CN201012158Y - Pneumatic multi-position exoskeleton lower limb rehabilitation training robot - Google Patents

Pneumatic multi-position exoskeleton lower limb rehabilitation training robot Download PDF

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CN201012158Y
CN201012158Y CNU2007201063234U CN200720106323U CN201012158Y CN 201012158 Y CN201012158 Y CN 201012158Y CN U2007201063234 U CNU2007201063234 U CN U2007201063234U CN 200720106323 U CN200720106323 U CN 200720106323U CN 201012158 Y CN201012158 Y CN 201012158Y
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training
hinged
rod
exoskeleton
bar
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杨灿军
周洪
张欣
耿昱
张佳帆
张�杰
邓美英
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Zhejiang University ZJU
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Abstract

本实用新型涉及气动式多体位外骨骼下肢康复训练机器人,属于康复医疗器械领域。它包括机座、护栏、悬吊系统、外骨骼训练装置和计算机控制系统。该机器人通过对国际通用的Brunnstrom训练方法进行分析,结合对卒中病人瘫痪下肢的“物理疗法(PT)和作业疗法(OT)”,针对脑卒中病人不同阶段不同体位的康复训练要求,建立具有不同激励程度和多种训练模式的卒中病人下肢训练康复机器人。同时可以根据不同卒中患者在不同疗程中实现多种激励的训练模式,包括主动步态、被动力控制步态、被动阻尼可调步态等模式,从而达到最佳康复锻炼的效果。该系统可满足患者坐姿,站立和平躺三种训练状态,适用脑卒中患者的不同康复阶段下肢康复训练。

Figure 200720106323

The utility model relates to a pneumatic multi-position exoskeleton lower limb rehabilitation training robot, which belongs to the field of rehabilitation medical equipment. It includes machine base, guardrail, suspension system, exoskeleton training device and computer control system. Through the analysis of the international general Brunnstrom training method, combined with "physical therapy (PT) and occupational therapy (OT)" for stroke patients with paralyzed lower limbs, the robot has established different Lower limb training rehabilitation robot for stroke patients with incentive levels and multiple training modes. At the same time, according to different stroke patients, various incentive training modes can be realized in different courses of treatment, including active gait, passive force control gait, passive damping adjustable gait and other modes, so as to achieve the best effect of rehabilitation exercise. The system can meet the three training states of sitting, standing and lying down, and is suitable for lower limb rehabilitation training of stroke patients at different rehabilitation stages.

Figure 200720106323

Description

气动式多体位外骨骼下肢康复训练机器人 Pneumatic multi-position exoskeleton lower limb rehabilitation training robot

技术领域technical field

本实用新型涉及一种气动式多体位外骨骼下肢康复训练机器人,属于康复医疗器械领域。适用于脑卒中等心脑血管疾病患者及脊椎损伤患者的下肢康复训练。The utility model relates to a pneumatic multi-position exoskeleton lower limb rehabilitation training robot, which belongs to the field of rehabilitation medical equipment. It is suitable for lower limb rehabilitation training for patients with stroke and other cardiovascular and cerebrovascular diseases and patients with spinal injuries.

背景技术Background technique

随着现代社会的老龄化以及交通、工伤事故的增加,如脑卒中等心血管疾病患者及脊椎损伤患者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。目前通常由医生、PT师、OT师手把手对截瘫病人采用选择性手法牵拉特定肌群,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。因此目前开发出很多能够代替医师自主训练患者的康复机器人。但是这些康复机器人,一般只能对单独体位的病人进行训练,不能同时满足不同康复阶段病人的康复训练要求。With the aging of modern society and the increase of traffic and industrial accidents, patients with cardiovascular diseases such as stroke and patients with spinal injuries 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. At present, doctors, PT therapists, and OT therapists usually use selective manipulations to pull specific muscle groups on paraplegic patients, and gradually carry out standing training by using standing beds. 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. Therefore, many rehabilitation robots that can replace doctors to independently train patients have been developed. However, these rehabilitation robots generally can only train patients in a single position, and cannot simultaneously meet the rehabilitation training requirements of patients in different rehabilitation stages.

发明内容Contents of the invention

本实用新型的目的是提供一种能够帮助脑卒中等心脑血管疾病患者以及脊椎损伤患者进行康复训练的气动式多体位外骨骼下肢康复训练机器人。The purpose of the utility model is to provide a pneumatic multi-position exoskeleton lower limb rehabilitation training robot that can help patients with stroke and other cardiovascular and cerebrovascular diseases and patients with spinal injuries to perform rehabilitation training.

