Upper limb rehabilitation device for treating scapulohumeral periarthritis

By designing an upper limb rehabilitation device for periarthritis of the shoulder, including a lifting and lowering adjustment mechanism, a repetitive lifting mechanism and a wrist fixing mechanism, the problem of the existing device that requires patients to stretch hard, resulting in aggravation of the disease, and safe and effective training of the upper limbs is achieved.

CN120131371AInactive Publication Date: 2025-06-13THE FIRST AFFILIATED HOSPITAL OF WENZHOU MEDICAL UNIV
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Patent Information

Application Number
CN202510190755.0
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-02-20
Publication Date
2025-06-13
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

The existing devices used for periarthritis recovery training require patients to stretch hard, which can easily lead to worsening of the condition. Especially for patients who have just completed the surgery, there is a risk of upper limb damage.

Method used

An upper limb rehabilitation device is designed, including a lifting adjustment mechanism, a repetitive lifting mechanism and a wrist fixing mechanism. The height of the repetitive lifting mechanism and wrist fixing mechanism is adjusted through the lifting adjustment mechanism, so as to realize the up and down reciprocating movement of the wrist fixing mechanism, and drive the upper limb to perform appropriate up and down movement.

Benefits of technology

This device can effectively assist upper limb movement, reduce the patient's force needs, and avoid aggravation of the condition. It is suitable for patients of different heights, and is easy to operate and has high work efficiency.

✦ Generated by Eureka AI based on patent content.

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Abstract

The invention discloses an upper limb rehabilitation device for treating scapulohumeral periarthritis, and relates to the technical field of medical instruments. The lifting adjusting mechanisms are symmetrically mounted on the base; the repeated lifting mechanism is connected with the pair of lifting adjusting mechanisms; the wrist fixing mechanism is connected to the repeated lifting mechanism and used for fixing upper limbs; wherein a moving block of the lifting adjusting mechanism drives the repeated lifting mechanism to move up and down so as to adjust the height of the repeated lifting mechanism, and a moving plate of the repeated lifting mechanism is connected with the wrist fixing mechanism so that the repeated lifting mechanism can drive the wrist fixing mechanism to move up and down in a reciprocating mode. The device has the advantages of being safe to use and convenient and reliable to operate.
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Description

Technical Field

[0001] This application relates to the technical field of medical devices, and particularly to an upper limb rehabilitation device for treating scapulohumeral periarthritis. Background Art

[0002] Scapulohumeral periarthritis is a common disease mainly characterized by shoulder joint pain and limited mobility. There may be extensive tenderness in the shoulder joint, radiating to the neck and elbow, and varying degrees of deltoid muscle atrophy may also occur. If not effectively treated, it will affect the functional activities of the shoulder joint.

[0003] Therefore, after scapulohumeral periarthritis surgery, rehabilitation training is required to improve the joint mobility.

[0004] However, in the prior art, most of the rehabilitation training devices for scapulohumeral periarthritis require patients to stretch forcefully. For patients who have just completed surgery, stretching is likely to exacerbate the condition. Therefore, there is a need to provide a device that can assist upper limb movement for adaptation and transition. Summary of the Invention

[0005] In view of this, this application provides an upper limb rehabilitation device for treating scapulohumeral periarthritis to solve the above technical problems.

[0006] To achieve the above object, the present invention provides the following technical solutions:

[0007] An upper limb rehabilitation device for treating scapulohumeral periarthritis, comprising:

[0008] A base;

[0009] A pair of lifting and adjusting mechanisms symmetrically installed on the base;

[0010] A reciprocating lifting mechanism connected to the pair of lifting and adjusting mechanisms;

[0011] A wrist fixing mechanism connected to the reciprocating lifting mechanism, the wrist fixing mechanism being used to fix the upper limb;

[0012] Wherein, the moving block of the lifting and adjusting mechanism drives the reciprocating lifting mechanism to move up and down, thereby realizing the adjustment of the height of the reciprocating lifting mechanism. The moving plate of the reciprocating lifting mechanism is connected to the wrist fixing mechanism, so that the reciprocating lifting mechanism can drive the wrist fixing mechanism to move up and down reciprocally.

