CN204815367U - A hand rehabilitation device that is used for chirismus patient behind cerebral apoplexy - Google Patents
A hand rehabilitation device that is used for chirismus patient behind cerebral apoplexy Download PDFInfo
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Abstract
Description
技术领域 technical field
本实用新型属于医疗器械领域,具体地涉及一种用于脑卒中后手痉挛患者的手康复装置。 The utility model belongs to the field of medical equipment, in particular to a hand rehabilitation device for patients with hand spasm after stroke.
背景技术 Background technique
脑卒中后手指痉挛是目前脑卒中患者遇到的棘手的难题之一。肌痉挛是上运动神经元损伤后脊髓反射活动增高引起的以速度依赖性的牵张反射为特征的肌肉张力异常,严重影响了患者的运动功能和日常生活活动能力。脑卒中后痉挛的发病率在3个月和1年以上时分别估计为19%和38%。患者的手在后期往往因为肌肉痉挛形成一个屈曲的半握拳姿势,严重影响患者的生活、工作。目前,市场上用于手功能康复的装置也越来越多。目前的大部分康复手套或者辅助仪器均是帮助痉挛的手指呈伸直状态,决了现有技术偏瘫患者手指难以伸直的技术问题,但是有的装置仅仅是伸开手指,却不能进行屈指伸指锻炼,功能还是较为单一。 Post-stroke finger spasm is one of the most difficult problems encountered by stroke patients. Muscle spasticity is abnormal muscle tone characterized by speed-dependent stretch reflexes caused by increased spinal cord reflex activity after upper motor neuron injury, which seriously affects the motor function and activities of daily living of patients. The incidence of spasticity after stroke was estimated to be 19% and 38% at 3 months and over 1 year, respectively. In the later stage, the patient's hand often forms a flexed half-fist posture due to muscle spasm, which seriously affects the patient's life and work. At present, there are more and more devices for hand function rehabilitation on the market. Most of the current rehabilitation gloves or auxiliary devices help the spastic fingers to be straightened, which solves the technical problem that the fingers of hemiplegic patients are difficult to straighten in the prior art, but some devices only stretch the fingers, but cannot perform flexion and extension. Refers to exercise, the function is still relatively simple.
专利2014202244788公开了一种手功能康复训练器,其是通过在具有双层结构的手套体上设置可控制治疗时间和强度的电刺激装置,其中在内层对应八邪穴处附近设置有四片用于体表刺激的电极片,手套内外层之间为可充气的空间。该装置既能采用气压驱动,又能对手部穴位产生电刺激,但是,由于将电刺激装置固定在手套表面,对于手大小不同的患者,无法正确的找到穴位,影响治疗效果,且其电极片仅作用于四个穴道处,不能对手部穴位实现有效的电刺激。 Patent 2014202244788 discloses a hand function rehabilitation training device, which is provided with an electric stimulation device that can control the treatment time and intensity on the glove body with a double-layer structure, wherein four pieces are arranged near the corresponding Baxie points on the inner layer Electrode pads for body surface stimulation, with an inflatable space between the inner and outer layers of the glove. The device can not only be driven by air pressure, but also can generate electrical stimulation to the hand acupoints. However, since the electrical stimulation device is fixed on the surface of the glove, it is impossible to find the acupoints correctly for patients with different hand sizes, which affects the therapeutic effect. It only acts on the four acupoints, and cannot achieve effective electrical stimulation of the hand acupoints.
专利2014205275805公开了一种手关节用神经康复训练手套,它包括手套、牵引线和卡扣,通过在手套手心面的每个手指尖处固定设置牵引线,在手套的手指上设置卡扣,在手套模块设置控制器,然后在控制器上设置五个电动伸缩杆,牵引线穿过卡扣与电动伸缩杆对应连接,从而通过控制器控制完成手指的握拳和开掌的动作。该装置一定程度上使手功能得到的锻炼,但由于完全时依靠机械力完成对手的刺激,治疗效果较慢。 Patent 2014205275805 discloses a neurorehabilitation training glove for hand joints, which includes a glove, a traction line and a buckle. The traction line is fixed at the tip of each finger on the palm of the glove, and the buckle is set on the fingers of the glove. The glove module is equipped with a controller, and then five electric telescopic rods are arranged on the controller, and the traction line passes through the buckle and is connected with the electric telescopic rods, so that the movements of clenching and opening the fingers are controlled by the controller. This device can exercise the hand function to a certain extent, but because it completely relies on mechanical force to complete the stimulation of the opponent, the therapeutic effect is relatively slow.
