CN103417360A - Exoskeleton type biofeedback hand function training device - Google Patents
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Abstract
Description
技术领域 technical field
本发明涉及一种用于恢复手功能障碍患者部分或者全部手功能的外骨骼式生物反馈手功能训练器。 The invention relates to an exoskeleton biofeedback hand function trainer for recovering part or all hand functions of patients with hand dysfunction. the
背景技术 Background technique
我国现有脑卒中患者约900万人,每年新发病在150万人以上,大约75%脑卒中患者在发病后会留下不同程度的后遗症,在众多的后遗症中,以偏瘫发生率最高,在偏瘫的康复中,又以手功能的康复最为困难。患者的手在后期往往因肌肉痉挛,形成一个屈曲的半握拳姿势,因此,手功能的康复一直是患者最需要解决的问题,也是脑卒中患者最难解决的问题。手功能康复的主要技巧是掌握好活动的力度,早期被动运动要求轻柔、缓慢,以不引起不能耐受的疼痛为宜,从而达到防止肌腱粘连和关节僵硬,并可促进血液循环,增加关节、肌肉的牵伸效果。 There are currently about 9 million stroke patients in my country, and more than 1.5 million new cases occur each year. About 75% of stroke patients will leave sequelae of varying degrees after onset. Among the many sequelae, the incidence of hemiplegia is the highest. In the rehabilitation of hemiplegia, the recovery of hand function is the most difficult. In the later stage, the patient's hand often forms a flexed half-fist posture due to muscle spasm. Therefore, the rehabilitation of hand function has always been the most important problem for patients, and it is also the most difficult problem for stroke patients. The main skill of hand function rehabilitation is to master the strength of the activity. The early passive movement requires gentleness and slowness, so as not to cause intolerable pain, so as to prevent tendon adhesion and joint stiffness, promote blood circulation, increase joint The stretching effect of the muscles. the
医学理论和实践证明,肢体损伤的患者为了防止肌肉“废用性”萎缩,必须要进行有效的肢体训练以恢复其功能。由于患者手指本身已存在功能障碍,不能独立完成训练;需要由具有一定护理知识和体力的护士或者其他人帮助实施,增加了康复难度和护理费用。为了让患者自主地进行康复训练,制作一种帮助其恢复运动功能的医疗保健器械是必要的。据了解国内医院的康复科大部分都是采用医务人员陪同康复治疗,在浪费大量资源的前提下,患者的康复情况还没有很显 著的效果。 Medical theory and practice have proved that in order to prevent muscle "disuse" atrophy, patients with limb injuries must carry out effective limb training to restore their functions. Due to the dysfunction of the patient's finger itself, the training cannot be completed independently; it needs to be implemented by a nurse or other people with certain nursing knowledge and physical strength, which increases the difficulty of rehabilitation and the cost of nursing. In order to allow patients to carry out rehabilitation training autonomously, it is necessary to make a medical and health care device that helps them recover their motor functions. It is understood that most of the rehabilitation departments of domestic hospitals use medical staff to accompany rehabilitation treatment. Under the premise of wasting a lot of resources, the rehabilitation of patients has not had a significant effect. the
发明内容 Contents of the invention
针对现有技术的诸多缺陷,本发明提供了一种外骨骼式生物反馈手功能训练器。 Aiming at many defects in the prior art, the present invention provides an exoskeleton type biofeedback hand function trainer. the
