CN104116613B - A kind of Intelligent upper limb synkinesia device - Google Patents
A kind of Intelligent upper limb synkinesia device Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种辅助运动器械,尤其涉及上肢康复训练装置。The invention relates to an auxiliary exercise device, in particular to an upper limb rehabilitation training device.
背景技术Background technique
绝大多数脑卒中患者和一些上肢受到意外伤害的患者,在术后需要对患肢进行长时间、高频率的康复训练,尤其是脑卒中患者,手术完成并结束在医院的初步康复后,病人就会回到家中,为了使患肢能够经常活动并不至于萎缩,病人需要定期到康复中心进行康复训练,给患者及家属带来了非常大的不便。The vast majority of stroke patients and some patients with accidental upper limb injuries need long-term and high-frequency rehabilitation training for the affected limbs after surgery, especially for stroke patients. After the operation is completed and the initial rehabilitation in the hospital is completed, the patient Will go back home, in order to enable the affected limb to move frequently and not shrink, the patient needs to regularly go to the rehabilitation center for rehabilitation training, which brings great inconvenience to the patient and their families.
现在的上肢康复训练主要有三种方式:由医疗技师进行的康复训练、类似自行车脚蹬的做圆周运动的康复装置、机电控制的类似工业机器人的机械臂。There are three main methods of upper limb rehabilitation training: rehabilitation training performed by medical technicians, rehabilitation devices that perform circular motions similar to bicycle pedals, and mechanical arms similar to industrial robots controlled by electromechanics.
由医疗技师进行的康复训练,通过技师对患者的观察、询问,技师能够对患者的康复情况进行细致的了解,并针对患者的需要进行康复,有着非常好的效果,同时通过对患者的鼓励,使患者充满康复的信心。这种方法的不足之处一是患者需要在他人的陪同下,经常地往来康复中心,给距离康复中心较远地方的患者带来很大的不便。二是康复的费用比较昂贵,医疗技师属中高级技术人才,康复过程又会占用技师较多的时间,同时康复往往要持续几年的时间,这个费用给许多的家庭带来困扰。Rehabilitation training conducted by medical technicians, through the technician's observation and inquiry of the patient, the technician can have a detailed understanding of the patient's rehabilitation situation, and perform rehabilitation according to the patient's needs, which has a very good effect. At the same time, through the encouragement of the patient, Make patients full of confidence in recovery. One disadvantage of this method is that the patient needs to come and go to and from the rehabilitation center frequently, accompanied by others, which brings great inconvenience to patients in places far away from the rehabilitation center. Second, the cost of rehabilitation is relatively expensive. Medical technicians are middle-level and senior technical personnel, and the recovery process will take up more time for technicians. At the same time, rehabilitation often lasts for several years. This cost has brought troubles to many families.
类似自行车脚蹬的做圆周运动的康复装置,它的作用原理是在一个转动轴的两侧安装把手,将健康上肢和患肢分别固定,通过健康上肢的手动或者电机带动来实现患肢的训练。它的优点一是费用非常低廉,二是患者自己在家中就可以进行,非常方便。它的不足之处是患肢运动的方向和幅度都非常有限,该装置只能置于患者前方,在有限的幅度内进行上下前后的运动,肩关节的向外和举高等无法实现。A rehabilitation device that performs circular motion similar to bicycle pedals. Its working principle is to install handles on both sides of a rotating shaft, fix the healthy upper limb and the affected limb separately, and realize the training of the affected limb through manual or motor driving of the healthy upper limb. . Its advantage is that the cost is very low, and the second is that the patient can perform it at home, which is very convenient. Its shortcoming is that the direction and range of movement of the affected limb are very limited, the device can only be placed in front of the patient, and can move up, down, back and forth within a limited range, and the outward and elevation of the shoulder joint cannot be realized.
机电控制的类似工业机器人的机械臂进行的康复训练,它的优点是减少了医疗技师的工作强度,提高了技师的工作效率。不足之处一是费用昂贵,二是患者仍然要往来家庭和康复中心之间,三是它只能按照预先的编制程序进行动作,四是在现有的技术条件下,对疼痛的感知不够及时,五是怎样消除疼痛感知和设备停止工作之间的延时,以及由此带来的二次伤害。Rehabilitation training performed by mechanical arms similar to industrial robots controlled by electromechanical has the advantage of reducing the work intensity of medical technicians and improving the work efficiency of technicians. The disadvantages are that the cost is high, the patients still have to travel between home and the rehabilitation center, the third is that it can only perform actions according to the pre-programmed procedures, and the fourth is that the perception of pain is not timely enough under the existing technical conditions. , the fifth is how to eliminate the delay between pain perception and equipment stop working, and the resulting secondary injury.
