CN108294913A - Lower limbs active-passive rehabilitation training aids - Google Patents
Lower limbs active-passive rehabilitation training aids Download PDFInfo
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- CN108294913A CN108294913A CN201710022329.1A CN201710022329A CN108294913A CN 108294913 A CN108294913 A CN 108294913A CN 201710022329 A CN201710022329 A CN 201710022329A CN 108294913 A CN108294913 A CN 108294913A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0192—Specific means for adjusting dimensions
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Abstract
一种下肢主被动康复训练器,包括基座、左右大腿支撑机构、左右小腿支撑机构、足托、外置控制器和两个可折叠支架。本发明采用外骨骼式的可折叠结构,可以通过可伸缩的大腿小腿支撑机构来根据不同的下肢尺寸,模拟设计出能够贴合腿部曲线的支架。在传动系统中,采用双步进电机驱动控制髋关节,再利用一个步进电机与滚轴丝杆连接来控制踝关节。可实现髋膝踝三个关节联动的持续被动康复训练,也可通过步进电机来完成单踝关节的康复训练。本发明服务下肢需要康复训练的患者,主动与被动模式相结合,方便医生进行客观的康复评估,利于治疗方案的改进和确定。
An active and passive rehabilitation training device for lower limbs, comprising a base, a left and right thigh support mechanism, a left and right calf support mechanism, a foot support, an external controller and two foldable supports. The present invention adopts an exoskeleton-type foldable structure, and can simulate and design a bracket that can fit the curve of the leg according to different lower limb sizes through the telescopic thigh and calf support mechanism. In the transmission system, dual stepper motors are used to drive and control the hip joint, and then a stepper motor is used to connect with the roller screw to control the ankle joint. It can realize the continuous passive rehabilitation training of three joints linkage of hip, knee and ankle, and can also complete the rehabilitation training of single ankle joint through stepping motor. The present invention serves patients who need rehabilitation training for their lower limbs. The combination of active and passive modes facilitates objective rehabilitation evaluation for doctors and facilitates the improvement and determination of treatment plans.
Description
技术领域technical field
本发明涉及一种康复训练设备,尤其涉及一种下肢主被动康复训练器。The invention relates to a rehabilitation training device, in particular to an active and passive rehabilitation training device for lower limbs.
背景技术Background technique
关节功能康复器系骨科康复性医疗器械,以持续被动运动(即CONTINUES PASSIVEMOTION,简称CPM)理论为基础,通过模拟人体自然运动,激发人体的自然复原力,发挥组织代偿作用,进行下肢关节功能恢复训练,在临床应用上具有安全实用、无痛苦、病人乐于接受、关节活动范围大、有效消除关节粘连及坏死关节成活、伤口愈合和消肿、促进关节软骨损坏的自身修复,利于移植骨膜转化成透明关节软骨的优点。The joint function rehabilitation device is an orthopedic rehabilitation medical device. It is based on the theory of continuous passive motion (Continues Passive Motion, referred to as CPM). Recovery training, in clinical application, it is safe and practical, painless, patient's willingness to accept, wide range of joint motion, effectively eliminate joint adhesion and necrotic joint survival, wound healing and swelling, and promote self-repair of articular cartilage damage, which is conducive to the transformation of periosteum transplantation Advantages of forming hyaline articular cartilage.
目前,大多数CPM机不能同时进行髋膝踝三关节联动训练,致使它具有一定的局限性,不利于对下肢三关节的康复训练;另外CPM机多以被动训练为主,主动训练没有加入;同时下肢训练缺少实时反馈,评估无法量化;体积庞大,不便搬动,费时费力,给患者以及医护人员都带来诸多不便。At present, most CPM machines cannot perform joint training of the three joints of the hip, knee and ankle at the same time, which has certain limitations and is not conducive to the rehabilitation training of the three joints of the lower limbs; in addition, most CPM machines mainly focus on passive training, and active training is not added; At the same time, the lower limb training lacks real-time feedback, and the evaluation cannot be quantified; it is bulky, inconvenient to move, time-consuming and laborious, and brings a lot of inconvenience to patients and medical staff.
