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JP2021512743A - Upper limb nerve rehabilitation training equipment - Google Patents

Upper limb nerve rehabilitation training equipment Download PDF

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Publication number
JP2021512743A
JP2021512743A JP2020559501A JP2020559501A JP2021512743A JP 2021512743 A JP2021512743 A JP 2021512743A JP 2020559501 A JP2020559501 A JP 2020559501A JP 2020559501 A JP2020559501 A JP 2020559501A JP 2021512743 A JP2021512743 A JP 2021512743A
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attached
base
connecting plate
hinge
plate
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海帆 呉
海帆 呉
謹暁 田
謹暁 田
驍 劉
驍 劉
建 孫
建 孫
維浩 潘
維浩 潘
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Dalian University of Technology
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    • 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
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • 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
    • A61H2201/14Special force transmission means, i.e. between the driving means and the interface with the user
    • A61H2201/1463Special speed variation means, i.e. speed reducer

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

上肢神経リハビリ訓練機器は機械の分野に属し、当該訓練機器の構造は、リハビリ姿勢間の切り替えのための手動調節部分Iとリハビリ訓練のための電動実行部IIを含む。リハビリ姿勢は、座位治療、立位治療、臥位治療を含み、訓練機器の高さを手動で調節することで、座位治療と立位治療との切り替えを実現し、さらにヒンジにより臥位治療状態へ変換する。リハビリ訓練の五つの動作は、それぞれ連動屈伸、腕揺らし、上腕回動、手振り、前腕回動であり、訓練機器の調節可能なリンク設計により、異なるユーザによって長さを調節可能である。本発明は構造が簡単で、価格が比較的に安価で、機能が完備しており、医療従事者の労働強度を効果的に軽減し、労働時間を減らすことができて、家庭使用に適し、多種の身体姿勢の変換をサポートして、より網羅的に効果的に患者のリハビリ訓練を実現することができる。Upper limb nerve rehabilitation training equipment belongs to the field of machinery, and the structure of the training equipment includes a manual adjustment part I for switching between rehabilitation postures and an electric execution part II for rehabilitation training. The rehabilitation posture includes sitting treatment, standing treatment, and lying treatment, and by manually adjusting the height of the training equipment, switching between sitting treatment and standing treatment is realized, and the lying treatment state is realized by the hinge. Convert to. The five movements of the rehabilitation training are interlocking flexion / extension, arm swing, upper arm rotation, hand swing, and forearm rotation, and the length can be adjusted by different users by the adjustable link design of the training equipment. The present invention has a simple structure, is relatively inexpensive, is fully functional, can effectively reduce the labor intensity of healthcare workers, reduce working hours, and is suitable for home use. It is possible to support various body posture changes and realize patient rehabilitation training more comprehensively and effectively.

Description

本発明は機械の分野に属し、上肢運動機能障害のリハビリ治療に用いる訓練機器に関する。 The present invention belongs to the field of machinery and relates to training equipment used for rehabilitation treatment of upper limb motor dysfunction.

脳卒中や脳外傷の後に、約85%の患者は上肢に機能障害が発生し、患者の生活に多大な影響を与えてしまう。脳卒中は中高年の高発病の一つで、上肢神経のリハビリ治療が緊急に求められる。現在の市場では、リハビリ機器は輸入品が多く、高価で、治療費が高い。国内製品のスタートが遅くて、リハビリ動作が単一で、機能が少ない。日常生活の中で、医療リハビリ機器の普及率は低く、家庭用リハビリ機器はさらに稀である。 After a stroke or trauma, about 85% of patients develop upper limb dysfunction, which has a significant impact on their lives. Stroke is one of the high-onset diseases of middle-aged and elderly people, and rehabilitation treatment of the upper limb nerve is urgently required. In the current market, rehabilitation equipment is often imported, expensive, and expensive to treat. The start of domestic products is slow, the rehabilitation operation is single, and there are few functions. In daily life, the penetration rate of medical rehabilitation equipment is low, and home rehabilitation equipment is even rarer.

本発明は脳卒中または脳外傷による神経障害及び相応の上肢運動機能障害の一種の患者に対して、構造が簡単で、価格が比較的安価で、機能が完備しており、医療従事者の労働強度を効果的に軽減し、労働時間を減らすことができて、家庭使用に適して、多種の身体姿勢をサポートする大衆化された上肢神経リハビリ訓練機器を設計することを目的とする。 The present invention is simple in structure, relatively inexpensive, fully functional, and the working intensity of health care workers for patients with neurological disorders due to stroke or brain trauma and a type of corresponding upper limb motor dysfunction. The purpose is to design a popularized upper limb nerve rehabilitation training device that can effectively reduce the number of patients, reduce working hours, and support various physical postures for home use.

