Medical treatment toe rehabilitation training device for orthopedics

文档序号:1369811 发布日期:2020-08-14 浏览:28次 中文

阅读说明:本技术 一种医疗骨科用脚趾康复训练装置 (Medical treatment toe rehabilitation training device for orthopedics ) 是由 陈焱龙 于 2020-05-09 设计创作,主要内容包括:本发明公开了一种医疗骨科用脚趾康复训练装置,涉及医疗骨科技术领域,包括主体架,所述主体架上表面的左侧固定安装有支撑架,主体架内部的左侧固定安装有踏板机构,主体架的右侧面固定安装有固定架,固定架的内部安装有调节机构,主体架内部的右侧固定安装有趾压机构。该医疗骨科用脚趾康复训练装置,能够让操作者根据训练强度进行调节,有利于对指关节灵活性及承载力进行有效的训练,适用于骨科脚趾关节损伤后的康复训练,通过脚后跟向下方进行施压,压动踏板左端向下进行旋转,在踏板左端逐渐的下移过程中,改变脚掌的状态,直至下压至极限位置时,此时脚趾相对于脚掌为下倾状态,往复的下压对指关节起到被动上下翻转训练的效果。(The invention discloses a toe rehabilitation training device for medical orthopedics, and relates to the technical field of medical orthopedics. This medical treatment toe rehabilitation training device for orthopedics, can let the operator adjust according to training intensity, be favorable to carrying out effectual training to knuckle flexibility and bearing capacity, be applicable to the rehabilitation training behind orthopedics toe joint damage, exert pressure downwards through the heel, it rotates downwards to press the footboard left end, at the footboard left end gradual in-process that moves down, change the state of sole, when pushing down to extreme position, the toe is for the state of having a down dip for the sole this moment, reciprocal pushing down plays the effect of passive upset training from top to bottom to the knuckle.)

1. The utility model provides a medical treatment toe rehabilitation training device for orthopedics, includes main part frame (1), its characterized in that: a support frame (5) is fixedly installed on the left side of the upper surface of the main body frame (1), a pedal mechanism (6) is fixedly installed on the left side inside the main body frame (1), a fixing frame (2) is fixedly installed on the right side surface of the main body frame (1), an adjusting mechanism (3) is installed inside the fixing frame (2), and a toe press mechanism (4) is fixedly installed on the right side inside the main body frame (1);

the pedal mechanism (6) comprises a first threaded rod (601), a rotating plate (602), a first threaded pipe (603), a return spring (604), a pedal (605), a base plate (606) and a positioning groove (607), the pedal (605) is fixedly hinged to the upper portion of the inner side wall of the main body frame (1) through a pin shaft, the base plate (606) is fixedly installed on the left side of the inner bottom wall of the main body frame (1), the return spring (604) is fixedly installed on the upper surface of the base plate (606), the top end of the return spring (604) is fixedly connected with the bottom surface of the pedal (605), the positioning groove (607) is formed in the middle of the left side surface of the bottom surface of the pedal (605), the rotating plate (602) is placed on the left side of the support frame (5), the first threaded rod (601) is fixedly installed in the middle of the right side surface of the rotating plate (602), and the first threaded pipe (603) is, the right end of the first threaded rod (601) penetrates through the first threaded pipe (603) and extends into the positioning groove (607), and the outer surface of the first threaded rod (601) is in threaded connection with the inner ring of the first threaded pipe (603);

