CN108078733B - Training equipment and method for relieving upper extremity tremor and muscle rigidity in Parkinson's patients - Google Patents
Training equipment and method for relieving upper extremity tremor and muscle rigidity in Parkinson's patients Download PDFInfo
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- A—HUMAN NECESSITIES
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- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
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Abstract
本发明涉及一种用于减缓帕金森患者上肢震颤的训练设备包括震颤抑制装置,用于抑制帕金森患者在训练过程中出现的震颤行为;串联机器人,与所述震颤抑制装置连接,用于配合帕金森患者训练;显示装置,可接收所述震颤抑制装置和串联机器人在训练过程中的相关数据,用于实时显示帕金森患者上肢在进行训练时的相关图像信息;计算机,与所述震颤抑制装置和串联机器人连接,用于处理训练过程中的相关数据,通过震颤抑制装置实时抑制帕金森患者在训练过程中出现的震颤行为,通过串联机器人配合帕金森患者训练,可适用于不同体型的帕金森患者进行康复训练,帮助帕金森患者减轻震颤症状。
The invention relates to a training device for alleviating the tremor of the upper limbs of Parkinson's patients, comprising a tremor suppression device, which is used to suppress the tremor behavior of Parkinson's patients during training; a series robot is connected with the tremor suppression device and is used for cooperation Parkinson's patient training; a display device, which can receive relevant data of the tremor suppression device and the serial robot during training, and is used for real-time display of relevant image information of the upper limbs of Parkinson's patients during training; a computer, and the tremor suppression device The device is connected to the serial robot to process relevant data during the training process. The tremor suppression device is used to suppress the tremor behavior of Parkinson's patients during the training process in real time. Rehabilitation training for Parkinson's patients to help Parkinson's patients reduce tremor symptoms.
Description
技术领域technical field
本发明涉及医疗器械领域,特别是涉及一种用于减缓帕金森患者上肢震颤及肌强直的训练设备及方法。The invention relates to the field of medical devices, in particular to a training device and method for relieving the tremor and muscle rigidity of the upper limbs of Parkinson's patients.
背景技术Background technique
肌强直和静止性震颤是帕金森患者的两大主要症状,帕金森患者的关节在进行被动活动时其肌肉会出现较高的肌张力,会产生类似弯折铅管时的感觉,同时患者自身也会感觉肌肉僵硬,活动时很费力。震颤为帕金森患者的首发症状,常始于一侧上肢远端,通常发生在患者静止时,当患者精神紧张时加剧,震颤虽然不会危及患者生命,却给患者的生活带来了极大的不便。Myotonia and resting tremor are the two main symptoms of Parkinson's patients. When the joints of Parkinson's patients are passively active, their muscles will have high muscle tension, which will produce a feeling similar to bending a lead pipe. At the same time, the patient's own Muscles may also feel stiff and strenuous when moving. Tremor is the first symptom of Parkinson's patients. It often starts at the distal end of one upper extremity. It usually occurs when the patient is at rest. inconvenience.
目前,帕金森的治疗方法分为药物治疗和物理治疗,药物治疗虽然是主流的治疗方式,但存在药物副作用的风险;虽然也出现了一些物理治疗方式,如通过手环对帕金森患者的手部震颤进行抑制,但手环作用力较小,震颤抑制存在一定的滞后性,而且无法对帕金森患者出先的过高的肌张力进行锻炼,仍然无法帮助帕金森患者减轻震颤症状。At present, the treatment methods for Parkinson's disease are divided into drug therapy and physical therapy. Although drug therapy is the mainstream treatment method, there is a risk of drug side effects; although some physical therapy methods have also appeared, such as the use of wristbands on the hands of Parkinson's patients. However, the force of the bracelet is small, there is a certain hysteresis in tremor suppression, and it is unable to exercise the excessively high muscle tension of Parkinson's patients, which still cannot help Parkinson's patients reduce tremor symptoms.
发明内容SUMMARY OF THE INVENTION
基于此,有必要提供一种用于减缓帕金森患者上肢震颤和肌强直的训练设备及方法,能够使其适用于不同体型的帕金森患者进行康复训练,减轻帕金森患者的震颤症状。Based on this, it is necessary to provide a training device and method for relieving the tremor and muscle rigidity of the upper limbs of Parkinson's patients, which can make it suitable for rehabilitation training of Parkinson's patients of different sizes, and reduce the tremor symptoms of Parkinson's patients.
根据本发明实施例的第一方面,提供一种用于减缓帕金森患者上肢震颤及肌强直的训练设备,该训练设备包括:According to a first aspect of the embodiments of the present invention, there is provided a training device for relieving upper limb tremor and muscle rigidity in Parkinson's patients, the training device comprising:
震颤抑制装置,用于固定帕金森患者的上肢并抑制帕金森患者在训练过程中出现的震颤行为;Tremor suppression device, used to immobilize the upper limbs of Parkinson's patients and inhibit the tremor behavior of Parkinson's patients during training;
串联机器人,与所述震颤抑制装置连接,用于配合帕金森患者训练;A series robot, connected with the tremor suppression device, used for training with Parkinson's patients;
显示装置,可接收所述震颤抑制装置和串联机器人在训练过程中的相关数据,用于实时显示帕金森患者上肢在进行训练时的相关图像信息;a display device, which can receive the relevant data of the tremor suppression device and the serial robot during the training process, and is used to display the relevant image information of the upper limbs of the Parkinson's patient during training in real time;
计算机,与所述震颤抑制装置、串联机器人以及显示装置连接,用于处理训练过程中的相关数据。A computer, connected with the tremor suppression device, the serial robot and the display device, is used for processing relevant data in the training process.
