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CN107928993A - Shank drives training institution - Google Patents

Shank drives training institution Download PDF

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Publication number
CN107928993A
CN107928993A CN201610894360.XA CN201610894360A CN107928993A CN 107928993 A CN107928993 A CN 107928993A CN 201610894360 A CN201610894360 A CN 201610894360A CN 107928993 A CN107928993 A CN 107928993A
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China
Prior art keywords
shank
driving mechanism
lead screw
leg
horizontal lead
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Pending
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CN201610894360.XA
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Chinese (zh)
Inventor
徐秀林
赵展
邹任玲
胡秀枋
丁瑞丰
高大地
姜月
王燕
王正源
肖凯
张向学
刘吉永
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Priority to CN201610894360.XA priority Critical patent/CN107928993A/en
Publication of CN107928993A publication Critical patent/CN107928993A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
    • A61H1/0262Walking movement; Appliances for aiding disabled persons to walk
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1657Movement of interface, i.e. force application means
    • A61H2201/1659Free spatial automatic movement of interface within a working area, e.g. Robot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/10Leg

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Tools (AREA)

Abstract

一种小腿驱动训练机构,包括机械腿和机械腿驱动机构,机械腿与机械腿驱动机构活动相连并可在机械腿驱动机构的作用下作上下前后两维运动。所述机械腿包括大腿机构和小腿机构,大腿机构与小腿机构活动连接。机械腿驱动机构包括水平驱动机构和竖直驱动机构;竖直驱动机构与水平驱动机构传动相连,所述机械腿与竖直驱动机构活动传动相连。本发明将驱动机构放置在小腿部位,对于属于球铰关节的下肢膝关节,可精确模拟空间步态的训练。

A calf driving training mechanism includes a mechanical leg and a driving mechanism of the mechanical leg. The mechanical leg is movably connected with the driving mechanism of the mechanical leg and can move up, down, forward, and backward in two dimensions under the action of the driving mechanism of the mechanical leg. The mechanical leg includes a thigh mechanism and a lower leg mechanism, and the thigh mechanism and the lower leg mechanism are movably connected. The mechanical leg drive mechanism includes a horizontal drive mechanism and a vertical drive mechanism; the vertical drive mechanism is connected to the horizontal drive mechanism by transmission, and the mechanical leg is connected to the vertical drive mechanism by transmission. The invention places the driving mechanism on the lower leg, and can accurately simulate the training of the space gait for the knee joint of the lower limb which belongs to the ball-joint joint.

Description

小腿驱动训练机构calf drive trainer

技术领域technical field

本发明涉及医疗康复器械,尤其涉及一种小腿驱动训练机构。The invention relates to medical rehabilitation equipment, in particular to a calf drive training mechanism.

背景技术Background technique

由于疾病或运动损伤造成的下肢运动障碍的患者很多,恢复独立行走能力是康复治疗努力的首要目标。由于脑的可塑性,医学上通常是通过进行重复的、特定任务的训练让患者进行足够的重复性活动。从而使重组中的大脑皮质通过深刻的体验来学习和储存正确的运动模式。这种方法已取得良好的临床效果,在过去年里,平板步行训练和步态训练器训练的治疗方法已被引入成为神经康复方法,在神经康复临床得以大量使用。There are many patients with lower extremity movement disorders caused by diseases or sports injuries, and the restoration of independent walking ability is the primary goal of rehabilitation efforts. Due to the plasticity of the brain, it is common in medicine to allow patients to perform adequate repetitive activities through repetitive, task-specific training. This allows the reorganizing cerebral cortex to learn and store the correct movement patterns through profound experience. This method has achieved good clinical results. In the past year, the treatment methods of walking training on the treadmill and gait trainer training have been introduced as neurological rehabilitation methods, and have been widely used in neurological rehabilitation clinics.