the adjusting mechanism (3) comprises a second threaded pipe (301), a cavity (302), a guide ring (303), a pressing plate (304), a positioning plate (305), a guide post (306), a push plate (307), a second threaded rod (309) and a connecting plate (311), the cavity (302) is arranged on the left side face of the fixing frame (2) at equal intervals, a hollow groove (9) is formed in the right side face of the main body frame (1), each cavity (302) is communicated with the hollow groove (9), the right side of the interior of the cavity (302) is respectively placed on the connecting plate (311), the second threaded pipe (301) is respectively fixedly embedded in the middle of the inner side wall of each cavity (302), the second threaded rod (309) is respectively and fixedly installed on the right side face of each connecting plate (311), and the right end of each second threaded rod (309) respectively penetrates through each second threaded pipe (301) and extends to the right side of the fixing frame (2), the outer surface of the second threaded rod (309) is in threaded connection with the inner ring of the second threaded pipe (301), a pressure spring (308) is arranged inside each cavity (302), and the right end of each pressure spring (308) is respectively contacted with the left side surface of each connecting plate (311), the guide rings (303) are respectively and fixedly arranged at the left side inside each cavity (302), the push plates (307) are respectively arranged on the right side surface of each guide ring (303), and the right side surface of each push plate (307) is respectively contacted with the left end of each pressure spring (308), the guide posts (306) are respectively and fixedly arranged in the middle of the left side surface of each push plate (307), and the left end of each guide column (306) respectively penetrates through each guide ring (303) and extends to the interior of the main body frame (1), the pressing plates (304) are fixedly arranged on the left side surface of each guide column (306) respectively;

the toe pressing mechanism (4) comprises a limiting plate (401), a supporting rod (402), rollers (403), rotating plates (404), finger pressing plates (405), through grooves (406), hinged seats (407), tension springs (408) and supports (409), the rotating plates (404) which are arranged equidistantly are fixedly hinged on the right side of the interior of the main body frame (1) through pin shafts, the hinged seats (407) are fixedly installed on the right side of the top groove of each rotating plate (404) respectively, the finger pressing plates (405) are placed in the top grooves of each rotating plate (404) respectively, the right end of each finger pressing plate (405) is fixedly hinged in the hinged seats (407) through pin shafts respectively, the through grooves (406) are respectively arranged on the right side of the upper surface of each rotating plate (404), the supports (409) are fixedly installed on the right side of the bottom surface of each rotating plate (404) respectively, the tension springs (408) are fixedly installed on the upper surface of each support (409) respectively, and the top end of the tension spring (408) penetrates through the through groove (406) and is fixedly connected with the bottom surface of the rotating plate (404).

2. The toe rehabilitation training device for the medical orthopedics department as claimed in claim 1, wherein: and a rotating plate (310) is fixedly mounted on the right side surface of each second threaded rod (309).

3. The toe rehabilitation training device for the medical orthopedics department as claimed in claim 1, wherein: the front side and the rear side of the left side of each pressing plate (304) are fixedly provided with positioning plates (305), and the length value of each group of positioning plates (305) between the side surfaces close to each other is equal to the width value of the roller (403).

4. The toe rehabilitation training device for the medical orthopedics department as claimed in claim 1, wherein: a partition plate (8) is fixedly mounted on the upper portion between the inner side walls of the main body frame (1), and gaps are reserved between the left side face and the right side face of the partition plate (8) and the right side face of the pedal (605) and the left side face of the rotating plate (404).

5. The toe rehabilitation training device for the medical orthopedics department as claimed in claim 1, wherein: the right side surface of the partition plate (8) is fixedly provided with finger slit plates (7) which are arranged equidistantly, and each finger slit plate (7) and each rotating plate (404) are arranged in a staggered mode.

6. The toe rehabilitation training device for the medical orthopedics department as claimed in claim 4, wherein: and the left side of the bottom surface of each rotating plate (404) is fixedly provided with a limiting plate (401), and the left side of the upper surface of each limiting plate (401) is contacted with the bottom surface of the partition plate (8).

Technical Field

The invention relates to the technical field of medical orthopedics, in particular to a toe rehabilitation training device for medical orthopedics.

Background

Orthopedics is one of the most common departments of various hospitals, mainly studies the anatomy, physiology and pathology of a skeletal muscle system, maintains and develops the normal form and function of the system by using medicines, operations and physical methods, toe skeletal joint injuries are common in orthopedics diagnosis and treatment, and after diagnosis and treatment of toe skeletal injuries, a toe skeletal joint after operation or after injury is usually trained by matching with some training actions, and a toe rehabilitation training device is needed at the moment.

The orthopedic rehabilitation training usually carries out rehabilitation training on the bearing angle of a joint in the walking process, but in the walking process, the stress of toes is small, the training effect is poor, the toes are turned up relatively to the soles, reciprocating rehabilitation training on the downward turning of the finger joints is difficult to carry out, the upward turning and downward turning tension of the toes cannot be controlled and trained, and the effect of the rehabilitation training on the finger joints is influenced.

