CN103431975A - Ankle rehabilitation training instrument and use method thereof - Google Patents
Ankle rehabilitation training instrument and use method thereof Download PDFInfo
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- CN103431975A CN103431975A CN2013103964822A CN201310396482A CN103431975A CN 103431975 A CN103431975 A CN 103431975A CN 2013103964822 A CN2013103964822 A CN 2013103964822A CN 201310396482 A CN201310396482 A CN 201310396482A CN 103431975 A CN103431975 A CN 103431975A
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- 210000003423 ankle Anatomy 0.000 title abstract description 5
- 210000000544 articulatio talocruralis Anatomy 0.000 claims abstract description 57
- 210000002683 foot Anatomy 0.000 claims abstract description 26
- 210000003205 muscle Anatomy 0.000 abstract description 10
- 238000011084 recovery Methods 0.000 abstract description 7
- 230000008569 process Effects 0.000 abstract description 5
- 210000003041 ligament Anatomy 0.000 abstract description 4
- 230000009023 proprioceptive sensation Effects 0.000 abstract description 4
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- 230000007246 mechanism Effects 0.000 description 6
- 208000005137 Joint instability Diseases 0.000 description 3
- 244000309464 bull Species 0.000 description 3
- 210000005036 nerve Anatomy 0.000 description 3
- 238000005316 response function Methods 0.000 description 3
- 208000010040 Sprains and Strains Diseases 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
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- 208000027418 Wounds and injury Diseases 0.000 description 1
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Abstract
本发明公开一种踝关节康复训练仪及其使用方法,包括:一底座,底座的上方具有两脚踏板;两驱动装置,两驱动装置的一端分别与脚踏板的下端面连接,两驱动装置的另一端分别与底座的上端面连接;每一脚踏板靠近两脚踏板贴合面的两相邻侧端面分别设有一引导装置,并且引导装置与底座的上端面连接。通过两气缸的活塞头收缩,以分别带动两加踏板翻动并沿导轨向下移动。使用本发明的踝关节康复训练仪及其使用方法,通过采用可翻动的脚踏板,能够对患者踝关节进行主动或被动内翻活动康复训练,增强腓骨长肌和腓骨短肌的肌肉力量,并通过脚踏板的翻动预适应过程来改善踝关节韧带的本体感觉,加快患者康复速度。
The invention discloses an ankle joint rehabilitation training instrument and a use method thereof, comprising: a base with two pedals above the base; The other end of the device is respectively connected with the upper end surface of the base; each pedal is provided with a guiding device on two adjacent side end surfaces close to the fitting surfaces of the two pedals, and the guiding device is connected with the upper end surface of the base. The piston heads of the two cylinders contract to respectively drive the two pedals to flip and move down along the guide rails. Using the ankle joint rehabilitation training instrument of the present invention and the use method thereof, by adopting the flippable foot pedal, the patient's ankle joint can be actively or passively varus active rehabilitation training, and the muscle strength of the peroneus longus and peroneus brevis can be enhanced, And the proprioception of the ankle ligaments can be improved through the flipping pre-adaptation process of the foot pedal, and the recovery speed of the patient can be accelerated.
Description
技术领域technical field
本发明涉及一种医疗器械的技术领域,尤其涉及一种踝关节康复训练仪及其使用方法。The invention relates to the technical field of medical equipment, in particular to an ankle joint rehabilitation training instrument and a use method thereof.
背景技术Background technique
踝关节不稳定是一种临床多见的运动相关性损伤,踝关节不稳定如果得不到及时正确的处理,容易导致出现反复扭伤,继而发生周围各组织结构的损伤,严重影响运动功能甚至正常生活质量,最终导致踝关节晚期骨性关节炎。踝关节不稳定的临床治疗证明:踝关节在疾病早期进行功能康复训练,可加速组织愈合,锻炼肌肉的力量,恢复肌肉的神经、肌肉的反应功能,并有利于恢复韧带的本体感觉,加快患者康复速度,还可预防今后由于踝关节不稳定而造成的反复扭伤。Ankle joint instability is a common sports-related injury in clinical practice. If the ankle joint instability is not treated in a timely and correct manner, it will easily lead to repeated sprains, and then damage to the surrounding tissue structures, seriously affecting motor function and even normal Quality of life, ultimately leading to advanced ankle osteoarthritis. The clinical treatment of ankle joint instability proves that functional rehabilitation training of the ankle joint in the early stage of the disease can accelerate tissue healing, exercise muscle strength, restore muscle nerves and muscle response functions, and help restore the proprioception of ligaments, and speed up the recovery of patients. Speed recovery and prevent future recurrent sprains due to ankle instability.
