CN114983761A - Rehabilitation exercise device after interventional therapy in cardiology department - Google Patents

Abstract

The rehabilitation exercise device after the interventional therapy of the cardiology effectively solves the problems that the existing rehabilitation exercise device after the interventional therapy of the cardiology only interacts with the limbs of the upper limbs and the lower limbs, corresponding exercise measures are lacked at joints of the upper limbs and the lower limbs, the training effect of the two joints is poor, and the patients are difficult to deal with in the subsequent life; the invention comprises a training table, a support is fixedly connected to the training table, arm supports capable of swinging back and forth are rotatably connected to the left side and the right side of the support, a grab handle capable of synchronously rotating back and forth in a reciprocating manner along with the swinging of the arm supports is rotatably connected to the front side of the arm supports, a massage block is slidably connected to the middle of the support, a rotatable massage disc is rotatably connected to the massage block, a sliding table capable of sliding back and forth is rotatably connected to the lower end of the bottom of the massage disc, the sliding table is slidably connected to the training table, two groups of traction frames capable of moving back and forth are slidably connected to the sliding table, the other side of each traction frame penetrates through the sliding table and is slidably connected to the training table, and a traction block with an adjustable angle is slidably connected to the traction frame.

Description

Translated fromChinese

心内科介入治疗术后康复锻炼装置Rehabilitation exercise device after interventional therapy in cardiology department

技术领域technical field

本发明涉及医疗辅助技术领域，尤其是涉及心内科介入治疗术后康复锻炼装置。The invention relates to the technical field of medical assistance, in particular to a rehabilitation exercise device after interventional therapy in cardiology department.

背景技术Background technique

介入科是介于用药和开刀手术两个科室之间的比较新的前沿科室，是用微创的方法来诊断和治疗一系列的疾病，但是多数是在B超、CT、磁共振等设备下完成的治疗。患者在进行介入科手术后需要进行静躺修养，而长时间的修养会使得患者的身体机能下降，对于手术患者来说，长时间的静躺会使得其肢体关节活动滞涩，因此，患者康复过程中需要进行康复锻炼来辅助其更好的康复。现有的康复训练装置在使用过程中只可以带动患者进行屈膝或者伸臂摆臂的动作，只有上肢的肘关节和下肢的膝关节进行的部分的训练，一个患者恢复至正常人，在日常生活中用到的不仅仅只有这两个关节而已，控制手部和脚部的腕关节和肘关节同样至关重要，而现有的训练装置对这两部分无法进行活动，长时间的静躺也会使手部和脚部的血液流通变缓，从而使得患者的康复训练效果较差，无法满足实际使用情况的需要。Interventional department is a relatively new frontier department between the two departments of drug use and surgical operation. It uses minimally invasive methods to diagnose and treat a series of diseases, but most of them are performed under B-ultrasound, CT, magnetic resonance and other equipment. completed treatment. The patient needs to lie down after the interventional surgery, and the long-term rehabilitation will make the patient's physical function decline. Rehabilitation exercises are required during the process to assist its better recovery. The existing rehabilitation training device can only drive the patient to bend the knee or extend the arm and swing the arm during use, and only part of the training is performed by the elbow joint of the upper limb and the knee joint of the lower limb. It is not only these two joints that are used in the training, but it is also crucial to control the wrist and elbow joints of the hands and feet, and the existing training devices cannot move these two parts, and long-term lying still is also very important. It will slow down the blood circulation of the hands and feet, so that the patient's rehabilitation training effect is poor and cannot meet the needs of actual use.

发明内容SUMMARY OF THE INVENTION

针对上述情况，为克服现有技术的缺陷，本发明提供心内科介入治疗术后康复锻炼装置，通过本设计有效的解决了现有的心内科介入治疗术后康复锻炼装置只对上肢和下肢的肢体进行互动，对于上肢和下肢的关节处缺少相应的锻炼措施，两处关节处训练效果差，使患者后续生活中应对困难的问题。In view of the above situation, in order to overcome the defects of the prior art, the present invention provides a rehabilitation exercise device after interventional therapy in cardiology, which effectively solves the problem that the existing rehabilitation exercise device after interventional therapy in cardiology only affects the upper and lower limbs. The limbs interact, and there is a lack of corresponding exercise measures for the joints of the upper and lower limbs, and the training effect of the two joints is poor, which makes the patient cope with difficult problems in subsequent life.

为实现上述目的，本发明提供如下技术方案：本发明包括训练台，所述训练台上固定连接有支座，所述支座左右两侧转动连接有可往复摆动的臂托，所述臂托前侧转动连接有随臂托摆动进行同步往复转动的握柄，所述支座中部滑动连接有按摩块，所述按摩块内转动连接有可转动的按摩盘，所述按摩盘底部下端转动连接有可前后滑动的滑台，所述滑台与所述训练台滑动连接，所述滑台上滑动连接有两组可前后移动的牵引架，所述牵引架另一侧贯穿滑台并且与训练台滑动连接，所述牵引架内滑动连接有角度可调的牵引块。In order to achieve the above purpose, the present invention provides the following technical solutions: the present invention includes a training platform, a support is fixedly connected to the training platform, and the left and right sides of the support are rotatably connected with arm supports that can swing back and forth. The front side is rotatably connected with a handle that rotates synchronously with the swing of the arm rest, a massage block is slidably connected in the middle of the support, a rotatable massage disc is rotatably connected in the massage block, and the lower end of the bottom of the massage disc is rotatably connected There is a sliding table that can slide back and forth, the sliding table is slidably connected with the training platform, and two sets of traction frames that can move forward and backward are slidably connected to the sliding table. The platform is slidably connected, and a traction block with an adjustable angle is slidably connected in the traction frame.

