CN219148360U - Walking brace for patients with ankle sprains - Google Patents
Walking brace for patients with ankle sprains Download PDFInfo
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- CN219148360U CN219148360U CN202223042948.2U CN202223042948U CN219148360U CN 219148360 U CN219148360 U CN 219148360U CN 202223042948 U CN202223042948 U CN 202223042948U CN 219148360 U CN219148360 U CN 219148360U
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Abstract
一种踝关节扭伤患者行走支具,解决踝关节扭伤患者的踝关节固定支撑站立的同时并可以行走的问题,技术方案是:该行走支具与鞋底构成连接,该行走支具与鞋底形状对应;该支具由与鞋底形状对应的上面和与地面呈设计夹角的底面构成的楔形体;上面与底面构成的楔形体为鞋底前端向后呈厚度逐渐变小的楔形体;上面与底面构成的楔形体夹角为小于或等于使用者踝关节背伸角的楔形体;底面在楔形体最大厚度端或最小厚度端设置有蹭行滚轮、助滑垫。有益效果是:结构简单,连接方式多样,达到了固定支撑并扭伤早期负重行走,促进康复目的。
A walking brace for patients with ankle sprains, which solves the problem that patients with ankle sprains can walk while standing with fixed support on the ankle joints. The technical solution is: the walking brace is connected to the sole, and the walking brace corresponds to the shape of the sole ; The brace is a wedge-shaped body composed of an upper surface corresponding to the shape of the sole and a bottom surface at a designed angle with the ground; the wedge-shaped body formed by the upper surface and the bottom surface is a wedge-shaped body whose thickness gradually decreases from the front end of the sole; the upper surface and the bottom surface form a wedge-shaped body The wedge-shaped body included angle is the wedge-shaped body that is less than or equal to the dorsiflexion angle of the user's ankle joint; the bottom surface is provided with a rubbing roller and a sliding pad at the maximum thickness end or the minimum thickness end of the wedge-shaped body. The beneficial effect is that the structure is simple and the connection modes are various, and the purpose of fixed support and early weight-bearing walking after sprain is achieved, and the purpose of promoting rehabilitation is achieved.
Description
技术领域technical field
本实用新型涉及一种踝关节患者行走的辅助器械,特别是一种踝关节扭伤患者康复的行走支具。The utility model relates to an auxiliary device for walking of patients with ankle joints, in particular to a walking brace for rehabilitation of patients with ankle joint sprains.
背景技术Background technique
目前国内外临床治疗急性踝关节韧带损伤遵循Policemm原则的保守治疗(保护、适当负重、冰敷、加压包、抬高肢体)既在踝关节保护下的适当休息、冰敷、加压包、抬高肢体和早期负重之后开始积极功能治疗锻炼。At present, the clinical treatment of acute ankle ligament injuries at home and abroad follows the conservative treatment of the Policemm principle (protection, appropriate weight bearing, ice pack, compression pack, and raising the limbs). Proper rest, ice pack, press pack, Active functional therapy exercises begin after extremity elevation and early weight bearing.
目前对于急性踝关节韧带损伤的治疗方法比较多,效果有各不相同,对于急性踝关节韧带损伤的治疗和处理原则,临床上还有较大的争议。At present, there are many treatment methods for acute ankle ligament injury, and the effects are different. There is still a lot of controversy in the clinic about the treatment and treatment principles of acute ankle ligament injury.
目前对于急性踝关节韧带损伤的治疗方法较为统一的认识是:在外部支撑的辅助下适当运动,而非卧床静态休息但现有的各种保护固定支具器材方法等仍不能满足要求。At present, the relatively unified understanding of the treatment methods for acute ankle ligament injuries is: proper exercise with the assistance of external support, rather than static rest in bed.
通过踝关节解剖和生物力学研究,当踝关节(胫距关节)维持在中立位和背伸位时,胫距关节处于最稳定解剖结构和内外踝韧带较小应力状态,通过合适的支具控制保持踝关节的稳定结构,以达到早期功能治疗的目的。Through ankle joint anatomy and biomechanical research, when the ankle joint (tibiotalar joint) is maintained in a neutral position and dorsiflexion, the tibiotalar joint is in the most stable anatomical structure and the state of less stress on the inner and outer malleolus ligaments, controlled by a suitable brace Maintain the stable structure of the ankle joint to achieve the purpose of early functional treatment.