图1为公开号:CN202263148U的踝关节康复治疗机的示意图,请参见图1所示。踝关节康复治疗机包括有动盘11、大齿轮12、电机13、底盘14。动盘11下面设置有Ω形槽17,底盘14轴上端设置有万向节16,大齿轮12上端设置有大齿轮球头15,大齿轮12设置在底盘14轴的上端,动盘11与底盘14通过万向节16连接,大齿轮12与电机13齿轮配合设置。但该踝关节康复治疗机仅通过大齿轮球头15在Ω形槽17中滚动来带动动盘11摆动,当患者脚部踩踏至动盘11时,产生的压力容易使得动盘11摆动过程产生阻力,造成动盘11无法摆动等问题。Fig. 1 is a schematic diagram of an ankle joint rehabilitation treatment machine with publication number: CN202263148U, please refer to Fig. 1 . The ankle joint rehabilitation treatment machine includes a moving
图2为公开号:CN101006958A的踝关节康复训练装置的示意图,请参见图2所示。踝关节康复训练装置由一个自由度的转动机构,两个自由度的球面并联机构和托盘21构成,其中一根连杆22为“Y”型结构杆,通过转动副与固定平台和动平台连接,构成驱使动平台回转运动的一条运动支链,该条运动支链由伺服电机23通过联轴器24驱动,动平台在该条运动支链的驱动下绕Y轴回转运动。另外两根连杆25和26通过转动副相互转动联接,其中连杆26的另一端通过转动副与固定平台23的支承联接,连杆25的另一端通过转动副与动平台联接,构成驱动动平台回转运动的另一条运动支链,该条运动支链由安装在固定平台支承上的伺服电机27通过联轴器28驱动,动平台在该条运动支链驱动下绕Z轴回转运动,构成具有2个转动自由度的球面并联机构。通过转动副安置在转动机构的机架支承29上,在伺服驱动电机210驱动下绕X轴转动,构成具有3个转动自由度的串并联球面机构。但该踝关节康复训练装置结构较复杂,需要多伺服电机进行工作,使得控制不便捷。Fig. 2 is a schematic diagram of the ankle joint rehabilitation training device with publication number: CN101006958A, please refer to Fig. 2 . The ankle joint rehabilitation training device is composed of a rotating mechanism with one degree of freedom, a spherical parallel mechanism with two degrees of freedom and a
发明内容Contents of the invention
本发明的目的在于提供一种踝关节康复训练仪及其使用方法,以解决现有踝关节康复治疗由于患者脚部踩踏产生的压力易使得动盘摆动过程产生阻力,造成动盘无法摆动,以及现有踝关节康复训练装置结构复杂,需要多伺服电机进行工作,导致控制不便捷等的问题。The purpose of the present invention is to provide an ankle joint rehabilitation training instrument and its use method, to solve the problem that the pressure generated by the patient's foot in the existing ankle joint rehabilitation treatment easily makes the swinging plate produce resistance during the swinging process, resulting in the swinging plate being unable to swing, and The existing ankle joint rehabilitation training device has a complex structure and requires multiple servo motors to work, resulting in inconvenient control and other problems.