优选的，所述支座上转动连接有可转动的第一连杆，所述第一连杆转动连接有第二连杆，所述第二连杆开有第一滑槽，所述第一滑槽内连接有与支座转动连接的第一圆柱杆，所述第一圆柱杆左右两侧均转动连接有第三连杆，所述第三连杆上侧与所述臂托固定连接，所述第三连杆上开有第二滑槽，所述第二滑槽内滑动连接有第二圆柱杆，所述第二圆柱杆与所述第二连杆的顶端转动连接；Preferably, a rotatable first connecting rod is rotatably connected to the support, a second connecting rod is rotatably connected to the first connecting rod, and a first sliding groove is opened on the second connecting rod, and the first connecting rod is rotatably connected with the first connecting rod. A first cylindrical rod rotatably connected with the support is connected in the chute, a third connecting rod is rotatably connected to the left and right sides of the first cylindrical rod, and the upper side of the third connecting rod is fixedly connected with the arm support, The third connecting rod is provided with a second chute, a second cylindrical rod is slidably connected in the second chute, and the second cylindrical rod is rotatably connected with the top end of the second connecting rod;

所述第二圆柱杆底部转动连接有第四连杆，所述第四连杆转动连接有连接轴，所述连接轴上与所述第二连杆转动连接，所述连接轴上侧与所述握柄固定连接。The bottom of the second cylindrical rod is rotatably connected with a fourth connecting rod, the fourth connecting rod is rotatably connected with a connecting shaft, the connecting shaft is rotatably connected with the second connecting rod, and the upper side of the connecting shaft is connected with the connecting shaft. The handle is fixedly connected.

优选的，所述支座上转动连接有用于驱动的第一蜗杆，所述第一蜗杆上侧啮合有第一蜗轮，所述第一蜗轮位于支座的一侧并且与支座转动连接，所述支座另一侧转动连接有与第一蜗轮同轴固定连接的第一齿轮，所述第一齿轮啮合有第二齿轮，所述第二齿轮上侧啮合有与第一连杆同轴固定连接的第三齿轮。Preferably, the support is rotatably connected with a first worm for driving, the upper side of the first worm is engaged with a first worm wheel, the first worm wheel is located on one side of the support and is rotatably connected with the support, so The other side of the support is rotatably connected with a first gear that is coaxially and fixedly connected to the first worm gear, the first gear is meshed with a second gear, and the upper side of the second gear is meshed with a first connecting rod fixed coaxially. connected third gear.

优选的，所述第一蜗杆上同轴固定连接有带轮组，所述带轮组另一侧固定连接有轴套，所述轴套与所述训练台滑动连接，所述轴套内滑动连接有滑移轴，所述滑移轴固定连接有与滑台转动连接的第二蜗杆，所述第二蜗杆啮合有第二蜗轮，所述第一蜗轮上偏心转动连接有第五连杆，所述第五连杆与所述训练台转动连接。Preferably, a pulley set is coaxially fixedly connected to the first worm, and a shaft sleeve is fixedly connected to the other side of the pulley set, the shaft sleeve is slidably connected to the training platform, and the shaft sleeve slides inside A sliding shaft is connected, the sliding shaft is fixedly connected with a second worm screw rotatably connected with the sliding table, the second worm screw is engaged with a second worm wheel, and a fifth connecting rod is eccentrically connected to the first worm wheel, The fifth link is rotatably connected with the training platform.

优选的，所述第二蜗轮同轴固定连接有第一传动齿轮，所述第一传动齿轮左右两侧均啮合有第二传动齿轮，所述第二传动齿轮底部同轴固定连接有圆盘，所述圆盘偏心连接有圆柱销，所述牵引架上开有与圆柱销滑动连接的第三滑槽。Preferably, the second worm gear is coaxially and fixedly connected with a first transmission gear, the left and right sides of the first transmission gear are meshed with a second transmission gear, and the bottom of the second transmission gear is coaxially and fixedly connected with a disc. A cylindrical pin is eccentrically connected to the disc, and a third chute that is slidably connected to the cylindrical pin is opened on the traction frame.

优选的，所述牵引架包括有牵引杆，所述第三滑槽位于牵引杆上，所述牵引杆固定连接有第一滑块，所述第一滑块上开有第一导向槽和第二导向槽，所述第一导向槽内滑动连接有可前后滑动的第二滑块，所述第二滑块与所述第一滑块滑动连接，所述第二滑块左右两侧均与牵引块转动连接，所述牵引块另一侧转动连接有第一支杆，所述第一支杆转动连接有与第二导向槽滑动连接的第三滑块。Preferably, the traction frame includes a traction rod, the third chute is located on the traction rod, the traction rod is fixedly connected with a first slider, and the first slider is provided with a first guide groove and a first sliding block. Two guide grooves, the first guide groove is slidably connected with a second sliding block that can slide back and forth, the second sliding block is slidably connected with the first sliding block, and the left and right sides of the second sliding block are connected to the The traction block is rotatably connected, the other side of the traction block is rotatably connected with a first support rod, and the first support rod is rotatably connected with a third sliding block slidably connected with the second guide groove.

优选的，所述左右两侧均转动连接有第四齿轮，所述第四齿轮下侧啮合有与训练台固定连接的齿条，所述第四齿轮中部同轴固定连接有与第一滑块转动连接的第三蜗杆，所述第三蜗杆啮合有第三蜗轮，所述第三蜗轮同轴固定连接有螺杆，所述螺杆与所述第一滑块转动连接，所述螺杆中部贯穿第二滑块并且第二滑块上开有与之配合的通孔，所述螺杆另一侧与第三滑块螺纹连接；Preferably, a fourth gear is rotatably connected to both the left and right sides, the lower side of the fourth gear is engaged with a rack that is fixedly connected to the training platform, and the middle of the fourth gear is coaxially and fixedly connected to the first slider. The third worm screw is rotatably connected, the third worm screw is engaged with a third worm wheel, the third worm wheel is coaxially and fixedly connected with a screw rod, the screw rod is rotatably connected with the first slider, and the middle part of the screw rod penetrates the second worm wheel. The slider and the second slider are provided with through holes matched with them, and the other side of the screw rod is threadedly connected with the third slider;

所述螺杆上套有第二滑块向后施力的压缩弹簧，所述第二滑块外侧固定连接有拉伸弹簧，所述拉伸弹簧另一端与所述训练台固定连接。The screw rod is sleeved with a compression spring for applying a second slider to the rear, a tension spring is fixedly connected to the outer side of the second slider, and the other end of the tension spring is fixedly connected to the training platform.

优选的，两个所述第二传动齿轮均同轴固定连接有支撑杆，所述支撑杆与所述按摩块转动连接，所述支撑杆与按摩盘固定连接，所述按摩盘与所述按摩块上均安装有突起球。。Preferably, the two second transmission gears are both coaxially and fixedly connected with a support rod, the support rod is rotatably connected with the massage block, the support rod is fixedly connected with the massage disc, and the massage disc is connected with the massage block. Protruding balls are installed on the blocks. .