本发明提供的一种外骨骼式生物反馈手功能训练器,其特征在于,包括:佩戴在患者手上的手背贴合面板;与手背贴合面板连接的五个手指驱动机构;与手背贴合面板连接的电机传动机构,电机传动机构又包括驱动拇指机构的直线电机传动机构和驱动其余四指的微型直流电机传动机构; An exoskeleton type biofeedback hand function training device provided by the present invention is characterized in that it comprises: a hand back fitting panel worn on the patient's hand; a five-finger driving mechanism connected with the back of the hand fitting panel; The motor transmission mechanism connected to the panel, the motor transmission mechanism includes a linear motor transmission mechanism that drives the thumb mechanism and a micro DC motor transmission mechanism that drives the other four fingers;
上述的手背贴合面板是在解剖学意义上与患者手背贴合的面板。 The above-mentioned dorsal-fitting panel is a panel that is anatomically fitted to the back of the patient's hand. the
上述的五个手指驱动机构均是连杆机构,其中驱动拇指的机构是由与拇指近节指骨贴合的组件和连杆机构连接而成;其余四指是由与四指近节指骨和中节指骨贴合的组件和连杆连接而成;五个手指驱动机构模拟了手指在抓握时关节的瞬时转动中心,在机构的关节处的转动中心是模拟真实手指关节的瞬时转动中心。 The above-mentioned five finger driving mechanisms are all link mechanisms, wherein the mechanism for driving the thumb is formed by connecting the components fitted with the proximal phalanx of the thumb and the link mechanism; The knuckle phalanx fit components and connecting rods are connected; the five-finger drive mechanism simulates the instantaneous rotation center of the joints of the fingers when grasping, and the rotation center at the joints of the mechanism is the instantaneous rotation center of the simulated real finger joints. the
上述的直线电机传动机构是由微型直线电机及其固定组件和直线电机与拇指驱动机构的连接杆组成。 The above-mentioned linear motor transmission mechanism is composed of a miniature linear motor and its fixing assembly, and a connecting rod between the linear motor and the thumb drive mechanism. the
上述四指的微型直流电机传动机构是由微型直流电机及其固定组件、锥齿轮传动机构、三级减速机构组成和与四指驱动机构连接的推杆组成。 The above-mentioned four-finger micro-DC motor transmission mechanism is composed of a micro-DC motor and its fixed assembly, a bevel gear transmission mechanism, a three-stage reduction mechanism and a push rod connected with the four-finger drive mechanism. the
发明作用与效果 Invention function and effect
本发明应用连杆机构实现四指的同步运动,通过控制两个电机的运转实现四指和拇指的同步或者异步运动。在其基础上设计微直流电机驱动模块并以病患者的患侧肢的微弱肌电信号比例控制和声音控制混合控制微直流电机,以生物反馈的方式训练功能障碍的手指。本发明实现的是用于手部功能障碍的穿戴式机械手的肌电/语音混合控制的实现,其创新点包括:穿戴式设计方便患者进行基于日常生活辅助的功能训练,提高训练效果;欠驱动多关节联动手指机构,实现轻便结构下的指间关节运动;表面肌电信号触发与动态智能控制实现互动式生物反馈训练;语音控制方式提供被动训练、实现互动式运动想象疗法;健康侧手动触控主动软瘫期、痉挛期双侧手同步训练。 The present invention realizes synchronous movement of four fingers by using a link mechanism, and realizes synchronous or asynchronous movement of four fingers and thumb by controlling the operation of two motors. On the basis of it, a micro-DC motor drive module is designed, and the weak myoelectric signal proportional control and voice control of the patient's affected limb are mixed to control the micro-DC motor, and the dysfunctional fingers are trained in the way of biofeedback. What the present invention realizes is the realization of the myoelectric/voice hybrid control of the wearable manipulator for hand dysfunction. The multi-joint linkage finger mechanism realizes interphalangeal joint movement under a lightweight structure; surface electromyography signal triggering and dynamic intelligent control realize interactive biofeedback training; voice control provides passive training and realizes interactive motor imagery therapy; healthy side manual touch Synchronous training of bilateral hands in active paralysis and spasm phases. the
