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CN113262094B - A kind of postoperative cervical posterior muscle group training and rehabilitation device - Google Patents

A kind of postoperative cervical posterior muscle group training and rehabilitation device Download PDF

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Publication number
CN113262094B
CN113262094B CN202110686764.0A CN202110686764A CN113262094B CN 113262094 B CN113262094 B CN 113262094B CN 202110686764 A CN202110686764 A CN 202110686764A CN 113262094 B CN113262094 B CN 113262094B
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neck
air cushion
support part
force
fixing part
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CN113262094A (en
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胡津铨
王新伟
陈华江
袁文
闫蔷
乔云鹏
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Shanghai Changzheng Hospital
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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
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/055Cervical collars
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552Elastic ropes or bands
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/025Exercising apparatus specially adapted for particular parts of the body for the head or the neck

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  • Life Sciences & Earth Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
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  • Nursing (AREA)
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  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a postoperative cervical vertebra posterior muscle group training and rehabilitation device, which comprises a front cervical support and a back cervical support which are fixed in a staggered mode, wherein the front cervical support comprises a front fixing part, a front cervical support part and a front support part; the back neck support comprises a back fixing part, a back neck support part and a back support part; the inner sides of the front fixing part and the rear fixing part are provided with neck air cushion structures, the outer side of the rear fixing part is provided with a force application structure for applying pressure to the back neck of a patient, and the force application structure comprises two force application blocks which are distributed up and down and a power structure for driving the two force application blocks to reciprocate up and down. According to the invention, when the torque motor is started to drive the first rotating wheel to rotate clockwise in the direction of the figure, the first force application block is pulled upwards through the second elastic band, so that the first force application block rotates upwards to extrude the supporting plate of the back neck support part, and the back neck support part is driven to extrude towards the neck part, so that pressure is applied to the occiput of a patient, and at the moment, the patient can train muscles by resisting the pressure of the back neck support part.

Description

一种术后颈椎后路肌肉群训练康复装置A kind of postoperative cervical spine posterior muscle group training and rehabilitation device

技术领域technical field

本发明涉及颈椎术后康复设备技术领域,具体为一种术后颈椎后路肌肉群训练康复装置。The invention relates to the technical field of rehabilitation equipment for cervical vertebra surgery, in particular to a rehabilitation device for training and rehabilitating muscles of the posterior cervical vertebrae after surgery.

背景技术Background technique

颈椎病术后康复治疗是治疗的重要组成部分,特别是术后3个月以内的康复过程关乎手术预后效果。颈椎手术后的康复目是为神经功能恢复或者骨愈合提供理想的环境。根据手术切口入路的不同,可分为颈椎前路和颈椎后路手术。对于颈椎前路手术,一般需要患者佩戴颈托限制颈椎活动4周以上,保证椎体间的骨性融合。而患者在佩戴颈托的过程中,由于难以活动,缺乏康复锻炼,容易导致颈椎后方肌肉群的失用性萎缩,从而导致颈部酸痛等手术后遗症。Rehabilitation after cervical spondylosis is an important part of the treatment, especially the rehabilitation process within 3 months after the operation is related to the prognosis of the operation. The purpose of rehabilitation after cervical spine surgery is to provide an ideal environment for neurological recovery or bone healing. According to the different incision approach, it can be divided into anterior cervical and posterior cervical surgery. For anterior cervical spine surgery, patients are generally required to wear a cervical collar to limit the movement of the cervical spine for more than 4 weeks to ensure the bony fusion between the vertebral bodies. In the process of wearing a cervical collar, patients are difficult to move and lack of rehabilitation exercises, which can easily lead to disuse atrophy of the muscles behind the cervical spine, resulting in neck pain and other postoperative sequelae.