上記の目的を達成するために、本発明に用いられる技術的手段は、
上肢神経リハビリ訓練機器であって、手動調節部分Iと電動実行部IIとの2つの部分を含み、五つの訓練動作、すなわち、連動屈伸、腕揺らし、上腕回動、手振り、前腕回動を実現可能であり、3種のリハビリ姿勢、すなわち、座位治療、立位治療、臥位治療を実現する。
The technical means used in the present invention to achieve the above object is
It is an upper limb nerve rehabilitation training device that includes two parts, a manual adjustment part I and an electric execution part II, and realizes five training movements: interlocking bending and stretching, arm shaking, upper arm rotation, hand swing, and forearm rotation. It is possible and realizes three types of rehabilitation postures, namely sitting position treatment, standing position treatment, and recumbent position treatment.

前記の手動調節部分Iは、キャスター1、底板2、ヒンジピン3、固定ロッド4、ハンドル5、第1のスライドロッド6-1、第2のスライドロッド6-2、コントロールレバー7、窒素ガスバネ8、第1の接続板9-1、第2の接続板9-2、ヒンジ32、ねじ33を含む。前記の4つのキャスター1が底板2の下側面の四隅に固着され、固定ロッド4は、底部が4つのねじを介して底板2の上側面に固着され、中空構造である。前記の固定ロッド4の側面にヒンジピン3を置くための3つの等ピッチ穴が設けられ、ヒンジピン3を位置の要求に応じてある穴内に置くことが選択される。前記の第1のスライドロッド6-1が固定ロッド4の上方から固定ロッド4内に嵌め込まれ、ハンドル5が第1のスライドロッド6-1に取り付けられ、第2のスライドロッド6-2が第1のスライドロッド6-1の上方から第1のスライドロッド6-1内に嵌め込まれ、コントロールレバー7と窒素ガスバネ8が第2のスライドロッド6-2の上部に固着される。前記の第1の接続板9-1が窒素ガスバネ8の上部に固着され、ヒンジ32の両側面がそれぞれ第1の接続板9-1と第2の接続板9-2と固着され、ヒンジ10が閉じると、ねじ33により第1の接続板9-1の側面と第2の接続板9-2を締結し、ヒンジ10が開くと、ねじ33により第1の接続板9-1の底面と第2の接続板9-2を締結する。 The manual adjustment portion I includes a caster 1, a bottom plate 2, a hinge pin 3, a fixing rod 4, a handle 5, a first slide rod 6-1 and a second slide rod 6-2, a control lever 7, and a nitrogen gas spring 8. Includes a first connecting plate 9-1, a second connecting plate 9-2, a hinge 32, and a screw 33. The four casters 1 are fixed to the four corners of the lower side surface of the bottom plate 2, and the bottom portion of the fixing rod 4 is fixed to the upper side surface of the bottom plate 2 via four screws to have a hollow structure. Three equi-pitch holes for placing the hinge pins 3 are provided on the side surface of the fixing rod 4, and it is selected to place the hinge pins 3 in a certain hole according to the position request. The first slide rod 6-1 is fitted into the fixed rod 4 from above the fixed rod 4, the handle 5 is attached to the first slide rod 6-1 and the second slide rod 6-2 is the second. The control lever 7 and the nitrogen gas spring 8 are fixed to the upper part of the second slide rod 6-2 by being fitted into the first slide rod 6-1 from above the slide rod 6-1 of 1. The first connecting plate 9-1 is fixed to the upper part of the nitrogen gas spring 8, and both side surfaces of the hinge 32 are fixed to the first connecting plate 9-1 and the second connecting plate 9-2, respectively, and the hinge 10 When closed, the side surface of the first connecting plate 9-1 and the second connecting plate 9-2 are fastened by the screw 33, and when the hinge 10 is opened, the screw 33 connects to the bottom surface of the first connecting plate 9-1. Fasten the second connecting plate 9-2.