附图说明 Description of drawings
图1为外骨骼式生物反馈手功能训练器总装图; Fig. 1 is the general assembly diagram of the exoskeleton type biofeedback hand function trainer;
图2为外骨骼式生物反馈手功能训练器总装图补充图; Figure 2 is a supplementary drawing of the general assembly drawing of the exoskeleton biofeedback hand function trainer;
图3为外骨骼式生物反馈手功能训练器食指驱动机构的结构示意图; Fig. 3 is the structural representation of exoskeleton type biofeedback hand function trainer index finger driving mechanism;
图4为外骨骼式生物反馈手功能训练器直流电机外部传动锥齿轮组件的结构示意图; Fig. 4 is the structural schematic diagram of the external drive bevel gear assembly of the DC motor of the exoskeleton type biofeedback hand function trainer;
图5为外骨骼式生物反馈手功能训练器直流电机外部三级减速机构的结构示意图; Fig. 5 is a structural schematic diagram of the external three-stage deceleration mechanism of the DC motor of the exoskeleton type biofeedback hand function trainer;
图6为外骨骼式生物反馈手功能训练器直流电机外部三级减速 机构的外部示意图; Fig. 6 is the external schematic diagram of the external three-stage deceleration mechanism of the DC motor of the exoskeleton type biofeedback hand function trainer;
图7为外骨骼式生物反馈手功能训练器直线电机及拇指驱动机构的结构示意图。 Fig. 7 is a structural schematic diagram of the linear motor and the thumb drive mechanism of the exoskeleton type biofeedback hand function trainer. the
具体实施方式Detailed ways
下面结合附图与实施例对本发明作进一步说明。应理解的是,这些实施例仅用于说明本发明而不用于限制本发明的范围。 The present invention will be further described below in conjunction with the accompanying drawings and embodiments. It should be understood that these examples are only for illustrating the present invention and are not intended to limit the scope of the present invention. the
如图1至图7所示,外骨骼式生物反馈手功能训练器通过肌电信号\语音信号\触控\患者健侧手触控等控制微型直线电机和微型直流电机的运行驱动拇指和四指机构来带动有功能障碍的手运动,在两个电机的带动下,外骨骼式生物反馈手功能训练器可以带动患者功能障 碍手实现抓握功能,可以逐渐恢复患者的部分或全部手功能,能有效的减小脑卒中等患者的手部病症;外骨骼式生物反馈手功能训练器的手背贴合面板01是参考GB中国成年人手型尺寸和小样本抽样统计而设计的,符合正常成年人手一般摆放姿势,这种设计可以使患者的手掌部维持在正常状态,防止畸形化;在佩戴外骨骼式生物反馈手功能训练器时,各手指均有一定的间距,具有一定程度的分指功能。 As shown in Figures 1 to 7, the exoskeleton-type biofeedback hand function trainer controls the operation of the micro linear motor and the micro DC motor to drive the thumb and quadrupeds through myoelectric signals\voice signals\touching\touching of the patient's healthy hand, etc. The finger mechanism drives the dysfunctional hand movement. Driven by two motors, the exoskeleton biofeedback hand function trainer can drive the patient's dysfunctional hand to realize the grasping function, and can gradually restore some or all of the hand function of the patient. , can effectively reduce the hand symptoms of patients with stroke; the back of the hand panel 01 of the exoskeleton biofeedback hand function training device is designed with reference to the hand size and small sample sampling statistics of GB Chinese adults, which is in line with normal adults The general posture of the human hand, this design can keep the palm of the patient in a normal state and prevent deformity; when wearing the exoskeleton type biofeedback hand function trainer, each finger has a certain distance, and has a certain degree of separation. Refers to the function. the