目前于下肢训练的器械大多都只是脚底驱动和关节驱动型,商业化的步态下肢康复机器人有英国MikeTopping公司1987年研制的Handy1。其次另一种成功进入市场的康复机器人是荷兰Exact Dynamics公司开发的MANUS康复机器人,美国的NUSTEP康复器、德国的THERA.Vital智能康复训练机器人,瑞士的WORTEC公司研发的MOTINMAKER,所有这类机器人采用关节驱动模式。另外一种斜床减重下肢康复训练装置,采用卧式减重可以很好的解决重病患者的初期康复,其驱动方式采用脚底驱动,可以实现运动训练和关节训练,At present, most of the equipment for lower limb training are only foot-driven and joint-driven. The commercialized gait lower limb rehabilitation robot has Handy1 developed in 1987 by the British MikeTopping company. Secondly, another rehabilitation robot that has successfully entered the market is the MANUS rehabilitation robot developed by Exact Dynamics in the Netherlands, the NUSTEP rehabilitation device in the United States, the THERA.Vital intelligent rehabilitation training robot in Germany, and the MOTINMAKER developed by WORTEC in Switzerland. Joint drive mode. Another slant bed weight reduction lower limb rehabilitation training device, using horizontal weight reduction can well solve the initial rehabilitation of seriously ill patients. Its driving mode is driven by the sole of the foot, which can realize sports training and joint training.

然而,脚底驱动型下肢的运动受到直线驱动运动的限制,无法实现空间运动训练,无法模拟步态运动。关节驱动型适用于下肢骨科患者手术后的关节功能恢复训练,对于属于球铰关节的下肢膝关节来说,也无法精确模拟步态。However, the movement of the plantar-driven lower limbs is limited by the linear-driven movement, which cannot realize spatial movement training and cannot simulate gait movement. The joint-driven type is suitable for joint function recovery training after lower limb orthopedic surgery. For the lower limb knee joint, which belongs to the ball joint, it cannot accurately simulate the gait.

发明内容Contents of the invention

本发明的目的,就是为了解决上述问题,提供一种小腿驱动训练机构,按照设定的轨迹进行下肢步态训练,能实现下肢关节能的复合运动。The object of the present invention is to solve the above-mentioned problems, to provide a calf driving training mechanism, which can perform lower limb gait training according to the set trajectory, and can realize compound motion of lower limb joint energy.

为了达到上述目的,本发明采用了以下技术方案:一种小腿驱动训练机构,包括机械腿和机械腿驱动机构,机械腿与机械腿驱动机构活动相连并可在机械腿驱动机构的作用下作上下前后两维运动。In order to achieve the above object, the present invention adopts the following technical solutions: a calf driving training mechanism, including a mechanical leg and a mechanical leg driving mechanism, and the mechanical leg is movably connected with the mechanical leg driving mechanism and can move up and down under the action of the mechanical leg driving mechanism. Front and back two-dimensional movement.

所述机械腿包括大腿机构和小腿机构,大腿机构与小腿机构活动连接。The mechanical leg includes a thigh mechanism and a lower leg mechanism, and the thigh mechanism and the lower leg mechanism are movably connected.

所述大腿机构包括大腿连杆、大腿推杆和大腿长度调节旋钮,大腿推杆的下端与小腿机构活动连接;大腿连杆与大腿推杆之间活动套接相连,并通过大腿长度调节旋钮调节整个大腿机构的长度。The thigh mechanism includes a thigh link, a thigh push rod and a thigh length adjustment knob, and the lower end of the thigh push rod is movably connected with the calf mechanism; The length of the entire thigh body.

所述小腿机构包括脚踏板、小腿连杆、小腿推杆、小腿长度调节机构和膝关节罩,小腿连杆安装在脚踏板上,小腿推杆与小腿连杆活动套接相连,并通过小腿长度调节机构调节整个小腿机构的长度;膝关节罩与小腿连杆固定相连,小腿推杆上端与大腿机构中的大腿推杆活动相连。The shank mechanism includes a foot pedal, a shank connecting rod, a shank push rod, a shank length adjustment mechanism and a knee joint cover. The shank length adjusting mechanism regulates the length of the whole shank mechanism; the knee joint cover is fixedly connected with the shank connecting rod, and the upper end of the shank push rod is movably connected with the thigh push rod in the thigh mechanism.

