Joint replacement postoperative rehabilitation device and method for hip dislocation
By designing an electrical stimulation rehabilitation device for hip abductors after hip arthroplasty, the problem of poor rehabilitation of the gluteus medius after hip arthroplasty is solved, and effective rehabilitation of the hip abductors is achieved.
Patent Information
- Application Number
- CN202510056941.5
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-01-14
- Publication Date
- 2025-05-23
AI Technical Summary
After hip replacement, the patient's gluteus medius condition is difficult to improve, resulting in poor recovery results. The existing technology lacks effective means to promote the recovery of gluteus medius.
A post-arthroplasty rehabilitation device for hip dislocation is designed, including an electrical stimulation module. The electrical stimulation module is connected to the abductor muscle of the hip joint through an electrode piece, and the current generation part is used to adjust the magnitude of the current, and combined with the active state of the patient's hip joint, it can achieve accurate current stimulation to the abductor muscle.
Through current stimulation, the recovery of hip abductors, including the gluteus medius, is effectively promoted, and the problem of improvement of gluteus medius condition and poor recovery effect after hip replacement surgery is solved.
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Figure CN120022528A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the field of recovery after hip replacement surgery, and specifically provides a rehabilitation device and a rehabilitation method for hip dislocation after hip replacement surgery. Background Art
[0002] Developmental Dysplasia of the Hip (DDH) is a common disease that causes hip pain and dysfunction. It includes a series of hip abnormalities, such as instability, acetabular dysplasia and dislocation. Hip dislocation refers to the loss of the original normal aligning relationship of the bones that make up the joint, including subluxation and dislocation. The most serious is total dislocation of the hip. Total dislocation means that there is no connection between the acetabulum and the femoral head, and the hip joint is completely out of the acetabulum, so hip replacement surgery is required.
[0003] Before hip replacement, it is necessary to accurately assess the degree of hip joint disease, bone condition, soft tissue condition, etc. in order to develop a suitable surgical plan. Due to the poor tolerance of the acetabulum, the femoral head dislocates upward to form a "false acetabulum" in high-dislocated Crowe type IV DDH, which leads to unequal length of the patient's lower limbs and a limping gait. Therefore, severe hip pain will occur in late secondary hip osteoarthritis, and total hip arthro plasty (THA) is often the only effective treatment. During hip replacement, the femoral head is often reconstructed in the true acetabulum, and a subtrochanteric shortening osteotomy and prosthesis placement are performed to ensure that the hip joint can be successfully repositioned and the patient's lower limbs are equal in length. The operation is difficult and the process is complicated. Due to long-term hip dislocation, DDH patients have poor development and weak muscles of the gluteus medius, the most important abductor muscle of the hip joint. In addition, the rotation center of the hip joint changes greatly after surgery compared to before surgery, which leads to the elongation of the gluteus medius, which makes the exercise and rehabilitation of the gluteus medius much more difficult than ordinary joint replacement. Once the gluteus medius is weak, it will cause the patient to have obvious limping. However, the existing technology lacks effective means to improve the condition of the gluteus medius and promote the rehabilitation of the gluteus medius after hip replacement. Studies have shown that 44% of patients have limping caused by gluteus medius weakness during follow-up 9 years after replacement. Therefore, how to improve the condition of the gluteus medius and promote the rehabilitation of the gluteus medius after hip replacement has become a technical problem that needs to be solved urgently.
[0004] In view of this, the art needs a new post-operative rehabilitation device and rehabilitation method for hip dislocation joint replacement to solve the existing problems. Summary of the invention
[0005] The present invention aims to solve the above technical problem, that is, to solve the problem in the prior art that the condition of the gluteus medius muscle and the rehabilitation of the gluteus medius muscle after hip replacement surgery are not good.
[0006] In a first aspect, the present invention provides a post-operative rehabilitation device for hip dislocation joint replacement, the rehabilitation device comprising an electrical stimulation module, the electrical stimulation module comprising a current generating part and an electrode sheet, the electrode sheet being electrically connected to the current generating part and arranged at the abductor muscle of the hip joint, the current generating part comprising a first gear component and a second gear component, the first gear component being mechanically or electrically connected to the abductor muscle of the hip joint so that the first gear component can move relative to the second gear component under the drive of the abductor muscle of the hip joint to adjust the magnitude of the current generated by the current generating part, the electrode sheet being connected to the first gear component and being able to drive the first gear component to move.
[0007] In a specific embodiment of the above-mentioned post-arthroplasty rehabilitation device for hip dislocation, the first gear component is a conductive rod, the second gear component is a gear slot, at least two gear plates are arranged in the gear slot, the gear plates are connected to a power source and different currents connected after the gear plates are connected to the power source are different, the conductive rod is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot, and as the position of the conductive rod in the gear slot changes, the conductive rod can contact the gear plates at different positions and adjust the current generated by the current generating part.
[0008] In a specific embodiment of the above-mentioned post-operative rehabilitation device for hip dislocation joint replacement, the first gear component is a gear knob, the second gear component is a sliding rheostat, the first end of the sliding rheostat is connected to the power supply, the second end is mechanically connected to the electrode sheet, and the gear knob is connected to the sliding contact of the sliding rheostat, so that rotating the gear knob can adjust the resistance value of the sliding rheostat.
[0009] In a specific embodiment of the above-mentioned post-operative rehabilitation device for hip dislocation, the electrical stimulation module also includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint, and the current generating part also includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component, and the driving device and the angle sensor are both communicatively connected to the controller of the electrical stimulation module.