发明内容Contents of the invention
本发明的目的,就是为了解决上述问题,提供一种下肢主被动康复训练器。The object of the present invention is to provide an active and passive rehabilitation training device for lower limbs in order to solve the above problems.
为了达到上述目的,本发明通过以下技术方案来实现:In order to achieve the above object, the present invention is achieved through the following technical solutions:
一种下肢主被动康复训练器,其包括:An active and passive rehabilitation training device for lower limbs, comprising:
基座,内置左右步进电机和滚轴丝杆传动机构;Base, built-in left and right stepping motors and roller screw drive mechanism;
左右大腿支撑机构,其一端分别与基座内的左右步进电机传动相连;Left and right thigh support mechanisms, one end of which is respectively connected to the left and right stepping motors in the base;
左右小腿支撑机构,其一端分别与左右大腿支撑机构的另一端活动相连;The left and right calf support mechanisms, one end of which is movably connected with the other end of the left and right thigh support mechanisms;
足托,其左右两侧分别与左右小腿支撑机构的另一端活动相连,并与滚轴丝杆传动机构传动相连;The foot rest, the left and right sides of which are respectively movably connected with the other end of the left and right calf support mechanisms, and are connected by transmission with the roller screw drive mechanism;
外置控制器,分别与左右步进电机及滚轴丝杆传动机构电线相连,控制所连接机构的运动并显示实时数据。The external controller is respectively connected with the left and right stepping motors and the wires of the roller screw drive mechanism to control the movement of the connected mechanism and display real-time data.
所述左右大腿支撑机构各包括大腿前托板、大腿后托板以及连接在大腿前托板、大腿后托板之间的大腿伸缩杆,通过调节大腿伸缩杆的长度调节整个大腿支撑机构的长度;左右大腿前托板还分别与左右步进电机传动相连。The left and right thigh support mechanisms each include a front support plate of the thigh, a rear support plate of the thigh, and a thigh telescopic rod connected between the front support plate of the thigh and the rear support plate of the thigh, and the length of the entire thigh support mechanism is adjusted by adjusting the length of the thigh telescopic rod The front supporting plate of the left and right thighs is also connected with the transmission of the left and right stepping motors respectively.
所述左右小腿支撑机构各包括小腿前托板、小腿后托板以及连接在小腿前托板、小腿后托板之间的小腿伸缩杆,通过调节小腿伸缩杆的长度调节整个小腿支撑机构的长度;左右小腿前托板还分别与左右大腿后托板活动相连,左右小腿后托板还分别与足托的左右两侧活动相连。The left and right calf support mechanisms each include a front support plate for the shank, a rear support plate for the shank, and a calf telescopic link connected between the front support plate and the rear support plate for the shank. The length of the entire shank support mechanism is adjusted by adjusting the length of the shank telescopic link. The left and right shank front supporting plates are also movably connected with the left and right thigh rear supporting plates respectively, and the left and right shank rear supporting plates are also movably connected with the left and right sides of the foot support respectively.
所述滚轴丝杆传动机构包括丝杆步进电机、滚轴丝杆、定位滑块和踝关节控制杆,滚轴丝杆与丝杆步进电机传动相连,定位滑块与滚轴丝杆螺纹连接,踝关节控制杆的一端与定位滑块活动相连,另一端与足托活动相连。The roller screw drive mechanism includes a screw stepping motor, a roller screw, a positioning slider and an ankle joint control rod, the roller screw is connected to the screw stepping motor, and the positioning slider is connected to the roller screw. Threaded connection, one end of the ankle joint control rod is movably connected with the positioning slide block, and the other end is movably connected with the foot support.
还包括两个可折叠支架,两个可折叠支架分别对称安装在基座的两侧。It also includes two foldable brackets, and the two foldable brackets are symmetrically installed on both sides of the base.