对于颈椎后路手术,一般情况下,需要严格佩戴颈托4-8周,并且由于颈椎后方肌肉在手术过程中被损伤,在康复过程中对其进行康复训练是必要的。现有方式大部分是通过患者自己将双手交叉放在枕后部位,用力向后仰头,同时双手同力抵住枕部使头不能后仰,即通过头和双手对抗来达到训练颈部肌肉的效果,但是目前还没有一个能够结合颈托的自动设备来实现颈部肌肉训练,为此我们提出一种术后颈椎后路肌肉群训练康复装置用于解决上述问题。For posterior cervical surgery, under normal circumstances, it is necessary to strictly wear a cervical collar for 4-8 weeks, and because the muscles behind the cervical spine are damaged during the operation, it is necessary to perform rehabilitation training on them during the rehabilitation process. Most of the existing methods are that the patient himself crosses his hands on the back of the occiput, tilts his head back with force, and at the same time presses the occiput with both hands to prevent the head from tilting back, that is, the neck muscles are trained by confrontation between the head and the hands. However, at present, there is no automatic device that can be combined with a cervical collar to realize neck muscle training. Therefore, we propose a posterior cervical muscle group training and rehabilitation device to solve the above problems.

发明内容SUMMARY OF THE INVENTION

本发明的目的在于提供一种术后颈椎后路肌肉群训练康复装置,以解决上述背景技术中提出的问题。The purpose of the present invention is to provide a post-operative cervical muscle group training and rehabilitation device, so as to solve the problems raised in the above-mentioned background art.

为实现上述目的,本发明提供如下技术方案:一种术后颈椎后路肌肉群训练康复装置,包括交错固定的前颈托和后颈托,In order to achieve the above purpose, the present invention provides the following technical solutions: a post-operative cervical vertebra posterior muscle group training and rehabilitation device, comprising staggered and fixed front cervical collar and rear cervical collar,

所述前颈托包括前固定部和分别固定在其上、下端的前颈托部和前支撑部;The front neck support includes a front fixing part, a front neck support part and a front support part respectively fixed on the upper and lower ends of the front neck support;

所述后颈托包括后固定部和分别活动安装在其上、下端的后颈托部和后支撑部;The back neck support includes a back fixing part, a back neck support part and a back support part movably installed on the upper and lower ends of the back neck support part;

所述前固定部和后固定部的内侧设置有颈部气垫结构,所述颈部气垫结构由安装在前固定部内侧的前气垫和安装在后固定部内侧的后气垫构成,前气垫和后气垫之间相互连通,且通过充气装置对前气垫和后气垫同时充气;The inner sides of the front fixing part and the rear fixing part are provided with a neck air cushion structure, and the neck air cushion structure is composed of a front air cushion installed inside the front fixing part and a rear air cushion installed inside the rear fixing part. The air cushions are communicated with each other, and the front air cushion and the rear air cushion are inflated at the same time through the inflation device;

所述后固定部的外侧设置一个对患者后颈部施加压力的施力结构,所述施力结构包括后固定部的外侧可拆卸连接的安装架,所述安装架上设置转轴,所述转轴上并列套接有两个可自由转动的套筒,两个所述套筒外侧表面上通过连接杆分别固定连接两个不同的施力块,两个施力块呈上下分布,且施力块分别与后颈托部和后支撑部外侧面活动抵触;The outer side of the rear fixing part is provided with a force applying structure that exerts pressure on the back neck of the patient. Two freely rotatable sleeves are sleeved on the upper side in parallel, and the outer surfaces of the two sleeves are respectively fixed and connected with two different force-applying blocks through connecting rods. The two force-applying blocks are distributed up and down. They are in conflict with the rear neck support and the lateral side of the rear support respectively;

所述施力结构还包括一个驱动两个施力块上下往复运动的动力结构,所述动力结构包括一个与安装架固接的外壳,所述外壳内安装有两个转轮,其中一个转轮通过安装在外壳上的力矩电机驱动,所述转轮上均套有不超过一圈的弹力带,所述弹力带的两端分别与两个施力块连接。The force-applying structure also includes a power structure that drives the two force-applying blocks to reciprocate up and down, the power structure includes a housing fixed to the mounting frame, and two runners are installed in the housing, one of which is a runner. Driven by a torque motor installed on the casing, the runner is covered with an elastic band of no more than one circle, and the two ends of the elastic band are respectively connected with two force-applying blocks.

