CN104207872A - Force controlled cervical curve traction device - Google Patents
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Abstract
力可控式颈椎曲线牵引装置,包括座椅、牵引头套和牵引臂,座椅的椅背上固定连接有立柱,牵引臂由第一力臂和第二力臂组成,第一力臂的中部铰接在立柱上,且第一力臂伸向座椅前方的一端通过牵引钢丝与牵引头套连接,第二力臂位于座椅后方,其端部的两侧均设有绳缆,两侧的绳缆通过座椅两侧设置的走绳定滑轮机构并相互连接构成闭环的控力装置,拉动该控力装置能够使牵引臂绕其中第一力臂与立柱的铰接点转动。本发明根据人体力学结构状况设计,使患者牵引时颈椎恢复到正常的、原有的生理曲度,患者采用坐姿进行治疗,可以通过调节气缸的活塞杆伸出长度,进而控制牵引臂的牵引力度,满足患者的需要。
The force-controllable cervical curve traction device includes a seat, a traction head cover and a traction arm. The seat back is fixedly connected with a column. The traction arm is composed of a first moment arm and a second moment arm. The middle part of the first moment arm is It is hinged on the upright, and the end of the first force arm extending to the front of the seat is connected with the traction headgear through the traction steel wire. The second force arm is located behind the seat, and the two sides of its end are equipped with cables. The ropes on both sides The cable passes through the fixed pulley mechanism arranged on both sides of the seat and is connected to each other to form a closed-loop force control device. Pulling the force control device can make the traction arm rotate around the hinge point between the first force arm and the column. The invention is designed according to the mechanical structure of the human body, so that the cervical spine of the patient can be restored to the normal and original physiological curvature when the patient is pulled, and the patient can be treated in a sitting position, and the pulling force of the pulling arm can be controlled by adjusting the extension length of the piston rod of the cylinder , to meet the needs of patients.
Description
技术领域 technical field
本发明涉及医疗器械领域,具体涉及一种力可控式颈椎曲线牵引装置。 The invention relates to the field of medical devices, in particular to a force-controllable cervical curve traction device.
背景技术 Background technique
颈椎病的核心是颈椎原有的生理曲线发生了变化,一般是由于长期伏案工作、学习或驾车等引起的,椎间盘的外壁纤维环与椎骨之间产生粘连,促使椎间孔狭窄,造成对神经根和髓核的压迫,引起颈部血液循环障碍和营养障碍。只有消除颈部的致病因素,解除软组织的压迫和粘连,血液循环才能得到改善。通过颈部给椎间盘施加一定的力,使椎间盘的间隙增宽,不致压迫神经根及髓核,达到缓解病人痛苦的目的。现有的颈椎牵引器一般实现的是直线牵引,而实际临床运用发现:长时间的直线牵引后,颈椎病的症状的减轻效果微乎其微,甚至会破坏正常的颈椎生物弧度,给颈椎带来伤害。 The core of cervical spondylosis is that the original physiological curve of the cervical spine has changed, which is usually caused by long-term desk work, study or driving. The compression of the root and nucleus pulposus causes blood circulation disorder and nutritional disorder in the neck. Only by eliminating the pathogenic factors of the neck and releasing the compression and adhesion of the soft tissues can the blood circulation be improved. Apply a certain force to the intervertebral disc through the neck to widen the intervertebral disc space without compressing the nerve root and nucleus pulposus, so as to relieve the pain of the patient. Existing cervical traction devices generally achieve linear traction, but actual clinical application has found that after long-term linear traction, the effect of alleviating the symptoms of cervical spondylosis is negligible, and even destroys the normal biological curvature of the cervical spine, causing damage to the cervical spine.
发明内容 Contents of the invention
本发明的目的是克服现有技术中直线牵引难以有效实现颈椎病的康复作用,甚至会对颈椎造成伤害的问题,提供一种能够与人体颈椎生物弧度相吻合的可控式颈椎曲线牵引装置。 The purpose of the present invention is to overcome the problem that linear traction in the prior art is difficult to effectively achieve the rehabilitation effect of cervical spondylosis, and even cause damage to the cervical spine, and to provide a controllable cervical spine curve traction device that can match the biological curvature of the human cervical spine.
