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CN106726060B - A kind of self-help traction multifunctional lumbar disease treatment bed - Google Patents

A kind of self-help traction multifunctional lumbar disease treatment bed Download PDF

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CN106726060B
CN106726060B CN201611161617.7A CN201611161617A CN106726060B CN 106726060 B CN106726060 B CN 106726060B CN 201611161617 A CN201611161617 A CN 201611161617A CN 106726060 B CN106726060 B CN 106726060B
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bed
frame
traction
ankle
fixed
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CN106726060A (en
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何非
董燕
吴旭才
贺宝荣
郝定均
刘暾
罗振国
张洁
董补怀
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/005Moveable platforms, e.g. vibrating or oscillating platforms for standing, sitting, laying or leaning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • A61H1/0222Traction tables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0292Stretching or bending or torsioning apparatus for exercising for the spinal column
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0119Support for the device
    • A61H2201/0138Support for the device incorporated in furniture
    • A61H2201/0142Beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0443Position of the patient substantially horizontal
    • A61H2203/0468Prone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/12Feet

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Rehabilitation Therapy (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Neurology (AREA)
  • Nursing (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a prone leg-lifting type self-service traction multifunctional lumbar spondylosis treatment bed, which comprises a bed frame and a bed board, wherein the bed board is movably arranged on the bed frame, and the bed board can slide along the length direction of the bed frame under the driving of a hydraulic device arranged on the bed frame; the head end of the bed plate is provided with a strip-shaped cheek groove, a plurality of pairs of jacks are distributed on the bed plate on two sides of the cheek groove, and the jacks are detachably provided with power-assisted piles; the tail end of the bedstead is provided with an ankle fixer for fixing the foot of a patient, the ankle fixer is movably arranged on a vibration frame for driving the ankle fixer to reciprocate up and down, and the ankle fixer can rotate relative to the vibration frame. The treatment body position is a prone position, and single-side or double-side lower limb traction treatment can be respectively carried out.

Description

一种俯卧抬腿式自助牵引力多功能腰椎病治疗床A kind of self-help traction multifunctional lumbar disease treatment bed

技术领域technical field

本发明涉及一种医疗设备,具体涉及一种俯卧抬腿式自助牵引力多功能腰椎病治疗床,以中医整脊方法对腰椎病进行治疗和保健。The invention relates to a medical device, in particular to a multi-functional lumbar disease treatment bed with self-help traction for lying on the stomach and raising legs, which can treat and maintain the lumbar disease by using the chiropractic method of traditional Chinese medicine.

背景技术Background technique

目前对腰椎病的非手术治疗中,需要用到牵引设备,以对腰椎的病变进行复位和矫正。然而在利用现有的牵引设备牵引时,患者处于仰卧状态,这从根本上说是错误的,因为在仰卧状态下,不是脊柱生理弯曲所需体位的合理状态,这也与中医治疗腰腿疼病推拿按摩的治疗体位相悖。In the current non-surgical treatment of lumbar spondylosis, traction equipment is needed to reset and correct lumbar lesions. However, when utilizing existing traction equipment for traction, the patient is in a supine state, which is fundamentally wrong, because in a supine state, it is not a reasonable state for the required posture of the physiological curvature of the spine. The treatment positions of massage for diseases are contrary to each other.

当前,公知的腰椎牵引设备都是患者仰卧平躺于牵引床上,由约束绑带分别绑在患者的胸部和髋部,通过前后床板的反向移动拉动绑带,或是手动拉动绑带以期达到对脊柱的牵引拉伸,且只有单一牵引或带有捶打和旋转功能。这种牵引方法实际上是错误无效的。从临床统计的治疗效果来看,目前现有的牵引治疗设备对腰椎病治疗基本无效,主要原因是这些牵引床无法有效的使脊柱周围的韧带、肌肉和关节得到符合生理状态的有效的拉伸和放松复位。这些牵引治疗设备存在的主要问题有:At present, the known lumbar traction equipment is that the patient lies supine on the traction bed, and the restraint straps are respectively tied to the patient's chest and hips, and the straps are pulled by the reverse movement of the front and rear bed boards, or the straps are manually pulled to achieve Traction and stretching of the spine with only single traction or with hammering and rotation functions. This method of traction is actually wrong and invalid. From the perspective of clinical statistics, the current traction treatment equipment is basically ineffective for the treatment of lumbar spondylosis. The main reason is that these traction beds cannot effectively stretch the ligaments, muscles and joints around the spine in a physiological state. and relax reset. The main problems with these traction therapy devices are:

1.牵引多使或只使皮肤软组织移动,椎体间隙并未被明显拉伸,牵引不到位,牵引效果不确切;2.由于绑带位置不正确可造成绑带滑动,患者感到不舒服,牵引无力,牵引效果无法保证;3.仰卧位牵引不符合脊柱生理弯曲的生理状态,未能正确理解中医整脊的奥妙所在,强行牵引有害无益;4.无法进行腰骶部的整复;5.无整脊功能,或只有脊柱轴向转动、敲打等与治疗腰椎病无效的操作;6.从根本上说,现有牵引治疗设备因设计缺陷无助脊柱恢复正常曲度,设计思路有悖于中医整脊原理,所以无法实施著名中西医整脊师整脊的正确手法,因此也就达不到预期的治疗效果。1. Too much traction makes the skin and soft tissue move, the intervertebral space is not stretched obviously, the traction is not in place, and the traction effect is inaccurate; 2. Due to the incorrect position of the bandage, the bandage may slide and the patient feels uncomfortable. The traction is weak, and the traction effect cannot be guaranteed; 3. Traction in the supine position does not conform to the physiological state of the physiological curvature of the spine, and the mystery of TCM chiropractic is not correctly understood, and forced traction is harmful but not beneficial; 4. Cannot perform lumbosacral rehabilitation; 5. .There is no chiropractic function, or only the axial rotation of the spine, beating and other operations that are ineffective in the treatment of lumbar spondylosis; 6. Fundamentally speaking, the existing traction treatment equipment cannot help the spine return to normal curvature due to design defects, and the design idea is contrary Due to the principle of chiropractic in traditional Chinese medicine, it is impossible to implement the correct technique of chiropractic by famous Chinese and Western medical chiropractic practitioners, so the expected therapeutic effect cannot be achieved.

发明内容Contents of the invention

针对上述现有技术中存在的问题,本发明的目的在于,提供一种俯卧抬腿式自助牵引力多功能腰椎病治疗床,从根本上改变现有的牵引设备所存在的明显不足和错误,能以中医经典治疗腰椎病手法对腰椎病进行治疗与保健。In view of the problems existing in the above-mentioned prior art, the object of the present invention is to provide a prone-leg-lifting self-service traction multifunctional lumbar disease treatment bed, which can fundamentally change the obvious deficiencies and mistakes existing in the existing traction equipment, and can Treatment and health care of lumbar spondylosis with the classic methods of treating lumbar spondylosis.

为了实现上述任务,本发明采用以下技术方案:In order to achieve the above tasks, the present invention adopts the following technical solutions:

一种俯卧抬腿式自助牵引力多功能腰椎病治疗床,包括床架和床板,所述的床板活动式安装在床架上,床板可在液压装置的驱动下沿床架的长度方向滑动;在床板的头端开设有条形的面颊槽,面颊槽两侧的床板上分布有多对插孔,插孔上可拆卸地设置有助力桩;所述的床架的尾端安装有用于固定患者足部的脚踝固定器,脚踝固定器活动式安装在一个用于驱动脚踝固定器上下往复运动的震动架上,且脚踝固定器可相对于震动架旋转。A prone-leg-lifting self-service traction multifunctional lumbar disease treatment bed, including a bed frame and a bed board, the bed board is movably installed on the bed frame, and the bed board can slide along the length direction of the bed frame under the drive of a hydraulic device; The head end of the bed board is provided with strip-shaped cheek grooves, and there are many pairs of jacks distributed on the bed boards on both sides of the cheek grooves, and power-assisted piles are detachably arranged on the jacks; the tail end of the bed frame is equipped with The ankle immobilizer of the foot is movably installed on a vibrating frame for driving the reciprocating movement of the ankle immobilizer up and down, and the ankle immobilizer can rotate relative to the vibrating frame.