[0013] Further, the lifting and adjusting mechanism further includes:

[0014] A first driver installed on the bracket of the base;

[0015] A first lead screw connected to the first driver;

[0016] A first lead screw nut threadedly connected to the first lead screw, the moving block being connected to the first lead screw nut;

[0017] A guide rod slidably engaged with the moving block.

[0018] Furthermore, the repeated lifting mechanism further includes:

[0019] A first box body connected to the moving block;

[0020] A second driver installed in the first box body;

[0021] A reciprocating movement assembly connected to the second driver, the moving plate being connected to the reciprocating movement assembly;

[0022] A pair of guide sliders slidably engaged with the moving plate;

[0023] A pair of support rods connected to the moving plate, the pair of support rods being connected to the wrist fixing mechanism.

[0024] Furthermore, the reciprocating movement assembly includes:

[0025] A second lead screw connected to the second driver;

[0026] A first sliding cylinder connected to the second lead screw through a second lead screw nut;

[0027] A second sliding cylinder connected to the second lead screw through a third lead screw nut;

[0028] A first connecting rod hinged between the first sliding cylinder and the moving plate;

[0029] A second connecting rod hinged between the second sliding cylinder and the moving plate.

[0030] Furthermore, the second lead screw is provided with a right-handed thread portion threadedly engaged with the second lead screw nut and a left-handed thread portion threadedly engaged with the third lead screw nut.

[0031] Furthermore, the first sliding cylinder has a first slider, the second sliding cylinder has a second slider, and both the first slider and the second slider are slidably engaged with the chute of the first box body.

[0032] Furthermore, the wrist fixing mechanism includes:

[0033] A second box body connected to a pair of support rods;

[0034] A pair of fixed drive assemblies symmetrically installed in the second box body;

[0035] A pair of pressure rods symmetrically hinged inside the second box body, the pressure rods being slidably connected to the corresponding fixed drive assemblies;

[0036] A pair of pressing plates respectively connected to the corresponding pressure rods, the pressing plates being used to fix the upper limbs.

[0037] Furthermore, the fixed drive assembly includes:

[0038] A third driver, the third driver being installed inside the second box body;

[0039] A turntable, the turntable being coaxially installed with the third driver;

[0040] A curved rod, the curved rod being hinged to the turntable;

[0041] A drive rod, the drive rod being hinged to the curved rod, the drive rod being slidably mated with the pressure rod.

[0042] Furthermore, the pressure rod includes a first rod body and a second rod body integrally connected, a through groove slidably mated with the convex shaft of the drive rod being formed on the first rod body, and the second rod body being connected to the pressing plate.

[0043] Furthermore, a first protective pad and a second protective pad are both arranged in a pair of placement grooves of the second box body, and the upper limb can be fixed between the first protective pad, the second protective pad and the pressing plate.

[0044] As can be seen from the above technical solutions, the advantages of the present invention are:

[0045] 1. In this application, there are a lifting adjustment mechanism, a repeated lifting mechanism and a wrist fixing mechanism. The lifting adjustment mechanism can adjust the overall height of the repeated lifting mechanism and the wrist fixing mechanism, so it is very suitable for patients of different heights. The repeated lifting mechanism can drive the wrist fixing mechanism to move up and down reciprocally, so that the wrist fixing mechanism can move up and down. The wrist fixing mechanism can fix the upper limb, so that through cooperation, the upper limb can move up and down reciprocally to achieve a good training effect.

[0046] 2. In the repeated lifting mechanism of this application, the wrist fixing mechanism can be driven to move up and down reciprocally by the forward and reverse rotation of a single motor, which is not only convenient to operate but also has high working efficiency.

[0047] 3. The wrist fixing mechanism in this application can firmly fix the upper limb, making it more convenient to use. Description of the Drawings

[0048] The accompanying drawings that form a part of this application are used to provide a further understanding of this application. The schematic embodiments of this application and their descriptions are used to explain this application and do not constitute an improper limitation of this application.

[0049] Figure 1 It is a schematic structural diagram of this application.

[0050] Figure 2 It is a side view of this application.