[0010] In a specific embodiment of the above-mentioned post-operative rehabilitation device for hip dislocation, the electrical stimulation module also includes a first fixing part, which is used to fix the electrode sheet to the abductor muscle of the hip joint, and / or the electrical stimulation module also includes a second fixing part, which is connected to the current generating part and fixed to the buttocks.
[0011] In a specific embodiment of the above-mentioned post-arthroplasty rehabilitation device for hip dislocation, the rehabilitation device also includes a fumigation module, which includes a steam generator and a steam belt. The steam generator is used to generate fumigation steam, and the steam belt is arranged at the abductor muscle of the hip joint. The steam generator is connected to the steam belt and the steam generated by the steam generator can be transported to the abductor muscle of the hip joint through the steam belt for fumigation.
[0012] The present invention also provides a post-operative rehabilitation method for hip dislocation after joint replacement, which includes the post-operative rehabilitation device for hip dislocation after joint replacement as described in the above technical scheme, and the electrical stimulation module also includes a first fixing part and a second fixing part, the first fixing part is used to fix the electrode sheet to the abductor muscle of the hip joint, and the second fixing part is used to fix the current generating part. The rehabilitation method includes: fixing the electrode sheet to the Chengfu, Zhibian, Huantiao, and Biguan acupoints through the first fixing part; fixing the current generating part through the second fixing part; adjusting the position of the first gear component relative to the second gear component to adjust the magnitude of the current generated by the current generating part.
[0013] In a specific embodiment of the above-mentioned post-arthroplasty rehabilitation method for hip dislocation, the first gear component is a conductive rod, the second gear component is a gear slot, at least two gear plates are arranged in the gear slot, the gear plates are connected to a power source and different gear plates connect different currents after being connected to the power source, the conductive rod is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot, and as the position of the conductive rod in the gear slot changes, the conductive rod can contact the gear plates at different positions and adjust the size of the current generated by the current generating part, and the step of "adjusting the position of the first gear component relative to the second gear component to adjust the size of the current generated by the current generating part" further includes: driving the conductive rod to move in the gear slot and contact the gear plates at different positions through the abductor muscle of the hip joint to adjust the size of the current generated by the current generating part.
[0014] In a specific embodiment of the above-mentioned postoperative rehabilitation method for hip dislocation, the electrical stimulation module also includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint, and the current generating part also includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component, and the driving device and the angle sensor are both communicatively connected to the controller of the electrical stimulation module, and the step of "adjusting the position of the first gear component relative to the second gear component to adjust the magnitude of the current generated by the current generating part" further includes: controlling the angle sensor to obtain the opening angle of the hip joint; comparing the size of the opening angle of the hip joint with the preset opening angle; adjusting the position of the first gear component relative to the second gear component based on the comparison result to adjust the magnitude of the current generated by the current generating part.
[0015] In a specific embodiment of the above-mentioned postoperative rehabilitation method for hip dislocation joint replacement, the rehabilitation device also includes a fumigation module, the fumigation module includes a steam generator and a steam belt, the steam generator is used to generate fumigation steam, the steam belt is arranged at the place to be fumigated, the steam generator is connected to the steam belt and the steam generated by the steam generator can be transported to the fumigation place through the steam belt for fumigation, and the rehabilitation method also includes: preparing fumigation Chinese medicine liquid; injecting the fumigation Chinese medicine liquid into the steam generator; arranging the steam belt at the place to be fumigated; starting the steam generator to fumigate the place to be fumigated.
[0016] In the specific implementation of the above-mentioned method for rehabilitation after joint replacement surgery for hip dislocation, the step of "preparing fumigation Chinese medicine liquid" further includes: taking 30 grams each of Chinese herbal medicine slices of Astragalus and Millettia reticulata, washing them, adding water in a ratio of 1:5 between the medicinal materials and water to immerse the medicinal materials and soaking them for one hour; pouring them into a decoction machine, decocting for 45 minutes, and filtering to obtain the fumigation Chinese medicine liquid.
[0017] In the specific implementation of the above-mentioned method for rehabilitation after joint replacement for hip dislocation, the step of "preparing fumigation Chinese medicine liquid" also includes: taking 30 grams each of Chinese medicine slices of Chuanxiong, Panax notoginseng, Polygonum multiflorum, Myrrh, Dipsacus asper, and Drynaria fortunei, washing them, adding water in a ratio of 1:5 between the medicinal materials and water to immerse the medicinal materials and soaking them for one hour; pouring them into a medicine decoction machine, decocting for 45 minutes, and filtering to obtain the fumigation Chinese medicine liquid.
[0018] The technical effect of the present invention is as follows: the post-operative rehabilitation device for hip dislocation of the present invention can stimulate the abductor muscles of the hip joint by placing the electrode sheet at the abductor muscles of the hip joint to conduct electric current stimulation to the abductor muscles, thereby achieving the purpose of stimulating the muscles and promoting the rehabilitation of the abductor muscles of the hip joint including the gluteus medius. At the same time, in order to achieve a better current stimulation effect, the current generating part of the present invention is provided with a first gear component and a second gear component, and the electrode sheet is connected to the first gear component. When the patient's hip joint moves, the abductor muscles of the hip joint contract and the muscles become congested. At this time, the electrode sheet arranged at the abductor muscles of the hip joint drives the first gear component to move relative to the second gear component with the movement of the hip joint, and then can adjust the size of the current generated by the current generating part in accordance with the contraction / relaxation state of the patient's hip abductor muscles, so that the stimulation effect on the abductor muscles is optimal, solving the problem of poor effect in improving the condition of the gluteus medius muscle and promoting the rehabilitation of the gluteus medius muscle after hip replacement in the prior art.