进一步地,所述的震动架包括固定在床架上的往复震动器,往复震动器的输出端上安装有驱动杆,驱动杆上固定有架体;所述的架体上安装有可在垂直于床板方向上运动的螺母块,螺母块与所述的脚踝固定器联动。Further, the vibrating frame includes a reciprocating vibrator fixed on the bed frame, a drive rod is installed on the output end of the reciprocating vibrator, and a frame body is fixed on the drive rod; The nut block moves in the direction of the bed board, and the nut block is linked with the ankle fixer.

进一步地,所述的架体包括间隔设置的上支板和下支板,上支板和下支板通过一对光轴连接;在上支板和下支板之间设置有螺杆,螺杆的一端活动式安装在下支板上,在架体上部设置有调节杆,调节杆穿过上支板与所述的螺杆的另一端连接;所述的螺母块上开设有螺纹孔,螺母块通过螺纹孔装配在螺杆上,螺母块的两端各自通过联动杆与套装在所述光轴上的滑块连接;所述的脚踝固定器与滑块活动式连接。Further, the frame body includes an upper support plate and a lower support plate arranged at intervals, and the upper support plate and the lower support plate are connected by a pair of optical axes; a screw is arranged between the upper support plate and the lower support plate, and the screw rod One end is movably installed on the lower support plate, and an adjustment rod is arranged on the upper part of the frame body, and the adjustment rod passes through the upper support plate to connect with the other end of the screw rod; the nut block is provided with a threaded hole, and the nut block passes through the screw thread The hole is assembled on the screw rod, and the two ends of the nut block are respectively connected with the slide block set on the optical axis through a linkage rod; the ankle fixer is movably connected with the slide block.

进一步地,所述的脚踝固定器包括固定靴,固定靴包括鞋底、鞋头盖、鞋帮和鞋面,其中,鞋帮和鞋面自中部对称分隔成为固定部和活动部,活动部可相对于固定部转动,且活动部能与固定部相对固定。Further, the ankle brace includes a fixed boot, and the fixed boot includes a sole, a toe cap, a shoe upper and a vamp, wherein the upper and the vamp are symmetrically divided into a fixed part and a movable part from the middle part, and the movable part can be relatively fixed. The part rotates, and the movable part can be relatively fixed with the fixed part.

进一步地,所述的固定部上设置有弧片,弧片上分布有限位齿;所述的活动部上设置有限位扣,固定部与活动部相对固定时,将弧片穿过限位扣,弧片通过弹力使限位齿卡在限位扣上,以进行相对固定。Further, the fixed part is provided with an arc, and limit teeth are distributed on the arc; the movable part is provided with a limit buckle, and when the fixed part and the movable part are relatively fixed, the arc is passed through the limit buckle, The arc piece makes the limit tooth be stuck on the limit buckle by elastic force, so as to be relatively fixed.

进一步地,所述的脚踝固定器上设置有转套,所述的滑块上连接有固定杆,固定杆的端部通过轴承与转套连接。Further, the ankle brace is provided with a rotating sleeve, the slider is connected with a fixed rod, and the end of the fixed rod is connected with the rotating sleeve through a bearing.

进一步地,所述的床架上设置有脚踏牵引机构,脚踏牵引机构通过一个踏板驱动,脚踏牵引机构通过牵引带连接所述的脚踝固定器的上端,在牵引带的牵引下,使脚踝固定器旋转。Further, the bed frame is provided with a pedal traction mechanism, the pedal traction mechanism is driven by a pedal, the pedal traction mechanism is connected to the upper end of the ankle anchor through a traction belt, and under the traction of the traction belt, the The ankle immobilizer rotates.

进一步地,所述的脚踏牵引机构包括一个驱动架,驱动架的一端通过转轴连接在床架上,驱动架的另一端与床架之间衬有弹簧片;所述的牵引带的一端可拆卸地连接在设置于脚踝固定器上的挂环上,牵引带的另一端与驱动架连接;所述的踏板通过一个L形的连杆连接在驱动架上。Further, the pedal traction mechanism includes a drive frame, one end of the drive frame is connected to the bed frame through a rotating shaft, and a spring leaf is lined between the other end of the drive frame and the bed frame; one end of the traction belt can be It is detachably connected to the hanging ring arranged on the ankle fixer, and the other end of the traction belt is connected to the driving frame; the pedal is connected to the driving frame through an L-shaped connecting rod.

进一步地,所述的驱动架上方的床架上设置有限位板,限位板上设置有限位套,所述的牵引带穿过限位套。Further, a limiting plate is arranged on the bed frame above the driving frame, a limiting sleeve is arranged on the limiting plate, and the traction belt passes through the limiting sleeve.

进一步地,所述的床架包括一对床脚,床脚之间通过加固梁连接;所述的床脚上均垂直设置有Y形的立柱,所述的一对立柱之间设置有一对支撑板,在这一对支撑板上均沿轴向开设有第一滑槽,所述的床板装配在第一滑槽上;在支撑板之间通过固定梁安装所述的液压装置,液压装置的输出端通过固定板与床板的底部连接。Further, the bed frame includes a pair of bed feet, which are connected by reinforcing beams; Y-shaped uprights are arranged vertically on the bed feet, and a pair of supports are arranged between the pair of uprights A first chute is opened on the pair of support plates in the axial direction, and the bed board is assembled on the first chute; the hydraulic device is installed between the support plates through a fixed beam, and the hydraulic device The output end is connected with the bottom of the bed board through the fixing board.

进一步地,所述的面颊槽中沿床板的轴向对称开设有第二滑槽,第二滑槽由上部滑槽和下部滑槽组成,其中,下部滑槽之间设置有多个支撑带,支撑带的两端通过滑轮装配在下部滑槽中;上部滑槽中装配有一个活动板,活动板可在上部滑槽中滑动从而改变面颊槽的大小。Further, a second chute is provided symmetrically along the axial direction of the bed board in the cheek groove, and the second chute is composed of an upper chute and a lower chute, wherein a plurality of supporting belts are arranged between the lower chute, The two ends of the support belt are assembled in the lower chute through pulleys; a movable plate is installed in the upper chute, and the movable plate can slide in the upper chute to change the size of the cheek groove.

本发明与现有技术相比具有以下技术特点:Compared with the prior art, the present invention has the following technical characteristics:

1.本发明从理论和实践上在恢复脊柱自然生理弯曲的前提下,充分正确地实现了中医手法整脊中经典有效的方法,从本质上改变了现有牵引床的设计思路,解决了公知牵引设备治疗效果欠佳或根本无效的问题;1. On the premise of restoring the natural physiological curvature of the spine in theory and practice, the present invention fully and correctly realizes the classic and effective method in traditional Chinese medicine manipulation chiropractic, essentially changes the design idea of the existing traction bed, and solves the problem of the known Problems with poor or no treatment with traction devices;

2.本发明能对腰椎进行正确有效的牵引,进行整脊调曲复位,还能通过助力桩实现在患者可承受的范围内自行加大牵引力,使牵引过程力度由患者自行控制,避免出现牵引力度不够使治疗效果欠佳,或牵引力度过大而造成额外的损伤,从而获得更好的牵引效果;2. The present invention can carry out correct and effective traction on the lumbar spine, adjust the spine, adjust and reset, and can also increase the traction force within the range that the patient can bear through the booster pile, so that the traction process can be controlled by the patient to avoid traction force Insufficient traction will result in poor treatment effect, or excessive traction will cause additional damage, so as to obtain better traction effect;

3.本发明能通过抬高下肢进行下肢抖甩,采用下肢旋髋的中医经典治疗腰椎病手法操作对脊柱进行整复,这是现有的牵引设备无法实现的功能;3. The present invention can shake and shake the lower limbs by raising the lower limbs, and use the traditional Chinese medicine classic treatment of lumbar spondylosis by rotating the lower limbs to restore the spine, which is a function that cannot be realized by the existing traction equipment;

4.本发明为腰椎病治疗提供了一种行之有效、操作方法简单、安全可靠的设备,克服了现有的牵引设备治疗效果差、甚至可能带来继发性损伤的缺陷,并且整个治疗床结构设计合理,适用于不同年龄段和不同体型的患者,适宜在临床上进行推广应用。4. The present invention provides an effective, simple, safe and reliable device for the treatment of lumbar spondylosis, which overcomes the defects of poor therapeutic effect and possible secondary damage of existing traction devices, and the whole treatment The bed has a reasonable structure design, is suitable for patients of different age groups and different body types, and is suitable for clinical promotion and application.