与现有技术相比本发明的突出优点：装置上设置有臂托和牵引块，可以对患者上肢和下肢进行训练，同时臂托和牵引块同步运动，在训练对上下肢放松的同时还能训练其协调性；装置通过电机驱动，减轻医护人员的工作量，同时可以保障患者可以达到充足的训练量；臂托上设有同步转动的握柄，牵引块在移动时倾角可变，在活动上下肢的同时可以更多的对关节的部位进行放松舒缓，为患者后续自主训练打下基础，全面恢复患者身体的机能；本发明结构新颖，构思巧妙，操作简单方便，通过本设计有效的解决了现有的心内科介入治疗术后康复锻炼装置只对上肢和下肢的肢体进行互动，对于上肢和下肢的关节处缺少相应的锻炼措施，两处关节处训练效果差，使患者后续生活中应对困难的问题。Compared with the prior art, the present invention has the outstanding advantages: the device is provided with an arm support and a traction block, which can train the upper and lower limbs of the patient. At the same time, the arm support and the traction block move synchronously. Train its coordination; the device is driven by a motor, reducing the workload of medical staff, and at the same time ensuring that patients can achieve sufficient training volume; the arm rest is provided with a synchronously rotating handle, the inclination of the traction block is variable when moving, and the The upper and lower limbs can be more relaxed and relieved at the same time, which lays a foundation for the patient's follow-up autonomous training and fully restores the patient's body functions; the invention has novel structure, ingenious conception, simple and convenient operation, and the design effectively solves the problem. The existing rehabilitation exercise device after interventional therapy in cardiology only interacts with the upper and lower limbs, and lacks corresponding exercise measures for the joints of the upper and lower limbs, and the training effect at the two joints is poor, making it difficult for patients to cope in the follow-up life. The problem.

附图说明Description of drawings

图1为本发明整体结构示意图。FIG. 1 is a schematic diagram of the overall structure of the present invention.

图2为本发支座连接结构示意图。FIG. 2 is a schematic diagram of the connection structure of the support of the present invention.

图3为本发明支座剖面结构示意图。FIG. 3 is a schematic diagram of the cross-sectional structure of the support of the present invention.

图4为本发明臂托第一轴侧结构示意图。FIG. 4 is a schematic diagram of the structure of the first axis side of the arm support of the present invention.

图5为本发明臂托第二轴侧结构示意图。FIG. 5 is a schematic view of the structure of the second axis side of the arm support of the present invention.

图6为本发明第二连杆连接结构示意图。FIG. 6 is a schematic diagram of the second connecting rod connection structure of the present invention.

图7为本发明训练台剖面结构示意图。FIG. 7 is a schematic diagram of the cross-sectional structure of the training platform of the present invention.

图8为本发明圆盘底端结构示意图。FIG. 8 is a schematic diagram of the structure of the bottom end of the disc according to the present invention.

图9为本发明牵引架剖面结构示意图。FIG. 9 is a schematic diagram of the cross-sectional structure of the traction frame of the present invention.

图10为本发明牵引架部分结构示意图。FIG. 10 is a schematic diagram of the partial structure of the traction frame of the present invention.

图11为本发明轴套连接结构示意图。FIG. 11 is a schematic diagram of the connection structure of the shaft sleeve of the present invention.

图中标号：1、训练台；2、支座；3、臂托；4、握柄；5、按摩块；6、按摩盘；7、滑台；8、牵引架；9、牵引块；10、第一连杆；11、第二连杆；12、第一滑槽；13、第一圆柱杆；14、第三连杆；15、第二滑槽；16、第二圆柱杆；17、连接轴；18、第一蜗杆；19、第一蜗轮；20、第一齿轮；21、第二齿轮；22、第三齿轮；23、第四连杆；24、带轮组；25、轴套；26、滑移轴；27、第二蜗杆；28、第二蜗轮；29、第五连杆；30、第一传动齿轮；31、第二传动齿轮；32、圆盘；33、圆柱销；34、第三滑槽；35、牵引杆；36、第一滑块；37、第一导向槽；38、第二导向槽；39、第二滑块；40、第一支杆；41、第三滑块；42、第四齿轮；43、齿条；44、第三蜗杆；45、第三蜗轮；46、螺杆；47、压缩弹簧；48、拉伸弹簧；49、支撑杆；50、突起球。Labels in the figure: 1, training platform; 2, support; 3, arm support; 4, handle; 5, massage block; 6, massage disc; 7, sliding table; 8, traction frame; 9, traction block; 10 , the first connecting rod; 11, the second connecting rod; 12, the first chute; 13, the first cylindrical rod; 14, the third connecting rod; 15, the second chute; 16, the second cylindrical rod; 17, connecting shaft; 18, the first worm; 19, the first worm gear; 20, the first gear; 21, the second gear; 22, the third gear; 23, the fourth connecting rod; 24, the pulley; 25, the bushing ; 26, the sliding shaft; 27, the second worm; 28, the second worm gear; 29, the fifth connecting rod; 30, the first transmission gear; 31, the second transmission gear; 32, the disc; 33, the cylindrical pin; 34, the third chute; 35, the traction rod; 36, the first slider; 37, the first guide groove; 38, the second guide groove; 39, the second slider; 40, the first support rod; 41, the first Three sliders; 42, fourth gear; 43, rack; 44, third worm; 45, third worm gear; 46, screw; 47, compression spring; 48, tension spring; 49, support rod; 50, protrusion ball.

具体实施方式Detailed ways

下面结合附图1-11对本发明的具体实施方式做进一步详细说明。The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings 1-11.