Disclosure of Invention

The invention aims to make up for the defects of the prior art, and provides a toe rehabilitation training device for medical orthopedics, which has the advantages of actively turning toes up and down for tension rehabilitation training and passive rehabilitation training and solves the problem of poor tension training effect of toe skeleton joint up-turning and down-turning rehabilitation.

In order to solve the technical problems, the invention provides the following technical scheme: the utility model provides a medical treatment toe rehabilitation training device for orthopedics, includes the main part frame, the left side fixed mounting of main part frame upper surface has the support frame, the inside left side fixed mounting of main part frame has pedal mechanism, and the right flank fixed mounting of main part frame has the mount, the internally mounted of mount has adjustment mechanism, the inside right side fixed mounting of main part frame has the toe to press the mechanism.

Pedal mechanism includes threaded rod one, revolves board, screwed pipe one, reset spring, footboard, backing plate and constant head tank, the footboard articulates the upper portion at main part frame inside wall through the round pin axle is fixed, backing plate fixed mounting is in the left side of main part frame diapire, reset spring fixed mounting has the upper surface of backing plate, and reset spring's top and the bottom surface fixed connection of footboard, the middle part at footboard bottom surface left surface is seted up to the constant head tank, revolve the board and place the left side at the support frame, a threaded rod fixed mounting is at the middle part of revolving the board right flank, a fixed left surface of inlaying at the support frame of screwed pipe, the right-hand member of threaded rod one runs through the screwed pipe and extends to the inside of constant head tank in the lump, and the surface of threaded rod one and the inner circle threaded.

The adjusting mechanism comprises a second threaded pipe, a cavity, a guide ring, a pressing plate, a positioning plate, a guide post, a push plate, a second threaded rod and a connecting plate, the cavity is arranged at the left side face of the fixing frame in an equidistant mode, the right side face of the main body frame is provided with a hollow groove, each cavity is communicated with the hollow groove, the right side of the cavity is placed on the connecting plate respectively, the second threaded pipe is fixedly embedded in the middle of the inner side wall of each cavity respectively, the second threaded rod is fixedly installed on the right side face of each connecting plate respectively, the right end of each second threaded rod penetrates through the second threaded pipe and extends to the right side of the fixing frame respectively, the outer side face of the second threaded rod is in threaded connection with the inner ring of the second threaded pipe, a pressure spring is placed in each cavity, the right end of each pressure spring is in contact with the left side face of each connecting plate, the push pedal is placed respectively at the right flank of every guide ring, and the right flank of every push pedal contacts with the left end of every pressure spring respectively, the guide post is fixed mounting respectively in the middle part of every push pedal left surface, and the left end of every guide post runs through every guide ring respectively and extends to the inside of main part frame, the left surface of every guide post is fixed mounting respectively to the clamp plate.

The toe pressing mechanism comprises a limiting plate, a supporting rod, a roller, a rotating plate, a pressing fingerplate, a through groove, a hinged seat, a tension spring and a support, the rotating plate which is arranged at equal intervals is hinged on the right side of the inner portion of the main body frame through a pin shaft, the hinged seat is fixedly arranged on the right side of the top groove of each rotating plate respectively, the pressing fingerplate is placed inside the top groove of each rotating plate respectively, the right end of each pressing fingerplate is hinged inside the hinged seat through the pin shaft respectively, the through groove is arranged on the right side of the upper surface of each rotating plate respectively, the support is fixedly arranged on the right side of the bottom surface of each rotating plate respectively, the tension spring is fixedly arranged on the upper surface of each support respectively, and the top end of the tension spring penetrates through the through groove and is fixedly connected.

Furthermore, a rotating plate is fixedly mounted on the right side face of each second threaded rod.

Through adopting above-mentioned technical scheme, better let the user rotate threaded rod one through rotatory commentaries on classics board.

Furthermore, positioning plates are fixedly mounted on the front side and the rear side of the left side face of each pressing plate, and the length value of each group of positioning plates between the two adjacent side faces is equal to the width value of the roller.