附图说明Description of drawings

图1为本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;

图2为本发明去掉床板后的结构示意图;Fig. 2 is the structural representation after removing bed board of the present invention;

图3为震动架部分的结构示意图;Fig. 3 is a structural schematic diagram of the vibrating frame part;

图4为脚踝固定器的结构示意图;Fig. 4 is the structural representation of ankle immobilizer;

图5为脚踝固定器打开后的结构示意图;Fig. 5 is the schematic diagram of the structure after the ankle immobilizer is opened;

图6为弹簧卡扣的结构示意图;Fig. 6 is a structural schematic diagram of a spring buckle;

图中标号代表:1—床板,2—立柱,3—床脚,4—滚轮,5—支撑板,6—第一滑槽,7—震动架,8—脚踝固定器,9—往复震动器,10—驱动杆,11—限位板,12—限位套,13—牵引带,14—控制器,15—连杆,16—踏板,17—驱动架,18—弹簧片,19—转轴,20—加固梁,21—面颊槽,22—支撑带,23—第二滑槽,24—助力桩,25—活动板,26—插孔,27—固定板,28—液压装置,29—固定梁,71—调节杆,72—上支板,73—光轴,74—下支板,75—联动杆,76—螺纹孔,77—螺母块,78—螺杆,79—滑块,710—固定杆,81—挂环,82—转套,83—鞋底,84—固定部,85—活动部,86—限位扣,87—限位齿,88—透气孔,89—鞋头盖,810—弧片。The symbols in the figure represent: 1—bed board, 2—upright column, 3—bed foot, 4—roller, 5—support plate, 6—first chute, 7—vibration frame, 8—ankle anchor, 9—reciprocating vibrator , 10—driving rod, 11—limiting plate, 12—limiting sleeve, 13—traction belt, 14—controller, 15—connecting rod, 16—pedal, 17—driving frame, 18—spring leaf, 19—rotating shaft , 20—reinforcing beam, 21—cheek groove, 22—support belt, 23—second chute, 24—assist pile, 25—movable plate, 26—jack, 27—fixed plate, 28—hydraulic device, 29— Fixed beam, 71—adjusting rod, 72—upper support plate, 73—optical axis, 74—lower support plate, 75—linkage rod, 76—threaded hole, 77—nut block, 78—screw rod, 79—slider, 710 —fixed rod, 81—hanging ring, 82—rotary sleeve, 83—sole, 84—fixed part, 85—movable part, 86—limiting buckle, 87—limiting tooth, 88—air vent, 89—toe cap , 810—arc.

具体实施方式detailed description

纵览祖国医学(中医)对腰椎病的整脊等治疗手段我们可以看到,中医在治疗腰椎病时,患者都是俯卧于床上的,医师所进行的推拿、按摩、牵引等等都是在患者的后背部进行,治疗效果较为满意。更为神奇的是,一些有特别技艺的医师通过在患者腰骶部进行一次推拿后,患者的腰腿痛可立刻消失。结合现代医学对脊柱和脊柱病的解剖、生理病理学研究发现,腰椎间盘突出症是脊柱结构性疾病,病因多为扭伤、椎间盘退行性变、椎间盘炎性反应、正常脊柱腰椎曲度消失变化、后关节的失稳或半脱位、骶髂关节脱位等腰椎小关节病原因引起,是临床常见病多发病。脊柱处于人体的背面,由多条肌肉群、韧带和关节保持其正常形态和功能,当其由于各种原因造成失正常形态后且没能及时复原的情况下,造成穿行于其间的脊神经受到压迫及关节脱位疼痛,而出现腰腿痛并累及(影响)下肢正常运动。人类进化取得了有别于其他动物的站立姿势,但也获得其他动物没有的颈椎病和腰椎病。所以,祖国医学对治疗腰椎病体位和手法的奥妙和合理之处,与现代医学理论是相通的。而现有牵引设备在设计思路和功能方面都忽视了这些,没能想到和做到牵引体位和整脊动作对脊柱整复的作用,故现有设备对腰椎病治疗效果差或完全没有治疗效果。针对此,本发明提出了一种综合了传统中医疗法的治疗床:Looking at the treatment methods of lumbar spondylosis in traditional Chinese medicine (Chinese medicine), we can see that when Chinese medicine treats lumbar spondylosis, the patient lies prone on the bed, and the massage, massage, traction, etc. performed by the doctor are performed on the patient. The back is carried out, and the treatment effect is satisfactory. What is even more miraculous is that some doctors with special skills can immediately disappear the patient's low back and leg pain after performing a massage on the patient's lumbosacral area. Combined with the anatomy and physiopathological studies of the spine and spondylosis in modern medicine, it is found that lumbar disc herniation is a structural disease of the spine, and the causes are mostly sprains, degeneration of intervertebral discs, inflammatory reactions of intervertebral discs, disappearance of normal spine lumbar curvature, Posterior joint instability or subluxation, sacroiliac joint dislocation, etc. are caused by lumbar facet joint diseases, which are common clinical diseases and frequently-occurring diseases. The spine is located on the back of the human body, and its normal shape and function are maintained by multiple muscle groups, ligaments, and joints. When it is out of normal shape due to various reasons and fails to recover in time, the spinal nerves passing through it will be compressed And joint dislocation pain, low back pain occurs and involves (affects) the normal movement of the lower limbs. Human evolution has achieved a standing posture that is different from other animals, but also acquired cervical and lumbar spondylosis that other animals do not have. Therefore, the mysteries and rationality of Chinese medicine in treating lumbar spondylosis postures and techniques are interlinked with modern medical theories. However, the existing traction equipment has neglected these in terms of design ideas and functions, and failed to think of and realize the effect of traction posture and chiropractic actions on spinal rehabilitation. Therefore, the existing equipment has poor or no therapeutic effect on lumbar spondylosis. . Aiming at this, the present invention proposes a treatment bed that combines traditional Chinese medicine therapy:

一种俯卧抬腿式自助牵引力多功能腰椎病治疗床,包括床架和床板1,所述的床板1活动式安装在床架上,床板1可在液压装置28的驱动下沿床架的长度方向滑动;在床板1的一端开设有条形的面颊槽21,面颊槽21两侧的床板1上分布有多对插孔26,插孔26上可拆卸地设置有助力桩24;所述的床架的端部安装有用于固定患者足部的脚踝固定器8,脚踝固定器8活动式安装在一个用于驱动脚踝固定器8往复运动的震动架7上,且脚踝固定器8可相对于震动架7旋转。A prone-leg-lifting self-service traction multifunctional lumbar disease treatment bed, including a bed frame and a bed board 1, the bed board 1 is movably installed on the bed frame, and the bed board 1 can be driven along the length of the bed frame by a hydraulic device 28 direction sliding; one end of the bed board 1 is provided with a strip-shaped cheek groove 21, and a plurality of pairs of sockets 26 are distributed on the bed board 1 on both sides of the cheek groove 21, and a booster pile 24 is detachably arranged on the socket 26; The end of the bed frame is equipped with an ankle anchor 8 for fixing the patient's foot, and the ankle anchor 8 is movably installed on a vibrating frame 7 for driving the ankle anchor 8 to reciprocate, and the ankle anchor 8 can be moved relative to Vibration stand 7 rotates.