在其中一个实施例中,所述震颤抑制装置包括用于固定帕金森患者上肢的固定部以及与所述固定部连接的消震颤部。In one of the embodiments, the tremor suppression device includes a fixing part for fixing the upper limb of a Parkinson's patient, and a tremor reduction part connected with the fixing part.
在其中一个实施例中,所述消震颤部包括安装板、复位弹簧和至少一个阻尼器,所述复位弹簧的两端分别抵接所述固定部与所述安装板,所述至少一个阻尼器的两端分别连接所述安装板与所述固定部。In one embodiment, the anti-vibration part includes a mounting plate, a return spring and at least one damper, two ends of the return spring abut the fixing part and the mounting plate respectively, and the at least one damper The two ends of the mounting plate are respectively connected with the fixing part.
在其中一个实施例中,所述震颤抑制装置还包括与所述串联机器人连接的连接底座以及连接所述安装板的万向转动部。In one of the embodiments, the tremor suppression device further comprises a connection base connected with the serial robot and a universal rotation part connected with the mounting plate.
在其中一个实施例中,所述震颤抑制装置包括三个角度传感器,其中一个设置在所述万向转动部与所述连接底座的连接处,用于检测所述万向转动部绕z轴转动的角度,另外两个角度传感器设在万向转动部上,用于检测所述万向转动部绕x轴和绕y轴转动的角度。In one embodiment, the vibration suppression device includes three angle sensors, one of which is disposed at the connection between the universal rotation part and the connection base, and is used to detect the rotation of the universal rotation part around the z-axis The other two angle sensors are arranged on the universal rotating part to detect the rotation angles of the universal rotating part around the x-axis and around the y-axis.
在其中一个实施例中,所述万向转动部为十字万向轴联轴,所述十字万向轴联轴上设有旋转阻尼器。In one of the embodiments, the universal rotation part is a cross universal shaft coupling, and a rotary damper is provided on the cross universal shaft coupling.
在其中一个实施例中,所述固定部包括用于承载帕金森患者的上肢的托板、以及设在所述托板上用于定位帕金森患者的上肢的固定带,所述至少一个阻尼器与所述固定部连接的一端与所述托板连接,所述复位弹簧与所述固定部抵接的一端与所述托板抵接。In one embodiment, the fixation part comprises a support plate for carrying the upper limbs of Parkinson's patients, and a fixation belt provided on the support plate for positioning the upper limbs of Parkinson's patients, the at least one damper One end connected to the fixing portion is connected to the support plate, and one end of the return spring abutting to the fixing portion is abutted to the support plate.
在其中一个实施例中,所述固定部还包括设置在所述托板上的压力传感器。In one of the embodiments, the fixing part further includes a pressure sensor arranged on the support plate.
在其中一个实施例中,还包括座椅,与所述震颤抑制装置间隔设置并位于所述震颤抑制装置的前端,供待训练的帕金森病患者乘坐。In one of the embodiments, it further includes a seat, which is spaced apart from the tremor suppression device and located at the front end of the tremor suppression device, for the Parkinson's disease patient to be trained to sit on.
根据本发明实施例的第二方面,提供一种用于减缓帕金森患者上肢震颤的训练方法,包括:According to a second aspect of the embodiments of the present invention, there is provided a training method for alleviating upper limb tremor in Parkinson's patients, comprising:
将帕金森患者的待训练上肢固定在震颤抑制装置上;Fix the upper limbs of Parkinson's patients to be trained on the tremor suppression device;
控制所述串联机器人与帕金森患者的上肢配合进行训练;controlling the serial robot to cooperate with the upper limbs of Parkinson's patients to perform training;
将帕金森患者上肢在训练时的相关图像信息显示在所述显示装置上。The relevant image information of the upper limbs of the Parkinson's patient during training is displayed on the display device.
与现有技术相比,本发明提供的用于减缓帕金森患者上肢震颤及肌强直的训练设备,通过震颤抑制装置实时抑制帕金森患者在训练过程中出现的震颤行为,通过串联机器人配合帕金森患者进行上肢震颤和肌强直训练,可适用于不同体型的帕金森患者进行上肢震颤和肌强直康复训练,帮助帕金森患者减轻震颤症状和肌强直症状。Compared with the prior art, the training equipment for alleviating the tremor and muscle rigidity of the upper limbs of Parkinson's patients provided by the present invention can suppress the tremor behavior of Parkinson's patients in the training process in real time through the tremor suppression device, Patients with upper limb tremor and muscle rigidity training can be applied to Parkinson's patients of different body types for upper limb tremor and muscle rigidity rehabilitation training to help Parkinson's patients reduce tremor symptoms and muscle rigidity symptoms.
附图说明Description of drawings
此处的附图被并入说明书中并构成本说明书的一部分,示出了符合本发明的实施例,并与说明书一起用于解释本发明的原理。The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the invention and together with the description serve to explain the principles of the invention.