所述机械腿驱动机构包括水平驱动机构和竖直驱动机构;竖直驱动机构与水平驱动机构传动相连,所述机械腿与竖直驱动机构活动传动相连。The mechanical leg drive mechanism includes a horizontal drive mechanism and a vertical drive mechanism; the vertical drive mechanism is connected to the horizontal drive mechanism by transmission, and the mechanical leg is connected to the vertical drive mechanism by transmission.

所述水平驱动机构包括支座,水平丝杆固定台、水平丝杆、水平丝杆滑块和水平丝杆电动驱动机构;水平丝杆固定台连接在支座上,水平丝杆连接在水平丝杆固定台上,水平丝杆滑块套装在水平丝杆上可沿水平丝杆前后移动,水平丝杆电动驱动机构连接在水平丝杆固定台后端,通过步进电机与水平丝杆传动相连带动水平丝杆转动。The horizontal driving mechanism includes a support, a horizontal screw fixing platform, a horizontal screw, a horizontal screw slider and a horizontal screw electric drive mechanism; the horizontal screw fixing platform is connected to the support, and the horizontal screw is connected to the horizontal screw. On the rod fixing table, the horizontal screw slider is set on the horizontal screw rod and can move forward and backward along the horizontal screw rod. The electric drive mechanism of the horizontal screw rod is connected to the rear end of the horizontal screw rod fixing table, and is connected to the horizontal screw rod through a stepping motor. Drive the horizontal screw to rotate.

所述竖直驱动机构包括竖直丝杆固定台、竖直丝杆、竖直丝杆滑块和竖直丝杆电动驱动机构,竖直丝杆固定台与水平驱动机构中的水平丝杆滑块固定连接,竖直丝杆滑块套装在竖直丝杆上可沿竖直丝杆上下移动,竖直丝杆电动驱动机构连接在竖直丝杆固定台上端,通过步进电机与竖直丝杆传动相连带动竖直丝杆转动。Described vertical drive mechanism comprises vertical screw mandrel fixing platform, vertical screw mandrel, vertical screw mandrel slide block and vertical screw mandrel electric drive mechanism, vertical screw mandrel fixing platform and the horizontal screw mandrel slide in horizontal drive mechanism The block is fixedly connected, the vertical screw slider is set on the vertical screw rod and can move up and down along the vertical screw rod, and the electric drive mechanism of the vertical screw rod is connected to the upper end of the vertical screw rod fixed table, and the vertical The screw drive is connected to drive the vertical screw to rotate.

本发明将驱动机构放置在小腿部位,对于属于球铰关节的下肢膝关节,可精确模拟空间步态的训练。The invention places the driving mechanism on the lower leg, and can accurately simulate the training of the space gait for the knee joint of the lower limb which belongs to the ball-joint joint.

附图说明Description of drawings

图1为本发明小腿驱动训练机构的整体结构示意图;Fig. 1 is the overall structure schematic diagram of calf driving training mechanism of the present invention;

图2为机械腿驱动机构的结构示意图;Fig. 2 is the structural representation of mechanical leg driving mechanism;

图3为机械腿的结构示意图。Fig. 3 is a schematic diagram of the structure of the mechanical leg.