优选的,所述前固定部和后固定部之间通过魔术贴可拆卸连接。Preferably, the front fixing part and the rear fixing part are detachably connected by a Velcro.

优选的,所述后颈托部和后支撑部分别通过弹性的塑料连接件与后固定部连接。Preferably, the rear neck support portion and the rear support portion are respectively connected to the rear fixing portion through elastic plastic connectors.

优选的,所述前气垫和后气垫之间通过多个长度可调的连接气嘴连通。Preferably, the front air cushion and the rear air cushion are communicated through a plurality of connecting air nozzles with adjustable lengths.

优选的,所述前气垫内侧的中部开设一个内凹的避让槽。Preferably, a concave escape groove is provided in the middle part of the inner side of the front air cushion.

优选的,两个所述施力块均为形状相同的弧形板结构,施力块围绕以转轴的轴心上下往复摆动,所述后颈托部和后支撑部外侧面上均安装有支撑板,所述支撑板上开设一个与用于施力块滑动的滑槽。Preferably, the two force-applying blocks are arc-shaped plate structures with the same shape, the force-applying blocks swing up and down around the axis of the rotating shaft, and supports are installed on the outer surfaces of the rear neck support portion and the rear support portion. The support plate is provided with a chute for sliding with the force-applying block.

优选的,所述外壳上朝向施力块的一侧开设有两个通孔,所述转轮的一侧贯穿通孔并延伸到外壳外侧。Preferably, two through holes are formed on the side of the casing facing the force applying block, and one side of the runner passes through the through holes and extends to the outside of the casing.

与现有技术相比,本发明的有益效果是:Compared with the prior art, the beneficial effects of the present invention are:

本发明中利用力矩电机启动,带动第一转轮如图中方向顺时针转动时,就会通过第二弹力带向上拉动第一施力块,使得第一施力块向上转动,挤压后颈托部的支撑板,带动后颈托部向颈部挤压,从而对患者的枕部施加压力,此时患者便可以通过对抗后颈托部的压力来训练肌肉。In the present invention, the torque motor is used to start, and when the first runner is driven to rotate clockwise as shown in the figure, the first force-applying block will be pulled upward through the second elastic band, so that the first force-applying block will rotate upward and squeeze the back neck. The support plate of the support part drives the back neck support part to squeeze towards the neck, so as to exert pressure on the patient's occiput, at this time, the patient can train the muscles by resisting the pressure of the back neck support part.

在第一施力块向上转动的同时,也会通过第一弹力带拉动第二施力块,使得第二施力块向下转动,对患者的肩部施加压力,使得患者对抗后颈托部压力时,后颈托能够提供足够的支撑力。When the first force-applying block rotates upward, the second force-applying block is also pulled through the first elastic band, so that the second force-applying block rotates downward, exerting pressure on the patient's shoulder, so that the patient opposes the back of the neck support. Under pressure, the neck brace can provide enough support.

力矩电机上还设置有减速器,并且力矩电机通过控制器控制,在低转速、小幅度的情况下转动,避免对转速过快和转动圈数过多对患者颈部造成伤害。The torque motor is also provided with a reducer, and the torque motor is controlled by the controller to rotate at a low speed and a small amplitude to avoid damage to the patient's neck caused by too fast rotation speed and too many turns.

本发明中充气装置对前气垫和后气垫同时充气,前气垫和后气垫充气后紧密贴合在患者颈部,起到进一步固定的作用。In the present invention, the inflator inflates the front air cushion and the rear air cushion at the same time, and the front air cushion and the rear air cushion closely fit on the patient's neck after being inflated, and play a further role in fixing.

前气垫内侧的中部开设一个内凹的避让槽,在使用过程中避免对使用者喉部造成过大的挤压力。A concave escape groove is set in the middle part of the inner side of the front air cushion to avoid excessive squeezing force on the user's throat during use.