本发明为实现上述目的所采用的技术方案为:力可控式颈椎曲线牵引装置,包括具有椅背的座椅、牵引头套和牵引臂,座椅的椅背上固定连接有立柱,所述的牵引臂由互成钝角连接的第一力臂和第二力臂组成,第一力臂的中部铰接在立柱上,且第一力臂伸向座椅前方的一端通过牵引钢丝与牵引头套连接,第二力臂位于座椅后方,其端部的两侧均设有绳缆,且两侧的绳缆通过座椅两侧设置的走绳定滑轮机构并相互连接构成闭环的控力装置,拉动该控力装置能够使牵引臂绕其中第一力臂与立柱的铰接点转动;所述的牵引头套包括水平托杆、连接在水平托杆两端的颈颔牵引带以及加设在颈颔牵引带中部的颈后固定带,颈颔牵引带和颈后固定带的下端通过系带连接。 The technical solution adopted by the present invention to achieve the above object is: a force-controllable cervical spine curve traction device, including a seat with a chair back, a traction head cover and a traction arm, and a column is fixedly connected to the chair back of the seat. The traction arm is composed of the first moment arm and the second moment arm connected at an obtuse angle. The middle part of the first moment arm is hinged on the column, and the end of the first moment arm extending to the front of the seat is connected with the traction headgear through the traction wire. The second moment arm is located behind the seat, and both sides of its end are provided with cables, and the cables on both sides are connected to each other to form a closed-loop force control device through the fixed pulley mechanism provided on both sides of the seat, and the pulley is pulled The force control device can make the traction arm rotate around the hinge point between the first moment arm and the column; the traction headgear includes a horizontal support rod, a cervical traction belt connected to both ends of the horizontal support rod, and a cervical traction belt The back of the neck fixing belt at the middle part, the lower end of the neck traction belt and the back of the neck fixing belt are connected by a frenulum.
进一步的,所述系带的一端固定在颈颔牵引带下端的一侧,颈颔牵引带下端的对侧设有系带环,系带穿出颈后固定带上设置的系带穿孔后与系带环活结固定连接。 Further, one end of the frenulum is fixed on one side of the lower end of the cervical traction belt, and a lacing ring is provided on the opposite side of the lower end of the cervical traction belt. Lace-loop slipknot secures connection.
所述的牵引钢丝上设有钢丝锁扣,钢丝锁扣使牵引钢丝的端部形成用于固定牵引头套的闭环吊钩,能够通过钢丝锁扣调整牵引钢丝的长度,满足不同的治疗要求。 The traction steel wire is provided with a steel wire lock. The steel wire lock makes the end of the traction steel wire form a closed-loop hook for fixing the traction headgear. The length of the traction steel wire can be adjusted through the steel wire lock to meet different treatment requirements.
本发明中,各部件可拆卸,主要牵引零件材料采用铝合金材料,质量轻,便于搬运。立柱可设置为能够根据需要适当伸缩确定高度的伸缩柱,立柱由连接器固定在座椅的椅背上;立柱的上方与牵引臂铰接连接,进一步的,第一力臂与套设在立柱上的滑套铰接,且滑套的圆周面上设有用于顶紧第一力臂的紧定螺钉,能够根据不同的治疗对象确定第一力臂伸出滑套的长度,满足治疗要求。 In the present invention, each part is detachable, and the material of the main traction parts is made of aluminum alloy, which is light in weight and easy to carry. The upright column can be set as a telescopic column that can be appropriately stretched and determined according to the needs. The upright column is fixed on the back of the seat by a connector; the upper part of the upright column is hingedly connected with the traction arm. The sliding sleeve is hinged, and the circumferential surface of the sliding sleeve is provided with a set screw for tightening the first moment arm. The length of the first moment arm protruding from the sliding sleeve can be determined according to different treatment objects to meet the treatment requirements.
