WO2017111193A1

WO2017111193A1 - Joint rehabilitation treatment device

Info

Publication number: WO2017111193A1
Application number: PCT/KR2015/014306
Authority: WO
Inventors: 이재화; 김국한; 하정훈
Original assignee: (주)대성마리프
Priority date: 2015-12-24
Filing date: 2015-12-28
Publication date: 2017-06-29
Also published as: CN206334063U; KR20170076393A; WO2017111283A1; WO2017111286A1; CN206334064U; KR101757564B1; WO2017111285A1; CN206334065U; WO2017111284A1; CN206334066U

Abstract

The present invention provides a joint rehabilitation treatment device comprising: a fixed part which is fixed at a certain position; a connecting part having one end thereof installed on one side of the fixed part and the other end thereof installed on a joint rehabilitation treatment part, adaptively moving to enable normal rehabilitation treatment by the joint rehabilitation treatment part even with voluntary or involuntary movement of a patient or movement of the patient caused by an external force, and capable of acting to absorb shock from movements of the patient; and the joint rehabilitation treatment part coupled to the connecting part by a universal joint part.

Description

Joint Rehabilitation Therapy

The present invention relates to a joint rehabilitation therapy device, and more specifically, the fixed form is adaptively changed in response to a change in the posture of a patient that may occur during rehabilitation treatment, but the body weight is biased, which is excessively inclined forward. To prevent unexpected muscle damage such as shoulders.

In general, 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.

In order to treat the hemiplegic patients with the above symptoms, using the neurodevelopmental therapy approach, 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.

In addition, the one-on-one treatment with the therapist provides psychological stability to the patient, and the rehabilitation efficiency is excellent, but the therapist suffers from excessive work stress due to the psychological anxiety of the patient. There was a problem that the cost of treatment is expensive.

Due to the above problems, the treatment using the rehabilitation apparatus is performed, and the rehabilitation training is performed by forcibly attaching the rehabilitation apparatus to the upper extremity of the affected side while the patient is lying on the bed or sitting.

In order to solve the above problem, the rehabilitation 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.

In addition, as the rehabilitation treatment is performed only by one's own will, the patient with weak willpower cannot fill the rehabilitation treatment time, and there is a problem in that the rehabilitation efficiency is lowered as the rehabilitation treatment is stopped.

In order to solve this problem, the applicant in the Republic of Korea Patent Publication No. 2011-0010256 (name of the invention: knee joint rehabilitation therapy training apparatus), "hand cradle for mounting the patient's hand, the hand cradle and the hinge is connected to the patient Arm holder for mounting the arm of the support, which is provided in the lower portion of the arm cradle, provided between the support and the hand cradle to rotate the hand cradle according to the inflow and outflow of air, a plurality of air inlet hose is provided The patent application for "water joint rehabilitation therapy training apparatus including a control unit is provided with two airbags and an air hose connected to the air inlet hose, and an air pump for introducing or discharging air into the airbag.

As a result of testing the prototype of the joint rehabilitation training apparatus, it is very difficult to perform rehabilitation according to the posture of the patient undergoing rehabilitation therapy or the change of the posture of the patient. I found it quite inconvenient to receive. In addition, it was found that the uncomfortable posture and paralyzed joints suddenly shift the center of gravity of the body in the forward direction of the patient, resulting in unexpected muscle damage such as shoulders.

[Preceding technical literature]

[Patent Documents]

Republic of Korea Patent Publication No. 2011-0010256 (2011.02.01 published), the name of the invention: knee joint rehabilitation therapy training apparatus

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.

The present invention also provides a joint rehabilitation therapy device that prevents unexpected muscle damage such as shoulders by making the body weight skewed to prevent rotation or inclination in a certain range or above a certain position. For other purposes.

In addition, the present invention is a joint rehabilitation therapy 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 is to provide.

Joint rehabilitation therapy device according to the present invention 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. When the movement of the patient occurs, the connection part is adaptively moved to a position where the patient achieves the most stable posture.

In this case, the joint rehabilitation therapy device is a hand joint rehabilitation therapy device, the universal joint part, the front of the patient (front method) is not possible to rotate or tilt over a certain range or a predetermined position, and rotate only to the left and right and rear of the patient Or tilting 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 penetrates the spherical body and the spherical body inserted in the space formed inside the universal joint undercarriage, and both ends thereof are fixedly coupled to the universal joint undercarriage and the joint rehabilitation treatment unit. It includes an elastic coupling portion that is elastically coupled.

Here, 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.

Finally, 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 fit the twisted or twisted muscles.

According to the joint rehabilitation therapy device according to the present invention,

First, it is possible to minimize the discomfort of the patient undergoing rehabilitation therapy by configuring a plurality of extensions to rotate each individually to change the fixed form adaptively to the change in the posture of the patient that can occur during rehabilitation therapy.