前記の電動実行部IIは、第3の接続板9-3、第4の接続板9-4、第5の接続板9-5、第6の接続板9-6、第7の接続板9-7、ステッピングモータ10、モータホルダ11、弾性カップリング12、ホルダ13、ヒンジ14、電気プッシュロッド15、外部角パイプ16、内部角パイプ17、モータ18、減速機19、手の甲板20、スライダ21、関節弾性カップリング22、ベース付軸受24、関節Tシャフト25、ガイドベース26、バンド27、固定ベース28、リードスクリュー29、スライドレールベース30、支持ベース31、ヒンジ32、ねじ33を含む。 The electric execution unit II includes a third connection plate 9-3, a fourth connection plate 9-4, a fifth connection plate 9-5, a sixth connection plate 9-6, and a seventh connection plate 9. -7, stepping motor 10, motor holder 11, elastic coupling 12, holder 13, hinge 14, electric push rod 15, external square pipe 16, internal square pipe 17, motor 18, speed reducer 19, hand back plate 20, slider 21 , Joint elastic coupling 22, bearing with base 24, joint T shaft 25, guide base 26, band 27, fixed base 28, lead screw 29, slide rail base 30, support base 31, hinge 32, screw 33.

前記の電気プッシュロッド15は一端がヒンジ14を介して第2の接続板9-2に取り付けられ、他端がヒンジ14を介してスライドレールベース30に取り付けられる第7の接続板9-7と接続される。前記のステッピングモータ10は、モータホルダ11を介し、底部が固定ベース28と接続されるホルダ13に取り付けられ、ステッピングモータ10の主軸が弾性カップリング12の一端と接続され、弾性カップリング12の他端がリードスクリュー29と接続され、リードスクリュー29の両端には、それぞれ固定ベース28と支持ベース31が取り付けられ、固定ベース28と支持ベース31がスライドレールベース30の両端に固定される。前記の1つの関節Tシャフト25の底面が第2の接続板9-2に取り付けられ、関節Tシャフト25がベース付軸受24の内部に嵌め込まれ、ベース付軸受24は、スライドレールベース30の上側に取り付けられる第3の接続板9-3に取り付けられる。関節Tシャフト25の端部にナット23が取り付けられるとともに、ナット23を介してベース付軸受24を締結する。第2の接続板9-2と第3の接続板9-3が関節Tシャフト25を介してベース付軸受24と間接接続される。 The electric push rod 15 has one end attached to the second connecting plate 9-2 via the hinge 14 and the other end attached to the slide rail base 30 via the hinge 14 with the seventh connecting plate 9-7. Be connected. The stepping motor 10 is attached to a holder 13 whose bottom is connected to a fixed base 28 via a motor holder 11, the main shaft of the stepping motor 10 is connected to one end of an elastic coupling 12, and other than the elastic coupling 12. The ends are connected to the lead screw 29, and the fixed base 28 and the support base 31 are attached to both ends of the lead screw 29, respectively, and the fixed base 28 and the support base 31 are fixed to both ends of the slide rail base 30. The bottom surface of the one joint T-shaft 25 is attached to the second connecting plate 9-2, the joint T-shaft 25 is fitted inside the base-equipped bearing 24, and the base-attached bearing 24 is on the upper side of the slide rail base 30. It is attached to a third connecting plate 9-3 which is attached to. A nut 23 is attached to the end of the joint T-shaft 25, and a bearing 24 with a base is fastened via the nut 23. The second connecting plate 9-2 and the third connecting plate 9-3 are indirectly connected to the bearing 24 with a base via the joint T-shaft 25.