具体实施方式Detailed ways

参见图1、图2、图3,本发明的小腿驱动训练机构,包括机械腿31和机械腿驱动机构32,机械腿与机械腿驱动机构活动相连并可在机械腿驱动机构的作用下作上下前后两维运动。其中,机械腿31包括大腿机构和小腿机构,大腿机构与小腿机构活动连接;大腿机构包括大腿连杆311、大腿推杆312和大腿长度调节旋钮313,大腿推杆的下端与小腿机构活动连接;大腿连杆与大腿推杆之间活动套接相连,并通过大腿长度调节旋钮调节整个大腿机构的长度。小腿机构包括脚踏板314、小腿连杆315、小腿推杆316、小腿长度调节机构317和膝关节罩318,小腿连杆安装在脚踏板上,小腿推杆与小腿连杆活动套接相连,并通过小腿长度调节机构调节整个小腿机构的长度;膝关节罩与小腿连杆固定相连,小腿推杆上端与大腿推杆活动相连,小腿连杆的上端与机械腿驱动机构活动传动相连,使整个机械腿实现功能运动。机械腿驱动机构32包括水平驱动机构和竖直驱动机构;水平驱动机构包括支座321,水平丝杆固定台322、水平丝杆323、水平丝杆滑块324和水平丝杆电动驱动机构325;水平丝杆固定台连接在支座上,水平丝杆连接在水平丝杆固定台上,水平丝杆滑块套装在水平丝杆上可沿水平丝杆前后移动,水平丝杆电动驱动机构连接在水平丝杆固定台后端,通过步进电机与水平丝杆传动相连带动水平丝杆转动;竖直驱动机构包括竖直丝杆固定台326、竖直丝杆327、竖直丝杆滑块328和竖直丝杆电动驱动机构329,竖直丝杆固定台与水平丝杆滑块固定连接,竖直丝杆滑块套装在竖直丝杆上可沿竖直丝杆上下移动,竖直丝杆电动驱动机构连接在竖直丝杆固定台上端,通过步进电机与竖直丝杆传动相连带动竖直丝杆转动;通过调节水平驱动机构和竖直驱动机构的步进电机可实现竖直丝杆滑块在水平方向和竖直方向的两维运动,进而实现机械腿的两维运动。Referring to Fig. 1, Fig. 2, Fig. 3, the calf driving training mechanism of the present invention includes a mechanical leg 31 and a mechanical leg driving mechanism 32, and the mechanical leg is movably connected with the mechanical leg driving mechanism and can move up and down under the action of the mechanical leg driving mechanism. Front and back two-dimensional movement. Wherein, the mechanical leg 31 includes a thigh mechanism and a calf mechanism, and the thigh mechanism and the calf mechanism are flexibly connected; the thigh mechanism includes a thigh connecting rod 311, a thigh push rod 312 and a thigh length adjustment knob 313, and the lower end of the thigh push rod is flexibly connected with the calf mechanism; The thigh connecting rod is connected with the thigh push rod through movable socket, and the length of the whole thigh mechanism is adjusted through the thigh length adjustment knob. The calf mechanism comprises pedal 314, calf connecting rod 315, calf push rod 316, calf length adjustment mechanism 317 and knee joint cover 318, the calf connecting rod is installed on the pedal, and the calf push rod is connected to the movable sleeve of the calf connecting rod , and adjust the length of the entire calf mechanism through the calf length adjustment mechanism; the knee joint cover is fixedly connected with the calf connecting rod, the upper end of the calf push rod is connected with the thigh push rod, and the upper end of the calf connecting rod is connected with the mechanical leg driving mechanism through movable transmission, so that The entire mechanical leg realizes functional motion. The mechanical leg driving mechanism 32 includes a horizontal driving mechanism and a vertical driving mechanism; the horizontal driving mechanism includes a support 321, a horizontal screw mandrel fixing table 322, a horizontal screw mandrel 323, a horizontal screw mandrel slider 324 and a horizontal screw mandrel electric drive mechanism 325; The horizontal screw rod fixing table is connected to the support, the horizontal screw rod is connected to the horizontal screw rod fixing table, the horizontal screw rod slider is set on the horizontal screw rod and can move forward and backward along the horizontal screw rod, and the horizontal screw rod electric drive mechanism is connected to The rear end of the horizontal screw fixing table drives the horizontal screw to rotate through a stepping motor connected with the horizontal screw drive; the vertical drive mechanism includes a vertical screw fixing table 326, a vertical screw 327, and a vertical screw slider 328 With the vertical screw mandrel electric drive mechanism 329, the vertical screw mandrel fixed table is fixedly connected with the horizontal screw mandrel slider, and the vertical screw mandrel slider is set on the vertical screw mandrel and can move up and down along the vertical screw mandrel, and the vertical screw mandrel The rod electric drive mechanism is connected to the upper end of the vertical screw rod fixing table, and the vertical screw rod is driven to rotate through the stepping motor connected with the vertical screw rod transmission; the vertical screw rod can be realized by adjusting the stepping motor of the horizontal drive mechanism and the vertical drive mechanism. The two-dimensional movement of the screw slider in the horizontal and vertical directions realizes the two-dimensional movement of the mechanical leg.

