Thyroid postoperative neck auxiliary exercise device
By designing a neck-assisted exercise device after thyroid surgery, standardized neck rehabilitation exercises and muscle relaxation were achieved, solving the problems of additional burden and injury caused by non-standard exercises in existing technologies, and improving rehabilitation effects and safety.
Patent Information
- Application Number
- CN202511457373.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-10-13
- Publication Date
- 2025-11-18
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
The existing methods for assisting neck exercises after thyroid surgery lack supervision and standardization, resulting in insufficient exercise frequency and posture, which can easily cause additional burden or injury.
A neck support exercise device for thyroid surgery is designed, including a wheelchair, a height-adjustable backrest, an arc frame, and a rotating lifting frame. By precisely controlling the amplitude and frequency of head and neck swaying, combined with massage and cleaning/disinfection components, it enables standardized rehabilitation exercises and muscle relaxation.
Ensure that exercise time and posture meet the doctor's instructions to reduce muscle fatigue and injury, alleviate the care burden on family members, and improve rehabilitation effectiveness and safety.
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Figure CN120960025A_ABST
Abstract
Description
Technical Field
[0001] This application relates to the field of exercise devices, and more specifically, to a neck exercise device for post-thyroidectomy. Background Technology
[0002] The thyroid gland is located in the front of the neck, below and to the sides of the thyroid cartilage. It is fixed to the larynx and tracheal walls by ligaments and moves up and down synchronously with the larynx during swallowing. Its overall shape is "H," consisting of two lateral lobes and a central isthmus, resembling a butterfly. It is an important endocrine gland in the human body. Thyroid diseases are very common clinically. For example, hyperthyroidism is caused by excessive secretion of thyroid hormones, and patients often experience typical symptoms such as heat intolerance, palpitations, and excessive sweating. For some thyroid diseases, surgery is a key treatment. Post-operatively, to promote neck function recovery, targeted neck rehabilitation exercises are necessary. Initially, slow left and right neck rotations should be performed to gradually improve neck flexibility and lay the foundation for subsequent recovery.
[0003] Currently, most post-thyroidectomy neck rehabilitation exercises are presented in video format, requiring patients to watch the videos and then imitate the exercises on their own. This method is significantly inconvenient and can negatively impact rehabilitation outcomes: on the one hand, many patients, due to a lack of supervision and insufficient self-management skills, find it difficult to strictly adhere to medical advice to ensure sufficient exercise duration, resulting in insufficient frequency and total amount of exercise; on the other hand, patients cannot accurately grasp the details of the movements by simply observing the videos, and their exercise postures often deviate from the medical advice, not only failing to achieve the expected rehabilitation goals but also potentially causing additional burden on the neck healing tissue due to improper movements. Summary of the Invention
[0004] This application aims to address at least one of the technical problems existing in the prior art. To this end, this application proposes a cervical auxiliary exercise device after thyroid surgery. When the patient is seated in a wheelchair, the bottom of their jaw rests on the upper part of two symmetrically arranged arc-shaped frames. These arc-shaped frames provide stable support for the head, effectively distributing head weight and reducing the burden on neck muscles, thereby alleviating fatigue during rehabilitation exercises. The core of the device uses the rotating end of a lifting frame to drive the head and neck in a left-right reciprocating swing. The amplitude and frequency of this swing can be precisely controlled, strictly matching the neck exercise posture required by the doctor's orders. This avoids the risk of poor rehabilitation or tissue damage due to deviations in movement, such as excessive or insufficient swing angles or uneven force, that can occur when patients exercise on their own. Furthermore, the device has a function to control the exercise duration. Once the recommended exercise time has been reached, the symmetrical arc-shaped frames are removed from the bottom of the patient's jaw. This ensures that the patient completes sufficient rehabilitation training and, through standardized posture control and duration management, improves neck function recovery while minimizing unnecessary additional harm, ensuring the safety and standardization of the rehabilitation process.
[0005] A post-thyroidectomy neck support exercise device according to an embodiment of this application includes: a wheeled chair and an exercise component. The wheeled chair is equipped with a height-adjustable backrest. The exercise component includes a lifting rod, a first rotating block, a first telescopic frame, a rotating lifting frame, an arc-shaped frame, a first bidirectional slide rail, and a shoulder frame. The bottom of the lifting rod is fixedly connected to the wheeled chair, the upper part of the lifting rod is rotatably connected to the first rotating block, one side of the first telescopic frame is fixedly connected to the first rotating block, the telescopic end of the first telescopic frame is rotatably connected to the rotating end of the rotating lifting frame, the lifting end of the rotating lifting frame is rotatably connected to one side of the arc-shaped frame, the arc-shaped frames are symmetrically arranged, a first soft sleeve is provided on the outside of the arc-shaped frame, the sliding end of the first bidirectional slide rail is slidably connected to the bottom of the telescopic end of the first telescopic frame, the shoulder frame is fixedly connected to the sliding end of the first bidirectional slide rail, the shoulder frames are symmetrically arranged, and a second soft sleeve is provided on the outside of the shoulder frames.
[0006] According to an embodiment of this application, a post-thyroidectomy neck support exercise device has the following advantages: During use, the patient first sits on a wheelchair. The wheelchair design facilitates flexible movement of the entire device, significantly improving the convenience of use. The patient then leans their back against the adjustable backrest. By adjusting the height of the adjustable backrest, the back support needs of patients of different heights can be precisely adapted, ensuring a comfortable and stable sitting posture. Next, the patient slowly moves their head and neck towards the curved frame area. The height of the first rotating block is adjusted using the lifting end of the first lifting frame to initially match the patient's head position. Then, the bottom of one side of the shoulder frame rests against the upper part of the patient's shoulder, and the distance between the two symmetrical shoulder frames is adjusted using the sliding end of the first bidirectional slide rail until it completely fits the patient's shoulder width, providing auxiliary support for subsequent head fixation. Once the two symmetrical curved frames are precisely clamped at the bottom of the patient's jaw, the curved frames are fixed. Simultaneously, the adjustment function of the lifting end of the rotating lifting frame is used to further adjust the position. Further fine-tuning the height of the curved frame ensures stable support for the patient's head. This effectively distributes the head's weight, preventing additional pressure on the neck muscles and reducing muscle fatigue during rehabilitation exercises. After completing the initial preparations, the rotating end of the lifting frame is activated, causing the two curved frames to swing back and forth. This guides the patient's head and neck to perform synchronized, standardized left-right swinging exercises. During this process, the swinging amplitude of the lifting frame can be flexibly set according to the patient's rehabilitation stage, such as the early postoperative period or the recovery period, to avoid discomfort caused by inappropriate amplitude. The swinging duration is also preset to ensure that the exercise time fully complies with the doctor's instructions. This design not only ensures that the patient completes sufficient rehabilitation training but also avoids deviations in movement and time management through standardized posture control. While improving the recovery of neck function, it minimizes additional injuries caused by improper movements, comprehensively guaranteeing the safety and standardization of the rehabilitation process.