一組の内部角パイプ17が外部角パイプ16内に嵌着され、1つのヒンジ14が第3の接続板9-3に固定され、外部角パイプ16の端部と接続される。もう1つのヒンジ14が第4の接続板9-4に固定され、内部角パイプ17の端部と接続される。対応して、別の一組の内部角パイプ17が、端部が第4の接続板9-4と接続される外部角パイプ16内に嵌着される。内部角パイプ17は端部がヒンジ14を介してスライダ21に取り付けられる。スライダ21が雌ねじを介してリードスクリュー29と接続される。前記の内部角パイプ17には外部角パイプ16と内部角パイプ17との相対的な位置を調節するための等ピッチ調節穴が設けられる。前記の第3の外部角パイプ16の一端には、ベース付軸受24の内部に嵌め込まれる関節Tシャフト25が取り付けられる。関節Tシャフト25の端部にはナット23が取り付けられるとともに、ナット23を介してベース付軸受24を締結する。ベース付軸受24が第4の接続板9-4に取り付けられ、外部角パイプ16の他端が第5の接続板9-5と接続される。 A set of internal square pipes 17 is fitted into the external square pipe 16 and one hinge 14 is fixed to the third connecting plate 9-3 and connected to the end of the external square pipe 16. Another hinge 14 is fixed to the fourth connecting plate 9-4 and is connected to the end of the internal square pipe 17. Correspondingly, another set of internal square pipes 17 is fitted into the external square pipe 16 whose ends are connected to the fourth connecting plate 9-4. The end of the internal square pipe 17 is attached to the slider 21 via a hinge 14. The slider 21 is connected to the reed screw 29 via a female screw. The inner square pipe 17 is provided with equal pitch adjusting holes for adjusting the relative positions of the outer square pipe 16 and the inner square pipe 17. A joint T-shaft 25 fitted inside the bearing 24 with a base is attached to one end of the third external square pipe 16. A nut 23 is attached to the end of the joint T-shaft 25, and a bearing 24 with a base is fastened via the nut 23. The bearing 24 with a base is attached to the fourth connecting plate 9-4, and the other end of the external square pipe 16 is connected to the fifth connecting plate 9-5.

前記の第4の接続板9-4の外側には、モータ18が取り付けられる1つの減速機19が取り付けられ、関節弾性カップリング22の両側には、それぞれ減速機19の出力軸と関節Tシャフト25が取り付けられる。 One speed reducer 19 to which the motor 18 is mounted is mounted on the outside of the fourth connection plate 9-4, and the output shaft and the joint T shaft of the speed reducer 19 are attached to both sides of the joint elastic coupling 22, respectively. 25 is attached.

前記の第5の接続板9-5は一端が外部角パイプ16と接続され、他端の外側には、モータ18が取り付けられる減速機19が取り付けられ、関節弾性カップリング22の両側には、それぞれ減速機19の出力軸と関節Tシャフト25が取り付けられる。関節Tシャフト25が第6の接続板9-6の一端に取り付けられ、関節Tシャフト25がベース付軸受24の内部に嵌め込まれる。関節Tシャフト25の端部にはナット23が取り付けられるとともに、ナット23を介してベース付軸受24を締結する。このベース付軸受24が第5の接続板9-5に取り付けられる。第6の接続板9-6の他端の外側には、モータ18が取り付けられる減速機19が取り付けられ、ガイドベース26が減速機19の出力軸の端部に取り付けられ、減速機19の出力軸がガイドベース26を介して手の甲板20と接続される。バンド27が手の甲板20に固定される。 One end of the fifth connection plate 9-5 is connected to the external square pipe 16, a speed reducer 19 to which the motor 18 is attached is attached to the outside of the other end, and both sides of the joint elastic coupling 22 are attached. The output shaft of the speed reducer 19 and the joint T-shaft 25 are attached to each. The joint T-shaft 25 is attached to one end of the sixth connecting plate 9-6, and the joint T-shaft 25 is fitted inside the bearing 24 with a base. A nut 23 is attached to the end of the joint T-shaft 25, and a bearing 24 with a base is fastened via the nut 23. The bearing 24 with a base is attached to the fifth connecting plate 9-5. A speed reducer 19 to which the motor 18 is attached is attached to the outside of the other end of the sixth connection plate 9-6, a guide base 26 is attached to the end of the output shaft of the speed reducer 19, and the output of the speed reducer 19 is output. The shaft is connected to the back plate 20 of the hand via the guide base 26. The band 27 is fixed to the back plate 20 of the hand.

本発明の有益な効果として、本発明は構造が簡単で、価格が比較的安価で、機能が比較的に完備しており、医療従事者の労働強度を効果的に軽減し、労働時間を減らすことができて、家庭使用に適し、多種の身体姿勢の変換をサポートする。 As a beneficial effect of the present invention, the present invention has a simple structure, is relatively inexpensive, is relatively complete in function, effectively reduces the labor intensity of medical staff, and reduces working hours. It can be suitable for home use and supports various body posture changes.

上肢神経リハビリ訓練機器の模式図である。It is a schematic diagram of the upper limb nerve rehabilitation training equipment. 手動調節部分の構造模式図である。It is a structural schematic diagram of a manual adjustment part. 電動実行部の構造模式図である。It is a structural schematic diagram of an electric execution part. 関節駆動の構造模式図である。It is a structural schematic diagram of a joint drive. ハンド駆動の構造模式図である。It is a structural schematic diagram of a hand drive. スライドレールの構造模式図である。It is a structural schematic diagram of a slide rail. 姿勢変換の構造模式図である。It is a structural schematic diagram of a posture change.

