CN108720975B - Walking exoskeleton for correcting foot varus - Google Patents
Walking exoskeleton for correcting foot varus Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F5/0127—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the feet
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F2005/0132—Additional features of the articulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
- A61H2003/007—Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1657—Movement of interface, i.e. force application means
- A61H2201/1659—Free spatial automatic movement of interface within a working area, e.g. Robot
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2205/00—Devices for specific parts of the body
- A61H2205/12—Feet
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Abstract
Description
技术领域Technical field
本发明属于医学装备技术领域中一种预防及矫正足下垂、足内翻、足外翻病症的医疗器械。The invention belongs to the technical field of medical equipment and is a medical device for preventing and correcting foot drop, foot varus and foot valgus.
背景技术Background technique
足内翻、足下垂是一种常见的运动障碍,近半数较为严重的足内翻、足下垂需要治疗。严重者的痉挛会导致各种各样的并发症,包括皮肤损伤、静脉栓塞和静脉炎、疼痛、搬运困难、排痰困难,而且长期的活动受限将出现骨质疏松和挛缩以及产生关节畸形。脑瘫、中风、颅脑外伤、脊椎损伤、神经元疾病和多发性硬化等以上运动神经元病损伤均可出现足内翻、足下垂,这是下肢造成残疾的最主要原因。患者的行走及日常生活活动受到很大限制,有的甚至成为残疾人。纠正足内翻、足下垂是提高患者个人生活能力最主要的治疗方法之一。Foot inversion and foot drop are common movement disorders, and nearly half of the more severe foot inversion and foot drop require treatment. Severe spasticity can lead to various complications, including skin damage, venous thrombosis and phlebitis, pain, difficulty in carrying, and difficulty in excretion of sputum. Long-term limited activity will lead to osteoporosis, contracture, and joint deformity. . Motor neurone disease injuries such as cerebral palsy, stroke, traumatic brain injury, spinal cord injury, neuronal disease, and multiple sclerosis can cause foot pronation and foot drop, which are the main causes of lower limb disability. Patients' walking and daily activities are greatly restricted, and some even become disabled. Correcting foot inversion and foot drop is one of the most important treatments to improve patients' personal living abilities.
目前,在公知技术中,现有的矫正足下垂、足内翻、足外翻器械主要采用由松紧吊带和脚底托板组成,脚掌踩踏脚底托板套住松紧吊带、松紧吊带套挂在脖颈上。其结构复杂,使用不便,康复效果并不理想,其主要原因是在患者日常行走过程中,常规矫正器不能与患者的前脚掌和踝关节弯曲程度很好匹配。At present, in the known technology, the existing equipment for correcting foot drop, foot varus and foot valgus mainly consists of an elastic sling and a sole support plate. The sole support plate is placed on the sole of the foot to cover the elastic sling, and the elastic sling is hung on the neck. . Its structure is complex, inconvenient to use, and the rehabilitation effect is not ideal. The main reason is that during the patient's daily walking process, the conventional orthosis cannot match the patient's forefoot and ankle joint bending well.
发明内容Contents of the invention
为了克服现有技术的不足,解决现有矫正器对足下垂、足内翻、足外翻应用繁琐,康复效果不理想的问题,本发明之目的是提供一种结构合理,康复效果好,使用方便的新式矫正器械。In order to overcome the shortcomings of the existing technology and solve the problems that the existing orthotics for foot drop, foot varus and foot valgus are cumbersome to apply and have unsatisfactory rehabilitation effects, the purpose of the present invention is to provide a device with reasonable structure and good rehabilitation effect. Convenient new orthodontic device.
本发明所采用的技术方案是:一种用于矫正足内翻的行走外骨骼,包括鞋头固定器、连接关节、前脚掌弯曲关节、脚掌长度伸缩杆、外骨骼主体、鞋跟固定器、踝关节活动轴、踝关节活动轴柄、松紧带a、松紧带b,其中所述鞋头固定器、鞋跟固定器内有凹槽,能够将鞋尖和鞋后跟从前后两端将患者的鞋夹紧固定用松紧带a进行周边固定。The technical solution adopted by the present invention is: a walking exoskeleton for correcting foot varus, including a toe head fixator, a connecting joint, a forefoot bending joint, a foot length telescopic rod, an exoskeleton main body, a heel fixator, Ankle joint movable axis, ankle joint movable axis handle, elastic band a, elastic band b, wherein the toe head fixator and heel fixator have grooves, which can clamp the toe tip and heel of the patient from the front and rear ends. Tightly fasten with elastic band a for peripheral fixation.