实用新型内容 Utility model content
实用新型目的:为解决现有技术中存在的问题,本实用新型提供一种结构简单、操作方便、多用途的用于脑卒中后手痉挛患者的手康复装置,该装置在中医针刺患侧八邪穴缓解肌痉挛的操作基础上,结合目前低频脉冲电刺激疗法的原理,利用深层电刺激持续刺激其深层作用靶点,来延长针刺效果,进而改善中风后手痉挛状态,达到脑卒中后手功能康复的目的。 Purpose of the utility model: In order to solve the problems existing in the prior art, the utility model provides a simple structure, convenient operation and multi-purpose hand rehabilitation device for patients with hand spasm after stroke. Based on the operation of Baxie point for relieving muscle spasm, combined with the principle of current low-frequency pulse electrical stimulation therapy, deep-layer electrical stimulation is used to continuously stimulate its deep-layer target points to prolong the acupuncture effect, thereby improving hand spasm after stroke, and achieving stroke. The purpose of functional rehabilitation of the back hand.
技术方案:为实现上述技术目的,本实用新型提出一种用于脑卒中后手痉挛患者的手康复装置,包括手套体和电刺激装置,其中,所述的手套体为一长方形弹性橡胶片,所述弹性橡胶片两侧分别设置有用于调节手套体松紧度的公扣和母扣;所述的电刺激装置包括9个电极片,其中,8个电极片分别用于对手心和手背的八邪穴进行电刺激,另外一个用于对手腕处进行电刺激,所述电极片与电刺激控制装置电连接。 Technical solution: In order to achieve the above technical purpose, the utility model proposes a hand rehabilitation device for patients with hand spasm after stroke, including a glove body and an electrical stimulation device, wherein the glove body is a rectangular elastic rubber sheet, Both sides of the elastic rubber sheet are respectively provided with a male buckle and a female buckle for adjusting the tightness of the glove body; the electric stimulation device includes 9 electrode sheets, and 8 electrode sheets are used for the eight electrodes on the palm and the back of the hand respectively. The evil point is used for electrical stimulation, and the other is used for electrical stimulation of the wrist, and the electrode sheet is electrically connected with the electrical stimulation control device.
具体地,所述的电刺激控制装置控制所述电极片进行高强度刺激和低强度刺激,所述的电刺激控制装置控制所述电极片进行电刺激,其中,所述的电刺激控制装置脉冲频率为2~8KHZ;调制波形为方形、检波、三角波、锯齿波、指数波、正弦波中的任意一种;调制方式为连续调制、断续调制、间歇调制、变频调制和交替调制中的任意一种。 Specifically, the electrical stimulation control device controls the electrode sheet to perform high-intensity stimulation and low-intensity stimulation, and the electrical stimulation control device controls the electrode sheet to perform electrical stimulation, wherein the electrical stimulation control device pulses The frequency is 2-8KHZ; the modulation waveform is any one of square wave, detection wave, triangle wave, sawtooth wave, exponential wave, and sine wave; the modulation mode is any of continuous modulation, intermittent modulation, intermittent modulation, variable frequency modulation and alternating modulation A sort of.
所述的公扣和母扣为魔术贴、绑带或者按扣。优选地,所述的公扣和母扣为魔术贴装置,便于患者自己自行操作。 The male buckle and the female buckle are Velcro, straps or snap buttons. Preferably, the male buckle and the female buckle are Velcro devices, which are convenient for patients to operate by themselves.
