Self-control multi-position cerebral apoplexy rehabilitation early-stage training device
By designing a pre-training training device for stroke rehabilitation by self-controlled multi-position stroke rehabilitation, using manual mechanical transmission and modular structure, the compensation and intensive training of healthy limb function is achieved, which solves the problem of equipment and personnel cooperation in the early stages of stroke rehabilitation and improves the rehabilitation effect and patient autonomous driving force reduces treatment costs and medical burden.
Patent Information
- Application Number
- CN202410121415.8
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-01-29
- Publication Date
- 2024-12-13
AI Technical Summary
Patients in the early stage of stroke rehabilitation need a large number of medical auxiliary equipment and professionals to cooperate, resulting in high treatment costs, low autonomous driving force for patients, affecting the rehabilitation effect, and the existing equipment cannot achieve multi-position training.
A self-controlled multi-position stroke recovery pre-training device was designed. Through a modular structure and manual mechanical transmission mechanism, the functional compensation and intensive training of the healthy limbs are realized, and the two modes of sitting and lying posture are supported. The patient can control the equipment independently for the equipment. Exercise with multiple muscle groups to reduce the burden on medical practitioners.
It improves the self-rehabilitation driving force of patients, optimizes the rehabilitation effect, reduces the work burden of medical practitioners, realizes multi-position training, reduces the difficulty of equipment learning and manufacturing, and significantly reduces the cost of treatment.
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Figure CN119112589A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the field of rehabilitation equipment and medical auxiliary equipment, and in particular to a self-controlled multi-position early-stage stroke rehabilitation training device. Background Art
[0002] "Cerebral stroke" is also known as "stroke" or "cerebral vascular accident" (CVA). It is an acute cerebrovascular disease caused by blockage or rupture of blood vessels in the brain, resulting in damage to brain tissue. It can usually be divided into ischemic stroke and hemorrhagic stroke. With the improvement of diagnosis and treatment, the mortality rate of stroke has decreased, but the disability rate remains high. About 80% of survivors still have varying degrees of functional impairment. Among them, hemiplegia with limb dysfunction is the most common sequela of stroke, which seriously affects the quality of life of patients and increases the demand for rehabilitation treatment.
[0003] The stroke rehabilitation process is generally divided into three stages: early, middle, and late. In the early stage of rehabilitation (3-4 weeks after onset, equivalent to Brunnstrom stage 2-3), rehabilitation training is mainly carried out by rehabilitation therapists in collaboration with patients, aiming to achieve the joint movement of the weak flexors and extensors of the affected limb to the extent that the spasm is obvious, so that the patient can actively move the affected limb. At this stage, muscle activities are all joint movements. Compared with the middle and late stages of rehabilitation, the early stage of rehabilitation is the heaviest burden for rehabilitation therapists, and due to the lack of medical auxiliary equipment, it leads to a vicious cycle of high treatment costs and low patient autonomy. There is an urgent need for the emergence of auxiliary treatment devices for stroke rehabilitation in the early stage.
[0004] When a normal person performs a certain movement, it needs to be integrated by both sides of the brain to complete it accurately. After a stroke, the integration ability of the bilateral cerebral hemispheres is impaired, which causes the left and right connection function of the trunk to be impaired, and then the bilateral limbs cannot coordinate their movements well. The functional compensation and strengthening therapy of the healthy limbs is effective in the early stage of patient rehabilitation. This therapy protects the affected limb while compensating for some daily activities. It can not only improve the tension of the central nervous system, promote the coordination of the bilateral limbs, and prevent disuse syndrome, but also greatly help the patient's attitude towards life, confidence in rehabilitation, and self-care ability. It is now widely used in the clinical treatment of stroke rehabilitation. Although the functional compensation and strengthening therapy of the healthy limbs in the early stage of stroke rehabilitation treatment is effective, it requires the full cooperation and assistance of rehabilitation therapists. The workload of rehabilitation therapists is undoubtedly huge, which leads to high cost of rehabilitation treatment services, low treatment motivation of patients, which affects the rehabilitation effect and even misses the golden period of rehabilitation treatment. Therefore, the development of a device for rehabilitation training of stroke patients is a topic with positive and realistic significance. Summary of the invention
[0005] In view of this, the purpose of the present invention is to provide a self-controlled multi-position early-stage stroke rehabilitation training device which is reliable in implementation, flexible in application and convenient in operation.
[0006] In order to achieve the above technical objectives, the technical solution adopted by the present invention is:
[0007] A self-controlled multi-position stroke rehabilitation pre-training device, comprising:
[0008] The base is a plate-like structure;
[0009] A first support plate, fixedly arranged above the base through a fixing member;
[0010] The second support plate, one side of which in the length direction is rotatably connected to the other side of the first support plate in the length direction through a rotatable connecting member, the first support plate and the second support plate have a first state and a second state that cooperate with each other, in the first state, the upper end surface of the first support plate is flush with the upper end surface of the second support plate, and in the second state, the second support plate flips upward around the rotatable connecting member to form a preset angle with the first support plate;
[0011] The flip support assembly is connected to the base and the second support plate respectively, and provides flip support for the second support plate when the first support plate and the second support plate are in the second state, so that the second support plate is relatively fixed to the first support plate;
[0012] A pair of first rotating plates are relatively rotatable and arranged on both sides of the first supporting plate in the width direction;
[0013] The first flip assembly is a pair of first flip assemblies that are relatively arranged on the lower end surface of the first support plate. The pair of first flip assemblies are respectively connected to the pair of first rotating plates in a one-to-one correspondence, and are used to drive the first rotating plates to flip upward or reset relative to the first support plate. The pair of first flip assemblies are both provided with a first manual operating part for manually driving the first rotating plates to flip relative to the first support plate. The first manual operating part horizontally extends to one side of the width direction of the first support plate in a direction away from the corresponding first rotating plate;
[0014] A pair of second rotating plates are relatively rotatable and arranged on both sides of the second supporting plate in the width direction;
[0015] The second flipping assembly is a pair and is relatively arranged on the lower end surface of the second support plate. The pair of second flipping assemblies are respectively connected to the pair of second rotating plates in a one-to-one correspondence, and are used to drive the second rotating plates to flip upward or reset relative to the second support plate. The pair of second flipping assemblies are both provided with a second manual operating part for manually driving the second rotating plates to flip relative to the second support plate. The second manual operating part extends horizontally to one side of the width direction of the second support plate in a direction away from the corresponding second rotating plate.