[0019] Solution 1: A post-operative rehabilitation device for hip dislocation joint replacement, characterized in that the rehabilitation device includes an electrical stimulation module, the electrical stimulation module includes a current generating part and an electrode sheet, the electrode sheet is electrically connected to the current generating part and the electrode sheet is arranged at the abductor muscle of the hip joint, the current generating part includes a first gear component and a second gear component, the first gear component is mechanically or electrically connected to the abductor muscle of the hip joint, so that the first gear component can move relative to the second gear component under the drive of the abductor muscle of the hip joint to adjust the magnitude of the current generated by the current generating part.
[0020] Solution 2. The post-operative rehabilitation device for hip dislocation joint replacement according to claim 1 is characterized in that the first gear component is a conductive rod, the second gear component is a gear slot, at least two gear plates are arranged in the gear slot, the gear plates are connected to a power source and different currents connected to the power source are different, the conductive rod is mechanically connected to the abductor muscle of the hip joint and is retractably arranged in the gear slot, and as the position of the conductive rod in the gear slot changes, the conductive rod can contact the gear plates at different positions and adjust the current generated by the current generating part.
[0021] Option 3. The postoperative rehabilitation device for hip dislocation joint replacement according to claim 1 is characterized in that the first gear component is a gear knob, the second gear component is a sliding rheostat, the first end of the sliding rheostat is connected to the power supply, the second end is mechanically connected to the electrode sheet, and the gear knob is connected to the sliding contact of the sliding rheostat so that rotating the gear knob can adjust the resistance value of the sliding rheostat.
[0022] Solution 4: The post-operative rehabilitation device for hip dislocation joint replacement according to claim 1 is characterized in that the electrical stimulation module also includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint, and the current generating part also includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component, and the driving device and the angle sensor are both communicatively connected to the controller of the electrical stimulation module.
[0023] Solution 5. The postoperative rehabilitation device for hip dislocation after joint replacement according to claim 1 is characterized in that the electrical stimulation module also includes a first fixing part, which is used to fix the electrode sheet to the abductor muscle of the hip joint, and / or the electrical stimulation module also includes a second fixing part, which is connected to the current generating part and fixed to the buttocks.
[0024] Solution 6. The post-arthroplasty rehabilitation device for hip dislocation according to claim 1 is characterized in that the rehabilitation device also includes a fumigation module, the fumigation module includes a steam generator and a steam belt, the steam generator is used to generate fumigation steam, the steam belt is arranged at the abductor muscle of the hip joint, the steam generator is connected to the steam belt and the steam generated by the steam generator can be transported to the abductor muscle of the hip joint through the steam belt for fumigation.
[0025] Solution 7, a post-operative rehabilitation method for hip dislocation after joint replacement, characterized in that it includes the post-operative rehabilitation device for hip dislocation after joint replacement as described in claim 1, and the electrical stimulation module also includes a first fixing part and a second fixing part, the first fixing part is used to fix the electrode sheet to the abductor muscle of the hip joint, and the second fixing part is used to fix the current generating part, and the rehabilitation method includes: fixing the electrode sheet to the Chengfu, Zhibian, Huantiao, and Biguan acupoints by the first fixing part; fixing the current generating part by the second fixing part; adjusting the position of the first gear component relative to the second gear component to adjust the magnitude of the current generated by the current generating part.
[0026] Solution 8. The post-arthroplasty rehabilitation method for hip dislocation according to claim 7 is characterized in that the first gear component is a conductive rod, the second gear component is a gear slot, at least two gear plates are arranged in the gear slot, the gear plates are connected to a power source and different gear plates connect different currents after being connected to the power source, the conductive rod is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot, and as the position of the conductive rod in the gear slot changes, the conductive rod can contact the gear plates at different positions and adjust the size of the current generated by the current generating part, and the step of "adjusting the position of the first gear component relative to the second gear component to adjust the size of the current generated by the current generating part" further includes: driving the conductive rod to move in the gear slot and contact the gear plates at different positions through the abductor muscle of the hip joint to adjust the size of the current generated by the current generating part.
[0027] Solution 9. The postoperative rehabilitation method for hip dislocation after joint replacement according to claim 7 is characterized in that the electrical stimulation module also includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint, and the current generating part also includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component, and the driving device and the angle sensor are both communicatively connected to the controller of the electrical stimulation module, and the step of "adjusting the position of the first gear component relative to the second gear component to adjust the size of the current generated by the current generating part" further includes: controlling the angle sensor to obtain the opening angle of the hip joint; comparing the size of the opening angle of the hip joint with the preset opening angle; adjusting the position of the first gear component relative to the second gear component based on the comparison result to adjust the size of the current generated by the current generating part.
[0028] Solution 10. The postoperative rehabilitation method for hip dislocation joint replacement according to claim 7 is characterized in that the rehabilitation device also includes a fumigation module, the fumigation module includes a steam generator and a steam belt, the steam generator is used to generate fumigation steam, the steam belt is arranged at the place to be fumigated, the steam generator is connected to the steam belt and the steam generated by the steam generator can be transported to the fumigation place through the steam belt for fumigation, and the rehabilitation method also includes: preparing fumigation Chinese medicine solution; injecting the fumigation Chinese medicine solution into the steam generator; arranging the steam belt at the place to be fumigated; starting the steam generator to fumigate the place to be fumigated.
[0029] Solution 11. The post-operative rehabilitation method for hip dislocation joint replacement according to claim 7 is characterized in that the step of "preparing fumigation Chinese medicine liquid" further comprises: taking 30 grams each of Chinese medicinal pieces of Astragalus and Millettia reticulata, washing them, adding water in a ratio of 1:5 between medicinal materials and water to immerse the medicinal materials and soaking them for one hour; pouring them into a decoction machine, decocting for 45 minutes, and filtering to obtain the fumigation Chinese medicine liquid.