本发明包括训练台1，所述训练台1上固定连接有支座2，所述支座2左右两侧转动连接有可往复摆动的臂托3，所述臂托前侧转动连接有随臂托3摆动进行同步往复转动的握柄4，所述支座2中部滑动连接有按摩块5，所述按摩块5内转动连接有可转动的按摩盘6，所述按摩盘6底部下端转动连接有可前后滑动的滑台7，所述滑台7与所述训练台1滑动连接，所述滑台7上滑动连接有两组可前后移动的牵引架8，所述牵引架8另一侧贯穿滑台7并且与训练台1滑动连接，所述牵引架8内滑动连接有角度可调的牵引块9。The present invention includes a training platform 1, asupport 2 is fixedly connected to the training platform 1, the left and right sides of thesupport 2 are rotatably connected with arm supports 3 that can swing back and forth, and the front side of the arm support is rotatably connected with a follower arm Thesupport 3 swings thehandle 4 for synchronous reciprocating rotation, the middle part of thesupport 2 is slidably connected with amassage block 5, arotatable massage disc 6 is rotatably connected in themassage block 5, and the lower end of the bottom of themassage disc 6 is rotatably connected There is a sliding table 7 that can slide back and forth, the sliding table 7 is slidably connected with the training platform 1, and two groups oftraction frames 8 that can move forward and backward are slidably connected to the sliding table 7, and the other side of thetraction frame 8 is slidably connected. Passing through the sliding table 7 and slidably connected with the training table 1, thetraction frame 8 is slidably connected with atraction block 9 with an adjustable angle.

支座2由一个水平板和一个倾斜板组成，用于对患者进行坐立时的支撑，臂托3有左右两组，分别用于对患者左右双臂的支撑，臂托3后侧有向上弯折的弧度，在训练时可以对患者的肘部进行保护，臂托3内侧为水平状，臂托3外侧有向上弯折的弧度，可以方便患者将手臂向臂托3内进行放置，同时也避免手臂在随臂托3运动时在惯性的作用下与臂托3发生脱离，臂托3在往复摆动时可以带动握柄4进行往复的摆动，患者手臂放置在臂托3上，手部握住握柄4，握柄4在随臂托3摆动的同时还会相对臂托3进行左右的摆动，握柄4左右摆动带动患者手掌相对手臂进行左右的摆动，活动患者的手部关节，缓解长时间造成的肢体僵硬，按摩块5与滑台7进行同步的往复滑动，按摩块5内的按摩盘6在前后滑动时可以进行自转，按摩块5和按摩盘6对患者进行不同轨迹的按摩，提高患者的按摩体验，滑台7前后移动时可以带动牵引架8进行前后的移动，牵引架8上侧的牵引块9用于固定患者的脚部，牵引块9上可以夹装卡扣式固定带，将患者的脚部固定在牵引块9上，牵引块9通过牵引架8的驱动带动患者的脚部进行前后移动，患者脚部前后可移动可以舒展活动大腿和小腿的关节，同时牵引块9在前后移动时自身与水平面的倾角也会往复的摆动，帮助患者脚部的踝关节进行锻炼，通过对患者四肢各个关节的舒缓锻炼，缓解患者长时间不动导致的肢体僵硬，辅助患者进行康复。Thesupport 2 is composed of a horizontal plate and an inclined plate, which is used to support the patient when sitting and standing. Thearm support 3 has two groups on the left and right, which are used to support the left and right arms of the patient respectively. The rear side of thearm support 3 is bent upward. The bending arc can protect the patient's elbow during training. The inner side of thearm rest 3 is horizontal, and the outer side of thearm rest 3 has an upward bending arc, which is convenient for the patient to place the arm in thearm rest 3. Avoid the arm being separated from thearm support 3 under the action of inertia when the arm moves with thearm support 3. When the arm support 3 swings back and forth, it can drive thehandle 4 to swing back and forth. The patient's arm is placed on thearm support 3, and the hand is held Hold thehandle 4. When thehandle 4 swings with thearm support 3, it will also swing left and right relative to thearm support 3. The left and right swing of thehandle 4 drives the patient's palm to swing left and right relative to the arm, so as to move the patient's hand joints and relieve the pain. Limb stiffness caused by a long time, themassage block 5 and the sliding table 7 reciprocate synchronously, themassage disk 6 in themassage block 5 can rotate when sliding back and forth, and themassage block 5 and themassage disk 6 massage the patient with different trajectories. , to improve the massage experience of the patient. When the sliding table 7 moves back and forth, it can drive thetraction frame 8 to move forward and backward. Thetraction block 9 on the upper side of thetraction frame 8 is used to fix the patient's foot. The fixed belt fixes the patient's foot on thetraction block 9. Thetraction block 9 drives the patient's foot to move back and forth through the drive of thetraction frame 8. The patient's foot can be moved back and forth to stretch the joints of the thigh and calf, while traction When theblock 9 moves back and forth, the inclination of itself and the horizontal plane will also swing back and forth, helping the patient's ankle joints to exercise, and through the soothing exercise of each joint of the patient's limbs, the limb stiffness caused by the patient's long-term immobility is relieved, and the patient is assisted. Rehab.

所述支座2上转动连接有可转动的第一连杆10，所述第一连杆10转动连接有第二连杆11，所述第二连杆11开有第一滑槽12，所述第一滑槽12内连接有与支座2转动连接的第一圆柱杆13，所述第一圆柱杆13左右两侧均转动连接有第三连杆14，所述第三连杆14上侧与所述臂托3固定连接，所述第三连杆14上开有第二滑槽15，所述第二滑槽15内滑动连接有第二圆柱杆16，所述第二圆柱杆16与所述第二连杆11的顶端转动连接；Thesupport 2 is rotatably connected with a rotatable first connectingrod 10, the first connectingrod 10 is rotatably connected with a second connectingrod 11, and the second connectingrod 11 is provided with a first slidinggroove 12, so the Thefirst chute 12 is connected with a firstcylindrical rod 13 rotatably connected with thesupport 2 , and a third connectingrod 14 is rotatably connected to the left and right sides of the firstcylindrical rod 13 . The side is fixedly connected with thearm support 3, thethird link 14 is provided with asecond chute 15, and a secondcylindrical rod 16 is slidably connected in thesecond chute 15, and the secondcylindrical rod 16 rotatably connected with the top end of the second connectingrod 11;

所述第二圆柱杆16底部转动连接有第四连杆23，所述第四连杆23转动连接有连接轴17，所述连接轴17上与所述第二连杆11转动连接，所述连接轴17上侧与所述握柄4固定连接。A fourth connectingrod 23 is rotatably connected to the bottom of the secondcylindrical rod 16 , and a connectingshaft 17 is rotatably connected to the fourth connectingrod 23 , and the connectingshaft 17 is rotatably connected to the second connectingrod 11 . The upper side of the connectingshaft 17 is fixedly connected with thehandle 4 .

