CN113693883A - Medical lower limb rehabilitation exercise device for severe patients - Google Patents

Abstract

A medical lower limb rehabilitation exercise device for critically ill patients effectively solves the problems that the critically ill patients cannot independently exercise limbs during lying in bed, contracture deformity of muscle groups, joint capsules and joint ligaments is easily caused, and hidden danger exists in later-stage rehabilitation of the patients; including the bedstead, the bedstead front side sliding connection has the mount of the fixed shank of two symmetric distributions, but mount bottom fixedly connected with reciprocating sliding's first slider, but first slider internal rotation is connected with synchronous pivoted first massage wheel, the sliding connection has two relative slip's first massage board behind the bedstead, it has first connecting rod all to articulate on two first massage boards, two first connecting rod other ends are rotated and are connected with the second massage wheel, two first massage board middle parts are equipped with reciprocating intermittent type gliding second slider and second massage board, second slider front side fixedly connected with connecting rod, the equal fixedly connected with in connecting rod left and right sides is used for the handle that the hand was tempered.

Description

Medical lower limb rehabilitation exercise device for severe patients

Technical Field

The invention relates to the technical field of medical assistance, in particular to a medical lower limb rehabilitation exercise device for severe patients.

Background

Generally, 2 weeks of bed rest of a patient is enough to generate important muscle groups and contracture deformities of joint capsules and joint ligaments. The occurrence of deformities can cause mild pain and discomfort to the patient, and even permanent deformities, resulting in impaired mobility. Therefore, the early limb functional exercise is emphasized clinically, and a concept of preventive rehabilitation nursing is formed, and the intervention time for the limb functional exercise and the rehabilitation nursing is not performed after the dysfunction but before the dysfunction appears. For critical patients, the functional problems cannot be noticed until the disease is cured. The limb function exercise should be performed in time after the vital signs of the patient are stable. When the severe patients take exercise for limb function, the severe patients can not independently control the limbs to move due to the particularity of the self condition, usually, the nursing personnel assists the patients to take exercise of the limbs, the workload of the nursing personnel is greatly improved, and meanwhile, when the number of patients is large, the patients can not independently train under the assistance of no nursing personnel, so that the daily training amount of the patients is reduced, the effect of rehabilitation nursing of the patients is reduced, and the rehabilitation of the patients is not facilitated.

Disclosure of Invention

Aiming at the situation and overcoming the defects of the prior art, the invention provides a medical lower limb rehabilitation exercise device for critically ill patients, which effectively solves the problems that the critically ill patients cannot independently exercise the limbs during the bed-lying period, the contracture deformity of muscle groups, joint capsules and joint ligaments is easily caused, and the later rehabilitation of the patients has hidden troubles.

In order to achieve the purpose, the invention provides the following technical scheme: the bed comprises a bed frame, two symmetrically distributed fixing frames are slidably connected to the front side of the bed frame, arc-shaped supports are slidably connected to the left side and the right side of the upper portion of each fixing frame, fixing belts are sewn on the supports and the fixing frames, a first sliding block capable of sliding in a reciprocating manner is fixedly connected to the bottom of each fixing frame, a first massage wheel is rotatably connected to the first sliding block, the first massage wheel is coaxially and fixedly connected with a shaft coupler with a movable axis, a rotatable first bevel gear set is fixedly connected to the bottom end of the shaft coupler, the first bevel gear set is positioned in the bed frame and is rotatably connected with the bed frame, two first massage plates sliding relative to each other are slidably connected to the rear side of the bed frame, first connecting rods are hinged to the two first massage plates, the other ends of the two first connecting rods are rotatably connected with second massage wheels rotatably connected with the bed frame, and the two first massage plates sliding left and right form a first driving machine with the second massage wheels through first connecting rods The mechanism comprises two second massage plates which slide in a reciprocating mode, wherein two second sliding blocks which can slide in a reciprocating mode intermittently are arranged in the middle of the first massage plates, a second sliding block which can slide in a reciprocating mode is fixedly connected to the lower portion of each second massage plate, a protruding block is fixedly connected to the middle of each second sliding block, opening blocks which are connected with a bedstead in a sliding mode are arranged on the left side and the right side of each protruding block, the opening blocks are fixedly connected with the first massage plates, the second sliding blocks which slide in the front and back mode form two second driving mechanisms which can slide horizontally on the first massage plates through the protruding blocks and the opening blocks in a matched mode, a connecting rod is fixedly connected to the front side of each second sliding block, handles used for hand exercise are fixedly connected to the left side and the right side of the connecting rod, and through holes matched with the handles and the connecting rod are formed in the bedstead.