Second, by forming a stopper in the universal joint portion, 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. .

Third, it is possible to set the above range or position by adjusting the position of the stopper to make it impossible to rotate or tilt over a certain range or a certain position forward.

Fourth, it is possible to maximize the elastic support for the sphere by elastically supporting the sphere not only through the elastic coupling portion but also the empty space by forming an empty space between the upper portion and the lower structure portion of the universal joint portion.

1 is a view showing a joint rehabilitation therapy device according to a preferred embodiment of the present invention.

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.

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.

Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings. Prior to this, terms or words used in the present specification and claims should not be construed as being limited to the common or dictionary meanings, and the inventors should properly explain the concept of terms in order to best explain their own invention. Based on the principle that it can be defined, it should be interpreted as meaning and concept corresponding to the technical idea of the present invention.

Therefore, the embodiments described in the specification and the drawings shown in the drawings are only the most preferred embodiment of the present invention and do not represent all of the technical idea of the present invention, various modifications that can be replaced at the time of the present application It should be understood that there may be equivalents and variations.

According to Figure 1, the joint rehabilitation treatment device of the present invention is composed of a fixing part 100, a connection portion and a 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 position). Etc.) to fix the joint rehabilitation therapy, one side is provided with the connection.

As shown, the fixing part 100 is a fastening part positioned to penetrate through one side of the "c" shape when the part to be fixed is inserted into the "c" shape in which the thickness portion of the part to be fixed is inserted. The fixing is made by pressing the part inserted into the government part 100.

In addition, as an example of various forms of the fixing part 100, there may be a hook form, a clip form, a belt form, etc., such as a hook, the angle of the connection portion with the connecting portion through a rotating body or an angle adjuster, etc. You can also adjust the angle to your liking.

The other end of the connection part opposite to the one end installed in the fixing part 100 is installed in the joint rehabilitation treatment unit 300, even if there is a movement by spontaneous movement, involuntary movement or external force of the joint rehabilitation treatment unit 300 It is possible to move adaptively to allow the normal rehabilitation treatment of the patient to buffer the movement of the patient.

At this time, the joint rehabilitation treatment 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, power The most stable posture is adaptive movement to a position that eventually leads to a position or posture where energy consumption or strength is least consumed).

At this time, the joint rehabilitation therapy device is a joint rehabilitation therapy device, the universal joint portion 310, the front of the patient (front method) is impossible to rotate or tilt over a certain range or a predetermined position, the left and right of the patient and It is possible to rotate or tilt only backwards.

In addition, although not shown, 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.

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. .

As shown, 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 to support the second rod 220 therein, and the second rod 220 of the first rod 210. It is installed in the hole formed on the inner surface in the axial direction, the length can be adjusted in the axial direction of the first rod 210, and has a predetermined repulsive force.

The plurality of extension parts basically include a first extension part 230 and a second extension part 240, and the first extension part 230 is rotated in a plane in the vertical direction 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.

In addition, the n-th extension part 250 is rotatably coupled to the other end of the second extension part 240, where n is a natural number of 3 or more.

As such, by configuring a plurality of extensions, it is possible to minimize the discomfort of the patient undergoing rehabilitation treatment by rotating each individually to change the fixed form adaptively to the change in the posture of the patient that can occur during rehabilitation treatment.

In addition, although not shown, 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 pressed while pressing the button. The height of the joint rehabilitation treatment unit 300 is increased while escaping from the first rod 210, and when the patient reaches a desired height, the second rod 220 is stopped by releasing the force applied to the button. It is possible to let.

3 is a view showing the joint rehabilitation unit 300 of the joint rehabilitation therapy device according to an embodiment of the present invention.

As shown in FIG. 3, the joint rehabilitation unit 300 further includes a water polo unit 320 on which an arm and a hand are mounted to prevent the patient's hand from being separated from the joint rehabilitation unit during joint rehabilitation. can do.

In addition, the joint rehabilitation treatment unit 300 has a structure capable of rotating left and right or inclined to fit the twisted or twisted muscles of the patient caused by the paralysis.

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.

According to FIG. 4, the universal joint part 310 includes a universal joint lower structure part 311, a universal joint upper structure part 312, a sphere 313, and an elastic coupling part 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 is combined.

Here, the spherical coupling portion 314 is inserted into the universal joint upper structure portion 312 and the universal joint lower structure portion 311 in the space formed in the omnidirectional rotation is possible to the sphere (313). Passes through and is fixed to both ends of the universal joint lower structure part 311 and the joint rehabilitation treatment unit 300, it is elastically coupled.

In addition, a stopper is installed in the universal joint upper structure 312 so that the universal joint 310 cannot be rotated or inclined forward in a predetermined range or a predetermined position or more.