本实用新型的气动式多体位外骨骼下肢康复训练机器人包括机座、护栏、悬吊系统、外骨骼训练装置和计算机控制系统;The pneumatic multi-position exoskeleton lower limb rehabilitation training robot of the utility model includes a base, a guardrail, a suspension system, an exoskeleton training device and a computer control system;

机座:包括承载整个机器的底盘,跑步机和支架,跑步机置于底盘之上,在底盘的后端固定有支架;Base: including the chassis that carries the entire machine, the treadmill and the bracket, the treadmill is placed on the chassis, and the bracket is fixed at the rear end of the chassis;

护栏:由立杆、横杆和扶手组成,安装在跑步机的静止座上;Guardrail: composed of poles, cross bars and handrails, installed on the stationary seat of the treadmill;

悬吊系统:包括承重吊带背心、与吊带背心连接的吊缆、配重以及设置在支架上的滑轮,吊缆绳缠绕于滑轮上,缆绳的一端与吊缆相连,另一端与配重相连;Suspension system: including the load-bearing camisole, the suspension cable connected with the camisole, the counterweight and the pulley set on the bracket, the suspension cable is wound on the pulley, one end of the cable is connected with the suspension cable, and the other end is connected with the counterweight;

外骨骼训练装置:包括外骨骼下肢、坐垫和靠背铰接的座椅,四边铰链的平行四边形连接杆和阻尼器,平行四边形连接杆的一条竖直边与座椅靠背固定,另一条竖直边与支架固定,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;外骨骼下肢包括髋部杆、大腿杆和小腿杆,髋部杆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,大腿杆上端髋关节铰接第一气缸的活塞杆,第一气缸的缸筒与髋部杆后端铰接,大腿杆上具有垂直于大腿杆的伸出杆,小腿杆的下端与第二气缸的活塞杆铰接,第二气缸的缸筒与大腿杆的伸出杆铰接;Exoskeleton training device: including exoskeleton lower limbs, seat cushion and back hinged seat, four-sided hinged parallelogram connecting rod and damper, one vertical side of the parallelogram connecting rod is fixed to the seat back, and the other vertical side is connected to the seat back. The bracket is fixed, one end of the damper is hinged to the upper link of the parallelogram connecting rod, and the other end of the damper is hinged to the bracket; the lower limb of the exoskeleton includes a hip rod, a thigh rod and a calf rod, and the hip rod and the thigh rod are hinged to form the hip joint. Joint, the thigh rod and the calf rod are hinged to form the knee joint, the hip joint at the upper end of the thigh rod is hinged to the piston rod of the first cylinder, the cylinder barrel of the first cylinder is hinged to the rear end of the hip rod, and the thigh rod has a protrusion perpendicular to the thigh rod Rod, the lower end of the calf rod is hinged with the piston rod of the second cylinder, and the cylinder barrel of the second cylinder is hinged with the extension rod of the thigh rod;

计算机控制系统:包括主机、显示屏和控制器,控制器安装在护栏的横杆上,显示屏固定在底盘上。Computer control system: including host computer, display screen and controller, the controller is installed on the crossbar of the guardrail, and the display screen is fixed on the chassis.

针对处于不同康复训练阶段的患者,本实用新型可以通过调节气体的流量来调节活塞杆的速度,气缸的力矩和机械主体的姿态来创造出不同的康复环境,使患者的康复训练更有针对性。For patients in different rehabilitation training stages, the utility model can create different rehabilitation environments by adjusting the gas flow to adjust the speed of the piston rod, the torque of the cylinder and the posture of the mechanical body, so that the rehabilitation training of patients is more targeted .

本实用新型通过对国际通用的Brunnstrom训练方法进行分析,结合对卒中病人瘫痪下肢的“物理疗法(PT)和作业疗法(OT)”,针对脑卒中病人不同阶段不同体位的康复训练要求,建立具有不同激励程度和多种训练模式的卒中病人下肢训练康复机器人。同时可以根据不同卒中患者在不同疗程中实现多种激励的训练模式,包括主动步态、被动力控制步态、被动阻尼可调步态等模式,从而达到最佳康复锻炼的效果。The utility model analyzes the international general Brunnstrom training method, combines "Physical Therapy (PT) and Occupational Therapy (OT)" for stroke patients with paralyzed lower limbs, and aims at the rehabilitation training requirements of stroke patients at different stages and positions, and establishes a Rehabilitation robot for lower limb training of stroke patients with different excitation levels and multiple training modes. At the same time, according to different stroke patients, various incentive training modes can be realized in different courses of treatment, including active gait, passive force control gait, passive damping adjustable gait and other modes, so as to achieve the best effect of rehabilitation exercise.

