CN100548256C - A kind of wheel chair type robot for walking training of paraplegia patient - Google Patents
A kind of wheel chair type robot for walking training of paraplegia patient Download PDFInfo
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- CN100548256C CN100548256C CNB2006101550470A CN200610155047A CN100548256C CN 100548256 C CN100548256 C CN 100548256C CN B2006101550470 A CNB2006101550470 A CN B2006101550470A CN 200610155047 A CN200610155047 A CN 200610155047A CN 100548256 C CN100548256 C CN 100548256C
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- 238000012549 training Methods 0.000 title claims abstract description 52
- 206010033892 Paraplegia Diseases 0.000 title claims abstract description 24
- 210000003141 lower extremity Anatomy 0.000 claims abstract description 13
- 238000013016 damping Methods 0.000 claims abstract description 9
- 210000000689 upper leg Anatomy 0.000 claims description 18
- 244000309466 calf Species 0.000 claims description 13
- 210000001624 hip Anatomy 0.000 claims description 12
- 210000002414 leg Anatomy 0.000 claims description 6
- 230000001360 synchronised effect Effects 0.000 claims description 6
- 210000004394 hip joint Anatomy 0.000 claims description 3
- 210000000629 knee joint Anatomy 0.000 claims description 3
- 239000000725 suspension Substances 0.000 claims 1
- 230000005021 gait Effects 0.000 abstract description 8
- 230000006870 function Effects 0.000 abstract description 6
- 230000001769 paralizing effect Effects 0.000 abstract 1
- 238000011084 recovery Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 2
- 206010000372 Accident at work Diseases 0.000 description 1
- 206010039203 Road traffic accident Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000007659 motor function Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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Abstract
Description
技术领域 technical field
本发明涉及一种轮椅式截瘫患者行走训练机器人,属于康复医疗器械领域。适用截瘫患者的不同康复阶段下肢康复训练以及实现行走的功能。The invention relates to a wheelchair-type walking training robot for paraplegic patients, which belongs to the field of rehabilitation medical equipment. It is suitable for lower limb rehabilitation training and walking function of paraplegic patients in different rehabilitation stages.
背景技术 Background technique
随着现代社会中的交通、工伤事故的增加,自然灾害的突发以及社会的老龄化,截瘫病人已逐步成为现代社会的一种常见群体,这类患者除了药物治疗或者手术治疗外,科学的康复训练对于患肢运动功能改善非常重要。现有的轮椅主要由大轮子、小轮子、推手架、靠背、坐垫和扶手组成,这种轮椅只有代步功能。对于截瘫病人目前通常由医生、PT师、OT师手把手牵拉特定肌群,应用起立床逐渐进行站立训练。这种被动式的康复训练,工作强度大,且无法满足更多病人的需求。训练效果与医疗师的技术熟练程度密切相关,很难准确到位地针对不同病人保持康复训练动作的一致性。另外目前大多数通用的截瘫病人行走支具只能辅助病人作一些简单的行走训练,而无法根据病人不同阶段的情况,实施有针对性的康复训练。缺少一种能够把康复训练以及日常助行结合起来的康复训练助行器。With the increase of traffic and industrial accidents in modern society, the sudden occurrence of natural disasters and the aging of society, paraplegic patients have gradually become a common group in modern society. In addition to drug treatment or surgical treatment, scientific Rehabilitation training is very important for improving the motor function of the affected limb. Existing wheelchair mainly is made up of big wheel, little wheel, push handle frame, backrest, cushion and armrest, and this wheelchair has only walking-replacing function. For paraplegic patients, doctors, PTs, and OTs usually pull specific muscle groups hand in hand, and use the standing bed to gradually carry out standing training. This kind of passive rehabilitation training has high work intensity and cannot meet the needs of more patients. The training effect is closely related to the medical practitioner's technical proficiency, and it is difficult to accurately maintain the consistency of rehabilitation training actions for different patients. In addition, most general walking braces for paraplegic patients can only assist the patient to do some simple walking training, but cannot carry out targeted rehabilitation training according to the situation of the patient in different stages. There is a lack of a walking aid for rehabilitation training that can combine rehabilitation training and daily walking aids.
发明内容 Contents of the invention
本发明的目的是提供一种轮椅式截瘫患者行走训练机器人。The purpose of the present invention is to provide a walking training robot for wheelchair-type paraplegics.