Preferably, the top surface of the fixing frame is provided with a key hole matched with the support, the fixing frame below the key hole is connected with a connecting block fixedly connected with the support in a sliding manner, and a first spring is arranged between the connecting block and the fixing frame.

Preferably, a first worm is fixedly connected between the coupler and the first bevel gear, the first worm is engaged with a first worm wheel, the first worm wheel is fixedly connected with an eccentric wheel, an annular chute is formed in the outer side of the eccentric wheel, a first cylindrical pin is slidably connected in the annular chute, a second connecting rod rotatably connected with the bedstead is rotatably connected to the first cylindrical pin, a third connecting rod is hinged to the second connecting rod, and the third connecting rod is rotatably connected with the first sliding block;

the first worm wheel, the first worm and the eccentric wheel are all rotatably connected with the bedstead, and a belt wheel set is installed between the two first worms.

Preferably, a second bevel gear set is coaxially and fixedly connected to the first bevel gear set, a slippage shaft is coaxially and fixedly connected to the second bevel gear set, an adjustable first friction wheel is slidably connected to the slippage shaft, the first friction wheel is matched with a second friction wheel, and the second friction wheel is coaxially and fixedly connected with a first belt wheel;

the second friction wheel is round table-shaped, the axis of the sliding shaft is parallel to the inclined plane of the second friction wheel, the first friction wheel is rotatably connected with an adjusting block, a first screw rod is connected to the adjusting block in a threaded manner, the first screw rod is rotatably connected with the bedstead, and a third bevel gear set for regulation and control is connected to the first screw rod in a threaded manner.

Preferably, a belt is matched with the first belt wheel, a second belt wheel is matched with the belt, the first belt wheel and the second belt wheel are symmetrical about the middle of the second sliding block, key blocks are fixedly connected to the first belt wheel and the second belt wheel, the key blocks are matched with second cylindrical pins fixedly connected with the second sliding block, and a first sliding groove matched with the second cylindrical pins is formed in the bottom of the bedstead.

Preferably, the outer side of the opening block is provided with a push plate with adjustable elasticity, the push plate is connected with the bedstead in a sliding manner, the bedstead is provided with a placing groove connected with the opening block and the second sliding block in a sliding manner, the inner side of the opening block is provided with an E-shaped groove, and the protruding block is rotatably connected with a roller matched with the groove.

Preferably, the push plate is fixedly connected with a support rod, the support rod is connected with a rectangular block in a sliding mode, a second spring is sleeved on the support rod between the rectangular block and the push plate, a second screw rod is connected to the rectangular block in a rotating mode, and the second screw rod penetrates through the bedstead and is in threaded connection with the bedstead.

Preferably, a coil spring is installed between the second massage wheel and the bedstead.

Compared with the prior art, the invention has the outstanding advantages that: the fixing frame and the leg of the patient are fixed and drive the leg of the patient to stretch and bend, the first massage wheel massages the leg of the patient while driving the leg of the patient to move, and the leg muscle which is tired in the movement is relieved, so that the situation of muscle atrophy of the patient caused by long-term lying in bed is avoided, and the health of the patient is guaranteed; the stepless speed change adjustment between the first friction wheel and the second friction wheel can regulate and control the frequency of the front and back sliding of the second sliding block, so that the second sliding block can adjust the massage frequency of the first massage plate, the second massage plate and the second massage wheel to the back of the patient, the device is suitable for different patients, and the comfort level of the patient in use is improved; the handle can drive the second sliding block to move passively through the first belt wheel and the second belt wheel, so that synchronous passive training of arms is realized, in addition, the handle can also carry out active training through the arms, the handle is pushed by the arms to move back and forth, meanwhile, the resistance value of the spreading block to the second sliding block can be changed through the action of the second screw rod and the push plate, and the training intensity of a patient during arm training is adjusted; the invention has novel structure, ingenious conception and simple and convenient operation, and effectively solves the problems that the serious patient can not independently exercise the limbs during the lying period, the contracture deformity of muscle groups, joint capsules and joint ligaments is easily caused, and the later rehabilitation of the patient has hidden troubles through the design.

Drawings

Fig. 1 is a schematic view of the overall structure of the present invention.

Fig. 2 is a schematic sectional view of a part of the bed frame according to the present invention.

Fig. 3 is a schematic view of the connection structure of the first massage wheel of the present invention.

Fig. 4 is a schematic structural view of the fixing frame of the present invention.

Fig. 5 is a schematic cross-sectional view of the fixing frame of the present invention.

Fig. 6 is a schematic view of the overall bottom structure of the present invention.

Fig. 7 is a schematic view of a first friction wheel connection structure according to the present invention.