本发明的有益效果: Beneficial effects of the present invention:
(1)、绳缆通过座椅上设置的走绳定滑轮机构构成闭环的控力装置,将绳轮套在坐在座椅上患者的脚部,通过屈伸腿部即能实现绳缆拉动牵引臂绕其与立柱的铰接点转动,牵引臂的牵引端的运动轨迹是以该铰接点为圆心、该铰接点到第一力臂的牵引端部的直线距离为半径的圆弧线,与现有技术相比,该牵引臂的牵引端部的凸向圆弧运动,能够使颈后固定带向前顶压颈椎,而颈颔牵引带向上提拉颈椎,二者的共同作用使得颈椎的牵引拉伸曲线能够与人体颈椎生物弧线相吻合,避免现有技术中直线牵引对颈椎造成伤害的缺陷。 (1) The rope passes through the fixed pulley mechanism set on the seat to form a closed-loop force control device. The rope pulley is placed on the patient's feet sitting on the seat, and the rope can be pulled and pulled by bending and stretching the legs. The arm rotates around its hinge point with the column, and the trajectory of the trailing end of the traction arm is an arc line with the hinge point as the center and the straight-line distance from the hinge point to the traction end of the first arm as the radius, which is different from the existing Compared with the technology, the convex arc movement of the traction end of the traction arm can make the cervical spine be pressed forward by the fixed belt at the back of the neck, and the neck and jaw traction belt can lift the cervical spine upwards. The joint action of the two makes the traction of the cervical spine The extension curve can coincide with the biological arc of the human cervical spine, avoiding the defect that the linear traction in the prior art causes damage to the cervical spine.
(2)、通过控制牵引端部圆弧运动轨迹的径向夹角的大小,能够实现对牵引力度的调整,具有使用方便、安全可靠的特点。该颈椎曲线牵引装置根据人体力学结构状况设计,使患者牵引时颈椎恢复到正常的、原有的生理曲度,患者采用坐姿进行治疗,可以通过调节气缸的活塞杆伸出长度,进而控制牵引臂的牵引力度,满足患者的需要。 (2) By controlling the size of the radial angle of the arc movement track of the traction end, the adjustment of the traction force can be realized, and it is easy to use, safe and reliable. The cervical spine curve traction device is designed according to the mechanical structure of the human body, so that the cervical spine of the patient can be restored to the normal and original physiological curvature during traction. The patient can be treated in a sitting position, and the traction arm can be controlled by adjusting the extension length of the piston rod of the cylinder. The traction strength meets the needs of patients.
(3)、本发明中,互成钝角设置的第一力臂和第二力臂,能够放大牵引时人体腿部的屈伸幅度,即活屈伸微小的位移,即能够满足第一力臂牵引端的圆弧运动轨迹的径向夹角的大幅度变化。 (3) In the present invention, the first moment arm and the second moment arm arranged at an obtuse angle to each other can amplify the flexion and extension range of the human leg during traction, that is, the tiny displacement of flexion and extension can meet the requirements of the first moment arm at the traction end. A large change in the radial angle of the arc motion track.
附图说明 Description of drawings
图1为本发明的示意图; Fig. 1 is a schematic diagram of the present invention;
图2为牵引头套的示意图; Fig. 2 is the schematic diagram of traction headgear;
图3为图1中标示A的放大示意图; Fig. 3 is the enlarged schematic diagram of marking A in Fig. 1;
图4为图1中标示B的放大示意图。 FIG. 4 is an enlarged schematic diagram marked B in FIG. 1 .