Claims (7)

1. a kind of shank drives training institution, it is characterised in that:Including pedipulator and pedipulator driving mechanism, pedipulator and machinery Two-dimensional motion before and after leg driving mechanism is movably connected and can make under the action of pedipulator driving mechanism up and down.
2. shank as claimed in claim 1 drives training institution, it is characterised in that:The pedipulator includes big leg mechanism and small Leg mechanism, big leg mechanism are flexibly connected with small leg mechanism.
3. shank as claimed in claim 2 drives training institution, it is characterised in that:The big leg mechanism include thick link, Thigh push rod and thigh length adjusting knob, the lower end of thigh push rod are flexibly connected with small leg mechanism;Thick link is pushed away with thigh Pivot bush unit is connected between bar, and the length of whole big leg mechanism is adjusted by thigh length adjusting knob.
4. shank as claimed in claim 2 drives training institution, it is characterised in that:The small leg mechanism includes foot pedal, small Leg connecting rod, shank push rod, lower-leg length adjusting mechanism and knee joint cover, shank link install on the footrests, shank push rod with Shank link pivot bush unit is connected, and the length of whole small leg mechanism is adjusted by lower-leg length adjusting mechanism;Knee joint cover with Shank link is fixedly linked, and shank push rod upper end is movably connected with the thigh push rod in big leg mechanism.
5. shank as claimed in claim 1 drives training institution, it is characterised in that:The pedipulator driving mechanism includes level Driving mechanism and upright driving mechanism;Upright driving mechanism is connected with horizontal drive mechanism transmission, and the pedipulator drives with vertical Motivation structure movable drive is connected.
6. shank as claimed in claim 5 drives training institution, it is characterised in that:The horizontal drive mechanism includes bearing, Horizontal lead screw fixed station, horizontal lead screw, horizontal lead screw sliding block and horizontal lead screw electric driving mechanism;Horizontal lead screw fixed station connects On bearing, horizontal lead screw is connected on horizontal lead screw fixed station, and horizontal lead screw slide block set can be along level on horizontal lead screw Screw moves back and forth, and horizontal lead screw electric driving mechanism is connected to horizontal lead screw fixed station rear end, passes through stepper motor and level Screw rod transmission, which is connected, drives horizontal lead screw to rotate.
7. shank as claimed in claim 5 drives training institution, it is characterised in that:The upright driving mechanism includes vertical thread Bar fixed station, vertical screw, vertical screw sliding block and vertical screw electric driving mechanism, vertical screw fixed station and horizontal drive Horizontal lead screw sliding block in mechanism is fixedly connected, and vertical screw slide block set can move up and down on vertical screw along vertical screw Dynamic, vertical screw electric driving mechanism is connected to vertical screw fixed station upper end, passes through stepper motor and vertical screw rod transmission phase Related dynamic vertical screw rotates.
CN201610894360.XA 2016-10-13 2016-10-13 Shank drives training institution Pending CN107928993A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113476277A (en) * 2021-08-23 2021-10-08 中山大学附属第三医院(中山大学肝脏病医院) Multi-functional lower limb trainer

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CN113476277B (en) * 2021-08-23 2025-01-24 中山大学附属第三医院(中山大学肝脏病医院) Multifunctional lower limb training device

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Application publication date: 20180420