[0051] Figure 3 It is Figure 2 a partial enlarged view of part A of

[0052] Figure 4 It is Figure 2 a partial enlarged view of part B of

[0053] Figure 5 It is a schematic structural diagram of the wrist fixing mechanism of this application.

[0054] Figure 6 It is Figure 5 a partial enlarged view of part C of

[0055] List of reference numerals: base 1, bracket 2, top plate 3, lifting adjustment mechanism 4, first motor 41, first lead screw 42, moving block 43, guide rod 44, first lead screw nut 45, repeated lifting mechanism 5, first box body 51, chute 511, guide carriage 512, through hole 513, second motor 52, second lead screw 53, right-handed thread portion 531, left-handed thread portion 532, first sliding cylinder 54, first slider 541, second lead screw nut 542, second sliding cylinder 55, second slider 551, third lead screw nut 552, first connecting rod 56, second connecting rod 57, moving plate 58, support rod 59, wrist fixing mechanism 6, second box body 61, placement groove 611, installation groove 612, connection hole 613, third motor 62, turntable 63, curved rod 631, driving rod 64, convex shaft 641, pressing rod 65, first rod body 651, through groove 6511, second rod body 652, connecting rod 66, pressing plate 661, first protective pad 67, second protective pad 68, fixed seat 69, controller 7. Detailed implementation manners

[0056] To make the purpose, technical solutions and advantages of this application clearer and more understandable, the following further elaborates on this application in combination with the implementation manners and the accompanying drawings. Herein, the schematic implementation manners of this application and their descriptions are used to explain this application, but do not serve as a limitation to this application.

[0057] It should be noted that all the directional indications (such as up, down, left, right, front, back...) in the embodiments of the present application are only used to explain the relative positional relationship and movement conditions between components in a specific posture (as shown in the attached drawings). If the specific posture changes, the directional indications will also change accordingly. The connection can be a direct connection or an indirect connection.

[0058] In addition, the terms "first" and "second" are only used for distinction in description and have no special meaning.

[0059] Referring to Figures 1 to 6 , as Figure 1 shown, this embodiment provides an upper limb rehabilitation device for treating scapulohumeral periarthritis. Compared with the prior art in which the patient needs to actively operate, which is prone to cause upper limb injuries due to overtraining, in this application, the patient only needs to place the upper limb on it, and the whole can drive the upper limb to move up and down, thus avoiding the situation of secondary injury to the patient's upper limb. The upper limb rehabilitation device for treating scapulohumeral periarthritis includes: a base 1, a pair of lifting and adjusting mechanisms 4, a repeated lifting mechanism 5 and a wrist fixing mechanism 6. The pair of lifting and adjusting mechanisms 4 are installed on the base 1 at intervals; the repeated lifting mechanism 5 is connected to the lifting and adjusting mechanism 4; the wrist fixing mechanism 6 is connected to the repeated lifting mechanism 5; wherein, the moving block 43 of the lifting and adjusting mechanism 4 drives the repeated lifting mechanism 5 to move up and down, so as to realize the adjustment of the height of the repeated lifting mechanism 5. The moving plate 58 of the repeated lifting mechanism 5 is connected to the wrist fixing mechanism 6, so that the repeated lifting mechanism 5 can drive the wrist fixing mechanism 6 to move up and down reciprocally, and the wrist fixing mechanism 6 is used to fix the upper limb.

[0060] Preferably, in the embodiments of the present application, the tops of a pair of brackets 2 are commonly connected with a top plate 3. The brackets 2 are fixed between the base 1 and the top plate 3, and the lifting and adjusting mechanisms 4 are installed on the corresponding brackets 2.

[0061] As Figure 2 and Figure 3 shown, the lifting and adjusting mechanism 4 further includes: a first driver, a first lead screw 42, a first lead screw nut 45 and a guide rod 44. The first driver is installed on the bracket 2 of the base 1; the first lead screw 42 is connected to the first driver; the first lead screw nut 45 is threadedly connected to the first lead screw 42, and the moving block 43 is connected to the first lead screw nut 45; the guide rod 44 is slidably engaged with the moving block 43.

[0062] Preferably, in some embodiments, the guide rod 44 is installed inside the bracket 2.

[0063] Preferably, in some embodiments, the first driver is a first motor 41.