图1为本发明一示例性实施例示出的一种用于减缓帕金森患者上肢震颤的训练设备结构示意图;1 is a schematic structural diagram of a training device for alleviating upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention;
图2为本发明一示例性实施例示出的一种震颤抑制装置结构示意图;FIG. 2 is a schematic structural diagram of a tremor suppression device according to an exemplary embodiment of the present invention;
图3为本发明一示例性实施例示出的一种串联机器人结构示意图;FIG. 3 is a schematic structural diagram of a serial robot according to an exemplary embodiment of the present invention;
图4为本发明一示例性实施例示出的一种显示装置结构示意图;FIG. 4 is a schematic structural diagram of a display device according to an exemplary embodiment of the present invention;
图5为本发明一示例性实施例示出的一种万向轴连器结构示意图;FIG. 5 is a schematic structural diagram of a cardan shaft connector according to an exemplary embodiment of the present invention;
图6为本发明一示例性实施例示出的一种用于减缓帕金森患者上肢震颤的训练方法流程图;6 is a flowchart of a training method for alleviating upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention;
图7为本发明一示例性实施例示出的另一种用于减缓帕金森患者上肢震颤的训练方法流程图;7 is a flowchart of another training method for alleviating upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention;
图8为本发明一示例性实施例示出的又一种用于减缓帕金森患者上肢震颤的训练方法流程图。Fig. 8 is a flow chart of yet another training method for relieving upper limb tremor in Parkinson's patients according to an exemplary embodiment of the present invention.
具体实施方式Detailed ways
这里将详细地对示例性实施例进行说明,其示例表示在附图中。下面的描述涉及附图时,除非另有表示,不同附图中的相同数字表示相同或相似的要素。以下示例性实施例中所描述的实施方式并不代表与本发明相一致的所有实施方式。相反,它们仅是与如所附权利要求书中所详述的、本发明的一些方面相一致的装置和方法的例子。Exemplary embodiments will be described in detail herein, examples of which are illustrated in the accompanying drawings. Where the following description refers to the drawings, the same numerals in different drawings refer to the same or similar elements unless otherwise indicated. The implementations described in the illustrative examples below are not intended to represent all implementations consistent with the present invention. Rather, they are merely examples of apparatus and methods consistent with some aspects of the invention as recited in the appended claims.
图1为本发明一示例性实施例示出的一种用于减缓帕金森患者上肢震颤的训练设备结构示意图,该训练设备包括座椅10、震颤抑制装置20、串联机器人30、显示装置40以及计算机50。其中,所述座椅10,设置于所述训练设备的最前端,并位于正中间,供待训练的帕金森病患者乘坐;所述震颤抑制装置20,用于抑制帕金森患者在训练过程中出现的震颤行为;所述串联机器人30,与所述震颤抑制装置连接,用于配合帕金森患者训练;所述显示装置40,可接收所述震颤抑制装置和串联机器人在训练过程中的相关数据,用于实时显示帕金森患者上肢在进行训练时的相关图像信息,所述计算机50,与所述震颤抑制装置、串联机器人以及显示装置连接,用于处理训练过程中的相关数据。1 is a schematic structural diagram of a training device for relieving upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention, the training device includes a
如图2所示,所述震颤抑制装置20包括固定部200、消震颤部210以及支撑所述转动装置的连接底座220,其中,所述固定部200用于固定帕金森患者的上肢,所述消震颤部210用于抑制帕金森患者的震颤行为。As shown in FIG. 2 , the
在本实施例中,所述消震颤部210包括安装板206、复位弹簧205和至少一个阻尼器204,上述复位弹205簧的两端分别抵接固定部200与安装板206,上述至少一个阻尼器204的两端分别连接安装板206与固定部200。In this embodiment, the
具体地,在上述安装板206上设有三个阻尼器204,该三个阻尼器的两端分别连接安装板206与固定部200,其中一个阻尼器设置在安装板206的一端,另外两个阻尼器204设置在安装板206的另一端,排列形成稳定的三角形,在上述三个阻尼器204中间设有复位弹簧205,该复位弹簧205的两端分别抵接固定部200与安装板206,上述阻尼器204可以提供运动的阻力,吸收帕金森患者上肢的震颤,复位弹簧205可施加一个反向力来限制帕金森患者上肢的震颤,从而对上肢震颤的振幅进行限制,这样,复位弹簧和阻尼器可以配合作用抑制帕金森患者手部的震颤。Specifically, three
在本实施例中,所述震颤抑制装置20还包括与所述串联机器人30连接的连接底座220以及连接所述安装板206的万向转动部208。In this embodiment, the
具体地,所述万向转动部208为十字万向轴联轴,该十字万向轴联轴上设有旋转阻尼器207,用于增大万向转动部的阻力。如图5所示,上述十字万向轴连器208的两个轴呈十字交叉形,以两轴交叉的中心为圆心,以两轴所在的直线为分别作x轴和y轴,则与上述十字万向轴连器208连接的部件分别可绕x轴和y轴转动,而若以连接底座220的轴线作z轴,上述十字万向联轴器整体还可绕z轴转动。在其他的实施方式中,上述万向连接器208可以通过球关节替换,该球关节嵌在连接底座220的空腔内,可以使与球关节相连的部件相对连接底座220实现全方位转动。Specifically, the
在本实施例中,所述震颤抑制装置20包括三个角度传感器209,其中一个角度传感器209设置在万向转动部208与连接底座220的连接处,用于检测万向转动部208绕z轴转动的角度,另外两个角度传感器设在万向转动部208上,用于检测万向转动部208分别绕x轴和绕y轴转动的角度。In this embodiment, the