第一圆柱杆13在第一滑槽12内可以进行转动也可进行相对的滑动，同样第二圆柱杆16在第二滑槽15与前者的连接关系相同，如图3所示，当第一连杆10向下转动时，第一连杆10带动第二连杆11的左侧向下移动，同时第二连杆11为了跟随第一连杆10的移动，第二连杆11以第一圆柱杆13为中心点向上逆时针转动，同时第二连杆11会有向左的位移量，当第二连杆11逆时针转动和向左移动时，第二连杆11右侧的第二圆柱杆16沿第二滑槽15向左移动，同时第二圆柱杆16推动第三连杆14以第一圆柱杆13与支座2的铰接点为圆心进行向上的翻转，第三连杆14向上翻转带动臂托3和患者的手臂进行向上的摆动，如图5和图6所示，第二圆柱杆16向做移动时，第二圆柱杆16带动第四连杆23向左移动，连接轴17与第四连杆23和握柄4的铰接点为朝向不同的突起，当第四连杆23向左移动时，第四连杆23通过连接好走带动握柄4向臂托3内侧转动，从而使握柄4在随臂托3往复摆动的同时带动患者手部进行弧形的摆动，对患者上肢多个关节进行锻炼，训练更加全面，增大训练的效果。The firstcylindrical rod 13 can rotate or slide relatively in thefirst chute 12. Similarly, the connection relationship between the secondcylindrical rod 16 and the former in thesecond chute 15 is the same. As shown in FIG. When the connectingrod 10 rotates downward, the first connectingrod 10 drives the left side of the second connectingrod 11 to move downward. Thecylindrical rod 13 rotates upward and counterclockwise as the center point, while thesecond link 11 will have a leftward displacement. When thesecond link 11 rotates counterclockwise and moves to the left, the second link on the right side of thesecond link 11 Thecylindrical rod 16 moves to the left along thesecond chute 15, and at the same time, the secondcylindrical rod 16 pushes the third connectingrod 14 to turn upward with the hinge point of the firstcylindrical rod 13 and thesupport 2 as the center of the circle, and the third connectingrod 14 The upward flip drives thearm support 3 and the patient's arm to swing upward. As shown in Figures 5 and 6, when the secondcylindrical rod 16 moves in the direction, the secondcylindrical rod 16 drives the fourth connectingrod 23 to move to the left, connecting the The hinge points of theshaft 17, thefourth link 23 and thehandle 4 are protrusions facing different directions. When thefourth link 23 moves to the left, thefourth link 23 drives thehandle 4 to the inner side of thearm support 3 through the connection. Rotating, so that thehandle 4 swings back and forth with thearm support 3 while driving the patient's hand to swing in an arc shape, exercising multiple joints of the patient's upper limbs, the training is more comprehensive, and the training effect is increased.

所述支座2上转动连接有用于驱动的第一蜗杆18，所述第一蜗杆18上侧啮合有第一蜗轮19，所述第一蜗轮19位于支座2的一侧并且与支座2转动连接，所述支座2另一侧转动连接有与第一蜗轮19同轴固定连接的第一齿轮20，所述第一齿轮20啮合有第二齿轮21，所述第二齿轮21上侧啮合有与第一连杆10同轴固定连接的第三齿轮22。Thesupport 2 is rotatably connected with afirst worm 18 for driving, the upper side of thefirst worm 18 is engaged with afirst worm wheel 19, and thefirst worm wheel 19 is located on one side of thesupport 2 and is connected with thesupport 2. Rotationally connected, the other side of thesupport 2 is rotatably connected with afirst gear 20 coaxially and fixedly connected with thefirst worm gear 19 , thefirst gear 20 is meshed with asecond gear 21 , and the upper side of the second gear 21 Athird gear 22 that is coaxially and fixedly connected with the first connectingrod 10 is engaged.

第一蜗杆18上连接有驱动电机用于整个装置动力的传动，电机工作时通过第一蜗杆18带动第一蜗轮19进行转动，第一蜗轮19与第一齿轮20同轴固定连接，第一蜗轮19转动带动第一齿轮20进行转动，第一齿轮20转动带动第二齿轮21进行转动，第二齿轮21转动带动第三齿轮22进行转动，第三齿轮22左右两侧均有第一连杆10，第三齿轮22的转动为第一连杆10的转动提供动力的驱动，同时第一蜗轮19和第一蜗杆18之间反向自锁的特性，也可以避免第三齿轮22被反向驱动。Thefirst worm 18 is connected with a drive motor for the power transmission of the entire device. When the motor works, thefirst worm wheel 19 is driven to rotate by thefirst worm 18. Thefirst worm wheel 19 is coaxially and fixedly connected with thefirst gear 20. The first worm wheel The rotation of 19 drives thefirst gear 20 to rotate, the rotation of thefirst gear 20 drives the rotation of thesecond gear 21, the rotation of thesecond gear 21 drives the rotation of thethird gear 22, and the left and right sides of thethird gear 22 have the first connectingrod 10 , the rotation of thethird gear 22 provides power for the rotation of the first connectingrod 10, and the reverse self-locking feature between thefirst worm gear 19 and thefirst worm 18 can also prevent thethird gear 22 from being driven in the reverse direction .

所述第一蜗杆18上同轴固定连接有带轮组24，所述带轮组24另一侧固定连接有轴套25，所述轴套25与所述训练台1滑动连接，所述轴套25内滑动连接有滑移轴26，所述滑移轴26固定连接有与滑台7转动连接的第二蜗杆27，所述第二蜗杆27啮合有第二蜗轮28，所述第一蜗轮19上偏心转动连接有第五连杆29，所述第五连杆29与所述训练台1转动连接。Thefirst worm 18 is coaxially and fixedly connected with a pulley set 24, and the other side of the pulley set 24 is fixedly connected with ashaft sleeve 25, theshaft sleeve 25 is slidably connected with the training platform 1, and the shaftA sliding shaft 26 is slidably connected in thesleeve 25, the slidingshaft 26 is fixedly connected with asecond worm 27 rotatably connected with the sliding table 7, thesecond worm 27 is engaged with asecond worm wheel 28, and the first worm wheel A fifth connectingrod 29 is eccentrically connected to the top of 19 , and the fifth connectingrod 29 is rotatably connected to the training platform 1 .