现有技术中,公开了一种针对足下垂患者的一种能穿戴可调踝关节器,中国专利CN217390979U,该技术方案针对足下垂患者,为牵拉改善挛缩的小腿三头肌和跟腱,使患足穿戴斜边向后的楔形块固定于足底前足, 这样可以站立或行走落地时,迫使足相对足后跟有上仰的角度,牵伸患者的小腿三头肌或挛缩的跟腱,得到康复训练。由于该设计目的不同,如果应用于急性踝扭伤内外侧韧带损伤患者,存在明显的缺陷,穿戴可调踝关节器楔形块装配在前足掌下,既足柘骨头下方并迫使其相对于地平面仰起,忽略了柘跗关节、跗间关节和跟距关节的活动,不能良好的控制踝关节活动度;尤其当行走中跨步时,并不能控制足下垂;该楔形块设计相对于前足较狭窄,近似于前足高跟鞋,直立尚可,行走时极不稳定,易发生患者的踝关节二次损伤;不适宜踝关节扭伤内外踝韧带损伤足踝的固定和行走。In the prior art, a wearable and adjustable ankle joint device for patients with foot drop is disclosed, Chinese patent CN217390979U, this technical solution is aimed at patients with foot drop, in order to stretch and improve the contracted calf triceps and Achilles tendon, Make the affected foot wear a wedge with a hypotenuse side and fix it on the plantar forefoot, so that when standing or walking on the ground, the foot is forced to have an upward angle relative to the heel, stretching the patient's calf triceps or contracted Achilles tendon , get rehabilitation training. Due to the different purpose of the design, if it is applied to patients with acute ankle sprains and injuries to the medial and lateral ligaments, there are obvious defects. Wearing adjustable ankle joint wedges is assembled under the ball of the forefoot, which is under the head of the foot and forces it to face up relative to the ground. From the beginning, the activities of the tarsal joint, intertarsal joint and heel-tarsal joint are ignored, and the range of motion of the ankle joint cannot be well controlled; especially when striding in walking, the foot drop cannot be controlled; the design of the wedge is narrower than that of the forefoot , similar to forefoot high-heeled shoes, can stand upright, is extremely unstable when walking, and is prone to secondary injury of the patient's ankle joint; it is not suitable for ankle sprains, internal and external malleolus ligaments, ankle fixation and walking.
实用新型内容Utility model content
为解决现有技术存在的不足,实现固定支撑站立的同时并可以行走,本实用新型公开一种踝关节扭伤患者的行走支具。In order to solve the deficiencies in the prior art and realize walking while standing with a fixed support, the utility model discloses a walking support for patients with ankle joint sprains.
本实用新型实现发明目的采用的技术方案是:The technical scheme adopted by the utility model to realize the purpose of the invention is:
一种踝关节扭伤患者行走支具,该行走支具与鞋底构成连接,该行走支具与鞋底形状对应;A walking brace for patients with ankle sprains, the walking brace is connected to the sole, and the walking brace corresponds to the shape of the sole;
所述的该支具由与鞋底形状对应的上面和与地面呈设计夹角的底面构成的楔形体;The brace is a wedge-shaped body composed of an upper surface corresponding to the shape of the sole and a bottom surface at a designed angle with the ground;
所述的上面与底面构成的楔形体为鞋底前端向后呈厚度逐渐变小的楔形体;The wedge-shaped body formed by the upper surface and the bottom surface is a wedge-shaped body whose thickness gradually decreases from the front end of the sole to the rear;
所述的上面与底面构成的楔形体夹角为小于或等于使用者踝关节背伸角的楔形体。The wedge angle formed by the upper surface and the bottom surface is smaller than or equal to the wedge angle of the user's ankle joint dorsiflexion.