[0007] In addition, a post-thyroidectomy neck exercise device according to an embodiment of this application also has the following additional technical features: According to this application, a soft seat cushion is fixedly installed on one side of the upper part of the wheelchair. The adjustable backrest includes a connecting plate, a first frame, a second frame, a first motor, a first lead screw, and a backrest. The first frame, the second frame, and the first lead screw are symmetrically arranged. The bottom of the second frame is fixedly connected to the wheelchair. The bottom of the first frame is slidably connected to the upper side of the second frame. One end of the first lead screw is rotatably connected to the second frame, and the other end of the first lead screw is threadedly connected to the first frame. The first motor is fixedly connected to the bottom of the wheelchair. The output end of the first motor is fixedly connected to the bottom of one of the first lead screws. The two first lead screws are connected by transmission. One side of the connecting plate is fixedly connected to one of the first frames, and the other side of the connecting plate is fixedly connected to another first frame. The connecting plate is fixedly connected to the backrest.
[0008] According to this application, straps are provided on one side of the second frame and one side of the cushion. The lifting rod includes a first rod, a second rod, a second motor, and a second lead screw. The bottom of the second rod is fixedly connected to the wheeled chair. The bottom of the first rod is slidably connected to the inner side of the upper part of the second rod. The second motor is fixedly connected to the bottom of the wheeled chair. The output end of the second motor is fixedly connected to the bottom of the second lead screw. One end of the second lead screw is rotatably connected to the second rod. The other end of the second lead screw is threadedly connected to the first rod. The upper part of the first rod is rotatably connected to the first rotating block.
[0009] According to this application, a spring is provided inside the first rotating block, and a limiting bead is provided at one end of the spring. A circular block is provided on the upper part of the first rod body, and grooves are spaced apart on the peripheral surface of the circular block. The limiting bead abuts against the inside of the groove. The first telescopic frame includes a third frame, a fourth frame, and a first telescopic member. One side of the fourth frame is fixedly connected to the first rotating block, and one side of the third frame is slidably connected to the other side of the fourth frame. The end of the first telescopic member is fixedly connected to one side of the fourth frame, and the output end of the first telescopic member is fixedly connected to one side of the third frame.
[0010] According to this application, the rotating lifting frame includes a third motor, a fifth frame, a sixth frame, and a second telescopic member. The third motor is fixedly connected to one side of the third frame, the output end of the third motor is fixedly connected to one side of the sixth frame, the bottom of the fifth frame is slidably connected to the inside of the sixth frame, the end of the second telescopic member is fixedly connected to the bottom of the sixth frame, and the output end of the second telescopic member is fixedly connected to the fifth frame.
[0011] According to this application, the first bidirectional slide rail includes a fourth motor, a first bidirectional threaded rod, and a first slide. The first slide is symmetrically arranged. The fourth motor is fixedly connected to one side of the third frame. The output end of the fourth motor is fixedly connected to one end of the first bidirectional threaded rod. The first bidirectional threaded rod is rotatably connected to one side of the third frame. The first slide is slidably connected to the third frame. The first slide is threadedly connected to the first bidirectional threaded rod. The shoulder frame is fixedly connected to the first slide.
[0012] According to this application, a tension spring is provided on one side of the arc-shaped frame, and the other end of the tension spring is hung on one side of the fifth frame. A connecting strap is provided between the two first soft sleeves, and one end of the connecting strap is connected to one of the first soft sleeves by Velcro.
[0013] Before starting rehabilitation exercises after thyroid surgery, patients usually need to be guided to relax their whole body to relieve muscle stiffness in the neck and shoulders caused by postoperative discomfort or long-term immobilization, laying the foundation for subsequent standardized exercises. Currently, this relaxation process often relies on family members to perform manual massage. Family members need to massage the patient's shoulder and neck muscles in a targeted manner to help them relax. However, this method will significantly increase the daily care workload of family members, especially for family members who need to accompany the patient for a long time during rehabilitation. The extra massage care may increase their physical and mental burden, and there are also cases where the ideal relaxation effect cannot be achieved due to improper massage techniques or pressure.
[0014] According to this application, a massage assembly is also included, comprising an eighth motor, a second rotating block, a lifting frame, a second telescopic frame, a linear slide rail, a second bidirectional slide rail, a first massage head, and a second massage head. The eighth motor is fixedly connected to one side of the lifting end of the lifting frame. The bottom of the lifting frame is fixedly connected to the wheeled chair. The lifting end of the lifting frame is rotatably connected to the second rotating block. The output end of the eighth motor is drively connected to the second rotating block. An insert is provided on the upper part of the second rotating block, and the insert is inserted into the first rotating block. One side of the second telescopic frame is fixedly connected to the second rotating block. The linear slide rail is slidably connected to the upper middle part of the telescopic end of the second telescopic frame. The sliding end of the second bidirectional slide rail is slidably connected to the telescopic end of the second telescopic frame. The first massage head is fixedly connected to the sliding end of the linear slide rail. The second massage heads are symmetrically arranged and fixedly connected to the sliding end of the second bidirectional slide rail. The lifting rod and the lifting frame rise synchronously, driving the first and second rotating blocks to rise respectively. The insert block on the upper part of the second rotating block is inserted into the first rotating block, allowing the second rotating block to drive the first rotating block to rotate synchronously. When the first and second telescopic frames reach a certain height, the output of the eighth motor drives the second rotating block to rotate, which in turn drives the second telescopic frame to rotate. The second telescopic frame then drives the linear slide rail and the second bidirectional slide rail to rotate. The sliding end of the linear slide rail drives the first massage head to rotate, and the sliding end of the second bidirectional slide rail drives the second massage head to rotate. The first and second massage heads are rotated above the lifting backrest. At this point, the second rotating block has driven the first rotating block to rotate, which in turn drives the first telescopic frame to rotate. The rotating lifting frame, the arc-shaped frame, and the shoulder frame rotate, at which point the arc-shaped frame and the shoulder frame are already away from the lifting backrest. After adjusting the position of the first and second massage heads at the telescopic end of the second telescopic frame, the lifting end of the lifting frame adjusts the height of the first and second massage heads. Then, the sliding end of the linear slide rail adjusts the height of the first massage head. The patient's neck is placed inside the massage end of the first massage head to massage and relax stiff muscles, and the patient's shoulders are placed inside the massage end of the second massage head to massage and relax stiff muscles. After the massage, the arc-shaped plate is rotated over to perform rehabilitation exercises, achieving seamless connection. This reduces the extra massage and care burden on relatives, ensures the massage intensity, and increases the length of muscle relaxation, allowing the patient's body and mind to relax and laying a good foundation for rehabilitation exercises.
