CN115721911A - A traction finger rehabilitation training mechanism - Google Patents
A traction finger rehabilitation training mechanism Download PDFInfo
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- 230000007246 mechanism Effects 0.000 title claims abstract description 36
- 210000003813 thumb Anatomy 0.000 claims abstract description 88
- 210000003811 finger Anatomy 0.000 claims abstract description 87
- 230000006835 compression Effects 0.000 claims description 14
- 238000007906 compression Methods 0.000 claims description 14
- 230000033001 locomotion Effects 0.000 claims description 12
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- 230000005540 biological transmission Effects 0.000 description 4
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- 210000004932 little finger Anatomy 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 208000006011 Stroke Diseases 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
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Abstract
Description
技术领域technical field
本发明涉及医疗康复训练器械技术领域,特别是涉及一种牵引式手指康复训练机构。The invention relates to the technical field of medical rehabilitation training equipment, in particular to a traction type finger rehabilitation training mechanism.
背景技术Background technique
脑卒中是一种致残率很高的疾病,会造成人体四肢障碍,其中手功能在人类生活中必不可少,但是由于脑卒中致残的手功能障碍导致这部分患者丧失了生活自理能力。据研究表明通过手指康复治疗,大约能使20%-30%患者手功能可以恢复到实用生活的状态,30%-40%的患者手功能可以恢复到辅助生活的状态。Stroke is a disease with a high disability rate, which can cause impairment of the limbs of the human body. Hand function is essential in human life. However, due to hand dysfunction caused by stroke, these patients lose their ability to take care of themselves. According to research, through finger rehabilitation treatment, about 20%-30% of patients' hand function can be restored to the state of practical life, and 30%-40% of the patient's hand function can be restored to the state of assisted living.
目前国内外对有手指残疾或者手指创伤的患者最好的康复治疗方法就是修复重塑受损神经和连续被动运动康复训练,传统的手指患者痊愈治疗是由康复技师对患者进行一对一的康复治疗,劳动量大、费用昂贵。At present, the best rehabilitation treatment method for patients with finger disabilities or finger trauma at home and abroad is to repair and reshape the damaged nerves and continuous passive exercise rehabilitation training. The traditional recovery treatment for finger patients is to perform one-on-one rehabilitation on patients by rehabilitation technicians. Treatment is labor-intensive and expensive.
康复医师通过手指康复机器人辅助,针对患者进行功能性渐进式的康复治疗可以很好地解决劳动量、费用等问题,因此手指康复机器人应运而生。With the assistance of finger rehabilitation robots, rehabilitation physicians can provide patients with functional and progressive rehabilitation treatments that can solve problems such as labor load and cost, so finger rehabilitation robots have emerged as the times require.
公开号为CN 109549819 B的说明书公开了一种手掌支撑式手指康复训练装置及使用方法,装置包括安装座以及安装在该安装座上的手指康复训练机构、驱动手指康复训练机构动作的驱动机构;手指康复训练机构包括四套独立且结构相同的手指训练组合传动装置,分别对应人体手结构的食指、中指、无名指和小拇指;安装座具有能够支撑人体手掌的支撑面;所述的每一套手指训练组合传动装置中均包括MP运动滑槽、PIP指套、DIP指套及连杆传动机构,力觉传感器采集力反馈信息,判断并进行力稳定控制,利用空间位置传感器采集空间角度信息,实现手指的空间位置实时控制。该发明没有公开对于拇指的手指训练组合传动装置,其无法完成针对拇指的康复训练,故该手指康复训练装置仍有较大的局限性。The specification whose publication number is CN 109549819 B discloses a palm-supported finger rehabilitation training device and a method of use. The device includes a mounting base, a finger rehabilitation training mechanism installed on the mounting base, and a driving mechanism for driving the finger rehabilitation training mechanism; The finger rehabilitation training mechanism includes four sets of independent and identical finger training combined transmission devices, which respectively correspond to the index finger, middle finger, ring finger and little finger of the human hand structure; the mounting base has a supporting surface capable of supporting the human palm; each set of fingers The combined transmission device for training includes MP motion chute, PIP finger cot, DIP finger cot and connecting rod transmission mechanism. The spatial position of the finger is controlled in real time. This invention does not disclose the finger training combined transmission device for the thumb, which cannot complete the rehabilitation training for the thumb, so this finger rehabilitation training device still has relatively large limitations.