为了实现上述目的,本发明采取的技术方案为:In order to achieve the above object, the technical scheme that the present invention takes is:
踝关节康复训练仪,其中,包括:一底座,所述底座的上方具有两脚踏板,并且两所述脚踏板的一侧端面相互靠近贴合;两驱动装置,两所述驱动装置的一端分别与两所述脚踏板的下端面连接,两所述驱动装置的另一端分别与所述底座的上端面连接,使得每一所述驱动装置能够驱动每一所述脚踏板翻动;两所述驱动装置与一控制器电连接,所述控制器控制两所述驱动装置运作;每一所述脚踏板靠近两所述脚踏板贴合面的两相邻侧端面分别设有一引导装置,并且所述引导装置与所述底座的上端面连接,使得每一所述脚踏板能够沿着两所述引导装置上下滑行。Ankle joint rehabilitation training instrument, which includes: a base, two pedals are arranged above the base, and one side end surfaces of the two pedals are close to each other; two driving devices, the two driving devices One end is respectively connected to the lower end surfaces of the two pedals, and the other ends of the two driving devices are respectively connected to the upper end surfaces of the base, so that each of the driving devices can drive each of the pedals to flip; The two driving devices are electrically connected to a controller, and the controller controls the operation of the two driving devices; each of the pedals is respectively provided with a a guiding device, and the guiding device is connected to the upper end surface of the base, so that each of the pedals can slide up and down along the two guiding devices.
上述的踝关节康复训练仪,其中,所述引导装置为导轨,所述导轨沿Z轴方向与所述底座的上端面固定连接,并且每一所述脚踏板的两所述导轨靠近两所述脚踏板的贴合面。In the aforementioned ankle joint rehabilitation training instrument, wherein the guiding device is a guide rail, the guide rail is fixedly connected to the upper end surface of the base along the Z-axis direction, and the two guide rails of each foot pedal are close to the two Describe the mating surface of the pedals.
上述的踝关节康复训练仪,其中,两所述脚踏板的任意一侧的两所述导轨相互靠近贴合。In the aforementioned ankle joint rehabilitation training apparatus, the two guide rails on any side of the two pedals are close to each other and attached.
上述的踝关节康复训练仪,其中,每一所述脚踏板与两所述导轨的贴合处设有滑块,使得每一所述脚踏板通过两所述滑块可滑动地与两所述导轨连接。In the aforementioned ankle joint rehabilitation training instrument, a slide block is provided at the junction between each of the foot boards and the two guide rails, so that each of the foot boards is slidably connected to the two boards through the two slide blocks. The rail connection.
上述的踝关节康复训练仪,其中,所述驱动装置为气缸,每一所述气缸的活塞头与所述脚踏板下端面远离两所述脚踏板贴合面的一侧固定连接,并且两所述气缸以对角线或近似于对角线的方式与所述底座上端面固定连接。In the aforementioned ankle joint rehabilitation training instrument, wherein the driving device is an air cylinder, the piston head of each air cylinder is fixedly connected to the side of the lower end surface of the foot pedal away from the joint surfaces of the two foot pedals, and The two cylinders are fixedly connected to the upper end surface of the base in a diagonal or approximately diagonal manner.
上述的踝关节康复训练仪,其中,两所述脚踏板的上端面远离两所述脚踏板贴合面的一侧分别安装一挡条,以阻挡人脚部的位置,避免向外滑出。The aforementioned ankle joint rehabilitation training instrument, wherein, the upper end surfaces of the two pedals are respectively installed on the side away from the fitting surfaces of the two pedals, and a retaining bar is respectively installed to block the position of the person's feet and avoid sliding outwards. out.
上述的踝关节康复训练仪,其中,所述底座为形状呈“工”字型的框架结构,所述底座的两沿X轴方向的边框的中间固设所述导轨,所述底座的沿Y轴方向的边框的中间固设所述气缸。The above-mentioned ankle joint rehabilitation training instrument, wherein, the base is a frame structure in the shape of "I", the guide rail is fixed in the middle of the two frames along the X-axis direction of the base, and the guide rail is fixed along the Y-shape of the base. The cylinder is fixed in the middle of the frame in the axial direction.
上述的踝关节康复训练仪,其中,两所述脚踏板的相对两侧端面的所述导轨上分别安装一限位板,每一所述限位板分别与所述导轨和一沿X轴方向的所述边框相固定连接,以限制所述脚踏板下移位置。The aforementioned ankle joint rehabilitation training instrument, wherein, a limiting plate is respectively installed on the guide rails on the opposite side end surfaces of the two pedals, and each of the limiting plates is respectively connected to the guide rail and one along the X-axis. The frame in the direction is fixedly connected to limit the downward movement of the pedal.