在本实施例中,所述固定部200包括用于承载帕金森患者的上肢的托板203、以及设在托板203上用于定位帕金森患者的上肢的固定带201,上述至少一个阻尼器204与固定部200连接的一端与托板203连接,上述复位弹簧205与固定部200抵接的一端与托板203抵接。In this embodiment, the fixing
具体地,所述托板203设置为适合于手指并拢时放置的形状,在托板203上的前后两个位置分别设有两个固定带201,与托板203配合固定置于其上的帕金森患者的手部。当然,本发明对托板203的形状以及固定带201的数量和设置位置不限,只要可以将帕金森患者的上肢固定在托板203的实施方式都在本发明保护的范围之内。Specifically, the supporting
在本实施例中,所述固定部200还包括压力传感器202,该压力传感器202设置于上述托板203上,可以采集到放置于上述托板203上的帕金森患者上肢所受的力。训练时系统可以通过压力传感器202检测到帕金森患者的手部所受的力,当患者手部受到的力超出预设的范围时,系统会紧急停止对患者的训练,以起到安全保护的作用。In this embodiment, the fixing
如图3所示,所述串联机器人30包括串联机器人本体301和与串联机器人本体301相连的连接架302,该连接架302可跟随上述串联机器人本体301移动。As shown in FIG. 3 , the
具体地,串联机器人的本体301包括第一连杆和第二连杆,该第一连杆的末端与第二连杆通过第三关节连接,第一连杆的另一端连接有第二关节,该第二关节安装在第一关节的末端,第一关节安装在与固定上述串联机器人本体302的基座(图未示)上,另外,第二连杆与所述连接架302连接,通过串联机器人本体301各关节的转动,连接架302可在可达空间的任意位置间移动,由于该设备运动范围较广,故该训练设备可以适用不同体型、不同臂长的患者训练。Specifically, the
如图4所示,所述显示装置40包括显示器402和支撑所述显示器的支架401,该显示器可接收上述震颤抑制装置20和串联机器人30在训练过程中的相关数据,用于实时显示帕金森患者上肢在进行训练时的相关图像信息。比如,帕金森患者的上肢在进行被动训练时,显示器可以显示与帕金森患者的上肢进行互动的趣味性游戏,而在帕金森患者的上肢在进行主动训练时,显示器可以显示出帕金森患者的上肢在进行训练时的运动轨迹。所述计算机50与所述震颤抑制装置20、串联机器人30以及显示装置40连接,用于处理训练过程中的相关数据,可以采集所述震颤抑制装置20和串联机器人30在训练过程中的数据,并将相关数据发送至上述显示装置20显示。As shown in FIG. 4 , the
与上述用于减缓帕金森患者上肢震颤的训练设备相对应,本发明还提供了一种减缓帕金森患者上肢震颤的训练方法,包括:Corresponding to the above-mentioned training equipment for alleviating the tremor of the upper extremity of the Parkinson's patient, the present invention also provides a training method for slowing the tremor of the upper extremity of the Parkinson's patient, comprising:
将帕金森患者的待训练上肢固定在震颤抑制装置上;Fix the upper limbs of Parkinson's patients to be trained on the tremor suppression device;
控制所述串联机器人与帕金森患者的上肢配合进行训练;controlling the serial robot to cooperate with the upper limbs of Parkinson's patients to perform training;
将帕金森患者上肢在训练时的相关图像信息显示在所述显示装置上。The relevant image information of the upper limbs of the Parkinson's patient during training is displayed on the display device.
为了方便更清楚地理解本发明的技术方案,下面通过具体的实施例对本发明用于减缓帕金森患者上肢震颤的训练设备和训练方法进行进一步的描述。为描述方便,以帕金森患者上肢的训练方式为依据对各个实施例进行区分。其中,帕金森患者的训练方式包括以下至少之一:分单关节被动训练、多关节复合被动训练和主动训练。In order to facilitate a clearer understanding of the technical solutions of the present invention, the following specific embodiments will further describe the training equipment and training method of the present invention for alleviating the tremor of the upper limbs of Parkinson's patients. For the convenience of description, various embodiments are distinguished based on the training methods of the upper limbs of Parkinson's patients. Among them, the training methods of Parkinson's patients include at least one of the following: single-joint passive training, multi-joint compound passive training and active training.
实施例一:分关节被动训练Example 1: Passive training of joints
图6为本发明一示例性实施例示出的一种用于减缓帕金森患者上肢震颤的训练方法流程图,该方法包括:FIG. 6 is a flowchart of a training method for alleviating upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention, and the method includes:
在步骤601中,将帕金森患者的手部固定在托板上。In
在本实施例中,可以通过固定带将帕金森患者的手部固定在托板上,使帕金森患者的手掌紧贴设置于托板上的压力传感器,该压力传感器可以实时监测帕金森患者手部的受力,当患者手部受到的力超出一定范围时,系统会紧急停止对患者的训练,以起到安全保护的作用。In this embodiment, the Parkinson's patient's hand can be fixed on the support board through the fixing belt, so that the Parkinson's patient's palm is closely attached to the pressure sensor set on the support board, and the pressure sensor can monitor the Parkinson's patient's hand in real time. When the force on the patient's hand exceeds a certain range, the system will urgently stop the training of the patient to play a role in safety protection.
