CN103315876B - Pelvis mechanism for gait rehabilitation training - Google Patents

Pelvis mechanism for gait rehabilitation training Download PDF

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CN103315876B
CN103315876B CN201310237158.6A CN201310237158A CN103315876B CN 103315876 B CN103315876 B CN 103315876B CN 201310237158 A CN201310237158 A CN 201310237158A CN 103315876 B CN103315876 B CN 103315876B
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pelvis
connecting box
patient
swing component
bearing
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CN103315876A (en
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郭帅
谢春生
程泓井
马光伟
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University of Shanghai for Science and Technology
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Abstract

本发明公开的一种可用于步态康复训练的骨盆机构。该机构由基座、摇杆、连接盒、盖板、摆动件、延伸轴、支撑板和支撑臂等几部分组成;基座可沿机器人的立柱上下移动,实现骨盆处的上下移动自由度;连接盒通过摇杆可绕基座左右摇动,以实现患者骨盆处的左右移动自由度;摆动件通过两个关节球轴承可绕连接盒转动以满足骨盆的扭转、侧倾和俯仰运动。本发明可有效减少对患者的束缚,使患者能够自由运动骨盆,提高训练过程的舒适度,在训练下肢行走功能的同时训练平衡能力,达到更好的训练效果。

The invention discloses a pelvic mechanism that can be used for gait rehabilitation training. The mechanism consists of a base, a rocker, a connection box, a cover plate, a swing piece, an extension shaft, a support plate, and a support arm; the base can move up and down along the upright of the robot to realize the freedom of moving up and down at the pelvis; The connection box can swing left and right around the base through the rocker to realize the left and right movement freedom of the patient's pelvis; the swing member can rotate around the connection box through two joint ball bearings to meet the torsion, roll and pitch movements of the pelvis. The invention can effectively reduce the restraint of the patient, enable the patient to freely move the pelvis, improve the comfort of the training process, train the balance ability while training the walking function of the lower limbs, and achieve better training effect.

Description

一种用于步态康复训练的骨盆机构A pelvic mechanism for gait rehabilitation training

技术领域 technical field

本发明涉及康复医疗器械领域,特别是涉及一种可用于步态康复训练的骨盆机构。 The invention relates to the field of rehabilitation medical equipment, in particular to a pelvic mechanism which can be used for gait rehabilitation training.

背景技术 Background technique

近年来,人口老龄化加剧,各种不健康的生活方式以及交通事故、工伤等不断增加,由中风、脊柱损伤或意外事故等造成的行走功能障碍的患者已成为现代社会的常见群体。对这类患者除了采用药物和手术治疗外,主要依靠的是物理治疗,即进行康复训练。 In recent years, the aging of the population has intensified, various unhealthy lifestyles, traffic accidents, and work-related injuries have continued to increase. Patients with walking dysfunction caused by stroke, spinal injury, or accidents have become a common group in modern society. In addition to the use of drugs and surgery for such patients, they mainly rely on physical therapy, that is, rehabilitation training.

