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140 results about "Paraplegia" patented technology

Paraplegia is an impairment in motor or sensory function of the lower extremities. The word comes from Ionic Greek παραπληγίη) "half-stricken". It is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. If four limbs are affected by paralysis, tetraplegia or quadriplegia is the correct term. If only one limb is affected, the correct term is monoplegia. Spastic paraplegia is a form of paraplegia defined by spasticity of the affected muscles, rather than flaccid paralysis.

Lower limb exoskeleton walking rehabilitation robot

The invention discloses a lower limb exoskeleton rehabilitation robot in the technical field of medical equipment. The lower limb exoskeleton rehabilitation robot comprises an ankle joint motion module, a knee joint motion module, a hip joint motion module, a hip and support module and a crutch module, wherein one end of the knee joint motion module is connected with the ankle joint motion module, and the other end of the knee joint motion module is connected with the hip joint motion module; the hip and support module is connected with the hip joint motion module; and the crutch module is independent of an exoskeleton body. The lower limb exoskeleton rehabilitation robot can help patients who suffer from paraplegia stand up and walk, and the bend and stretch motion of a knee joint and a hip joint is controlled by collecting contact information of a crutch and the ground so as to help the patients to stride; and an oppositely-pulled spring of the knee joint can help to reduce impact from the ground, so that patients can walk comfortably, and the efficiency of rehabilitation training is improved.
Owner:SHANGHAI JIAO TONG UNIV

Methods for closed-loop neural-machine interface systems for the control of wearable exoskeletons and prosthetic devices

Brain-Machine Interface (BMI) systems or movement-assist systems may be utilized to aid users with paraplegia or tetraplegia in ambulation or other movement or in rehabilitation of motor function after brain injury or neurological disease, such as stroke, Parkinson's disease or cerebral palsy. The BMI may translate one or more neural signals into a movement type, a discrete movement or gesture or a series of movements, performed by an actuator. System and methods of decoding a locomotion-impaired and / or an upper-arm impaired subject's intent with the BMI may utilize non-invasive methods to provide the subject the ability to make the desired motion using an actuator or command a virtual avatar.
Owner:UNIV HOUSTON SYST

Catheter for topical cooling and topical cooling device using the same

Topical cooling of spinal cord, brain, esophagus, etc. can be selectively and continuously carried out under convenient control without causing any changes in internal pressure of spinal cord cavity, brain pressure, etc. by inserting a catheter, which has no hole connecting to the outside and in which a heat-cooling medium is circulated in its inner space to thereby cool a topical site; into the spinal cord, the epidural cavity, the subdural cavity or the subarachnoid cavity of the brain or the esophageal cavity and placing therein and then circulating the heat / cooling medium within the inner space of the catheter; or using a device composed of a heat absorption member in the form of a catheter, a heat insulation member and a heat radiation member, inserting the heat absorption member in the form of a catheter into the spinal cord, the epidural cavity, the subdural cavity or the subarachnoid cavity of the brain or the esophageal cavity and placing therein and then absorbing heat from the heat absorption member and radiating the heat from the heat radiation member via the heat insulation member, thereby contributing to the treatment of spinal diseases including prevention of paraplegia accompanying thoracic aortic aneurysm surgery and the treatment of brain injury, esophageal injury and so on.
Owner:MORI ATSUO

Multifunctional the disabled aiding robot

The multifunctional the disabled adding robot includes a wheel chair frame, a double differential wheel driving mechanism, a leg push mechanism, a rotary pedal mechanism, a chair rotating mechanism and a waistband boosting mechanism. The present invention has the function the same as common wheel chair, can aid the walking exercise of paraplegia patient and patient with walking difficulty, and is favorable to their rehabilitation.
Owner:HARBIN ENG UNIV