[0015] First, the lifting rod and the lifting frame rise synchronously, causing the first and second rotating blocks to rise accordingly, until the upper insert of the second rotating block precisely inserts into the first rotating block. At this point, the two form a linkage structure, and the second rotating block can drive the first rotating block to rotate synchronously, laying the foundation for the coordinated action of subsequent components. When the first and second telescopic frames extend to the preset height, the eighth motor starts, and its output end drives the second rotating block to rotate. The second rotating block further drives the second telescopic frame to rotate, which in turn pulls the linear slide rail and the second bidirectional slide rail to rotate synchronously. At the same time, the sliding end of the linear slide rail drives the first massage head to rotate, and the sliding end of the second bidirectional slide rail drives the second massage head to rotate. Finally, the first and second massage heads are precisely rotated to the area directly above the lifting backrest. During this process, the second rotating block has synchronously driven the first rotating block to rotate, and the first rotating block then pulls the first telescopic frame to rotate, and the first telescopic frame further... The device rotates the lifting frame, arc frame, and shoulder frame as a whole, moving the arc frame and shoulder frame away from the lifting backrest to avoid interfering with the massage operation. Then, the telescopic end of the second telescopic frame precisely adjusts the horizontal position of the first and second massage heads, while the lifting end of the lifting frame adjusts their overall height. Next, the sliding end of the linear guide rail individually fine-tunes the height of the first massage head, ensuring the patient's neck fits precisely into the massage end of the first massage head, while the patient's shoulders fit into the massage ends of the second massage heads. Through standardized massage movements, stiff muscles in the neck and shoulders are effectively relaxed. After the massage, the device immediately rotates the arc frame to the working position, seamlessly connecting to subsequent neck rehabilitation exercises. This design not only significantly reduces the extra massage and care burden on family members but also allows for precise control of massage intensity and range, enhancing muscle relaxation and helping patients fully relax, laying a solid foundation for subsequent standardized rehabilitation exercises.
[0016] According to this application, the second rotating block has a hole in the middle, the lifting rod passes through the hole, the hole passes through the insert block, the output end of the eighth motor is provided with a gear, the second rotating block is provided with a gear ring, the gear meshes with the gear ring, the lifting frame includes a seventh frame, an eighth frame and a third telescopic member, the bottom of the eighth frame and the end of the third telescopic member are fixedly connected to the wheelchair, the bottom of the seventh frame is slidably connected to the inside of the eighth frame, the upper part of the seventh frame is rotatably connected to the second rotating block, and the output end of the third telescopic member is fixedly connected to the seventh frame.
[0017] According to this application, the second telescopic frame includes a ninth frame, a tenth frame, and a fourth telescopic member. One side of the ninth frame is internally slidably connected to one side of the tenth frame, the other side of the tenth frame is fixedly connected to the second rotating block, the end of the fourth telescopic member is fixedly connected to the tenth frame, and the output end of the fourth telescopic member is fixedly connected to the ninth frame.
[0018] According to this application, the linear slide rail includes a fifth motor, a fifth lead screw, and a second slide. The fifth motor is fixedly connected to the upper part of one side of the ninth frame, the output end of the fifth motor is drivenly connected to the fifth lead screw, the fifth lead screw is rotatably connected to the ninth frame, one side of the second slide is slidably connected to the ninth frame, and the other side of the second slide is fixedly connected to the first massage head.
[0019] According to this application, the second bidirectional slide rail includes a sixth motor, a second bidirectional threaded rod, and a third slide. The sixth motor is fixedly connected to one side of the ninth frame, the output end of the sixth motor is drivenly connected to the second bidirectional threaded rod, the third slide is slidably connected to the ninth frame, the second bidirectional threaded rod is threadedly connected to the third slide, and the second massage head is fixedly connected to the third slide.
[0020] During use, most parts of medical massage devices come into direct contact with human skin, especially the massage ends that fit against the neck and shoulders. These areas are prone to accumulating sweat, dust, and oil from the skin's metabolism. If these contaminants remain for a long time, they can not only affect the device's usability but also pose hygiene risks. Currently, the common method for cleaning these devices is to manually spray cleaning agents and then wipe them clean. However, this method significantly increases the daily workload of medical staff, taking away time and energy that could be used for core diagnostic and nursing work.