上述的踝关节康复训练仪,其中,两所述脚踏板的上端面分别设有防滑垫。In the aforementioned ankle joint rehabilitation training instrument, the upper end surfaces of the two pedals are respectively provided with anti-slip pads.
踝关节康复训练仪的使用方法,其中,包括踝关节康复训练仪,所述踝关节康复训练仪为上述任意一项所述踝关节康复训练仪;通过所述控制器分别控制两所述气缸运作,两所述气缸的活塞头收缩,以分别带动两所述脚踏板翻动并沿所述导轨向下移动,实现人脚部踩踏至所述脚踏板后踝关节的弯曲训练。The method of using the ankle joint rehabilitation training instrument, which includes the ankle joint rehabilitation training instrument, the ankle joint rehabilitation training instrument is the ankle joint rehabilitation training instrument described in any one of the above; through the controller to control the operation of the two cylinders respectively , the piston heads of the two cylinders shrink to respectively drive the two pedals to flip and move down along the guide rails, so as to realize the bending training of the ankle joint after the human foot steps on the pedals.
本发明由于采用了上述技术,使之与现有技术相比具有的积极效果是:The present invention has adopted above-mentioned technology, makes it have positive effect compared with prior art and is:
(1)本发明的踝关节康复训练仪,通过采用可翻动的脚踏板,能够对患者踝关节进行主动或被动内翻活动康复训练,改善活动度。同时可以向心性或离心性训练方式增强腓骨长肌和腓骨短肌的肌肉力量,并通过脚踏板的翻动预适应过程来恢复肌肉的神经、肌肉的反应功能,改善踝关节韧带的本体感觉,加快患者康复速度。(1) The ankle joint rehabilitation training apparatus of the present invention can perform active or passive varus rehabilitation training on the patient's ankle joint by using a flippable foot pedal, so as to improve the range of motion. At the same time, the muscle strength of peroneus longus and peroneus brevis can be enhanced by concentric or eccentric training, and the nerve and muscle response function of the muscles can be restored through the flipping pre-adaptation process of the pedals, and the proprioception of the ankle ligaments can be improved. Speed up patient recovery.
(2)脚踏板的翻动角度约为30°,并且在脚踏板的上端面分别设置防滑垫和挡条,使得患者脚部踩踏至脚踏板上时能够通过防滑垫起到防滑的作用,并通过挡条能够有效地避免脚部向外滑出。(2) The turning angle of the pedals is about 30°, and anti-slip pads and retaining strips are respectively arranged on the upper end surfaces of the pedals, so that when the patient's feet step on the pedals, the anti-slip pads can play an anti-slip effect , and the bar can effectively prevent the feet from sliding out.
(3)整体机械结构简单、紧凑,操作方便,降低运动学和动力学难度,控制系统得到简化,并进一步加快患者康复速度。(3) The overall mechanical structure is simple and compact, the operation is convenient, the difficulty of kinematics and dynamics is reduced, the control system is simplified, and the recovery speed of patients is further accelerated.
附图说明Description of drawings
图1为公开号:CN202263148U的踝关节康复治疗机的示意图;Fig. 1 is publication number: the schematic diagram of the ankle joint rehabilitation treatment machine of CN202263148U;
图2为公开号:CN101006958A的踝关节康复训练装置的示意图;Fig. 2 is the schematic diagram of the ankle joint rehabilitation training device of publication number: CN101006958A;
图3为本发明的踝关节康复训练仪及其使用方法的示意图;Fig. 3 is the schematic diagram of ankle joint rehabilitation training instrument of the present invention and using method thereof;
图4为本发明的踝关节康复训练仪及其使用方法的另一角度的示意图。Fig. 4 is a schematic diagram of another angle of the ankle joint rehabilitation training apparatus and its usage method 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作进一步说明,但不作为本发明的限定。The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments, but not as a limitation of the present invention.