Wheel chair type robot for walking training of paraplegia patient

InactiveCN1973805AAchieve the purpose of walkingChiropractic devicesWheelchairs/patient conveyanceEngineeringGait
The present invention discloses one wheel chair type robot for walking training of paraplegia patient. The robot includes one wheel chair system, one lower limb exoskeleton system, one damping and supporting system and one controller. The flexible lower limb exoskeleton system serves as the walking brace for the rehabilitation training, and the joint motors in the exoskeleton system are regulated and controlled for the training of active pace, passively controlled pace, passive damp-adjustable pace, balancing, etc. The robot may be in both sitting and standing training state, and is suitable for the lower limb rehabilitating training and walking training of paraplegia patient in different rehabilitation stages.
Owner:ZHEJIANG UNIV

Paraplegia prevention stent graft

A stent graft for deployment into the aorta of a patient has a tubular body with a proximal portion of a selected diameter; preferably a reduced diameter portion, distal of the proximal portion, having a diameter less than the selected diameter; a tapered portion, extending between the proximal portion and the reduced diameter portion; and optionally a distal portion, distal of the reduced diameter portion. At least three, preferably four or five, low profile side arms are provided, preferably in the reduced diameter portion and / or the tapered portion, for connection of an arm extension to an aortic branch vessel. All but one of the side arms are to be connected at the physician's choice, depending on the anatomy of the patient. One side arm is to provide temporary perfusion to external of the stent graft after deployment of the stent graft into the aorta, and is subsequently blocked.
Owner:COOK MEDICAL TECH LLC

Paraplegia prevention valve for stent grafts

ActiveUS20120290069A1Prevent paraplegiaStentsBlood vesselsDistal portionStent grafting
A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimising the chance of paraplegia.
Owner:COOK MEDICAL TECH LLC

Control method for paraplegia waling-assisted power exoskeleton

InactiveCN103932868ASolve long-term bed restSolver for wheelchair-induced pressure soresChiropractic devicesCrutchesRehabilitation engineeringEngineering
The invention relates to a control method for a paraplegia waling-assisted power exoskeleton, and belongs to the technical field of rehabilitation engineering. The control method controls the paraplegia waling-assisted power exoskeleton, so that the paraplegia waling-assisted power exoskeleton has eight movement modes which can be selected and switched by a user, wherein the eight movement modes comprise sitting-standing, standing-sitting, standing-walking, walking-standing, walking on the flat ground at normal speed, going up and down the slope at slow speed, walking upstairs, and walking downstairs. In daily life, the wearer can select the modes according to specific environment and requirements of the wearer, and the exoskeleton and the corresponding exoskeleton control method can provide convenience for life of the patient to the maximum, and help the patient realize the value of life.
Owner:TSINGHUA UNIV

System for Adjusting Pressure Locally on the Skin and Subcutaneous Tissue

ActiveUS20170348181A1Without adversely affecting the functioning of the actual moduleSolesPneumatic massageCushionParaplegia
The invention relates to a system for adjusting pressure locally acting on the skin. Said system includes a set of adjacent modules distributed so as to form a layer. Each module includes a cushion capable of changing shape and comprising a cavity, a valve, a tank, and a pressure sensor, wherein the cavity and the tank are in communication with each other by means of the valve, and the sensor is placed so as to sense pressure directly or indirectly acting on the cushion. The system also includes a feedback loop arranged such as to increase or decrease the change in the shape of the cushion on the basis of the pressure detected by the sensor. The system according to the invention can be built into a shoe so as to re-establish normal plantar pressure under the entire sole of the foot, which is particularly desirable for athletes or for patients suffering from diabetes mellitus or leprosy. It is also possible to incorporate the system according to the invention into a (bed or wheelchair) mattress so as to prevent decubitus ulcers in patients with neurological diseases (hemiplegia, paraplegia, tetraplegia, multiple sclerosis, amyotrophic lateral sclerosis) and any other sensory and / or motor deficit diseases.
Owner:ECOLE POLYTECHNIQUE FEDERALE DE LAUSANNE (EPFL)