[0021] According to this application, a cleaning and disinfection assembly is also included. The cleaning and disinfection assembly includes a liquid supply component, a horizontal axis, a vertical axis, a central block, and a soft wiping block. Multiple central blocks and soft wiping blocks are provided. One central block is fixedly connected to one end of the horizontal axis, another central block is fixedly connected to the other end of the horizontal axis, and another central block is fixedly connected to the upper part of the vertical axis. A seventh motor is provided at the bottom of the vertical axis. The soft wiping block is fixedly connected to the outside of the central block. A nozzle is provided on the central block. Both the horizontal and vertical axes are hollow. One end of the horizontal axis and one end of the vertical axis are connected to the output end of the liquid supply component. The output end of the liquid supply component is connected to the nozzles provided on the two central blocks at both ends of the horizontal axis through the horizontal axis. The output end of the liquid supply component is connected to the nozzles provided on the central block at the upper part of the vertical axis through the vertical axis. Both the horizontal and vertical axes are rotatably connected to the wheeled chair, and there is a transmission connection between the horizontal and vertical axes. After the first and second massage heads complete their massage operation, the second rotating block rotates them synchronously to a position away from the lifting backrest to avoid interference with the patient or other components. Then, the telescopic end of the second telescopic frame retracts, adjusting the horizontal position of the massage heads. Next, the lifting end of the lifting frame moves downwards, causing the first and second massage heads to descend synchronously. The first massage head precisely descends to the periphery of the soft wiping block on the outer side of the upper center block of the longitudinal axis, while the second massage head descends to the periphery of the soft wiping blocks on the outer side of the center blocks at both ends of the transverse axis, completing the pre-cleaning positioning and docking. After positioning, the seventh motor starts, its output driving the longitudinal axis to rotate. The longitudinal axis further drives the transverse axis to rotate synchronously, causing multiple center blocks on both axes to rotate synchronously. As the center blocks rotate, they cause the outer soft wiping blocks to rotate as well, wiping the... The contact friction between the block and the surface of the massage head physically wipes the massage ends of the first and second massage heads respectively. At the same time, the output end of the liquid supply unit is activated, delivering the cleaning and disinfecting solution to the internal channels of the vertical and horizontal axes respectively. Part of the cleaning and disinfecting solution is delivered through the internal channel of the horizontal axis to the nozzles built into the central blocks at both ends, and the other part is delivered through the internal channel of the vertical axis to the nozzle built into the central block at the top. Subsequently, the cleaning and disinfecting solution is precisely sprayed onto the massage end surfaces of the first and second massage heads through the nozzles, achieving a dual cleaning effect of "wiping and spraying disinfection simultaneously". The entire process requires no manual intervention, and the cleaning and disinfection of the massage heads is completed quickly through mechanized operation. This not only ensures the standardization of cleaning effect but also significantly reduces the manual cleaning burden on medical staff, while reducing the time required for manual cleaning, allowing medical staff to have more time to perform core diagnostic and nursing work.
[0022] According to this application, the horizontal axis and the vertical axis are connected by a worm gear transmission. The liquid supply component includes a liquid pump and a liquid tank. Both the liquid pump and the liquid tank are fixedly connected to the wheeled chair. The input end of the liquid pump is connected to the liquid tank, and the output end of the liquid pump is connected to the horizontal axis and the vertical axis respectively. Attached Figure Description
[0023] To more clearly illustrate the technical solutions of the embodiments of this application, the drawings used in the embodiments will be briefly introduced below. It should be understood that the following drawings only show some embodiments of this application and should not be regarded as a limitation of the scope. For those skilled in the art, other related drawings can be obtained from these drawings without creative effort.
[0024] Figure 1 This is a first-view structural schematic diagram of a neck assistive exercise device after thyroid surgery provided in the embodiments of this application; Figure 2A partial structural schematic diagram of a wheeled chair provided for an embodiment of this application; Figure 3 A partial structural diagram of the adjustable backrest provided in an embodiment of this application; Figure 4 A partial structural schematic diagram of the exercise component provided in an embodiment of this application; Figure 5 A schematic diagram of the disassembled structure between the first rotating block and the lifting rod provided in the embodiments of this application; Figure 6 A partial structural schematic diagram of the first telescopic frame provided for an embodiment of this application; Figure 7 A partial structural schematic diagram of the rotating lifting frame provided in the embodiments of this application; Figure 8 A partial structural schematic diagram of the first bidirectional slide rail provided for an embodiment of this application; Figure 9 A partial structural schematic diagram of the lifting frame provided in the embodiments of this application; Figure 10 A partial structural schematic diagram of the gear and gear ring provided for embodiments of this application; Figure 11 A partial structural schematic diagram of the linear slide rail and the second bidirectional slide rail provided for embodiments of this application; Figure 12 This is a partial structural diagram of the cleaning and disinfection assembly provided in the embodiments of this application.
[0025] In the diagram: 100 - Wheeled chair; 110 - Adjustable backrest; 111 - Connecting plate; 112 - First frame; 113 - Second frame; 114 - First motor; 115 - First lead screw; 116 - Cushion; 117 - Straps; 120 - Soft seat cushion; 200 - Exercise component; 210 - Lifting bar; 211 - First bar; 212 - Second bar; 213 - Second motor; 214 - Second lead screw; 215 - Circular block; 217 - Groove; 220 - First rotating block; 2 21-Spring; 222-Limiting bead; 230-First telescopic frame; 231-Third frame; 232-Fourth frame; 233-First telescopic component; 240-Rotating lifting frame; 241-Third motor; 242-Fifth frame; 243-Sixth frame; 244-Second telescopic component; 250-Arc-shaped frame; 251-First soft sleeve; 252-Tension spring; 253-Connecting belt; 260-First bidirectional slide rail; 261-Fourth motor; 262-First bidirectional threaded rod; 26 3-First slide; 270-Shoulder frame; 271-Second soft sleeve; 300-Massage component; 310-Eighth motor; 311-Gear; 320-Second rotating block; 321-Insertion block; 322-Hole; 323-Gear ring; 330-Lifting frame; 331-Seventh frame; 332-Eighth frame; 333-Third telescopic component; 340-Second telescopic frame; 341-Ninth frame; 342-Tenth frame; 343-Fourth telescopic component; 350-Linear slide rail; 351 - Fifth motor; 352- Fifth lead screw; 353- Second slide; 360- Second bidirectional slide rail; 361- Sixth motor; 362- Second bidirectional threaded rod; 363- Third slide; 370- First massage head; 380- Second massage head; 400- Cleaning and disinfection assembly; 410- Liquid supply unit; 411- Liquid pump; 412- Liquid tank; 420- Horizontal axis; 430- Vertical axis; 431- Seventh motor; 440- Center block; 441- Nozzle; 450- Soft wiping block. Detailed Implementation
[0026] To make the objectives, technical solutions, and advantages of the embodiments of this application clearer, the technical solutions of the embodiments of this application will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only a part of the embodiments of this application, not all of them. Based on the embodiments of this application, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of this application.
[0027] The following description, with reference to the accompanying drawings, describes an embodiment of a thyroid surgery neck support exercise device according to the present application.
[0028] like Figures 1-12As shown, a post-thyroidectomy neck support exercise device according to an embodiment of this application includes a wheelchair 100 and an exercise component 200.