人体的骨盆上与腰椎相连,下与股骨构成髋关节,是脊柱与下肢之间的桥梁,身体的重量通过骨盆传递到下肢,下肢的震动也通过骨盆上传至脊柱,因此,它既作为脊柱的一环而运动,又以髋关节为轴作相对于下肢运动。正常人体的骨盆部位有六个自由度,分别为髋关节处的扭转、俯仰和侧倾三个转动自由度以及行走过程中骨盆的左右、前后和上下三个方向的移动自由度。研究表明,骨盆在人体进行行走、穿衣、洗澡、运动等各种日常活动中起着重要的平衡作用,当骨盆产生非正常运动轨迹时,将直接影响到步态的运动特征。根据神经易化技术原理,强化骨盆控制能力可促进下肢的运动功能,骨盆的训练能够改善身体两侧的平衡能力,加快偏瘫患者的康复效率。现有下肢康复机器人多数没有骨盆机构,患者在训练过程中受到很大的束缚,不能自由的活动自己的身体,忽略了平衡训练对偏瘫患者康复的重要性,影响了康复进程。 The pelvis of the human body is connected with the lumbar spine, and the hip joint is formed with the femur at the bottom. It is a bridge between the spine and the lower limbs. One ring moves, and the hip joint is used as the axis to move relative to the lower limbs. The pelvis of a normal human body has six degrees of freedom, which are the three rotational degrees of freedom of torsion, pitch and roll at the hip joint, and the three degrees of freedom of movement of the pelvis in the left, right, front and rear, and up and down directions during walking. Studies have shown that the pelvis plays an important role in balancing the human body in various daily activities such as walking, dressing, bathing, and exercising. When the pelvis produces abnormal motion trajectories, it will directly affect the movement characteristics of the gait. According to the principle of neural facilitation technology, strengthening the pelvic control ability can promote the motor function of the lower limbs, and pelvic training can improve the balance ability on both sides of the body and speed up the recovery efficiency of hemiplegic patients. Most of the existing lower limb rehabilitation robots do not have a pelvic mechanism. Patients are greatly restrained during the training process and cannot move their bodies freely. The importance of balance training for the rehabilitation of hemiplegic patients is ignored, which affects the rehabilitation process.

发明内容 Contents of the invention

本发明的目的在于解决上述现有技术存在的不足,提供一种用于步态康复训练的骨盆机构,可减少对患者的束缚,使患者能够自由运动骨盆,满足骨盆的上下、左右、扭转、侧倾和俯仰等五个自由度,提高训练过程的舒适度,在训练下肢行走功能的同时训练平衡能力,达到更好的训练效果。 The purpose of the present invention is to solve the shortcomings of the above-mentioned prior art, and provide a pelvic mechanism for gait rehabilitation training, which can reduce the restraint of the patient, enable the patient to move the pelvis freely, and satisfy the up and down, left and right, twisting, Five degrees of freedom, including roll and pitch, improve the comfort of the training process, train the balance ability while training the walking function of the lower limbs, and achieve better training effects.

为达到上述目的,本发明采用了下述技术方案: In order to achieve the above object, the present invention adopts following technical scheme:

一种用于步态康复训练的骨盆机构,包括一个基座、两个摇杆、一个连接盒、一块盖板、一个摆动件、四根延伸轴、两块支撑板和两个支撑臂;其特征在于:所述摇杆与所述连接盒和所述基座铰连,所述盖板盖在连接盒上,所述摆动件位于连接盒下部的下方并与连接盒活动连接,摆动件的两侧各有二根可调位的延伸轴、该延伸轴通过一块支撑板和一个支撑臂固定连接;基座与机器人连接,可沿机器人的立柱上下移动,实现骨盆处的上下移动自由度;连接盒通过摇杆可绕基座左右摇动,以实现患者骨盆处的左右移动自由度;摆动件可绕连接盒转动以满足骨盆的扭转、侧倾和俯仰运动。 A pelvic mechanism for gait rehabilitation training, comprising a base, two rockers, a connection box, a cover plate, a swing piece, four extension shafts, two support plates and two support arms; It is characterized in that: the rocker is hinged with the connection box and the base, the cover plate is covered on the connection box, the swing member is located under the lower part of the connection box and is movably connected with the connection box, the swing member There are two adjustable extension shafts on each side, and the extension shafts are fixedly connected through a support plate and a support arm; the base is connected to the robot, and can move up and down along the upright of the robot to realize the freedom of moving up and down at the pelvis; The connection box can swing left and right around the base through the rocker to realize the left and right movement freedom of the patient's pelvis; the swing member can rotate around the connection box to meet the torsion, roll and pitch movements of the pelvis.

所述摇杆与所述连接盒和所述基座铰连的结构是:所述摇杆的两端上下各有一个孔,每个孔内依次装有两个深沟球轴承和一个推力球轴承,深沟球轴承将与基座和连接盒上固定的转轴转动配合,减少摩擦,推力球轴承用于承受垂直方向的力。 The hinged structure of the rocker, the connection box and the base is: there is a hole at the top and bottom of the two ends of the rocker, and two deep groove ball bearings and a thrust ball are sequentially installed in each hole. Bearings, deep groove ball bearings will rotate with the fixed shaft on the base and connection box to reduce friction, and thrust ball bearings are used to bear the force in the vertical direction.