发明内容Contents of the invention
针对现有技术中存在的问题,本发明公开了一种智能上肢辅助运动装置,可以使患者自主进行患肢的康复训练,长期训练有助于患肢神经系统的恢复。Aiming at the problems existing in the prior art, the invention discloses an intelligent auxiliary exercise device for upper limbs, which can enable patients to independently perform rehabilitation training for affected limbs, and long-term training is helpful for the recovery of the nervous system of the affected limbs.
本发明的技术解决方案是:一种智能上肢辅助运动装置,由机械外骨骼和动力转换机构组成;所述机械外骨骼由机械臂、肘关节控制机构、肩关节控制机构、肩轴和背板依次组成;所述动力转换机构包括左侧维度控制液压缸、动力转换器、右侧维度控制液压缸,所述左侧维度控制液压缸通过油管与所述动力转换器相连,所述动力转换器通过油管与所述右侧维度控制液压缸相连。The technical solution of the present invention is: an intelligent auxiliary movement device for upper limbs, which is composed of a mechanical exoskeleton and a power conversion mechanism; the mechanical exoskeleton consists of a mechanical arm, an elbow joint control mechanism, a shoulder joint control mechanism, a shoulder shaft and a backboard Composed in sequence; the power conversion mechanism includes a left dimension control hydraulic cylinder, a power converter, and a right dimension control hydraulic cylinder, the left dimension control hydraulic cylinder is connected to the power converter through an oil pipe, and the power converter It is connected with the right side dimension control hydraulic cylinder through the oil pipe.
上述智能上肢辅助运动装置,其进一步特征在于:所述机械臂包括大臂和小臂;所述动力转换器由转换器第一液压缸311、转换器第二液压缸312、限位杆313、缸体固定板314、柱塞杆固定销315组成;所述转换器第一液压缸和转换器第二液压缸并列固定后用固定销将柱塞杆固定。The above-mentioned intelligent upper limb assisted exercise device is further characterized in that: the mechanical arm includes a large arm and a small arm; The cylinder body fixing plate 314 and the plunger rod fixing pin 315 are composed; after the first hydraulic cylinder of the converter and the second hydraulic cylinder of the converter are fixed side by side, the plunger rod is fixed with the fixing pin.
上述智能上肢辅助运动装置,其进一步特征在于:所述动力转换机构有四组,每组控制所述机械臂一个维度的运动,共控制四个维度的运动;所述肘关节控制机构为单维度运动;所述肩关节控制机构为三维度运动;所述肩关节控制机构由上部、下部和水平三个维度控制液压缸控制,分别布置在大臂的上面、下面和侧面,上部和下部的维度控制液压缸固定在与背板相连的同一垂直肩轴之上,水平的维度控制液压缸固定在由背板伸出的横向支撑杆上。The above-mentioned intelligent upper limb auxiliary exercise device is further characterized in that: the power conversion mechanism has four groups, and each group controls the movement of the mechanical arm in one dimension, and controls the movement of four dimensions in total; the elbow joint control mechanism is a single-dimensional Movement; the shoulder joint control mechanism is a three-dimensional movement; the shoulder joint control mechanism is controlled by the upper, lower and horizontal three-dimensional control hydraulic cylinders, which are respectively arranged on the upper, lower and side sides of the arm, and the upper and lower dimensions The control hydraulic cylinders are fixed on the same vertical shoulder connected to the backplane, and the horizontal dimension control hydraulic cylinders are fixed on the lateral support rods protruding from the backplane.
当在一侧的所述机械臂的任何动作将驱动与之相连的维度控制液压缸做出伸缩动作,维度控制液压缸的伸缩通过所述动力转换器将完全相同的伸缩动作传递到另一侧的机械臂上,使另一侧的机械臂做出完全相同的动作。When any action of the mechanical arm on one side will drive the dimension control hydraulic cylinder connected to it to make a telescopic movement, the telescopic movement of the dimension control hydraulic cylinder will transmit exactly the same telescopic movement to the other side through the power converter on one arm, causing the other arm to perform exactly the same motion.
所述机械臂与背板通过转轴连接,动力转换器可以安装在背板内;本发明采用液压传动设计,所述机械臂与使用者手臂的连接固定方式采用开合式卡环固定,所述开合式卡环的开合借用手掌握紧控制或尼龙胶带两种方式。The mechanical arm is connected to the backboard through a rotating shaft, and the power converter can be installed in the backboard; the present invention adopts a hydraulic transmission design, and the connection and fixing method between the mechanical arm and the user's arm is fixed by a snap ring, and the opening The snap ring can be opened and closed by palm control or nylon tape.