在一种实施方案中,所述的电刺激控制装置外部设置有外壳,所述外壳表面设置有电刺激开关、控制面板和电源开关,其中,所述控制面板和电刺激开关与所述电刺激控制装置相连,用于选择调制波形、调制频率和调制方式。 In one embodiment, the electrical stimulation control device is externally provided with a casing, and the surface of the casing is provided with an electrical stimulation switch, a control panel and a power switch, wherein the control panel and the electrical stimulation switch are connected with the electrical stimulation The control device is connected to select the modulation waveform, modulation frequency and modulation mode.
作为进一步的改进方案,所述外壳为塑料外壳,在塑料外壳的四周设置有铁片,所述的电极片与所述电刺激控制装置通过电线连接,在电线的外侧滑动设置有电极保护套,所述电极保护套的外侧设置有磁铁。当使用本装置时,将电极从电极保护套中拿出,放置于对应的穴道处,将电极保护套利用其表面的磁铁吸附到外壳的表面。当治疗完毕后,将电极重新收纳到电极保护套内,然后吸附到外壳的表面,保护电极不受外界环境的破坏。 As a further improvement, the casing is a plastic casing, and iron sheets are arranged around the plastic casing, and the electrode sheets are connected to the electrical stimulation control device through wires, and an electrode protection sleeve is slid on the outside of the wires. The outer side of the electrode protective sleeve is provided with a magnet. When using the device, the electrodes are taken out from the electrode protective sleeve, placed on the corresponding acupoints, and the electrode protective sleeve is adsorbed to the surface of the casing by the magnets on its surface. When the treatment is completed, the electrodes are re-stored in the electrode protective sleeve, and then adsorbed to the surface of the shell to protect the electrodes from damage by the external environment.
为了使整个装置更加简洁,在所述的外壳四周设置有用于收纳电线的卡槽。根据需要将连接电极片和电刺激装置的电线缠绕在对应的卡槽内,然后将套在电极保护套内的电极吸附在外壳表面。 In order to make the whole device more concise, there are slots for accommodating electric wires around the outer shell. Wrap the wires connecting the electrode pads and the electrical stimulation device in the corresponding slots as required, and then adsorb the electrodes covered in the electrode protection sleeve on the surface of the shell.
实用新型原理:八邪穴,《奇效良方》从桡侧向尺侧方向依次称大都、上都、中都、下都。主治烦热,目痛,头痛,项强,咽痛,牙痛,手指麻木,毒蛇咬伤,手臂红肿等。其标准穴位定位在手指背侧,微握拳,第一~五指间,指蹼缘后方赤白肉际处,左右共8个穴位。穴下有皮肤、皮下组织和骨间肌。分布有桡神经浅支和尺神经指背支,8个穴位分别对应第1--4蚓状肌和指掌侧总神经。先以针刺八邪穴位后缓解手痉挛状态,使手伸展松弛状态,然后先后交替刺激掌侧屈肌群和腕侧背伸肌群来促进患者独立完成屈指伸训练,进而完成抓握和持物功能。 The principle of the utility model: Baxie acupoints are called Dadu, Shangdu, Zhongdu, and Xiadu from the radial side to the ulnar side in "Miraculously Effective Prescriptions". Indications for dysphoria, eye pain, headache, stiff neck, sore throat, toothache, finger numbness, poisonous snake bites, red and swollen arms, etc. The standard acupoints are located on the dorsal side of the fingers, slightly clenched, between the first to fifth fingers, at the junction of the red and white flesh behind the edge of the finger web, a total of 8 acupoints on the left and right. There are skin, subcutaneous tissue and interosseous muscles under the point. The superficial branch of the radial nerve and the digital dorsal branch of the ulnar nerve are distributed, and the 8 acupoints correspond to the 1st-4th lumbrical muscles and the common digital palmar nerve. Acupuncture the Baxie acupoint firstly to relieve hand spasm, make the hand stretched and relaxed, and then alternately stimulate the palmar side flexors and wrist dorsiflexors to promote the patient to independently complete finger flexion and extension training, and then complete grasping and holding objects Function.