公开号为CN 211752263 U的说明书公开了一种手指康复训练拉伸装置,包括安装板,安装板顶部横向固定安装有四组第一安装块,每组第一安装块顶部固定安装有固定板,固定板底部固定安装有第一吊环,第一吊环可拆卸安装有弹簧,弹簧底部可拆卸安装有第二吊环,第二吊环底部一体化成型有滑块,滑块底部固定安装有钢丝绳,第一安装块底部开设有通孔,钢丝绳与通孔贯穿安装,钢丝绳末端固定安装有指环,第一安装块右侧固定安装有两组合页。该发明主要依靠弹簧伸缩力完成患者的主动训练,无法完成被动训练,所以只适合于肌力较好的患者使用,肌力较差患者则无法使用,应用范围有一定的局限性。The specification whose publication number is CN 211752263 U discloses a stretching device for finger rehabilitation training, which includes a mounting plate, four sets of first mounting blocks are fixedly installed horizontally on the top of the mounting plate, and a fixing plate is fixedly mounted on the top of each set of first mounting blocks. The bottom of the fixed plate is fixedly installed with a first ring, the first ring is detachably installed with a spring, the bottom of the spring is detachably installed with a second ring, the bottom of the second ring is integrally formed with a slider, and the bottom of the slider is fixed with a wire rope. The bottom of the mounting block is provided with a through hole, and the steel wire rope is installed through the through hole, and a ring is fixedly installed at the end of the steel wire rope, and two combination pages are fixedly installed on the right side of the first mounting block. This invention mainly relies on the elastic force of the spring to complete the active training of the patient, but cannot complete the passive training, so it is only suitable for patients with better muscle strength, and cannot be used by patients with poor muscle strength, and the application range has certain limitations.
发明内容Contents of the invention
本发明的目的在于提供一种能实现患者五指同时被动训练和主动训练的牵引式手指康复训练机构。The object of the present invention is to provide a traction-type finger rehabilitation training mechanism that can realize passive training and active training of five fingers of a patient at the same time.
一种牵引式手指康复训练机构,包括底板,其特征在于,所述底板的一端设有拇指牵引组件,另一端设有四指牵引组件,所述拇指牵引组件和四指牵引组件之间设有用于限制手掌向上滑动的固定把手组件;A traction-type finger rehabilitation training mechanism, comprising a base plate, characterized in that one end of the base plate is provided with a thumb traction assembly, the other end is provided with a four-finger traction assembly, and there is a set between the thumb traction assembly and the four-finger traction assembly. A fixed handle assembly to limit the upward sliding of the palm;
所述拇指牵引组件包括拇指电机安装板和设有伸缩功能的拇指牵引电机,所述拇指牵引电机的执行端朝向所述固定把手组件穿过所述拇指电机安装板;The thumb traction assembly includes a thumb motor mounting plate and a thumb traction motor with a telescopic function, and the execution end of the thumb traction motor passes through the thumb motor mounting plate toward the fixed handle assembly;
所述四指牵引组件包括四指电机安装板和四个设有伸缩功能的四指牵引电机,所述四指牵引电机的执行端均朝向所述固定把手组件穿过四指电机安装板;The four-finger traction assembly includes a four-finger motor mounting plate and four four-finger traction motors with telescoping functions, and the execution ends of the four-finger traction motor pass through the four-finger motor mounting plate toward the fixed handle assembly;
所述拇指牵引电机的执行端和四指牵引电机的执行端的端部分别铰接有用于固定手指的五个手指固定机构。Five finger fixing mechanisms for fixing fingers are respectively hinged to the ends of the executing end of the thumb pulling motor and the executing end of the four-finger pulling motor.
当使用者需要进行手指康复训练时,将手掌抵于固定把手组件处,通过手指固定机构对拇指远指关节和食指、中指、无名指、尾指的第二指关节进行固定。通过对拇指牵引电机和四指牵引电机中的一个或多个进行工作控制,当拇指牵引电机和四指牵引电机中的一个或多个进行工作时,该牵引电机对应的手指为被动训练,此时牵引电机的执行端伸出推动手指做圆弧运动;当拇指牵引电机和四指牵引电机中的一个或多个停止工作时,该牵引电机对应的手指为主动训练,此时牵引电机的执行端依靠手指自身的力量进行拉伸。根据上述原理可进行手指康复训练中的对掌、握拳等训练方式。When the user needs to perform finger rehabilitation training, the palm of the hand is placed against the fixed handle assembly, and the distal knuckle of the thumb and the second knuckles of the index finger, middle finger, ring finger and little finger are fixed by the finger fixing mechanism. By controlling the operation of one or more of the thumb traction motor and the four-finger traction motor, when one or more of the thumb traction motor and the four-finger traction motor are working, the corresponding fingers of the traction motor are passively trained. When the execution end of the traction motor stretches out to push the finger to do circular motion; when one or more of the thumb traction motor and the four-finger traction motor stop working, the finger corresponding to the traction motor is active training, and the execution of the traction motor at this time The end relies on the strength of the fingers to stretch. According to the above principles, training methods such as palm-to-palm and fist-clenching in finger rehabilitation training can be carried out.