本发明的主要结构包括一个床体,床体是由床架和床板1组成的,为了保持整个治疗床治疗时的稳定性,特别设计了加重的床脚。在床架底部的床脚上设置有带有轮锁的滚轮4,以方便移动整个床体并可通过轮锁对滚轮4进行锁定,以固定床体。本方案中,为了对患者的腰椎进行牵引,设置了活动床板1结构,即床板1是可以在床架上移动的。当患者以俯卧的姿势趴在床板1上以后,患者的足踝通过脚踝固定器8进行固定,然后利用床板1下方的液压装置28推动床板1,使床板1发生滑动,此时患者脚部位置固定,而患者的身体在患者与床板1之间摩擦力的带动下,使患者的身体向液压装置28推动的方向移动,直至患者身体与床板1之间发生相对滑动。采用这样的牵引方式,实际牵引力与患者体重、床板1之间产生的摩擦力相当,这是一个非常安全、适合牵引的力度,当床板1继续向床板的头端滑动时,牵引力继续增大,将超过患者体重与床板之间产生的摩擦力,患者身体将与床板1之间发生滑动,因而不会存在因过度牵引而对患者造成伤害的情况,当感觉牵引力不够时,患者可以在肘部助力桩的帮助下,阻止身体滑动,以增大身体被拉伸的程度,自助增大或减小牵引力,因此本装置在达到有效牵引的同时,也能对患者进行保护;同时这种牵引方式也不用束缚带等对患者肢体进行绑缚,使患者主观感受更好。为了增大患者与床板1之间的摩擦力,本方案中可在床板1上覆盖摩擦力较大的柔软材料。对于上下往复震动器9的设定和调整,本方案中设置了控制器14,如图1和图3所示,控制器14包括一个控制面板,在无需使用时,固定在床架侧面的固定座上,在治疗的过程中,医生可取下,以方便调节液压装置28。Main structure of the present invention comprises a bed body, and bed body is made up of bed frame and bed board 1, in order to keep the stability of whole treatment bed treatment, especially designed the bed foot that increases the weight of. A roller 4 with a wheel lock is arranged on the bed foot at the bottom of the bed frame to facilitate the movement of the entire bed body and the roller 4 can be locked by the wheel lock to fix the bed body. In this solution, in order to pull the patient's lumbar spine, a movable bed board 1 structure is provided, that is, the bed board 1 can move on the bed frame. After the patient lies on the bed board 1 in a prone position, the patient's ankle is fixed by the ankle anchor 8, and then the bed board 1 is pushed by the hydraulic device 28 under the bed board 1 to make the bed board 1 slide. At this time, the patient's foot position Fixed, and the patient's body is driven by the friction force between the patient and the bed board 1, so that the patient's body moves in the direction promoted by the hydraulic device 28 until relative sliding occurs between the patient's body and the bed board 1. With such a traction method, the actual traction force is equivalent to the patient's weight and the friction force generated between the bed board 1, which is a very safe and suitable traction force. When the bed board 1 continues to slide toward the head end of the bed board, the traction force continues to increase. The friction generated between the patient's body weight and the bed board will be exceeded, and the patient's body will slide between the bed board 1, so there will be no damage to the patient due to excessive traction. With the help of the power-assisted pile, the body is prevented from sliding, so as to increase the degree of stretching of the body, and the traction force can be increased or decreased by itself, so the device can protect the patient while achieving effective traction; at the same time, this traction method The patient's limbs are also bound without restraint belts, etc., so that the patient's subjective experience is better. In order to increase the frictional force between the patient and the bed board 1, the bed board 1 can be covered with a soft material with higher frictional force in this solution. For the setting and adjustment of the up and down reciprocating vibrator 9, a controller 14 is provided in this program. As shown in Figures 1 and 3, the controller 14 includes a control panel, which is fixed on the side of the bed frame when not in use. On the seat, in the process of treatment, the doctor can take off to adjust the hydraulic device 28 conveniently.

本发明中的床体结构如图2所示。床架包括一对床脚3,床脚3之间通过加固梁20连接;床脚3内部有配重块,这是为了增加床体重量,以避免在进行下肢抖甩时床体不稳;所述的床脚3上均垂直设置有Y形的立柱2,所述的一对立柱2之间设置有一对支撑板5,在这一对支撑板5上均沿轴向开设有第一滑槽6,所述的床板1装配在第一滑槽6上;在支撑板5之间通过固定梁29安装所述的液压装置28,液压装置28的输出端通过固定板27与床板1的底部连接。The bed structure in the present invention is shown in FIG. 2 . The bed frame includes a pair of bed legs 3, and the bed legs 3 are connected by reinforcing beams 20; there is a counterweight inside the bed legs 3, which is to increase the weight of the bed body, so as to avoid the instability of the bed body when shaking the lower limbs; A Y-shaped column 2 is arranged vertically on the said foot of the bed 3, a pair of support plates 5 are arranged between said pair of columns 2, and a first slideway is provided along the axial direction on the pair of support plates 5. groove 6, the bed board 1 is assembled on the first chute 6; the hydraulic device 28 is installed between the support plates 5 through the fixed beam 29, and the output end of the hydraulic device 28 is connected to the bottom of the bed board 1 through the fixed board 27 connect.

利用本发明进行腰椎病治疗时,患者在床板1上采用俯卧的姿态,这种姿态使得患者的脊柱能保持生理弯曲的最佳状态,而获得正确有效的牵引。患者的头面部朝向床板1的一端,而在床板1端部开设了一条面颊槽21,面颊槽21为矩形结构,例如尺寸可以为12cm*40cm;面颊槽21的一端穿出床板1端部。面颊槽21的作用是,使患者位于俯卧状态时,患者的面部两侧支撑在面颊槽21上,这样患者的口鼻部不受压迫,能保证正常呼吸。面颊槽21开设于床板1端部在轴向位置的中心处,也可以辅助使患者摆正体位,保持身体居中。When using the present invention to treat lumbar spondylosis, the patient adopts a prone posture on the bed board 1, and this posture enables the patient's spine to maintain the best state of physiological curvature, thereby obtaining correct and effective traction. The patient's head and face face towards one end of the bed board 1, and a cheek groove 21 is provided at the end of the bed board 1, the cheek groove 21 is a rectangular structure, for example, the size can be 12cm*40cm; one end of the cheek groove 21 passes through the bed board 1 end. The effect of cheek groove 21 is, when making patient be positioned at prone state, patient's facial both sides are supported on the cheek groove 21, and patient's mouth and nose are not oppressed like this, can guarantee normal breathing. The cheek groove 21 is opened at the center of the end of the bed board 1 in the axial position, which can also assist the patient to straighten his body and keep the body centered.

为了配合上述的腰椎牵引过程,在患者进行腰椎牵引时,如需增加牵引力,患者可根据情况自行调整牵引力度。具体为,在面颊槽21的两侧设置了多对插孔26,插孔26上可拆卸地插装有助力桩24。根据患者的身高体型,将助力桩24插在对应的插孔26中,利用电动液压装置28驱动床板1进行牵引时,如患者自身感觉牵引力度可再继续加大,则可用双肘分别环绕两个助力桩24,以避免身体与床板1之间发生滑动,从而增大身体脊柱被拉伸程度,也即牵引的力度;而当患者感觉不适时,则只需肘部松开助力桩24即可,这样患者可自行调整牵引力度,在保证牵引效果更好的同时,也对患者进行了更为有效的保护。In order to cooperate with the above-mentioned lumbar traction process, if the patient needs to increase the traction force when performing lumbar traction, the patient can adjust the traction intensity according to the situation. Specifically, a plurality of pairs of insertion holes 26 are arranged on both sides of the cheek groove 21 , and a booster pile 24 is detachably inserted into the insertion holes 26 . According to the patient's height and body shape, insert the booster pile 24 into the corresponding socket 26, and use the electro-hydraulic device 28 to drive the bed board 1 for traction. A booster pile 24, to avoid sliding between the health and the bed board 1, thereby increasing the degree of stretching of the spine of the body, that is, the strength of traction; Yes, in this way, the patient can adjust the traction strength by himself, which not only ensures better traction effect, but also protects the patient more effectively.

面颊槽21中沿床板1的轴向对称开设有第二滑槽23,第二滑槽23由上部滑槽和下部滑槽组成,其中,下部滑槽之间设置有多个支撑带22,支撑带22的两端通过滑轮装配在下部滑槽中;上部滑槽中装配有一个活动板25,活动板25可在上部滑槽中滑动从而改变面颊槽21的大小。即,面颊槽21中两侧的第二滑槽23均是上下两段,上段安装活动板25,作用是调整面颊槽21的大小,以对患者的胸前部进行支撑;而支撑带22可以滑动到合适的位置,用以支撑患者的额部,使患者的头面部有更多的支撑点,减小面颊两侧的压力。A second chute 23 is arranged symmetrically along the axial direction of the bed board 1 in the cheek groove 21, and the second chute 23 is composed of an upper chute and a lower chute, wherein a plurality of support belts 22 are arranged between the lower chute to support The two ends of band 22 are assembled in the lower chute by pulley; A movable plate 25 is assembled in the upper chute, and movable plate 25 can slide in the upper chute so as to change the size of the cheek groove 21. That is, the second chute 23 on both sides in the cheek groove 21 is two sections up and down, and the movable plate 25 is installed on the upper section, and the effect is to adjust the size of the cheek groove 21 to support the chest of the patient; and the support belt 22 can Slide to a suitable position to support the patient's forehead, so that the patient's head and face have more support points and reduce the pressure on both sides of the cheeks.