[0016] As a possible implementation mode, further, the first flip assembly of this solution includes:
[0017] A first transmission bracket is arranged on one side of the lower end surface of the first support plate along the length direction of the first support plate;
[0018] A first transmission mechanism connected to the first transmission bracket;
[0019] A first traction mechanism is connected to the first transmission mechanism and the first rotating plate corresponding to the first turning assembly, respectively, and is used to drive the first rotating plate to turn upward or reset relative to the first supporting plate;
[0020] The first handwheel mechanism includes a first handwheel and a first driving rod, the first handwheel is set as a first manual operating part, one end of the first driving rod is rotatably connected to the first support plate and is connected to the first transmission mechanism, the other end of the first driving rod horizontally extends to one side of the width direction of the first support plate along a direction away from the first rotating plate corresponding to the first flipping assembly and is fixedly connected to the first handwheel, at least part of the edge of the first handwheel is higher than the first support plate, and the rotation of the first handwheel drives the first driving rod to rotate, so that the first transmission mechanism drives the first traction mechanism to drive the first rotating plate to flip upward or reset relative to the first support plate.
[0021] As a preferred implementation option, preferably, the first transmission mechanism of this solution includes:
[0022] A first transmission rod is rotatably inserted into the first transmission bracket;
[0023] The first transmission gear is rotatably connected to the first transmission bracket and connected to the first traction mechanism, and is used to drive the traction mechanism to move.
[0024] The first transition gear is rotatably connected to the first transmission bracket and is located between the first transmission rod and the first transmission gear. The first transmission rod is provided with a first connecting tooth corresponding to the first transition gear, and the first transition gear is respectively meshed with the first connecting tooth and the first transmission gear; the first transmission rod is also provided with a first input tooth corresponding to one end of the first driving rod, and one end of the first driving rod is provided with a first driving gear meshed with the first input tooth.
[0025] As a preferred implementation option, preferably, in this solution, the number of the first transition gear and the number of the first transmission gear are both multiple;
[0026] The first traction mechanism comprises:
[0027] There are multiple first connecting seats arranged along the length direction of the first rotating plate;
[0028] There are multiple first guide rods, which correspond to the first connecting seats one by one and are fixedly inserted on the first connecting seats;
[0029] The first connecting sleeves are in plurality and correspond to the first guide rods one by one and are slidably inserted on the first guide rods;
[0030] There are multiple first connecting rods and they correspond one-to-one with the first connecting sleeves. One end of the first connecting rods is rotatably connected to the first connecting sleeve. The number of the first transmission gears corresponds one-to-one to the first connecting rods, and the other end of the first connecting rods is fixedly connected to the radial middle part of the first transmission gear. The first transmission gear rotates to drive the first connecting rod to pull the first connecting sleeve to slide on the first guide rod, so that the first rotating plate flips upward or resets relative to the first support plate.
[0031] As a preferred implementation option, preferably, in this solution, a first transmission transition mechanism is further provided between the first driving gear of the first driving rod and the first input tooth of the first transmission rod, and the first transmission transition mechanism is a helical gear transmission mechanism or a worm transmission mechanism.
[0032] As a preferred implementation option, preferably, the second flip assembly of this solution includes:
[0033] A second transmission bracket is arranged on one side of the lower end surface of the second support plate along the length direction of the second support plate;
[0034] A second transmission mechanism connected to the second transmission bracket;
[0035] The second traction mechanism is connected to the second transmission mechanism and the second rotating plate corresponding to the second flip assembly, and is used to drive the second rotating plate to flip upward or reset relative to the second support plate;
[0036] The second hand wheel mechanism includes a second hand wheel and a second driving rod, the second hand wheel is set as a second manual operating part, one end of the second driving rod is rotatably connected to the second support plate and is connected to the second transmission mechanism, the other end of the second driving rod extends horizontally to one side in the width direction of the second support plate along a direction away from the second rotating plate corresponding to the second flipping assembly and is fixedly connected to the second hand wheel, at least part of the edge of the second hand wheel is higher than the second support plate, and the second driving rod is rotated by the rotation of the second hand wheel, so that the second transmission mechanism drives the second traction mechanism to drive the second rotating plate to flip upward or reset relative to the second support plate.
[0037] As a preferred implementation option, preferably, the second transmission mechanism of this solution includes:
[0038] A second transmission rod is rotatably inserted into the second transmission bracket;
[0039] The second transmission gear is rotatably connected to the second transmission bracket and connected to the second traction mechanism, and is used to drive the traction mechanism to move.
[0040] The second transition gear is rotatably connected to the second transmission bracket and is located between the second transmission rod and the second transmission gear. The second transmission rod is provided with a second connecting tooth corresponding to the second transition gear, and the second transition gear is respectively meshed and connected with the second connecting tooth and the second transmission gear; the second transmission rod is also provided with a second input tooth corresponding to one end of the second driving rod, and one end of the second driving rod is provided with a second driving gear meshed with the second input tooth.