以下、図面と技術的手段を参照しながら、本発明を実施するための形態をさらに説明する。 Hereinafter, embodiments for carrying out the present invention will be further described with reference to the drawings and technical means.

当該装置は3種のリハビリ姿勢、すなわち、座位治療、立位治療、臥位治療を実現できる。 The device can realize three types of rehabilitation postures, that is, sitting position treatment, standing position treatment, and lying position treatment.

当該装置の常用状態が座位状態であり、ヒンジ32が閉じるとき、ねじ33が第1の接続板の側面と第2の接続板とを固定し、ねじ33を締め付けると、座位状態になる。 When the normal state of the device is the sitting state and the hinge 32 is closed, the screw 33 fixes the side surface of the first connecting plate and the second connecting plate, and the screw 33 is tightened to enter the sitting state.

患者が立位治療を必要とする場合、固定ロッド4に3つのピッチ穴が設けられ、穴の異なる位置にヒンジピン3を取り付けることによって、広範囲に第1のスライドロッド6-1の高さを調節することができる。ハンドル5で第2のスライドロッド6-2の高さを調節して、さらに窒素ガスバネ8とコントロールレバー7で実行部の高さを狭範囲に調節する。3種の調節により異なる個体の立位治療に適する。 If the patient requires standing treatment, the fixed rod 4 is provided with three pitch holes and the height of the first slide rod 6-1 can be adjusted extensively by attaching hinge pins 3 at different positions in the holes. can do. The height of the second slide rod 6-2 is adjusted by the handle 5, and the height of the execution portion is adjusted in a narrow range by the nitrogen gas spring 8 and the control lever 7. Suitable for standing treatment of different individuals with 3 types of regulation.

患者が臥位治療を必要とする場合、ねじ33を取外すと、ヒンジ32が90°開き、改めてねじ33を第1の接続板の底面に締め付けると、このとき、電動実行部が臥位状態まで90°回転する。 When the patient needs recumbent treatment, when the screw 33 is removed, the hinge 32 opens 90 °, and when the screw 33 is tightened again to the bottom surface of the first connecting plate, the electric execution part reaches the recumbent position at this time. Rotate 90 °.

当該装置は五つの訓練動作、すなわち、連動屈伸、腕揺らし、上腕回動、手振り、前腕回動を実現できる。バンドにより上側の外部角パイプ16を上腕に締め付け、下側の外部角パイプ16を前腕に締め付け、手の甲板20をハンドに締め付け、下記の五つの訓練動作を実現し、具体的には、
連動屈伸:ステッピングモータ10によりリードスクリュー28でスライダ21を上下動させるように駆動し、さらに装置全体を連動屈伸させるように駆動する。
The device can perform five training movements: interlocking flexion / extension, arm swing, upper arm rotation, hand swing, and forearm rotation. The upper external square pipe 16 is tightened to the upper arm by the band, the lower external square pipe 16 is tightened to the forearm, the back plate 20 of the hand is tightened to the hand, and the following five training operations are realized.
Interlocking bending and stretching: The stepping motor 10 drives the slider 21 to move up and down with the lead screw 28, and further drives the entire device to interlock and stretch.

腕揺らし:電気プッシュロッド15が伸縮運動することで装置全体の前後の揺らしを駆動し、腕揺らし訓練を実現する。 Arm swing: The electric push rod 15 expands and contracts to drive the front and rear swing of the entire device, and realizes arm swing training.

上腕回動:肩関節において、モータ18が減速機19により関節Tシャフト25を駆動し、外部角パイプ16と内部角パイプ17との相対的な回転を実現し、上腕回動を実現する。 Upper arm rotation: In the shoulder joint, the motor 18 drives the joint T shaft 25 by the speed reducer 19, realizes the relative rotation of the outer square pipe 16 and the inner square pipe 17, and realizes the upper arm rotation.

手振り:ハンドにおいて、モータ18が減速機19により手の甲板20を回転運動させるように駆動し、手振り動作を実現し、モータ18が減速機19により関節Tシャフト25を駆動し、外部角パイプ16の第6の接続板9-6に対する相対的な回転を実現し、手振り動作を実現する。 Hand gesture: In the hand, the motor 18 is driven by the speed reducer 19 to rotate the back plate 20 of the hand to realize the hand shake operation, the motor 18 is driven by the speed reducer 19 to drive the joint T shaft 25, and the external square pipe 16 is used. The rotation relative to the sixth connecting plate 9-6 is realized, and the hand waving operation is realized.