Fig. 8 is a schematic view of a first pulley connection structure according to the present invention.

Fig. 9 is a schematic view of the horizontal cross section of the bed frame of the present invention.

FIG. 10 is a schematic view of the connection structure of the push plate according to the present invention.

FIG. 11 is a bottom view of a second massage plate of the present invention

Reference numbers in the figures: 1. a bed frame; 2. a fixed mount; 3. a support; 4. fixing belts; 5. a first slider; 6. a first massage wheel; 7. a coupling; 8. a first bevel gear set; 9. a first massage plate; 10. a first link; 11. a second platen; 12. a second massage plate; 13. a second slider; 14. a raised block; 15. a distraction block; 16. a connecting rod; 17. a handle; 18. a through hole; 19. a key-type hole; 20. connecting blocks; 21. a first spring; 22. a first worm; 23. a first worm gear; 24. an eccentric wheel; 25. an annular chute; 26. a first cylindrical pin; 27. a second link; 28. a third link; 29. a pulley block; 30. a second bevel gear set; 31. a slip axis; 32. a first friction wheel; 33. a second friction wheel; 34. a first pulley; 35. an adjusting block; 36. a first screw; 37. a third bevel gear set; 38. a belt; 39. a second pulley; 40. a key-type block; 41. a second cylindrical pin; 42. a first chute; 43. pushing the plate; 44. a placement groove; 45. a groove; 46. a roller; 47. a support bar; 48. a rectangular block; 49. a second spring; 50. a second screw; 51. a coil spring.

Detailed Description

The following description of the present invention will be made in detail with reference to the accompanyingdrawings 1 to 11.

The invention comprises a bedstead 1, two symmetrically distributed fixed frames 2 are slidably connected with the front side of the bedstead 1, the left and right sides of the upper part of the fixed frames 2 are slidably connected with arc-shaped brackets 3, fixed belts 4 are sewed on the brackets 3 and the fixed frames 2, the bottom of the fixed frame 2 is fixedly connected with a first sliding block 5 capable of sliding in a reciprocating manner, a first massage wheel 6 is rotatably connected with the first sliding block 5, the first massage wheel 6 is coaxially and fixedly connected with a coupler 7 with a movable axis, the bottom end of the coupler 7 is fixedly connected with a rotatable first bevel gear set 8, the first bevel gear set 8 is positioned in the bedstead 1 and is rotatably connected with the bedstead 1, the rear side of the bedstead 1 is slidably connected with two first massage plates 9 sliding relatively, the two first massage plates 9 are both hinged with first connecting rods 10, the other ends of the two first connecting rods 10 are rotatably connected with second massage wheels rotatably connected with the bedstead 1, the two first massage plates 9 sliding left and right form a first driving mechanism for rotating the second massage wheel through a first connecting rod 10, the middle parts of the two first massage plates 9 are provided with two second massage plates 12 sliding back and forth, a second sliding block 13 which can slide in a reciprocating and intermittent way is fixedly connected below the second massage plate 12, a convex block 14 is fixedly connected with the middle part of the second sliding block 13, the left side and the right side of the convex block 14 are provided with an opening block 15 which is connected with the bedstead 1 in a sliding way, the expanding block 15 is fixedly connected with the first massage plates 9, the second slide block 13 sliding back and forth forms a second driving mechanism for the horizontal sliding of the two first massage plates 9 through the matching of the convex block 14 and the expanding block 15, the front side of the second sliding block 13 is fixedly connected with a connecting rod 16, the left side and the right side of the connecting rod 16 are both fixedly connected with handles 17 for hand exercise, and the bed frame 1 is provided with through holes 18 matched with the handles 17 and the connecting rod 16.

