy of detection.
As still further aspects of the invention: the abdominal type inspiration detection module comprises a feedback conversion pipe, a feedback cavity, a feedback piston, a feedback pressure spring and a pressure receiving unit, wherein the feedback piston is connected in a sliding manner in the feedback conversion pipe to form the feedback cavity, and the abdominal type inspiration detection module is mainly used for pushing gas transmitted in the connecting pipe to push the feedback piston to slide and is used for subsequent measurement; the feedback pressure spring is fixedly connected to the bottom surface of the feedback piston, the pressure receiving unit is fixedly connected to the bottom surface of the inner wall of the feedback conversion tube and is used for pushing the feedback piston to move downwards through the downward sliding of the feedback piston, so that the feedback pressure spring deforms, the pressure of the feedback pressure spring is sensed through the pressure receiving unit, and the abdominal respiration intensity of a patient is detected according to the pressure.
As still further aspects of the invention: the bottom fixedly connected with of connecting pipe be used for with feedback conversion pipe fixed connection's joint, feedback conversion pipe's inner wall side has been seted up the right the exhaust hole that the inside gas of feedback conversion pipe was discharged, the exhaust hole is located the side of pressure receiving unit.
As still further aspects of the invention: the chest expansion unit and the top of the back support unit are fixedly connected with two restraint units fixed with the shoulders of a patient, two adjacent armpit restraint modules are fixedly connected through a horizontal connection unit, and the horizontal connection unit and the confirmation units on the chest expansion unit are distributed in a staggered mode.
As still further aspects of the invention: a self-help positive intervention system positive intervention flow for cerebral apoplexy patients comprises the following steps:
the empty parts of the patient are wrapped through the wearing of the sensing clothes for detecting the intervention state, the chest expanding unit and the back supporting unit are contacted with the body of the patient through the binding unit, so that the patient carries out self-help positive-sense intervention through the sensing clothes for detecting the intervention state after the training is finished and the emotion is indefinite, the triggering units on the sensing clothes for detecting the intervention state are randomly opened through the controller, one triggering unit is independently opened each time, at the moment, the patient autonomously carries out the triggering influence of the triggering units for sensing the body position, and the patient is easily distracted in the state of not being trained, so that the patient is slowly separated from the training, a confirmation unit is arranged outside the sensing clothes for detecting the intervention state, the confirmation unit corresponds to the triggering units, the time period from the opening to the closing of the triggering units is t1 in the time period of t1, the patient completes one-time counting by pressing the confirmation unit of the position in the period t1 through the trigger feeling of the confirmation unit, the confirmation unit corresponds to the trigger unit and calculates one-time successful counting, the trigger strength of the trigger unit starts to be reduced along with the increase of the number of successful counting, the patient is guided step by step, the patient can be immersed in the positive training slowly, the patient can actively perform positive intervention by self-help use, the condition that the labor intensity is increased due to doctor intervention can be avoided by matching with intervention guidance, the autonomy of the patient is exercised, the intervention effect is further improved by active intervention, the upper limb is in a constraint state for a long time after the patient is trained, the upper limb can be released by slightly moving through the cooperation of the hands and the confirmation unit, the blood circulation of the upper limb is promoted, and the quality of rehabilitation training can be improved by means of positive-concept intervention.
As still further aspects of the invention: the self-service positive intervention system positive intervention closing and patient state monitoring process for cerebral apoplexy patients comprises the following steps:
with the action of positive-concept intervention, the body function and mood of a patient become more relaxed along with positive-concept intervention, the respiratory frequency is gradually reduced, the abdomen fluctuation is gradually reduced, the intervention process can be ended at the moment, when the respiratory frequency of the patient is increased, the abdomen fluctuation is overlarge at the moment, when the abdomen is bulged, an abdomen respiratory fluctuation sensing module between an intervention state sensing garment and a forechest expansion unit senses that the intervention state sensing garment and the forechest expansion unit are stretched, an elastic connecting belt is elastically deformed, a dynamic conversion tube stretches to two sides at the moment, a central rod slides in the dynamic conversion tube through an execution piston to reflect the air suction state in the dynamic conversion tube, a feedback piston in an abdomen air suction detection module slides upwards under the influence of suction force in a feedback cavity at the moment, so that a feedback pressure spring is separated from a pressure receiving unit, the pressure receiving unit can not sense pressure, when the abdomen is contracted, the elastic connecting belt is elastically reset to drive the two dynamic conversion pipes to be folded inwards, the piston is executed to slide in the dynamic conversion pipes to eject the gas to the outside, at the moment, the plurality of dynamic conversion pipes uniformly convey the vent pipe into the connecting pipe through the gas, the feedback piston is pushed to slide downwards through the gas, the pressure is applied to the pressure receiving unit through the elastic energy storage of the feedback pressure spring, the feedback piston slides and is not influenced by the pressure through the vent hole, the pressure of the feedback pressure spring is collected through the pressure receiving unit, the fluctuation amount of the abdomen of the exhalate is judged, when the fluctuation amount of the abdomen is reduced, the mood and the function of a patient can be judged to be gradually stabilized, and the correction training is stopped, judging whether the training intensity of the patient accords with the intensity which can be born by the current body regulation of the patient, and providing training reference for doctors.