带轮组24是由两个带轮和一条皮带构成，皮带和带轮优选带卡槽的传动更加稳定，第一蜗杆18的转动通过带轮组24带动轴套25进行转动，轴套25与训练台1之间之后转动的自由度，同时滑移轴26与轴套25之间只有滑动的自由度，轴套25与滑台7之间只有转动的自由度，轴套25的转动通过滑移轴26带动第二蜗杆27进行转动，第二蜗杆27转动带动第二蜗轮28进行转动，第五连杆29与第二蜗轮28之间偏心连接，第五连杆29一端与训练台1转动连接，在第五连杆29长度恒定的状态时，第二蜗轮28转动时在第五连杆29的作用下，第五连杆29会拉动第二蜗轮28和第二蜗杆27进行前后的移动，第二蜗轮28与滑台7之间只有转动的自由度，第二蜗杆27的前后位移通过滑台7的前后移动进行消除，从而使滑台7的前后移动与臂托3的摆动同步进行。The pulley set 24 is composed of two pulleys and a belt. The belt and pulley preferably have a more stable transmission with a slot. The rotation of thefirst worm 18 drives theshaft sleeve 25 to rotate through the pulley set 24. Theshaft sleeve 25 and The degree of freedom of rotation between the training platform 1, while the slidingshaft 26 and thesleeve 25 only has the degree of freedom of sliding, and there is only the degree of freedom of rotation between thesleeve 25 and the sliding table 7. The shiftingshaft 26 drives thesecond worm 27 to rotate, thesecond worm 27 rotates to drive thesecond worm wheel 28 to rotate, thefifth link 29 and thesecond worm wheel 28 are eccentrically connected, and one end of thefifth link 29 rotates with the training platform 1 When the length of thefifth link 29 is constant, when thesecond worm wheel 28 rotates, under the action of thefifth link 29, thefifth link 29 will pull thesecond worm wheel 28 and thesecond worm 27 to move forward and backward , there is only rotational freedom between thesecond worm gear 28 and the sliding table 7, and the forward and backward displacement of thesecond worm 27 is eliminated by the forward and backward movement of the sliding table 7, so that the forward and backward movement of the sliding table 7 is synchronized with the swing of thearm support 3 .

所述第二蜗轮28同轴固定连接有第一传动齿轮30，所述第一传动齿轮30左右两侧均啮合有第二传动齿轮31，所述第二传动齿轮31底部同轴固定连接有圆盘32，所述圆盘32偏心连接有圆柱销33，所述牵引架8上开有与圆柱销33滑动连接的第三滑槽34。Thesecond worm gear 28 is coaxially and fixedly connected with afirst transmission gear 30, the left and right sides of thefirst transmission gear 30 are meshed with asecond transmission gear 31, and the bottom of thesecond transmission gear 31 is coaxially and fixedly connected with a circle. Thedisk 32 is eccentrically connected with a cylindrical pin 33 , and thetraction frame 8 is provided with athird chute 34 slidably connected with the cylindrical pin 33 .

牵引架8与训练台1之间只有前后滑动的自由度，第二传动齿轮31和圆盘32均有两组，位于第一传动齿轮30的两侧，当第二蜗轮28带动第一传动齿轮30转动时，第一传动齿轮30带动两个传动齿轮同步进行转动，第二传动齿轮31转动带动圆盘32进向转动，圆盘32上的圆柱销33与圆盘32偏心连接，在转动的圆盘32在圆柱销33和第三滑槽34的作用下带动牵引架8前后的移动，牵引架8前后移动通过牵引块9对患者的膝关节进行屈腿和伸腿的动作，训练患者的下肢及其关节。There is only the freedom of sliding back and forth between thetraction frame 8 and the training platform 1. There are two sets of thesecond transmission gear 31 and thedisc 32, which are located on both sides of thefirst transmission gear 30. When thesecond worm gear 28 drives the first transmission gear When the 30 rotates, thefirst transmission gear 30 drives the two transmission gears to rotate synchronously, thesecond transmission gear 31 rotates and drives thedisc 32 to rotate forward, and the cylindrical pin 33 on thedisc 32 is eccentrically connected to thedisc 32. Thedisc 32 drives thetraction frame 8 to move back and forth under the action of the cylindrical pin 33 and thethird chute 34, and thetraction frame 8 moves forward and backward through thetraction block 9 to bend and extend the knee joint of the patient, and train the lower limbs of the patient. and its joints.

所述牵引架8包括有牵引杆35，所述第三滑槽34位于牵引杆35上，所述牵引杆35固定连接有第一滑块36，所述第一滑块36上开有第一导向槽37和第二导向槽38，所述第一导向槽37内滑动连接有可前后滑动的第二滑块39，所述第二滑块39与所述第一滑块36滑动连接，所述第二滑块39左右两侧均与牵引块9转动连接，所述牵引块9另一侧转动连接有第一支杆40，所述第一支杆40转动连接有与第二导向槽38滑动连接的第三滑块41；所述左右两侧均转动连接有第四齿轮42，所述第四齿轮42下侧啮合有与训练台1固定连接的齿条43，所述第四齿轮42中部同轴固定连接有与第一滑块36转动连接的第三蜗杆44，所述第三蜗杆44啮合有第三蜗轮45，所述第三蜗轮45同轴固定连接有螺杆46，所述螺杆46与所述第一滑块36转动连接，所述螺杆46中部贯穿第二滑块39并且第二滑块39上开有与之配合的通孔，所述螺杆46另一侧与第三滑块41螺纹连接；Thetraction frame 8 includes atraction rod 35 , thethird chute 34 is located on thetraction rod 35 , thetraction rod 35 is fixedly connected with a first slidingblock 36 , and a first slidingblock 36 is opened on the first slidingblock 36 . A guide groove 37 and a second guide groove 38, the first guide groove 37 is slidably connected with a second sliding block 39 that can slide back and forth, and the second sliding block 39 is slidably connected with the first sliding block 36, so The left and right sides of the second sliding block 39 are rotatably connected with the traction block 9 , the other side of the traction block 9 is rotatably connected with a first support rod 40 , and the first support rod 40 is rotatably connected with the second guide groove 38 The third slider 41 is slidably connected; the left and right sides are rotatably connected with a fourth gear 42 , the lower side of the fourth gear 42 is engaged with a rack 43 that is fixedly connected to the training platform 1 , and the fourth gear 42 A third worm 44 rotatably connected to the first slider 36 is fixedly connected in the middle, the third worm 44 is engaged with a third worm wheel 45, and the third worm wheel 45 is coaxially and fixedly connected with a screw 46, the screw 46 is rotatably connected with the first sliding block 36, the middle of the screw 46 penetrates the second sliding block 39 and the second sliding block 39 is provided with a through hole for matching with it, and the other side of the screw 46 is connected with the third sliding block 39.Block 41 screw connection;

