CN211023899U - A knee dynamic foot drop and hemiplegic gait aid - Google Patents
A knee dynamic foot drop and hemiplegic gait aid Download PDFInfo
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- 210000003127 knee Anatomy 0.000 title claims abstract description 16
- 206010034701 Peroneal nerve palsy Diseases 0.000 title claims description 17
- 206010017585 Gait spastic Diseases 0.000 title claims description 14
- 208000011644 Neurologic Gait disease Diseases 0.000 title claims description 14
- 210000000689 upper leg Anatomy 0.000 claims abstract description 31
- 230000007246 mechanism Effects 0.000 claims abstract description 21
- 230000005021 gait Effects 0.000 claims abstract description 19
- 238000012937 correction Methods 0.000 claims abstract description 14
- 206010019468 Hemiplegia Diseases 0.000 claims abstract description 4
- 244000309466 calf Species 0.000 claims description 40
- 238000012549 training Methods 0.000 abstract description 4
- 230000008602 contraction Effects 0.000 abstract description 3
- 230000005484 gravity Effects 0.000 abstract description 3
- 210000002683 foot Anatomy 0.000 description 18
- 210000000544 articulatio talocruralis Anatomy 0.000 description 6
- 210000002414 leg Anatomy 0.000 description 6
- 208000006011 Stroke Diseases 0.000 description 4
- 210000003423 ankle Anatomy 0.000 description 4
- 210000003141 lower extremity Anatomy 0.000 description 4
- 210000003414 extremity Anatomy 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 206010017577 Gait disturbance Diseases 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 208000012661 Dyskinesia Diseases 0.000 description 1
- 208000010428 Muscle Weakness Diseases 0.000 description 1
- 206010028372 Muscular weakness Diseases 0.000 description 1
- 241000469816 Varus Species 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
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- 210000004197 pelvis Anatomy 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗康复器械技术领域,具体为一种膝动力足下垂及偏瘫步态辅助器。The utility model relates to the technical field of medical rehabilitation equipment, in particular to a knee dynamic foot drop and hemiplegic gait aid.
背景技术Background technique
脑卒中后偏瘫患者常因异常运动模式(下肢伸肌模式)及下肢肌肉不平衡(小腿三头肌张力高、胫前肌无力而导致的足下垂)而遗留以划圈步态为主要特征的偏瘫步态,主要表现为迈步时大腿前屈不充分,而通过上抬骨盆及髋关节外展以划圈姿态带动下肢向前,同时患腿在支撑过程中出现足内翻、膝过伸等负重不良情况,严重影响了患者步行姿态及步行安全。Post-stroke hemiplegia patients are often left with a circular gait as the main feature due to abnormal movement patterns (lower extensor pattern) and lower extremity muscle imbalance (foot drop caused by high triceps calf tension and tibialis anterior muscle weakness). The hemiplegic gait is mainly manifested as insufficient forward flexion of the thighs when stepping, and the lower limbs are moved forward by lifting the pelvis and abducting the hip joints in a circular posture. The poor weight-bearing situation seriously affected the patient's walking posture and walking safety.
临床上常应用踝足矫形器(AFO)来矫正足下垂及足内翻的问题,对膝过伸也有一定的抑制作用,但AFO仅针对踝关节,无法调整髋、膝、踝各关节整体的运动模式与协调运动,患者仍存在异常步态。同时AFO还存在过度限制踝关节活动、抑制了足底感觉的输入等问题。虽然动态踝关节AFO可让部分患者发挥自身踝背伸功能。但仍限制了踝关节跖屈功能,同时部分患者踝背伸本身无力,导致其不能正常的在步行周期中发挥踝背伸功能,从而导致患者踝关节功能退化。Ankle foot orthoses (AFO) are often used clinically to correct the problems of foot drop and varus, and also have a certain inhibitory effect on knee hyperextension. Movement patterns and coordinated movements, and the patient still has an abnormal gait. At the same time, AFO also has problems such as excessive restriction of ankle joint activity and inhibition of plantar sensory input. Although dynamic ankle joint AFO can allow some patients to exert their own ankle dorsiflexion function. However, the plantar flexion function of the ankle joint is still limited, and at the same time, some patients have weak ankle dorsiflexion, which makes them unable to perform the ankle dorsiflexion function normally during the walking cycle, which leads to the deterioration of the ankle joint function of the patients.