Through adopting above-mentioned technical scheme, the better position to the clamp plate is restricted, avoids causing the rotatory problem of clamp plate.

Furthermore, a partition board is fixedly arranged on the upper portion between the inner side walls of the main body frame, and gaps are reserved between the left side face and the right side face of the partition board and between the right side face of the pedal and the left side face of the rotating plate respectively.

Through adopting above-mentioned technical scheme, better bearing the position of sole front end and toe junction.

Furthermore, finger slit plates which are arranged equidistantly are fixedly arranged on the right side face of the partition plate, and each finger slit plate and each rotating plate are arranged in a staggered mode.

By adopting the technical scheme, toes are better opened on the finger pressing plate in use.

Furthermore, each limiting plate is fixedly mounted on the left side of the bottom surface of the rotating plate, and the left side of the upper surface of each limiting plate is in contact with the bottom surface of the partition plate.

Through adopting above-mentioned technical scheme, better restriction to the position of rotor plate avoids causing the problem of excessive tilt-up.

Compared with the prior art, the toe rehabilitation training device for the medical orthopedics department has the following beneficial effects:

1. the toe pressing mechanism is arranged, in the using process, a user places the foot plate on the pedal and opens each toe on each finger pressing plate, the toes are turned downwards during the turning-down tension training, so that the left end of the turning plate is pressed to rotate downwards, the roller is driven by the support rod to synchronously move, the roller presses the pressing plate and the guide post to move towards the cavity, the compression spring is compressed by the pushing plate during the moving process, the tension training for turning-down toes is completed, the training mechanism is independently arranged for each toe, the pressure of each toe can be effectively adjusted, when the pressure needs to be increased, the corresponding threaded rod II is gradually screwed into the cavity by rotating the turning plate corresponding to the toe clockwise, the compression spring inside is compressed during the gradual screwing-in process, thereby increase the pressure that the front end spring needs the compression to better training intensity is adjusted according to the user's demand.

2. According to the toe pressing mechanism, in use, the left end of each finger pressing plate is rotated upwards, the tension springs are pulled to stretch, rebound potential energy is generated, each toe is placed on the corresponding rotating plate respectively, the toes are turned upwards during training, the upper part of each finger pressing plate is pressed to rotate, the tension springs are stretched continuously during rotation, and the toes are subjected to upturning tension training.

3. According to the invention, through the training of the upturning and the downturning tension, an operator can be better adjusted according to the training intensity, the training on the flexibility and the bearing capacity of the knuckle is facilitated, and the training device is better suitable for rehabilitation training after the injury of the toe joint of the orthopaedics department.

4. The invention is provided with a pedal mechanism, each toe is placed between the corresponding rotating plate and the corresponding finger pressing plate, the pedal is obliquely arranged, the toe is in an upward inclined state relative to the sole, the rotating plate rotates anticlockwise to drive the first threaded rod to rotate in the first threaded pipe, the first threaded rod is gradually screwed out outwards until the first threaded rod is completely separated from the positioning groove on the pedal, at the moment, the left end of the pedal is pressed downwards through the heel, so that the left end of the pedal is pressed to rotate downwards, the return spring is pressed to contract to generate resilience potential energy, the state of the sole is changed in the gradual downward moving process of the left end of the pedal until the sole is pressed to the limit position, at the moment, the toe is in a downward inclined state relative to the sole, and the reciprocating downward pressing has the effect of passive up-down turnover training on the finger joints.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a rear view of the present invention;

FIG. 3 is a schematic view of the main frame structure of the present invention;

FIG. 4 is a schematic view of the internal structure of the main body frame according to the present invention;

FIG. 5 is a bottom plan view of the foot plate of the present invention;

FIG. 6 is a schematic view of an adjustment mechanism of the present invention;

FIG. 7 is a schematic view of a toe press mechanism according to the present invention;

fig. 8 is an exploded view of the toe press mechanism of the present invention.