Paraplegia prevention stent graft

A stent graft for deployment into the aorta of a patient has a tubular body with a proximal portion of a selected diameter; preferably a reduced diameter portion, distal of the proximal portion, having a diameter less than the selected diameter; a tapered portion, extending between the proximal portion and the reduced diameter portion; and optionally a distal portion, distal of the reduced diameter portion. At least three, preferably four or five, low profile side arms are provided, preferably in the reduced diameter portion and / or the tapered portion, for connection of an arm extension to an aortic branch vessel. All but one of the side arms are to be connected at the physician's choice, depending on the anatomy of the patient. One side arm is to provide temporary perfusion to external of the stent graft after deployment of the stent graft into the aorta, and is subsequently blocked.
Owner:COOK MEDICAL TECH LLC

Central driving lower extremity exoskeleton robot

The invention relates to a central driving lower extremity exoskeleton robot. A motor in a back assembly is connected with an output shaft through a reducer and a gear group in a transmission manner. The output shaft is connected with spline assemblies which are on a left leg and a right leg through synchronous belt assemblies. The motor transmits force moment to hip joints through the reducer, gears, the output shaft, the synchronous belt assemblies, and the spline assemblies, so that the motor respectively providing assistant moment for the left leg and the right leg in a swinging period is realized. Compared with a multi-motor driving lower extremity assistance exoskeleton, the central driving lower extremity exoskeleton is lighter in weight, and saves more energy. An electromagnetic push rod is used as a transmission mechanism to control whether to transmit motor driving moment to hip joints or not, and a transmission structure is simpler, and control is more convenient. Two thigh assemblies are connected through a mooring rope, so as to drive the mooring rope to move using variation of a human body gravity center, playing certain assistance role. The robot can realize to provide assistance for the left leg and the right leg in a swinging period through a motor, and the robot provides assistance for sitting and standing of a paraplegia patient.
Owner:UNIV OF SHANGHAI FOR SCI & TECH

Catheter for Topical Cooling and Topical Cooling Device using the same

Topical cooling of spinal cord, brain, esophagus, etc. can be selectively and continuously carried out under convenient control without causing any changes in internal pressure of spinal cord cavity, brain pressure, etc. by inserting a catheter, which has no hole connecting to the outside and in which a heat-cooling medium is circulated in its inner space to thereby cool a topical site; into the spinal cord, the epidural cavity, the subdural cavity or the subarachnoid cavity of the brain or the esophageal cavity and placing therein and then circulating the heat / cooling medium within the inner space of the catheter; or using a device composed of a heat absorption member in the form of a catheter, a heat insulation member and a heat radiation member, inserting the heat absorption member in the form of a catheter into the spinal cord, the epidural cavity, the subdural cavity or the subarachnoid cavity of the brain or the esophageal cavity and placing therein and then absorbing heat from the heat absorption member and radiating the heat from the heat radiation member via the heat insulation member, thereby contributing to the treatment of spinal diseases including prevention of paraplegia accompanying thoracic aortic aneurysm surgery and the treatment of brain injury, esophageal injury and so on.
Owner:MORI ATSUO

Systems, Devices and Methods for Exercising the Lower Limbs

The present invention relates to devices and methods for exercising the lower limbs, in particular for exercising lower limbs. The devices are suitable for training the lower limbs of persons suffering from paraplegia or hemiplegia or musculoskeletal disorders in general. In some aspects, the present invention relates to powered articulated systems (ASs) and to the rehabilitation by aid of said ASs. The parallel or hybrid ASs of the invention are based on a parallel or hybrid, lambda-type framework and are controlled by a data processing unit. The ASs are preferably controlled by a closed-loop, real time control system.
Owner:LAMBDA HEALTH SYST

Artificial kinetic nerve system reconstructing process for paraplegic walking

The present invention belongs to the field of rehabilitation medicine, and relates to kinetic nerve system reconstructing process. The subjective sports consciousness information of the paraplegia patient is led out via electrocerebral signal to control the autonomous motion state of the lower limb. Each cycle includes the following steps: acquiring the electrocerebral signal with the multiple lead electrodes in the head of the paraplegia patient; treating the signal, digitizing and inputting to the brain-computer interface controller; spectral analysis and mode recognition on the electrocerebral signal; judging whether to have walking intention and ending the cycle if no; or else, generating functional electric stimulation switch control signal and transmitting to the functional electric stimulation generator; and driving the multiple lead electrodes in the lower limb. The present invention is suitable for the rehabilitation exercise of the paraplegia patient as well as hemiplegia patient.
Owner:TIANJIN UNIV