前腕回動:肘関節において、モータ18が減速機19により関節Tシャフト25を駆動し、外部角パイプ16-2の第6の接続板9-6に対する相対的な回転を実現し、前腕回動を実現する。 Forearm rotation: In the elbow joint, the motor 18 drives the joint T-shaft 25 by the speed reducer 19 to realize the relative rotation of the external square pipe 16-2 with respect to the sixth connecting plate 9-6, and the forearm rotation. To realize.

当該訓練機器に含まれる内部角パイプ17と外部角パイプ16の2つには、何れも複数の等ピッチ穴が設けられ、パーソナライズされたニーズに合わせて長さを調節する。これにより、患者のリハビリ訓練を満足する。 The inner square pipe 17 and the outer square pipe 16 included in the training equipment are both provided with a plurality of equal pitch holes, and the lengths are adjusted according to personalized needs. This satisfies the patient's rehabilitation training.

I 手動調節部分、II 電動実行部、1 キャスター、2 底板、3 ヒンジピン、4 固定ロッド、5 ハンドル、6-1 第1のスライドロッド、6-2 第2のスライドロッド、7 コントロールレバー、8 窒素ガスバネ、9-1 第1の接続板、9-2 第2の接続板、9-3 第3の接続板、9-4 第4の接続板、9-5 第5の接続板、9-6 第6の接続板、9-7 第7の接続板、10 ステッピングモータ、11 モータホルダ、12 弾性カップリング、13 ホルダ、14 ヒンジ、15 電気プッシュロッド、16 外部角パイプ、17 内部角パイプ、18 モータ、19 減速機、20 手の甲板、21 スライダ、22 関節弾性カップリング、23 ナット、24 ベース付軸受、25 関節Tシャフト、26 ガイドベース、27 バンド、28 固定ベース、29 リードスクリュー、30 スライドレールベース、31 支持ベース、32 ヒンジ、33 ねじ I Manual adjustment part, II Electric execution part, 1 Caster, 2 Bottom plate, 3 Hinge pin, 4 Fixed rod, 5 Handle, 6-1 1st slide rod, 6-2 2nd slide rod, 7 Control lever, 8 Nitrogen Gas spring, 9-1 1st connection plate, 9-2 2nd connection plate, 9-3 3rd connection plate, 9-4 4th connection plate, 9-5 5th connection plate, 9-6 6th connection plate, 9-7 7th connection plate, 10 stepping motor, 11 motor holder, 12 elastic coupling, 13 holder, 14 hinge, 15 electric push rod, 16 external square pipe, 17 internal square pipe, 18 Motor, 19 speed reducer, 20 hand deck, 21 slider, 22 elastic coupling, 23 nut, 24 bearing with base, 25 joint T-shaft, 26 guide base, 27 band, 28 fixed base, 29 lead screw, 30 slide rail Base, 31 support base, 32 hinges, 33 screws

Claims (1)