[0030] Scheme 12. The post-operative rehabilitation method for hip dislocation after joint replacement according to claim 7 is characterized in that the step of "preparing fumigation Chinese medicine liquid" also includes: taking 30 grams each of Chinese medicine slices of Chuanxiong, Panax notoginseng, Polygonum multiflorum, Myrrha, Dipsacus asper, and Drynaria fortunei, washing them, adding water in a ratio of 1:5 between the medicinal materials and water to immerse the medicinal materials and soaking them for one hour; pouring them into a decoction machine, decocting for 45 minutes, and filtering to obtain the fumigation Chinese medicine liquid. BRIEF DESCRIPTION OF THE DRAWINGS
[0031] The preferred embodiments of the present invention are described below in conjunction with the accompanying drawings, in which:
[0032] Figure 1 This is an X-ray of a patient's lower limb before hip replacement surgery;
[0033] Figure 2 This is an X-ray of a patient's hip joint before hip replacement surgery;
[0034] Figure 3 It is a schematic diagram of the structure of the electrical stimulation module of the post-operative rehabilitation device for hip dislocation joint replacement of the present invention and a schematic diagram of its connection relationship with the human body;
[0035] Figure 4 It is a schematic diagram of the structure of the fumigation module of the post-operative rehabilitation device for hip dislocation joint replacement of the present invention and a schematic diagram of its connection relationship with the human body;
[0036] Figure 5 It is a schematic diagram of hip joint acupuncture points for placement of electrodes;
[0037] Figure 6 This is an X-ray of a patient's lower limbs after hip replacement surgery;
[0038] Figure 7 This is a main flow chart of a method for rehabilitation after joint replacement for hip dislocation in Embodiment 4 of the present invention;
[0039] Figure 8 This is a main flow chart of a method for rehabilitation after joint replacement for hip dislocation in Embodiment 5 of the present invention;
[0040] Fig. 9 is a flow chart of step S4 of the post-operative rehabilitation method for hip dislocation joint replacement in embodiment 5 of the present invention;
[0041] Fig.10is a flow chart of step S6 of the post-operative rehabilitation method for hip dislocation joint replacement in Embodiment 5 of the present invention;
[0042] Fig.11 is a flow chart of a method for rehabilitation after joint replacement for hip dislocation in Embodiment 6 of the present invention;
[0043] Fig.12 is a flow chart of step S3 of the post-operative rehabilitation method for hip dislocation joint replacement in the fourth embodiment of the present invention;
[0044] Fig.13 1 is a flow chart of step S3 of a method for rehabilitation after joint replacement for hip dislocation in a possible embodiment of the present invention.
[0045] List of reference numerals:
[0046] 1. Rehabilitation device; 11. Electric stimulation module; 111. Current generating part; 1111. Conductive rod; 1112. Shift slot; 1113. Shift plate; 112. Electrode plate; 113. First fixing part; 114. Second fixing part; 12. Fumigation module; 121. Steam generator; 122. Steam belt. DETAILED DESCRIPTION
[0047] The preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are only used to explain the technical principles of the present invention and are not intended to limit the scope of protection of the present invention. Those skilled in the art can make adjustments as needed to adapt to specific applications. For example, although the description is based on the abductor muscles of the hip joint, it can be understood by those skilled in the art that the abductor muscles of the hip joint include the gluteus medius, gluteus minimus, tensor fasciae latae and minor hip abductor muscles, so the objects of action of the rehabilitation device and rehabilitation method of the present invention include all of the above muscle groups.
[0048] It should be noted that in the description of the present invention, the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" and the like indicating directions or positional relationships are based on the directions or positional relationships shown in the drawings, which are only for the convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and cannot be understood as indicating or implying relative importance.
[0049] In addition, it should be noted that in the description of the present invention, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be indirectly connected through an intermediate medium, or it can be the internal communication of two components. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
[0050] First, the application scenario of the solution proposed in the present invention is described.
[0051] Reference Figure 1 , Figure 2 Hip dislocation refers to the loss of the original normal apposition relationship of the bones that constitute the joint, including subluxation and full dislocation. Full dislocation means that there is no connection between the acetabulum and the femoral head, and the hip joint is completely out of the acetabulum, so hip replacement is required. During hip replacement, due to the high dislocation of the affected side, not only acetabulum reconstruction and femoral head replacement are required, but also subtrochanteric osteotomy is required to ensure that the hip joint can be smoothly reset and the patient's lower limbs are equal in length. Due to long-term hip dislocation, the most important abductor muscle of the hip joint, the gluteus medius, is poorly developed and weak in muscle. In addition, the rotation center of the hip joint after surgery has changed significantly compared to before surgery, resulting in the elongation of the gluteus medius, which in turn makes the exercise and rehabilitation of the gluteus medius much more difficult than ordinary joint replacement. Once the gluteus medius is weak, it will cause the patient to have obvious limping. Therefore, how to improve the condition of the gluteus medius and promote the rehabilitation of the gluteus medius after hip replacement has become a technical problem that needs to be solved urgently. For this purpose, the following implementation method is proposed.