Foot sole wheel-driven alternating walking exoskeleton device for rehabilitation training of paraplegia

ActiveCN106038178ADrive torque requirements are smallGood gait consistencyProgramme-controlled manipulatorChiropractic devicesEngineeringControl circuit
The invention relates to a paraplegic rehabilitation exoskeleton device, which comprises an exoskeleton and an elbow crutch, wherein the exoskeleton mainly comprises a power supply and control circuit module and foot sole driving modules, and the elbow crutch mainly comprises elbow crutch remote controllers and elbow crutch tube bodies. The exoskeleton device provided by the invention adopts a foot sole wheel-driven manner, and the feet are enabled not to leave the ground all the time during walking, thereby overcoming the swing phase problem in the joint-driven exoskeletal gait; and the elbow crutches with the remote controllers are adopted for auxiliary balance, and gait parameters, such as step length, step frequency and step speed during walking are mastered in real time by controlling the amplitude and time of keys pressed by left and right hands. The exoskeleton device meets the upright standing and alternating walking requirements of paraplegic rehabilitation with a relatively compact structure.
Owner:TSINGHUA UNIV

Covered stent and manufacturing method thereof

InactiveCN105559945AAvoid the risk of long-term internal leakageReduce paraplegiaStentsBlood vesselsMedicineIntercostal arteries
The invention provides a covered stent and a manufacturing method thereof. Through the design that the near-end portion of a covered tube is not provided with a hole, and the far-end portion of the covered tube is provided with the hole, the covered stent can retain intercostal arteries to the greatest extent and reduce occurrence of complications such as paraplegia while the lesion vessels are repaired, the covered stent with the sufficient length can be selected according to distribution of the diseased portions, and long-term break endoleak caused by shrinkage of the stent and upward movement of the far-end of the stent is avoided. Furthermore, through the design that the near-end wave peak of a first stent ring connected with the near-end of the covered tube is of a circular-arc-shaped structure, hurt of the covered stent to the vessel walls and important branches can be effectively reduced; meanwhile, the wall attaching performance of the stent is improved, and the bird mouth phenomenon is greatly reduced. In addition, through the design that the far-end wave trough of a third stent ring fixed to the far end of the covered tube is of a circular-arc-shaped structure, the covered stent also can integrally present the very good roundness to effectively reduce the hurt of the covered stent to the vessel walls.
Owner:SHANGHAI MICROPORT ENDOVASCULAR MEDTECH (GRP) CO LTD

Seat with backrest and standing recovery wheelchair with seat

The invention provides a seat with a backrest and belongs to the field of wheelchairs. In addition, the invention further provides a standing recovery wheelchair with the seat provided with the backrest. The seat with the backrest mainly comprises a folding chair, a driver and a telescopic assembly. The driver and the telescopic assembly are installed on a chassis of the wheelchair. The telescopic assembly comprises a horizontal assembly and a vertical assembly. The seat is installed on the vertical assembly. The seat with the backrest has a telescopic function, the seat for sitting can be provided for a user when the seat extends, and the space volume of the wheelchair is not increased when the seat contracts. The wheelchair is suitable for a patient with damaged lower limbs, and the seat with the backrest is particularly suitable for patients suffering from high paraplegia and waist weakness.
Owner:江苏邦邦智能科技有限公司

Method for realizing mouse control based on temporalis surface electromyogram signals

The invention provides a method for realizing control of mouse button clicking and mouse cursor moving functions by using head surface electromyogram signals. Biting actions at different positions, strengths and lasting times generate electromyogram signals with different characteristics; when the biting actions are carried out, the electromyogram signals at the head temporalis are acquired and processed and then converted to control signals which can realize mouse button clicking and mouse cursor moving functions and are connected with a computer via a wireless technology, so that patients with upper extremity motion function disorders such as high-level paraplegia and upper limb amputation can realize the control to a computer mouse through the simple biting actions.
Owner:国家康复辅具研究中心