The bed frame 1 is used for supporting a critically ill patient in a lying mode, two groups of fixing frames 2 are arranged on the front side of the bed frame 1, the two groups of fixing frames 2 move synchronously, the fixing frames 2 and the support 3 are used for fixing the positions of feet and shanks of the patient, the fixing frames 2 can slide back and forth relative to the bed frame 1, when the fixing frames 2 slide back and forth, the bending parts on the front sides of the fixing frames 2 act on heels of the patient, when the fixing frames 2 slide back relative to the bed frame 1, the fixing frames 2 act like hands of medical workers to support the lower limbs of the patient, the patient is helped to carry out leg bending and leg stretching movement, the patient is helped to relax muscles of the legs, muscle spasm caused by long-time lying of the patient is avoided, subsequent health treatment of the patient is guaranteed, when the legs of the patient stretch out and bend out, the first massage wheels 6 in the fixing frames 2 carry out rotary type massage on the shanks of the patient, and a coupling shaft at the bottoms of the first massage wheels 6 is a miser coupling 7, the axle centers of the upper end and the lower end of the coupling 7 can move back and forth, and when the first massage wheel 6 slides back and forth along with the fixed frame 2, the coupling 7 can still keep the rotating effect of the first massage wheel 6; when the first massage wheel 6 and the fixing frame 2 move, the second massage wheel, the first massage disk and the second massage disk on the rear side of the bedstead 1 move synchronously, the three massage the back position of the patient, so as to avoid the back of the patient from being pressed by lying in bed for a long time and ensure the health of the patient, the second sliding block 13 can intermittently slide back and forth on the bedstead 1, the frequency of the back and forth sliding of the second sliding block 13 is adjustable, the sensitivity of the back of different patients is different, the patient can adjust the frequency of the back and forth sliding of the second sliding block 13 to drive the second massage plate 12 to perform back and forth friction on the back of the patient according to the self condition, the comfort level of the back massage of the patient by the second massage plate 12 is improved while the pressure sore of the patient is avoided, the use experience of the patient is improved, as shown in fig. 9 and fig. 11, when the second sliding block 13 moves back and forth, the raised blocks 14 on the second sliding block 13 have the effect of opening the supporting blocks 15 on both sides, when the two spreading blocks 15 are used for spreading and furling, the spreading blocks 15 drive the first massage plates 9 to massage the back of a patient in a sliding manner close to the left and right, the sliding frequency of the first massage plates 9 is changed along with the change of the second sliding block 13, when the two first massage plates 9 are relatively close to or far away from each other, the two first massage plates 9 are matched with the two first connecting rods 10, the second massage wheel is pushed by the first connecting rods 10 to rotate in a reciprocating manner, the angle of the two first massage plates 9 for pushing the second massage wheel to rotate in a reciprocating manner through the first connecting rods 10 is less than one hundred eighty degrees, the interference between the first connecting rods 10 and the middle shaft of the second massage bracket 3 is avoided, the rotating frequency of the second massage wheel is also influenced by the second sliding block 13, the connecting rods 16 and the handles 17 on the second sliding block 13 are used for exercising the upper limbs of the patient, when the patient uses the handles 17, the reciprocating movement of the second sliding block 13 drives the arms of the patient to carry out the lifting action, so that the upper limbs and the lower limbs of the patient can be exercised synchronously.

The top surface of the fixingframe 2 is provided with a key-shapedhole 19 matched with thesupport 3, the fixingframe 2 below the key-shapedhole 19 is connected with a connectingblock 20 fixedly connected with thesupport 3 in a sliding manner, and afirst spring 21 is arranged between the connectingblock 20 and the fixingframe 2.

Afirst worm 22 is fixedly connected between thecoupler 7 and the first bevel gear, afirst worm wheel 23 is meshed with thefirst worm 22, aneccentric wheel 24 is fixedly connected with thefirst worm wheel 23, an annular slidinggroove 25 is formed in the outer side of theeccentric wheel 24, a firstcylindrical pin 26 is slidably connected in the annular slidinggroove 25, a second connectingrod 27 which is rotatably connected with thebedstead 1 is rotatably connected on the firstcylindrical pin 26, a third connectingrod 28 is hinged on the second connectingrod 27, and the third connectingrod 28 is rotatably connected with the first slidingblock 5;

thefirst worm wheel 23, thefirst worm 22 and theeccentric wheel 24 are all rotatably connected with thebedstead 1, and apulley group 29 is installed between the twofirst worms 22.

As shown in fig. 3, the first bevel gear set 8 is composed of two bevel gears meshed with each other, the rotation of the first bevel gear set 8 drives thefirst worm 22 to rotate, thefirst worm 22 drives thefirst massage wheel 6 to massage the lower leg of the patient through thecoupling 7, when thefirst worm 22 rotates, thefirst worm 22 drives thefirst worm wheel 23 to rotate, thefirst worm wheel 23 rotates to drive theeccentric wheel 24 to rotate, theeccentric wheel 24 rotates the second connectingrod 27 driven by the matching of the annular slidinggroove 25 and the firstcylindrical pin 26 to perform reciprocating rotation, the middle part of the second connectingrod 27 is rotatably connected with thebedstead 1, the rotation of the second connectingrod 27 drives the third connectingrod 28 and the first slidingblock 5 to move, and only the freedom degree of forward and backward sliding is provided between the first slidingblock 5 and thebedstead 1, when the second connectingrod 27, the third connectingrod 28 and the first slidingblock 5 form a slider-crank mechanism, the movement of the first slidingblock 5 drives the fixedframe 2 to slide back and forth on thebed frame 1.