[0029] The wheelchair 100 is equipped with a height-adjustable backrest 110. The exercise component 200 includes a lifting rod 210, a first rotating block 220, a first telescopic frame 230, a rotating lifting frame 240, an arc-shaped frame 250, a first bidirectional slide rail 260, and a shoulder support 270. The bottom of the lifting rod 210 is fixedly connected to the wheelchair 100, and the upper part of the lifting rod 210 is rotatably connected to the first rotating block 220. One side of the first telescopic frame 230 is fixedly connected to the first rotating block 220. The telescopic end is rotatably connected to the rotating end of the rotating lifting frame 240. The lifting end of the rotating lifting frame 240 is rotatably connected to one side of the arc frame 250. The arc frame 250 is symmetrically arranged. A first soft sleeve 251 is provided on the outside of the arc frame 250. The sliding end of the first bidirectional slide rail 260 is slidably connected to the bottom of the telescopic end of the first telescopic frame 230. The shoulder frame 270 is fixedly connected to the sliding end of the first bidirectional slide rail 260. The shoulder frame 270 is symmetrically arranged. A second soft sleeve 271 is provided on the outside of the shoulder frame 270.
[0030] The working process of a post-thyroidectomy neck assistive exercise device according to a specific embodiment of this application is described below with reference to the accompanying drawings. First, the patient sits on the soft seat cushion 120 of the wheelchair 100, with their back against the cushion 116 of the adjustable backrest 110. The first motor 114 is started, and its output drives the symmetrically arranged first lead screw 115 to rotate, causing the first frame 112 to slide up and down along the second frame 113, thereby adjusting the overall height of the adjustable backrest 110 to accommodate the back support needs of patients of different heights. After the height is adjusted, the patient's body is fixed by the straps 117 on one side of the adjustable backrest 110 and the second frame 113 to ensure a stable sitting posture during exercise and to prevent the body from shifting and affecting the exercise effect. Next, the exercise components are positioned and adjusted: First, the height and angle are adjusted, and the second motor 213 is started. Its output end drives the second lead screw 214 to rotate, causing the first rod 211 to rise and fall along the second rod 212. This drives the first rotating block 220 and the connected first telescopic frame 230 to adjust their height synchronously. During this process, the limiting bead 222 inside the first rotating block 220 abuts against the groove 217 of the upper circular block 215 of the first rod 211 under the elastic force of the spring 221, which helps to fix the rotation angle of the first rotating block 220 and lays the foundation for the subsequent component positioning. Then, the horizontal distance and the distance between the shoulder frame 270 are adjusted. The output end of the first telescopic component 233 pushes the third frame 231 to extend and retract along the fourth frame 232, changing the horizontal distance between the rotating lifting frame 240 and the patient. Simultaneously, the fourth motor 261 is activated, and its output end drives the first bidirectional threaded rod 262 to rotate, causing the symmetrical first slide 263 to slide along the third frame 231, thereby adjusting the spacing of the shoulder frame 270 so that the shoulder frame 270 fits the patient's shoulder. The second soft sleeve 271 on the outside of the shoulder frame 270 can improve contact comfort. Finally, the head support positioning is completed, and the second telescopic component 244 is activated. Its output end pushes the fifth frame 242 to rise and fall along the sixth frame 243, adjusting the height of the symmetrical arc frame 250. The arc frame 250 is wrapped with the first soft sleeve 251 and clamped to the bottom of the patient's jaw. It is fixed by the Velcro of the connecting strap 253, thereby supporting the head through the arc frame 250, distributing the weight of the head, and reducing the burden on the neck muscles. Finally, standardize the execution of rehabilitation exercises: start the third motor 241, whose output drives the sixth frame 243 to rotate, which in turn drives the fifth frame 242 and the arc frame 250 to rotate back and forth synchronously. The arc frame 250 pulls the patient's head and neck to swing synchronously by clamping the jaw, forming a standardized neck rehabilitation exercise. During the exercise, the rotation parameters of the third motor 241 can be preset according to the patient's postoperative rehabilitation stage, such as the early stage or the recovery period, to precisely control the amplitude and duration of the neck swing and ensure that the exercise posture meets the requirements of the doctor's orders.
[0031] Therefore, this design not only ensures that patients can complete sufficient rehabilitation training, but also avoids deviations in self-exercise and time management through standardized posture control. While improving the recovery effect of neck function, it minimizes additional damage caused by non-standard movements, and comprehensively ensures the safety and standardization of the rehabilitation process.
[0032] In addition, a post-thyroidectomy neck exercise device according to an embodiment of this application also has the following additional technical features: According to this application, such as Figure 2 and Figure 3As shown, a soft seat cushion 120 is fixedly installed on one side of the upper part of the wheelchair 100. The adjustable backrest 110 includes a connecting plate 111, a first frame 112, a second frame 113, a first motor 114, a first lead screw 115, and a backrest 116. The first frame 112, the second frame 113, and the first lead screw 115 are symmetrically arranged. The bottom of the second frame 113 is fixedly connected to the wheelchair 100, and the bottom of the first frame 112 is slidably connected to the upper interior of the second frame 113. One end of the first lead screw 115... The first screw 115 is rotatably connected to the second frame 113, and the other end of the first screw 115 is threadedly connected to the first frame 112. The first motor 114 is fixedly connected to the bottom of the wheelchair 100. The output end of the first motor 114 is fixedly connected to the bottom of one first screw 115. The two first screws 115 are connected by transmission. One side of the connecting plate 111 is fixedly connected to one first frame 112, and the other side of the connecting plate 111 is fixedly connected to another first frame 112. The connecting plate 111 is fixedly connected to the cushion 116.
[0033] According to this application, such as Figure 3 and Figure 5 As shown, straps 117 are provided on one side of the second frame 113 and one side of the backrest 116. The lifting rod 210 includes a first rod 211, a second rod 212, a second motor 213, and a second lead screw 214. The bottom of the second rod 212 is fixedly connected to the wheelchair 100. The bottom of the first rod 211 is slidably connected to the inner side of the upper part of the second rod 212. The second motor 213 is fixedly connected to the bottom of the wheelchair 100. The output end of the second motor 213 is fixedly connected to the bottom of the second lead screw 214. One end of the second lead screw 214 is rotatably connected to the second rod 212. The other end of the second lead screw 214 is threadedly connected to the first rod 211. The upper part of the first rod 211 is rotatably connected to the first rotating block 220.