图3为本发明的踝关节康复训练仪及其使用方法的示意图,图4为本发明的踝关节康复训练仪及其使用方法的另一角度的示意图,请参见图3和图4所示。本发明的踝关节康复训练仪,包括有一底座3,在底座3的上方设置有两脚踏板4,并且两脚踏板4的一侧端面相互靠近贴合。两驱动装置,两驱动装置的一端分别与两脚踏板4的下端面连接,两驱动装置的另一端分别与底座3的上端面连接,以此使得每一驱动装置的伸缩能够驱动每一脚踏板4进行翻动。两驱动装置还与一控制器(图中未示出)电连接,控制器连接电源,以此通过控制器控制两驱动装置运作。每一脚踏板4靠近两脚踏板4贴合面41的两相邻侧端面分别设置有一引导装置,并且引导装置与底座3的上端面连接,以此使得每一脚踏板4在翻动的过程能够沿着两引导装置实现上下滑行。Fig. 3 is a schematic diagram of the ankle joint rehabilitation training device and its usage method of the present invention, and Fig. 4 is a schematic diagram of another angle of the ankle joint rehabilitation training device of the present invention and its usage method, please refer to Fig. 3 and Fig. 4 . The ankle joint rehabilitation training apparatus of the present invention includes a
本发明在上述基础上还具有如下实施方式:The present invention also has following embodiment on above-mentioned basis:
本发明的进一步实施例中,请继续参见图3和图4所示。引导装置为导轨5,导轨5的数量为四根,四根导轨5沿Z轴方向与底座3的上端面固定连接,并且每一脚踏板4的两导轨5靠近两脚踏板4的贴合面31处。For further embodiments of the present invention, please continue to refer to FIG. 3 and FIG. 4 . The guiding device is
本发明的进一步实施例中,两脚踏板4的任意一侧的两导轨5相互靠近贴合。当脚踏板4使用完毕恢复至最初未翻动的状态时,由于任意一侧的两导轨5相互靠近贴合,以此使得两脚踏板4恢复后,两脚踏板4的一侧端面能够相互靠近贴合形成贴合面41。In a further embodiment of the present invention, the two
本发明的进一步实施例中,每一脚踏板4与两侧的两导轨5的贴合处之间设有滑块51,使得每一脚踏板4能够通过两滑块51可滑动地与两导轨5相连接。In a further embodiment of the present invention, a
本发明的进一步实施例中,驱动装置为气缸6,每一气缸6的活塞头61与每一脚踏板4的下端面相互固定连接,并且该连接处为远离两脚踏板4贴合面41的一侧,每一气缸6的底部与底座3的上端面固定连接,优选地,每一气缸6以对角线或近似于对角线的方式与底座3的上端面固定连接。以此当气缸6的活塞头61收缩时,以脚踏板4与导轨5之间形成为一个支点,使得脚踏板4绕该支点进行摆动,同时,由于脚踏板4的长度固定,当脚踏板4摆动至一定角度时,脚踏板4沿导轨5向下移动。In a further embodiment of the present invention, the driving device is a
本发明的进一步实施例中,两脚踏板4的上端面远离两脚踏板4贴合面41的一侧分别安装有一挡条42,当患者脚部踩踏至脚踏板4上,并且脚踏板4翻动时,能够通过挡条42有效地避免脚部因倾斜向外滑出。In a further embodiment of the present invention, a retaining
本发明的进一步实施例中,底座3为形状呈“工”字型的框架结构,底座3的两沿X轴方向的边框31的中间分别固设四根导轨5,底座3的沿Y轴方向的边框的中间固设两气缸6,优选地,底座3的沿Y轴方向的边框的形状也呈“工”字型,每一气缸6固定设置在底座3的两沿Y轴方向的边框32上,进一步的,两气缸6以对角线或近似于对角线的方式与底座3的两沿Y轴方向的边框32固定连接。In a further embodiment of the present invention, the
本发明的进一步实施例中,两脚踏板4的相对两侧端面的导轨5上分别安装有一限位板7,每一限位板7分别与两导轨5和底座3的一沿X轴方向的边框31相互固定连接,以限制脚踏板4的下移位置。In a further embodiment of the present invention, a limiting
本发明的进一步实施例中,两脚踏板4的上端面还分别设有防滑垫(图中未示出),使得患者脚部踩踏至脚踏板4上时能够通过防滑垫起到防滑的作用。In a further embodiment of the present invention, the upper end surfaces of the two
本发明的进一步实施例中,以一次实际生产为例,脚踏板4的翻动角度约为30°。In a further embodiment of the present invention, taking an actual production as an example, the turning angle of the
本发明在上述基础上还具有如下使用方式:On the basis of the above, the present invention also has the following usage methods:
请继续参见图3和图4所示。首先患者将脚部踩踏至脚踏板4上端面,然后控制器接通电源,控制器分别控制气缸6运作,气缸6的活塞头61收缩,以脚踏板4与导轨5之间形成为一个支点,使得脚踏板4能够绕该支点进行摆动,同时,由于脚踏板4的长度固定,当脚踏板4摆动至一定角度时,脚踏板4沿导轨5向下移动,以此通过脚踏板4的摆动实现患者踝关节的弯曲康复训练。Please continue to refer to Figure 3 and Figure 4. Firstly, the patient steps on the upper surface of the