[0052] Embodiment 1
[0053] like Figure 3As shown, in order to solve the problem in the prior art of poor effect in improving the condition of the gluteus medius muscle and promoting the rehabilitation of the gluteus medius muscle after hip replacement surgery, the present invention proposes a rehabilitation device 1 for hip dislocation after joint replacement surgery, the rehabilitation device 1 includes an electrical stimulation module 11, the electrical stimulation module 11 includes a current generating part 111 and an electrode sheet 112, the electrode sheet 112 is electrically connected to the current generating part 111 and the electrode sheet 112 is arranged at the abductor muscle of the hip joint. The current generating part 111 includes a first gear component and a second gear component. The first gear component is a conductive rod 1111, which is connected to the electrode sheet 112. The second gear component is a gear slot 1112. At least two gear sheets 1113 are arranged in the gear slot 1112. The gear sheets 1113 are connected to a power source and different gear sheets 1113 connect to different currents after being connected to the power source. The conductive rod 1111 is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot 1112. As the position of the conductive rod 1111 in the gear slot 1112 changes, the conductive rod 1111 can contact the gear sheets 1113 at different positions. The electrical stimulation module 11 also includes a first fixing part 113 and a second fixing part 114. The first fixing part 113 and the second fixing part 114 are fixing straps, and the first fixing part 113 is used to fix the electrode sheet 112 to the abductor muscle of the patient's hip joint. The second fixing part 114 is connected to the current generating part 111 and fixed to the patient's buttocks, and is used to fix the current generating part 111.
[0054] In the case of adopting the above-mentioned embodiment, during the use of the postoperative rehabilitation device 1 for hip dislocation of the present invention, the electrode sheet 112 is first fixed to the patient's hip abductor muscle by the first fixing part 113, and the current generating part 111 is fixed by the second fixing part 114. Then, the conductive rod 1111 is placed in the gear slot 1112 and the conductive rod 1111 is adjusted to contact with the appropriate gear sheet 1113, and the current generating part 111 is started to generate current and transmit it to the electrode sheet 112 through the conductive rod 1111 to stimulate the patient's hip abductor muscle with current, so as to achieve the purpose of stimulating the muscle and promote the rehabilitation of the hip abductor muscle including the gluteus medius. Since the current stimulation needs to last for a certain period of time, the patient's hip joint will inevitably move during this period, and the stimulation effect achieved by the stimulation current of different sizes in the contraction and relaxation state of the muscle is also quite different. When the muscle contracts, the muscle begins to contract only when the electrical stimulation intensity reaches the threshold intensity, and as the stimulation intensity increases, the muscle contraction increases. After reaching the maximum stimulation intensity, the muscle contraction no longer increases. When the muscles are in a relaxed state, a current of a relatively low intensity can produce a stimulating effect, but will not cause obvious muscle contraction. Therefore, in this embodiment, the conductive rod 1111 is connected to the electrode sheet 112. When the patient's hip joint moves, the electrode sheet 112 moves with the patient's hip joint and drives the conductive rod 1111 in the gear slot 1112, thereby changing the gear sheet 1113 that the conductive rod 1111 contacts in the gear slot 1112, and then adjusting the magnitude of the stimulating current, so that the magnitude of the stimulating current can change with the contraction / relaxation state of the patient's hip abductor muscles, ensuring the stimulating effect, and solving the problem of poor improvement of the condition of the gluteus medius muscle and promotion of gluteus medius muscle rehabilitation after hip replacement surgery in the prior art.
[0055] It is also worth mentioning that the connection between the electrode sheet 112 and the conductive rod 1111 can be a hard connection or a soft connection. The technicians in this field can adjust the connection mode between the electrode sheet 112 and the conductive rod 1111 according to actual needs, as long as the corresponding technical effect can be achieved, and the present invention does not make specific restrictions on this. In addition, regarding the number of gear plates 1113 in the gear slot 1112, the technicians in this field can set it to two, three, four or other numbers not less than two according to needs, and the present invention does not make specific restrictions on this.
[0056] Embodiment 2
[0057] In the aforementioned embodiment 1, the first gear component and the second gear component are respectively the conductive rod 1111 and the gear slot 1112, while in the present embodiment, the first gear component and the second gear component are respectively the gear knob and the sliding rheostat (not shown in the figure), the first end of the sliding rheostat is connected to the power supply, the second end is mechanically connected to the electrode sheet 112, and the gear knob is connected to the sliding contact of the sliding rheostat.
[0058] In the case of adopting the above embodiment, different from the above-mentioned embodiment 1, the electrode sheet 112 in this embodiment is connected to the gear knob and can drive the gear knob to rotate, and the gear knob drives the sliding contact of the sliding rheostat to move to change the resistance value of the sliding rheostat, thereby changing the magnitude of the stimulation current delivered by the power supply to the electrode sheet 112. This embodiment proposes another form of the first gear component and the second gear component.
[0059] In a possible implementation, the electrical stimulation module 11 further includes an angle sensor, which is arranged at the hip joint and used to obtain the opening angle of the hip joint. The current generating unit 111 further includes a driving device, which is electrically connected to the angle sensor and used to drive the first gear component to move relative to the second gear component. Both the driving device and the angle sensor are connected to the controller of the electrical stimulation module in communication. The opening angle of the patient's hip joint is obtained through the angle sensor, and the position of the first gear component relative to the second gear component is adjusted by the driving device based on the opening angle of the hip joint, thereby adjusting the magnitude of the stimulation current so that the magnitude of the stimulation current can change with the contraction / relaxation state of the patient's hip abductor muscles to ensure the stimulation effect.
[0060] Embodiment 3
[0061] like Figure 4 As shown, the postoperative rehabilitation device 1 for hip dislocation joint replacement of the present invention also includes a fumigation module 12, and the fumigation module 12 includes a steam generator 121 and a steam belt 122. The steam generator 121 is used to generate fumigation steam, and the steam belt 122 is arranged at the abductor muscles of the hip joint. The steam generator 121 is connected to the steam belt 122 and the steam generated by the steam generator 121 can be transported to the abductor muscles of the hip joint for fumigation through the steam belt 122.