在步骤602中,计算该帕金森患者上肢各关节之间的距离。In
在本实施例中,由于不同的帕金森患者体型不同,相应的臂长不同,故肩关节到肘关节之间的距离(即大臂长)以及肘关节到腕关节之间的距离(即小臂长)也不同。在进行被动训练时,为了使串联机器人可以按照被训练患者的臂长尺寸进行训练,首先需要测出待训练患者的大臂长和小臂长。In this embodiment, due to the different body shapes of different Parkinson's patients, the corresponding arm lengths are different, so the distance between the shoulder joint and the elbow joint (that is, the length of the big arm) and the distance between the elbow joint and the wrist joint (that is, the small arm length) are also different. During passive training, in order to enable the tandem robot to train according to the arm length of the patient to be trained, it is first necessary to measure the length of the forearm and forearm of the patient to be trained.
具体地,可以先将腕关节和肘关节用绑带固定,手部带动肩关节单独运动,此时,在帕金森患者手部的带动下,串联机器人的各关节发生运动,可以将串联机器人各关节转角数据发送至计算机保存;接着,再将腕关节和肩关节用绑带固定,手部带动肘关节单独运动,同样会带动串联机器人各关节的运动,并将串联机器人的各关节转角数据发送至计算机;同理,将肘关节和肩关节用绑带固定,手部带动腕关节单独运动,计算机记录在腕关节单独运动的情况下串联机器人的各关节转角数据,最后,计算机根据记录的各转角数据并结合患者所在的位置通过一定的算法计算得出帕金森患者的大臂长和小臂长。Specifically, the wrist joint and elbow joint can be fixed with straps first, and the shoulder joint can be driven by the hand to move independently. At this time, driven by the hand of the Parkinson's patient, the joints of the serial robot move, and each joint of the serial robot can be moved. The joint angle data is sent to the computer for storage; then, the wrist joint and shoulder joint are fixed with straps, and the hand drives the elbow joint to move independently, which also drives the movement of each joint of the tandem robot, and sends the data of each joint angle of the tandem robot. In the same way, the elbow joint and shoulder joint are fixed with straps, the hand drives the wrist joint to move independently, and the computer records the rotation angle data of each joint of the robot in series when the wrist joint moves alone. The rotation angle data and the position of the patient are combined with a certain algorithm to calculate the length of the forearm and forearm of Parkinson's patients.
在步骤603中,串联机器人带动帕金森患者的手部进行单关节训练。In
在本实施例中,串联机器人可以根据步骤602中计算机处理得出的帕金森患者上肢的大臂长和小臂长,对帕金森患者进行单关节训练。In this embodiment, the serial robot can perform single-joint training for the Parkinson's patient according to the length of the forearm and the forearm of the Parkinson's patient's upper limb obtained by computer processing in
具体地,例如,在对肩关节进行训练时,可以将腕关节和肘关节用绑带固定,串联机器人带动震颤抑制装置运动,震颤抑制装置会在串联机器人和患者手部力的共同作用下进行姿态调整,训练时能够使患者手部处于较为舒适的姿态,帕金森患者的手部以肩关节为中心,以手臂长为半径,可以在与肩部同高的半圆水平面进行水平转动,也可以在竖直方向进行竖直转动,当然,本发明对手部的转动方式并不进行限制,任何可以以肩关节为中心,在手臂可到达范围内的转动方式都在本发明的保护范围之内。Specifically, for example, when training the shoulder joint, the wrist joint and the elbow joint can be fixed with straps, the tandem robot drives the tremor suppression device to move, and the tremor suppression device will perform under the joint action of the tandem robot and the patient's hand. Attitude adjustment, the patient's hand can be in a more comfortable posture during training. Parkinson's patient's hand is centered on the shoulder joint and the arm length is the radius. Vertical rotation is performed in the vertical direction. Of course, the present invention does not limit the rotation mode of the hand. Any rotation mode that can center on the shoulder joint and within the reachable range of the arm is within the protection scope of the present invention.
同理,在对腕关节和肘关节进行训练时,也采取上述类似的方式进行。In the same way, when training the wrist joint and elbow joint, it is also carried out in a similar way as above.
在训练过程中,串联机器人可带动震颤抑制装置运动,震颤抑制装置可以在串联机器人和患者手部力的共同作用下进行姿态调整,使患者手部处于较为舒适的姿态。帕金森患者手部震颤时,会带动托板震颤,托板带动复位弹簧移动,此时,该复位弹簧对手部施加一个反向力来限制帕金森患者手部的震颤,从而对手部的震颤振幅进行限制,同时,阻尼器可以吸收帕金森患者手部震颤时的能量,这样,复位弹簧和阻尼器可以配合作用抑制帕金森患者手部的震颤。During the training process, the tandem robot can drive the tremor suppression device to move, and the tremor suppression device can adjust the posture under the joint action of the tandem robot and the patient's hand force, so that the patient's hand is in a more comfortable posture. When a patient with Parkinson's hand tremors, it will drive the support plate to tremble, and the support plate drives the return spring to move. At this time, the return spring exerts a reverse force on the hand to limit the tremor of the hand of the patient with Parkinson's disease, so that the tremor amplitude of the hand At the same time, the damper can absorb the energy of the Parkinson's patient's hand tremor, so that the return spring and the damper can cooperate to suppress the Parkinson's patient's hand tremor.