附图标记:1、座椅,2、牵引头套,20、水平托杆,21、颈颔牵引带,22、颈后固定带,3、立柱,4、第一力臂,5、第二力臂,6、牵引钢丝,7、绳缆,8、走绳定滑轮机构,9、系带,10、系带穿孔,11、系带环,12、滑套,13、紧定螺钉,14、钢丝锁扣。 Reference signs: 1, seat, 2, traction headgear, 20, horizontal support bar, 21, neck traction belt, 22, fixed belt behind the neck, 3, column, 4, first moment arm, 5, second force Arm, 6, traction steel wire, 7, rope, 8, fixed pulley mechanism, 9, lacing, 10, lacing perforation, 11, lacing ring, 12, sliding sleeve, 13, set screw, 14, Wire lock buckle.
具体实施方式 Detailed ways
力可控式颈椎曲线牵引装置,如图1所示,包括具有椅背的座椅1、牵引头套2、牵引臂和立柱3,立柱3竖直固定在座椅1的椅背上。其中,牵引臂由互成钝角的第一力臂4和第二力臂5通过端部连接构成,第一力臂4的中部铰接在立柱3上,且第一力臂4伸向座椅1前方的一端通过牵引钢丝6与牵引头套2连接;第二力臂5位于座椅1后方,其端部的两侧均设有绳缆7,且两侧的绳缆7通过座椅1两侧设置的走绳定滑轮机构8相互连接构成闭环的控力装置。使用时,将该控力装置中的绳缆7套在人体脚底,通过屈伸人体腿部即能实现绳缆7拉动牵引臂绕其与立柱3的铰接点转动,即当人体拉伸腿部时,实现牵引颈椎作业;弯曲人体腿部时,实现牵引力的释放。该控力装置能够根据患者自身腿部的屈伸程度实现牵引力的控制,使用和操作方便。 The force-controllable cervical curve traction device, as shown in Figure 1, comprises a seat 1 with a chair back, a traction headgear 2, a traction arm and a column 3, and the column 3 is vertically fixed on the chair back of the seat 1. Wherein, the traction arm is formed by connecting the first moment arm 4 and the second moment arm 5 which form an obtuse angle to each other through end connections, the middle part of the first moment arm 4 is hinged on the column 3, and the first moment arm 4 stretches toward the seat 1 One end in the front is connected with the traction headgear 2 through the traction steel wire 6; The set rope walking fixed pulley mechanism 8 is connected with each other to form a closed-loop force control device. When in use, the rope 7 in the force control device is placed on the sole of the human body, and the rope 7 can pull the traction arm to rotate around its hinge point with the column 3 by bending and stretching the human leg, that is, when the human body stretches the leg , to achieve the traction of the cervical spine; when the human leg is bent, the traction force is released. The force control device can realize traction control according to the degree of flexion and extension of the patient's own legs, and is convenient to use and operate.
如图2所示的牵引头套2,包括水平托杆20、连接在水平托杆20两端的颈颔牵引带21以及加设在颈颔牵引带21中部的颈后固定带22,颈颔牵引带21和颈后固定带22的下端通过系带9连接。其中,系带9的一端固定在颈颔牵引带21下端的一侧,颈颔牵引带21下端的对侧设有系带环11,系带9穿出颈后固定带22上设置的系带穿孔10后与系带环11活结固定连接。 The traction headgear 2 shown in Figure 2 includes a horizontal support bar 20, a cervical and maxillary traction belt 21 connected to the two ends of the horizontal support bar 20, and a fixed belt 22 behind the neck added to the middle of the cervical and chin traction belt 21, and the cervical and chin traction belt 21 and the lower end of the fixation belt 22 behind the neck are connected by a frenulum 9. Wherein, one end of the frenulum 9 is fixed on one side of the lower end of the cervical traction belt 21, and the opposite side of the lower end of the cervical traction belt 21 is provided with a lacing ring 11, and the frenulum 9 passes through the frenulum provided on the fixed belt 22 behind the neck After the perforation 10, it is fixedly connected with the tie ring 11 with a slip knot.