[0062] In the case of adopting the above-mentioned embodiment, during the use of the post-operative rehabilitation device 1 for hip dislocation of the present invention, the steam belt 122 is first arranged on the abductor muscles of the patient's hip joint, and then the fumigation liquid is injected into the steam generator 121, and the steam generator 121 is turned on to generate fumigation steam. The fumigation steam is transported to the abductor muscles of the patient's hip joint through the steam belt 122 to fumigate the affected area.
[0063] The advantage of the above embodiment is that by fumigating the abductor muscles of the patient's hip joint, the effect of improving muscle weakness can be achieved. It can be understood by those skilled in the art that in order to achieve a better postoperative rehabilitation effect, the patient's affected part can be electrically stimulated first and then fumigated, or fumigated first and then electrically stimulated, and these changes do not exceed the scope of protection of the present invention.
[0064] Embodiment 4:
[0065] The present invention also provides a method for rehabilitation after joint replacement for hip dislocation, comprising the apparatus 1 for rehabilitation after joint replacement for hip dislocation in the first embodiment, as shown in FIG. Figure 5 , Figure 7 and Fig.12 As shown, rehabilitation methods include:
[0066] S1. Fix the electrode sheet 112 to the Chengfu, Zhibian, Huantiao and Biguan acupoints through the first fixing part 113;
[0067] S2, fixing the current generating unit 111 through the second fixing unit 114;
[0068] S3. Adjust the position of the first gear component relative to the second gear component to adjust the magnitude of the current generated by the current generating unit 111.
[0069] In the above steps, step S3 further comprises:
[0070] S31, driving the conductive rod 1111 to move in the gear slot 1112 through the abductor muscles of the hip joint and contacting the gear pieces 1113 at different positions to adjust the magnitude of the current generated by the current generating part 111.
[0071] In the case of adopting the above-mentioned embodiment, the electrode sheet 112 is first fixed to the patient's Chengfu, Zhibian, Huantiao, and Biguan acupoints through the first fixing part 113, and then the current generating part 111 is fixed through the second fixing part 114. After the fixing is completed, the current generating part 111 is started, and the magnitude of the current generated by the current generating part 111 can be adjusted by adjusting the position of the first gear component relative to the second gear component to ensure the stimulation effect, thereby solving the problem of poor effect in improving the condition of the gluteus medius muscle and promoting the rehabilitation of the gluteus medius muscle after hip replacement surgery in the prior art. In addition, when adjusting the position of the first gear component relative to the second gear component, the technicians in this field can manually switch the gear, or connect the first gear component to the electrode sheet 112 in the first embodiment, and adjust the position of the first gear component relative to the second gear component according to the contraction / relaxation state of the patient's hip abductor muscle. These methods can all adjust the magnitude of the current generated by the current generating part 111, and are also within the protection scope of the present invention.
[0072] In a possible implementation, the electrical stimulation module 11 further includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint. The current generating unit 111 further includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component. The driving device and the angle sensor are both connected to the controller of the electrical stimulation module for communication. Fig.13 As shown, step S3 also includes:
[0073] S32, controlling the angle sensor to obtain the opening angle of the hip joint;
[0074] S33, comparing the opening angle of the hip joint with a preset opening angle;
[0075] S34 , adjusting the position of the first shift component relative to the second shift component based on the comparison result to adjust the magnitude of the current generated by the current generating unit 111 .
[0076] In the case of adopting the above embodiment, after the electrode sheet 112 is fixed, the angle sensor is controlled to obtain the opening angle of the hip joint, and then the opening angle of the hip joint is compared with the preset opening angle. When the opening angle of the hip joint reaches the preset angle of the first gear, the driving device is controlled to drive the first gear component to move to the first gear. When the patient moves the hip joint so that the opening angle of the hip joint reaches the preset angle of the second gear, the driving device is controlled to drive the first gear component to move to the second gear, thereby adjusting the size of the stimulation current so that the size of the stimulation current can change with the contraction / relaxation state of the patient's hip abductor muscles to ensure the stimulation effect.
[0077] Embodiment 5
[0078] The rehabilitation device 1 of the present invention may further include a fumigation module 12, the fumigation module 12 includes a steam generator 121 and a steam belt 122, the steam generator 121 is used to generate fumigation steam, the steam belt 122 is arranged at the place to be fumigated, the steam generator 121 is connected to the steam belt 122, and the steam generated by the steam generator 121 can be transported to the fumigation place through the steam belt 122 for fumigation, such as Figure 8-Figure 10 As shown, rehabilitation methods also include:
[0079] S4, preparing fumigation Chinese medicine solution;
[0080] S5, injecting the fumigation Chinese medicine liquid into the steam generator 121;
[0081] S6, placing the steam belt 122 at the place to be fumigated;
[0082] S7, start the steam generator 121 to fumigate the area to be fumigated.
[0083] In the above steps, step S4 further comprises:
[0084] S41, take 30 grams of Astragalus and Millettia reticulata Chinese medicine slices, wash them, add water in a ratio of 1:5 to submerge the herbs and soak them for one hour;
[0085] S42, pour into a medicine decoction machine, boil for 45 minutes, and then filter to obtain the fumigated Chinese medicine liquid.
[0086] Step S6 further comprises:
[0087] S61. Place the steam belt 122 on the abductor muscles of the hip joint.