上肢神経リハビリ訓練機器であって、
前記の上肢神経リハビリ訓練機器は、リハビリ姿勢間の切り替えのための手動調節部分Iとリハビリ訓練のための電動実行部IIを含み、五つの訓練動作、すなわち、連動屈伸、腕揺らし、上腕回動、手振り、前腕回動を実現可能であり、3種のリハビリ姿勢、すなわち、座位治療、立位治療、臥位治療を実現し、
前記の手動調節部分Iは、キャスター(1)、底板(2)、ヒンジピン(3)、固定ロッド(4)、ハンドル(5)、第1のスライドロッド(6-1)、第2のスライドロッド(6-2)、コントロールレバー(7)、窒素ガスバネ(8)、第1の接続板(9-1)、第2の接続板(9-2)、ヒンジ(32)を含み、前記のキャスター(1)が底板(2)の下部に固着され、固定ロッド(4)は、底部が底板(2)の上側面に固着され、中空構造であり、前記の固定ロッド(4)の側面にヒンジピン(3)を置くための等ピッチ穴が設けられ、前記の第1のスライドロッド(6-1)が固定ロッド(4)の上方から固定ロッド(4)内に嵌め込まれ、ハンドル(5)が第1のスライドロッド(6-1)に取り付けられ、第2のスライドロッド(6-2)が第1のスライドロッド(6-1)の上方から第1のスライドロッド(6-1)内に嵌め込まれ、コントロールレバー(7)と窒素ガスバネ(8)が第2のスライドロッド(6-2)の上部に取り付けられ、前記の窒素ガスバネ(8)の上部に第1の接続板(9-1)が設けられ、ヒンジ(32)の両側面がそれぞれ第1の接続板(9-1)と第2の接続板(9-2)に接続され、
前記の電動実行部IIは、第3の接続板(9-3)、第4の接続板(9-4)、第5の接続板(9-5)、第6の接続板(9-6)、第7の接続板(9-7)、ステッピングモータ(10)、モータホルダ(11)、弾性カップリング(12)、ホルダ(13)、ヒンジ(14)、電気プッシュロッド(15)、外部角パイプ(16)、内部角パイプ(17)、モータ(18)、減速機(19)、手の甲板(20)、スライダ(21)、関節弾性カップリング(22)、ベース付軸受(24)、関節Tシャフト(25)、ガイドベース(26)、バンド(27)、固定ベース(28)、リードスクリュー(29)、スライドレールベース(30)、支持ベース(31)を含み、
前記の電気プッシュロッド(15)は、一端が第2の接続板(9-2)におけるヒンジ(14)と接続され、他端がスライドレールベース(30)に取り付けられる第7の接続板(9-7)におけるヒンジ(14)と接続され、前記のステッピングモータ(10)がモータホルダ(11)を介して、底部が固定ベース(28)と接続されるホルダ(13)に取り付けられ、ステッピングモータ(10)の主軸が弾性カップリング(12)を介してリードスクリュー(29)と接続され、リードスクリュー(29)は両端が固定ベース(28)と支持ベース(31)に取り付けられ、固定ベース(28)と支持ベース(31)がスライドレールベース(30)の両端に固定され、第2の接続板(9-2)と第3の接続板(9-3)が関節Tシャフト(25)を介してベース付軸受(24)と間接接続され、
一組の内部角パイプ(17)が第1の外部角パイプ(16)内に嵌着され、第1の外部角パイプ(16)の端部が第3の接続板(9-3)におけるヒンジ(14)と接続され、内部角パイプ(17)の端部が第4の接続板(9-4)におけるヒンジ(14)と接続され、対応して、別の一組の内部角パイプ(17)が第2の外部角パイプ(16)内に嵌着され、第2の外部角パイプ(16)の端部が第4の接続板(9-4)と接続され、内部角パイプ(17)の端部がヒンジ(14)を介して、リードスクリュー(29)と接続されるスライダ(21)に取り付けられ、上記の内部角パイプ(17)の全部には外部角パイプ(16)と内部角パイプ(17)との相対的な位置を調節するための等ピッチ調節穴が設けられ、
第3の外部角パイプ(16)の一端が関節Tシャフト(25)を介してベース付軸受(24)の内部に嵌め込まれ、ベース付軸受(24)が第4の接続板(9-4)に取り付けられ、第3の外部角パイプ(16)の他端が第5の接続板(9-5)の一端と接続され、前記の第5の接続板(9-5)の他端に減速機(19)、モータ(18)が取り付けられ、関節弾性カップリング(22)の両側にそれぞれ減速機(19)の出力軸と関節Tシャフト(25)が取り付けられ、当該関節Tシャフト(25)が第6の接続板(9-6)の一端に取り付けられるとともに、第5の接続板(9-5)におけるベース付軸受(24)の内部に嵌め込まれ、前記の第6の接続板(9-6)の他端の外側に減速機(19)、モータ(18)が取り付けられ、減速機(19)の出力軸がガイドベース(26)を介して手の甲板(20)と接続され、バンド(27)が手の甲板(20)に固定され、
前記の第4の接続板(9-4)の外側に1つの減速機(19)、モータ(18)が取り付けられ、関節弾性カップリング(22)の両側にそれぞれ減速機(19)の出力軸と関節Tシャフト(25)が取り付けられる
ことを特徴とする上肢神経リハビリ訓練機器。
Upper limb nerve rehabilitation training equipment
The upper limb nerve rehabilitation training device includes a manual adjustment part I for switching between rehabilitation postures and an electric execution part II for rehabilitation training, and includes five training movements, that is, interlocking flexion / extension, arm swing, and forearm rotation. , Hand gesture, and forearm rotation are possible, and three types of rehabilitation postures, that is, sitting treatment, standing treatment, and lying treatment are realized.
The manual adjustment portion I includes a caster (1), a bottom plate (2), a hinge pin (3), a fixing rod (4), a handle (5), a first slide rod (6-1), and a second slide rod. (6-2), control lever (7), nitrogen gas spring (8), first connecting plate (9-1), second connecting plate (9-2), hinge (32), and the caster described above. (1) is fixed to the lower part of the bottom plate (2), and the fixed rod (4) has a hollow structure in which the bottom portion is fixed to the upper side surface of the bottom plate (2) and has a hinge pin on the side surface of the fixed rod (4). An equal pitch hole for placing (3) is provided, the first slide rod (6-1) is fitted into the fixed rod (4) from above the fixed rod (4), and the handle (5) is inserted. Attached to the first slide rod (6-1), the second slide rod (6-2) is placed in the first slide rod (6-1) from above the first slide rod (6-1). Fitted, the control lever (7) and the nitrogen gas spring (8) are attached to the upper part of the second slide rod (6-2), and the first connecting plate (9-1) is attached to the upper part of the nitrogen gas spring (8). ) Is provided, and both side surfaces of the hinge (32) are connected to the first connecting plate (9-1) and the second connecting plate (9-2), respectively.