Compared with the prior art, the invention has the beneficial effects that:
1. the empty parts of the patient are wrapped through wearing the sensing clothes for detecting the intervention state, self-help positive-sense intervention is carried out through the sensing clothes for detecting the intervention state, the triggering unit on the sensing clothes for detecting the intervention state is randomly opened through the controller, the confirmation unit corresponds to the triggering unit, the patient finishes one-time counting through pressing the confirmation unit at the position in the period of t1 through the triggering feeling of the confirmation unit, the confirmation unit corresponds to the triggering unit and counts successfully, the triggering strength of the triggering unit starts to be reduced along with the increase of the number of the successful counts, the patient is guided step by step, the patient can be immersed in the positive-sense training slowly, the patient can actively perform positive-sense intervention through a self-help use mode, the condition that the labor intensity is increased due to doctor intervention can be avoided through cooperation with intervention guidance, meanwhile, the autonomy of the patient is exercised, and the intervention effect is further improved through active intervention.
2. When the abdomen is bulged, the abdomen respiration fluctuation sensing module between the intervention state sensing clothing and the front chest expansion unit is perceived to be stretched by the abdomen respiration fluctuation sensing module and the front chest expansion unit, the elastic connecting belt is elastically deformed, the dynamic conversion tube stretches to two sides, the central rod slides in the dynamic conversion tube through the execution piston to reflect the inspiration state of air in the dynamic conversion tube, the feedback piston in the abdomen inspiration detection module can slide upwards under the influence of the suction force in the feedback cavity, the feedback pressure spring is separated from the pressure receiving unit, the elastic connecting belt is elastically reset when the abdomen is contracted, the plurality of dynamic conversion tubes uniformly convey the ventilation tube into the connecting tube through the air, the feedback piston is pushed to slide downwards through the air, the elastic energy storage is carried out by the feedback pressure spring, the pressure is applied to the pressure receiving unit through the pressure receiving unit, the pressure acquisition of the feedback pressure spring is judged, and then when the abdomen fluctuation variable quantity is reduced, the mood of a patient can be judged, the function recovery of the doctor is gradually stable, the normal concept training is stopped, the device can also provide reference for the doctor through the pressure, and the reference is provided for judging whether the training intensity of the patient accords with the current body intensity of the patient.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments or the description of the prior art will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic perspective view of a walking training machine in combination with an underarm restraint module and a perceived intervention state sensing garment for use in a self-service positive-sense intervention system for stroke patients;
FIG. 2 is a perspective view of a sensory garment for a self-service positive intervention system for stroke patients;
FIG. 3 is a perspective view of another view of a visual intervention state sensing garment for use in a self-service positive-sense intervention system for a stroke patient;
FIG. 4 is a schematic front view of a sensory garment for a self-service positive intervention system for stroke patients;
FIG. 5 is an enlarged schematic view of portion A of FIG. 4;
FIG. 6 is an enlarged schematic view of portion B of FIG. 4;
in the figure: 1. a walking training machine; 11. lifting the frame; 2. an underarm restraint module; 21. a longitudinal support unit; 22. a horizontal connection unit; 3. sensing clothes for detecting the intervention state; 31. a trigger unit; 32. a confirmation unit; 33. a binding unit; 34. a chest expansion unit; 35. a back support unit; 4. an abdomen breathing fluctuation sensing module; 41. an elastic connecting band; 42. a dynamic switching tube; 43. a central rod; 44. an actuator piston; 45. a vent pipe; 46. a connecting pipe; 461. a joint; 5. a belly-type inspiration detection module; 51. a feedback switching tube; 511. an exhaust hole; 52. a feedback chamber; 53. a feedback piston; 54. a feedback pressure spring; 55. and a pressure receiving unit.