在各手指机构与手指贴合面设有压力传感器,在对患者进行手功能训练的整个过程中进行数据采集,记录患者各手指肌力的变换情况形成直观的曲线图,可以作为医师治疗的参考资料,实时调整得到更佳的训练方案。 There are pressure sensors on each finger mechanism and finger bonding surface, and data collection is carried out during the whole process of hand function training for patients, and the transformation of each finger muscle strength of the patient is recorded to form an intuitive curve, which can be used as a reference for doctors to treat The data can be adjusted in real time to get a better training plan. the
其中与手背贴合面板01连接的四指驱动机构的食指驱动机构、中指驱动机构、无名指驱动机构和小指驱动机构是同一结构原理;下面以食指驱动机构为例说明其连接方式(其装配件的放置方式如图3),两个手指固定件09各由两个螺钉与手背贴合面板01;手指连杆组件10与食指连杆组件12焊接连接;手指连杆组件10与手指固定件09转动连接;食指近节指骨17与手指固定件09转动连接;食指连杆组件12与食指中节指骨21转动连接;食指近节指骨17与食指中节指骨21转动连接;
Among them, the index finger drive mechanism, middle finger drive mechanism, ring finger drive mechanism and little finger drive mechanism of the four-finger drive mechanism connected to the back of the hand panel 01 are based on the same structural principle; The placement method is shown in Figure 3), and the two
其中与手背贴合面板01连接的直流电机传动机构的具体连接方式如下: Among them, the specific connection method of the DC motor transmission mechanism connected to the back of the hand panel 01 is as follows:
下面以机构的装配步骤说明其连接方式,齿轮箱组件03(30)与轴承圈01(50)和轴承圈02(51)在对应的位置过盈配合(如图 5所示),齿轮箱组件01(28)与轴承圈01(50)也在对应的位置过盈配合;齿轮箱组件01(28)与齿轮箱组件02(29)边缘对齐后由3颗螺钉固定连接;传动锥齿轮构件35的齿轴端插入锥齿轮传动固定件26并使锥齿轮的下端面与之贴合;已选定的直流电机装入直流电机外壳0201内并由直流电机外壳端盖0202旋紧固定,直流电机外壳0201与锥齿轮传动固定件26由三颗螺钉固定连接;输出端锥齿轮34的内齿与直流电机02输出齿紧密啮合后由一颗螺钉和垫片将输出端锥齿轮轴向固定;然后将锥齿轮传动固定件封闭盖27用两颗螺钉与锥齿轮传动固定件26固定,此时插入锥齿轮传动固定件26的传动锥齿轮构件35的光轴端恰好顶在锥齿轮传动固定件封闭盖27上的一个沉孔,使传动锥齿轮构件35在能自由转动的前提下限制了其轴向运动;将锥齿轮传动固定件26与齿轮箱组件03(30)的两个装配螺孔对齐由两颗螺钉固定连接;把一级传动齿轮组36、二级传动齿轮组37和三级传动齿轮组38按照图5所示的方式放入对应轴承圈内,然后把一级传动齿轮组36、二级传动齿轮组37和三级传动齿轮组38的另一轴端插入齿轮箱组件01(28)内对应的轴承圈内,再由3颗螺钉把齿轮箱组件02(29)和齿轮箱组件03(30)固定连接;将齿轮向内推杆33插入三级传动齿轮组38的孔中,然后将长短两个管件39、40套在齿轮向内推杆33的两侧,再把两个四指推杆31套在齿轮向内推杆33的两侧并由两个螺母使其轴向固定;这样就完成了直流电机02传动机构的装配;
The following is the assembly steps of the mechanism to illustrate its connection method. The gear box assembly 03 (30) is interference fit with the bearing ring 01 (50) and bearing ring 02 (51) at the corresponding positions (as shown in Figure 5). 01 (28) and the bearing ring 01 (50) are also interference fit at the corresponding position; the gearbox assembly 01 (28) is aligned with the edge of the gearbox assembly 02 (29) and then fixed and connected by 3 screws; the transmission
直流电机02的传动是与输出齿轴固定的输出端锥齿轮34与直流 电机02同步转动,输出端锥齿轮34的转动带动与之啮合的传动锥齿轮构件35转动,传动锥齿轮构件35转动通过齿轮啮合带动一级传动齿轮组36转动,一级传动齿轮组36转动通过齿轮啮合带动二级传动齿轮组37转动,二级传动齿轮组37转动通过齿轮啮合带动三级传动齿轮组38转动;三级传动齿轮组38转动通过齿轮箱内推杆33带动四指推杆31在齿轮箱内推杆33作弧形运动的时候绕其转动;四指推杆31的另一端与四指连接杆32转动连接,四指连接杆32与四个手指的手指连杆组件10固定连接,从而在四指推杆31的推动下,四个手指的手指连杆组件10可以绕其与手指固定件09的转轴转动;
The transmission of the DC motor 02 is that the
由于四个手指的结构是同一原理,下面以食指的运动为例说明其运动机理。由上述食指的连接方式可知,当手指连杆组件10绕其与手指固定件09的转轴转动时,手指固定件09、手指连杆组件10和食指连杆组件12的焊件、食指中节指骨21及食指近节指骨17构成一个四连杆结构,食指驱动机构就能做出模拟食指弯曲的运动。
Since the structure of the four fingers is based on the same principle, the following uses the movement of the index finger as an example to illustrate its movement mechanism. It can be seen from the above-mentioned connection method of the index finger that when the