所述摆动件与连接盒活动连接的结构是:所述摆动件通过两个关节轴承与连接盒相连,关节轴承的上端通过一个关节轴承座和一个关节轴承套与连接盒固定于一起,下端通过一个锁紧螺栓与摆动件相连,关节轴承可绕中心四面转动,实现骨盆的扭转、侧倾和俯仰运动,采用两个纵向并排布置的关节轴承,可增加机构的承载能力并限制扭转和俯仰运动的范围不会太大,以免对患者造成伤害;摆动件与连接盒之间有间隙,通过调整间隙的大小可以调节侧倾运动的范围。 The structure of the movable connection between the oscillating member and the connection box is: the oscillating member is connected with the connection box through two joint bearings, the upper end of the joint bearing is fixed with the connection box through a joint bearing seat and a joint bearing sleeve, and the lower end is A locking bolt is connected with the swing member, and the joint bearing can rotate around the center in four directions to realize the torsion, roll and pitch movement of the pelvis. Two joint bearings arranged longitudinally side by side can increase the load-bearing capacity of the mechanism and limit the torsion and pitch movement The range will not be too large, so as not to cause injury to the patient; there is a gap between the swinging member and the connection box, and the range of rolling motion can be adjusted by adjusting the size of the gap.

所述延伸轴插在摆动件两侧的孔内,延伸轴通过螺栓与支撑板固定,支撑臂通过螺栓固定在支撑板上并夹持在患者骨盆两侧;延伸轴可向外拉伸,调节与之相连的两个支撑臂之间的距离,以适应不同患者的体型,调整距离后由螺栓将延伸轴固定防止滑动。 The extension shaft is inserted into the holes on both sides of the swing member, the extension shaft is fixed to the support plate by bolts, the support arm is fixed on the support plate by bolts and clamped on both sides of the patient’s pelvis; the extension shaft can be stretched outwards, adjusted The distance between the two supporting arms connected to it is adapted to the body shapes of different patients. After the distance is adjusted, the extension shaft is fixed by bolts to prevent sliding.

本发明和现有技术相比较,具有如下显而易见的突出实质性特点和显著的技术进步: Compared with the prior art, the present invention has the following obvious outstanding substantive features and significant technological progress:

本发明结构简单,使用方便。使用时,将支撑臂夹持于患者骨盆两侧,在患者进行步态康复训练的过程中骨盆机构能够保证患者骨盆上下、左右、扭转、侧倾和俯仰等五个自由度,使患者骨盆部位不受束缚,能够自由运动,在训练腿部行走功能的同时训练患者的平衡功能。而目前现有的下肢康复机器人多数没有骨盆机构,训练过程对患者的束缚较大,患者不能自由活动自己的身体,平衡功能得不到训练,影响康复效率。 The invention has simple structure and convenient use. When in use, the support arm is clamped on both sides of the patient's pelvis. During the patient's gait rehabilitation training, the pelvic mechanism can ensure the five degrees of freedom of the patient's pelvis, including up and down, left and right, twist, roll and pitch, so that the patient's pelvis Unrestrained, able to move freely, train the patient's balance function while training the walking function of the legs. At present, most of the existing lower limb rehabilitation robots do not have a pelvic mechanism, and the training process has a great constraint on the patient. The patient cannot move his body freely, and the balance function cannot be trained, which affects the rehabilitation efficiency.

附图说明 Description of drawings

图1是用于步态康复训练的骨盆机构的示意图。 Figure 1 is a schematic diagram of the pelvic mechanism used for gait rehabilitation training.

图2是骨盆机构A-A向剖视图。 Fig. 2 is an A-A sectional view of the pelvic mechanism.

图3是摇杆剖视图。 Fig. 3 is a sectional view of the rocker.

具体实施方式 Detailed ways

以下结合附图和优选实施例详细说明本发明的典型实施例。 Typical embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings and preferred embodiments.