有益效果:与现有技术相比,本实用新型通过设计在掌心指间的纵向脉冲电刺激手来缓解手的屈肌痉挛,同时通过手背对应的指间背伸肌群和前臂腕伸肌群的脉冲电刺激来促进背伸肌群的训练。同时在此基础上,在上述患侧八邪穴的定位处模拟高频脉冲电流来进一步刺激掌指关节,来进一步辅助手指的关节康复训练。另一方面,通过将电极片设置成半自由的形式,可以方便针对不同的个体进行准确的穴道定位,使电刺激作用个性化操作更强。 Beneficial effect: Compared with the prior art, the utility model relieves the flexor spasm of the hand by designing the longitudinal pulse electric stimulation between the palm and the finger, and at the same time through the corresponding interdigital dorsal extensor group and the forearm wrist extensor group on the back of the hand. Pulse electrical stimulation to promote the training of back extensor muscles. At the same time, on this basis, a high-frequency pulse current is simulated at the location of the Baxie point on the affected side to further stimulate the metacarpophalangeal joints to further assist the joint rehabilitation training of the fingers. On the other hand, by setting the electrode sheet in a semi-free form, it is convenient to accurately locate acupuncture points for different individuals, so that the personalized operation of the electric stimulation effect is stronger.
附图说明 Description of drawings
图1为本实用新型的手套体使用状态结构示意图; Fig. 1 is a schematic structural diagram of a glove body of the present invention in use;
图2为本实用新型电刺激装置使用状态结构示意图; Fig. 2 is a structural schematic diagram of the use state of the electric stimulation device of the present utility model;
图3为本实用新型展开的平面结构示意图。 Fig. 3 is a schematic plan view of the unfolded structure of the utility model.
具体实施方式 Detailed ways
下面结合附图详细说明本实用新型。如图1~3所示,本实用新型提出一种用于脑卒中后手痉挛患者的手康复装置,主要由手套体和电刺激装置两部分组成。其中,图1为手康复装置的手套体的结构示意图,手套体为一长方形弹性橡胶片1,弹性橡胶片两侧分别设置有用于调节手套体松紧度的魔术贴公扣2和魔术贴母扣3。如图2所示,电刺激装置由9个电极片4组成,其中,八个电极片4分为4对,分别用于对手心和手背对应的八邪穴进行电刺激,另外一个电极片4用于对手腕处进行电刺激,电极片与电刺激控制装置通过电线电连接。电刺激控制装置控制电极片进行电刺激,脉冲频率为2~8KHZ,调制波形为方形、检波、三角波、锯齿波、指数波、正弦波中的任意一种;调制方式为连续调制、断续调制、间歇调制、变频调制和交替调制中的任意一种。在电刺激控制装置外部设置有塑料外壳5,塑料外壳5表面设置有三个控制开关,分别为电刺激开关6、控制面板7和电源开关8。控制面板和电刺激开关6与电刺激控制装置相连,用于选择调制波形、调制频率和调制方式。在塑料外壳5的四周设置有铁片,在连接电极片与电刺激控制装置的电线的外侧滑动设置有用于容纳电极片电极保护套,电极保护套的外侧面设置有磁铁。同时,在外壳5四周设置有用于收纳电线的卡槽9。整个手康复装置展开的示意图如图3所示。 Below in conjunction with accompanying drawing, describe the utility model in detail. As shown in Figures 1-3, the utility model proposes a hand rehabilitation device for patients with post-stroke hand spasm, which mainly consists of a glove body and an electrical stimulation device. Wherein, Fig. 1 is a schematic diagram of the structure of the glove body of the hand rehabilitation device, the glove body is a rectangular elastic rubber sheet 1, and the two sides of the elastic rubber sheet are respectively provided with a Velcro male buckle 2 and a Velcro female buckle for adjusting the tightness of the glove body 3. As shown in Figure 2, the electrical stimulation device is composed of 9 electrode sheets 4, wherein, eight electrode sheets 4 are divided into 4 pairs, which are used for electrical stimulation of the corresponding Baxie points on the palm of the hand and the back of the hand respectively, and the other electrode sheet 4 It is used for electrical stimulation on the wrist, and the electrode sheet is electrically connected with the electrical stimulation control device through wires. The electric stimulation control device controls the electrode sheet to perform electric stimulation, the pulse frequency is 2 ~ 8KHZ, the modulation waveform is any one of square wave, detection wave, triangle wave, sawtooth wave, exponential wave, and sine wave; the modulation mode is continuous modulation, intermittent modulation , intermittent modulation, variable frequency modulation and alternate modulation. A plastic casing 5 is arranged outside the electric stimulation control device, and three control switches are arranged on the surface of the plastic casing 5 , which are respectively an electric stimulation switch 6 , a control panel 7 and a power switch 8 . The control panel and the electrical stimulation switch 6 are connected with the electrical stimulation control device for selecting modulation waveform, modulation frequency and modulation mode. Iron sheets are arranged around the plastic shell 5, and an electrode protection cover for accommodating the electrode sheet is slidably arranged on the outside of the wire connecting the electrode sheet and the electric stimulation control device, and a magnet is provided on the outer surface of the electrode protection cover. At the same time, a card slot 9 for accommodating electric wires is provided around the casing 5 . The schematic diagram of the deployment of the entire hand rehabilitation device is shown in Figure 3.
