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 PDFInfo
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- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B23/025—Exercising apparatus specially adapted for particular parts of the body for the head or the neck
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Abstract
Description
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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