附图说明Description of drawings

图1是气动式多体位外骨骼下肢康复训练机器人的结构示意图;Fig. 1 is a structural schematic diagram of a pneumatic multi-position exoskeleton lower limb rehabilitation training robot;

图2是平行四边形机构图;Fig. 2 is a parallelogram mechanism diagram;

图3是外骨骼下肢的结构示意图。Fig. 3 is a schematic diagram of the structure of the lower extremity of the exoskeleton.

具体实施方式Detailed ways

以下结合附图说明本实用新型。Illustrate the utility model below in conjunction with accompanying drawing.

参见图1,气动式多体位外骨骼下肢康复训练机器人包括机座、护栏、悬吊系统、外骨骼训练装置和计算机控制系统。Referring to Fig. 1, the pneumatic multi-position exoskeleton lower limb rehabilitation training robot includes a base, a guardrail, a suspension system, an exoskeleton training device and a computer control system.

机座:包括承载整个机器的底盘4,跑步机3和支架1,跑步机3置于底盘4之上,在底盘4的后端固定有支架1。Frame: including the chassis 4 carrying the whole machine, the treadmill 3 and the support 1, the treadmill 3 is placed on the chassis 4, and the support 1 is fixed at the rear end of the chassis 4.

护栏:由立杆7、横杆6和扶手5组成,安装在跑步机3的静止座上;Guardrail: composed of upright bar 7, cross bar 6 and handrail 5, installed on the static seat of treadmill 3;

悬吊系统:包括承重吊带背心10、与吊带背心连接的吊缆9、配重2以及设置在支架1上的滑轮8,吊缆绳缠绕于滑轮8上,缆绳的一端与吊缆9相连,另一端与配重2相连。悬吊系统用于悬吊患者以保持身体的平衡,当患者穿上吊带背心,进行站立状态下的康复训练时,通过调节配重系统上的配重块,拉紧吊缆,使病人处于悬吊状态,以保持平衡。Suspension system: including a load-bearing camisole 10, a suspension cable 9 connected to the camisole, a counterweight 2 and a pulley 8 arranged on the support 1, the suspension cable is wound on the pulley 8, one end of the cable is connected with the suspension cable 9, and the other One end is connected with counterweight 2. The suspension system is used to suspend the patient to maintain the balance of the body. When the patient wears the camisole and performs rehabilitation training in a standing state, the patient is placed in a suspended position by adjusting the counterweight on the counterweight system and tightening the suspension cable. Hanging state to maintain balance.

外骨骼训练装置:包括外骨骼下肢18、坐垫17和靠背15铰接的座椅,四边铰链的平行四边形连接杆16和阻尼器19,平行四边形连接杆16的一条竖直边与座椅靠背15固定,另一条竖直边与支架1固定,阻尼器19的一端与平行四边形连接杆16的上连杆铰接,阻尼器的另一端与支架1铰接(如图2所示),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。外骨骼下肢18(如图3所示)包括髋部杆20、大腿杆23和小腿杆24,髋部杆20与大腿杆23铰接构成髋关节,大腿杆23与小腿杆24铰接构成膝关节,大腿杆23上端髋关节铰接第一气缸22的活塞杆,第一气缸22的缸筒与髋部杆20后端铰接,大腿杆23上具有垂直于大腿杆的伸出杆21,小腿杆24的下端与第二气缸25的活塞杆铰接,第二气缸的缸筒与大腿杆的伸出杆21铰接。Exoskeleton training device: comprise exoskeleton lower limbs 18, seat cushion 17 and backrest 15 hinged seats, parallelogram connecting rod 16 and damper 19 of four-side hinge, a vertical limit of parallelogram connecting rod 16 is fixed with seat back 15 , the other vertical side is fixed with the support 1, one end of the damper 19 is hinged with the upper link of the parallelogram connecting rod 16, and the other end of the damper is hinged with the support 1 (as shown in Figure 2), due to standing and walking training When walking, the patient's body will fluctuate up and down with the alternation of gait, and the damper can play a role in buffering and partially supporting the body. The exoskeleton lower limb 18 (as shown in Figure 3 ) comprises a hip bar 20, a thigh bar 23 and a calf bar 24, the hip bar 20 and the thigh bar 23 are hinged to form a hip joint, and the thigh bar 23 and the calf bar 24 are hinged to form a knee joint, The hip joint at the upper end of the thigh bar 23 is hinged to the piston rod of the first cylinder 22, and the cylinder barrel of the first air cylinder 22 is hinged with the rear end of the hip bar 20. The lower end is hinged with the piston rod of the second air cylinder 25, and the cylinder barrel of the second air cylinder is hinged with the extension rod 21 of the thigh bar.