Detailed Description
Referring to fig. 1, in the embodiment applied in the implementation stage of the present invention, the patient wears the armpit restraint module 2 on the armpit, the patient is longitudinally restrained by the longitudinal support unit 21 and the lifting frame 11 through the horizontal connection unit 22, the patient is walking and jogging trained on the walking training machine 1, the patient is ensured to conduct autonomous training through the cooperation of the longitudinal support unit 21 and the armpit restraint module 2, the patient is free of being worried about the accident of being planted, the autonomous training enables the patient to have independence, at the moment, due to the arrangement of the armpit restraint module 2, the chest sides of the patient and the back corresponding to the chest are covered by the armpit restraint module 2, the chest area and the abdomen area are open areas, the patient is further wrapped by the wear of the perceived intervention state sensing suit 3, the chest expansion unit 34 and the back support unit 35 are contacted with the patient body through the restraint unit 33, and the patient is further subjected to positive intervention by the perceived intervention state sensing suit 3 after the training is finished and at the indefinite state.
Referring to fig. 1, fig. 2, fig. 3, fig. 4, in the embodiment of the positive intervention of the present invention, taking non-selective awareness exercise as a core, the patient is not attentively put on any specific object, any of the awareness ranges is observed, the occurrence and disappearance of the same are observed, the intervention is performed on the patient, the patient closes the walking training machine 1, the awareness intervention state sensing clothes 3 is electrically connected with the controller on the walking training machine 1, at this time, the patient closes both eyes by himself, the controller opens the trigger unit 31 on the intervention state sensing clothes 3 at random, each time independently opens one, at this time, the patient autonomously carries out the triggering effect of the trigger unit 31 subjected to the sensing body position, as the patient is easy to cause distraction in the untrained state, the confirmation unit 32 is arranged outside the awareness intervention state sensing clothes 3, the confirmation unit 32 corresponds to the trigger unit 31, the time period from being t1, the patient is completely pressed by the trigger sense of the confirmation unit 32 in the time period t1, the trigger unit 31 is completed, the number of the trigger unit is counted up by the trigger unit, the doctor is further increased by the success of the self-help of the patient, the number of the trigger unit is increased, the number of the patient is further successfully triggered, the number of the intervention is increased, the patient is triggered by the automatic intervention is prevented, the automatic intervention is performed, and the number is further, the automatic intervention is successfully triggered, and the number is increased, and the patient is successfully is triggered, and the patient is trained by the human intervention is counted, the upper limb is in a constraint state for a long time, and the upper limb can be slightly released by the cooperation of the hand and the confirmation unit 32, so that the blood circulation of the upper limb is promoted, and the quality of rehabilitation training can be improved by a positive intervention mode.
Referring to fig. 3, 4, 5, and 6, in the embodiment of the present invention in which the doctor of the positive intervention knows the end of the positive training of the patient, since the feeling of the touch of the trigger unit 31 is felt by the intervention state sensing suit 3, the feeling of the touch of the trigger unit 31 is felt by the skin of the patient, and the frequency and intensity of the breath of the patient are increased when the patient trains tired, mood is dysphoria or is angry, the abdomen is fluctuated with the breath, the physical function and mood of the patient are relaxed with the positive intervention, the respiratory frequency is gradually reduced and the abdomen is fluctuated gradually reduced, the intervention process is ended, the abdomen is fluctuated excessively when the respiratory frequency of the patient is increased, and the abdomen is fluctuated, the abdomen breath fluctuation sensing module 4 between the sensing garment 3 for sensing intervention state and the front chest expansion unit 34 senses that the sensing garment 3 for sensing intervention state and the front chest expansion unit 34 are stretched, the elastic connecting band 41 is elastically deformed, the dynamic conversion tube 42 stretches to two sides at the moment, the central rod 43 slides in the dynamic conversion tube 42 through the execution piston 44 to reflect the air suction state in the dynamic conversion tube 42, the feedback piston 53 in the abdomen suction detection module 5 slides upwards under the influence of suction force in the feedback cavity 52 at the moment, the feedback pressure spring 54 is separated from the pressure receiving unit 55, the pressure receiving unit 55 cannot sense pressure, when the abdomen is contracted, the elastic connecting band 41 is elastically reset to drive the two dynamic conversion tubes 42 to be folded inwards, the execution piston 44 slides in the dynamic conversion tube 42 to eject the air outwards, the plurality of dynamic conversion tubes 42 uniformly convey the air pipes 45 into the connecting tube 46 through the air at the moment, the device is characterized in that the feedback piston 53 is pushed to slide downwards through gas, the pressure is applied to the pressure receiving unit 55 through elastic energy storage of the feedback pressure spring 54, the feedback piston 53 slides without being influenced by the pressure through the exhaust hole 511, the pressure of the feedback pressure spring 54 is collected through the pressure receiving unit 55, and the fluctuation variable quantity of the abdomen of the exhales is judged, so that when the fluctuation variable quantity of the abdomen is reduced, the mood and the function of a patient can be judged to be gradually stabilized, the normal concept training is stopped, the device can also provide reference for doctors through the pressure, and whether the training intensity of the patient accords with the intensity which can be born by the current body regulation of the patient or not is judged, and the training reference is provided for the doctors.