本方案中的脚踝固定器8,作用是固定患者的足部,尤其是脚踝部,使其在做腰椎牵引时,作为固定支撑点。并可选择固定单侧或双侧脚踝固定,进行单侧或双侧下肢牵引治疗。然而除了对患者的腰椎进行牵引之外,本发明的治疗床还可以进行下肢抖甩和下肢旋髋的中医经典整脊疗法。具体地,本发明在床架上设置了震动架7结构,震动架7可在垂直于床板1的方向上下往复运动,从而带动脚踝固定器8上下震动,以进行下肢抖甩的治疗;震动的频率和幅度可根据实际情况进行调节;而脚踝固定器8又是可以旋转的,使患者的下肢可做90度的内旋动作,以进行骶髂关节的整复复位。The ankle anchor 8 in this program is used to fix the patient's foot, especially the ankle, so that it can be used as a fixed support point when doing lumbar traction. And you can choose to fix unilateral or bilateral ankles, and perform unilateral or bilateral lower limb traction treatment. However, in addition to pulling the patient's lumbar vertebrae, the treatment bed of the present invention can also perform traditional Chinese medicine chiropractic therapy of lower limb shaking and lower limb hip rotation. Specifically, the present invention is provided with a vibrating frame 7 structure on the bed frame, and the vibrating frame 7 can reciprocate up and down in the direction perpendicular to the bed board 1, thereby driving the ankle brace 8 to vibrate up and down, so as to treat the shaking of the lower limbs; The frequency and amplitude can be adjusted according to the actual situation; and the ankle fixator 8 can be rotated, so that the lower limbs of the patient can be rotated internally at 90 degrees to restore the sacroiliac joint.

具体地,如图3所示,给出了震动架7的结构示意图。震动架7包括固定在床架上的往复震动器9,往复震动器9在现有技术中已多有应用,在此不赘述。往复震动器9的输出端上安装有驱动杆10,打开往复震动器9并调节好震动频率、幅度后,往复震动器9将带动驱动杆10在竖直方向上以固定的频率和幅度进行运动;所述的驱动杆10上固定有架体;所述的架体上安装有可在垂直于床板1方向上运动的螺母块77,螺母块77与所述的脚踝固定器8联动;即,当驱动杆10运动时,将通过架体带动脚踝固定器8同步运动,从而实现对患者下肢的抬高和复位,留出下肢甩动空间。Specifically, as shown in FIG. 3 , a schematic structural diagram of the vibrating frame 7 is given. The vibrating frame 7 includes a reciprocating vibrator 9 fixed on the bed frame, and the reciprocating vibrator 9 has many applications in the prior art, so details are not repeated here. A driving rod 10 is installed on the output end of the reciprocating vibrator 9. After the reciprocating vibrator 9 is turned on and the vibration frequency and amplitude are adjusted, the reciprocating vibrator 9 will drive the driving rod 10 to move in the vertical direction with a fixed frequency and amplitude. A frame body is fixed on the drive rod 10; a nut block 77 that can move in a direction perpendicular to the bed board 1 is installed on the frame body, and the nut block 77 is linked with the ankle anchor 8; that is, When the driving rod 10 moves, the frame body will drive the ankle immobilizer 8 to move synchronously, so as to realize the lifting and reset of the patient's lower limbs, leaving room for swinging the lower limbs.

更进一步地,上述的架体包括间隔设置的上支板72和下支板74,上支板72和下支板74通过一对光轴73连接;在上支板72和下支板74之间设置有螺杆78,螺杆78的一端活动式安装在下支板74上,在架体上部设置有L形的调节杆71,调节杆71穿过上支板72与所述的螺杆78的另一端连接;所述的螺母块77上开设有螺纹孔76,螺母块77通过螺纹孔76装配在螺杆78上,螺母块77的两端各自通过联动杆75与套装在所述光轴73上的滑块79连接;所述的脚踝固定器8与滑块79活动式连接。这种架体的设计目的是,由于不同的患者体型不同,当患者处于俯卧姿态时,双足的最佳牵引、抖甩高度不同,由此设计了这种架体以手动调整脚踝固定器8的最佳位置。在进行调节时,只需要正向或反向摇动调节杆71,调节杆71将带动螺杆78正向或反向旋转,则螺母块77就会在螺杆78上上下移动。螺母块77上下移动时,将通过联动杆75带动滑块79上下移动,由此带动脚踝固定器8上下调整位置,可以抬高下肢使与躯干处于合适的角度,恢复生理腰曲,并保障了进行下肢甩动治疗的空间。这种结构使用、调节非常简单,而当螺杆78的螺距比较小时,也具有很好的固定效果。Furthermore, the above frame includes an upper support plate 72 and a lower support plate 74 arranged at intervals, and the upper support plate 72 and the lower support plate 74 are connected by a pair of optical axes 73; between the upper support plate 72 and the lower support plate 74 A screw rod 78 is arranged between them, and one end of the screw rod 78 is movably installed on the lower support plate 74, and an L-shaped adjustment rod 71 is arranged on the upper part of the frame body, and the adjustment rod 71 passes through the upper support plate 72 and the other end of the screw rod 78. connection; the nut block 77 is provided with a threaded hole 76, the nut block 77 is assembled on the screw rod 78 through the threaded hole 76, and the two ends of the nut block 77 are respectively connected with the sliding rod set on the optical axis 73 through the linkage rod 75 Block 79 is connected; Described ankle anchor 8 is movably connected with slide block 79. The design purpose of this frame is that, due to the different body shapes of different patients, when the patient is in a prone position, the optimal traction and shaking heights of the feet are different, so this frame is designed to manually adjust the ankle immobilizer8 best position. When adjusting, you only need to shake the adjusting rod 71 forward or backward, and the adjusting rod 71 will drive the screw rod 78 to rotate forward or reversely, and then the nut block 77 will move up and down on the screw rod 78 . When the nut block 77 moves up and down, it will drive the slide block 79 to move up and down through the linkage rod 75, thereby driving the ankle fixer 8 to adjust the position up and down, so that the lower limbs can be raised so that they are at a suitable angle with the trunk, and the physiological lumbar curvature is restored. Space for lower extremity swing therapy. This structure is very simple to use and adjust, and when the pitch of the screw rod 78 is relatively small, it also has a good fixing effect.

脚踝固定器8与滑块79采用活动的连接方式,这是为了保证脚踝固定器8可以旋转,以进行下肢旋髋疗法。具体的一种安装方式可以是,脚踝固定器8上设置有空心的圆形转套82,所述的滑块79上连接有固定杆710,固定杆710的端部通过轴承与转套82连接。也可以采用其他的连接方式,只要保证脚踝固定器8可以旋转即可。本实施例中,转套82位于脚踝固定器8的鞋底83的中心位置。Ankle anchor 8 and slide block 79 adopt movable connection mode, and this is in order to guarantee that ankle anchor 8 can rotate, to carry out hip rotation therapy of lower limbs. A specific installation method may be that the ankle brace 8 is provided with a hollow circular rotating sleeve 82, the slider 79 is connected with a fixed rod 710, and the end of the fixed rod 710 is connected with the rotating sleeve 82 through a bearing. . Other connection methods can also be used, as long as the ankle anchor 8 is guaranteed to be rotatable. In this embodiment, the swivel sleeve 82 is located at the center of the sole 83 of the ankle brace 8 .