在康复训练时通过安装在坐垫和靠背下面的直线驱动器可以使座椅直立,适合患者站立姿势的训练,也可以使座椅变成“躺椅”,适合患者平躺姿势的训练,在座椅状态下,适合患者坐姿时的训练。通过姿势的变换,实现了多体位训练。康复训练时人的大腿和小腿分别固定在大腿杆23和小腿杆24上,气缸驱动大腿杆23和小腿杆24动时,就能带动患者的下肢进行康复训练。During rehabilitation training, the seat can be made upright through the linear actuator installed under the seat cushion and backrest, which is suitable for the training of the patient's standing posture, and can also be turned into a "recliner", which is suitable for the training of the patient's lying posture. In the seat state Down, suitable for training when the patient is seated. Through the transformation of posture, multi-position training is realized. During rehabilitation training, people's thigh and shank are respectively fixed on the thigh bar 23 and the calf bar 24, and when the cylinder drives the thigh bar 23 and the calf bar 24 to move, it can drive the patient's lower limbs for rehabilitation training.

计算机控制系统:包括主机、显示屏12和控制器11,控制器11安装在护栏2的横杆6上,显示屏12固定在底盘3上。计算机控制系统用于控制所有的驱动系统,可以控制位于外骨骼髋部杆和大腿杆上的气缸,以及位于座椅靠背和坐垫下面的直线驱动器。显示屏可以让患者清楚的看到自己训练的各种状况。控制器可以控制“坐、立、躺”三个体位的转换,调节训练的速度和气缸力矩的大小。当患者站立训练时,控制器可以放在护栏扶手上,当患者坐姿训练和平躺训练时,可以把控制器放在座椅扶手上。Computer control system: including a host computer, a display screen 12 and a controller 11, the controller 11 is installed on the crossbar 6 of the guardrail 2, and the display screen 12 is fixed on the chassis 3. A computerized control system is used to control all the drive systems, which can control the air cylinders located on the exoskeleton's hip and thigh rods, as well as the linear drives located on the seat back and under the seat cushion. The display screen allows patients to clearly see various conditions of their training. The controller can control the conversion of the three body positions of "sitting, standing and lying down", and adjust the training speed and the size of the cylinder torque. When the patient is standing for training, the controller can be placed on the armrest of the railing, and when the patient is training in a sitting posture and lying flat, the controller can be placed on the armrest of the seat.

Claims (1)