Referring to fig. 3, 4, 5 and 6, in the embodiment of the present invention, the sensing garment 3 for perceived intervention state of the present invention is suitable for patients of different sizes, since the pressure receiving unit 55 controls the on/off of the sensing garment 3 for perceived intervention state by setting the pressure interval, and for obese patients, the positions of the actuating piston 44 and the dynamic switching tube 42 are different from the positions of the actuating piston 44 and the dynamic switching tube 42 after the slim patient wears, so that the test is more standard, after the patient wears, the positions of the dynamic switching tube 42 and the actuating piston 44 are at the initial state, the connecting tube 46 is fixedly connected with the feedback switching tube 51 through the joint 461, the feedback piston 53 and the feedback pressure spring 54 are contacted with the pressure receiving unit 55 under the influence of gravity, and the gas pushes the feedback piston 53 to move during the subsequent movement, and the pressure receiving unit 55 senses the pressure, thereby judging the abdominal respiration of the patient.
The working flow is as follows: when the patient wears the device, the position of the actuating piston 44 and the position of the dynamic conversion tube 42 are different from the position of the actuating piston 44 and the dynamic conversion tube 42 after the patient wears the device, in order to make the test more standard, after the patient wears the device, the position of the dynamic conversion tube 42 and the actuating piston 44 is in an initial state, the connecting tube 46 is fixedly connected with the feedback conversion tube 51 through the joint 461, the patient wears the armpit restraint module 2 at the armpit, the horizontal connecting unit 22 is connected with each other, the patient is longitudinally restrained by the longitudinal supporting unit 21 matched with the lifting frame 11, the patient is on the walking training machine 1, walking and training is performed by the patient, the longitudinal supporting unit 21 and the armpit restraint module 2 are matched, the patient is ensured to perform autonomous training, no fear of accidents of the patient occurs, the patient has independence, at the moment, the chest and the abdomen are in an open area, furthermore, during the patient training, the patient is worn by the feeling of the empty part of the intervention state sensing unit 3, the front chest unit 34 and the back supporting unit 35 are contacted with the patient, the patient is further, after the patient is finished, the patient is in the state, the patient is not regularly sensed by the sensing unit 3, the intervention state sensing unit 3 is not sensed by the sense of the sense state, the user is triggered by the self-help of the sensing unit 31, the self-help state is triggered by the self-help state triggering unit 31, the self-help condition is triggered by the self-triggering unit is triggered by the self-triggering the open state is triggered by the self-triggering unit 31, and the self-triggering the open state is triggered by the self-control unit 31, and the open state is very easy to be triggered by the trigger condition 31, and the open state is triggered when the trigger condition is triggered to be triggered, and is when the state is triggered, in the period of t1, the patient finishes one time counting by pressing the confirmation unit 32 at the position through the trigger feeling of the confirmation unit 32 in the period of t1, the confirmation unit 32 and the trigger unit 31 are correspondingly counted for one time, the trigger intensity of the trigger unit 31 starts to be reduced along with the increase of the number of the successful counts, the patient is guided step by step, the patient can be immersed in positive training, the patient can actively positively intervene through a self-service mode, the condition that the labor intensity is increased due to doctor intervention can be avoided through cooperation with intervention guidance, the autonomy of the patient is exercised, the intervention effect is further improved through the active intervention, the upper limb is in a constraint state for a long time after the patient is trained, the upper limb can be slightly released through the cooperation of the hands and the confirmation unit 32, the upper limb blood circulation is promoted, the quality of rehabilitation training can be improved through the positive idea intervention mode, the physical function and the sense of the patient can become more gradual reduction along with the positive idea intervention, the gradual reduction of the breathing frequency, the abdomen fluctuation gradually ends, the tension of the patient can be realized through the abdomen fluctuation, the tension of the abdomen fluctuation frequency is gradually reduced, the abdomen fluctuation frequency is gradually, the tension of the patient is gradually reduced, the tension of the abdomen unit is converted into the dynamic state (34) by the tension tube) when the tension tube (34) is connected with the dynamic tube (42) and the