A second bevel gear set 30 is coaxially and fixedly connected to the first bevel gear set 8, a slidingshaft 31 is coaxially and fixedly connected to the second bevel gear set 30, an adjustablefirst friction wheel 32 is slidably connected to the slidingshaft 31, asecond friction wheel 33 is matched with thefirst friction wheel 32, and afirst belt wheel 34 is coaxially and fixedly connected to thesecond friction wheel 33;

thesecond friction wheel 33 is in a circular truncated cone shape, the axis of the slidingshaft 31 is parallel to the inclined plane of thesecond friction wheel 33, thefirst friction wheel 32 is rotatably connected with an adjustingblock 35, afirst screw 36 is in threaded connection with the adjustingblock 35, thefirst screw 36 is rotatably connected with thebedstead 1, and a thirdbevel gear group 37 for regulation and control is in threaded connection with thefirst screw 36.

As shown in fig. 7, the second bevel gear set 30 and the third bevel gear set 37 are both composed of two bevel gears engaged with each other, a motor is connected to the second bevel gear set 30, the second bevel gear set 30 and the first bevel gear set 8 are driven by the motor to rotate synchronously, the second bevel gear set 30 drives the first friction wheel 32 to rotate through the slip shaft 31 when rotating, the outer side surfaces of the first friction wheel 32 and the second friction wheel 33 are both frosted surfaces and have a large friction force, the second friction wheel 33 is driven to rotate when the first friction wheel 32 rotates, the second friction wheel 33 drives the first belt pulley 34 on the upper side to rotate, the second friction wheel 33 is in a circular truncated cone shape with a large upper part and a small lower part, the slip shaft 31 is in a side-placing state, contact between the first friction wheel 32 and the second friction wheel 33 is ensured, during the contact between the first friction wheel 32 and the second friction wheel 33 from bottom to top, the first friction wheel 32 drives the second friction wheel 33 to have a larger radius of the second friction wheel 33, therefore, the rotating speed of the second friction wheel 33 is reduced, the adjustment of the horizontal height of the first friction wheel 32 is driven by the adjusting block 35, the degree of freedom of later sliding between the adjusting block 35 and the bedstead 1 is increased, one side of the third bevel gear set 37 is connected with the control handle, when the first screw rod 36 is driven to rotate by the control handle and the third bevel gear set 37, the adjusting block 35 is driven to move up and down by the screw thread matching of the first screw rod 36 and the adjusting block 35, only the rotational degree of freedom exists between the adjusting block 35 and the first friction wheel 32, the up-and-down movement of the adjusting block 35 drives the first friction wheel 32 to move up and down, the contact point of the first friction wheel 32 and the second friction wheel 33 is changed, and the stepless speed change adjustment when the first belt wheel 34 rotates is realized.

Thefirst belt wheel 34 is matched with abelt 38, thebelt 38 is matched with asecond belt wheel 39, thefirst belt wheel 34 and thesecond belt wheel 39 are symmetrical about the middle of the second slidingblock 13, both thefirst belt wheel 34 and thesecond belt wheel 39 are fixedly connected with a key-shapedblock 40, the key-shapedblock 40 is matched with a secondcylindrical pin 41 fixedly connected with the second slidingblock 13, and the bottom of thebed frame 1 is provided with a first slidinggroove 42 matched with the secondcylindrical pin 41.

As shown in the figure, the key-type block 40 on the second belt wheel 39 and the first belt wheel 34 is matched with the upper second cylindrical pin 41 of the second sliding block 13 in a forward direction, the second sliding block 13 and the second cylindrical pin 41 have only freedom of moving back and forth under the matching of the first sliding slot 42, when the second belt wheel 39 rotates clockwise, the key-type block 40 on the second belt wheel 39 pushes the second cylindrical pin 41 to move backward, the key-type block 40 on the first belt wheel 34 is matched with the second cylindrical pin 41 on the front side of the second sliding block 13 after the second sliding block 13 moves, the second belt wheel 39 drives the first belt wheel 34 to rotate clockwise through the belt 38, the key-type block 40 on the first belt wheel 34 is matched with the second cylindrical pin 41 on the front side of the second sliding block 13, the key-type hole 19 on the first belt wheel 34 pushes the second cylindrical pin 41 and the second sliding block 13 to move forward, so as to realize intermittent reciprocating sliding of the second sliding block 13, and the rotating speed of the first belt wheel 34 can be adjusted by stepless speed change of the second friction wheel 33, so that the sliding frequency of the second slider 13 can be adjusted in a plurality of terms.