In the figure: 1-main body frame, 2-fixed frame, 3-adjusting mechanism, 301-second screw tube, 302-cavity, 303-guide ring, 304-pressing plate, 305-positioning plate, 306-guide column, 307-pushing plate, 308-pressure spring, 309-second screw rod, 310-rotating plate, 311-connecting plate, 4-toe-pressing mechanism, 401-limiting plate, 402-supporting rod, 403-roller, 404-rotating plate, 405-pressure finger plate, 406-through groove, 407-hinging seat, 408-tension spring, 409-support seat, 5-support frame, 6-pedal mechanism, 601-first screw rod, 602-rotating plate, 603-first screw tube, 604-reset spring, 605-pedal, 606-backing plate, 607-positioning groove, 7-finger slit plate, 8-partition plate and 9-empty groove.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-8, the present invention provides a technical solution: the utility model provides a medical treatment toe rehabilitation training device for orthopedics, includes main part frame 1, and the left side fixed mounting of 1 upper surface of main part frame has support frame 5, and the left side fixed mounting of 1 inside of main part frame has pedal mechanism 6, and the right flank fixed mounting of main part frame 1 has mount 2, and the internally mounted of mount 2 has adjustment mechanism 3, and the right side fixed mounting of 1 inside of main part frame has toe to press mechanism 4.

The pedal mechanism 6 comprises a first threaded rod 601, a rotating plate 602, a first threaded pipe 603, a return spring 604, a pedal 605, a base plate 606 and a positioning groove 607, the pedal 605 is fixedly hinged to the upper portion of the inner side wall of the main body frame 1 through a pin shaft, the base plate 606 is fixedly mounted on the left side of the inner bottom wall of the main body frame 1, the upper surface of the base plate 606 is fixedly mounted on the return spring 604, the top end of the return spring 604 is fixedly connected with the bottom surface of the pedal 605, the positioning groove 607 is formed in the middle of the left side surface of the bottom surface of the pedal 605, the rotating plate 602 is placed on the left side of the support frame 5, the first threaded rod 601 is fixedly mounted in the middle of the right side surface of the rotating plate 602, the first threaded pipe 603 is fixedly embedded in the left side surface of the support frame 5, the right end of the first.

The adjusting mechanism 3 comprises two threaded pipes 301, cavities 302, guide rings 303, a pressing plate 304, a positioning plate 305, guide posts 306, a pushing plate 307, two threaded rods 309 and a connecting plate 311, the cavities 302 are arranged on the left side surface of the fixing frame 2 at equal intervals, the right side surface of the main body frame 1 is provided with a hollow groove 9, each cavity 302 is communicated with the hollow groove 9, the connecting plate 311 is respectively arranged on the right side inside the cavity 302, the two threaded pipes 301 are respectively fixedly embedded in the middle of the inner side wall of each cavity 302, the two threaded rods 309 are respectively fixedly arranged on the right side surface of each connecting plate 311, the right end of each two threaded rods 309 respectively penetrates through each two threaded pipe 301 and extends to the right side of the fixing frame 2, the outer surface of each two threaded rods 309 is in threaded connection with the inner ring of the two threaded pipes 301, a pressure spring 308 is arranged inside each cavity 302, and the right end of each pressure spring 308 is, the guide rings 303 are respectively and fixedly installed on the left side inside each cavity 302, the push plates 307 are respectively placed on the right side surface of each guide ring 303, the right side surface of each push plate 307 is respectively contacted with the left end of each pressure spring 308, the guide posts 306 are respectively and fixedly installed in the middle of the left side surface of each push plate 307, the left end of each guide post 306 respectively penetrates through each guide ring 303 and extends to the inside of the main body frame 1, and the pressure plates 304 are respectively and fixedly installed on the left side surface of each guide post 306.

The toe pressing mechanism 4 comprises a limiting plate 401, a supporting rod 402, a roller 403, rotating plates 404, finger pressing plates 405, through grooves 406, hinge seats 407, tension springs 408 and supports 409, the rotating plates 404 are fixedly hinged on the right side of the inside of the main body frame 1 through pin shafts and are arranged equidistantly, the hinge seats 407 are fixedly mounted on the right side of top grooves of the rotating plates 404 respectively, the finger pressing plates 405 are placed inside the top grooves of the rotating plates 404 respectively, the right end of each finger pressing plate 405 is fixedly hinged inside the hinge seat 407 through pin shafts respectively, the through grooves 406 are formed in the right side of the upper surface of each rotating plate 404 respectively, the supports 409 are fixedly mounted on the right side of the bottom surface of each rotating plate 404 respectively, the tension springs 408 are fixedly mounted on the upper surface of each support 409 respectively, and the top ends of the tension springs 408 penetrate through the through grooves 406 and are fixedly connected with the bottom.