[0034] According to this application, such as Figure 5 and Figure 6 As shown, a spring 221 is provided inside the first rotating block 220, and a limit bead 222 is provided at one end of the spring 221. A circular block 215 is provided on the upper part of the first rod body 211. Grooves 217 are spaced apart on the peripheral surface of the circular block 215. The limit bead 222 abuts against the inside of the groove 217. The first telescopic frame 230 includes a third frame 231, a fourth frame 232 and a first telescopic member 233. One side of the fourth frame 232 is fixedly connected to the first rotating block 220. One side of the third frame 231 is slidably connected to the other side of the fourth frame 232. The end of the first telescopic member 233 is fixedly connected to one side of the fourth frame 232. The output end of the first telescopic member 233 is fixedly connected to one side of the third frame 231.
[0035] According to this application, such as Figure 7As shown, the rotating lifting frame 240 includes a third motor 241, a fifth frame 242, a sixth frame 243, and a second telescopic member 244. The third motor 241 is fixedly connected to one side of the third frame 241, and the output end of the third motor 241 is fixedly connected to one side of the sixth frame 243. The bottom of the fifth frame 242 is slidably connected to the inside of the sixth frame 243. The end of the second telescopic member 244 is fixedly connected to the bottom of the sixth frame 243, and the output end of the second telescopic member 244 is fixedly connected to the fifth frame 242.
[0036] According to this application, such as Figure 7 and Figure 8 As shown, the first bidirectional slide rail 260 includes a fourth motor 261, a first bidirectional threaded rod 262, and a first slide 263. The first slide 263 is symmetrically arranged. The fourth motor 261 is fixedly connected to one side of the third frame 231. The output end of the fourth motor 261 is fixedly connected to one end of the first bidirectional threaded rod 262. The first bidirectional threaded rod 262 is rotatably connected to one side of the third frame 231. The first slide 263 is slidably connected to the third frame 231. The first slide 263 is threadedly connected to the first bidirectional threaded rod 262. The shoulder frame 270 is fixedly connected to the first slide 263. A tension spring 252 is provided on one side of the arc frame 250. The other end of the tension spring 252 is hung on one side of the fifth frame 242. A connecting strap 253 is provided between the two first soft sleeves 251. One end of the connecting strap 253 is connected to one of the first soft sleeves 251 by Velcro.
[0037] Before starting rehabilitation exercises after thyroid surgery, patients usually need to be guided to relax their whole body to relieve muscle stiffness in the neck and shoulders caused by postoperative discomfort or long-term immobilization, laying the foundation for subsequent standardized exercises. Currently, this relaxation process often relies on family members to perform manual massage. Family members need to massage the patient's shoulder and neck muscles in a targeted manner to help them relax. However, this method will significantly increase the daily care workload of family members, especially for family members who need to accompany the patient for a long time during rehabilitation. The extra massage care may increase their physical and mental burden, and there are also cases where the ideal relaxation effect cannot be achieved due to improper massage techniques or pressure.
[0038] According to this application, such as Figures 9-11As shown, it also includes a massage assembly 300, which includes an eighth motor 310, a second rotating block 320, a lifting frame 330, a second telescopic frame 340, a linear slide rail 350, a second bidirectional slide rail 360, a first massage head 370, and a second massage head 380. The eighth motor 310 is fixedly connected to one side of the lifting end of the lifting frame 330. The bottom of the lifting frame 330 is fixedly connected to the wheelchair 100. The lifting end of the lifting frame 330 is rotatably connected to the second rotating block 320. The output end of the eighth motor 310 is drively connected to the second rotating block 320. An insert 321 is provided on the upper part of the second rotating block 320. The insert 321 is inserted into the first rotating block 220. One side of the second telescopic frame 340 is fixedly connected to the second rotating block 320. The linear slide rail 350 is slidably connected to the upper middle part of the telescopic end of the second telescopic frame 340. The sliding end of the second bidirectional slide rail 360 is slidably connected to the telescopic end of the second telescopic frame 340. The first massage head 370 is fixedly connected to the sliding end of the linear slide rail 350. The second massage heads 380 are symmetrically arranged and fixedly connected to the sliding end of the second bidirectional slide rail 360. It should be noted that the first massage head 370 and the second massage head 380 are both massage devices, which are health care equipment developed based on physics, bionics, bioelectricity and traditional Chinese medicine. They are iterative products of massage devices. They have functions such as relieving pain, promoting blood circulation and regulating immunity through simulating acupuncture, massage, and percussion techniques. They are existing products and technologies and will not be described in detail. The lifting rod 210 and lifting frame 330 are activated. The output end of the third telescopic component 333 pushes the seventh frame 331 to rise along the eighth frame 332. Synchronously with the lifting rod 210, this drives the first rotating block 220 and the second rotating block 320 to rise, causing the insert 321 on the upper part of the second rotating block 320 to insert into the first rotating block 220, forming a linkage. When the first telescopic frame 230 and the second telescopic frame 340 reach the preset height, the eighth motor 310 drives the second rotating block 320 to rotate through the meshing of the gear 311 and the gear ring 323. This, in turn, drives the second telescopic frame 340, the linear slide rail 350, and the second bidirectional slide rail 360 to rotate synchronously. At the same time, the first rotating block 220 moves in linkage with the second rotating block 320, causing the first telescopic frame 230, the arc frame 250, and the shoulder frame 270 to rotate away from the lifting backrest 110. To avoid interference, the second telescopic frame 340 is then adjusted to a horizontal position, the lifting frame 330 is adjusted to an overall height, the output of the fifth motor 351 drives the fifth lead screw 352 to rotate, the fifth lead screw 352 drives the second slide 353 to move, the second slide 353 drives the first massage head 370 to rise and fall along the linear slide rail 350, the output of the sixth motor 361 drives the second bidirectional threaded rod 362 to rotate, the second bidirectional threaded rod 362 drives the third slide 363 to rotate, the third slide 363 drives the second massage head 380 to adjust its spacing along the second bidirectional slide rail 360, and finally the first massage head 370 is aligned with the patient's neck and the second massage head 380 is aligned with both shoulders to perform a massage. After the massage is completed, all components are reset, the arc frame 250 rotates and resets to connect with subsequent exercises, achieving a seamless connection between massage and rehabilitation exercises.