本发明于现有的技术相比具有明显的优点和积极效果:1、本装置按照机械外骨骼原理进行设计,患肢的运动几乎可以完成日常生活中的所有动作,训练效果明显;2、本装置采用液压系统,设计简单,可靠性高,适合长期训练;3、本装置由患者健康上肢作为动力源,无外接电源,安全可靠,无二次伤害风险;4、本装置造价便宜,同时又是在家庭中使用,极大地降低了患者的康复支出;5、本装置与手臂的连接采用开合式卡环,卡环与手臂吻合接触,动力传输更顺滑,手臂的固定和脱离非常方便。Compared with the existing technology, the present invention has obvious advantages and positive effects: 1. The device is designed according to the principle of mechanical exoskeleton, and the movement of the affected limb can almost complete all actions in daily life, and the training effect is obvious; 2. The device adopts a hydraulic system, which is simple in design, high in reliability, and suitable for long-term training; 3. The device is powered by the patient's healthy upper limbs, without external power supply, safe and reliable, and has no risk of secondary injury; 4. The device is cheap in cost and at the same time It is used at home, which greatly reduces the patient's rehabilitation expenses; 5. The connection between the device and the arm adopts a split clasp, and the clasp is in close contact with the arm, the power transmission is smoother, and the fixation and detachment of the arm is very convenient.
附图说明Description of drawings
图1为本发明动力转换机构示意图;Fig. 1 is the schematic diagram of power conversion mechanism of the present invention;
图2为本发明系统工作原理图;Fig. 2 is a working principle diagram of the system of the present invention;
图3为本发明上肢辅助运动装置示意图。Fig. 3 is a schematic diagram of the upper limb auxiliary exercise device of the present invention.
图中部件编码表如下:The part code table in the figure is as follows:
具体实施方式detailed description
以下结合附图,通过具体实施例对本发明技术方案做进一步的说明。The technical solutions of the present invention will be further described through specific embodiments below in conjunction with the accompanying drawings.
如图1、图2、图3所示,图1为本发明动力转换机构示意图;图2为本发明系统工作原理图;图3为本发明上肢辅助运动装置示意图。As shown in Figure 1, Figure 2 and Figure 3, Figure 1 is a schematic diagram of the power conversion mechanism of the present invention; Figure 2 is a schematic diagram of the working principle of the system of the present invention; Figure 3 is a schematic diagram of the upper limb auxiliary exercise device of the present invention.
本实施例的智能上肢辅助运动装置,由左侧机械臂外骨骼1和右侧机械臂外骨骼5和动力转换机构组成。The intelligent auxiliary movement device for upper limbs of this embodiment is composed of a left mechanical arm exoskeleton 1, a right mechanical arm exoskeleton 5 and a power conversion mechanism.
所述左侧机械臂外骨骼1由左侧机械臂肘关节维度控制液压缸10、左侧机械臂肩关节下部维度控制液压缸11、液压缸缸体111、液压缸柱塞杆112、左侧机械臂肩关节上部维度控制液压缸12、左侧机械臂肩关节水平维度控制液压缸13、左侧机械臂小臂14、左侧机械臂肘关节支撑15、左侧机械臂大臂16、左侧机械臂横向支撑17、左侧机械臂肩轴18依次组成;The left mechanical arm exoskeleton 1 is composed of the left mechanical arm elbow joint dimension control hydraulic cylinder 10, the left mechanical arm shoulder joint lower dimension control hydraulic cylinder 11, the hydraulic cylinder cylinder block 111, the hydraulic cylinder plunger rod 112, the left The upper dimension control hydraulic cylinder of the shoulder joint of the mechanical arm 12, the horizontal dimension control hydraulic cylinder 13 of the shoulder joint of the left mechanical arm, the small arm of the left mechanical arm 14, the elbow support of the left mechanical arm 15, the upper arm of the left mechanical arm 16, the left The lateral support 17 of the side mechanical arm and the shoulder shaft 18 of the left mechanical arm are sequentially formed;
所述右侧机械臂外骨骼5由右侧机械臂肘关节维度控制液压缸50、右侧机械臂肩关节下部维度控制液压缸51、右侧机械臂肩关节上部维度控制液压缸52、右侧机械臂肩关节水平维度控制液压缸53、右侧机械臂小臂54、右侧机械臂肘关节支撑55、右侧机械臂大臂56、右侧机械臂横向支撑57、右侧机械臂肩轴58依次组成。The right side mechanical arm exoskeleton 5 is controlled by the right side mechanical arm elbow joint dimension control hydraulic cylinder 50, the right side mechanical arm shoulder joint lower dimension control hydraulic cylinder 51, the right side mechanical arm shoulder joint upper dimension control hydraulic cylinder 52, the right side Mechanical arm shoulder joint horizontal dimension control hydraulic cylinder 53, right arm arm 54, right arm elbow support 55, right arm arm 56, right arm lateral support 57, right arm shoulder axis 58 in sequence.