附图说明Description of drawings

图1为本发明结构示意图;Fig. 1 is the structural representation of the present invention;

图2为本发明中颈托结构示意图;Fig. 2 is the structural representation of neck brace in the present invention;

图3为本发明中颈部气垫结构示意图;3 is a schematic diagram of the structure of the neck air cushion in the present invention;

图4为本发明中连接气嘴示意图;Fig. 4 is the schematic diagram of connecting air nozzle in the present invention;

图5为本发明中施力结构示意图;5 is a schematic diagram of a force applying structure in the present invention;

图6为本发明中第二转轮驱动示意图;6 is a schematic diagram of the second runner driving in the present invention;

图7为本发明中第一转轮驱动示意图。FIG. 7 is a schematic diagram of the driving of the first runner in the present invention.

图中:10、前颈托;11、前固定部;12、前颈托部;13、前支撑部;14、魔术贴;In the picture: 10, front neck support; 11, front fixing part; 12, front neck support part; 13, front support part; 14, Velcro;

20、后颈托;21、后固定部;22、后颈托部;23、后支撑部;24、扣环;25、支撑板;2501、滑槽;20, back neck brace; 21, back fixing part; 22, back neck brace part; 23, back support part; 24, buckle; 25, support plate; 2501, chute;

30、颈部气垫结构;31、前气垫;3101、避让槽;32、后气垫;33、端部板;34、手动充气泵;30. Neck air cushion structure; 31. Front air cushion; 3101. Avoidance groove; 32. Rear air cushion; 33. End plate; 34. Manual air pump;

35、连接气嘴;351、外连接管;351a、橡胶卡腔;352、内连接管;352a、橡胶卡头;353、橡胶伸缩管;35, connecting air nozzle; 351, outer connecting pipe; 351a, rubber clamping cavity; 352, inner connecting pipe; 352a, rubber clamping head; 353, rubber expansion pipe;

40、施力结构;41、安装架;42、转轴;43、套筒;44、连接杆;45、施力块;451、第一施力块;452、第二施力块;40. Force-applying structure; 41. Mounting frame; 42. Rotating shaft; 43. Sleeve; 44. Connecting rod; 45. Force-applying block;

46、动力结构;461、外壳;461a、通孔;462、转轮;4621、第一转轮;4622、第二转轮;463、弹力带;4631、第一弹力带;4632、第二弹力带;464、力矩电机。46, power structure; 461, shell; 461a, through hole; 462, wheel; 4621, first wheel; 4622, second wheel; 463, elastic band; 4631, first elastic band; 4632, second elastic force Belt; 464, torque motor.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

请参阅图1-7,本发明提供一种技术方案:一种术后颈椎后路肌肉群训练康复装置,包括交错固定的前颈托10和后颈托20,前颈托10包括前固定部11和分别固定在其上、下端的前颈托部12和前支撑部13;后颈托20包括后固定部21和分别活动安装在其上、下端的后颈托部22和后支撑部23。前颈托10覆盖在患者颈部前侧,后颈托20覆盖在患者颈部后侧,并且通过前支撑部13和后支撑部23固定在患者的肩部,起到施力支撑的作用。1-7, the present invention provides a technical solution: a postoperative cervical spine posterior muscle group training and rehabilitation device, including an anterior cervical collar 10 and a posterior cervical collar 20 that are staggered and fixed, and the anterior cervical collar 10 includes a front fixing part 11 and the front neck support part 12 and the front support part 13 respectively fixed on its upper and lower ends; the back neck support 20 includes a rear fixed part 21 and a rear neck support part 22 and a rear support part 23 respectively movably installed on its upper and lower ends . The front neck brace 10 covers the front side of the patient's neck, and the rear neck brace 20 covers the back side of the patient's neck, and is fixed on the patient's shoulder through the front support part 13 and the rear support part 23 to play the role of force support.