Rehabilitation training nursing bed

The invention relates to a rehabilitation training nursing bed which comprises a functional bedstead module, a combined bed board module and a lifting support frame module. The combined bed board module is arranged in the functional bedstead module; the lifting support frame module is arranged on the functional bedstead module and is positioned on the lower side of the combined bed board module, the combined bed board module is longitudinally provided with an upper body bed board, a buttock bed board and a lower limb bed board, each of the upper body bed board, the buttock bed board and the lower limb bed board is transversely provided with three bed boards which are connected with one another by hinges, and electric push rods for jacking up the upper body bed board are arranged on the bottom surface of the upper body bed board. The rehabilitation training nursing bed has the advantages that the rehabilitation training nursing bed is provided with the modular movable bed boards, so that users can get up and turn over, and the problems that patients with weak muscle strength and paraplegia patients only can completely rely on medical staffs to carry out rehabilitation training and physical nursing is time-consuming and strenuous can be solved; burden on medical staffs can be relieved, and the limitation that patients only can carry out training in fixed points at regular time can be broken through.
Owner:UNIV OF SHANGHAI FOR SCI & TECH

Width-adjustable base for lower limb rehabilitation robot

The invention discloses a width-adjustable base suitable for installation of a sitting and lying type lower limb rehabilitation robot, and the width-adjustable base is medical treatment rehabilitation auxiliary equipment used for training and treatment of lower limb paralysis / paraplegia patients. The width-adjustable base consists of a left-side base 1, a right-side base 3 and a seat 2, wherein the left-side base 1 and the right-side base 3 are respectively installed on two sides of the seat 2; the right-side base 3 is composed of an upper-layer movable base 4, a lower-layer fixed base 5 and a right transmission mechanism 12, the left-side base 1 is composed of an upper-layer movable base 7, a lower-layer fixed base 6 and a left transmission mechanism 10, the left and right transmission mechanisms 10 and 12 are linked via a universal coupling 11, the universal coupling 11 is linked and fixedly installed at the bottom of the seat 2 through bearing blocks 27 and 28, a right-side lead screw 24 is linked with the universal coupling 11 under the seat 2 through a jaw clutch 26.
Owner:YANSHAN UNIV

Paraplegia walking device and its manufacturing method

InactiveCN1676111AChange the simple latch structureImprove buffering effectWalking aidsArtificial legsThighKnee-ankle-foot orthosis
The present invention discloses a walking equipment for paraplegic patient. Said walking equipment is formed from knee, ankle and foot orthopedic devices, adjustable interactive hinge joints and internal extension-aid spring hydraulic buffer knee joint hinges. Said invention also provides the concrete structure and function of the above-mentioned every portion, and said invented walking equipment can help the paraplegic patient to stand and walk.
Owner:THE FIRST AFFILIATED HOSPITAL OF THIRD MILITARY MEDICAL UNIVERSITY OF PLA

Paraplegia prevention valve for stent grafts

ActiveUS8636789B2Prevent paraplegiaStentsBlood vesselsInsertion stentStent grafting
A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimizing the chance of paraplegia.
Owner:COOK MEDICAL TECH LLC

Cloning, expression and characterization of the SPG4 gene responsible for the most frequent form of autosomal spastic paraplegia

InactiveUS6924126B1FungiBacteriaSpastinFhit gene
The invention concerns the identification and characterization of the SPG4 gene encoding spastin, and some mutations thereof responsible for the most frequent form of autosomal dominant familial spastic paraplegia, to the cloning and characterization of its cDNA and the corresponding polypeptides. The invention also concerns vectors, transformed cells and transgenic animals as well as diagnostic methods and kits, and methods for selecting a chemical or biological compound capable of directly or indirectly interacting with said polypeptide.
Owner:CENT NAT DE LA RECHERCHE SCI

Active type multifunctional rehabilitative apparatus enabling patients to stand up, squat and walk