tension tube (42) is stretched by the tension tube) and the tension tube (42) is stretched in the dynamic tube (42) when the tension tube) is stretched state (42) and the tension tube) is stretched by the tension tube (42) and the tension tube (42) has the tension tube) and the tension tube (4) has the tension state, at this time, the feedback piston 53 in the abdominal inhalation detection module 5 will slide upwards under the influence of the suction force in the feedback cavity 52, so that the feedback compression spring 54 is separated from the pressure receiving unit 55, and the pressure receiving unit 55 cannot sense the pressure, when the abdomen contracts, the elastic connecting belt 41 elastically resets, and drives the two dynamic conversion pipes 42 to retract inwards, the execution piston 44 slides in the dynamic conversion pipe 42, and ejects the air to the outside, at this time, the plurality of dynamic conversion pipes 42 uniformly convey the ventilation pipe 45 into the connecting pipe 46 through the air, the feedback piston 53 slides downwards through the air, the pressure is applied to the pressure receiving unit 55 through the elastic energy storage of the feedback compression spring 54, the feedback piston 53 slides and is not influenced by the air pressure through the air vent 511, the pressure of the feedback compression spring 54 is acquired through the pressure receiving unit 55, and the abdominal fluctuation variation of the exhalation is judged, and when the abdominal fluctuation variation of the abdomen decreases, so that the mood and the function of the patient can be judged to be gradually stabilized, and the doctor can stop the positive concept training, and the device can also provide reference through the pressure to the doctor, and judge whether the training strength accords with the strength of the current body regulation of the patient training.
The foregoing description is only a preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art, who is within the scope of the present invention, should make equivalent substitutions or modifications according to the technical solution of the present invention and the inventive concept thereof, and should be covered by the scope of the present invention.
Claims (5)
1. A self-service positive intervention system for a cerebral apoplexy patient, characterized in that: comprises a walking training machine (1), an armpit constraint module (2) and a sensing suit (3) for detecting the intervention state; the walking training machine is characterized in that the top of the walking training machine (1) is fixedly connected with a lifting frame (11), the armpit restraint module (2) is fixedly connected with the lifting frame (11) through a longitudinal support unit (21) and used for being fixed with a patient through the armpit of the patient through the armpit restraint module (2), the longitudinal support unit (21) and the lifting frame (11) provide upward pulling force for the patient, so that leg pressure of the patient is reduced, and meanwhile, falling secondary injury caused by force loss of the legs of the patient is avoided; the detection intervention state sensing clothes (3) are worn on the body of a patient, a plurality of trigger units (31) capable of controlling the pressure intensity are fixedly connected to the inner wall of the detection intervention state sensing clothes (3), and a confirmation unit (32) corresponding to the trigger units (31) is fixedly connected to the outer wall of the detection intervention state sensing clothes (3), and is used for enabling the patient to irregularly feel a contact pressure area through irregular opening of the trigger units (31) when the patient is tired and is lost in training, reducing the pressure of the patient through positive-sense intervention without selective detection exercise, and simultaneously, according to the cooperation of the confirmation units (32), checking the corresponding confirmation units (32) through pressing when the trigger units (31) are opened, and judging the non-selective detection exercise execution state of the patient;
the detection intervention state sensing clothes (3) are positioned below the armpit constraint module (2) and are used for avoiding the pressure range of the armpit constraint module (2), so that errors in judgment of the confirmation unit (32) caused by overlapping of the detection intervention state sensing clothes (3) with the constraint pressure of the armpit constraint module (2) when the detection intervention state sensing clothes perform nonselective detection exercise on a patient are avoided; the front and rear parts of the perceived intervention state sensing clothes (3) are respectively fixedly connected with a front chest expanding unit (34) attached to the front chest of a patient and a back supporting unit (35) attached to the back of the patient, the inner surface and the outer surface of the front chest expanding unit (34) are respectively provided with a triggering unit (31) and a confirmation unit (32) for enlarging the sensing area of the patient, and meanwhile, the problem of difficult pressing caused by