如图4和图5所示,给出了一种具体的脚踝固定器8的结构示意图。在本实施例中,脚踝固定器8包括固定靴,固定靴包括鞋底83、鞋头盖89、鞋帮和鞋面,其中,鞋帮和鞋面自中部对称分隔成为固定部84和活动部85,活动部85可相对于固定部84转动,且活动部85能与固定部84相对固定。固定部84和活动部85,使得患者的足部能很方便地穿到固定靴中。固定靴内部衬有蓬松软质材料,如海绵等,以抱紧患者脚踝,并避免摩擦对皮肤造成损伤。对于不同的患者,可通过增加或减少固定靴内部的衬垫材料,来使得足部能与固定靴内部尽可能贴合固定。固定靴的表面上分布有很多透气孔88,避免在进行治疗时足部过热而带来不适。考虑到卫生问题,患者在做治疗之前,脱掉鞋后,可先在患者足部套上一次性的鞋套,之后再穿进脚踝固定器8中。As shown in Fig. 4 and Fig. 5, a specific structural schematic diagram of the ankle brace 8 is given. In this embodiment, the ankle brace 8 includes a fixed boot, and the fixed boot includes a sole 83, a toe cover 89, a shoe upper and a vamp, wherein the upper and the vamp are symmetrically divided into a fixed part 84 and a movable part 85 from the middle part, and the movable part The part 85 can rotate relative to the fixed part 84 , and the movable part 85 can be fixed relative to the fixed part 84 . The fixed part 84 and the movable part 85 allow the patient's foot to be easily worn into the fixed boot. The inside of the fixed boot is lined with fluffy soft materials, such as sponge, to hold the patient's ankle tightly and avoid friction from causing damage to the skin. For different patients, the padding material inside the boot can be increased or decreased so that the foot can fit and fix the boot as closely as possible. The surface of the fixed boot is distributed with a lot of ventilation holes 88, so as to avoid discomfort caused by overheating of the foot during treatment. Consider hygiene problem, before the patient does treatment, after taking off footwear, can put disposable shoe cover on patient's foot earlier, wears in the ankle brace 8 again afterwards.

为了对固定靴的固定部84和活动部85进行有效的固定,本方案中设置了弹簧卡扣结构。具体地,固定部84上设置有弹性的弧片810,自然状态下,弧片810具有向两侧张开的弹性趋势;弧片810上分布有限位齿87;所述的活动部85上设置有限位扣86,固定部84与活动部85相对固定时,将弧片810穿过限位扣86,弧片810通过弹力使限位齿87卡在限位扣86上,以进行相对固定。患者穿好固定靴以后,按下并推动弧片810,使限位扣86卡在合适的限位齿87上,这样就能使活动部85紧紧与固定部84连接。而做完治疗之后,只需按下弧片810,使限位齿87和限位扣86脱离接触,再抽出弧片810即可。In order to effectively fix the fixed part 84 and the movable part 85 of the fixed shoe, a spring buckle structure is provided in this solution. Specifically, the fixed portion 84 is provided with an elastic arc 810. In a natural state, the arc 810 has an elastic tendency to open to both sides; the arc 810 is distributed with limiting teeth 87; When the limit buckle 86 and the fixed part 84 and the movable part 85 are relatively fixed, the arc piece 810 passes through the limit buckle 86, and the arc piece 810 makes the limit tooth 87 be stuck on the limit buckle 86 by elastic force, so as to be relatively fixed. After the patient puts on the fixed boots, he presses and pushes the arc 810, so that the stop buckle 86 is stuck on the suitable stop teeth 87, so that the movable part 85 can be tightly connected with the fixed part 84. After finishing the treatment, only need to press the arc sheet 810 to disengage the stop teeth 87 and the stop buckle 86, and then extract the arc sheet 810 to get final product.

上述的下肢旋髋疗法,需要用脚踝固定器牵制脚踝内旋以带动患者的下肢进行内旋。为了便于这一过程的实现,本方案中在床脚3上设置有脚踏牵引机构,脚踏牵引机构通过一个踏板16驱动,脚踏牵引机构通过牵引带13连接所述的脚踝固定器8的上端,在牵引带13的牵引下,使脚踝固定器8旋转。具体地,如图3所示,脚踏牵引机构包括一个驱动架17,驱动架17的一端通过转轴19连接在床架上,驱动架17的另一端与床脚之间固定垫有用于复位的弹簧片18;所述的牵引带13的一端可拆卸地连接在设置于脚踝固定器8上的挂环81上,牵引带13的另一端与驱动架17连接;所述的踏板16通过L形的连杆15连接在驱动架17上。驱动架17上方的床架上设置有限位板11,限位板11上设置有限位套12,所述的牵引带13穿过限位套12;限位套12的作用是用于限定牵引带13的位置,使牵引带13能保证竖直向下的状态,以利于牵引过程。本实施例中,驱动架17安装在床脚3上,而限位板11固定在立柱2上。The above-mentioned hip rotation therapy for lower limbs needs to restrain the internal rotation of the ankle to drive the patient's lower limbs to internally rotate with an ankle immobilizer. In order to facilitate the realization of this process, a pedal traction mechanism is provided on the bed foot 3 in this program, and the pedal traction mechanism is driven by a pedal 16, and the pedal traction mechanism is connected to the ankle anchor 8 by a traction belt 13 At the upper end, under the traction of the traction belt 13, the ankle anchor 8 is rotated. Specifically, as shown in Figure 3, the pedal traction mechanism includes a driving frame 17, and one end of the driving frame 17 is connected on the bed frame through a rotating shaft 19, and the other end of the driving frame 17 and the foot of the bed are fixed with pads for resetting. Spring leaf 18; one end of the traction belt 13 is detachably connected to the hanging ring 81 arranged on the ankle anchor 8, and the other end of the traction belt 13 is connected with the drive frame 17; the pedal 16 is connected by an L-shaped The connecting rod 15 is connected on the drive frame 17. A limit plate 11 is arranged on the bed frame above the drive frame 17, and a limit cover 12 is arranged on the limit plate 11, and the traction belt 13 passes through the limit cover 12; the effect of the limit cover 12 is to limit the traction belt The position of 13 makes traction belt 13 can guarantee the vertically downward state, to be beneficial to traction process. In this embodiment, the driving frame 17 is installed on the foot of the bed 3 , and the limiting plate 11 is fixed on the column 2 .

在进行下肢旋髋疗法时,医生用脚部不断踩踏踏板16,踩踏过程中,驱动架17在踏板16的带动下往复运动,则就通过牵引带13带动固定靴旋转,使得固定于其中的患者脚踝发生内旋。本方案中,限位套12的轴向与挂环81不在同一条直线上,即限位套12不在挂环81的正下方,而在略偏一些的位置。对于本方案中的两个固定靴,以量化的方式表述就是,两个固定靴上的挂环81的间距小于立柱2两侧限位套12之间的间距。那么,在牵引带13向下运动时,受到限位套12的导向,使得拉力的方向为挂环81的斜下方,这样有利于使固定靴发生旋转。在一次髋旋过程中,通过踩下踏板16,使足部产生内旋,然后松开踏板16,弹簧片18使驱动架17复位,而下肢则会自然带动脚踝固定器8复位,完成一次髋旋过程。在进行下肢抖甩时,可将牵引带13的上端从挂环81上拆下,不影响抖甩过程。During hip rotation therapy of the lower limbs, the doctor continuously steps on the pedal 16 with his feet. During the stepping process, the driving frame 17 reciprocates under the drive of the pedal 16, and the fixed boot is driven by the traction belt 13 to rotate, so that the patient fixed therein The ankle is internally rotated. In this solution, the axial direction of the limiting sleeve 12 and the hanging ring 81 are not on the same straight line, that is, the limiting sleeve 12 is not directly below the hanging ring 81, but at a slightly offset position. For the two fixing shoes in this solution, expressed in a quantified manner, the distance between the hanging rings 81 on the two fixing shoes is smaller than the distance between the spacer sleeves 12 on both sides of the column 2 . Then, when the traction belt 13 moves downward, it is guided by the spacer sleeve 12, so that the direction of the pulling force is obliquely below the hanging ring 81, which is conducive to the rotation of the fixed shoe. During a hip rotation process, by depressing the pedal 16, the foot produces internal rotation, and then releasing the pedal 16, the spring leaf 18 resets the drive frame 17, and the lower limbs will naturally drive the ankle fixer 8 to reset, completing a hip rotation. spin process. When shaking and shaking the lower limbs, the upper end of the traction belt 13 can be removed from the hanging ring 81 without affecting the shaking and shaking process.