[0064] In the embodiment of the present application, the first motor 41 starts to drive the first lead screw 42 to rotate. With the cooperation of the first lead screw nut 45, the moving block 43 can move up and down on the guide rod 44, so that the heights of the repeated lifting mechanism 5 and the wrist fixing mechanism 6 can be adjusted.

[0065] As Figure 4 shown, the repeated lifting mechanism 5 further includes: a first box body 51, a second driver, a reciprocating movement assembly, a pair of guide sliders 512 and a pair of support rods 59. The first box body 51 is connected to the moving block 43; the second driver is installed in the first box body 51; the reciprocating movement assembly is connected to the second driver, and the moving plate 58 is connected above the reciprocating movement assembly; the moving plate 58 is slidably matched with a pair of guide sliders 512; a pair of support rods 59 are connected to the moving plate 58, and the tops of the pair of support rods 59 are connected to the wrist fixing mechanism 6.

[0066] Preferably, in the embodiment of the present application, a pair of through holes 513 are opened at the upper end of the first box body 51. The support rods 59 are slidably matched with the corresponding through holes 513, and the upper ends of the support rods 59 pass through the corresponding through holes 513 and are connected to the second box body 61.

[0067] In the embodiment of the present application, the reciprocating movement assembly includes: a second lead screw 53, a first sliding cylinder 54, a second sliding cylinder 55, a first connecting rod 56 and a second connecting rod 57. The second lead screw 53 is connected to the second driver; the second lead screw 53 is connected to the second lead screw nut 542; the second sliding cylinder 55 is connected to the second lead screw 53 through a third lead screw nut 552, and the first sliding cylinder 54 and the second sliding cylinder 55 are arranged oppositely; the first connecting rod 56 is hinged between the first sliding cylinder 54 and the moving plate 58; the second connecting rod 57 is hinged between the second sliding cylinder 55 and the moving plate 58.

[0068] Preferably, in some embodiments, the second driver is a second motor 52.

[0069] Preferably, in the embodiment of the present application, a right-handed thread portion 531 and a left-handed thread portion 532 are provided on the second lead screw 53. The right-handed thread portion 531 is in threaded cooperation with the second lead screw nut 542, and the left-handed thread portion 532 is in threaded cooperation with the third lead screw nut 552.

[0070] Preferably, in the embodiment of the present application, a first slider 541 is connected to the bottom of the first sliding cylinder 54, and a second slider 551 is connected to the bottom of the second sliding cylinder 55. Both the first slider 541 and the second slider 551 are slidably engaged with the sliding groove 511 of the first box body 51.

[0071] In the embodiment of the present application, when the second motor 52 rotates forward, it drives the second lead screw 53 to rotate forward. Then, with the cooperation of the second lead screw nut 542 and the third lead screw nut 552, the first sliding cylinder 54 and the second sliding cylinder 55 can approach each other. Thus, the first connecting rod 56 and the second connecting rod 57 will pull the moving plate 58 downward, thereby reducing the height of the wrist fixing mechanism 6. On the contrary, similarly, when the second motor 52 rotates in reverse, it drives the second lead screw 53 to rotate in reverse, and the first sliding cylinder 54 and the second sliding cylinder 55 will move away from each other, thereby pushing the first connecting rod 56 and the second connecting rod 57 to rotate, causing the moving plate 58 to move upward. Thus, the height of the wrist fixing mechanism 6 increases. Therefore, by repeating the process of the second motor 52 rotating forward and then in reverse, the wrist fixing mechanism 6 can move up and down reciprocally, thereby achieving the training effect on the upper limb.

[0072] As Figure 5 shown, the wrist fixing mechanism 6 includes: a second box body 61, a pair of fixing drive components, a pair of pressure rods 65, and a pair of pressing plates 661. The second box body 61 is connected to the upper ends of a pair of support rods 59; a pair of fixing drive components are symmetrically installed in the second box body 61; the pressure rods 65 are symmetrically hinged in the second box body 61, the pressure rods 65 are slidably connected to the corresponding fixing drive components, and the fixing drive components can drive the pressure rods 65 to swing; the pressing plates 661 are connected to the corresponding pressure rods 65, and the pressing plates 661 are used to fix the upper limb.