目前市场上也出现了一种能够矫正偏瘫患者步态的辅助装置,如中国专利公开号为CN105997320B的一种膝动力弧度滑轮式足下垂及偏瘫步态矫正器,包括“膝上大腿矫正构件、大腿矫正机构固定件、小腿矫正构件、小腿矫正构件固定件、曲柄杠杆组件、足托连接绳和足托……”该申请声称通过膝、踝关节的联动能有效的改善脑卒中患者异常下肢运动模式,可以在一定程度上矫正偏瘫患者的异常步态。At present, an auxiliary device capable of correcting the gait of hemiplegic patients has also appeared on the market, such as a knee power camber pulley type foot drop and hemiplegic gait corrector with Chinese Patent Publication No. CN105997320B. Fixing parts for thigh correction mechanism, calf correction components, calf correction component fixing parts, crank lever assembly, foot support connecting rope and foot support..." The application claims that the linkage of the knee and ankle joints can effectively improve the abnormal lower limb movements of stroke patients It can correct the abnormal gait of hemiplegic patients to a certain extent.
但在实际康复训练中,特别是卒中患者康复治疗早期阶段,患者往往很难自行将下肢抬起,一般需要旁人通过外力辅助来达到自如步行的效果,借助旁人来辅助比较麻烦,且不能准确的与健侧步率保持一致,行动也较为局限,存在一定的缺陷。However, in actual rehabilitation training, especially in the early stage of rehabilitation for stroke patients, it is often difficult for patients to lift their lower limbs on their own, and generally requires external assistance to achieve the effect of walking freely. Consistent with the step rate of the healthy side, the action is also relatively limited, and there are certain defects.
实用新型内容Utility model content
(一)解决的技术问题(1) Technical problems solved
针对现有技术的不足,本实用新型提供了一种可自行随意移动的膝动力足下垂及偏瘫步态辅助器,可在早期康复阶段对卒中患者髋、膝、踝关节分别进行控制与训练。Aiming at the deficiencies of the prior art, the utility model provides a knee dynamic foot drop and hemiplegic gait aid that can move at will, which can respectively control and train the hip, knee and ankle joints of stroke patients in the early rehabilitation stage.
(二)技术方案(2) Technical solutions
为实现以上目的,本实用新型通过以下技术方案予以实现:一种膝动力足下垂及偏瘫步态辅助器,包括推车、步态矫正机构,所述步态矫正机构包括大腿包件、小腿包件、足托、连接绳一、连接绳二和弹性拉绳,所述大腿包件包裹在大腿上,所述小腿包件包裹在膝下小腿处,所述足托套在脚掌上,所述足托与小腿包件通过连接绳一相连,所述小腿包件和大腿包件通过连接绳二相连,所述弹性拉绳的一端与小腿包件相连,另一端与推车相连。In order to achieve the above purpose, the present invention is achieved through the following technical solutions: a knee-powered foot drop and hemiplegia gait aid, comprising a cart and a gait correction mechanism, and the gait correction mechanism includes a thigh bag, a calf bag Parts, foot support, connecting
优选的,所述大腿包件、小腿包件、足托的宽度为5-10cm。Preferably, the width of the thigh package, the calf package and the foot support is 5-10 cm.
优选的,所述大腿包件、小腿包件均通过魔术贴可拆卸式连接。Preferably, the thigh bag and the calf bag are detachably connected by Velcro.
优选的,所述推车上设置有可横向调节弹性拉绳位置的横向调节机构。Preferably, the cart is provided with a lateral adjustment mechanism capable of laterally adjusting the position of the elastic drawstring.
优选的,所述横向调节机构包括横向设置的滑轨、滑动适配在滑轨上的两个滑块,每个滑块上均设置有用于与弹性拉绳相连的扣环。Preferably, the lateral adjustment mechanism includes a laterally arranged slide rail, two sliders slidably fitted on the slide rail, and each slide block is provided with a buckle for connecting with an elastic pull cord.
优选的,所述滑轨上横向等间距开设有若干固定孔,所述固定孔内可拧入紧固栓将滑块锁紧。Preferably, a plurality of fixing holes are provided on the sliding rail at equal intervals in the horizontal direction, and a fastening bolt can be screwed into the fixing holes to lock the sliding block.