利用本发明进行腰椎病治疗、保健的过程如下:Utilize the present invention to carry out the process of lumbar spondylopathy treatment, health care as follows:

1.患者俯卧位,用脚踝固定器8固定患者单侧或双侧脚踝部;通过控制手动脚踝升降的调节杆71调整下肢抬起到合适高度,通过控制器14启动固定在床架上的电动液压装置28,使床架上的可滑动的床板1牵引躯干向头侧移动,使脊柱得到拉伸。因患者下肢被抬高,腰椎曲度加大,可使前纵韧带被牵拉程度多于对后纵韧带的牵拉,使椎间隙增宽,产生负压虹吸作用,吸入突出的髓核。拉宽椎间隙从而达到减轻椎间盘压力,促使椎间盘回纳,解除对神经根等组织的刺激和压迫。椎间隙的增大,关节突关节的拉开,使椎间孔恢复正常的外形,从而解除对神经根的挤压;1. The patient is in a prone position, and the patient’s unilateral or bilateral ankles are fixed with the ankle immobilizer 8; the lower limbs are lifted to a suitable height by controlling the manual ankle lifting adjustment rod 71, and the electric motor fixed on the bed frame is activated by the controller 14. The hydraulic device 28 makes the slidable bed board 1 on the bedstead draw the trunk and move to the head side, so that the spine is stretched. Because the patient's lower limbs are raised and the curvature of the lumbar spine increases, the anterior longitudinal ligament is stretched more than the posterior longitudinal ligament, widening the intervertebral space, creating a negative pressure siphon, and sucking the protruding nucleus pulposus. Widen the intervertebral space to reduce the pressure on the intervertebral disc, promote the return of the intervertebral disc, and relieve the stimulation and compression of nerve roots and other tissues. The enlargement of the intervertebral space and the pulling of the facet joints restore the normal shape of the intervertebral foramen, thereby releasing the compression on the nerve roots;

2.可根据患者病情情况固定单侧或双侧脚踝,实现单侧或双侧分别进行牵引整脊治疗,这也是目前现有牵引设备所无法完成的;2. One or both ankles can be fixed according to the patient's condition, so as to achieve traction and chiropractic treatment on one or both sides respectively, which is not possible with the current traction equipment;

3.牵引结束后,腰背肌肉得以放松,脱位、错位的关节被拉开。此时医生通过控制器14打开往复震动器9,设置好震动的时间、频率和幅度然后启动,此时患者的双下肢在往复震动器9的带动下做上下高频低幅抖动,使脊柱错位、半脱位关节复位,恢复腰椎的正常列线并解除肌肉痉挛;3. After the traction is over, the muscles of the lower back are relaxed, and the dislocated and dislocated joints are pulled apart. At this time, the doctor turns on the reciprocating vibrator 9 through the controller 14, sets the time, frequency and amplitude of the vibration, and then starts it. At this time, the patient's lower limbs vibrate up and down at high frequency and low amplitude under the drive of the reciprocating vibrator 9 to dislocate the spine. , Reposition of subluxed joints, restore the normal alignment of the lumbar spine and relieve muscle spasms;

4.整脊结束后,进行手动双下肢内旋动作治疗,对骨盆骶髂关节进行整复。医生通过不断踩踏踏板16,由分别扣挂在左右脚踝固定器8足跟端上的牵引带13,向下牵引,使双足做最大内旋动作,带动下肢内旋,使外旋力量传导至腰骶部,迫使骶髂关节得以拉伸放松复位,完成旋髋复位。通过复合治疗后可使腰椎间盘内的髓核回纳,解除椎旁软组织痉挛,恢复腰椎的正常列线,各腰椎部脊柱小关节复位,骶髂关节整复复位。4. After the chiropractic is completed, manual internal rotation of both lower limbs is performed, and the pelvic sacroiliac joints are rehabilitated. By constantly stepping on the pedal 16, the doctor pulls down the traction belt 13 respectively buckled on the heel end of the left and right ankle fixers 8, so that both feet do the maximum internal rotation, and drive the lower limbs to internally rotate, so that the external rotation force is transmitted to the The lumbosacral region forces the sacroiliac joints to be stretched, relaxed and reset to complete the hip rotation reduction. After compound treatment, the nucleus pulposus in the lumbar intervertebral disc can be retracted, the paraspinal soft tissue spasm can be relieved, the normal alignment of the lumbar spine can be restored, the facet joints of the lumbar spine can be reset, and the sacroiliac joint can be reset.

本发明床板1移动设最大行程,下肢抬高的最大角度也受到震动架的限制,下肢上下甩动为高频低幅,双下肢最大内旋90度。确保各治疗操作是在人体各部位肌肉、韧带、关节可承受的,确保无损伤的安全可控的范围内进行。治疗步骤为先牵引、后甩动再内旋。只需一位医生操作,简单易学,操作方便。The bed board 1 of the present invention moves with a maximum stroke, and the maximum angle of raising the lower limbs is also limited by the vibrating frame. Ensure that each treatment operation is carried out within a safe and controllable range that can be tolerated by muscles, ligaments, and joints in various parts of the human body to ensure no damage. The treatment steps are first traction, then swinging and internal rotation. Only one doctor is required to operate, easy to learn, and convenient to operate.

在临床工作中,发明人综合各种中医整脊手法,设计的这套牵引整脊治疗床,治愈了许多临床明确诊断的椎间盘突出症、腰椎滑脱症、腰肌劳损,骶髂关节综合症等患者。很多患者通过一次治疗,症状立刻缓解或治愈,当即就可下地行走,疗效非常显著。本发明利用机械代替人力,在充分理解和体现了中医整脊的理论、原理及手法的基础上,用机械设备完成几个人力手法治疗的关键规范的整脊动作,可实现统一规范治疗操作,极大地减轻了人力劳动,解决现有牵引设备在理论上、原理上和方法上的不足和错误,并可推广到医疗单位使用,让可保守治疗的广大腰疾患者得到统一、规范、正规的真正有效的治疗,并有益于推广使用。In the clinical work, the inventor integrated various traditional Chinese medicine chiropractic techniques, and designed this set of traction chiropractic treatment bed, which cured many clinically diagnosed intervertebral disc herniation, spondylolisthesis, lumbar muscle strain, sacroiliac joint syndrome, etc. patient. After one treatment, many patients' symptoms are relieved or cured immediately, and they can walk on the ground immediately, and the curative effect is very significant. The present invention uses machinery to replace manpower, and on the basis of fully understanding and embodying the theory, principle and technique of TCM chiropractic, uses mechanical equipment to complete several key standard chiropractic actions of manpower manipulation treatment, which can realize unified and standardized treatment operations, It greatly reduces human labor, solves the shortcomings and mistakes of existing traction equipment in theory, principle and method, and can be extended to medical units for use, so that the vast number of patients with low back disease who can be treated conservatively can receive unified, standardized and formal treatment. Really effective treatment, and beneficial to popularize and use.

Claims (8)