[0073] Preferably, in the embodiment of the present application, a pair of placement grooves 611 and an installation groove 612 are formed in the second box body 61. The pair of placement grooves 611 are located in the installation groove 612, and the placement grooves 611 and the installation groove 612 are connected through a connection hole 613. The upper end of the pressure rod 65 extends into the placement groove 611 after passing through the corresponding connection hole 613.

[0074] In the embodiment of the present application, the fixing drive component includes: a third driver, a turntable 63, a crank rod 631, and a drive rod 64. The third driver is installed in the second box body 61; the turntable 63 is coaxially installed with the third driver; the crank rod 631 is hinged to the turntable 63; the drive rod 64 is hinged to the crank rod 631, and the drive rod 64 is slidably engaged with the pressure rod 65.

[0075] Preferably, in some embodiments, the third driver is a third motor 62.

[0076] In the embodiment of the present application, taking Figure 6 as an example for illustration, when the third motor 62 starts, the turntable 63 rotates clockwise, so that the driving rod 64 is pushed downward. Under the cooperation of the convex shaft 641 and the through groove 6511, the pressing rod 65 rotates clockwise, so that the pressing plate 661 presses on the upper limb, which is Figure 6 the state of.

[0077] Preferably, in the embodiment of the present application, the pressing rod 65 includes a first rod body 651 and a second rod body 652 which are integrally connected. A through groove 6511 is formed in the first rod body 651. A convex shaft 641 is provided on the driving rod 64. The convex shaft 641 is slidably matched with the through groove 6511. The second rod body 652 is connected to the pressing plate 661.

[0078] Preferably, in the embodiment of the present application, the pressing plate 661 and the corresponding second rod body 652 are connected by a connecting rod 66.

[0079] Preferably, in the embodiment of the present application, a pair of fixed seats 69 are symmetrically arranged in the installation groove 612, and the pressing rod 65 is pivotally connected to the corresponding fixed seat 69.

[0080] In the embodiment of the present application, a first protective pad 67 and a second protective pad 68 are arranged in each of the pair of placement grooves 611 of the second box body 61, and the upper limb can be fixed between the first protective pad 67, the second protective pad 68 and the pressing plate 661.

[0081] Preferably, in the embodiment of the present application, the first protective pad 67 is arranged at the bottom of the corresponding placement groove 611, and the second protective pad 68 is arranged on the side wall of the corresponding placement groove 611, so that the placement positions of the first protective pad 67, the second protective pad 68 and the pressing plate 661 form a triangle. The triangle has stability. Therefore, the first protective pad 67, the second protective pad 68 and the pressing plate 661 cooperate to firmly fix the upper limb.

[0082] Preferably, the user can place the upper limb according to the actual situation. Specifically, the second protective pad 68 can place the upper arm, the lower arm, the elbow and the wrist.

[0083] Preferably, in the embodiment of the present application, a pressure sensor is arranged in the pressing plate 661. By setting a pressure value, when the extrusion force of the pressing plate 661 on the upper limb reaches the set value, the third motor 62 stops, so as to prevent the upper limb from being clamped.

[0084] Preferably, in order to improve the comfort of use, soft pads are arranged on the first protective pad 67, the second protective pad 68 and the pressing plate 661.

[0085] Preferably, in the embodiment of the present application, a controller 7 is installed on one of the brackets 2, and the first motor 41, the second motor 52 and the third motor 62 are all electrically connected to the controller 7.

[0086] Working principle: According to the standing or sitting posture of the user, operate the first motor 41 to work, so that the wrist fixing mechanism 6 moves to a suitable height and then stops. Place the upper limb on the second protective pad 68 and closely attach it to the first protective pad 67. Start the third motor 62 so that the pressing plate 661 presses on the upper limb to fix the upper limb. Finally, start the second motor 52 so that the moving plate 58 moves up and down, thereby performing reciprocating up and down movements on the upper limb, so as to achieve the purpose of training the upper limb.

[0087] The above are only the preferred embodiments of the present application and are not intended to limit the present application. For those skilled in the art, various changes and modifications can be made to the embodiments of the present application. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present application shall be included in the protection scope of the present application.