优选的,所述推车包括底盘、若干万向轮、托盘、中空的支撑柱、伸缩柱和两个手柄,所述万向轮设置在底盘的底部,所述支撑柱竖向设置在底盘上,所述伸缩柱可在支撑柱内竖向延伸,所述托盘设置在伸缩柱的顶部,两个所述手柄设置在托盘上,所述伸缩柱上竖向等间距开设有若干定位孔,所述支撑柱上螺纹连接有与定位孔相对应的固定栓。Preferably, the cart includes a chassis, a plurality of universal wheels, a tray, a hollow support column, a telescopic column and two handles, the universal wheel is arranged at the bottom of the chassis, and the support column is vertically arranged on the chassis , the telescopic column can extend vertically in the support column, the tray is arranged on the top of the telescopic column, the two handles are arranged on the tray, and the telescopic column is vertically provided with a number of positioning holes at equal intervals, so A fixing bolt corresponding to the positioning hole is threadedly connected to the support column.
(三)有益效果(3) Beneficial effects
本实用新型提供了一种膝动力足下垂及偏瘫步态辅助器。具备以下有益效果:The utility model provides a knee dynamic foot drop and hemiplegic gait aid. Has the following beneficial effects:
1、该膝动力足下垂及偏瘫步态辅助器,利用一根具有弹性的弹性拉绳将推车和小腿包件连接在一起,患者自行先前推动推车时,通过弹性拉绳将小腿包件所处的小腿向上、向前微微抬起,然后再利用弹性拉绳的收缩力和患者自身重力下垂与地面接触,如此循环,根据推车向前推的动力来辅助患者的步态训练,无需借助旁人的辅助,且行动自如,康复效果好。1. This knee-powered foot drop and hemiplegic gait aid uses an elastic elastic cord to connect the cart and the calf package. When the patient pushes the cart before, the calf package is connected by the elastic cord. The calf where it is located is slightly lifted upward and forward, and then the contraction force of the elastic rope and the patient's own gravity are used to sag to contact the ground. This cycle is used to assist the patient's gait training according to the power of the push cart. With the help of others, and the movement is free, the recovery effect is good.
附图说明Description of drawings
图1为本实用新型的正面轴侧图;Fig. 1 is the front isometric view of the utility model;
图2为本实用新型的横向调节机构示意图;2 is a schematic diagram of a lateral adjustment mechanism of the present invention;
图3为本实用新型的步态矫正机构正视图;Fig. 3 is the front view of the gait correction mechanism of the utility model;
图4为本实用新型的步态矫正机构后视图;4 is a rear view of the gait correction mechanism of the present invention;
图5为本实用新型的背面轴侧图。FIG. 5 is a back isometric view of the utility model.
图中:1推车、11底盘、12万向轮、13托盘、14支撑柱、15伸缩柱、16定位孔、17固定栓、18手柄、2步态矫正机构、21大腿包件、22小腿包件、23足托、24连接绳一、25连接绳二、26弹性拉绳、27魔术贴、3横向调节机构、31滑轨、32滑块、33固定孔、34紧固栓、35扣环、4假肢。In the picture: 1 cart, 11 chassis, 12 universal wheels, 13 trays, 14 support columns, 15 telescopic columns, 16 positioning holes, 17 fixed bolts, 18 handles, 2 gait correction mechanisms, 21 thigh packages, 22 calves Package, 23 foot rest, 24 connecting rope one, 25 connecting rope two, 26 elastic rope, 27 Velcro, 3 lateral adjustment mechanism, 31 sliding rail, 32 sliding block, 33 fixing hole, 34 fastening bolt, 35 buckle Ring, 4 prostheses.