[0039] According to this application, such as Figure 10 As shown, the second rotating block 320 has a hole 322 in the middle, the lifting rod 210 passes through the hole 322, the hole 322 passes through the insert block 321, the output end of the eighth motor 310 is provided with a gear 311, the second rotating block 320 is provided with a gear ring 323, and the gear 311 and the gear ring 323 are meshed and connected.
[0040] According to this application, such as Figure 9 As shown, the lifting frame 330 includes a seventh frame 331, an eighth frame 332, and a third telescopic member 333. The bottom of the eighth frame 332 and the end of the third telescopic member 333 are fixedly connected to the wheelchair 100. The bottom of the seventh frame 331 is slidably connected to the inside of the eighth frame 332. The upper part of the seventh frame 331 is rotatably connected to the second rotating block 320. The output end of the third telescopic member 333 is fixedly connected to the seventh frame 331.
[0041] According to this application, such as Figure 9As shown, the second telescopic frame 340 includes a ninth frame 341, a tenth frame 342, and a fourth telescopic member 343. One side of the ninth frame 341 is internally slidably connected to one side of the tenth frame 342, and the other side of the tenth frame 342 is fixedly connected to the second rotating block 320. The end of the fourth telescopic member 343 is fixedly connected to the tenth frame 342, and the output end of the fourth telescopic member 343 is fixedly connected to the ninth frame 341.
[0042] According to this application, such as Figure 11 As shown, the linear slide rail 350 includes a fifth motor 351, a fifth lead screw 352, and a second slide 353. The fifth motor 351 is fixedly connected to the upper part of one side of the ninth frame 341. The output end of the fifth motor 351 is connected to the fifth lead screw 352 for transmission. The fifth lead screw 352 is rotatably connected to the ninth frame 341. One side of the second slide 353 is slidably connected to the ninth frame 341, and the other side of the second slide 353 is fixedly connected to the first massage head 370.
[0043] According to this application, such as Figure 11 As shown, the second bidirectional slide rail 360 includes a sixth motor 361, a second bidirectional threaded rod 362, and a third slide 363. The sixth motor 361 is fixedly connected to one side of the ninth frame 341. The output end of the sixth motor 361 is drivenly connected to the second bidirectional threaded rod 362. The third slide 363 is slidably connected to the ninth frame 341. The second bidirectional threaded rod 362 is threadedly connected to the third slide 363. The second massage head 380 is fixedly connected to the third slide 363.
[0044] During use, most parts of medical massage devices come into direct contact with human skin, especially the massage ends that fit against the neck and shoulders. These areas are prone to accumulating sweat, dust, and oil from the skin's metabolism. If these contaminants remain for a long time, they can not only affect the device's usability but also pose hygiene risks. Currently, the common method for cleaning these devices is to manually spray cleaning agents and then wipe them clean. However, this method significantly increases the daily workload of medical staff, taking away time and energy that could be used for core diagnostic and nursing work.
[0045] According to this application, such as Figure 12As shown, it also includes a cleaning and disinfection assembly 400, which includes a liquid supply component 410, a horizontal axis 420, a vertical axis 430, a central block 440, and soft wiping blocks 450. Multiple central blocks 440 and soft wiping blocks 450 are provided. One central block 440 is fixedly connected to one end of the horizontal axis 420, another central block 440 is fixedly connected to the other end of the horizontal axis 420, and another central block 440 is fixedly connected to the upper part of the vertical axis 430. A seventh motor 431 is provided at the bottom of the vertical axis 430. The soft wiping blocks 450 are fixedly connected to the outside of the central blocks 440. The core block 440 is equipped with a nozzle 441. The horizontal axis 420 and the vertical axis 430 are both hollow. One end of the horizontal axis 420 and one end of the vertical axis 430 are connected to the output end of the liquid supply component 410. The output end of the liquid supply component 410 is connected to the nozzles 441 set in the two core blocks 440 at both ends of the horizontal axis 420 through the horizontal axis 420. The output end of the liquid supply component 410 is connected to the nozzles 441 set in the core block 440 set in the upper part of the vertical axis 430 through the vertical axis 430. The horizontal axis 420 and the vertical axis 430 are rotatably connected to the wheelchair 100, and there is a transmission connection between the horizontal axis 420 and the vertical axis 430. After the first massage head 370 and the second massage head 380 complete their massage, the second rotating block 320 rotates, causing the first massage head 370 and the second massage head 380 to move away from the lifting backrest 110. The second telescopic frame 340 retracts to adjust its horizontal position. The lifting frame 330's movement ultimately causes the first massage head 370 and the second massage head 380 to descend, aligning the first massage head 370 with the soft wiping block 450 of the upper center block 440 of the longitudinal axis 430, and the second massage head 380 with the soft wiping blocks 450 of the center blocks 440 at both ends of the transverse axis 420, completing the positioning and docking. Subsequently, the seventh motor 431 starts, and its output drives the longitudinal axis 430 to rotate. The shaft 430 drives the horizontal shaft 420 to rotate synchronously through a worm gear transmission, causing the central blocks 440 on the horizontal shaft 420 and the vertical shaft 430, as well as the external soft wiping blocks 450, to rotate together. Through friction, the surface of the massage head is physically wiped. At the same time, the liquid pump 411 of the liquid supply component 410 delivers the cleaning and disinfecting solution in the liquid tank 412 into the hollow horizontal shaft 420 and the vertical shaft 430, and delivers it through the internal channel to the nozzles 441 of each central block 440, which are precisely sprayed onto the surface of the massage head, achieving dual cleaning of "wiping and disinfecting at the same time". The whole process is completed automatically without manual intervention, ensuring standardized cleaning and disinfection effects, while reducing the workload of medical staff.
[0046] According to this application, such as Figure 12 As shown, the horizontal axis 420 and the vertical axis 430 are connected by a worm gear transmission. The liquid supply component 410 includes a liquid pump 411 and a liquid tank 412. Both the liquid pump 411 and the liquid tank 412 are fixedly connected to the wheel chair 100. The input end of the liquid pump 411 is connected to the liquid tank 412, and the output end of the liquid pump 411 is connected to the horizontal axis 420 and the vertical axis 430 respectively.
[0047] It should be noted that the first telescopic component 233, the second telescopic component 244, the third telescopic component 333, and the fourth telescopic component 343 are all any one of the following: electric push rod, electric cylinder, hydraulic cylinder, and pneumatic cylinder.
[0048] Other components and operations of the thyroid surgery neck assistive exercise device according to the embodiments of this application are known to those skilled in the art and will not be described in detail here.