进一步的,前固定部11和后固定部21之间通过魔术贴14可拆卸连接;前固定部11的两端均固定连接有可自粘的魔术贴14,后固定部21的两端均设置有扣环24,魔术贴14绕过其同侧的扣环24后与自身粘合。本申请中前固定部11和后固定部21还可以通过本领域其他的常规固定方式连接,例如搭扣。Further, the front fixing portion 11 and the rear fixing portion 21 are detachably connected by a Velcro 14; both ends of the front fixing portion 11 are fixedly connected with self-adhesive Velcro 14, and both ends of the rear fixing portion 21 are provided with There is a buckle 24, and the Velcro 14 goes around the buckle 24 on the same side and is bonded to itself. In the present application, the front fixing part 11 and the rear fixing part 21 can also be connected by other conventional fixing means in the art, such as buckles.

如图2-4所示,前固定部11和后固定部21的内侧通过魔术贴设置有颈部气垫结构30,颈部气垫结构30由安装在前固定部11内侧的前气垫31和安装在后固定部21内侧的后气垫32构成,前气垫31和后气垫32之间相互连通,且通过充气装置对前气垫31和后气垫32同时充气,前气垫31和后气垫32充气后紧密贴合在患者颈部,起到进一步固定的作用。As shown in FIGS. 2-4 , the inner sides of the front fixing part 11 and the rear fixing part 21 are provided with a neck air cushion structure 30 through Velcro, and the neck air cushion structure 30 consists of a front air cushion 31 installed on the inner side of the front fixing part 11 and a The rear air cushion 32 on the inner side of the rear fixing portion 21 is formed. The front air cushion 31 and the rear air cushion 32 are communicated with each other, and the front air cushion 31 and the rear air cushion 32 are inflated at the same time through the inflating device. In the patient's neck, it plays a role in further immobilization.

前气垫31和后气垫32之间通过多个长度可调的连接气嘴35连通,连接气嘴35由外连接管351、内连接管352和橡胶伸缩管353构成,前气垫31和后气垫32内部均开设有密封的气腔,橡胶伸缩管353的一端连通前气垫31,另一端连通外连接管351,内连接管352的一端连通后气垫32,另一端活动插接到外连接管351内;The front air cushion 31 and the rear air cushion 32 communicate with each other through a plurality of connecting air nozzles 35 with adjustable lengths. The connecting air nozzle 35 is composed of an outer connecting pipe 351, an inner connecting pipe 352 and a rubber telescopic pipe 353. The front air cushion 31 and the rear air cushion 32 A sealed air cavity is provided inside, one end of the rubber telescopic tube 353 is connected to the front air cushion 31, the other end is connected to the outer connecting tube 351, one end of the inner connecting tube 352 is connected to the rear air cushion 32, and the other end is movably inserted into the outer connecting tube 351. ;

外连接管351和内连接管352上还分别设置有用于密封的气密结构,气密结构包括固定套接在内连接管352端部的橡胶卡头352a,橡胶卡头352a的直径大于内连接管352的直径,外连接管351与橡胶伸缩管353的连接处设置有与橡胶卡头352a配合的橡胶卡腔351a,橡胶卡头352a卡入到橡胶卡腔351a内,内连接管352的外表面还覆盖一层橡胶垫,使得内连接管352与外连接管351之间过盈配合。The outer connecting pipe 351 and the inner connecting pipe 352 are respectively provided with an airtight structure for sealing. The airtight structure includes a rubber clamp 352a fixedly sleeved on the end of the inner connection pipe 352, and the diameter of the rubber clamp 352a is larger than that of the inner connection. The diameter of the tube 352, the connection between the outer connecting tube 351 and the rubber telescopic tube 353 is provided with a rubber clamping cavity 351a that cooperates with the rubber clamping head 352a, the rubber clamping head 352a is clamped into the rubber clamping cavity 351a, the outer connecting pipe 352 is The surface is also covered with a layer of rubber pad, so that the inner connecting pipe 352 and the outer connecting pipe 351 are in an interference fit.