所述螺杆46上套有第二滑块39向后施力的压缩弹簧47，所述第二滑块39外侧固定连接有拉伸弹簧48，所述拉伸弹簧48另一端与所述训练台1固定连接。Thescrew 46 is sleeved with acompression spring 47 that applies asecond slider 39 to the rear. Atension spring 48 is fixedly connected to the outside of thesecond slider 39. The other end of thetension spring 48 is connected to the training platform. 1 Fixed connection.

如图7、图9和图10所示，拉伸弹簧48对第二滑块39有向左侧的拉力，压缩弹簧47对第二滑块39有向右侧的弹力，当牵引架8带动螺杆46向右移动时，压缩弹簧47与第二滑块39之间的弹力增大第二滑块39会向右侧移动从而使压缩弹簧47和拉伸弹簧48再次保持平衡状态，第一滑块36随牵引架8向右移动时，第一滑块36两侧的第四齿轮42和齿条43的相互作用下第三蜗杆44会进行转动，第三蜗杆44转动会带动第三蜗轮45进行旋转，第三蜗轮45转动带动螺杆46进行旋转，螺杆46转动带动第三滑块41相对第一滑块36进行前后的移动，当第三滑块41向有移动时，第三滑块41带动第一支杆40的下侧向右移动，第一支杆40向右移动受其自身长度的限位，第一支杆40带动垫块向下进行倾斜，第二滑块39和第三滑块41在随第一滑块36前后移动时在第一滑块36上的位置随时进行这变化，从而使牵引块9的水平倾角发生改变，在对患者进行屈腿和伸腿的同时对患者的踝部关节进行活动舒缓，全面锻炼患者下肢。As shown in FIGS. 7 , 9 and 10 , thetension spring 48 has a pulling force to the left on thesecond slider 39 , and thecompression spring 47 has an elastic force to the right of thesecond slider 39 . When thetraction frame 8 drives When thescrew 46 moves to the right, the elastic force between thecompression spring 47 and the second slidingblock 39 increases, and the second slidingblock 39 moves to the right to keep thecompression spring 47 and thetension spring 48 in a balanced state again. When theblock 36 moves to the right with thetraction frame 8, thethird worm 44 will rotate under the interaction of thefourth gear 42 and therack 43 on both sides of thefirst slider 36, and the rotation of thethird worm 44 will drive thethird worm wheel 45. The rotation of thethird worm wheel 45 drives thescrew 46 to rotate, and the rotation of thescrew 46 drives thethird slider 41 to move forward and backward relative to thefirst slider 36. When thethird slider 41 moves in the direction, thethird slider 41 The lower side of thefirst support rod 40 is driven to move to the right. The rightward movement of thefirst support rod 40 is limited by its own length. Thefirst support rod 40 drives the cushion block to tilt downward. Thesecond slider 39 and the third When theslider 41 moves back and forth with thefirst slider 36, the position on thefirst slider 36 changes at any time, so that the horizontal inclination of thetraction block 9 changes, and the patient is flexed and extended at the same time. The ankle joints are soothed, and the patient's lower limbs are fully exercised.

两个所述第二传动齿轮31均同轴固定连接有支撑杆49，所述支撑杆49与所述按摩块5转动连接，所述支撑杆49与按摩盘6固定连接，所述按摩盘6与所述按摩块5上均安装有突起球50。支撑杆49与按摩块5和滑台7之间只有转动的自由度，滑台7的前后移动可以通过支撑杆49带动按摩块5进行前后的滑动，同时第二传递齿轮的自转可以通过支撑杆49带动按摩盘6进行旋转，按摩轮和按摩盘6上的凸起块为大小不同半球状，为患者提供不同的按摩体验，促进患者身体血液的循环，放松训练的疲惫感。The two second transmission gears 31 are both coaxially and fixedly connected with asupport rod 49, thesupport rod 49 is rotatably connected with themassage block 5, thesupport rod 49 is fixedly connected with themassage disc 6, and the massage disc 6 A protrudingball 50 is installed on themassage block 5 . There is only the freedom of rotation between thesupport rod 49 and themassage block 5 and the sliding table 7. The back and forth movement of the sliding table 7 can drive themassage block 5 to slide back and forth through thesupport rod 49, and the rotation of the second transmission gear can pass through the support rod. 49 drives themassage disc 6 to rotate, the raised blocks on the massage wheel and themassage disc 6 are hemispherical in different sizes, providing different massage experiences for the patient, promoting the blood circulation of the patient's body, and relaxing the fatigue of training.

本发明结构新颖，构思巧妙，操作简单方便，通过本设计有效的解决了现有的心内科介入治疗术后康复锻炼装置只对上肢和下肢的肢体进行互动，对于上肢和下肢的关节处缺少相应的锻炼措施，两处关节处训练效果差，使患者后续生活中应对困难的问题。The present invention has novel structure, ingenious conception, simple and convenient operation, and effectively solves the problem that the existing rehabilitation exercise device after interventional therapy in cardiology only interacts with the limbs of the upper and lower limbs, and lacks corresponding functions at the joints of the upper and lower limbs. However, the training effect of the two joints is poor, which makes the patient cope with difficult problems in the follow-up life.