[0049] The above are merely specific embodiments of this application, but the scope of protection of this application is not limited thereto. Any variations or substitutions that can be easily conceived by those skilled in the art within the scope of the technology disclosed in this application should be included within the scope of protection of this application. Therefore, the scope of protection of this application should be determined by the scope of the claims.
Claims
1. A neck support exercise device after thyroid surgery, characterized in that, include: A wheelchair (100) is provided with a height-adjustable backrest (110). The exercise assembly (200) includes a lifting rod (210), a first rotating block (220), a first telescopic frame (230), a rotating lifting frame (240), an arc frame (250), a first bidirectional slide rail (260), and a shoulder frame (270). The bottom of the lifting rod (210) is fixedly connected to the wheelchair (100), and the upper part of the lifting rod (210) is rotatably connected to the first rotating block (220). One side of the first telescopic frame (230) is fixedly connected to the first rotating block (220), and the telescopic end of the first telescopic frame (230) is connected to the rotating block (220). The rotating end of the rotating lifting frame (240) is rotatably connected, and the lifting end of the rotating lifting frame (240) is rotatably connected to one side of the arc frame (250). The arc frame (250) is symmetrically arranged, and a first soft sleeve (251) is provided on the outside of the arc frame (250). The sliding end of the first bidirectional slide rail (260) is slidably connected to the bottom of the telescopic end of the first telescopic frame (230). The shoulder frame (270) is fixedly connected to the sliding end of the first bidirectional slide rail (260). The shoulder frame (270) is symmetrically arranged, and a second soft sleeve (271) is provided on the outside of the shoulder frame (270).
2. The cervical spine assistive exercise device after thyroid surgery according to claim 1, characterized in that, A soft seat cushion (120) is fixedly installed on one side of the upper part of the wheelchair (100).
3. The cervical spine assistive exercise device after thyroid surgery according to claim 1, characterized in that, The adjustable backrest (110) includes a connecting plate (111), a first frame (112), a second frame (113), a first motor (114), a first lead screw (115), and a cushion (116). The first frame (112), the second frame (113), and the first lead screw (115) are symmetrically arranged. The bottom of the second frame (113) is fixedly connected to the wheelchair (100). The bottom of the first frame (112) is slidably connected to the upper interior of the second frame (113). One end of the first lead screw (115) is rotatably connected to the second frame (113). The other end of the first lead screw (115) is threadedly connected to the first frame (112), the first motor (114) is fixedly connected to the bottom of the wheelchair (100), the output end of the first motor (114) is fixedly connected to the bottom of one of the first lead screws (115), the two first lead screws (115) are connected by transmission, one side of the connecting plate (111) is fixedly connected to one of the first frames (112), the other side of the connecting plate (111) is fixedly connected to another first frame (112), and the connecting plate (111) is fixedly connected to the cushion (116).
4. The cervical spine assistive exercise device after thyroid surgery according to claim 3, characterized in that, Straps (117) are provided on one side of the second frame (113) and on one side of the cushion (116).
5. The cervical spine assistive exercise device after thyroid surgery according to claim 1, characterized in that, The lifting rod (210) includes a first rod body (211), a second rod body (212), a second motor (213), and a second lead screw (214). The bottom of the second rod body (212) is fixedly connected to the wheelchair (100). The bottom of the first rod body (211) is slidably connected to the inner side of the upper part of the second rod body (212). The second motor (213) is fixedly connected to the bottom of the wheelchair (100). The output end of the second motor (213) is fixedly connected to the bottom of the second lead screw (214). One end of the second lead screw (214) is rotatably connected to the second rod body (212). The other end of the second lead screw (214) is threadedly connected to the first rod body (211). The upper part of the first rod body (211) is rotatably connected to the first rotating block (220).
6. The cervical spine assistive exercise device after thyroid surgery according to claim 5, characterized in that, The first rotating block (220) is provided with a spring (221) inside. One end of the spring (221) is provided with a limiting bead (222). The upper part of the first rod (211) is provided with a round block (215). The peripheral surface of the round block (215) is provided with grooves (217) spaced apart. The limiting bead (222) abuts against the inside of the groove (217).
7. The cervical spine assistive exercise device after thyroid surgery according to claim 1, characterized in that, The first telescopic frame (230) includes a third frame (231), a fourth frame (232) and a first telescopic member (233). One side of the fourth frame (232) is fixedly connected to the first rotating block (220), one side of the third frame (231) is internally slidably connected to the other side of the fourth frame (232), the end of the first telescopic member (233) is fixedly connected to one side of the fourth frame (232), and the output end of the first telescopic member (233) is fixedly connected to one side of the third frame (231).
8. The cervical spine assistive exercise device after thyroid surgery according to claim 7, characterized in that, The rotating lifting frame (240) includes a third motor (241), a fifth frame (242), a sixth frame (243), and a second telescopic member (244). The third motor (241) is fixedly connected to one side of the third frame (231), and the output end of the third motor (241) is fixedly connected to one side of the sixth frame (243). The bottom of the fifth frame (242) is slidably connected to the inside of the sixth frame (243). The end of the second telescopic member (244) is fixedly connected to the bottom of the sixth frame (243), and the output end of the second telescopic member (244) is fixedly connected to the fifth frame (242).
9. A cervical spine assistive exercise device after thyroid surgery according to claim 7, characterized in that, The first bidirectional slide rail (260) includes a fourth motor (261), a first bidirectional threaded rod (262), and a first slide (263). The first slide (263) is symmetrically arranged. The fourth motor (261) is fixedly connected to one side of the third frame (231). The output end of the fourth motor (261) is fixedly connected to one end of the first bidirectional threaded rod (262). The first bidirectional threaded rod (262) is rotatably connected to one side of the third frame (231). The first slide (263) is slidably connected to the third frame (231). The first slide (263) is threadedly connected to the first bidirectional threaded rod (262). The shoulder frame (270) is fixedly connected to the first slide (263).
10. A cervical spine assistive exercise device after thyroid surgery according to claim 8, characterized in that, A tension spring (252) is provided on one side of the arc-shaped frame (250), and the other end of the tension spring (252) is hung on one side of the fifth frame (242). A connecting strap (253) is provided between the two first soft sleeves (251), and one end of the connecting strap (253) is connected to one of the first soft sleeves (251) by Velcro.