[0041] As a preferred implementation option, preferably, in this solution, the number of the second transition gear and the number of the second transmission gear are both multiple;
[0042] The second traction mechanism comprises:
[0043] The second connecting seats are multiple and arranged along the length direction of the second rotating plate;
[0044] There are multiple second guide rods, which correspond to the second connecting seats one by one and are fixedly inserted on the second connecting seats;
[0045] The second connecting sleeves are in plurality and correspond to the second guide rods one by one and are slidably inserted on the second guide rods;
[0046] There are multiple second connecting rods and they correspond one-to-one with the second connecting sleeves. One end of the second connecting rods is rotatably connected to the second connecting sleeve. The number of the second transmission gears corresponds one-to-one to the second connecting rods, and the other end of the second connecting rod is fixedly connected to the radial middle part of the second transmission gear. The second transmission gear rotates to drive the second connecting rod to pull the second connecting sleeve to slide on the second guide rod, so that the second rotating plate flips upward or resets relative to the second support plate.
[0047] As a preferred implementation option, preferably, in this solution, a second transmission transition mechanism is further provided between the second driving gear of the second driving rod and the second input tooth of the second transmission rod, and the second transmission transition mechanism is a helical gear transmission mechanism or a worm transmission mechanism.
[0048] As a preferred implementation option, preferably, the flip support assembly of this solution includes:
[0049] A pair of guide seats are arranged oppositely on the end surface of the second support plate close to the base and located at both ends of the second support plate in the length direction;
[0050] A pair of guide rods are arranged opposite to each other, and both ends are fixedly connected to a pair of guide seats respectively;
[0051] A pair of first rotating seats corresponding to the pair of guide rods one by one, one end of the first rotating seat being slidably sleeved on the guide rod, and a damping member or a bushing for increasing the relative friction between the two is provided between one end of the first rotating seat and the guide rod;
[0052] The second rotating seat is a pair and is fixed on the base below the second supporting plate;
[0053] The support frame has one end rotatably connected to a pair of the first rotating seats, and the other end is connected to a pair of the second rotating seats. The flip support assembly and the second support plate have a support release state and a support state.
[0054] In the supporting state, the second supporting plate flips to a second state where a preset angle is formed with the first supporting plate, the first rotating seat slides on the guide rod to an end close to the first supporting plate, and the supporting frame stands up to form a preset supporting angle with the base and the second supporting plate;
[0055] When the support state is released, the second support plate flips to form a first state with the first support plate, the first rotating seat slides on the guide rod to an end away from the first support plate, and the support frame folds to form a preset folding angle with the base and the second support plate.
[0056] The device of this scheme is based on the functional compensation and strengthening of the healthy limbs in the traditional early stage of stroke rehabilitation methods. Two modes of sitting assisted training and lying assisted training are developed. The mode switching (sitting assisted training mode, lying assisted training mode) is achieved by adjusting the first support plate and the second support plate relative to each other through the module shaft. In the sitting assisted training mode, the user uses the sitting training assisted lifting operation wheel (i.e., the first hand wheel) as the control kinetic energy input source, performs kinetic energy transmission in various structures of the device, and transmits it to the sitting training assisted lifting module (i.e., the transmission mechanism and traction mechanism of the first flip component) to achieve module lifting. The lifting angle can be appropriately adjusted according to the patient's rehabilitation status to achieve the awakening of multiple muscle group control neurons; in the lying assisted training mode, the lying training assisted lifting operation wheel (i.e., the second hand wheel) is used as the control kinetic energy input source, performs kinetic energy transmission in various structures of the device, and transmits it to the sitting training assisted lifting module (i.e., the transmission mechanism and traction mechanism of the second flip component) to achieve module lifting. The lifting angle can be appropriately adjusted according to the patient's rehabilitation status to achieve the awakening of multiple muscle group control neurons.
[0057] Relying on the device of this solution, the patient can use the healthy limb to give the device appropriate kinetic energy, control the device to complete the predetermined actions of the two training modes, and perform functional compensation and muscle neuron reflex strengthening on the affected limb. The manual pure mechanical structure of the present invention and the design that the patient can control through self-consciousness make the patient's self-driving force stronger during the rehabilitation process, and minimize the workload of rehabilitation therapists during the rehabilitation process.
[0058] By adopting the above technical solution, the present invention has the following beneficial effects compared with the prior art:
[0059] 1) This solution uses wheeled operation and spatial structure design to enable patients who need rehabilitation training to independently control the equipment to complete rehabilitation training. Compared with the current situation where only manual assistance is required, this solution can obviously improve the patient's self-rehabilitation motivation and optimize the rehabilitation effect; at the same time, it can also reduce the workload of rehabilitation therapists to the greatest extent;
[0060] 2) This solution can determine the input kinetic energy of the device through the patient, and the compensatory output of the healthy limb function can be adjusted instantly according to the patient's real-time condition. Compared with the existing early rehabilitation process that can only be carried out with manual assistance, this solution device has a more obvious rehabilitation effect on patients;
[0061] 3) The device of this scheme can switch between two modes of sitting rehabilitation training and lying rehabilitation training, providing physical training in different postures for patients who need rehabilitation training, so that patients can complete multi-position rehabilitation training at the same time with one device, eliminating the complexity of existing stroke rehabilitation pre-treatment equipment, which undoubtedly improves the rehabilitation efficiency to a great extent;
[0062] 4) This solution adopts a manual pure mechanical structure design, which reduces the equipment learning cost for patients and rehabilitation therapists. At the same time, the difficulty of equipment processing and manufacturing is much lower than that of existing medical robots. BRIEF DESCRIPTION OF THE DRAWINGS
[0063] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.