在进行单关节被动训练过程中,使用本发明提供的用于减缓帕金森患者上肢震颤的训练设备还可以对帕金森患者的肌强直进行训练,肌强直是指骨骼肌肉在收缩后不易放松,寒冷能使症状加重为的一组肌肉疾病,通俗讲为肌肉僵硬,帕金森病导致的肌张力与偏瘫、截瘫引起的肌张力增高有所不同,帕金森病导致的肌张力特点是伸肌和屈肌肌张力均增高,屈肌更为明显。肌强直可导致患者转身、站起、解纽扣和其他的日常动作会变得缓慢,且越来越困难,还会面部表情呆板、吞咽困难和流涎、言语单调而缓慢。In the process of single-joint passive training, using the training equipment for relieving the tremor of the upper limbs of Parkinson's patients provided by the present invention can also train the myotonia of Parkinson's patients. A group of muscle diseases that can aggravate symptoms, commonly referred to as muscle stiffness. The muscle tension caused by Parkinson's disease is different from the increased muscle tension caused by hemiplegia and paraplegia. The muscle tension caused by Parkinson's disease is characterized by extensor and flexor. Muscle tension was increased, and flexors were more pronounced. Myotonia can cause the patient to become slow and increasingly difficult to turn, stand up, unbutton buttons, and other daily movements, as well as stiff facial expressions, difficulty swallowing and salivation, and monotonous and slow speech.
具体地,在进行单关节训练时,例如对肩关节进行训练,可以先将患者的腕关节和肘关节固定,串联机器人带动震颤抑制装置运动,震颤抑制装置会在串联机器人和患者手部力的共同作用下进行姿态调整,使患者手部处于较为舒适的姿态。接着,以同样的方式轮流单独训练肩关节、腕关节以及肘关节,从而达到对各个肌肉进行训练的效果,降低帕金森患者较强的肌张力。Specifically, when performing single-joint training, such as training the shoulder joint, the patient's wrist and elbow joints can be fixed first, and the tandem robot drives the tremor suppression device to move. Under the joint action, the posture is adjusted so that the patient's hand is in a more comfortable posture. Then, in the same way, the shoulder joint, wrist joint and elbow joint are individually trained in turn, so as to achieve the effect of training each muscle and reduce the strong muscle tension of Parkinson's patients.
另外,在训练过程中,显示装置的显示器上可以显示一些趣味性的游戏,比如,可以设计一些人机交互游戏,使帕金森患者玩游戏的同时完成关节训练,增加帕金森患者锻炼的趣味性。In addition, in the training process, some interesting games can be displayed on the display of the display device. For example, some human-computer interaction games can be designed, so that Parkinson's patients can complete joint training while playing games, and increase the interest of Parkinson's patients' exercise. .
实施例二:多关节复合被动训练Example 2: Multi-joint compound passive training
图7为本发明一示例性实施例示出的另一种用于减缓帕金森患者上肢震颤的训练方法流程图,如图7所示,该训练方法包括:FIG. 7 is a flowchart of another training method for relieving upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention. As shown in FIG. 7 , the training method includes:
在步骤701中,将帕金森患者的手部固定在托板上。In
在本实施例中,可以通过固定带将帕金森患者的手部固定在托板上,使帕金森患者的手掌紧贴设置于托板上的压力传感器,该压力传感器可以实时监测帕金森患者手部的受力,当患者手部受到的力超出一定范围时,系统会紧急停止对患者的训练,以起到安全保护的作用。In this embodiment, the Parkinson's patient's hand can be fixed on the support board through the fixing belt, so that the Parkinson's patient's palm is closely attached to the pressure sensor set on the support board, and the pressure sensor can monitor the Parkinson's patient's hand in real time. When the force on the patient's hand exceeds a certain range, the system will urgently stop the training of the patient to play a role in safety protection.
在步骤702中,计算该帕金森患者上肢各关节之间的距离。In
在本实施例中,由于不同的帕金森患者体型不同,相应的臂长不同,故肩关节到肘关节之间的距离(即大臂长)以及肘关节到腕关节之间的距离(即小臂长)也不同。在进行被动训练时,为了使串联机器人可以按照被训练患者的臂长尺寸进行训练,首先需要测出待训练患者的大臂长和小臂长。In this embodiment, due to the different body shapes of different Parkinson's patients, the corresponding arm lengths are different, so the distance between the shoulder joint and the elbow joint (that is, the length of the big arm) and the distance between the elbow joint and the wrist joint (that is, the small arm length) are also different. During passive training, in order to enable the tandem robot to train according to the arm length of the patient to be trained, it is first necessary to measure the length of the forearm and forearm of the patient to be trained.