实施例一:  Embodiment one:

参见附图1,一种用于步态康复训练的骨盆机构,包括一个基座(1)、两个摇杆(2)、一个连接盒(3)、一块盖板(4)、一个摆动件(5)、四根延伸轴(6)、两块支撑板(7)和两个支撑臂(8);其特征在于:所述摇杆(2)与所述连接盒(3)和所述基座(1)铰连,所述盖板(4)盖在连接盒(3)上,所述摆动件(5)位于连接盒(3)下部的下方并与连接盒(3)活动连接,摆动件(5)的两侧各有二根可调位的延伸轴(6)、该延伸轴(6)通过一块支撑板(7)和一个支撑臂(8)固定连接;基座(1)与机器人连接,可沿机器人的立柱上下移动,实现骨盆处的上下移动自由度;连接盒(3)通过摇杆(2)可绕基座(1)左右摇动,以实现患者骨盆处的左右移动自由度;摆动件(5)可绕连接盒(3)转动以满足骨盆的扭转、侧倾和俯仰运动。 Referring to accompanying drawing 1, a pelvic mechanism for gait rehabilitation training includes a base (1), two rockers (2), a connection box (3), a cover plate (4), and a swinging member (5), four extension shafts (6), two support plates (7) and two support arms (8); it is characterized in that: the rocker (2) and the connection box (3) and the The base (1) is hinged, the cover plate (4) is covered on the connection box (3), the swing member (5) is located under the lower part of the connection box (3) and is movably connected with the connection box (3), There are two adjustable extension shafts (6) on both sides of the swing member (5), and the extension shafts (6) are fixedly connected by a support plate (7) and a support arm (8); the base (1) Connected with the robot, it can move up and down along the upright of the robot to realize the freedom of moving the pelvis up and down; the connection box (3) can swing left and right around the base (1) through the rocker (2) to realize the left and right movement of the patient's pelvis Degree of freedom; the pendulum (5) can rotate around the connection box (3) to satisfy the torsion, roll and pitch movements of the pelvis.

实施例二: Embodiment two:

参见附图2和附图3,本实施例与实施例一基本相同,特别之处在于所述摇杆(2)与所述连接盒(3)和所述基座(1)铰连的结构是:所述摇杆(2)的两端上下各有一个孔,每个孔内依次装有两个深沟球轴承(9)和一个推力球轴承(10),深沟球轴承(9)将与基座(1)和连接盒(3)上固定的转轴转动配合,减少摩擦,推力球轴承(10)用于承受垂直方向的力。 Referring to Figure 2 and Figure 3, this embodiment is basically the same as Embodiment 1, the special feature lies in the hinged structure of the rocker (2) with the connection box (3) and the base (1) Yes: there is a hole at both ends of the rocker (2), and each hole is sequentially equipped with two deep groove ball bearings (9) and a thrust ball bearing (10), and the deep groove ball bearing (9) It will rotate with the fixed rotating shaft on the base (1) and the connection box (3) to reduce friction, and the thrust ball bearing (10) is used to bear the force in the vertical direction.

所述摆动件(5)与连接盒(3)活动连接的结构是:所述摆动件(5)通过两个关节轴承(11)与连接盒(3)相连,关节轴承(11)的上端通过一个关节轴承座(12)和一个关节轴承套(13)与连接盒(3)固定于一起,下端通过一个锁紧螺栓(14)与摆动件(5)相连,关节轴承(11)可绕中心四面转动,实现骨盆的扭转、侧倾和俯仰运动,采用两个纵向并排布置的关节轴承(11),可增加机构的承载能力并限制扭转和俯仰运动的范围不会太大,以免对患者造成伤害;摆动件(5)与连接盒(3)之间有间隙,通过调整间隙的大小可以调节侧倾运动的范围。 The swinging member (5) is movably connected with the connection box (3) as follows: the swinging member (5) is connected to the connection box (3) through two joint bearings (11), and the upper end of the joint bearing (11) passes through A joint bearing seat (12) and a joint bearing sleeve (13) are fixed together with the connection box (3), and the lower end is connected with the swing member (5) through a locking bolt (14), and the joint bearing (11) can rotate around the center Turn around to realize the torsion, roll and pitch movement of the pelvis. Two joint bearings (11) arranged longitudinally side by side can increase the load-bearing capacity of the mechanism and limit the range of torsional and pitch movements from being too large, so as not to cause harm to the patient. Injury; there is a gap between the swinging member (5) and the connection box (3), and the range of rolling motion can be adjusted by adjusting the size of the gap.