本发明的有益效果是:The beneficial effects of the present invention are:
1、采用外骨骼式结构设计,设计轻巧便携(可折叠),很大程度上节省存放空间;1. It adopts exoskeleton structure design, which is light and portable (foldable), which greatly saves storage space;
2、设有大腿伸缩杆和小腿伸缩杆,可以根据不同人的下肢尺寸来模拟设计出能够贴合大腿小腿曲线的支撑机构,缓解患者在训练时产生的不适感觉;2. There are telescopic rods for the thigh and telescopic rod for the calf, which can simulate and design a supporting mechanism that can fit the curve of the thigh and calf according to the size of the lower limbs of different people, so as to relieve the discomfort of patients during training;
3、可实现髋膝踝三关节联动的康复训练,单踝关节的趾屈和背屈等多种复杂康复训练;3. It can realize the joint rehabilitation training of three joints of hip, knee and ankle, toe flexion and dorsiflexion of single ankle joint and other complex rehabilitation training;
4、拥有多模式混合功能,可实现同类康复训练器的精确控制、记录训练参数以及显示实时关节活动度,从而进行客观定量实时的康复评估,利于医师治疗方案的确定和改进。4. With multi-mode mixing function, it can realize precise control of similar rehabilitation trainers, record training parameters and display real-time joint range of motion, so as to carry out objective, quantitative and real-time rehabilitation evaluation, which is beneficial to the determination and improvement of doctors' treatment plans.
附图说明Description of drawings
图1为本发明的正视结构示意图。Fig. 1 is a schematic diagram of the front view structure of the present invention.
图2为本发明的分解结构示意图。Fig. 2 is a schematic diagram of an exploded structure of the present invention.
图3为本发明的局部结构示意图。Fig. 3 is a schematic diagram of a partial structure of the present invention.
具体实施方式Detailed ways
下面结合附图和具体实施例对本发明进行详细说明。The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments.
参见图1,配合参见图2、图3,本发明的下肢主被动康复训练器,包括基座1、左右大腿支撑机构2、左右小腿支撑机构3、足托4、外置控制器5和两个可折叠支架6。Referring to Fig. 1, referring to Fig. 2 and Fig. 3, the active and passive rehabilitation training device for lower limbs of the present invention includes a base 1, a left and right thigh support mechanism 2, a left and right calf support mechanism 3, a foot support 4, an external controller 5 and two A collapsible stand6.
基座1内设有左右步进电机7和滚轴丝杆传动机构8。The base 1 is provided with a left and right stepping motor 7 and a roller screw drive mechanism 8 .
左右大腿支撑机构2的一端分别与基座内的左右步进电机传动相连,左右小腿支撑机构3的一端分别与左右大腿支撑机构的另一端活动相连,足托4的左右两侧分别与左右小腿支撑机构的另一端活动相连,并与滚轴丝杆传动机构传动相连。外置控制器5分别与左右步进电机及滚轴丝杆传动机构电线相连,控制所连接机构的运动并显示实时数据。两个可折叠支架分别对称安装在基座的两侧。One end of the left and right thigh support mechanism 2 is respectively connected with the left and right stepping motor transmission in the base, and one end of the left and right calf support mechanism 3 is respectively connected with the other end of the left and right thigh support mechanism. The other end of the supporting mechanism is movably connected, and is connected with the transmission mechanism of the roller screw drive mechanism. The external controller 5 is respectively connected with the left and right stepping motors and the electric wires of the roller screw drive mechanism to control the motion of the connected mechanism and display real-time data. Two foldable brackets are installed symmetrically on both sides of the base respectively.
配合参见图2,本发明中的左右大腿支撑机构2各包括大腿前托板21、大腿后托板22以及连接在大腿前托板、大腿后托板之间的大腿伸缩杆23,通过调节大腿伸缩杆的长度调节整个大腿支撑机构的长度;左右大腿前托板还分别与左右步进电机传动相连。Cooperate with referring to Fig. 2, left and right thigh supporting mechanism 2 among the present invention respectively comprises thigh front supporting board 21, thigh rear supporting board 22 and the thigh telescoping link 23 that is connected between thigh front supporting board, thigh rear supporting board, by adjusting thigh The length of the telescopic rod regulates the length of the whole thigh support mechanism; the left and right thigh front supporting plates are also respectively connected with the left and right stepping motor transmissions.