1)所述的脚掌长度伸缩杆由伸缩杆和圆柱座组成。通过调节外骨骼主体上的旋钮来调节脚掌长度;通过脚掌长度伸缩杆调节前脚掌弯曲关节的前后伸缩距离;前脚掌弯曲关节的轴承内侧套在脚掌长度伸缩关节的圆柱座上,这就保证了患者行走时,前脚掌弯曲关节能够使矫正器与患者前脚掌达到自适应同步弯曲。1) The foot length telescopic rod is composed of a telescopic rod and a cylindrical seat. Adjust the length of the sole of the foot by adjusting the knob on the main body of the exoskeleton; adjust the forward and backward telescopic distance of the forefoot flexion joint through the sole of the foot length telescopic rod; the inner side of the bearing of the forefoot flexion joint is placed on the cylindrical seat of the sole of the foot length telescopic joint, which ensures When the patient walks, the forefoot flexion joint enables the orthosis and the patient's forefoot to achieve adaptive synchronized flexion.
2)所述外骨骼主体的踝关节部位有圆孔和半圆的凹槽用于嵌套安装踝关节活动轴,踝关节活动轴柄的底部为半圆结构并且在一侧有一个凸起的圆柱,踝关节活动轴的直径等于外骨骼主体上部的圆孔直径,踝关节活动轴一端的半圆直径等于外骨骼主体上半圆凹槽的直径,踝关节活动轴和外骨骼主体接插,踝关节活动轴柄前后的旋转-15~15°角度。这就保证了患者行走时,踝关节活动轴能够使矫正器与患者的踝关节达到自适应同步弯曲。2) The ankle joint of the exoskeleton body has round holes and semicircular grooves for nesting the ankle joint movable shaft. The bottom of the ankle joint movable shaft handle is a semicircular structure and has a raised cylinder on one side. The diameter of the ankle joint movable axis is equal to the diameter of the circular hole on the upper part of the exoskeleton body, and the semicircle diameter at one end of the ankle joint movable axis is equal to the diameter of the semicircular groove on the exoskeleton main body. The ankle joint movable axis is connected to the exoskeleton main body, and the ankle joint movable axis The front and rear rotation of the handle is -15 to 15°. This ensures that when the patient walks, the ankle joint movable axis can enable the orthosis and the patient's ankle joint to achieve adaptive synchronous bending.
3)所述踝关节活动轴柄的上侧安装有两片腿部固定板,通过使用松紧带b将两个腿部护腿板和患者的腿部进行固定。3) Two leg fixation plates are installed on the upper side of the ankle joint movable shaft, and the two leg shin guards and the patient's legs are fixed by using elastic bands b.
下面结合附图和实施例对本发明做进一步说明。The present invention will be further described below in conjunction with the accompanying drawings and examples.
附图说明Description of the drawings
图1为本发明左脚矫正足内翻的行走外骨骼主视图。Figure 1 is a front view of a walking exoskeleton for correcting foot varus of the left foot according to the present invention.
图2为本发明左脚矫正足内翻的行走外骨骼前脚掌弯曲关节、脚掌长度调节杆安装图。Figure 2 is an installation diagram of the forefoot bending joint and the sole length adjustment rod of the walking exoskeleton for correcting foot varus of the left foot according to the present invention.
图3为本发明左脚矫正足内翻的行走外骨骼踝关节活动轴的结构示意图。Figure 3 is a schematic structural diagram of the ankle joint activity axis of the walking exoskeleton for correcting foot varus of the left foot according to the present invention.
右脚外骨骼结构与左脚对称。The exoskeleton structure of the right foot is symmetrical to that of the left foot.
图例:包括鞋头固定器(1)、连接关节(2)、前脚掌弯曲关节(3)、脚掌长度伸缩杆(4)、外骨骼主体(5)、鞋跟固定器(6)、踝关节活动轴(7)、踝关节活动轴柄(11)、松紧带a(8)、松紧带b(9)、护腿板(10)、凹槽(12)、轴承固定器(31)、轴承(32)、圆柱座(41)、伸缩杆(42),旋钮(52)、伸缩槽(51)、凹槽(53)、圆孔(54)和半圆凹槽(55)。Legend: Including toe fixator (1), connecting joint (2), forefoot flexion joint (3), foot length telescopic rod (4), exoskeleton main body (5), heel fixator (6), ankle joint Movable shaft (7), ankle joint movable shaft handle (11), elastic band a (8), elastic band b (9), leg guard (10), groove (12), bearing holder (31), bearing (32) , cylindrical seat (41), telescopic rod (42), knob (52), telescopic groove (51), groove (53), round hole (54) and semicircular groove (55).
具体实施方式:Detailed ways:
下面结合附图以具体实施例对本发明作进一步描述,The present invention will be further described below with specific embodiments in conjunction with the accompanying drawings.
1)如图1所示一种用于矫正足内翻的行走外骨骼,包括:鞋头固定器(1)、连接关节(2)、前脚掌弯曲关节(3)、脚掌长度伸缩杆(4)、前脚掌弯曲关节(3)与鞋头固定器(1)通过连接关节(2)进行刚体连接,鞋跟固定器(6)与外骨骼主体(5)进行刚体连接;所述行走外骨骼的底部为中空的脚掌框。1) As shown in Figure 1, a walking exoskeleton for correcting foot varus, including: toe fixator (1), connecting joint (2), forefoot flexion joint (3), and foot length telescopic rod (4 ), the forefoot flexion joint (3) is rigidly connected to the toe fixator (1) through the connecting joint (2), and the heel fixator (6) is rigidly connected to the exoskeleton main body (5); the walking exoskeleton The bottom is a hollow sole frame.