所述延伸轴(6)插在摆动件(5)两侧的孔内,延伸轴(6)通过螺栓与支撑板(7)固定,支撑臂(8)通过螺栓固定在支撑板(7)上并夹持在患者骨盆两侧;延伸轴(6)可向外拉伸,调节与之相连的两个支撑臂(8)之间的距离,以适应不同患者的体型,调整距离后由螺栓将延伸轴(6)固定防止滑动。 The extension shaft (6) is inserted into the holes on both sides of the swing member (5), the extension shaft (6) is fixed to the support plate (7) by bolts, and the support arm (8) is fixed to the support plate (7) by bolts And clamped on both sides of the patient's pelvis; the extension shaft (6) can be stretched outward, and the distance between the two supporting arms (8) connected to it can be adjusted to suit the body shape of different patients. After the distance is adjusted, the bolt will The extension shaft (6) is fixed to prevent sliding.

实施例三: Embodiment three:

本实施例与实施例一、实施例二基本相同,特别之处在于:训练时,治疗师辅助患者将固定于支撑臂(8)末端的安全带穿戴于臀部,支撑臂(8)夹持于患者骨盆两侧,患者根据康复需要进行平地、台阶、坡道、障碍等各种不同的步行模式训练,在训练过程中,患者可自由活动自己的身体,骨盆处需要进行上下和左右移动以及扭转、侧倾和俯仰三个转动,本发明的结构设计能够保证患者骨盆的各个运动自由度不受限制,患者在训练腿部行走功能的同时进行了平衡能力的训练,并保证患者的安全,加速康复进程。 This embodiment is basically the same as Embodiment 1 and Embodiment 2. The special feature is that during training, the therapist assists the patient to wear the safety belt fixed at the end of the support arm (8) on the hip, and the support arm (8) is clamped on the On both sides of the patient's pelvis, the patient performs various walking patterns such as flat ground, steps, ramps, and obstacles according to the rehabilitation needs. During the training process, the patient can move his body freely, and the pelvis needs to move up and down, left and right, and twist , roll and pitch three rotations, the structural design of the present invention can ensure that the degrees of freedom of movement of the patient's pelvis are not restricted, and the patient can train the balance ability while training the walking function of the legs, and ensure the safety of the patient. recovery process.

实施例四: Embodiment four:

本实施例与实施例一、实施例二、实施例三基本相同,特别之处在于:可在连接盒(3)内装入控制系统,通过控制系统控制各个自由度的运动范围、角度以及强度等运动参数,辅助患者进行康复训练,根据患者不同的训练时期调整运动参数,使患者进行主动、助动、被动等不同强度的训练模式;通过传感器测量患者运动强度、范围等相关参数,实时了解患者的康复状况,治疗师可根据传感器测得的数据灵活的改变训练方案,更加有助于患者的康复。 This embodiment is basically the same as Embodiment 1, Embodiment 2, and Embodiment 3. The special feature is that a control system can be installed in the connection box (3), and the range of motion, angle and strength of each degree of freedom can be controlled by the control system. Exercise parameters, assist patients in rehabilitation training, adjust exercise parameters according to different training periods of patients, so that patients can perform active, assisted, passive and other training modes of different intensities; measure the patient's exercise intensity, range and other related parameters through sensors to understand patients in real time According to the rehabilitation status of the patient, the therapist can flexibly change the training program according to the data measured by the sensor, which is more conducive to the rehabilitation of the patient.