[0088] In the case of adopting the above-mentioned embodiment, the postoperative rehabilitation method for hip dislocation of the present invention can also fumigate the patient's abductor muscles. Specifically, first take 30 grams of each of the Chinese medicinal slices of Astragalus and Millettia Spatholobi, wash them, add water to immerse the medicinal materials in a ratio of 1:5 to water and soak them for one hour to ensure that the medicinal materials are completely immersed, and then introduce them into the decoction machine for decoction for 45 minutes, and obtain the fumigated Chinese medicinal liquid after filtering. Subsequently, the steam belt 122 is arranged at the abductor muscles of the hip joint, and the steam generator 121 is started to fumigate the affected part of the patient. According to traditional Chinese medicine theory, the spleen governs the muscles of the limbs, Astragalus invigorates the spleen and replenishes qi, and Millettia Spatholobi nourishes blood and activates blood circulation. The two medicines have the effect of improving postoperative muscle weakness. Modern pharmacological studies have shown that the main effective active ingredients of Astragalus can not only reduce muscle protein decomposition by inhibiting the ubiquitin-proteasome pathway, but also activate the mTOR signaling pathway to promote protein synthesis.
[0089] In addition, in order to further ensure the rehabilitation effect of the hip abductor muscles of the patient after surgery, technicians in this field can also combine the electrical stimulation module 11 in Example 4 for treatment. These changes are all within the protection scope of the present invention.
[0090] Embodiment 6
[0091] Studies have shown that 29% of cases of subtrochanteric osteotomy nonunion occurred during 9-year follow-up after hip replacement surgery. However, existing medical methods cannot effectively promote the healing of the osteotomy growth area. In order to avoid slow growth or nonunion of the osteotomy area, it is necessary to stimulate local femoral growth and reduce the incidence of nonunion. For this reason, this embodiment is proposed. In this embodiment, if Fig.11 As shown, step S4 also includes:
[0092] S43, take 30g each of Chuanxiong, Panax notoginseng, Radix Angelicae Pubescentis, Myrrha, Dipsacus asper, and Rhizoma Drynariae, wash them, add water in a ratio of 1:5 to cover the herbs, and soak for one hour;
[0093] S44, pour into a medicine decoction machine, boil for 45 minutes, and then filter to obtain the fumigated Chinese medicine liquid.
[0094] The preparation of fumigation Chinese medicine liquid and the fumigation process are similar to those in the above-mentioned embodiment 5, and will not be repeated here. Modern pharmacological studies have shown that Chuanxiong can improve local blood stasis after surgery by reducing platelet aggregation, inhibiting angiogenesis in plaques, and promoting fibrinolysis. Chuanxiong can also increase the mitochondrial membrane potential of oxygen-glucose deprivation / reoxygenation primary cerebral cortical neurons, activate cyclic adenosine monophosphate effector element binding protein, reduce the level of reactive oxygen, inhibit the activation of astrocytes, and reduce neuroinflammation through anti-inflammatory and antioxidant pathways, thereby alleviating the pain response caused by neuroinflammation. The blood circulation effect of Panax notoginseng is manifested in promoting the fibrinolytic system, inhibiting platelet aggregation and vasodilation. The two medicines have the effects of improving local blood stasis after surgery and promoting blood circulation and relieving pain. Thus, the scheme of this embodiment can stimulate local growth of the femur and reduce the incidence of non-union. Herba scutellariae inhibits the production of IL-1β in inflammatory tissues and reduces inflammatory reactions, so it has a certain anti-inflammatory effect to reduce edema. The main chemical components of myrrh are terpenoid compounds, which have anti-inflammatory, analgesic and other biological activities. The two drugs are matched to eliminate postoperative swelling. Dipsacus root has the effect of promoting the formation and proliferation of osteoblasts and accelerating fracture healing and repair. The main active ingredients of Drynaria are Drynaria total flavonoids and naringin, which can regulate bone metabolism, inhibit osteoblast apoptosis, promote osteoblast proliferation and differentiation, thereby increasing new bone formation, and inhibit osteoclast maturation and proliferation to reduce bone absorption. Both drugs can nourish the liver and kidney, strengthen tendons and bones, and heal fractures, playing a role in promoting postoperative bone healing.
[0095] In addition, regarding the weight of medicinal materials and decoction time in the process of preparing the fumigated Chinese medicine solution, technicians in this field can make appropriate adjustments according to actual conditions. These changes do not exceed the technical principles of the present invention and are therefore included in the protection scope of the present invention.
[0096] In addition, refer to Figure 1 , Figure 2 and Figure 6 Before the operation, the patient's two lower limbs were of unequal length. After the hip replacement surgery, the longer lower limb was osteotomized and the length of the femoral stem was reasonably designed to ensure that the patient's two lower limbs were of equal length. The patient's walking returned to normal and limping was avoided.
[0097] It should be noted that the above-mentioned implementation mode is only used to illustrate the principle of the present invention and is not intended to limit the scope of protection of the present invention. Without departing from the principle of the present invention, those skilled in the art can adjust the above-mentioned structure so that the present invention can be applied to more specific application scenarios.
[0098] So far, the technical solutions of the present invention have been described in conjunction with the preferred embodiments shown in the accompanying drawings. However, it is easy for those skilled in the art to understand that the protection scope of the present invention is obviously not limited to these specific embodiments. Without departing from the principle of the present invention, those skilled in the art can make equivalent changes or substitutions to the relevant technical features, and the technical solutions after these changes or substitutions will fall within the protection scope of the present invention.
Claims
1. A post-operative rehabilitation device (1) for hip dislocation joint replacement, characterized in that: The rehabilitation device (1) comprises an electrical stimulation module (11), the electrical stimulation module (11) comprising a current generating part (111) and an electrode sheet (112), the electrode sheet (112) being electrically connected to the current generating part (111) and arranged at the abductor muscle of the hip joint, the current generating part (111) comprising a first gear component and a second gear component, the first gear component being mechanically or electrically connected to the abductor muscle of the hip joint so that the first gear component can move relative to the second gear component under the drive of the abductor muscle of the hip joint to adjust the magnitude of the current generated by the current generating part (111).