2)如图2,通过调节外骨骼主体(5)上的旋钮(52)就可以调节鞋头固定器(1)与鞋跟固定器(6)的距离。松紧带a(8)固定在鞋头固定器(1)的一端,并沿着鞋边穿过鞋跟固定器(6),最终通过粘扣固定在鞋边的外骨骼(5)最外侧。2) As shown in Figure 2, the distance between the toe fixator (1) and the heel fixator (6) can be adjusted by adjusting the knob (52) on the exoskeleton body (5). The elastic band a (8) is fixed on one end of the toe holder (1), passes through the heel holder (6) along the edge of the shoe, and is finally fixed on the outermost side of the exoskeleton (5) on the edge of the shoe through a Velcro fastener.
3)如图2,前脚掌弯曲关节(3)和脚掌长度伸缩杆(4)位于患者鞋边侧,且脚掌框的长度可根据患者的不同鞋长进行调节,调节长度为0到5cm。行走时,脚掌框前端可随患者前脚掌自适应弯曲,可避免出现画圈步态,从而起到辅助患者行走的效果。3) As shown in Figure 2, the forefoot flexion joint (3) and the sole length telescopic rod (4) are located on the side of the patient's shoe, and the length of the sole frame can be adjusted according to the patient's different shoe lengths, and the adjustment length is 0 to 5cm. When walking, the front end of the foot frame can bend adaptively with the patient's forefoot, which can avoid the circling gait and thus assist the patient in walking.
4)如图2,前脚掌弯曲关节(3)的轴承(32)连接在脚掌长度伸缩杆的圆柱座41上,并通过轴承固定器(31)进行固定。4) As shown in Figure 2, the bearing (32) of the forefoot flexion joint (3) is connected to the cylindrical seat 41 of the foot length telescopic rod and is fixed by the bearing holder (31).
5)如图2,脚掌长度伸缩杆(4)的伸缩杆(42)能够插进外骨骼主体(5)的伸缩槽(51)内通过旋钮(52)调节伸缩杆的长度。5) As shown in Figure 2, the telescopic rod (42) of the sole-length telescopic rod (4) can be inserted into the telescopic groove (51) of the exoskeleton body (5) to adjust the length of the telescopic rod through the knob (52).
6)如图2,患者鞋的鞋头安放在鞋头固定器(1)的凹槽(12)内,患者鞋的鞋跟安放在鞋跟固定器(6)的凹槽(53)内。6) As shown in Figure 2, the toe of the patient's shoe is placed in the groove (12) of the toe holder (1), and the heel of the patient's shoe is placed in the groove (53) of the heel holder (6).
7)如图3,外骨骼主体(5)上的踝关节轴为圆孔(54)和半圆凹槽(55)用于嵌套安装踝关节活动轴(7),踝关节活动轴柄(11)前后的旋转-15~15°角度。这就保证了患者行走时,踝关节活动轴能够使矫正器与患者的踝关节达到自适应同步弯曲。7) As shown in Figure 3, the ankle joint shaft on the exoskeleton body (5) is a round hole (54) and a semicircular groove (55) for nesting the ankle joint movable shaft (7), the ankle joint movable shaft handle (11) ) front and back rotation -15 to 15° angle. This ensures that when the patient walks, the ankle joint movable axis can enable the orthosis and the patient's ankle joint to achieve adaptive synchronous bending.
综上所述,为了解决常规矫正器不能与患者的前脚掌和踝关节弯曲程度很好匹配的问题,本发明提出了一种能自适应患者前脚掌和踝关节在行走过程中弯曲程度的矫正器。主要创新之处在于:通过设计的脚掌长度伸缩杆来调节前脚掌弯曲关节的前后伸缩距离,同时通过设计的前脚掌弯曲关节能够为矫正器提供了更多的前脚掌活动自由度,通过设计的踝关节活动轴为矫正器提供了更多的踝关节活动自由度。从而实现了患者在行走过程中,矫正器与患者的前脚掌和踝关节都能达到自适应同步弯曲的效果,提高矫正功效。To sum up, in order to solve the problem that conventional orthotics cannot match the bending degree of the patient's forefoot and ankle joint well, the present invention proposes a correction device that can adapt to the bending degree of the patient's forefoot and ankle joint during walking. device. The main innovation is: the designed foot length telescopic rod is used to adjust the front and rear telescopic distance of the forefoot flexion joint. At the same time, the designed forefoot flexion joint can provide the orthosis with more freedom of movement of the forefoot. Through the designed The ankle joint axis of movement provides the orthosis with more freedom of movement of the ankle joint. In this way, during the patient's walking process, the orthosis and the patient's forefoot and ankle joints can achieve adaptive and synchronous bending, thereby improving the correction effect.
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