在前颈托10和后颈托20固定之前,先通过连接气嘴35将前气垫31和后气垫32连通,连接气嘴35中采用可伸缩的橡胶伸缩管353,使得连接气嘴35能够根据前颈托10和后颈托20之间的距离进行一定程度的调整。为了便于前颈托10和后颈托20的连接,在前颈托10和后颈托20相连接一侧的端部均设置有端部板33,橡胶伸缩管353固定贯穿与其同侧的端部板33并连通前气垫31,内连接管352固定贯穿与其同侧的端部板33并连通后气垫32。Before the front neck brace 10 and the rear neck brace 20 are fixed, the front air cushion 31 and the rear air cushion 32 are connected to each other through the connecting air nozzle 35. The connecting air nozzle 35 adopts a retractable rubber telescopic tube 353, so that the connecting air nozzle 35 can be connected according to the The distance between the front neck brace 10 and the back neck brace 20 is adjusted to a certain extent. In order to facilitate the connection of the front neck brace 10 and the back neck brace 20, an end plate 33 is provided at the end of the side where the front neck brace 10 and the back neck brace 20 are connected, and the rubber telescopic tube 353 is fixed through the end on the same side. The end plate 33 is connected with the front air cushion 31 , and the inner connecting pipe 352 is fixedly penetrated through the end plate 33 on the same side thereof and communicated with the rear air cushion 32 .

进一步的,充气装置可采用本领域中的常规充气设备,例如手动充气泵34。Further, the inflatable device can use conventional inflatable equipment in the art, such as a manual inflatable pump 34 .

更进一步的,前气垫31内侧的中部开设一个内凹的避让槽3101,在使用过程中避免对使用者喉部造成过大的挤压力。Furthermore, a concave escape groove 3101 is defined in the middle of the inner side of the front air cushion 31 to avoid excessive squeezing force on the user's throat during use.

重要的是,如图2所示,后颈托部22和后支撑部23分别通过弹性的塑料连接件与后固定部21连接,使得后颈托部22和后支撑部23均能相对于后固定部21向患者颈部方向发生转动,其中后颈托部22正好对应患者的枕部,转过过程中,后颈托部22对患者的枕部施加压力。It is important that, as shown in FIG. 2 , the rear neck support portion 22 and the rear support portion 23 are respectively connected to the rear fixing portion 21 through elastic plastic connectors, so that both the neck support portion 22 and the rear support portion 23 can be relative to the rear The fixing portion 21 rotates toward the patient's neck, wherein the back neck support portion 22 just corresponds to the patient's occipital portion. During the turning process, the back neck support portion 22 exerts pressure on the patient's occipital portion.

后固定部21的外侧设置一个对患者后颈部施加压力的施力结构40,施力结构40包括后固定部21的外侧可拆卸连接的安装架41,安装架41上设置转轴42,转轴42上并列套接有两个可自由转动的套筒43,两个套筒43外侧表面上通过连接杆44分别固定连接两个不同的施力块45,两个施力块45呈上下分布,且施力块45分别与后颈托部22和后支撑部23外侧面活动抵触;The outer side of the rear fixing portion 21 is provided with a force applying structure 40 that exerts pressure on the back neck of the patient. The force applying structure 40 includes a mounting frame 41 that is detachably connected to the outer side of the rear fixing portion 21 , and a rotating shaft 42 is arranged on the mounting frame 41 . There are two freely rotatable sleeves 43 juxtaposed on the upper side. The outer surfaces of the two sleeves 43 are respectively fixedly connected with two different force-applying blocks 45 through connecting rods 44. The two force-applying blocks 45 are distributed up and down, and The force-applying blocks 45 are in movable conflict with the rear neck support portion 22 and the outer side surfaces of the rear support portion 23 respectively;

施力结构40还包括一个驱动两个施力块45上下往复运动的动力结构46,动力结构46包括一个与安装架41固接的外壳461,外壳461内安装有两个转轮462,其中一个转轮462通过安装在外壳461上的力矩电机464驱动,转轮462上均套有不超过一圈的弹力带463,弹力带463的两端分别与两个施力块45连接。The force-applying structure 40 also includes a power structure 46 that drives the two force-applying blocks 45 to reciprocate up and down. The power structure 46 includes a housing 461 fixed to the mounting frame 41 . The runner 462 is driven by the torque motor 464 installed on the casing 461 , and each runner 462 is covered with an elastic band 463 of no more than one circle.