所述的固定把手组件包括固定于底板的固定调节座,所述固定调节座上设有垂直杆,所述垂直杆与掌心接触的侧壁处固定有振动电机,所述垂直杆的上端设置带有鸭嘴状顶部的伸缩调节杆。所述伸缩调节杆可根据使用者手掌的大小进行上下调节至所述鸭嘴状顶部可有效地限制手掌向上滑动。设置振动电机为使用者提供触力觉反馈提示,有效地增强了使用者的感观体验。The fixed handle assembly includes a fixed adjustment base fixed on the bottom plate, a vertical rod is arranged on the fixed adjustment base, a vibration motor is fixed on the side wall of the vertical rod in contact with the center of the palm, and a belt is arranged on the upper end of the vertical rod. Telescopic adjustment lever with duckbill top. The telescopic adjustment rod can be adjusted up and down according to the size of the user's palm until the duckbill-shaped top can effectively limit the upward sliding of the palm. The vibrating motor is provided to provide the user with a tactile feedback prompt, which effectively enhances the sensory experience of the user.
优选地,所述的固定调节座的上端设有用于放置手掌的弧形凹槽,所述弧形凹槽的宽度与使用者的手掌厚度相匹配,为使用者使用时提供舒适感。Preferably, the upper end of the fixed adjustment seat is provided with an arc-shaped groove for placing the palm, and the width of the arc-shaped groove matches the thickness of the user's palm, so as to provide comfort for the user during use.
所述拇指牵引组件还设有固定于底板上的第一固定支架,所述拇指电机安装板通过竖向设置的腰孔与第一固定支架螺栓连接。所述拇指电机安装板可通过竖向设置的腰孔调节竖直的位置。The thumb traction assembly is also provided with a first fixing bracket fixed on the bottom plate, and the thumb motor mounting plate is bolted to the first fixing bracket through a vertically arranged waist hole. The vertical position of the thumb motor mounting plate can be adjusted through the vertically arranged waist hole.
所述拇指电机安装板上开有用于滑动连接所述拇指牵引电机的执行端的拇指U形槽,所述拇指U形槽内设有用于调节所述拇指牵引电机的执行端移动或摆动幅度的拇指压紧螺钉;通过拇指压紧螺钉的调节压紧可使所述拇指牵引电机的执行端移动或摆动幅度适应不同使用者的拇指长度。The thumb motor mounting plate is provided with a thumb U-shaped groove for slidingly connecting the execution end of the thumb traction motor, and a thumb for adjusting the movement or swing range of the execution end of the thumb traction motor is arranged in the thumb U-shaped groove. Compression screw: the adjustment and compression of the thumb compression screw can make the execution end of the thumb traction motor move or swing to adapt to the length of thumbs of different users.
所述四指牵引组件还设有固定于底板上的第二固定支架,所述四指电机安装板通过竖向设置的腰孔与第二固定支架螺栓连接。所述四指电机安装板可通过竖向设置的腰孔调节竖直的位置。The four-finger traction assembly is also provided with a second fixing bracket fixed on the bottom plate, and the four-finger motor mounting plate is bolted to the second fixing bracket through a vertically arranged waist hole. The vertical position of the four-finger motor mounting plate can be adjusted through the vertical waist hole.
所述四指电机安装板上开有四个平行的四指U形槽,所述四指U形槽分别用于滑动连接所述四指牵引电机的执行端,所述四指U形槽内均设有用于调节所述四指牵引电机的执行端移动或摆动幅度的四指压紧螺钉;通过压紧螺钉的调节压紧可使所述四指牵引电机的执行端移动或摆动幅度适应不同使用者的四指长度。There are four parallel four-finger U-shaped grooves on the four-finger motor mounting plate, and the four-finger U-shaped grooves are respectively used for slidingly connecting the execution end of the four-finger traction motor. All are equipped with a four-finger compression screw for adjusting the movement or swing amplitude of the execution end of the four-finger traction motor; the adjustment and compression of the compression screw can make the movement or swing amplitude of the execution end of the four-finger traction motor adapt to different The user's four-finger length.