进一步的,如图3所示,第一力臂4与套设在立柱3上的滑套12铰接,且滑套12的圆周面上设有用于顶紧第一力臂4的紧定螺钉13。 Further, as shown in Figure 3, the first moment arm 4 is hinged to the sliding sleeve 12 sleeved on the column 3, and the circumferential surface of the sliding sleeve 12 is provided with a set screw 13 for tightening the first moment arm 4 .
进一步的,如图4所示的牵引钢丝6上设有钢丝锁扣14,钢丝锁扣14使牵引钢丝6的端部形成用于固定牵引头套2的闭环吊钩。 Further, as shown in FIG. 4 , a wire lock 14 is provided on the pulling wire 6 , and the wire lock 14 makes the end of the pulling wire 6 form a closed-loop hook for fixing the pulling headgear 2 .
该牵引装置采用适应人体结构的带状牵引头套,使患者在舒适的状态下完成治疗过程。巧妙运用人体腿部屈伸力为牵引提供力,节省了空间和成本。患者可以直坐在座椅1上,全身处于放松状态,随着人体腿部拉伸程度的增加,颈椎与肩胸躯干做静态拔伸牵引,患者可根据病情来控制其腿部的拉伸程度,按照自身感觉控制牵引力的大小,避免了因牵引力失控造成的对患者不必要的伤害。同时由于力的控制由患者自己完成,排除了患者因施力不当造成的疼痛和心里恐慌,使治疗效果更加明显。最重要的是,第一力臂4牵引端的运动轨迹是圆弧线,与现有技术相比,使得颈椎的牵引拉伸曲线能够与人体颈椎生物弧线相吻合,避免现有技术中直线牵引对颈椎造成伤害的缺陷。为了进一步确定该牵引装置的使用疗效,将该牵引装置的样机在医院临床试用,追踪调查了50例患者使用该牵引装置的情况分析:使用前,根据医学鉴定诊断为颈椎病,使用后,经过30到45天治疗周期后,有明显疗效41例,感觉有所缓解5例,总效率达92%。证明该牵引装置对颈椎康复治疗过程有很明显的帮助。 The traction device adopts a belt-shaped traction headgear that adapts to the human body structure, so that the patient can complete the treatment process in a comfortable state. The flexion and extension force of human legs is cleverly used to provide force for traction, which saves space and cost. The patient can sit straight on the seat 1, and the whole body is in a relaxed state. With the increase of the stretching degree of the human legs, the cervical spine and the shoulder, chest and trunk are stretched statically, and the patient can control the stretching degree of the legs according to the condition , according to their own feeling to control the size of the traction, to avoid unnecessary injury to the patient caused by traction out of control. At the same time, since the force control is completed by the patient himself, the pain and panic caused by improper application of force are eliminated, and the therapeutic effect is more obvious. The most important thing is that the motion trajectory of the traction end of the first moment arm 4 is a circular arc line. Compared with the prior art, the traction and stretching curve of the cervical spine can match the biological arc of the human cervical spine, avoiding the linear traction in the prior art. Defects that cause injury to the cervical spine. In order to further determine the curative effect of the traction device, the prototype of the traction device was clinically tested in the hospital, and the analysis of the use of the traction device by 50 patients was tracked: before use, it was diagnosed as cervical spondylosis according to medical appraisal. After 30 to 45 days of treatment, 41 cases had obvious curative effect, 5 cases felt relief, and the total efficiency reached 92%. It is proved that the traction device is of great help to the process of cervical spine rehabilitation.
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CN110811953A (en) * | 2019-11-26 | 2020-02-21 | 哈尔滨市全科医疗技术发展有限责任公司 | Adjusting device for treating cervical vertebra diseases and cervical vertebra traction chair applying adjusting device |
CN113662804A (en) * | 2021-08-16 | 2021-11-19 | 刘达 | Universal medical traction frame with position capable of being adjusted randomly |
CN113662804B (en) * | 2021-08-16 | 2024-04-19 | 河北耀增生物科技有限公司 | Universal medical traction frame with position capable of being adjusted randomly |
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Application publication date: 20141217 |