The outer side of theopening block 15 is provided with apush plate 43 with adjustable elasticity, thepush plate 43 is slidably connected with thebedstead 1, thebedstead 1 is provided with a placinggroove 44 slidably connected with theopening block 15 and thesecond slider 13, the inner side of theopening block 15 is provided with anE-shaped groove 45, and the protrudingblock 14 is rotatably connected with aroller 46 matched with thegroove 45.

Twopush plates 43 are to twoexpansion blocks 15 to have inboard elasticity, guarantee to expand theinboard recess 45 ofpiece 15 and thegyro wheel 46 of the interior of protrudingpiece 14 to the contact,recess 45 is protruding bothsides recess 45 structure in the middle, when protrudingpiece 14 and the intermediate position ofpiece 15 are strutted in the roll ofgyro wheel 46 onsecond slider 13, drivesecond slider 13 and slide in standinggroove 44 jointly under the effect of twopush plates 43 and secondcylindric lock 41, whengyro wheel 46 and protrudingpiece 14 remove the sunk part to recess 45, twopush plates 43 promote twoexpansion blocks 15 and are close to each other, prop up twoexpansion blocks 15 once more when the slider removes, thereby realize two reciprocating sliding who strutspiece 15.

A supportingrod 47 is fixedly connected to the pushingplate 43, arectangular block 48 is slidably connected to the supportingrod 47, asecond spring 49 is sleeved on the supportingrod 47 between therectangular block 48 and the pushingplate 43, asecond screw 50 is rotatably connected to therectangular block 48, and thesecond screw 50 penetrates through thebed frame 1 and is in threaded connection with thebed frame 1.

Thesecond spring 49 is a compression spring, and the more thesecond spring 49 is compressed, the larger the elastic force of thesecond spring 49 is, as shown in fig. 10, thesecond screw 50 can move back and forth relative to thebed frame 1 by rotating thesecond screw 50, when thesecond screw 50 moves inward relative to thebed frame 1, therectangular block 48 is driven by thesecond screw 50 to move inward, therectangular block 48 moves inward to compress thesecond spring 49 through thesupport rod 47, and the elasticity of thesecond spring 49 is increased by compression, so that the pushing force of thepush plate 43 to thespreader 15 is increased, and the patient can perform the passive training of the self-training through thehandle 17.

The invention has novel structure, ingenious conception and simple and convenient operation, and effectively solves the problems that the serious patient can not independently exercise the limbs during the lying period, the contracture deformity of muscle groups, joint capsules and joint ligaments is easily caused, and the later rehabilitation of the patient has hidden troubles through the design.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.

Claims (8)