具体地,可以先将腕关节和肘关节用绑带固定,手部带动肩关节单独运动,此时,在帕金森患者手部的带动下,串联机器人的各关节发生运动,可以将串联机器人各关节转角数据发送至计算机;接着,再将腕关节和肩关节用绑带固定,手部带动肘关节单独运动,同样会带动串联机器人各关节的运动,并将串联机器人的各关节转角数据发送至计算机;同理,将肘关节和肩关节用绑带固定,手部带动腕关节单独运动,计算机记录在腕关节单独运动的情况下串联机器人的各关节转角数据,最后,计算机根据记录的各转角数据并结合患者所在的位置通过一定的算法计算得出帕金森患者的大臂长和小臂长。Specifically, the wrist joint and elbow joint can be fixed with straps first, and the shoulder joint can be driven by the hand to move independently. At this time, driven by the hand of the Parkinson's patient, the joints of the serial robot move, and each joint of the serial robot can be moved. The joint angle data is sent to the computer; then, the wrist joint and shoulder joint are fixed with straps, and the hand drives the elbow joint to move independently, which also drives the movement of each joint of the serial robot, and sends the joint angle data of the serial robot to Computer; in the same way, the elbow joint and shoulder joint are fixed with straps, the hand drives the wrist joint to move independently, the computer records the rotation angle data of each joint of the robot in series when the wrist joint moves alone, and finally, the computer records the rotation angle according to the recorded The data and the position of the patient are combined with a certain algorithm to calculate the length of the forearm and forearm of Parkinson's patients.
在步骤703中,串联机器人带动帕金森患者的手部进行多关节复合被动训练。In
在本实施例中,串联机器人可以根据步骤702中计算机处理得出的帕金森患者上肢的大臂长和小臂长,对帕金森患者进行多关节复合被动训练。In this embodiment, the serial robot can perform multi-joint compound passive training on the Parkinson's patient according to the length of the forearm and the forearm of the Parkinson's patient's upper limb obtained by computer processing in
具体地,无需对帕金森患者上肢的任何关节进行固定,串联机器人可以带动帕金森患者上肢的肩关节、肘关节以及腕关节同时运动,这样可以对帕金森患者的肌强直进行训练,降低帕金森患者较强的肌张力。在训练过程中,在串联机器人的带动下,帕金森患者的肩关节、腕关节以及肘关节在同时运动,从而起到训练整个肌肉群的效果,降低帕金森患者较强的肌张力。Specifically, there is no need to fix any joints of the upper limbs of Parkinson's patients, and the serial robot can drive the shoulder, elbow and wrist joints of the Parkinson's patients' upper limbs to move at the same time, which can train the muscle stiffness of Parkinson's patients and reduce Parkinson's disease The patient has strong muscle tone. During the training process, driven by the tandem robot, the shoulder joint, wrist joint and elbow joint of Parkinson's patients move at the same time, which has the effect of training the entire muscle group and reduces the strong muscle tension of Parkinson's patients.
在帕金森患者手部震颤时,会带动托板震颤,托板带动复位弹簧移动,此时,该复位弹簧对手部施加一个反向力来限制帕金森患者手部的震颤,从而对手部的震颤振幅进行限制,同时,阻尼器可以吸收帕金森患者手部震颤时的能量,这样,复位弹簧和阻尼器可以配合作用抑制帕金森患者手部的震颤。When a patient with Parkinson's hand trembles, the support plate will be driven to tremble, and the support plate will drive the return spring to move. At this time, the return spring exerts a reverse force on the hand to limit the tremor of the hand of the patient with Parkinson's disease, thereby causing the tremor of the hand The amplitude is limited, and at the same time, the damper can absorb the energy of the Parkinson's patient's hand tremor, so that the return spring and the damper can cooperate to suppress the Parkinson's patient's hand tremor.
在本实施例中,串联机器人带动帕金森患者手部的运动方式不限,可以是直线运动、斜线运动、圆周运动等其他曲线运动,本发明对此并不进行限制。同样,显示装置的显示器上可以显示一些趣味性的游戏,比如专门针对帕金森患者上肢的多关节复合被动训练的互动游戏,增加帕金森患者锻炼的趣味性。In this embodiment, the movement mode of the serial robot driving the Parkinson's patient's hand is not limited, and may be other curved movements such as linear movement, oblique movement, circular movement, etc., which is not limited in the present invention. Similarly, some interesting games can be displayed on the display of the display device, such as an interactive game specially aimed at multi-joint compound passive training of the upper limbs of Parkinson's patients, so as to increase the interest of Parkinson's patients' exercise.
实施例三:主动训练Example 3: Active training
被动训练是串联机器人带动帕金森患者的上肢运动,而主动训练是帕金森患者的上肢带动串联机器人运动。图8为本发明一示例性实施例示出的另一种用于减缓帕金森患者上肢震颤的训练方法流程图,如图8所示,训练方法包括:Passive training is that the tandem robot drives the upper limbs of Parkinson's patients, while active training is that the upper limbs of Parkinson's patients drive the tandem robot to move. FIG. 8 is a flowchart of another training method for alleviating upper limb tremor in Parkinson’s patients according to an exemplary embodiment of the present invention. As shown in FIG. 8 , the training method includes:
在步骤801中,将帕金森患者的手部固定在托板上。In
在本实施例中,可以通过固定带将帕金森患者的手部固定在托板上,使帕金森患者的手掌紧贴设置于托板上的压力传感器,该压力传感器可以实时监测帕金森患者手部的受力,当患者手部受到的力超出一定范围时,系统会紧急停止对患者的训练,以起到安全保护的作用。In this embodiment, the Parkinson's patient's hand can be fixed on the support board through the fixing belt, so that the Parkinson's patient's palm is closely attached to the pressure sensor set on the support board, and the pressure sensor can monitor the Parkinson's patient's hand in real time. When the force on the patient's hand exceeds a certain range, the system will urgently stop the training of the patient to play a role in safety protection.