优选地,所述四个平行的四指U形槽在四指电机安装板上呈圆弧形排列;在四指电机安装板上设置不同的横向开槽位置,以适应四指不同的长度需求。Preferably, the four parallel four-finger U-shaped slots are arranged in a circular arc on the four-finger motor mounting plate; different transverse slotting positions are set on the four-finger motor mounting plate to meet the different length requirements of the four fingers .
所述手指固定机构包括绑带和绑带固定环,所述绑带固定环的一端为内部铰接所述拇指牵引电机的执行端或所述四指牵引电机的执行端的U形块,所述拇指绑带固定环的另一端为与所述U形块固定的半圆板,所述半圆板上设有用于固定所述绑带的长条孔。通过绑带的设置可适用于不同粗细的手指。The finger fixing mechanism includes a strap and a strap fixing ring, one end of the strap fixing ring is a U-shaped block that is internally hinged to the execution end of the thumb traction motor or the execution end of the four-finger traction motor, and the thumb The other end of the strap fixing ring is a semicircular plate fixed to the U-shaped block, and the semicircular plate is provided with a long hole for fixing the strap. The setting of the straps can be applied to fingers of different thicknesses.
本发明设计了牵引式手指康复训练机构,相比现有技术,本发明的优点在于:The present invention has designed traction type finger rehabilitation training mechanism, compared with prior art, the advantage of the present invention is:
1.本发明实现了五指同时的主动训练和被动训练,也可实现单指的主动训练和被动训练。1. The present invention realizes simultaneous active training and passive training of five fingers, and can also realize active training and passive training of a single finger.
2.将本发明机构镜像复制可实现左右手的牵引式康复训练。2. Copying the mirror image of the mechanism of the present invention can realize the traction rehabilitation training of the left and right hands.
3.本发明结构简单,使用便捷,装配容易,可拆卸携带;同时本发明成本较低,利于推广。3. The present invention is simple in structure, convenient to use, easy to assemble, detachable and portable; at the same time, the present invention has low cost and is favorable for popularization.
附图说明Description of drawings
图1为本发明实施例牵引式手指康复训练机构的结构示意图。Fig. 1 is a schematic structural diagram of a traction-type finger rehabilitation training mechanism according to an embodiment of the present invention.
图2为图1所示的固定把手组件的结构示意图。FIG. 2 is a schematic structural view of the fixed handle assembly shown in FIG. 1 .
图3为图1所示的拇指牵引组件的结构示意图。FIG. 3 is a schematic structural diagram of the thumb traction assembly shown in FIG. 1 .
图4为图1所示的四指牵引组件的结构示意图。FIG. 4 is a schematic structural diagram of the four-finger traction assembly shown in FIG. 1 .
图5为图1所示牵引式手指康复训练机构的手指固定时的使用示意图。Fig. 5 is a schematic view of the use of the traction finger rehabilitation training mechanism shown in Fig. 1 when the fingers are fixed.
图6为图1所示牵引式手指康复训练机构的手指牵引时的使用示意图。Fig. 6 is a schematic diagram of the use of the traction finger rehabilitation training mechanism shown in Fig. 1 when the fingers are traction.