本实用新型的有益效果是:针对急性踝关节扭伤的支具,沿着足前后方向,配合足底,使楔形体的斜面向后,与足底全脚掌形成支撑接触;或通过与袜底、鞋底或鞋内底表面等构成连接或一体成型与足底全脚掌部位形成接触支撑,并达到行走或直立状态时形成对足踝活动的稳定限制、支撑或滑行和蹭行。结构简单,连接方式多样,我们通过踝关节解剖和生物力学研究,通过该行走支具可使踝关节和韧带在行走中维持在最稳定解剖位置,蹭走滑轮和助滑垫更是突出了该作用。达到了固定支撑并扭伤早期负重行走,恢复基本生活、学习和轻体力工作,促进康复目的。The beneficial effects of the utility model are: for the brace for acute ankle sprains, along the front-to-back direction of the foot, cooperate with the sole of the foot so that the slope of the wedge-shaped body faces backwards and forms a supporting contact with the sole of the sole of the foot; The surface of the sole or the inner sole of the shoe is connected or integrally formed to form a contact support with the whole sole of the foot, and when it reaches the walking or upright state, it forms a stable restriction, support, or sliding and rubbing of the ankle. The structure is simple and the connection methods are diverse. Through the study of ankle joint anatomy and biomechanics, the walking brace can maintain the ankle joint and ligaments in the most stable anatomical position during walking. effect. It achieves the purpose of fixed support and early weight-bearing walking after sprain, recovery of basic life, study and light physical work, and promotion of rehabilitation.
下面结合附图对本实用新型进行详细说明。The utility model is described in detail below in conjunction with accompanying drawing.
附图说明Description of drawings
附图1为本实用新型结构示意图。Accompanying
附图2为附图1的A向实施例1结构示意图。Accompanying drawing 2 is a schematic structural diagram of
附图3为附图1的A向实施例2结构示意图。Accompanying
附图4为附图1的A向实施例3结构示意图。Accompanying drawing 4 is a schematic structural diagram of
附图5为附图1的B向结构示意图。Accompanying drawing 5 is the schematic diagram of the structure along the B direction of accompanying
附图6为本实用新型实上面与鞋底形状对应施例结构示意图。Accompanying drawing 6 is the structural schematic diagram of the embodiment corresponding to the shape of the upper and the sole of the utility model.
附图7为本实用新型上面大于鞋底形状实施例结构示意图。Accompanying drawing 7 is the structure schematic diagram of the utility model upper than the shape embodiment of the sole.
附图8为本实用新型上面带有安装卡位实施例结构示意图。Accompanying drawing 8 is the structure schematic diagram of the embodiment of the utility model with the mounting card position.
附图9为本实用新型使用状态示意图。Accompanying drawing 9 is the schematic diagram of the use status of the utility model.
附图10为本实用新型实施例一支具的上面固定在鞋底上使用状态示意图。Accompanying drawing 10 is the schematic diagram of the use state that the top of a tool of the utility model embodiment is fixed on the sole.
附图11为本实用新型蹭行滚轮设置在前端实施例使用状态示意图。Accompanying drawing 11 is the schematic diagram of the use state of the embodiment of the utility model that the rubbing roller is arranged at the front end.
附图12为本实用新型蹭行滚轮设置在后端实施例使用状态示意图。Accompanying drawing 12 is the schematic diagram of the use state of the embodiment of the utility model that the rubbing roller is arranged at the rear end.
附图13为本实用新型上面与底面的复位弹簧为直线弹簧结构示意图。Accompanying drawing 13 is the utility model top and the back-moving spring of the bottom surface are the schematic diagram of linear spring structure.
附图14为本实用新型上面与底面的复位弹簧为扭簧的结构示意图。Accompanying drawing 14 is the structure diagram that the return spring of the utility model top and bottom surface is torsion spring.
附图中,1.行走支具、1-1.上面、1-2.底面、1-3.安装卡位、1-4.捆扎带、1-5.转轴、1-6.复位弹簧、2.鞋底、3-1.蹭行轮、3-2.助滑垫。In the accompanying drawings, 1. Walking brace, 1-1. Top, 1-2. Bottom surface, 1-3. Installation clip, 1-4. Binding strap, 1-5. Rotating shaft, 1-6. Return spring, 2. Sole, 3-1. Rubbing wheel, 3-2. Sliding mat.
具体实施方式Detailed ways
参看附图,一种踝关节扭伤患者行走支具,该行走支具与鞋底构成连接,该行走支具1与鞋底2形状对应;Referring to the accompanying drawings, a walking brace for a patient with an ankle sprain, the walking brace is connected to the sole, and the
所述的该支具1由与鞋底形状对应的上面1-1和与上面1-1呈设计夹角的底面1-2构成的楔形体;The
所述的上面1-1与底面1-2构成的楔形体为鞋底前端向后呈厚度逐渐变小的楔形体;The wedge-shaped body formed by the upper surface 1-1 and the bottom surface 1-2 is a wedge-shaped body whose thickness gradually decreases from the front end of the sole to the rear;
所述的上面1-1与底面1-2构成的楔形体为小于或等于使用者踝关节背伸角的楔形体。The wedge-shaped body formed by the upper surface 1-1 and the bottom surface 1-2 is smaller than or equal to the dorsiflexion angle of the user's ankle joint.