在步骤802中,帕金森患者的上肢主动带动串联机器人运动。In
在本实施例中,帕金森患者的上肢通过带动震颤抑制装置的运动,从而带动串联机器人各关节的运动,在帕金森患者的上肢运动的同时,计算机实时采集串联机器人和震颤抑制装置中的数据,并将帕金森患者上肢的运动轨迹实时显示在显示装置的显示器上,可以鼓励帕金森患者积极参与训练。In this embodiment, the upper limb of the Parkinson's patient drives the motion of the tremor suppression device, thereby driving the motion of each joint of the serial robot. While the upper limb of the Parkinson's patient moves, the computer collects the data in the serial robot and the tremor suppression device in real time. , and display the motion trajectory of the upper limbs of Parkinson's patients on the monitor of the display device in real time, which can encourage Parkinson's patients to actively participate in training.
在主动训练过程中,帕金森患者手部在主动运动的同时也发生震颤,从而带动托板震颤,托板带动复位弹簧移动,此时,该复位弹簧对手部施加一个反向力来限制帕金森患者手部的震颤,从而对手部的震颤振幅进行限制,同时,阻尼器可以吸收帕金森患者手部震颤时的能量,这样,复位弹簧和阻尼器可以配合作用抑制帕金森患者手部的震颤。In the process of active training, the hands of Parkinson's patients also tremble while actively moving, which drives the support plate to tremble, and the support plate drives the return spring to move. At this time, the return spring exerts a reverse force on the hand to limit Parkinson's disease The tremor of the patient's hand can limit the tremor amplitude of the hand. At the same time, the damper can absorb the energy of the Parkinson's patient's hand tremor, so that the return spring and the damper can cooperate to suppress the hand tremor of the Parkinson's patient.
为了增大帕金森患者的训练强度,还可以对帕金森患者进行阻抗训练,此时,串联机器人的各关节可以提供阻力,通过震颤抑制装置作用在帕金森患者的手部,使帕金森患者的手部在阻力下进行康复训练。在阻抗训练的过程中,可以在显示装置的显示器上显示一些训练游戏,比如,为激发帕金森患者训练斗志,增加一些具有对抗性的游戏。In order to increase the training intensity of Parkinson's patients, impedance training can also be performed on Parkinson's patients. At this time, each joint of the series robot can provide resistance, and the tremor suppression device acts on the Parkinson's patient's hand, so that the Parkinson's patient's hand can be improved. Rehabilitation of the hand under resistance. During the impedance training process, some training games may be displayed on the display of the display device, for example, some confrontational games are added to stimulate the training morale of Parkinson's patients.
相较于现有技术,本发明提供的用于减缓帕金森患者上肢震颤的训练设备及训练方法具有以下优点:Compared with the prior art, the training equipment and training method for alleviating the tremor of the upper limbs of Parkinson's patients provided by the present invention have the following advantages:
1、不仅可以用于减缓帕金森患者上肢震颤训练,还可用来对帕金森患者的肌强直进行训练,降低帕金森患者较强的肌张力。1. It can not only be used to reduce the tremor training of the upper limbs of patients with Parkinson's disease, but also can be used to train the muscle rigidity of patients with Parkinson's disease, and reduce the strong muscle tension of patients with Parkinson's disease.
2、不仅可以对帕金森患者上肢的单个关节进行训练,还可以实现多关节复合训练和阻抗训练,有助于帕金森患者上肢关节活动能力的恢复;2. It can not only train a single joint of the upper limbs of Parkinson's patients, but also realize multi-joint compound training and resistance training, which is helpful for the recovery of the mobility of the upper limbs of patients with Parkinson's disease;
3、减缓帕金森患者上肢震颤的训练设备可适用于不同体型的帕金森患者进行康复治疗,具有较强的适应型;3. The training equipment for relieving the tremor of the upper limbs of Parkinson's patients can be applied to the rehabilitation of Parkinson's patients of different sizes, and has a strong adaptability;
4、在震颤抑制装置中,采用复位弹簧和阻尼器配合抑制帕金森患者上肢的震颤,结构简单,可适应于不同震颤频率的帕金森患者抑制震颤;4. In the tremor suppression device, the return spring and damper are used to suppress the tremor of the upper limbs of Parkinson's patients, the structure is simple, and it can be adapted to the Parkinson's patients with different tremor frequencies to suppress tremor;
5、在被动训练中,会提前测量帕金森患者的臂长,串联机器人根据不同臂长的帕金森患者进行不同程度的运动,避免患者在训练时受伤;5. In passive training, the arm length of Parkinson's patients will be measured in advance, and the series robot will perform different degrees of exercise according to Parkinson's patients with different arm lengths to avoid injury to patients during training;
6、在训练过程中加入人机互动游戏,提高帕金森患者训练的积极性。6. Add human-computer interactive games in the training process to improve the enthusiasm of Parkinson's patients in training.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-described embodiments can be combined arbitrarily. For the sake of brevity, all possible combinations of the technical features in the above-described embodiments are not described. However, as long as there is no contradiction between the combinations of these technical features, All should be regarded as the scope described in this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only represent several embodiments of the present invention, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the invention patent. It should be pointed out that for those skilled in the art, without departing from the concept of the present invention, several modifications and improvements can be made, which all belong to the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention shall be subject to the appended claims.
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