进一步的,本申请中力矩电机464上还设置有减速器,并且力矩电机464通过控制器控制,在低转速、小幅度的情况下转动,避免对转速过快和转动圈数过多对患者颈部造成伤害。Further, the torque motor 464 in the present application is also provided with a reducer, and the torque motor 464 is controlled by the controller to rotate at a low speed and a small amplitude, so as to avoid excessive speed and excessive rotation on the patient's neck. cause damage.

外壳461上朝向施力块45的一侧开设有两个通孔461a,转轮462的一侧贯穿通孔461a并延伸到外壳461外侧。Two through holes 461 a are formed on the side of the casing 461 facing the force applying block 45 , and one side of the runner 462 penetrates through the through holes 461 a and extends to the outside of the casing 461 .

两个施力块45均为形状相同的弧形板结构,施力块45围绕以转轴42的轴心上下往复摆动,后颈托部22和后支撑部23外侧面上均安装有支撑板25,支撑板25上开设一个与用于施力块45滑动的滑槽2501。The two force-applying blocks 45 are arc-shaped plate structures with the same shape. The force-applying blocks 45 swing up and down around the axis of the rotating shaft 42 , and the support plates 25 are installed on the outer surfaces of the rear neck support portion 22 and the rear support portion 23 . , the support plate 25 is provided with a chute 2501 for sliding with the force-applying block 45 .

具体是,转轮462分为呈上下分布的第一转轮4621和第二转轮4622;Specifically, the runner 462 is divided into a first runner 4621 and a second runner 4622 which are distributed up and down;

施力块45分为呈上下分布的第一施力块451和第二施力块452;The force application block 45 is divided into a first force application block 451 and a second force application block 452 which are distributed up and down;

弹力带463分为呈前后交错分布的第一弹力带4631和第二弹力带4632,且第一弹力带4631和第二弹力带4632自身均能在一定范围拉伸。The elastic band 463 is divided into a first elastic band 4631 and a second elastic band 4632 which are staggered forward and backward, and both the first elastic band 4631 and the second elastic band 4632 can stretch within a certain range.

第一弹力带4631套接在第二转轮4622的下半弧形面上,且第一弹力带4631的近端与第二施力块452连接、远端与第一施力块451连接;The first elastic band 4631 is sleeved on the lower half arc surface of the second runner 4622, and the proximal end of the first elastic band 4631 is connected with the second force application block 452, and the distal end is connected with the first force application block 451;

第二弹力带4632套接在第一转轮4621的上半弧形面上,且第二弹力带4632的近端与第一施力块451连接、远端与第二施力块452连接。The second elastic band 4632 is sleeved on the upper half arc surface of the first runner 4621 , and the proximal end of the second elastic band 4632 is connected with the first force applying block 451 and the distal end is connected with the second force applying block 452 .

施力时,力矩电机464启动,带动第一转轮4621如图5中方向顺时针转动时,就会通过第二弹力带4632向上拉动第一施力块451,使得第一施力块451向上转动,挤压后颈托部22的支撑板25,带动后颈托部22向颈部挤压,从而对患者的枕部施加压力,此时患者便可以通过对抗后颈托部22的压力来训练肌肉;在第一施力块451向上转动的同时,也会通过第一弹力带4631拉动第二施力块452,使得第二施力块452向下转动,对患者的肩部施加压力,使得患者对抗后颈托部22压力时,后颈托20能够提供足够的支撑力。When the force is applied, the torque motor 464 is activated to drive the first runner 4621 to rotate clockwise as shown in Fig. 5, and the first force-applying block 451 will be pulled upward through the second elastic belt 4632, so that the first force-applying block 451 will be upward. Rotate and squeeze the support plate 25 of the back neck support 22 to drive the back neck support 22 to squeeze towards the neck, so as to exert pressure on the patient's occiput. At this time, the patient can resist the pressure of the back neck support 22. Train muscles; while the first force application block 451 is rotated upward, the second force application block 452 will also be pulled through the first elastic belt 4631, so that the second force application block 452 will rotate downward, exerting pressure on the patient's shoulder, So that when the patient resists the pressure of the neck support portion 22, the neck support 20 can provide sufficient supporting force.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, and substitutions can be made in these embodiments without departing from the principle and spirit of the invention and modifications, the scope of the present invention is defined by the appended claims and their equivalents.