difficult touch areas is avoided; the detection intervention state sensing suit (3) is elastically connected with the front chest expansion unit (34) through an abdomen breathing fluctuation sensing module (4), the abdomen breathing fluctuation sensing module (4) comprises an elastic connecting band (41), a dynamic conversion tube (42), a center rod (43), an execution piston (44) and a ventilation tube (45), and the elastic connecting band (41) plays an elastic connection role on the detection intervention state sensing suit (3) and the front chest expansion unit (34); the utility model discloses a patient's respiratory mode is monitored, including the chest, the chest is opened in the chest, dynamic conversion pipe (42) are fixed connection respectively be in the perception intervene state sensing clothes (3) the opposite side of chest expansion unit (34), two relative between dynamic conversion pipe (42) sliding connection have center pole (43), the both ends fixedly connected with of center pole (43) executive piston (44) for when patient's rehabilitation motion, through the flexible change of belly during breathing, through perception intervene state sensing clothes (3) the displacement difference is produced by chest expansion unit (34), through the executive piston (44) at center pole (43) both ends are slided, drive dynamic conversion pipe (42) inside gas suction, release, convert into gas and provide the reference for subsequent control to patient's abdomen breathing condition, perception state sensing clothes (3) the opposite side of chest expansion unit (34) all are fixed connection breather pipe (45), breather pipe (45) are linked together with dynamic conversion pipe (42) for through the gas is passed through to outside through and is controlled the change to the outside.
2. A self-service positive intervention system for a stroke patient as claimed in claim 1 wherein: the abdomen breathing fluctuation sensing device is characterized in that a connecting pipe (46) communicated with the ventilation pipe (45) is fixedly connected to the bottom surface of the intervention state sensing garment (3), an abdomen breathing detection module (5) for detecting the internal gas pressure of the abdomen breathing fluctuation sensing module (4) is detachably connected to the bottom of the connecting pipe (46), the abdomen breathing fluctuation sensing module (4) is used for leading the abdomen breathing fluctuation sensing module (4) to deform in advance according to the physical state reasons of different patients, the abdomen breathing detection module (5) is abutted after being worn, errors caused by the physical reasons are avoided, and the detection accuracy is improved.
3. A self-service positive intervention system for a stroke patient as claimed in claim 2 wherein: the abdominal type inspiration detection module (5) comprises a feedback conversion pipe (51), a feedback cavity (52), a feedback piston (53), a feedback pressure spring (54) and a pressure receiving unit (55), wherein the feedback piston (53) is connected inside the feedback conversion pipe (51) in a sliding mode to form the feedback cavity (52), and the abdominal type inspiration detection module is mainly used for pushing gas transmitted inside the connecting pipe (46) to push the feedback piston (53) to slide for subsequent measurement; the feedback pressure spring (54) is fixedly connected to the bottom surface of the feedback piston (53), the pressure receiving unit (55) is fixedly connected to the bottom surface of the inner wall of the feedback conversion tube (51) and is used for pushing the feedback piston (53) to move downwards through the downward sliding of the feedback piston (53), so that the feedback pressure spring (54) deforms, the pressure of the feedback pressure spring (54) is sensed through the pressure receiving unit (55), and the abdominal respiration intensity of a patient is detected according to the pressure.
4. A self-service positive intervention system for a stroke patient as claimed in claim 3 wherein: the bottom fixedly connected with of connecting pipe (46) be used for with feedback conversion pipe (51) fixed connection's joint (461), exhaust hole (511) to the inside gas of feedback conversion pipe (51) are seted up to the inner wall side of feedback conversion pipe (51), exhaust hole (511) are located the side of pressure receiving unit (55).
5. A self-service positive intervention system for a stroke patient as claimed in claim 1 wherein: the chest expansion unit (34) and the back support unit (35) are fixedly connected with two restraint units (33) fixed with the shoulders of a patient, two adjacent armpit restraint modules (2) are fixedly connected through a horizontal connection unit (22), and the horizontal connection unit (22) and the confirmation units (32) on the chest expansion unit (34) are distributed in a staggered mode.
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| WO2008062572A1 (en) * | 2006-11-22 | 2008-05-29 | Waseda University | Sensation detection presentation apparatus and walking rehabilitation supporting apparatus |
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