Translated fromChinese

1.一种医用重症病人下肢复健锻炼装置，包括床架(1)，其特征在于，所述床架(1)前侧滑动连接有两个对称分布的固定架(2)，所述固定架(2)上部的左右两侧滑动连接有弧形的支架(3)，所述支架(3)与所述固定架(2)上均缝接有固定带(4)，所述固定架(2)底部固定连接有可往复滑动的第一滑块(5)，所述第一滑块(5)内转动连接有的第一按摩轮(6)，所述第一按摩轮(6)同轴固定连接有轴心可移的联轴器(7)，所述联轴器(7)底端固定连接有可转动的第一锥齿轮组(8)，所述第一锥齿轮组(8)位于床架(1)内并且与床架(1)转动连接，所述床架(1)后侧滑动连接有两个相对滑动的第一按摩板(9)，两个所述第一按摩板(9)上均铰接有第一连杆(10)，两个所述第一连杆(10)另一端转动连接有与床架(1)转动连接的第二按摩轮，两个左右滑动的第一按摩板(9)通过第一连杆(10)构成第二按摩轮转动的第一驱动机构，两个所述第一按摩板(9)中部设有两个往复滑动的第二按摩板(12)，所述第二按摩板(12)下方固定连接有可往复间歇滑动的第二滑块(13)，所述第二滑块(13)中部固定连接有凸起块(14)，所述凸起块(14)左右两侧设有与床架(1)滑动连接的撑开块(15)，所述撑开块(15)与所述第一按摩板(9)固定连接，前后滑动的第二滑块(13)通过凸起块(14)与撑开块(15)的配合构成两个第一按摩板(9)水平滑动的第二驱动机构，所述第二滑块(13)前侧固定连接有连接杆(16)，所述连接杆(16)左右两侧均固定连接有用于手部锻炼的手柄(17)，所述床架(1)上开有与手柄(17)和连接杆(16)相配合的通孔(18)。1. A medical device for rehabilitating and exercising lower limbs for critically ill patients, comprising a bed frame (1), wherein the front side of the bed frame (1) is slidably connected with two symmetrically distributed fixing frames (2), and the fixed The left and right sides of the upper part of the frame (2) are slidably connected with arc-shaped brackets (3), the brackets (3) and the fixing frame (2) are both sewn with fixing belts (4), and the fixing frame ( 2) A first sliding block (5) that can slide back and forth is fixedly connected to the bottom, and a first massage wheel (6) is rotatably connected in the first sliding block (5), and the first massage wheel (6) is the same as The shaft is fixedly connected with a coupling (7) with a movable shaft center, the bottom end of the coupling (7) is fixedly connected with a rotatable first bevel gear group (8), the first bevel gear group (8) ) is located in the bed frame (1) and is rotatably connected with the bed frame (1), the back side of the bed frame (1) is slidably connected with two relatively sliding first massage plates (9), two of the first massage plates (9) A first connecting rod (10) is hinged on the plate (9), and the other ends of the two first connecting rods (10) are rotatably connected with a second massage wheel rotatably connected with the bed frame (1), and the two massage wheels slide left and right. The first massage plate (9) constitutes a first driving mechanism for the rotation of the second massage wheel through the first connecting rod (10), and two second massage plates that reciprocate sliding are arranged in the middle of the two first massage plates (9). A plate (12), a second sliding block (13) capable of reciprocating intermittent sliding is fixedly connected below the second massage plate (12), and a raised block (14) is fixedly connected in the middle of the second sliding block (13) , the left and right sides of the raised block (14) are provided with a spreading block (15) slidingly connected with the bed frame (1), and the spreading block (15) is fixedly connected with the first massage board (9) , the second sliding block (13) that slides back and forth through the cooperation of the raised block (14) and the opening block (15) constitutes a second driving mechanism for the horizontal sliding of the two first massage plates (9). The front side of the block (13) is fixedly connected with a connecting rod (16), the left and right sides of the connecting rod (16) are fixedly connected with a handle (17) for hand exercise, and the bed frame (1) is provided with a handle (17). The handle (17) and the connecting rod (16) are matched with the through hole (18).2.根据权利要求1所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述固定架(2)上顶面开有与支架(3)相配合的键型孔(19)，所述键型孔(19)下方的固定架(2)上滑动连接有与支架(3)固定连接的连接块(20)，所述连接块(20)与所述固定架(2)之间安装有第一弹簧(21)。2. The lower limb rehabilitation exercise device for medical critically ill patients according to claim 1, wherein a key-shaped hole (19) matched with the bracket (3) is opened on the top surface of the fixing frame (2). , a connecting block (20) fixedly connected to the bracket (3) is slidably connected to the fixing frame (2) below the key-shaped hole (19), and the connecting block (20) is connected to the fixing frame (2). A first spring (21) is installed between.3.根据权利要求1所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述联轴器(7)与所述第一锥齿轮之间固定连接有第一蜗杆(22)，所述第一蜗杆(22)啮合有第一蜗轮(23)，所述第一蜗轮(23)固定连接有偏心轮(24)，所述偏心轮(24)外侧开有环状滑槽(25)，所述环状滑槽(25)内滑动连接有第一圆柱销(26)，所述第一圆柱销(26)上转动连接有与床架(1)转动连接的第二连杆(27)，所述第二连杆(27)上铰接有第三连杆(28)，所述第三连杆(28)与所述第一滑块(5)转动连接；3. The lower limb rehabilitation exercise device for medical critically ill patients according to claim 1, wherein a first worm (22) is fixedly connected between the coupling (7) and the first bevel gear , the first worm (22) is engaged with a first worm wheel (23), the first worm wheel (23) is fixedly connected with an eccentric (24), and an annular chute (24) is opened on the outside of the eccentric (24). 