Furthermore, the right side surface of each second threaded rod 309 is fixedly provided with a rotating plate 310, and a user can rotate the first threaded rod 601 by rotating the rotating plate 310.

Furthermore, the positioning plates 305 are fixedly mounted on the front side and the rear side of the left side surface of each pressing plate 304, the length value of each group of positioning plates 305 between the side surfaces close to each other is equal to the width value of the roller 403, the position of the pressing plate 304 is better limited, and the problem of rotation of the pressing plate 304 is avoided.

Furthermore, a partition plate 8 is fixedly installed at the upper part between the inner side walls of the main frame 1, and gaps are respectively reserved between the left side surface and the right side surface of the partition plate 8 and the right side surface of the pedal 605 and the left side surface of the rotating plate 404, so that the joint position of the front end of the sole and the toes can be better supported.

Further, the right side surface of the partition plate 8 is fixedly provided with finger slit plates 7 which are arranged at equal intervals, and each finger slit plate 7 is staggered with each rotating plate 404, so that toes are better opened on the finger pressing plate 405 in use.

Furthermore, the limiting plate 401 is fixedly mounted on the left side of the bottom surface of each rotating plate 404, and the left side of the upper surface of each limiting plate 401 is in contact with the bottom surface of the partition plate 8, so that the position of the rotating plate 404 is better limited, and the problem of excessive upward inclination is avoided.

The working principle is as follows: a user places a foot plate on a pedal 605, each toe is opened on each finger pressing plate 405, when the toe-down pulling force training is carried out, the toes are turned down, so that the left end of the rotating plate 404 is pressed to rotate downwards, the supporting rod 402 drives the roller 403 to synchronously move, so that the roller 403 presses the pressing plate 304 and the guide column 306 to move towards the cavity 302, so that the pressing spring 308 is compressed through the pushing plate 307 in the moving process, the toe-down pulling force training is completed, the training mechanism is independently arranged for each toe, the pressure of each toe can be effectively adjusted, when the pressure needs to be increased, the rotating plate 310 corresponding to the toe is rotated clockwise, the corresponding two threaded rods 309 are gradually screwed into the cavity 302, and in the gradually screwing process, the internal pressing spring 308 is compressed, so that the pressure required to be compressed by the front-end spring is increased, therefore, the training intensity is adjusted according to the requirements of a user, during the upturning tension training, the left end of each finger pressing plate 405 is rotated upwards, the tension spring 408 is pulled to stretch, rebound potential energy is generated, each toe is respectively placed on the corresponding rotating plate 404, during the training, the toe is upturned, so that the upper part of each finger pressing plate 405 is pressed to rotate, the tension spring 408 is further stretched during the rotation, the toe upturning tension training is performed, each toe is placed between the corresponding rotating plate 404 and the finger pressing plate 405, as the pedal 605 is obliquely arranged, the toe is in an upturned state relative to the sole, the rotating plate 602 is rotated anticlockwise, the threaded rod one 601 is driven to rotate in the threaded pipe one 603, the threaded rod one 601 is gradually screwed outwards until the threaded rod one 601 is completely separated from the positioning groove 607 on the pedal 605, and at the moment, the heel is pressed downwards, therefore, the left end of the pedal 605 is pressed to rotate downwards, the return spring 604 is pressed to contract to generate resilience potential energy, the state of the sole is changed in the process that the left end of the pedal 605 gradually moves downwards until the left end of the pedal is pressed to the limit position, the toes are in a downward inclination state relative to the sole, and therefore the effect of passive up-and-down overturning training on the finger joints is achieved by reciprocating downward pressing.

In the description of the present invention, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. It is noted that, herein, relational terms such as "first," "second," and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

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