[0064] Figure 1 It is one of the brief three-dimensional perspective schematic diagrams of the implementation structure of the present solution, wherein it shows the schematic diagram of the structure when the first support plate and the second support plate are in the second state, and the first rotating plate is in a partially flipped state;
[0065] Figure 2 This is the second brief three-dimensional perspective schematic diagram of the implementation structure of the present solution, wherein it shows the schematic diagram of the structure when the first support plate and the second support plate are in the second state, and the first rotating plate is in a partially flipped state;
[0066] Figure 3 This is the third simplified three-dimensional perspective schematic diagram of the implementation structure of the present invention, wherein it shows the schematic diagram of the structure when the first support plate and the second support plate are in the first state, and the second rotating plate is in a partially flipped state;
[0067] Figure 4 This is the fourth brief three-dimensional perspective schematic diagram of the implementation structure of the present solution, wherein it shows the structure schematic diagram when the first support plate and the second support plate are in the first state, and the second rotating plate is in a partially flipped state;
[0068] Figure 5 This is the fifth simplified three-dimensional perspective schematic diagram of the structure of the embodiment of the present scheme, in which the base and some parts are hidden;
[0069] Figure 6 yes Figure 5 A magnified schematic diagram of the local structure at B in the middle;
[0070] Figure 7 yes Figure 5 A schematic diagram of the enlarged local structure at point A in the middle;
[0071] Figure 8 This is the sixth simplified three-dimensional perspective diagram of the implementation structure of this scheme, in which the base and some parts are hidden;
[0072] Fig. 9 It is a brief illustration of the user using the structure of the present solution when the first support plate and the second support plate are in the second state;
[0073] Fig.10 It is a brief illustration of the user using the implementation structure of the present solution when the first support plate and the second support plate are in the first state. DETAILED DESCRIPTION
[0074] The present invention will be further described in detail below in conjunction with the accompanying drawings and examples. It is particularly noted that the following examples are only used to illustrate the present invention, but are not intended to limit the scope of the present invention. Similarly, the following examples are only partial embodiments of the present invention rather than all embodiments, and all other embodiments obtained by those of ordinary skill in the art without creative work are within the scope of protection of the present invention.
[0075] like Figures 1 to 8 As shown in one of the embodiments, the present embodiment provides a self-controlled multi-position stroke rehabilitation pre-training device, which includes:
[0076] Base 1, a plate-like structure;
[0077] A first support plate 2 is fixedly arranged above the base 1 through a fixing member;
[0078] The second support plate 3, one side of which in the length direction is rotatably connected to the other side of the first support plate 2 in the length direction through a rotating connection member 31, and the first support plate 2 and the second support plate 3 have a first state and a second state that cooperate with each other. In the first state, the upper end surface of the first support plate 2 is flush with the upper end surface of the second support plate 3, and in the second state, the second support plate 3 flips upward around the rotating connection member 31 to form a preset angle with the first support plate 2;
[0079] The flip support assembly 4 is connected to the base 1 and the second support plate 3 respectively, and provides flip support for the second support plate 3 when the first support plate 2 and the second support plate 3 are in the second state, so that the second support plate 3 and the first support plate 2 are relatively fixed;
[0080] The first rotating plates 5 are a pair and are relatively rotatable and arranged on both sides of the first supporting plate 2 in the width direction;
[0081] The first flip assembly is a pair and is relatively arranged on the lower end surface of the first support plate 2. The pair of the first flip assemblies are respectively connected to the pair of the first rotating plates 5 in a one-to-one correspondence, and are used to drive the first rotating plates 5 to flip upward or reset relative to the first support plate 2. The pair of the first flip assemblies are both provided with a first manual operating part for manually driving the first rotating plates 5 to flip relative to the first support plate 2. The first manual operating part horizontally extends in a direction away from the corresponding first rotating plates 5 to one side in the width direction of the first support plate 2;
[0082] The second rotating plates 6 are a pair and are relatively rotatable and arranged on both sides of the second supporting plate 3 in the width direction;
[0083] The second flipping assembly is a pair and is relatively arranged on the lower end surface of the second support plate 3. The pair of second flipping assemblies are respectively connected to the pair of second rotating plates 6 in a one-to-one correspondence, and are used to drive the second rotating plates 6 to flip upward or reset relative to the second support plate 3. The pair of second flipping assemblies are both provided with a second manual operating part for manually driving the second rotating plates 6 to flip relative to the second support plate 3. The second manual operating part extends horizontally to one side of the width direction of the second support plate 3 along a direction away from the corresponding second rotating plates 6.
[0084] In this solution, the first flip assembly includes:
[0085] A first transmission bracket 71 is arranged on one side of the lower end surface of the first support plate 2 along the length direction of the first support plate 2;
[0086] A first transmission mechanism 72 connected to the first transmission bracket 71;
[0087] The first traction mechanism 73 is connected to the first transmission mechanism 72 and the first rotating plate 5 corresponding to the first flip assembly, and is used to drive the first rotating plate 5 to flip upward or reset relative to the first support plate 2;
[0088] The first hand wheel mechanism 74 includes a first hand wheel 741 and a first driving rod 742. The first hand wheel 741 is set as a first manual operation part. One end of the first driving rod 742 is rotatably connected to the first support plate 2 and is connected to the first transmission mechanism 72. The other end of the first driving rod 742 extends horizontally to one side in the width direction of the first support plate 2 along a direction away from the first rotating plate 5 corresponding to the first flip assembly and is fixedly connected to the first hand wheel 741. At least part of the edge of the first hand wheel 741 is higher than the first support plate 2. The rotation of the first hand wheel 741 drives the first driving rod 742 to rotate, so that the first transmission mechanism 72 drives the first traction mechanism 73 to drive the first rotating plate 5 to flip upward or reset relative to the first support plate 2.
[0089] Correspondingly, as a preferred implementation option, preferably, the first transmission mechanism 72 of this solution includes:
[0090] The first transmission rod 721 is rotatably inserted into the first transmission bracket 71;
[0091] The first transmission gear 722 is rotatably connected to the first transmission bracket 71 and connected to the first traction mechanism 73, and is used to drive the traction mechanism to move.