本发明的轮椅式截瘫行走训练机器人包括具有大轮子、小轮子、推手架、靠背、坐垫和扶手的轮椅系统、其特征是还包括下肢外骨骼系统、阻尼支撑系统和控制器;The wheelchair-type paraplegic walking training robot of the present invention comprises a wheelchair system with large wheels, small wheels, a push handle frame, a backrest, a cushion and an armrest, and is characterized in that it also includes a lower extremity exoskeleton system, a damping support system and a controller;
下肢外骨骼系统:包括髋部杆、大腿杆和小腿杆,髋部杆的末端与轮椅系统的靠背固联,髋部杆的另一端与大腿杆铰接构成髋关节,大腿杆与小腿杆铰接构成膝关节,小腿杆的末端固定有踏脚板,第一滚珠丝杠的两端分别与髋部杆的末端及大腿杆的上端铰接,第一电机的转轴通过同步带轮与第一滚珠丝杠的螺母相连,第二滚珠丝杠的两端分别与大腿杆及小腿杆的上端铰接,第二电机的转轴通过同步带轮与第二滚珠丝杠的螺母相连,在大腿杆上固定有第一腿部支撑,小腿杆上固定有第二腿部支撑;Lower extremity exoskeleton system: including hip rod, thigh rod and calf rod, the end of the hip rod is fixedly connected with the backrest of the wheelchair system, the other end of the hip rod is hinged with the thigh rod to form the hip joint, and the thigh rod and the calf rod are hinged to form The knee joint and the end of the calf rod are fixed with a foot plate, and the two ends of the first ball screw are respectively hinged with the end of the hip rod and the upper end of the thigh rod, and the rotating shaft of the first motor passes through the synchronous belt pulley and the first ball screw. The two ends of the second ball screw are respectively hinged with the upper ends of the thigh rod and the lower leg rod. The rotating shaft of the second motor is connected with the nut of the second ball screw through a synchronous pulley, and the first leg is fixed on the thigh rod. The lower leg support is fixed on the calf bar with a second leg support;
阻尼支撑系统:包括平行四边形连接杆、阻尼器和直线驱动器,平行四边形连接杆的一条竖直边与座椅靠背固定,另一条竖直边与竖直支架固定,支架的下端安装轮子,阻尼器的一端与平行四边形连接杆的上连杆铰接,阻尼器的另一端与支架铰接,直线驱动器的一端与轮椅系统的坐垫铰接,另一端与底架铰接,底架与支架固联成一体;Damping support system: including a parallelogram connecting rod, a damper and a linear drive, one vertical side of the parallelogram connecting rod is fixed to the seat back, the other vertical side is fixed to a vertical bracket, and the lower end of the bracket is equipped with wheels and a damper One end of the linear drive is hinged to the upper link of the parallelogram connecting rod, the other end of the damper is hinged to the bracket, one end of the linear drive is hinged to the seat cushion of the wheelchair system, and the other end is hinged to the bottom frame, and the bottom frame and the bracket are fixedly connected into one;
控制器安装在轮椅的扶手上;The controller is installed on the armrest of the wheelchair;
为了确保患者在站立步行训练时保持身体的平衡,通常可在轮椅的靠背固定吊绳架。In order to ensure that the patient maintains the balance of the body during standing and walking training, a sling frame is usually fixed on the backrest of the wheelchair.
本发明的轮椅式截瘫患者行走训练机器人,通过调节座椅坐垫下面的直线驱动器,可以在“坐、立”两个训练状态之间切换。The wheelchair-type paraplegic walking training robot of the present invention can be switched between two training states of "sitting and standing" by adjusting the linear driver under the seat cushion.
本发明的有益效果在于:The beneficial effects of the present invention are:
本发明的轮椅式截瘫患者行走训练机器人以柔性下肢外骨骼系统作为病人康复训练的行走支具,根据病人的情况,通过调整对外骨骼系统上各个关节电机的控制,可实现主动步态、被动力控制步态、被动阻尼可调步态以及平衡训练等训练功能,达到帮助截瘫患者行走的目的。由于轮椅式截瘫患者行走训练机器人有坐姿训练和步行训练两种训练方式,因此可以帮助处于不同康复阶段的截瘫患者进行康复训练以及实现行走的功能。The walking training robot for wheelchair-type paraplegic patients of the present invention uses the flexible lower limb exoskeleton system as the walking support for the patient's rehabilitation training. According to the patient's condition, by adjusting the control of each joint motor on the exoskeleton system, active gait and passive force can be realized. Training functions such as gait control, passive damping adjustable gait, and balance training achieve the purpose of helping paraplegic patients walk. Since the wheelchair-type paraplegic patient walking training robot has two training methods, sitting posture training and walking training, it can help paraplegic patients in different rehabilitation stages carry out rehabilitation training and realize the function of walking.