综上所述,使用本发明的踝关节康复训练仪及其使用方法,通过采用可翻动的脚踏板,能够对患者踝关节进行主动或被动内翻活动康复训练,改善活动度。增强腓骨长肌和腓骨短肌的肌肉力量,恢复肌肉的神经、肌肉的反应功能,并通过脚踏板的翻动预适应过程来改善踝关节韧带的本体感觉,加快患者康复速度。同时,整体机械结构简单、紧凑,操作方便,降低运动学和动力学难度,控制系统得到简化,并进一步加快患者康复速度。To sum up, using the ankle joint rehabilitation training apparatus and its usage method of the present invention, by adopting flippable foot pedals, it is possible to carry out active or passive varus rehabilitation training on the patient's ankle joint to improve the range of motion. Strengthen the muscle strength of the peroneus longus and peroneus brevis, restore the nerve and muscle response function of the muscles, and improve the proprioception of the ankle ligaments through the pre-adaptation process of the pedal flipping, so as to speed up the recovery of patients. At the same time, the overall mechanical structure is simple and compact, the operation is convenient, the difficulty of kinematics and dynamics is reduced, the control system is simplified, and the recovery speed of patients is further accelerated.
以上所述仅为本发明较佳的实施例,并非因此限制本发明的实施方式及保护范围,对于本领域技术人员而言,应当能够意识到凡运用本发明说明书及图示内容所作出的等同替换和显而易见的变化所得到的方案,均应当包含在本发明的保护范围内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the implementation and protection scope of the present invention. For those skilled in the art, they should be able to realize that all equivalents made by using the description and illustrations of the present invention The solutions obtained by replacement and obvious changes shall all be included in the protection scope of the present invention.
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CN104083270A (en) * | 2014-07-30 | 2014-10-08 | 徐雪芬 | Ankle exercise device |
CN106377390A (en) * | 2016-11-22 | 2017-02-08 | 哈尔滨理工大学 | Link-type foot rehabilitation mechanism |
CN107595309A (en) * | 2017-10-19 | 2018-01-19 | 泰山医学院 | A kind of ankle-joint varus inducing device |
CN107753044A (en) * | 2017-10-19 | 2018-03-06 | 泰山医学院 | A kind of ankle-joint varus inducing device and the method for measurement musculus peroneus longus reaction |
CN109528442A (en) * | 2018-11-20 | 2019-03-29 | 上海市第十人民医院 | A kind of ankle joint rehabilitation training auxiliary device |
CN111773035A (en) * | 2020-08-22 | 2020-10-16 | 麦顺 | A kind of multifunctional ankle joint rehabilitation training equipment |
CN112022621A (en) * | 2020-09-14 | 2020-12-04 | 中国医科大学附属盛京医院 | Rehabilitation training device for achilles tendon contracture and ankle joint dyskinesia |
CN114515416A (en) * | 2022-03-30 | 2022-05-20 | 重庆市中医院 | Ankle rehabilitation training device |
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CN104083270A (en) * | 2014-07-30 | 2014-10-08 | 徐雪芬 | Ankle exercise device |
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