The invention provides an active type multifunctional rehabilitative apparatus enabling patients to stand up, squat and walk. The rehabilitative apparatus is used for rehabilitative exercising of people with high paraplegia and disabled lower limbs or waists and people who are worn out with age, especially patients who can not step forwards (skelasthenia). The patients who are bedridden for a long time can use the rehabilitative apparatus (walking aid) to stand up, and can exercise walking through the help of the technology of exerting force to legs, and life quality is improved.
Owner:鲁兵

Novel intelligent automatic walking prosthesis

InactiveCN103655013AWalking smoothlyOvercoming the defect of lifting prosthetic strideArtificial legsMuscle forceAmphiarthrosis
A simulated multifunctional prosthesis can not only overcomes physical defects of the disabled but help the disabled find themselves before amputation and feel regaining after prosthesis installation. For all the lower-limb disabled, the disabled can walk like normal people after installation of the prosthesis. Proper functions of the thigh can be simulated on the prosthesis, the lever principle and pressure of compressed springs can be applied on the amphiarthrosis, the purpose of automatic walking is achieved by means of shifting of weight, and the defect that existent prosthesis depends on stump muscle force is overcome. The amphiarthrosis is a neo-arthrosis additionally arranged at the root of the stump thigh and can enable the prosthesis to automatically walk and correct instable walking of a cripple, which is the core function of the prosthesis. The novel intelligent automatic walking prosthesis causes no pain and is easy to balance during walking. Crutches can be abandoned and the disabled with the prosthesis can sit on the spot. Besides, the novel intelligent automatic walking prosthesis is applicable to all the lower-limb disabled and help paraplegia people walk.
Owner:李春明

Exoskeleton robot for lower limb paraplegia patient

The invention belongs to the technical field of exoskeleton robots, and particularly relates to an exoskeleton robot for a lower limb paraplegia patient. The robot comprises a binding assembly arranged on the upper trunk of a patient, a hip assembly installed on the binding assembly, a lower limb rehabilitation mechanism and a leg supporting mechanism, wherein the lower limb rehabilitation mechanism and the leg supporting mechanism are symmetrically installed on the hip assembly. The lower limb rehabilitation mechanism comprises a hip joint assembly, a thigh training assembly, a shank training assembly and a foot assembly which are connected in sequence. The hip joint assembly, the thigh and shank assembly and the foot assembly of the robot adopt a parallel mechanism, and the leg supporting mechanism is arranged on the inner side of the leg and thigh training mechanism, so a wearer can independently walk without crutch or single-hand crutch, and joint dislocation corresponding to the patient due to long-time wearing of the patient is avoided. All movable joints of the robot correspond to all joints of a human body, all main joint parts have angle limitation, and the phenomenon that the overall stability is poor due to the fact that robot joints are too flexible is avoided.
Owner:JILIN AGRICULTURAL UNIV

Electric paraplegia rehabilitation support having self-walking function

InactiveCN107157716ARealize self-propelled functionOrderly movementWalking aidsThighPhysical medicine and rehabilitation
The invention relates to the field of medical apparatuses, and in particular to an electric paraplegia rehabilitation support having a self-walking function, which is applicable to a patient that both lower extremities have no walking capacity. The support comprises an intelligent walking part and an auxiliary supporting part, and further comprises a thigh support and a calf support, wherein the auxiliary supporting part is a frame-shaped bracket; a rechargeable battery is arranged on the frame-shaped bracket so as to offer power to the support; a control switch is arranged on the frame-shaped bracket; wheels provided with brakes are arranged at the bottom of the frame-shaped bracket; the intelligent walking part comprises a control panel box; a control chip is arranged in the control panel box; a hip joint server is arranged on the thigh support; a knee joint server is arranged on the calf support; a thigh regulating rod is connected to the thigh support and a calf regulating rod is connected to the calf support; and a foot-shaped foot sole plate is connected to the tail end of the calf regulating rod, so that a place where the patient can stand is offered. The support provided by the invention is simple in structure; intelligent control of motions of the rehabilitation support is achieved; and the support is conducive to rehabilitation exercises of the patient.
Owner:马万宏
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