由于本发明对患者的束缚较小,患者的骨盆能够进行上下、左右、扭转、侧倾和俯仰等运动,保持患者最大的舒适度,在训练下肢行走功能的同时训练平衡能力,加速康复的进程。 Because the invention has less restraint on the patient, the patient's pelvis can perform movements such as up and down, left and right, twisting, rolling and pitching, so as to maintain the patient's maximum comfort, train the balance ability while training the walking function of the lower limbs, and accelerate the process of rehabilitation .

以上所述仅为本发明的优选实施例,并非因此限制本发明的专利范围,凡是利用本发明说明书及附图内容所作的等效结构变换,或直接或间接运用在其他相关技术领域,均同理包括在本发明的专利保护范围内。  The above is only a preferred embodiment of the present invention, and does not limit the patent scope of the present invention. All equivalent structural transformations made by using the description of the present invention and the contents of the accompanying drawings, or directly or indirectly used in other related technical fields, are all the same. The theory is included in the patent protection scope of the present invention. the

Claims (4)

1., for a pelvis mechanism for gait rehabilitation training, comprise a pedestal (1), two rocking bars (2), a connecting box (3), one piece of cover plate (4), a swing component (5), four outrigger shafts (6), two pieces of gripper shoes (7) and two support arms (8); It is characterized in that: described rocking bar (2) is hinged with described connecting box (3) and described pedestal (1), described cover plate (4) covers on connecting box (3), described swing component (5) is positioned at the below of connecting box (3) bottom and is flexibly connected with connecting box (3), and the both sides of swing component (5) respectively have the outrigger shaft of two position-adjustables (6), this outrigger shaft (6) to be fixedly connected with a support arm (8) by one piece of gripper shoe (7); Pedestal (1) is connected with robot, and can move up and down along the column of robot, what realize pelvis place moves up and down the free degree; Connecting box (3) can be rocked from side to side around pedestal (1) by rocking bar (2), moves left and right the free degree with what realize patient's pelvis place; Swing component (5) can rotate around connecting box (3) with the torsion meeting pelvis, inclination and elevating movement.
2. the pelvis mechanism for gait rehabilitation training according to claim 1, it is characterized in that the structure that described rocking bar (2) and described connecting box (3) and described pedestal (1) are hinged is: the two ends of described rocking bar (2) respectively have a hole up and down, two deep groove ball bearings (9) and a thrust ball bearing (10) are housed in each hole successively, deep groove ball bearing (9) coordinates with pedestal (1) and the upper fixing axis of rotation of connecting box (3), reduce friction, thrust ball bearing (10) is for bearing the power of vertical direction.
3. the pelvis mechanism for gait rehabilitation training according to claim 1, it is characterized in that the structure that described swing component (5) and connecting box (3) are flexibly connected is: described swing component (5) is connected with connecting box (3) by two oscillating bearings (11), together with the upper end of oscillating bearing (11) is fixed on connecting box (3) by a joint bearing block (12) and a joint shaft bearing sleeve (13), lower end is connected with swing component (5) by a clamping screw (14), oscillating bearing (11) can rotate around four sides, center, realize the torsion of pelvis, roll and elevating movement, adopt the oscillating bearing (11) that two longitudinal directions are arranged side by side, the bearing capacity of mechanism can be increased and the scope of restriction torsion and elevating movement, in order to avoid damage patient, there is gap between swing component (5) and connecting box (3), the scope of roll motion can be regulated by the size of adjusting play.
4. the pelvis mechanism for gait rehabilitation training according to claim 1, it is characterized in that: described outrigger shaft (6) is inserted in the hole of swing component (5) both sides, outrigger shaft (6) is fixed by bolt and gripper shoe (7), and support arm (8) is bolted on gripper shoe (7) and goes up and be clamped in patient's pelvic on both sides; Outrigger shaft (6) can stretch out, the distance between two support arms (8) that adjustment is attached thereto, and to adapt to the build of different patient, by bolt, outrigger shaft (6) is fixed anti-sliding stop after adjustment distance.
CN201310237158.6A 2013-06-17 2013-06-17 Pelvis mechanism for gait rehabilitation training Expired - Fee Related CN103315876B (en)

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