2. The post-arthroplasty rehabilitation device (1) for hip dislocation according to claim 1, characterized in that: The first gear component is a conductive rod (1111), the second gear component is a gear slot (1112), at least two gear plates (1113) are arranged in the gear slot (1112), the gear plates (1113) are connected to a power source, and different gear plates (1113) are connected to the power source to connect different currents, the conductive rod (1111) is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot (1112), and as the position of the conductive rod (1111) in the gear slot (1112) changes, the conductive rod (1111) can contact the gear plates (1113) at different positions and adjust the current generated by the current generating unit (111).
3. The post-arthroplasty rehabilitation device (1) for hip dislocation according to claim 1, characterized in that: The first gear component is a gear knob, and the second gear component is a sliding rheostat. The first end of the sliding rheostat is connected to a power source, and the second end is mechanically connected to the electrode sheet (112). The gear knob is connected to a sliding contact of the sliding rheostat, so that the resistance value of the sliding rheostat can be adjusted by rotating the gear knob.
4. The post-arthroplasty rehabilitation device (1) for hip dislocation according to claim 1, characterized in that: The electrical stimulation module (11) also includes an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint. The current generating unit (111) also includes a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component. The driving device and the angle sensor are both communicatively connected to the controller of the electrical stimulation module.
5. The post-arthroplasty rehabilitation device (1) for hip dislocation according to claim 1, characterized in that: The electrical stimulation module (11) further comprises a first fixing portion (113), the first fixing portion (113) being used to fix the electrode sheet (112) to the abductor muscle of the hip joint, and / or the electrical stimulation module (11) further comprises a second fixing portion (114), the second fixing portion (114) being connected to the current generating portion (111) and fixed to the buttocks.
6. The post-arthroplasty rehabilitation device (1) for hip dislocation according to claim 1, characterized in that: The rehabilitation device (1) further comprises a fumigation module (12), wherein the fumigation module (12) comprises a steam generator (121) and a steam belt (122), wherein the steam generator (121) is used to generate fumigation steam, and the steam belt (122) is arranged at the abductor muscles of the hip joint, and the steam generator (121) is connected to the steam belt (122) and the steam generated by the steam generator (121) can be transported to the abductor muscles of the hip joint through the steam belt (122) for fumigation.
7. A method for rehabilitation after joint replacement for hip dislocation, characterized in that: The invention comprises the post-arthroplasty rehabilitation device (1) for hip dislocation as claimed in claim 1, wherein the electrical stimulation module (11) further comprises a first fixing part (113) and a second fixing part (114), wherein the first fixing part (113) is used to fix the electrode sheet (112) to the abductor muscle of the hip joint, and the second fixing part (114) is used to fix the current generating part (111), and the rehabilitation method comprises: The electrode sheet (112) is fixed to the Chengfu, Zhibian, Huantiao and Biguan acupoints via the first fixing part (113); The current generating part (111) is fixed by the second fixing part (114); The position of the first shift component relative to the second shift component is adjusted to adjust the magnitude of the current generated by the current generating unit (111).
8. The post-operative rehabilitation method for hip dislocation according to claim 7, characterized in that: The first gear component is a conductive rod (1111), the second gear component is a gear slot (1112), at least two gear plates (1113) are arranged in the gear slot (1112), the gear plates (1113) are connected to a power source, and different currents connected after the gear plates (1113) are connected to the power source are different, the conductive rod (1111) is mechanically connected to the abductor muscle of the hip joint and is telescopically arranged in the gear slot (1112), and as the position of the conductive rod (1111) in the gear slot (1112) changes, the conductive rod (1111) can contact the gear plates (1113) at different positions and adjust the current generated by the current generating part (111), and the step of "adjusting the position of the first gear component relative to the second gear component to adjust the current generated by the current generating part (111)" further includes: The conductive rod (1111) is driven by the abductor muscles of the hip joint to move in the gear slot (1112) and contact the gear plates (1113) at different positions, so as to adjust the magnitude of the current generated by the current generating unit (111).
9. The post-operative rehabilitation method for hip dislocation according to claim 7, characterized in that: The electrical stimulation module (11) further comprises an angle sensor, which is arranged at the hip joint and is used to obtain the opening angle of the hip joint. The current generating unit (111) further comprises a driving device, which is electrically connected to the angle sensor and is used to drive the first gear component to move relative to the second gear component. The driving device and the angle sensor are both connected to the controller of the electrical stimulation module for communication. The step of "adjusting the position of the first gear component relative to the second gear component to adjust the magnitude of the current generated by the current generating unit (111)" further comprises: Controlling the angle sensor to obtain the opening angle of the hip joint; Compare the opening angle of the hip joint with the preset opening angle; Based on the comparison result, the position of the first shift component relative to the second shift component is adjusted to adjust the magnitude of the current generated by the current generating unit (111).
10. The post-operative rehabilitation method for hip dislocation according to claim 7, characterized in that: The rehabilitation device (1) further comprises a fumigation module (12), the fumigation module (12) comprising a steam generator (121) and a steam belt (122), the steam generator (121) being used to generate fumigation steam, the steam belt (122) being arranged at a location to be fumigated, the steam generator (121) being connected to the steam belt (122), and the steam generated by the steam generator (121) being transported to the location to be fumigated via the steam belt (122), and the rehabilitation method further comprises: Preparation of Chinese medicinal liquid for fumigation; injecting the fumigation Chinese medicine liquid into the steam generator (121); Arranging the steam belt (122) at the location to be fumigated; The steam generator (121) is started to fumigate the area to be fumigated.