1.一种俯卧抬腿式自助牵引力多功能腰椎病治疗床,包括床架和床板(1),其特征在于,所述的床板(1)活动式安装在床架上,床板(1)可在液压装置(28)的驱动下沿床架的长度方向滑动;在床板(1)的一端开设有条形的面颊槽(21),面颊槽(21)两侧的床板(1)上分布有多对插孔(26),插孔(26)上可拆卸地设置有助力桩(24);所述的床架的端部安装有用于固定患者足部的脚踝固定器(8),脚踝固定器(8)活动式安装在一个用于驱动脚踝固定器(8)往复运动的震动架(7)上,且脚踝固定器(8)可相对于震动架(7)旋转;1. A multifunctional lumbar disease treatment bed with self-help traction in prone position and leg raising, comprising a bed frame and a bed board (1), characterized in that the bed board (1) is movably installed on the bed frame, and the bed board (1) can be Driven by the hydraulic device (28), it slides along the length of the bed frame; one end of the bed board (1) is provided with a strip-shaped cheek groove (21), and the bed board (1) on both sides of the cheek groove (21) is distributed with A plurality of pairs of jacks (26), detachably provided with booster piles (24) on the jacks (26); ankle anchors (8) for fixing the patient's feet are installed on the end of the bed frame, and the ankles are fixed The device (8) is movably installed on a vibrating frame (7) for driving the reciprocating movement of the ankle immobilizer (8), and the ankle immobilizer (8) can rotate relative to the vibrating frame (7); 所述的震动架(7)包括固定在床架上的往复震动器(9),往复震动器(9)的输出端上安装有驱动杆(10),驱动杆(10)上固定有架体;所述的架体上安装有可在垂直于床板(1)方向上运动的螺母块(77),螺母块(77)与所述的脚踝固定器(8)联动,驱动杆10运动,将通过架体带动脚踝固定器8同步运动;The vibrating frame (7) includes a reciprocating vibrator (9) fixed on the bed frame, a drive rod (10) is installed on the output end of the reciprocating vibrator (9), and a frame body is fixed on the drive rod (10). ; The nut block (77) that can move in the direction perpendicular to the bed board (1) is installed on the frame body, and the nut block (77) is linked with the ankle anchor (8) to drive the rod 10 to move. Drive the ankle immobilizer 8 to move synchronously through the frame; 所述的架体包括间隔设置的上支板(72)和下支板(74),上支板(72)和下支板(74)通过一对光轴(73)连接;在上支板(72)和下支板(74)之间设置有螺杆(78),螺杆(78)的一端活动式安装在下支板(74)上,在架体上部设置有调节杆(71),调节杆(71)穿过上支板(72)与所述的螺杆(78)的另一端连接;所述的螺母块(77)上开设有螺纹孔(76),螺母块(77)通过螺纹孔(76)装配在螺杆(78)上,螺母块(77)的两端各自通过联动杆(75)与套装在所述光轴(73)上的滑块(79)连接;所述的脚踝固定器(8)与滑块(79)活动式连接。The frame body includes an upper support plate (72) and a lower support plate (74) arranged at intervals, and the upper support plate (72) and the lower support plate (74) are connected by a pair of optical axes (73); on the upper support plate (72) and the lower support plate (74) are provided with a screw rod (78), and one end of the screw rod (78) is movably installed on the lower support plate (74), and an adjustment rod (71) is arranged on the upper part of the frame body, and the adjustment rod (71) is connected to the other end of the screw rod (78) through the upper support plate (72); the nut block (77) is provided with a threaded hole (76), and the nut block (77) passes through the threaded hole ( 76) Assembled on the screw rod (78), the two ends of the nut block (77) are respectively connected with the slider (79) set on the optical axis (73) through the linkage rod (75); (8) is movably connected with slide block (79). 2.如权利要求1所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的脚踝固定器(8)包括固定靴,固定靴包括鞋底(83)、鞋头盖(89)、鞋帮和鞋面,其中,鞋帮和鞋面自中部对称分隔成为固定部(84)和活动部(85),活动部(85)可相对于固定部(84)转动,且活动部(85)能与固定部(84)相对固定。2. The prone leg raising type self-service traction multifunctional lumbar disease treatment bed according to claim 1, characterized in that, the ankle immobilizer (8) includes a fixed boot, and the fixed boot includes a sole (83), a toe cap (89), shoe upper and shoe upper, wherein the shoe upper and shoe upper are symmetrically separated from the middle into a fixed part (84) and a movable part (85), the movable part (85) can rotate relative to the fixed part (84), and the movable part (85) can be relatively fixed with the fixing part (84). 3.如权利要求2所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的固定部(84)上设置有弧片(810),弧片(810)上分布有限位齿(87);所述的活动部(85)上设置有限位扣(86),固定部(84)与活动部(85)相对固定时,将弧片(810)穿过限位扣(86),弧片(810)通过弹力使限位齿(87)卡在限位扣(86)上,以进行相对固定。3. The prone and leg raising type self-service traction multifunctional lumbar disease treatment bed according to claim 2, characterized in that, the fixed part (84) is provided with arcs (810), and the arcs (810) are distributed Limiting teeth (87); the movable part (85) is provided with a limiting buckle (86), and when the fixed part (84) and the movable part (85) are relatively fixed, the arc piece (810) passes through the limiting buckle (86), the arc piece (810) makes the stop tooth (87) be stuck on the stop buckle (86) by elastic force, so as to be relatively fixed. 4.如权利要求1所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的床架上设置有脚踏牵引机构,脚踏牵引机构通过一个踏板(16)驱动,脚踏牵引机构通过牵引带(13)连接所述的脚踝固定器(8)的上端,在牵引带(13)的牵引下,使脚踝固定器(8)旋转。4. The prone-leg-lifting self-service traction multifunctional lumbar disease treatment bed according to claim 1, characterized in that, the bed frame is provided with a pedal traction mechanism, which is driven by a pedal (16) , the foot traction mechanism is connected to the upper end of the ankle anchor (8) through the traction belt (13), and the ankle anchor (8) is rotated under the traction of the traction belt (13). 5.如权利要求4所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的脚踏牵引机构包括一个驱动架(17),驱动架(17)的一端通过转轴(19)连接在床架上,驱动架(17)的另一端与床架之间衬有弹簧片(18);所述的牵引带(13)的一端可拆卸地连接在设置于脚踝固定器(8)上的挂环(81)上,牵引带(13)的另一端与驱动架(17)连接;所述的踏板(16)通过L形的连杆连接在驱动架(17)上。5. The prone and leg raising type self-service traction multifunctional lumbar disease treatment bed according to claim 4, characterized in that, the pedal traction mechanism includes a driving frame (17), and one end of the driving frame (17) passes through the rotating shaft (19) is connected to the bed frame, and the other end of the driving frame (17) is lined with a spring sheet (18) between the bed frame; one end of the traction belt (13) is detachably connected to the ankle anchor On the hanging ring (81) on (8), the other end of the traction belt (13) is connected to the drive frame (17); the pedal (16) is connected to the drive frame (17) by an L-shaped connecting rod. 6.如权利要求5所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的驱动架(17)上方的床架上设置有限位板(11),限位板(11)上设置有限位套(12),所述的牵引带(13)穿过限位套(12)。6. The prone-leg-lifting self-service traction multifunctional lumbar disease treatment bed according to claim 5, characterized in that, a limiting plate (11) is arranged on the bed frame above the driving frame (17), and the limiting plate A limit sleeve (12) is arranged on (11), and the traction belt (13) passes through the limit sleeve (12). 7.如权利要求1所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的床架包括一对床脚(3),床脚(3)之间通过加固梁(20)连接;所述的床脚(3)上均垂直设置有Y形的立柱(2),所述的一对立柱(2)之间设置有一对支撑板(5),在这一对支撑板(5)上均沿轴向开设有第一滑槽(6),所述的床板(1)装配在第一滑槽(6)上;在支撑板(5)之间通过固定梁(29)安装所述的液压装置(28),液压装置(28)的输出端通过固定板(27)与床板(1)的底部连接。7. The prone and leg raising type self-service traction multifunctional lumbar disease treatment bed according to claim 1, characterized in that, the bed frame includes a pair of bed feet (3), and the bed feet (3) are connected by a reinforced beam (20) connection; Y-shaped columns (2) are vertically arranged on the bed feet (3), and a pair of support plates (5) are arranged between the pair of columns (2). The first chute (6) is opened on the support plate (5) along the axial direction, and the bed board (1) is assembled on the first chute (6); between the support plates (5) through the fixed beam ( 29) Install the hydraulic device (28), the output end of the hydraulic device (28) is connected to the bottom of the bed board (1) through the fixing plate (27). 8.如权利要求1所述的俯卧抬腿式自助牵引力多功能腰椎病治疗床,其特征在于,所述的面颊槽(21)中沿床板(1)的轴向对称开设有第二滑槽(23),第二滑槽(23)由上部滑槽和下部滑槽组成,其中,下部滑槽之间设置有多个支撑带(22),支撑带(22)的两端通过滑轮装配在下部滑槽中;上部滑槽中装配有一个活动板(25),活动板(25)可在上部滑槽中滑动从而改变面颊槽(21)的大小。8. The prone and leg raising type self-service traction multifunctional lumbar disease treatment bed according to claim 1, characterized in that, a second chute is provided in the cheek groove (21) symmetrically along the axial direction of the bed board (1) (23), the second chute (23) is composed of an upper chute and a lower chute, wherein a plurality of support belts (22) are arranged between the lower chute, and the two ends of the support belt (22) are assembled on the In the lower chute; a movable plate (25) is assembled in the upper chute, and the movable plate (25) can slide in the upper chute to change the size of the cheek groove (21).
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