本实用新型实施例中,所述的支具1的上面1-1与底面1-2的一端经转轴1-5连接,构成上面1-1与底面1-2角度可变的楔形体,所述的上面1-1与底面1-2之间设置有复位弹簧1-6。In the embodiment of the present utility model, one end of the upper surface 1-1 and the bottom surface 1-2 of the
本实施例中,所述的复位弹簧1-6固定设置在上面1-1与底面1-2远离转轴1-5的另一端的直线弹簧或设置在转轴1-5上的扭簧。In this embodiment, the return spring 1-6 is a linear spring fixed on the other end of the upper surface 1-1 and the bottom surface 1-2 away from the rotating shaft 1-5 or a torsion spring arranged on the rotating shaft 1-5.
本实施例中,患者在行走使用时,复位弹簧1-6可以踝关节起到辅助支撑作用,踝关节可根据病情好转情况,适当增加踝关节的作用力。In this embodiment, when the patient is walking, the return springs 1-6 can play an auxiliary support role for the ankle joint, and the ankle joint can appropriately increase the force of the ankle joint according to the improvement of the patient's condition.
行走中,随着楔形体受到压力的大小,楔形体的角度可伴随弹力的大小发生改变。During walking, the angle of the wedge can change with the magnitude of the elastic force as the wedge is subjected to pressure.
本实施例中,所述的底面1-2在楔形体最大厚度端或最小厚度端设置有蹭行滚轮3-1或所述的底面1-2设置有助滑垫3-2。In this embodiment, the bottom surface 1-2 is provided with rubbing rollers 3-1 at the maximum or minimum thickness end of the wedge-shaped body or the bottom surface 1-2 is provided with a sliding pad 3-2.
蹭行滚轮3-1和助滑垫3-2设置的目的是,该行走支具1使患者受伤脚面呈前端翘起姿态。蹭行滚轮3-1和助滑垫3-2减少楔形体移动时与地面的摩擦阻力。方便患者行走(参看附图1和9)。The purpose that roller 3-1 and sliding aid pad 3-2 are set by rubbing is that this
助滑垫3-2特氟龙材料,耐磨损、减噪和助滑效果明显。Sliding pad 3-2 Teflon material, wear resistance, noise reduction and sliding effect is obvious.
本实用新型实施例中,所述的底面1-2与上面1-1沿上面1-1的宽度方向呈设计夹角,构成楔形体对踝关节支撑时向人体内侧或向人体外侧的倾斜姿态支撑结构。(参看附图3和4)。减少对踝关节侧面的拉伸。In the embodiment of the present utility model, the bottom surface 1-2 and the upper surface 1-1 form a designed angle along the width direction of the upper surface 1-1, which constitutes a tilting posture toward the inside of the human body or toward the outside of the human body when the wedge-shaped body supports the ankle joint. supporting structure. (see accompanying
本实用新型实施例中,所述的该支具的上面1-1固定设置在鞋底2上或所述的该行走支具的上面1-1与鞋底2构成一体结构。构成带有该支具的专用治疗康复鞋。In the embodiment of the utility model, the upper surface 1-1 of the support is fixedly arranged on the sole 2 or the upper surface 1-1 of the walking support and the sole 2 form an integral structure. A special treatment rehabilitation shoe with the brace is formed.
本实用新型实施例中,所述的蹭行滚轮3-1为万向滚轮。方便患者任意方向的移动行走。In the embodiment of the utility model, the rubbing roller 3-1 is a universal roller. It is convenient for patients to move and walk in any direction.
本实用新型实施例中,所述的上面1-1与底面1-2构成的楔形体的结构中,上面1-1上设置有患者脚或鞋的安装卡位1-3和捆扎带1-4。使用时患者的受伤脚或受伤脚上的鞋设置在安装卡位1-3内,通过捆扎带1-4固定。In the embodiment of the present utility model, in the structure of the wedge-shaped body formed by the upper surface 1-1 and the bottom surface 1-2, the upper surface 1-1 is provided with the installation card position 1-3 and the binding belt 1-3 of the patient's foot or shoe. 4. During use, the patient's injured foot or the shoes on the injured foot are arranged in the mounting position 1-3 and fixed by the binding strap 1-4.
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