附图说明 Description of drawings
图1是轮椅式截瘫患者行走训练机器人结构示意图,(图示为用于坐姿训练状态);Fig. 1 is a schematic structural representation of a wheelchair-type paraplegic patient's walking training robot, (shown as being used for sitting posture training state);
图2是下肢外骨骼系统的结构示意图;Fig. 2 is a schematic diagram of the structure of the lower extremity exoskeleton system;
图3是平行四边形机构图;Fig. 3 is a parallelogram mechanism diagram;
图4是轮椅式截瘫患者行走训练机器人为用于站姿训练状态示意图;Fig. 4 is a schematic diagram of a wheelchair-type paraplegic patient's walking training robot for standing posture training;
图5是轮椅式截瘫患者行走训练机器人配上跑步机的训练示意图。Fig. 5 is a training schematic diagram of a wheelchair-type paraplegic walking training robot equipped with a treadmill.
具体实施方式 Detailed ways
以下结合附图说明本发明。The present invention is illustrated below in conjunction with accompanying drawing.
参见图1,图2,图3,轮椅式截瘫行走训练机器人包括具有大轮子10、小轮子13、推手架5、靠背7、坐垫11和扶手8的轮椅系统、下肢外骨骼系统、阻尼支撑系统和控制器。Referring to Fig. 1, Fig. 2, Fig. 3, the wheelchair-type paraplegic walking training robot includes a wheelchair system with a
下肢外骨骼系统:包括髋部杆15、大腿杆20和小腿杆23,髋部杆的末端与轮椅系统的靠背7固联,髋部杆15的另一端与大腿杆20铰接构成髋关节,大腿杆20与小腿杆23铰接构成膝关节,小腿杆的末端固定有踏脚板24,第一滚珠丝杠19的两端分别与髋部杆15的末端及大腿杆的上端铰接,第一电机16的转轴通过同步带轮与第一滚珠丝杠19的螺母相连,第二滚珠丝杠22的两端分别与大腿杆20及小腿杆的上端铰接,第二电机21的转轴通过同步带轮与第二滚珠丝杠22的螺母相连,在大腿杆上固定有第一腿部支撑17,小腿杆上固定有第二腿部支撑18。Lower extremity exoskeleton system: including
阻尼支撑系统:包括平行四边形连接杆1、阻尼器2和直线驱动器14,平行四边形连接杆1的一条竖直边与座椅靠背7固定,另一条竖直边与竖直支架3固定,支架3的下端安装轮子4,阻尼器2的一端与平行四边形连接杆1的上连杆铰接,阻尼器的另一端与支架3铰接,直线驱动器14的一端与轮椅系统的坐垫11铰接,另一端与底架12铰接,底架12与支架3固联成一体。Damping support system: including a
控制器9安装在轮椅的扶手上。
图示实例中,在轮椅的靠背7上固定有吊绳架6。In the illustrated example, a
在平常时,此轮椅系统像一般轮椅一样,患者可以坐在轮椅上行动自如。在截瘫患者初期训练阶段,可以采用坐姿进行训练,患者坐在轮椅上由下肢外骨骼系统带动患者小腿进行摆动。随着康复训练的深入,患者如果想进行站立姿势的步态训练,他可以通过扶手上的控制器9来控制固定于坐垫架下面的直线驱动器,来使轮椅处于直立状态(参见图4),于是患者就可以进行站立状态下的步行训练。吊绳架用于悬吊患者,确保患者在站立步行训练时保持身体的平衡。由于在站立步行训练时,患者身体会随着步态的交替而上下波动,阻尼器可以起到缓冲的作用,同时也可以起到部分支撑身体的作用。In normal times, this wheelchair system is like a general wheelchair, and the patient can move freely while sitting in the wheelchair. In the initial training stage of paraplegic patients, training can be carried out in a sitting position. The patient sits in a wheelchair and the lower limb exoskeleton system drives the patient's calf to swing. Along with the deepening of rehabilitation training, if the patient wants to carry out the gait training of standing posture, he can control the linear driver fixed under the cushion frame by the
推手架5用于在轮椅状态时,其它人推轮椅前行。站立状态步行时,机器人相当于助行器,帮助截瘫病人,残疾人在地面上步行移动。实现训练器和助行器的结合。Pushing
控制器9安装在轮椅的扶手上,可以方便地控制电机速度,电机力矩大小以及训练姿态的切换。
当患者在家中进行康复训练时,为适应家中狭小的空间也可如图5所示,将跑步机25放在轮椅式截瘫行走训练机器人下面。When the patient carries out rehabilitation training at home, also can as shown in Figure 5,
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