[0092] The first transition gear 723 is rotatably connected to the first transmission bracket 71 and is located between the first transmission rod 721 and the first transmission gear 722. The first transmission rod 721 is provided with a first connecting tooth 7211 corresponding to the first transition gear 723, and the first transition gear 723 is respectively meshed with the first connecting tooth 7211 and the first transmission gear 722; the first transmission rod 721 is also provided with a first input tooth 7212 corresponding to one end of the first driving rod 742, and one end of the first driving rod 742 is provided with a first driving gear 7421 meshed with the first input tooth 7212.
[0093] In order to improve the flipping reliability of the first rotating plate 5 and reduce the problem of uneven force, as a preferred implementation option, preferably, the number of the first transition gear 723 and the first transmission gear 722 in this solution is multiple;
[0094] The first traction mechanism 73 comprises:
[0095] There are multiple first connecting seats 731 arranged along the length direction of the first rotating plate 5;
[0096] There are multiple first guide rods 732, which correspond to the first connection seats 731 one by one and are fixedly inserted on the first connection seats 731;
[0097] There are multiple first connecting sleeves 733, which correspond to the first guide rods 732 one by one and are slidably inserted on the first guide rods 732;
[0098] There are multiple first connecting rods 734 and they correspond one-to-one with the first connecting sleeves 733. One end of the first connecting rods 734 is rotatably connected to the first connecting sleeve 733. The number of the first transmission gears 722 corresponds one-to-one to the first connecting rods 734, and the other end of the first connecting rods 734 is fixedly connected to the radial middle part of the first transmission gear 722. The first transmission gear 722 rotates to drive the first connecting rod 734 to pull the first connecting sleeve 733 to slide on the first guide rod 732, so that the first rotating plate 5 is flipped upward or reset relative to the first support plate 2.
[0099] In the present embodiment, the first hand wheel 741 and the first driving rod 742 of the first hand wheel mechanism 74 are important components for manual input power. The transmission force brought by the user manually rotating the first hand wheel 741 is transmitted to the first transmission rod 721 through the first driving rod 742. When there is a certain position difference between the first transmission rod 721 and the first driving rod 742, auxiliary transmission is required through other power transmission parts. As a preferred implementation option, preferably, in the present embodiment, a first transmission transition mechanism 75 is further provided between the first driving gear 7421 of the first driving rod 742 and the first input tooth 7212 of the first transmission rod 721. The first transmission transition mechanism 75 is a helical gear transmission mechanism or a worm transmission mechanism. In the present embodiment, Figure 6 As shown, when the first transmission transition mechanism 75 is a worm transmission mechanism, it may include a first worm 751 and a second worm 752 rotatably connected to the lower end surface of the first support plate 2, both ends of the first worm 751 and the second worm 752 are provided with gear structures, and one end of the first worm 751 is meshedly connected to the first driving gear 7421 of the first driving rod 742, one end of the second worm 752 is meshedly connected to the other end of the first worm 751, and the other end of the second worm 752 is connected to the first input tooth 7212 of the first transmission rod 721.
[0100] As a preferred implementation option of the second flip assembly, preferably, the second flip assembly in this solution includes:
[0101] A second transmission bracket 81 is arranged on one side of the lower end surface of the second support plate 3 along the length direction of the second support plate 3;
[0102] A second transmission mechanism 82, connected to the second transmission bracket 81;
[0103] The second traction mechanism 83 is respectively connected to the second transmission mechanism 82 and the second rotating plate 6 corresponding to the second flip assembly, and is used to drive the second rotating plate 6 to flip upward or reset relative to the second support plate 3;
[0104] The second hand wheel 841 mechanism 84 includes a second hand wheel 841 and a second driving rod 842. The second hand wheel 841 is set as a second manual operation part. One end of the second driving rod 842 is rotatably connected to the second support plate 3 and is connected to the second transmission mechanism 82. The other end of the second driving rod 842 extends horizontally to one side in the width direction of the second support plate 3 along a direction away from the second rotating plate 6 corresponding to the second flip assembly and is fixedly connected to the second hand wheel 841. At least part of the edge of the second hand wheel 841 is higher than the second support plate 3. The rotation of the second hand wheel 841 drives the second driving rod 842 to rotate, so that the second transmission mechanism 82 drives the second traction mechanism 83 to drive the second rotating plate 6 to flip upward or reset relative to the second support plate 3.
[0105] Accordingly, as a preferred implementation option, preferably, the second transmission mechanism 82 of this solution includes:
[0106] The second transmission rod 821 is rotatably inserted into the second transmission bracket 81;
[0107] The second transmission gear 822 is rotatably connected to the second transmission bracket 81 and connected to the second traction mechanism 83, and is used to drive the traction mechanism to move.
[0108] The second transition gear 823 is rotatably connected to the second transmission bracket 81 and is located between the second transmission rod 821 and the second transmission gear 822. The second transmission rod 821 is provided with a second connecting tooth 8211 corresponding to the second transition gear 823, and the second transition gear 823 is respectively meshed with the second connecting tooth 8211 and the second transmission gear 822; the second transmission rod 821 is also provided with a second input tooth 8212 corresponding to one end of the second driving rod 842, and one end of the second driving rod 842 is provided with a second driving gear 8421 meshed with the second input tooth 8212.
[0109] In order to improve the flipping reliability of the second rotating plate 6 and reduce the problem of uneven force, as a preferred implementation option, preferably, the number of the second transition gear 823 and the second transmission gear 822 in this solution is multiple;
[0110] The second traction mechanism 83 comprises:
[0111] The second connecting seats 831 are multiple and arranged along the length direction of the second rotating plate 6;
[0112] There are multiple second guide rods 832, which correspond to the second connecting seats 831 one by one and are fixedly inserted on the second connecting seats 831;
[0113] There are multiple second connecting sleeves 833, which correspond to the second guide rods 832 one by one and are slidably inserted on the second guide rods 832;
[0114] There are multiple second connecting rods 834 and they correspond one-to-one with the second connecting sleeve 833. One end of the second connecting rods 834 is rotatably connected to the second connecting sleeve 833. The number of the second transmission gears 822 corresponds one-to-one to the second connecting rods 834, and the other end of the second connecting rods 834 is fixedly connected to the radial middle part of the second transmission gear 822. The second transmission gear 822 rotates to drive the second connecting rod 834 to pull the second connecting sleeve 833 to slide on the second guide rod 832, so that the second rotating plate 6 is flipped upward or reset relative to the second support plate 3.