在应用时,通过设计在掌心指间的纵向脉冲电刺激手来缓解手的屈肌痉挛,然后通过手背对应的指间背伸肌群和前臂腕伸肌群的脉冲电刺激来促进背伸肌群的训练。在此基础上,在上述患侧八邪穴的定位处模拟高频脉冲电流来进一步刺激掌指关节,来进一步辅助手指的关节康复训练。 During application, the hand flexor spasm is relieved by designing longitudinal pulse electrical stimulation between the palm and fingers, and then the dorsal extensor muscles are promoted by pulse electrical stimulation of the corresponding interdigital dorsi extensor group on the back of the hand and the forearm wrist extensor group. group training. On this basis, a high-frequency pulse current is simulated at the above-mentioned Baxie point on the affected side to further stimulate the metacarpophalangeal joints to further assist finger joint rehabilitation training.
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109394505A (en) * | 2018-11-29 | 2019-03-01 | 永康国科康复工程技术有限公司 | Wearable hand shakes convalescence device equipment |
| CN109821150A (en) * | 2019-03-07 | 2019-05-31 | 南方医科大学珠江医院 | The therapeutic instrument for rehabilitation of flesh in a kind of intelligent activating hand |
| CN110575303A (en) * | 2019-09-30 | 2019-12-17 | 郝峻巍 | A comprehensive rehabilitation device for lower limb spasticity based on exercise therapy |
| CN110693691A (en) * | 2019-11-19 | 2020-01-17 | 四川大学华西医院 | Remote limb nerve repair system based on nerve targeting regulation and its realization method |
| CN116850456A (en) * | 2023-07-27 | 2023-10-10 | 天津中医药大学 | Glove with electric stimulation function |
| CN119303204A (en) * | 2024-12-13 | 2025-01-14 | 首都医科大学宣武医院 | A training device and a training method for tactile perception recovery |
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2015
- 2015-07-09 CN CN201520495353.3U patent/CN204815367U/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109394505A (en) * | 2018-11-29 | 2019-03-01 | 永康国科康复工程技术有限公司 | Wearable hand shakes convalescence device equipment |
| CN109394505B (en) * | 2018-11-29 | 2023-11-28 | 苏州国科医工科技发展(集团)有限公司 | Wearable hand vibration rehabilitation device equipment |
| CN109821150A (en) * | 2019-03-07 | 2019-05-31 | 南方医科大学珠江医院 | The therapeutic instrument for rehabilitation of flesh in a kind of intelligent activating hand |
| CN110575303A (en) * | 2019-09-30 | 2019-12-17 | 郝峻巍 | A comprehensive rehabilitation device for lower limb spasticity based on exercise therapy |
| CN110693691A (en) * | 2019-11-19 | 2020-01-17 | 四川大学华西医院 | Remote limb nerve repair system based on nerve targeting regulation and its realization method |
| CN116850456A (en) * | 2023-07-27 | 2023-10-10 | 天津中医药大学 | Glove with electric stimulation function |
| CN119303204A (en) * | 2024-12-13 | 2025-01-14 | 首都医科大学宣武医院 | A training device and a training method for tactile perception recovery |
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Granted publication date: 20151202 Termination date: 20190709 |