配合参见图2,本发明中的左右小腿支撑机构3各包括小腿前托板31、小腿后托板32以及连接在小腿前托板、小腿后托板之间的小腿伸缩杆33,通过调节小腿伸缩杆的长度调节整个小腿支撑机构的长度;左右小腿前托板还分别与左右大腿后托板活动相连,左右小腿后托板还分别与足托的左右两侧活动相连。Referring to Fig. 2, the left and right calf supporting mechanisms 3 in the present invention each include a front supporting plate 31 for the shank, a rear supporting plate 32 for the shank, and a telescopic rod 33 for the calf connected between the front supporting plate and the rear supporting plate for the shank. The length of the telescopic rod regulates the length of the whole shank supporting mechanism; the left and right shank front supporting plates are also movably connected with the left and right thigh rear supporting plates respectively, and the left and right shank rear supporting plates are also movably connected with the left and right sides of the foot support respectively.
配合参见图3,本发明中的滚轴丝杆传动机构8包括丝杆步进电机81、滚轴丝杆82、定位滑块83和踝关节控制杆84,滚轴丝杆与丝杆步进电机传动相连,定位滑块与滚轴丝杆螺纹连接,踝关节控制杆的一端与定位滑块活动相连,另一端与足托活动相连。Referring to Fig. 3, the roller screw drive mechanism 8 in the present invention includes a screw stepper motor 81, a roller screw 82, a positioning slider 83 and an ankle joint control rod 84, and the roller screw and the screw screw step The motor transmission is connected, the positioning slide block is threadedly connected with the roller screw rod, one end of the ankle joint control rod is movably connected with the locating slide block, and the other end is movably connected with the foot support.
当患者使用本训练器时,按下调节开关231可以根据不同人的下肢尺寸来贴合大腿小腿曲线的支架,同时使用固定带24固定,假如有特殊需要,可再利用大腿固定卡槽25放上固定带来固定患者大腿,尽可能来缓解患者在训练时产生的不适感觉。When the patient uses this trainer, press the adjustment switch 231 to fit the support of the thigh and calf curve according to the size of the lower limbs of different people, and use the fixing belt 24 to fix it at the same time. If there is a special need, the thigh fixing slot 25 can be used to put The upper fixation belt fixes the patient's thigh to relieve the patient's discomfort during training as much as possible.
参照图2所示,在基座1的两侧分别设有一组传动齿轮11,与大腿前托板21内的传动内齿轮211相配合,传递基座1内的步进电机7的动力,同时在基座两侧分别设有一组髋关节限位螺钉12,与大腿前托板21内的髋关节限位槽212相配合,限定了髋关节的活动范围,左右大腿后托板23内设有膝关节限位槽231,与小腿前托板31内的膝关节限位器311相配合,限定了膝关节的活动范围,相对应的两侧小腿后托板32内也设有踝关节限位槽321,与足托4上的踝关节限制器41相配合,限定了踝关节的活动范围;在限定了髋膝踝三个关节的正常活动范围,保证了训练的安全性后,使用控制器5来进行不同模式的操作。Referring to Fig. 2, a group of transmission gears 11 are respectively arranged on both sides of the base 1, which cooperate with the transmission internal gear 211 in the front support plate 21 of the thigh to transmit the power of the stepping motor 7 in the base 1, and simultaneously A group of hip joint limit screws 12 are respectively arranged on both sides of the base, which cooperate with the hip joint limit groove 212 in the front support plate 21 of the thigh to limit the range of motion of the hip joint. Knee joint limiting slot 231 cooperates with the knee joint limiter 311 in the front supporting plate 31 of the calf to limit the range of motion of the knee joint, and the rear supporting plate 32 of the corresponding two sides is also provided with an ankle joint limiter. The groove 321 cooperates with the ankle joint limiter 41 on the foot rest 4, and limits the range of motion of the ankle joint; after limiting the normal range of motion of the three joints of the hip, knee and ankle, and ensuring the safety of the training, use the controller 5 to operate in different modes.