具体实施方式Detailed ways
本实用新型实施例提供一种膝动力足下垂及偏瘫步态辅助器,如图1-5所示,包括推车1、步态矫正机构2,步态矫正机构2包括大腿包件21、小腿包件22、足托23、连接绳一24、连接绳二25和弹性拉绳26。大腿包件21包裹在大腿上,小腿包件22包裹在膝下小腿处,足托23套在脚掌上。足托23与小腿包件22通过连接绳一24相连,连接绳一24的一端连接在足托23的顶部,另一端连接在小腿包件22位于膝盖正面的一侧。小腿包件22和大腿包件21通过连接绳二25相连,连接绳二25的两端均位于小腿包件22、大腿包件21位于腿的侧部。弹性拉绳26的一端与小腿包件22位于膝盖的前侧相连,另一端与推车1相连。连接绳一24、连接绳二25、弹性拉绳26的两端均设置有卡扣,卡扣类似于保险带扣,可拆卸,为现有市售产品。大腿包件21、小腿包件22、足托23以及推车1上均设置有可供连接绳一24、连接绳二25、弹性拉绳26扣接的扣环35。An embodiment of the present invention provides a knee-powered foot drop and hemiplegic gait aid, as shown in Figures 1-5, comprising a
如图3所示,大腿包件21、小腿包件22、足托23的宽度为5-10cm。大腿包件21、小腿包件22、足托23的材质为较厚的海绵夹层布料。5-10cm的宽度设计,能够增加与腿部的接触面积,使得长时间包裹后患者腿部也不会感觉到勒紧的酸痛。As shown in FIG. 3 , the width of the
如图4所示,大腿包件21、小腿包件22均通过魔术贴27可拆卸式连接。在安装和拆卸时通过拉扯魔术贴27来实现,非常方便。As shown in FIG. 4 , the
如图3-4所示,步态矫正机构2具体使用时,图中的假肢4示意人体腿部,将足托23套在假肢4的脚掌上、将小腿包件22包裹在假肢4的膝下小腿处、将大腿包件21包裹在假肢4的大腿上,然后连接绳一24通过两端的卡扣分别扣接在足托23、小腿包件22上的扣环35上,连接绳二25通过两端的卡扣分别扣接在大腿包件21、小腿包件22上的扣环35上,最后将弹性拉绳26两端上的卡扣分别扣接在小腿包件22和推车1的扣环35上。As shown in Figures 3-4, when the
利用一根具有弹性的弹性拉绳26将推车1和小腿包件22连接在一起,患者自行先前推动推车1时,通过弹性拉绳26将小腿包件22所处的小腿向上、向前微微抬起,然后再利用弹性拉绳26的收缩力和患者自身重力下垂与地面接触,如此循环,根据推车1向前推的动力来辅助患者的步态训练,无需借助旁人的辅助,且行动自如,康复效果好。An elastic
如图1所示,推车1上设置有可横向调节弹性拉绳26位置的横向调节机构3。可根据患者的体型宽度来调整弹性拉绳26的横向位置,时弹性拉绳26与患者腿部处于平行状态。As shown in FIG. 1 , the
如图2所示,横向调节机构3包括横向设置的滑轨31、滑动适配在滑轨31上的两个滑块32,每个滑块32上均设置有用于与弹性拉绳26相连的扣环35。As shown in FIG. 2 , the
滑轨31上横向等间距开设有若干固定孔33,固定孔33内可拧入紧固栓34将滑块32锁紧。The
如图2所示,横向调节机构3具体使用时,先将紧固栓34松开,然后将滑块32滑动至与腿部水平状态时,再将紧固栓34拧紧在对应的固定孔33内将滑块32拧紧。As shown in FIG. 2 , when the
如图1所示,推车1包括底盘11、四个万向轮12、托盘13、中空的支撑柱14、两个伸缩柱15和两个手柄18,万向轮12设置在底盘11的底部,支撑柱14竖向设置在底盘11上,伸缩柱15可在支撑柱14内竖向延伸,托盘13设置在伸缩柱15的顶部,托盘13用于支撑患者手部,患者可撑托在托盘13上。两个手柄18设置在托盘13上,推动推车时,患者手握两个手柄18来控制推车。伸缩柱15上竖向等间距开设有若干定位孔16,支撑柱14上螺纹连接有与定位孔16相对应的固定栓17。通过设置伸缩柱15,使托盘13的高度可根据患者的身高来调节,伸缩柱15调整至对应高度后,将固定栓17拧入对应的伸缩柱15的定位孔16内。As shown in FIG. 1 , the
尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes and modifications can be made to these embodiments without departing from the principles and spirit of the present invention , alternatives and modifications, the scope of the present invention is defined by the appended claims and their equivalents.
Claims (7)
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112870031A (en) * | 2021-01-15 | 2021-06-01 | 杨泽军 | Orthopedics is with support of being convenient for patient rehabilitation training |
| CN114712172A (en) * | 2022-04-16 | 2022-07-08 | 河南中医药大学第一附属医院 | Knee hyperextension with hip kyphosis type hemiplegic gait training device |
| CN114795862A (en) * | 2022-05-09 | 2022-07-29 | 合肥工业大学 | Leg rehabilitation walking aid |
-
2019
- 2019-11-06 CN CN201921898788.7U patent/CN211023899U/en active Active
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112870031A (en) * | 2021-01-15 | 2021-06-01 | 杨泽军 | Orthopedics is with support of being convenient for patient rehabilitation training |
| CN114712172A (en) * | 2022-04-16 | 2022-07-08 | 河南中医药大学第一附属医院 | Knee hyperextension with hip kyphosis type hemiplegic gait training device |
| CN114795862A (en) * | 2022-05-09 | 2022-07-29 | 合肥工业大学 | Leg rehabilitation walking aid |
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