Claims

1. An upper limb rehabilitation device for treating scapulohumeral periarthritis, characterized in that: include: Base (1); A pair of lifting and adjusting mechanisms (4) symmetrically mounted on the base (1); A repeated lifting mechanism (5) connected to the pair of lifting and lowering adjustment mechanisms (4); A wrist fixing mechanism (6) connected to the repeated lifting mechanism (5), wherein the wrist fixing mechanism (6) is used to fix the upper limb; The moving block (43) of the lifting and lowering adjustment mechanism (4) drives the repeated lifting mechanism (5) to move up and down, thereby adjusting the height of the repeated lifting mechanism (5); the moving plate (58) of the repeated lifting mechanism (5) is connected to the wrist fixing mechanism (6) so that the repeated lifting mechanism (5) can drive the wrist fixing mechanism (6) to move back and forth up and down.

2. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 1, characterized in that: The lifting and lowering adjustment mechanism (4) further comprises: A first driver mounted on a bracket (2) of the base (1); a first screw rod (42) connected to the first driver; a first screw nut (45) threadedly connected to the first screw (42), the moving block (43) being connected to the first screw nut (45); A guide rod (44) slidably matched with the moving block (43).

3. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 2, characterized in that: The repeated lifting mechanism (5) further comprises: A first box (51) connected to the moving block (43); a second driver installed in the first housing (51); a reciprocating assembly connected to the second drive, the moving plate (58) being connected to the reciprocating assembly; a pair of guide slides (512) slidably engaged with the movable plate (58); A pair of supporting rods (59) are connected to the movable plate (58), and the pair of supporting rods (59) are connected to the wrist fixing mechanism (6).

4. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 3, characterized in that: The reciprocating assembly comprises: a second screw rod (53) connected to the second driver; A first slide cylinder (54) connected to the second screw rod (53) via a second screw rod nut (542); A second slide cylinder (55) connected to the second screw rod (53) via a third screw rod nut (552); a first connecting rod (56) hinged between the first slide cylinder (54) and the moving plate (58); A second connecting rod (57) is hinged between the second slide cylinder (55) and the moving plate (58).

5. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 4, characterized in that: The second screw rod (53) is provided with a right-handed threaded portion (531) threadably matched with the second screw rod nut (542) and a left-handed threaded portion (532) threadably matched with the third screw rod nut (552).

6. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 4, characterized in that: The first slide cylinder (54) has a first sliding block (541), and the second slide cylinder (55) has a second sliding block (551). The first sliding block (541) and the second sliding block (551) are both slidably matched with the sliding groove (511) of the first box body (51).

7. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 3, characterized in that: The wrist fixing mechanism (6) comprises: A second box (61) connected to a pair of support rods (59); A pair of fixed drive components symmetrically mounted in the second housing (61); a pair of pressure rods (65) symmetrically hinged in the second box (61), wherein the pressure rods (65) are slidably connected to the corresponding fixed drive components; A pair of pressing plates (661) are respectively connected to the corresponding pressing rods (65), and the pressing plates (661) are used to fix the upper limbs.

8. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 7, characterized in that: The fixed drive assembly comprises: a third driver, the third driver being installed in the second housing (61); a rotating disk (63), the rotating disk (63) being coaxially mounted with the third driver; A curved rod (631), wherein the curved rod (631) is hingedly connected to the rotating disk (63); A driving rod (64), wherein the driving rod (64) is hinged on the curved rod (631), and the driving rod (64) is slidably matched with the pressing rod (65).

9. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 8, characterized in that: The pressure rod (65) comprises a first rod body (651) and a second rod body (652) which are integrally connected, the first rod body (651) being provided with a through groove (6511) which is slidably matched with the convex shaft (641) of the driving rod (64), and the second rod body (652) being connected to the pressure plate (661).

10. The upper limb rehabilitation device for treating scapulohumeral periarthritis according to claim 9, characterized in that: A first protective pad (67) and a second protective pad (68) are provided in a pair of placement grooves (611) of the second box body (61), and the upper limb can be fixed between the first protective pad (67), the second protective pad (68) and the pressing plate (661).