具体实施方式Detailed ways
如图1-图4所示,牵引式手指康复训练机构,包括底板1、固定把手组件2、拇指牵引组件3和四指牵引组件4。拇指牵引组件3设于底板1靠近人体的一端,四指牵引组件4设于底板1远离人体的一端,拇指牵引组件3和四指牵引组件4之间设置固定把手组件2。As shown in FIGS. 1-4 , the traction finger rehabilitation training mechanism includes a
固定把手组件2包括固定调节座6、振动电机7和伸缩调节杆5。固定调节座6的下端固定于底板1上,固定调节座6的上端固定有垂直杆61,垂直杆61与掌心接触的侧壁处与用于提供给手掌触力觉提示的振动电机7相固定。固定调节座6的上端还设有用于放置手掌的弧形凹槽62,弧形凹槽62的宽度为25~30mm,且与使用者的手掌厚度相匹配,为使用者使用时提供舒适感。The
垂直杆61的上端固定有伸缩调节杆5,伸缩调节杆5的上端为鸭嘴状顶部,伸缩调节杆5可根据使用者手掌的大小进行上下调节至鸭嘴状顶部可有效地限制手掌向上滑动。伸缩调节杆5的下部采用圆柱形,增加掌心与伸缩调节杆5相抵时的舒适性。The upper end of the
拇指牵引组件3包括设有伸缩功能的拇指牵引电机8、拇指电机安装板9、第一固定支架10和手指固定机构11。第一固定支架10为L形支架,其底部通过螺栓固定于底板1上;拇指电机安装板9靠近人体的部分设有用于螺栓固定第一固定支架10的竖向的腰孔,拇指电机安装板9通过竖向的腰孔和螺栓来调节竖直的位置,可满足不同使用者拇指高度位置的调节。The
拇指电机安装板9的上部向远离人体的方向伸出并开有用于滑动连接拇指牵引电机8的执行端的拇指U形槽91,拇指牵引电机8的执行端朝向固定把手组件2穿过拇指电机安装板9。The upper part of the thumb
拇指U形槽91内的外端固定有用于调节拇指牵引电机8的执行端移动或摆动幅度的拇指压紧螺钉92;通过拇指压紧螺钉92的调节压紧可使拇指牵引电机8的执行端移动或摆动幅度适应不同使用者的拇指长度。The outer end in the thumb
四指牵引组件4包括四个设有伸缩功能的四指牵引电机12、四指电机安装板13、第二固定支架14和手指固定机构11。第二固定支架14为L形支架,其底部通过螺栓固定于底板1上;四指电机安装板13靠近人体的部分设有用于螺栓固定第二固定支架14的竖向的腰孔,四指电机安装板13通过竖向的腰孔和螺栓来调节竖直的位置,可满足不同使用者四指整体高度位置的调节。The four-
四指电机安装板13远离人体的部分开有四个平行的用于滑动连接四指牵引电机12的执行端的四指U形槽131,四指U形槽131之间的竖直间距为24mm,四指牵引电机12的执行端朝向固定把手组件2穿过四指电机安装板13。The part of the four-finger
四个平行的四指U形槽131在四指电机安装板13上呈圆弧形排列,其横向的间距为10~13mm。在四指电机安装板13上设置不同的横向开槽位置,以适应四指不同的长度需求。Four parallel four-finger
四指U形槽131内的外端固定有用于调节四指牵引电机12的执行端移动或摆动幅度的四指压紧螺钉132;通过四指压紧螺钉132的调节压紧可使四指牵引电机12的执行端移动或摆动幅度适应不同使用者的不同手指的长度。The outer end in the four-finger
手指固定机构11包括绑带111和绑带固定环112,绑带固定环112的一端为内部铰接有拇指牵引电机8的执行端或四指牵引电机12的执行端的U形块113,拇指绑带固定环112的另一端为与U形块113固定的半圆板114,半圆板114的半径为9~10mm,半圆板114上设有用于固定绑带111的长条孔。The
如图5和图6所示,当使用者需要进行手指康复训练时,根据使用者手掌的大小调节伸缩调节杆5、拇指电机安装板9和四指电机安装板13的高度,再根据使用者手指的长度分别将拇指压紧螺钉92和四指压紧螺钉132调松,通过移动或摆动调整好拇指牵引电机8和四指牵引电机12的位置,将拇指压紧螺钉92和四指压紧螺钉132压紧。将手掌置于弧形凹槽62内,掌心处于振动电机7相抵,将手指伸入半圆板114内,再通过绑带111固定,绑带111需分别固定于拇指远指关节和食指、中指、无名指、尾指的第二指关节。As shown in Figure 5 and Figure 6, when the user needs to carry out finger rehabilitation training, adjust the height of the
通过对拇指牵引电机8和四指牵引电机12中的一个或多个进行工作控制,当拇指牵引电机8和四指牵引电机12中的一个或多个进行工作时,该牵引电机对应的手指为被动训练;当拇指牵引电机8和四指牵引电机12中的一个或多个停止工作时,该牵引电机对应的手指为主动训练,此时牵引电机的执行端依靠手指自身的力量进行拉伸。By controlling one or more of the
以拇指单独被动训练为例,单独控制拇指牵引电机8工作,拇指牵引电机8的执行端向外伸长。通过手指固定机构11和拇指牵引电机8的执行端的铰接,使拇指牵引电机8的执行端的直线运动,转化为拇指康复训练时向掌内弯曲的圆弧运动。其余四指依靠手指自身的力量向掌内弯曲的圆弧运动,通过手指固定机构11和四指牵引电机12的铰接,将四指的圆弧运动转化为对四指牵引电机12的执行端的直线拉伸,五指弯曲至振动电机7振动提示训练完成。根据上述原理可进行手指康复训练中的对掌、握拳等训练方式。Taking the independent passive training of the thumb as an example, the
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