[0115] As a preferred implementation option, preferably, in this solution, a second transmission transition mechanism 85 is further provided between the second driving gear 8421 of the second driving rod 842 and the second input tooth 8212 of the second transmission rod 821, and the second transmission transition mechanism 85 is a helical gear transmission mechanism or a worm transmission mechanism. Figure 6 As shown, when the second transmission transition mechanism 85 is a worm transmission mechanism, it may include a third worm 851 and a fourth worm 852 rotatably connected to the lower end surface of the second support plate 3, and both ends of the third worm 851 and the fourth worm 852 are provided with gear structures, and one end of the third worm 851 is meshedly connected to the second driving gear 8421 of the second driving rod 842, one end of the fourth worm 852 is meshedly connected to the other end of the third worm 851, and the other end of the fourth worm 852 is connected to the first input tooth 8212 of the second transmission rod 821.
[0116] As for the flip support of the first support plate 2 and the second support plate 3, as a preferred implementation option, preferably, the flip support assembly 4 of this solution includes:
[0117] The guide seats 41 are a pair and are arranged opposite to each other on the end surface of the second support plate 3 close to the base 1 and are located at both ends of the second support plate 3 in the length direction;
[0118] A pair of guide rods 42 are arranged opposite to each other, and both ends are fixedly connected to a pair of guide seats 41 respectively;
[0119] The first rotating seat 43 is a pair and corresponds to the pair of guide rods 42 one by one. One end of the first rotating seat 43 is slidably mounted on the guide rod 42, and a damping member or a bushing for increasing the relative friction between the two is provided between one end of the first rotating seat 43 and the guide rod 42;
[0120] The second rotating base 44 is a pair and is fixed on the base 1 below the second supporting plate 3;
[0121] The support frame has one end rotatably connected to a pair of the first rotating seats 43, and the other end is connected to a pair of the second rotating seats 44. The flip support assembly 4 and the second support plate 3 have a support release state and a support state.
[0122] In the supporting state, the second supporting plate 3 flips to a second state where a preset angle is formed with the first supporting plate 2, the first rotating seat 43 slides on the guide rod 42 to one end close to the first supporting plate 2, and the supporting frame stands up to form a preset supporting angle with the base 1 and the second supporting plate 3;
[0123] When the support state is released, the second support plate 3 flips to form the first state with the first support plate 2, the first rotating seat 43 slides on the guide rod 42 to the end away from the first support plate 2, and the support frame folds to form a preset folding angle with the base 1 and the second support plate 3.
[0124] In this solution, when the first support plate 2 and the second support plate 3 are flipped to form a certain angle in the second state, the two form a chair structure for the user to perform rehabilitation training in a sitting position, such as Fig. 9 As shown; in the state of sitting rehabilitation training, it can be used for patients to perform functional compensation through the movement of the healthy limb autonomous control device in the sitting assisted training mode, so as to assist in achieving neuronal awakening of the heterodyne affected limb.
[0125] When the first support plate 2 and the second support plate 3 are in the first state, the two form a similar bed structure for the user to perform rehabilitation training in a lying position, such as Fig.10 As shown, in the state of rehabilitation training in the supine position, it can be used for patients to perform functional compensation through the movement of the healthy limb autonomous control device in the supine assisted training mode, thereby realizing neuronal awakening of the heterodyne affected limb.
[0126] In this solution, the first support plate 2 and the second support plate 3 can be switched between the first state and the second state to achieve dual-mode switching of rehabilitation training in a lying position and rehabilitation training in a sitting position, so that the user can choose the rehabilitation training method more flexibly.
[0127] In this solution, different operating difficulties can be achieved by adjusting the resistance during rotation of the first hand wheel 741 and the second hand wheel 841, so as to meet the training needs of the user. In addition, the sitting posture can also be adjusted by adjusting the flip angle of the first support plate 2 and the second support plate 3. This solution realizes the heterodox transmission of kinetic energy by designing the spatial structure of the device. The manual pure mechanical structure is freed from the constraints of the motor, thereby improving the patient's self-rehabilitation driving force and optimizing the rehabilitation effect.
[0128] The device of this solution is flexible to use and can adjust the patient's kinetic energy input to the device in real time according to the patient's recovery status, thereby maximizing the rehabilitation effect and reducing the workload of medical staff.
[0129] exist Figures 1 to 8 Based on the structure shown in one of the above, further combining Fig. 9In the sitting state, the user sits on the first support plate 2, and can manually rotate the first hand wheel 741 corresponding to the first hand wheel mechanism 74 of one of the first flipping assemblies to make the first driving rod 742 connected to the first hand wheel 741 rotate accordingly, and transmit the transmission force to the first transmission rod 721 of the first transmission mechanism 72 connected to the first driving rod 742 (when the first transmission transition mechanism 75 is connected between the first transmission rod 721 and the first driving rod 742, the transmission force of the first driving rod 742 is transmitted to the first transmission rod 721 of the first transmission mechanism 72 through the first transmission transition mechanism 75), and then the first transition gear 723 and the first transmission gear 722 of the first transmission mechanism 72 are transmitted in sequence, and finally the first transmission gear 722 drives the first connecting rod 734 to rotate, so that it pulls the first connecting sleeve 733 to slide on the first guide rod 732, so that the first rotating plate 5 is flipped upward or reset relative to the first support plate 2, wherein the flipped first rotating plate 5 is in a position relative to the first hand wheel 741 manually operated by the user, that is, the alignment operation control.