最后应说明的是：以上所述仅为本发明的优选实施例而已，并不用于限制本发明，尽管参照前述实施例对本发明进行了详细的说明，对于本领域的技术人员来说，其依然可以对前述各实施例所记载的技术方案进行修改，或者对其中部分技术特征进行等同替换，凡在本发明的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本发明的保护范围之内。Finally, it should be noted that the above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Although the present invention has been described in detail with reference to the foregoing embodiments, for those skilled in the art, the The technical solutions described in the foregoing embodiments can be modified, or some technical features thereof can be equivalently replaced, and any modifications, equivalent replacements, improvements, etc. made within the spirit and principle of the present invention shall be included. within the protection scope of the present invention.

Claims (8)

1. Rehabilitation exercise device after interventional therapy of cardiology department, including training platform (1), its characterized in that, fixedly connected with support (2) on training platform (1), support (2) left and right sides is rotated and is connected with arm support (3) that can reciprocate the wobbling, arm support front side is rotated and is connected with and carries out synchronous reciprocal pivoted grab handle (4) along with arm support (3) swing, support (2) middle part sliding connection has massage piece (5), massage piece (5) internal rotation is connected with rotatable massage dish (6), massage dish (6) bottom lower extreme is rotated and is connected with slip table (7) that can slide from beginning to end, slip table (7) with training platform (1) sliding connection, sliding connection has two sets of traction frame (8) that can the back-and-forth movement on slip table (7), traction frame (8) opposite side runs through slip table (7) and with training platform (1) sliding connection, and a traction block (9) with an adjustable angle is slidably connected in the traction frame (8).

2. The rehabilitation exercise device after cardiology intervention treatment, according to claim 1, a rotatable first connecting rod (10) is rotatably connected on the support (2), a second connecting rod (11) is rotatably connected on the first connecting rod (10), the second connecting rod (11) is provided with a first sliding chute (12), a first cylindrical rod (13) which is rotationally connected with the support (2) is connected in the first sliding chute (12), the left side and the right side of the first cylindrical rod (13) are both rotationally connected with a third connecting rod (14), the upper side of the third connecting rod (14) is fixedly connected with the arm support (3), a second sliding groove (15) is formed in the third connecting rod (14), a second cylindrical rod (16) is connected in the second sliding groove (15) in a sliding manner, and the second cylindrical rod (16) is rotatably connected with the top end of the second connecting rod (11);

the bottom of the second cylindrical rod (16) is rotatably connected with a fourth connecting rod (23), the fourth connecting rod (23) is rotatably connected with a connecting shaft (17), the connecting shaft (17) is rotatably connected with the second connecting rod (11), and the upper side of the connecting shaft (17) is fixedly connected with the grab handle (4).

3. The rehabilitation exercise device after the cardiology department interventional therapy according to claim 2, wherein a first worm (18) for driving is rotatably connected to the support (2), a first worm wheel (19) is engaged on the upper side of the first worm (18), the first worm wheel (19) is located on one side of the support (2) and is rotatably connected with the support (2), a first gear (20) coaxially and fixedly connected with the first worm wheel (19) is rotatably connected to the other side of the support (2), a second gear (21) is engaged with the first gear (20), and a third gear (22) coaxially and fixedly connected with the first connecting rod (10) is engaged on the upper side of the second gear (21).

4. The rehabilitation exercise device after the interventional therapy of the cardiology department as claimed in claim 3, wherein the first worm (18) is coaxially and fixedly connected with a belt wheel set (24), the belt wheel set (24) is fixedly connected with a shaft sleeve (25) on the other side, the shaft sleeve (25) is slidably connected with the training table (1), a sliding shaft (26) is slidably connected with the shaft sleeve (25), the sliding shaft (26) is fixedly connected with a second worm (27) rotatably connected with the sliding table (7), the second worm (27) is meshed with a second worm wheel (28), the first worm wheel (19) is eccentrically and rotatably connected with a fifth connecting rod (29), and the fifth connecting rod (29) is rotatably connected with the training table (1).

5. The rehabilitation exercise device after the interventional therapy of the cardiology department according to claim 4, wherein the second worm gear (28) is coaxially and fixedly connected with a first transmission gear (30), the second transmission gear (31) is meshed with the left side and the right side of the first transmission gear (30), a disc (32) is coaxially and fixedly connected with the bottom of the second transmission gear (31), the disc (32) is eccentrically connected with a cylindrical pin (33), and a third sliding groove (34) which is slidably connected with the cylindrical pin (33) is formed in the traction frame (8).

6. The rehabilitation exercise device after cardiology intervention treatment, according to claim 5, the traction frame (8) comprises a traction rod (35), the third sliding groove (34) is positioned on the traction rod (35), the draw bar (35) is fixedly connected with a first slide block (36), a first guide groove (37) and a second guide groove (38) are formed in the first slide block (36), a second sliding block (39) capable of sliding back and forth is connected in the first guide groove (37) in a sliding way, the second sliding block (39) is connected with the first sliding block (36) in a sliding way, the left side and the right side of the second sliding block (39) are connected with the traction block (9) in a rotating way, the other side of the traction block (9) is rotatably connected with a first supporting rod (40), and the first supporting rod (40) is rotatably connected with a third sliding block (41) which is slidably connected with the second guide groove (38).

7. The rehabilitation exercise device after the cardiology interventional therapy operation according to claim 6, wherein a fourth gear (42) is rotatably connected to each of the left side and the right side, a rack (43) fixedly connected to the training table (1) is engaged with the lower side of the fourth gear (42), a third worm (44) rotatably connected to the first slider (36) is coaxially and fixedly connected to the middle of the fourth gear (42), a third worm wheel (45) is engaged with the third worm (44), a screw (46) is coaxially and fixedly connected to the third worm wheel (45), the screw (46) is rotatably connected to the first slider (36), the middle of the screw (46) penetrates through the second slider (39), a through hole matched with the second slider (39) is formed in the second slider, and the other side of the screw (46) is in threaded connection with the third slider (41);

the compression spring (47) for applying force backwards to the second sliding block (39) is sleeved on the screw rod (46), an extension spring (48) is fixedly connected to the outer side of the second sliding block (39), and the other end of the extension spring (48) is fixedly connected with the training table (1).

8. The rehabilitation exercise device after the cardiology department interventional therapy according to claim 1, wherein two of the second transmission gears (31) are both coaxially and fixedly connected with a support rod (49), the support rod (49) is rotatably connected with the massage block (5), the support rod (49) is fixedly connected with a massage disc (6), and the massage disc (6) and the massage block (5) are both provided with protruding balls (50).

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