At this time, the installation position of the stopper is adjusted to a position installed in the universal joint upper structure portion 312, to adjust a predetermined range or a predetermined position so that the universal joint 310 is impossible to rotate or tilt forward. It is possible to adjust the range or position to be able to prevent shoulder rotator cuff damage of the patient.

Although not shown, as an example of a method for adjusting the position of the stopper, the movable section of the stopper may include the stopper extending from the sphere 313 or the extension portion of the sphere 313 (the sphere 313 so that the water polo go). And a separate adjustment handle which is formed within a range capable of limiting the movement of the mounting portion 320 and moves the stopper along the formed movable section so that the patient or a person around can adjust it. have.

In another example, the stopper is composed of a plurality of protrusions to form a switch for controlling the protrusion of each protrusion, thereby controlling the position where the sphere 313 or the extension of the sphere 313 and the stopper contact. It is possible to apply various embodiments such as can be.

As shown, in the space formed inside the universal joint upper structure 312 and the universal joint lower structure 311, in the downward direction of the sphere 313 between the universal joint lower structure 311 There is a gap 315 of a certain size, which makes it possible to allow the sphere 313 to be partially elastically supported in the downward direction.

As such, by forming the empty space 315 between the upper and lower structural portions 311 of the universal joint 310, the sphere 313 may be formed not only through the elastic coupling part 314 but also through the empty space 315. It is possible to maximize the elastic support for the sphere 313 by elastic support.

As described above, although the present invention has been described by way of limited embodiments and drawings, the present invention is not limited thereto and is intended by those skilled in the art to which the present invention pertains. Of course, various modifications and variations are possible within the scope of equivalents of the claims to be described.

Claims

A fixed part fixed to a specific position;

One end is installed on one side of the fixed portion, the other end is installed in the joint rehabilitation treatment unit, even if there is movement by the spontaneous movement, involuntary movement or external force adaptively moved to enable normal rehabilitation treatment of the joint rehabilitation treatment unit A connection portion capable of buffering the movement of the patient; And

Includes; joint rehabilitation treatment unit coupled to the connecting portion and the universal joint portion,

Joint Rehabilitation Therapy.
The method of claim 1,

When the movement of the patient occurs, the connecting portion is adaptively moved to a position where the patient is the most stable posture,

Joint Rehabilitation Therapy.
The method of claim 2,

The joint rehabilitation therapy device is a joint rehabilitation therapy device,

The universal joint part, the front of the patient (front), and can not be rotated or tilted in a certain range or a predetermined position or more, and can be rotated or tilted only to the left and right and rear of the patient,

Joint Rehabilitation Therapy.
The method of claim 3, wherein

The connecting portion,

A first rod installed at one side of the fixing part and supporting a second rod therein;

A second rod installed in a hole formed on an inner surface in the axial direction of the first rod, and having a length adjustable in the axial direction of the first rod, the second rod having a predetermined repulsive force;

A first extension rotatable in a plane in the vertical direction of the second rod, one end of which is rotatably coupled to the second rod; And

It includes; a second extension rotatably coupled to the other end of the first extension,

Joint Rehabilitation Therapy.
The method of claim 4, wherein

And an n-th extension rotatably coupled to the other end of the second extension, wherein n is a natural number of 3 or more.

Joint Rehabilitation Therapy.
The method according to claim 4 or 5,

The universal joint part,

A universal joint undercarriage coupled to and fixed to an end of the most extended extension of the second or nth extension;

A universal joint upper structure coupled with the universal joint lower structure;

A sphere inserted into the universal joint upper structure and the universal joint lower structure in a space formed therein so as to be capable of rotation in all directions; And

And an elastic coupling portion penetrating through the sphere and both ends of which are fixed and elastically coupled to the universal joint lower structure portion and the joint rehabilitation treatment portion.

Joint Rehabilitation Therapy.
The method of claim 6,

A stopper is provided in the universal joint upper structure so that the universal joint is not rotated or inclined forward in a predetermined range or above a certain position.

Joint Rehabilitation Therapy.
The method of claim 6,

In a space formed inside the universal joint upper structure and the universal joint lower structure, there is a gap of a predetermined size between the universal joint lower structure in the downward direction of the sphere, the sphere is lower It is possible to be elastically supported in some direction in the direction,

Joint Rehabilitation Therapy.
The method of claim 7, wherein

The stopper is capable of adjusting a predetermined range or a predetermined position such that the universal joint part cannot be rotated or tilted forward by adjusting a position installed at the universal joint upper structure part.

Joint Rehabilitation Therapy.
The method of claim 9,

To adjust the installation position of the stopper to a range or position to prevent damage to the shoulder rotator muscle of the patient,

Joint Rehabilitation Therapy.
The method of claim 1,

The joint rehabilitation treatment unit, consisting of a structure capable of turning left and right or tilted to match the twisted or twisted muscles of the patient caused by paralysis,

Joint Rehabilitation Therapy.