所述动力转换器3由肘关节动力转换器30、肩关节下部液压缸动力转换器31、肩关节上部液压缸动力转换器32、肩关节水平液压缸动力转换器33组成;所述肩关节下部液压缸动力转换器31由转换器第一液压缸311、转换器第二液压缸312、限位杆313、缸体固定板314、柱塞杆固定销315组成;所述转换器第一液压缸311和转换器第二液压缸312并列固定后用柱塞杆固定销315固定。Described power converter 3 is made up of elbow joint power converter 30, shoulder joint bottom hydraulic cylinder power converter 31, shoulder joint top hydraulic cylinder power converter 32, shoulder joint horizontal hydraulic cylinder power converter 33; The hydraulic cylinder power converter 31 is made up of the first hydraulic cylinder 311 of the converter, the second hydraulic cylinder 312 of the converter, the limit rod 313, the cylinder body fixing plate 314, and the plunger rod fixing pin 315; the first hydraulic cylinder of the converter 311 and converter second hydraulic cylinder 312 are fixed side by side with plunger rod fixing pin 315 after fixing.
所述左侧维度控制液压缸包括左侧机械臂肘关节维度控制液压缸10、左侧机械臂肩关节下部维度控制液压缸11、左侧机械臂肩关节上部维度控制液压缸12、左侧机械臂肩关节水平维度控制液压缸13。The left dimension control hydraulic cylinder includes the left mechanical arm elbow dimension control hydraulic cylinder 10, the left mechanical arm shoulder joint lower dimension control hydraulic cylinder 11, the left mechanical arm shoulder upper dimension control hydraulic cylinder 12, the left mechanical arm The horizontal dimension of the arm-shoulder joint controls the hydraulic cylinder 13.
所述右侧维度控制液压缸包括右侧机械臂肘关节维度控制液压缸50、右侧机械臂肩关节下部维度控制液压缸51、右侧机械臂肩关节上部维度控制液压缸52、右侧机械臂肩关节水平维度控制液压缸53。The right dimension control hydraulic cylinder includes the right mechanical arm elbow dimension control hydraulic cylinder 50, the right mechanical arm shoulder joint lower dimension control hydraulic cylinder 51, the right mechanical arm shoulder upper dimension control hydraulic cylinder 52, the right mechanical arm The horizontal dimension of the arm-shoulder joint controls the hydraulic cylinder 53 .
所述动力转换机构有四组,每组控制所述机械臂一个维度的运动,共控制四个维度的运动。所述肘关节控制机构为单维度运动;所述肩关节控制机构为三维度运动;所述肩关节控制机构由(上部、下部和水平)三个维度控制液压缸控制,分别是布置在大臂上面的上部维度控制液压缸、下面的下部维度控制液压缸和侧面的水平维度控制液压缸,所述上部维度控制液压缸和下部维度控制液压缸固定在与背板相连的同一垂直肩轴之上,所述水平维度控制液压缸固定在由背板伸出的横向支撑杆上。There are four groups of the power conversion mechanism, and each group controls the movement of the mechanical arm in one dimension, and controls the movement in four dimensions in total. The elbow joint control mechanism is a single-dimensional movement; the shoulder joint control mechanism is a three-dimensional movement; the shoulder joint control mechanism is controlled by (upper, lower and horizontal) three-dimensional control hydraulic cylinders, which are respectively arranged on the upper arm upper dimension control cylinders above, lower dimension control cylinders below and horizontal dimension control cylinders on the sides, said upper dimension control cylinders and lower dimension control cylinders are fixed on the same vertical shoulder shaft connected to the backplane , the horizontal dimension control hydraulic cylinder is fixed on the transverse support bar protruding from the backboard.
在一侧的所述机械臂的任何动作将驱动与之相连的维度控制液压缸做出伸缩动作,维度控制液压缸的伸缩通过所述动力转换器将完全相同的伸缩动作传递到另一侧的机械臂上。Any movement of the mechanical arm on one side will drive the dimension control hydraulic cylinder connected to it to make a telescopic movement, and the telescopic movement of the dimension control hydraulic cylinder will transmit exactly the same telescopic movement to the other side through the power converter on the mechanical arm.