25), a first cylindrical pin (26) is slidably connected in the annular chute (25), and a second connecting rod rotatably connected to the bed frame (1) is rotatably connected to the first cylindrical pin (26). (27), a third connecting rod (28) is hinged on the second connecting rod (27), and the third connecting rod (28) is rotatably connected with the first sliding block (5);所述第一蜗轮(23)、所述第一蜗杆(22)和所述偏心轮(24)均与床架(1)转动连接，两个所述第一蜗杆(22)之间安装有带轮组(29)。The first worm gear (23), the first worm (22) and the eccentric wheel (24) are all rotatably connected with the bed frame (1), and a belt is installed between the two first worms (22). Wheelset (29).4.根据权利要求1所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述第一锥齿轮组(8)上同轴固定连接有第二锥齿轮组(30)，所述第二锥齿轮组(30)上同轴固定连接有滑移轴(31)，所述滑移轴(31)上滑动连接有可调节第一摩擦轮(32)，所述第一摩擦轮(32)配合有第二摩擦轮(33)，所述第二摩擦轮(33)同轴固定连接有第一带轮(34)；4. A lower limb rehabilitation exercise device for medically critically ill patients according to claim 1, characterized in that a second bevel gear group (30) is coaxially fixedly connected to the first bevel gear group (8), so A sliding shaft (31) is coaxially and fixedly connected to the second bevel gear set (30), and an adjustable first friction wheel (32) is slidably connected to the sliding shaft (31). (32) a second friction wheel (33) is fitted, and the second friction wheel (33) is coaxially and fixedly connected with the first pulley (34);所述第二摩擦轮(33)为圆台状，所述滑移轴(31)的轴心与所述第二摩擦轮(33)的斜面平行，所述第一摩擦轮(32)转动连接有调节块(35)，所述调节块(35)上螺纹连接有第一螺杆(36)，所述第一螺杆(36)与所述床架(1)转动连接，所述第一螺杆(36)上螺纹连接有用于调控的第三锥齿轮组(37)。The second friction wheel (33) is in the shape of a truncated cone, the axis of the sliding shaft (31) is parallel to the inclined plane of the second friction wheel (33), and the first friction wheel (32) is rotatably connected with a An adjustment block (35), a first screw (36) is threadedly connected to the adjustment block (35), the first screw (36) is rotatably connected with the bed frame (1), and the first screw (36) ) is threadedly connected with a third bevel gear set (37) for regulation.5.根据权利要求4所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述第一带轮(34)上配合有皮带(38)，所述皮带(38)上配合有第二带轮(39)，所述第一带轮(34)和所述第二带轮(39)关于第二滑块(13)中部对称，所述第一带轮(34)和所述第二带轮(39)上均固定连接有键型块(40)，所述键型块(40)配合有第二滑块(13)固定连接的第二圆柱销(41)，所述床架(1)底部开有与第二圆柱销(41)相配合的第一滑槽(42)。5 . The lower limb rehabilitation exercise device for medically ill patients according to claim 4 , wherein a belt ( 38 ) is fitted on the first pulley ( 34 ), and a belt ( 38 ) is fitted with a belt ( 38 ). 6 . The second pulley (39), the first pulley (34) and the second pulley (39) are symmetrical about the middle of the second slider (13), the first pulley (34) and the A key block (40) is fixedly connected to the second pulley (39), and the key block (40) is matched with a second cylindrical pin (41) fixedly connected to the second slider (13). The bottom of the frame (1) is provided with a first chute (42) matched with the second cylindrical pin (41).6.根据权利要求1所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述撑开块(15)外侧设有弹力可调的推板(43)，所述推板(43)与所述床架(1)滑动连接，所述床架(1)上开有与撑开块(15)和第二滑块(13)滑动连接的放置槽(44)，所述撑开块(15)内侧为E状的凹槽(45)，所述凸起块(14)上转动连接有与凹槽(45)相配合的滚轮(46)。6. The lower limb rehabilitation exercise device for medical critically ill patients according to claim 1, characterized in that, a push plate (43) with adjustable elastic force is provided on the outside of the spreader block (15), and the push plate ( 43) Slidingly connected with the bed frame (1), the bed frame (1) is provided with a placement groove (44) slidably connected with the opening block (15) and the second slider (13), the support The inner side of the opening block (15) is an E-shaped groove (45), and a roller (46) matched with the groove (45) is rotatably connected to the raised block (14).7.根据权利要求6所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述推板(43)上固定连接有支撑杆(47)，所述支撑杆(47)上滑动连接有矩形块(48)，所述矩形块(48)与所述推板(43)之间的支撑杆(47)上套有第二弹簧(49)，所述矩形块(48)上转动连接有第二螺杆(50)，所述第二螺杆(50)贯穿床架(1)并且与床架(1)螺纹连接。7 . The lower limb rehabilitation exercise device for medical critically ill patients according to claim 6 , wherein a support rod ( 47 ) is fixedly connected to the push plate ( 43 ), and the support rod ( 47 ) slides upward. 8 . A rectangular block (48) is connected, a second spring (49) is sleeved on the support rod (47) between the rectangular block (48) and the push plate (43), and the rectangular block (48) rotates on the A second screw rod (50) is connected, the second screw rod (50) penetrates the bed frame (1) and is threadedly connected with the bed frame (1).8.根据权利要求1所述的一种医用重症病人下肢复健锻炼装置，其特征在于，所述第二按摩轮和所述床架(1)之间安装有卷簧(51)。8 . The device for rehabilitating and exercising lower limbs for medically critically ill patients according to claim 1 , wherein a coil spring ( 51 ) is installed between the second massage wheel and the bed frame ( 1 ). 9 .

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