[0130] exist Figures 1 to 8 Based on the structure shown in one of the above, further combining Fig.10 , in the lying state, the user lies on the first support plate 2 and the second support plate 3, and can manually rotate the second hand wheel 841 corresponding to the second hand wheel mechanism 84 of one of the second flipping assemblies to make the second driving rod 842 connected to the second hand wheel 841 rotate accordingly, and transmit the transmission force to the second transmission rod 821 of the second transmission mechanism 82 connected to the second driving rod 842 (when the second transmission transition mechanism 85 is connected between the second transmission rod 821 and the second driving rod 842, the transmission force of the second driving rod 842 is transmitted to the second transmission rod 821 of the second transmission mechanism 82 through the second transmission transition mechanism 85), and then the second transition gear 823 and the second transmission gear 822 of the second transmission mechanism 82 are transmitted in sequence, and finally the second transmission gear 822 drives the second connecting rod 834 to rotate, so that it pulls the second connecting sleeve 833 to slide on the second guide rod 832, so that the second rotating plate 6 is flipped upward or reset relative to the second support plate 3, wherein the flipped second rotating plate 6 is in a position relative to the second hand wheel 841 manually operated by the user, that is, the alignment operation control.
[0131] This solution is a self-controlled multi-position device, which realizes two training modes of sitting assisted training and lying assisted training by adjusting the relative positions of the first support plate and the second support plate, so that the patient can control the device autonomously through the healthy limb, perform functional compensation and muscle activity strengthening on the affected limb, thereby realizing the awakening of the patient's multi-position muscle neurons and reducing the workload of rehabilitation therapists to the greatest extent. This solution is a manual pure mechanical structure design, which can reduce the learning cost of patients and rehabilitation therapists, improve the patient's self-driving force for their own rehabilitation, and achieve or even exceed the expected treatment effect of the patient's early rehabilitation to a certain extent.
[0132] The above descriptions are only some embodiments of the present invention, and are not intended to limit the protection scope of the present invention. Any equivalent device or equivalent process transformation made using the contents of the present invention specification and drawings, or directly or indirectly applied in other related technical fields, are also included in the patent protection scope of the present invention.
Claims
1. A self-controlled multi-position stroke rehabilitation early training device, characterized in that: It includes: The base is a plate-like structure; A first support plate, fixedly arranged above the base through a fixing member; The second support plate, one side of which in the length direction is rotatably connected to the other side of the first support plate in the length direction through a rotatable connecting member, the first support plate and the second support plate have a first state and a second state that cooperate with each other, in the first state, the upper end surface of the first support plate is flush with the upper end surface of the second support plate, and in the second state, the second support plate flips upward around the rotatable connecting member to form a preset angle with the first support plate; The flip support assembly is connected to the base and the second support plate respectively, and provides flip support for the second support plate when the first support plate and the second support plate are in the second state, so that the second support plate is relatively fixed to the first support plate; A pair of first rotating plates are relatively rotatable and arranged on both sides of the first supporting plate in the width direction; The first flip assembly is a pair of first flip assemblies that are relatively arranged on the lower end surface of the first support plate. The pair of first flip assemblies are respectively connected to the pair of first rotating plates in a one-to-one correspondence, and are used to drive the first rotating plates to flip upward or reset relative to the first support plate. The pair of first flip assemblies are both provided with a first manual operating part for manually driving the first rotating plates to flip relative to the first support plate. The first manual operating part horizontally extends to one side of the width direction of the first support plate in a direction away from the corresponding first rotating plate; A pair of second rotating plates are relatively rotatable and arranged on both sides of the second supporting plate in the width direction; The second flipping assembly is a pair and is relatively arranged on the lower end surface of the second support plate. The pair of second flipping assemblies are respectively connected to the pair of second rotating plates in a one-to-one correspondence, and are used to drive the second rotating plates to flip upward or reset relative to the second support plate. The pair of second flipping assemblies are both provided with a second manual operating part for manually driving the second rotating plates to flip relative to the second support plate. The second manual operating part extends horizontally to one side of the width direction of the second support plate in a direction away from the corresponding second rotating plate.
2. The self-controlled multi-position stroke rehabilitation pre-training device according to claim 1, characterized in that: The first flip assembly comprises: A first transmission bracket is arranged on one side of the lower end surface of the first support plate along the length direction of the first support plate; A first transmission mechanism connected to the first transmission bracket; A first traction mechanism is connected to the first transmission mechanism and the first rotating plate corresponding to the first turning assembly, respectively, and is used to drive the first rotating plate to turn upward or reset relative to the first supporting plate; The first handwheel mechanism includes a first handwheel and a first driving rod, the first handwheel is set as a first manual operating part, one end of the first driving rod is rotatably connected to the first support plate and is connected to the first transmission mechanism, the other end of the first driving rod horizontally extends to one side of the width direction of the first support plate along a direction away from the first rotating plate corresponding to the first flipping assembly and is fixedly connected to the first handwheel, at least part of the edge of the first handwheel is higher than the first support plate, and the rotation of the first handwheel drives the first driving rod to rotate, so that the first transmission mechanism drives the first traction mechanism to drive the first rotating plate to flip upward or reset relative to the first support plate.
3. The self-controlled multi-position stroke rehabilitation pre-training device as claimed in claim 2, characterized in that: The first transmission mechanism comprises: A first transmission rod is rotatably inserted into the first transmission bracket; The first transmission gear is rotatably connected to the first transmission bracket and connected to the first traction mechanism, and is used to drive the traction mechanism to move. The first transition gear is rotatably connected to the first transmission bracket and is located between the first transmission rod and the first transmission gear. The first transmission rod is provided with a first connecting tooth corresponding to the first transition gear, and the first transition gear is respectively meshed with the first connecting tooth and the first transmission gear; the first transmission rod is also provided with a first input tooth corresponding to one end of the first driving rod, and one end of the first driving rod is provided with a first driving gear meshed with the first input tooth.