机械臂与背板7通过肩轴连接;动力转换机构安装在背板7内。智能上肢辅助运动装置采用液压传动设计,机械臂与使用者手臂的连接固定方式采用开合式卡环固定,所述开合式卡环的开合借用手掌握紧控制或尼龙胶带两种方式。The mechanical arm is connected to the backboard 7 through a shoulder shaft; the power conversion mechanism is installed in the backboard 7 . The intelligent upper limb assisted exercise device adopts hydraulic transmission design, and the connection and fixation method between the mechanical arm and the user's arm is fixed by an open-close snap ring. The opening and closing of the open-close snap ring is controlled by the palm of the hand or by nylon tape.
本实施例的智能上肢辅助运动装置使用过程分为以下几步:The use process of the intelligent upper limb auxiliary exercise device in this embodiment is divided into the following steps:
第一步,将背板7固定在椅子的靠背上,调节背板7的宽度及机械臂的长度以适应不同患者的身高;这个操作一般情况下,在患者的长期运动过程中只需要进行一次,减少了患者家人的操作频次;The first step is to fix the backboard 7 on the backrest of the chair, adjust the width of the backboard 7 and the length of the mechanical arm to adapt to the height of different patients; this operation usually only needs to be performed once during the long-term exercise of the patient , reducing the operating frequency of the patient's family;
第二步,患者坐在椅子上,用健康上肢将患肢放入同侧的机械臂上的卡环内,再用卡环上的尼龙胶带将卡环紧固,健康上肢再伸入对应的机械臂,握紧把手;In the second step, the patient sits on the chair, puts the affected limb into the clasp on the same side of the mechanical arm with the healthy upper limb, and then fastens the clasp with the nylon tape on the clasp, and then extends the healthy upper limb into the corresponding arm. Mechanical arm, hold the handle tightly;
第三步,患者健康上肢做出希望患肢进行训练的动作,比如:平举、屈肘、上举、水平伸展、顺逆时针回环等;In the third step, the healthy upper limbs of the patient perform the movements that they want the affected limbs to train, such as: raising flat, bending elbows, lifting upwards, stretching horizontally, looping clockwise and counterclockwise, etc.;
第四步,当运动完成,健康上肢从机械臂中脱离,解开患肢卡环上的尼龙胶带,将患肢从机械臂中脱离。In the fourth step, when the movement is completed, the healthy upper limb is separated from the mechanical arm, and the nylon tape on the clasp of the affected limb is released, and the affected limb is separated from the mechanical arm.
本装置的动力源为健康上肢,同时采用液压传动设计,其运动速度较慢,在运动过程中,患者感到任何的疼痛或不适,健康上肢可以立即停止运动并向舒缓方向回复,几乎完全避免了二次伤害的发生;患者对本装置的使用自己可以独立完成,不需要他人的协助,可以随时康复训练;本装置由于没有外接电源,当患者独自在家时,不用担心触电风险。The power source of this device is healthy upper limbs, and it adopts hydraulic transmission design at the same time. Its movement speed is relatively slow. During the exercise, if the patient feels any pain or discomfort, the healthy upper limbs can immediately stop the movement and return to the soothing direction, almost completely avoiding the pain. Occurrence of secondary injuries; patients can use the device independently without the assistance of others, and can perform rehabilitation training at any time; since the device has no external power supply, when the patient is alone at home, there is no need to worry about the risk of electric shock.
本装置的手臂固定机构为手掌握紧控制或尼龙胶带固定的开合式卡环,若患者在使用过程中有任何其它需求,比如咳嗽、挠痒、饮水、听电话等,健康上肢可以随时松开手掌,使手臂从机械臂中脱出以完成相关需求,而不需要将患肢从机械臂脱出并站立身体。The arm fixing mechanism of this device is an open-and-close snap ring controlled by palms or nylon tape. If the patient has any other needs during use, such as coughing, scratching, drinking water, listening to the phone, etc., the healthy upper limb can be released at any time. Palm, so that the arm can be detached from the mechanical arm to complete the relevant needs, without the need to detach the affected limb from the mechanical arm and stand the body.
上述实施例仅用以说明本发明的技术方案而非对其限制;凡依本发明技术方案所做的改变,所产生的功能未超出本发明技术方案的范围时,均属于本发明的保护范围。The foregoing embodiments are only used to illustrate the technical solution of the present invention and not to limit it; all changes made according to the technical solution of the present invention, and when the functions produced do not exceed the scope of the technical solution of the present invention, all belong to the protection scope of the present invention .
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| CN101579282A (en) * | 2009-06-12 | 2009-11-18 | 东华大学 | Pneumatic drive mode of limbs joint rehabilitation training and pneumatic type upper limbs rehabilitation training device |
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