Claims (6)

1. The utility model provides a way muscle crowd trains rehabilitation device behind postoperative cervical vertebra, includes crisscross fixed preceding neck brace (10) and back neck brace (20), its characterized in that:
the front neck support (10) comprises a front fixing part (11), a front neck support part (12) and a front support part (13), wherein the front neck support part and the front support part are respectively fixed at the upper end and the lower end of the front neck support part;
the back neck support (20) comprises a back fixing part (21), a back neck support part (22) and a back support part (23), wherein the back neck support part and the back support part are respectively and movably arranged at the upper end and the lower end of the back neck support part;
the neck air cushion structure (30) is arranged on the inner sides of the front fixing part (11) and the rear fixing part (21), the neck air cushion structure (30) is composed of a front air cushion (31) installed on the inner side of the front fixing part (11) and a rear air cushion (32) installed on the inner side of the rear fixing part (21), the front air cushion (31) and the rear air cushion (32) are communicated with each other, and the front air cushion (31) and the rear air cushion (32) are inflated simultaneously through an inflating device;
the utility model discloses a patient's back neck portion of fixing device, including back fixed part (21), the outside of back fixed part (21) sets up one and exerts force structure (40) to patient's back neck portion pressure, application of force structure (40) include that the outside of back fixed part (21) can dismantle mounting bracket (41) of connection, set up pivot (42) on mounting bracket (41), two free rotation's sleeve (43) have been cup jointed side by side in pivot (42), two on the sleeve (43) outside surface through connecting rod (44) respectively fixed connection two different application of force pieces (45), two application of force pieces (45) are upper and lower distribution, and application of force piece (45) respectively with back neck support portion (22) and back support portion (23) lateral surface activity conflict;
the force application structure (40) further comprises a power structure (46) for driving the two force application blocks (45) to reciprocate up and down, the power structure (46) comprises a shell (461) fixedly connected with the mounting frame (41), two rotating wheels (462) are installed in the shell (461), one of the rotating wheels (462) is driven by a torque motor (464) installed on the shell (461), no more than one circle of elastic belt (463) is sleeved on each rotating wheel (462), and two ends of each elastic belt (463) are respectively connected with the two force application blocks (45);
two force application piece (45) are the arc structure that the shape is the same, and reciprocating swing about the axle center with pivot (42) is gone up and down in force application piece (45), all install backup pad (25) on back neck support portion (22) and back supporting part (23) lateral surface, offer one on backup pad (25) and be used for gliding spout (2501) of force application piece (45).
2. The postoperative rehabilitation device for training posterior cervical muscle groups according to claim 1, wherein: the front fixing part (11) and the rear fixing part (21) are detachably connected through a magic tape (14).
3. The postoperative rehabilitation device for training posterior cervical muscle groups according to claim 1, wherein: the back neck support part (22) and the back support part (23) are respectively connected with the back fixing part (21) through elastic plastic connecting pieces.
4. The postoperative rehabilitation device for training posterior cervical muscle groups according to claim 1, wherein: the front air cushion (31) and the rear air cushion (32) are communicated through a plurality of connecting air nozzles (35) with adjustable lengths.
5. The postoperative rehabilitation device for training posterior cervical muscle groups according to claim 4, wherein: the middle part of the inner side of the front air cushion (31) is provided with an inwards concave avoiding groove (3101).
6. The rehabilitation device for training of posterior cervical spine muscle group according to claim 1, wherein: two through holes (461 a) are formed in one side, facing the force application block (45), of the outer shell (461), and one side of the rotating wheel (462) penetrates through the through holes (461 a) and extends to the outer side of the outer shell (461).
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