4. The self-controlled multi-position early-stage stroke rehabilitation training device as claimed in claim 3, characterized in that: The number of the first transition gear and the number of the first transmission gear are both multiple; The first traction mechanism comprises: There are multiple first connecting seats arranged along the length direction of the first rotating plate; There are multiple first guide rods, which correspond to the first connecting seats one by one and are fixedly inserted on the first connecting seats; The first connecting sleeves are in plurality and correspond to the first guide rods one by one and are slidably inserted on the first guide rods; There are multiple first connecting rods and they correspond one-to-one with the first connecting sleeves. One end of the first connecting rods is rotatably connected to the first connecting sleeve. The number of the first transmission gears corresponds one-to-one to the first connecting rods, and the other end of the first connecting rods is fixedly connected to the radial middle part of the first transmission gear. The first transmission gear rotates to drive the first connecting rod to pull the first connecting sleeve to slide on the first guide rod, so that the first rotating plate flips upward or resets relative to the first support plate.
5. The self-controlled multi-position stroke rehabilitation pre-training device as claimed in claim 4, characterized in that: A first transmission transition mechanism is further provided between the first driving gear of the first driving rod and the first input tooth of the first transmission rod. The first transmission transition mechanism is a helical gear transmission mechanism or a worm transmission mechanism.
6. The self-controlled multi-position early-stage stroke rehabilitation training device according to claim 1, characterized in that: The second flip assembly comprises: A second transmission bracket is arranged on one side of the lower end surface of the second support plate along the length direction of the second support plate; A second transmission mechanism connected to the second transmission bracket; The second traction mechanism is connected to the second transmission mechanism and the second rotating plate corresponding to the second flip assembly, and is used to drive the second rotating plate to flip upward or reset relative to the second support plate; The second hand wheel mechanism includes a second hand wheel and a second driving rod, the second hand wheel is set as a second manual operating part, one end of the second driving rod is rotatably connected to the second support plate and is connected to the second transmission mechanism, the other end of the second driving rod extends horizontally to one side in the width direction of the second support plate along a direction away from the second rotating plate corresponding to the second flipping assembly and is fixedly connected to the second hand wheel, at least part of the edge of the second hand wheel is higher than the second support plate, and the second driving rod is rotated by the rotation of the second hand wheel, so that the second transmission mechanism drives the second traction mechanism to drive the second rotating plate to flip upward or reset relative to the second support plate.
7. The self-controlled multi-position early-stage stroke rehabilitation training device according to claim 6, characterized in that: The second transmission mechanism comprises: A second transmission rod is rotatably inserted into the second transmission bracket; The second transmission gear is rotatably connected to the second transmission bracket and connected to the second traction mechanism, and is used to drive the traction mechanism to move. The second transition gear is rotatably connected to the second transmission bracket and is located between the second transmission rod and the second transmission gear. The second transmission rod is provided with a second connecting tooth corresponding to the second transition gear, and the second transition gear is respectively meshed and connected with the second connecting tooth and the second transmission gear; the second transmission rod is also provided with a second input tooth corresponding to one end of the second driving rod, and one end of the second driving rod is provided with a second driving gear meshed with the second input tooth.
8. The self-controlled multi-position early-stage stroke rehabilitation training device according to claim 7, characterized in that: The number of the second transition gear and the number of the second transmission gear are both multiple; The second traction mechanism comprises: The second connecting seats are multiple and arranged along the length direction of the second rotating plate; There are multiple second guide rods, which correspond to the second connecting seats one by one and are fixedly inserted on the second connecting seats; The second connecting sleeves are in plurality and correspond to the second guide rods one by one and are slidably inserted on the second guide rods; There are multiple second connecting rods and they correspond one-to-one with the second connecting sleeves. One end of the second connecting rods is rotatably connected to the second connecting sleeve. The number of the second transmission gears corresponds one-to-one to the second connecting rods, and the other end of the second connecting rod is fixedly connected to the radial middle part of the second transmission gear. The second transmission gear rotates to drive the second connecting rod to pull the second connecting sleeve to slide on the second guide rod, so that the second rotating plate flips upward or resets relative to the second support plate.
9. The self-controlled multi-position stroke rehabilitation pre-training device according to claim 8, characterized in that: A second transmission transition mechanism is further provided between the second driving gear of the second driving rod and the second input tooth of the second transmission rod. The second transmission transition mechanism is a helical gear transmission mechanism or a worm transmission mechanism.
10. The self-controlled multi-position early-stage stroke rehabilitation training device according to any one of claims 1 to 9, characterized in that: The flip support assembly comprises: A pair of guide seats are arranged oppositely on the end surface of the second support plate close to the base and located at both ends of the second support plate in the length direction; A pair of guide rods are arranged opposite to each other, and both ends are fixedly connected to a pair of guide seats respectively; A pair of first rotating seats corresponding to the pair of guide rods one by one, one end of the first rotating seat being slidably sleeved on the guide rod, and a damping member or a bushing for increasing the relative friction between the two is provided between one end of the first rotating seat and the guide rod; The second rotating seat is a pair and is fixed on the base below the second supporting plate; The support frame has one end rotatably connected to a pair of the first rotating seats, and the other end is connected to a pair of the second rotating seats. The flip support assembly and the second support plate have a support release state and a support state. In the supporting state, the second supporting plate flips to a second state where a preset angle is formed with the first supporting plate, the first rotating seat slides on the guide rod to an end close to the first supporting plate, and the supporting frame stands up to form a preset supporting angle with the base and the second supporting plate; When the support state is released, the second support plate flips to form a first state with the first support plate, the first rotating seat slides on the guide rod to an end away from the first support plate, and the support frame folds to form a preset folding angle with the base and the second support plate.