配合参见图3,滚轴丝杆82则通过两个轴承821固定于基座1的底板13上,同时位于滚轴丝杆82上的移动滑块83,通过销85与踝关节控制杆84相连,而踝关节控制杆84又在足托4的控制杆滑槽42内运动,综上所述,当三个步进电机同时运作时,大腿支撑机构2有确定的运动,而足托4也有一定可变的运动。Referring to Fig. 3, the roller screw 82 is fixed on the bottom plate 13 of the base 1 through two bearings 821, and the moving slider 83 on the roller screw 82 is connected to the ankle joint control rod 84 through a pin 85 , and the ankle joint control rod 84 moves in the control rod chute 42 of the foot support 4 again. In summary, when the three stepping motors operate simultaneously, the thigh support mechanism 2 has a certain movement, and the foot support 4 also has a certain movement. Certainly variable movement.
Claims (5)
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| CN109730900A (en) * | 2019-03-22 | 2019-05-10 | 兰州大学 | A kind of lower limbs joint recovered device |
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| CN109998856A (en) * | 2019-04-10 | 2019-07-12 | 杭州市余杭区第五人民医院 | A kind of rheumatic sufferers foot mobilizer |
| CN110236884A (en) * | 2019-07-04 | 2019-09-17 | 青岛市中心医院 | An all-round intelligent passive rehabilitation training device for hip, knee and ankle joints |
| CN113499221A (en) * | 2021-07-14 | 2021-10-15 | 合肥技加医疗科技有限公司 | Lower limb multidimensional rehabilitation training device |
| CN113520791A (en) * | 2021-07-14 | 2021-10-22 | 新疆维吾尔自治区人民医院 | Recovered auxiliary device of bone joint activity |
| CN113520829A (en) * | 2021-07-01 | 2021-10-22 | 福州克蒂斯迪医疗器械有限公司 | Multifunctional treatment rehabilitation training device for feet, ankles and lower limbs |
| CN113576842A (en) * | 2021-09-07 | 2021-11-02 | 常州机电职业技术学院 | Rheumatoid arthritis rehabilitation training device and training method |
| CN113730192A (en) * | 2021-09-24 | 2021-12-03 | 广西安博特智能科技有限公司 | Horizontal lower limb joint trainer |
| CN114699278A (en) * | 2022-03-22 | 2022-07-05 | 华北医疗健康集团邢台总医院 | Early rehabilitation training device for active and passive activities of joints |
| CN116251330A (en) * | 2022-10-19 | 2023-06-13 | 天津医科大学总医院空港医院 | Knee joint rehabilitation training machine |
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| CN110236884A (en) * | 2019-07-04 | 2019-09-17 | 青岛市中心医院 | An all-round intelligent passive rehabilitation training device for hip, knee and ankle joints |
| CN110236884B (en) * | 2019-07-04 | 2024-05-03 | 青岛市中心医院 | All-round intelligent hip knee ankle joint passive rehabilitation training device |
| CN113520829A (en) * | 2021-07-01 | 2021-10-22 | 福州克蒂斯迪医疗器械有限公司 | Multifunctional treatment rehabilitation training device for feet, ankles and lower limbs |
| CN113520791A (en) * | 2021-07-14 | 2021-10-22 | 新疆维吾尔自治区人民医院 | Recovered auxiliary device of bone joint activity |
| CN113499221A (en) * | 2021-07-14 | 2021-10-15 | 合肥技加医疗科技有限公司 | Lower limb multidimensional rehabilitation training device |
| CN113576842A (en) * | 2021-09-07 | 2021-11-02 | 常州机电职业技术学院 | Rheumatoid arthritis rehabilitation training device and training method |
| CN113730192A (en) * | 2021-09-24 | 2021-12-03 | 广西安博特智能科技有限公司 | Horizontal lower limb joint trainer |
| CN114699278A (en) * | 2022-03-22 | 2022-07-05 | 华北医疗健康集团邢台总医院 | Early rehabilitation training device for active and passive activities of joints |
| CN116251330A (en) * | 2022-10-19 | 2023-06-13 | 天津医科大学总医院空港医院 | Knee joint rehabilitation training machine |
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