直线电机03的连接及运动机理如下(如图6所示):直线电机03插入直线电机固定外壳04并由直线电机固定外壳封闭盖05旋紧固定,直线电机03的输出杆与直线电机连接件06螺纹连接;直线电机连接件06与拇指推杆07由一个螺栓转动连接,拇指推杆07的另一端与拇指连接杆08转动连接,拇指连接杆08与拇指驱动机构的手指连杆组件10是固定连接;手指连杆组件10与拇指连杆组件11是焊接连接;手指连杆组件10与手指固定件09是转动连接,拇指近节指骨16与拇指近节指骨连杆25是转动连接,拇指近节指骨连杆25 拇指连杆组件11是转动连接,拇指近节指骨16与手指固定件09是转动连接。
The connection and motion mechanism of the
当直线电机03的输出杆伸出时,推动拇指推杆07向前推出,并带动由手指固定件09、手指连杆组件10与拇指连杆组件11的焊接件、拇指近节指骨16和拇指近节指骨连杆25构成的四连杆运动。
When the output rod of the
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| CN105796283A (en) * | 2016-03-01 | 2016-07-27 | 哈尔滨工程大学 | Exoskeleton hand rehabilitation training device |
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| WO2021012873A1 (en) * | 2019-07-24 | 2021-01-28 | 东南大学 | Exoskeleton finger rehabilitation training device and usage method thereof |
| EP3700489A4 (en) * | 2017-10-24 | 2021-12-08 | Indian Institute of Technology, Delhi | EXOSKELETON DEVICE FOR UPPER LIMB REHABILITATION |
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| CN103750977A (en) * | 2014-01-03 | 2014-04-30 | 哈尔滨工业大学 | Exoskeleton-type hand function rehabilitation robot |
| CN103845183A (en) * | 2014-01-15 | 2014-06-11 | 安阳工学院 | Hand rehabilitation trainer |
| CN103892990A (en) * | 2014-04-21 | 2014-07-02 | 安阳工学院 | Two-joint traction finger rehabilitation trainer |
| CN103892990B (en) * | 2014-04-21 | 2015-12-02 | 安阳工学院 | A kind of two joint traction finger recovering training device |
| CN104257487A (en) * | 2014-09-30 | 2015-01-07 | 安阳工学院 | Bundle type finger rehabilitative training device |
| CN105796283A (en) * | 2016-03-01 | 2016-07-27 | 哈尔滨工程大学 | Exoskeleton hand rehabilitation training device |
| CN105796283B (en) * | 2016-03-01 | 2017-11-21 | 哈尔滨工程大学 | A kind of ectoskeleton hand device for healing and training |
| CN106214301B (en) * | 2016-07-15 | 2019-02-05 | 芜湖天人智能机械有限公司 | A kind of Multifunctional hand rehabilitation training correction instrument |
| CN106214301A (en) * | 2016-07-15 | 2016-12-14 | 芜湖天人智能机械有限公司 | Instrument is corrected in a kind of Multifunctional hand rehabilitation training |
| CN106264982A (en) * | 2016-09-23 | 2017-01-04 | 合肥工业大学 | Instrument is corrected in hand rehabilitation training |
| CN108687743A (en) * | 2017-04-08 | 2018-10-23 | 金子楗 | Based on vibration and the touch feedback exoskeleton device pneumatically combined |
| CN107233190A (en) * | 2017-06-26 | 2017-10-10 | 东南大学 | A kind of multiple degrees of freedom thumb device for healing and training for hemiplegic patient |
| EP3700489A4 (en) * | 2017-10-24 | 2021-12-08 | Indian Institute of Technology, Delhi | EXOSKELETON DEVICE FOR UPPER LIMB REHABILITATION |
| US11400009B2 (en) | 2017-10-24 | 2022-08-02 | Indian Institute Of Technology Delhi | Exoskeleton device for upper limb rehabilitation |
| WO2021012873A1 (en) * | 2019-07-24 | 2021-01-28 | 东南大学 | Exoskeleton finger rehabilitation training device and usage method thereof |
| CN115670866A (en) * | 2022-11-08 | 2023-02-03 | 复旦大学 | Multifunctional hand rehabilitation robot |
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