The electric execution unit II includes a third connection plate (9-3), a fourth connection plate (9-4), a fifth connection plate (9-5), and a sixth connection plate (9-6). ), 7th connection plate (9-7), stepping motor (10), motor holder (11), elastic coupling (12), holder (13), hinge (14), electric push rod (15), external Square pipe (16), internal square pipe (17), motor (18), reducer (19), back plate (20), slider (21), elastic coupling (22), bearing with base (24), Includes articulated T-shaft (25), guide base (26), band (27), fixed base (28), lead screw (29), slide rail base (30), support base (31).
The electric push rod (15) has a seventh connecting plate (9) having one end connected to a hinge (14) in the second connecting plate (9-2) and the other end attached to a slide rail base (30). The stepping motor (10) is attached to the holder (13) whose bottom is connected to the fixed base (28) via the motor holder (11), which is connected to the hinge (14) in -7). The main shaft of (10) is connected to the lead screw (29) via the elastic coupling (12), and both ends of the lead screw (29) are attached to the fixed base (28) and the support base (31), and the fixed base (29) is attached. 28) and the support base (31) are fixed to both ends of the slide rail base (30), and the second connection plate (9-2) and the third connection plate (9-3) attach the joint T shaft (25). Indirectly connected to the bearing with base (24) via
A set of internal square pipes (17) are fitted into the first external square pipes (16), and the ends of the first external square pipes (16) are hinged in the third connecting plate (9-3). Connected to (14), the end of the internal square pipe (17) is connected to the hinge (14) in the fourth connecting plate (9-4), correspondingly another set of internal square pipes (17). ) Is fitted into the second outer square pipe (16), the end of the second outer square pipe (16) is connected to the fourth connecting plate (9-4), and the inner square pipe (17) Is attached to a slider (21) connected to a lead screw (29) via a hinge (14), and all of the above internal square pipes (17) have an external square pipe (16) and an internal angle. Equal pitch adjustment holes are provided to adjust the position relative to the pipe (17).
One end of the third external square pipe (16) is fitted inside the bearing with base (24) via the joint T-shaft (25), and the bearing with base (24) is fitted with the fourth connecting plate (9-4). The other end of the third external square pipe (16) is connected to one end of the fifth connection plate (9-5), and the speed is reduced to the other end of the fifth connection plate (9-5). The machine (19) and the motor (18) are attached, and the output shaft of the speed reducer (19) and the joint T-shaft (25) are attached to both sides of the joint elastic coupling (22), respectively, and the joint T-shaft (25) is attached. Is attached to one end of the sixth connection plate (9-6) and is fitted inside the bearing with base (24) in the fifth connection plate (9-5) to form the sixth connection plate (9). A speed reducer (19) and a motor (18) are attached to the outside of the other end of -6), and the output shaft of the speed reducer (19) is connected to the back plate (20) of the hand via a guide base (26) to form a band. (27) is fixed to the back plate (20) of the hand,
One speed reducer (19) and a motor (18) are attached to the outside of the fourth connection plate (9-4), and the output shafts of the speed reducer (19) are attached to both sides of the joint elastic coupling (22). An upper limb nerve rehabilitation training device characterized in that a joint T-shaft (25) is attached.
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