1.气动式多体位外骨骼下肢康复训练机器人,其特征是包括机座、护栏、悬吊系统、外骨骼训练装置和计算机控制系统;1. Pneumatic multi-position exoskeleton lower limb rehabilitation training robot is characterized in that it includes a machine base, a guardrail, a suspension system, an exoskeleton training device and a computer control system; 机座:包括承载整个机器的底盘(4),跑步机(3)和支架(1),跑步机(3)置于底盘(4)之上,在底盘(4)的后端固定有支架(1);Support: comprise the chassis (4) that carries whole machine, treadmill (3) and support (1), treadmill (3) is placed on chassis (4), is fixed with support ( 1); 护栏:由立杆(7)、横杆(6)和扶手(5)组成,安装在跑步机(3)的静止座上;Guardrail: it is made up of pole (7), cross bar (6) and handrail (5), is installed on the stationary seat of treadmill (3); 悬吊系统:包括承重吊带背心(10)、与吊带背心连接的吊缆(9)、配重(2)以及设置在支架(1)上的滑轮(8),吊缆绳缠绕于滑轮(8)上,缆绳的一端与吊缆(9)相连,另一端与配重(2)相连;Suspension system: including the load-bearing camisole (10), the suspension cable (9) connected with the camisole, the counterweight (2) and the pulley (8) arranged on the bracket (1), the suspension cable is wound on the pulley (8) On, one end of the cable is connected with the suspension cable (9), and the other end is connected with the counterweight (2); 外骨骼训练装置:包括外骨骼下肢(18)、坐垫(17)和靠背(15)铰接的座椅,四边铰链的平行四边形连接杆(16)和阻尼器(19),平行四边形连接杆(16)的一条竖直边与座椅靠背(15)固定,另一条竖直边与支架(1)固定,阻尼器(19)的一端与平行四边形连接杆(16)的上连杆铰接,阻尼器的另一端与支架(1)铰接;外骨骼下肢(18)包括髋部杆(20)、大腿杆(23)和小腿杆(24),髋部杆(20)与大腿杆(23)铰接构成髋关节,大腿杆(23)与小腿杆(24)铰接构成膝关节,大腿杆(23)上端髋关节铰接第一气缸(22)的活塞杆,第一气缸(22)的缸筒与髋部杆(20)后端铰接,大腿杆(23)上具有垂直于大腿杆的伸出杆(21),小腿杆(24)的下端与第二气缸(25)的活塞杆铰接,第二气缸的缸筒与大腿杆的伸出杆(21)铰接;Exoskeleton training device: comprising exoskeleton lower limbs (18), seat cushion (17) and backrest (15) hinged seat, parallelogram connecting rod (16) and damper (19) of four-sided hinge, parallelogram connecting rod (16 ) is fixed to the seat back (15), the other vertical side is fixed to the bracket (1), one end of the damper (19) is hinged to the upper link of the parallelogram connecting rod (16), and the damper The other end of the exoskeleton is hinged with the support (1); the exoskeleton lower limb (18) includes a hip bar (20), a thigh bar (23) and a calf bar (24), and the hip bar (20) and the thigh bar (23) are hinged to form Hip joint, thigh bar (23) and shank bar (24) are hinged to form knee joint, and thigh bar (23) upper end hip joint is hinged the piston rod of first cylinder (22), and the cylinder barrel of first air cylinder (22) and hip The rod (20) rear end is hinged, and the thigh rod (23) has an extension rod (21) perpendicular to the thigh rod, and the lower end of the calf rod (24) is hinged with the piston rod of the second cylinder (25). The extension rod (21) of cylinder barrel and thigh rod is hinged; 计算机控制系统:包括主机、显示屏(12)和控制器(11),控制器(11)安装在护栏(2)的横杆(6)上,显示屏(12)固定在底盘(3)上。Computer control system: including a host computer, a display screen (12) and a controller (11), the controller (11) is installed on the crossbar (6) of the guardrail (2), and the display screen (12) is fixed on the chassis (3) .
CNU2007201063234U 2007-02-06 2007-02-06 Pneumatic multi-position exoskeleton lower limb rehabilitation training robot Expired - Fee Related CN201012158Y (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102038491A (en) * 2009-10-19 2011-05-04 上海理工大学 Intellectualized passive lower-limb function testing and training method
CN103153254A (en) * 2010-10-11 2013-06-12 莫罗有限公司 Exercise and gait-training apparatus
CN104127299A (en) * 2014-07-24 2014-11-05 合肥工业大学 Soft cable and pneumatic muscle combined drive robot for waist rehabilitation
CN104587636A (en) * 2015-01-30 2015-05-06 刘宇轩 Tractive multifunctional lower limb rehabilitation training robot
CN108245380A (en) * 2018-03-13 2018-07-06 西安交通大学 A kind of human body lower limbs recovery exercising robot
CN111888193A (en) * 2020-08-05 2020-11-06 燕山大学 Multi-posture lower limb rehabilitation robot

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102038491A (en) * 2009-10-19 2011-05-04 上海理工大学 Intellectualized passive lower-limb function testing and training method
CN102038491B (en) * 2009-10-19 2013-06-19 上海理工大学 Intellectualized passive lower-limb function testing and training method
CN103153254A (en) * 2010-10-11 2013-06-12 莫罗有限公司 Exercise and gait-training apparatus
CN103153254B (en) * 2010-10-11 2016-03-30 莫罗有限公司 Exercise and Gait Training Equipment
CN104127299A (en) * 2014-07-24 2014-11-05 合肥工业大学 Soft cable and pneumatic muscle combined drive robot for waist rehabilitation
CN104127299B (en) * 2014-07-24 2016-03-02 合肥工业大学 Flexible cable pneumatic muscles combines driving waist rehabilitation robot
CN104587636A (en) * 2015-01-30 2015-05-06 刘宇轩 Tractive multifunctional lower limb rehabilitation training robot
CN108245380A (en) * 2018-03-13 2018-07-06 西安交通大学 A kind of human body lower limbs recovery exercising robot
CN111888193A (en) * 2020-08-05 2020-11-06 燕山大学 Multi-posture lower limb rehabilitation robot

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