DE202013002572U1 - Reconfigurable ankle exoskeleton device - Google Patents
Reconfigurable ankle exoskeleton device Download PDFInfo
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- DE202013002572U1 DE202013002572U1 DE202013002572U DE202013002572U DE202013002572U1 DE 202013002572 U1 DE202013002572 U1 DE 202013002572U1 DE 202013002572 U DE202013002572 U DE 202013002572U DE 202013002572 U DE202013002572 U DE 202013002572U DE 202013002572 U1 DE202013002572 U1 DE 202013002572U1
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- ankle
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- joint
- exoskeleton
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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
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0266—Foot
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- A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
- A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
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- A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
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- A63B21/005—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters
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- A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
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Abstract
Nichtgeerdete, tragbare und rekonfigurierbare Außenskelett-Vorrichtung für Fußknöcheltherapie und -messung, die aufweist: eine Basisplattform, die dem Bein des Benutzers gegenüberliegt, eine Bewegungsplattform, die dem Fuß des Benutzers gegenüberliegt; ein Verbindungselement, das die Basisplattform und die Bewegungsplattform verbindet, ein Gelenkelement, das das Verbindungselement mit der Basisplattform verbindet.An unguided, portable and reconfigurable exoskeleton apparatus for ankle therapy and measurement, comprising: a base platform facing the leg of the user, a movement platform facing the foot of the user; a link connecting the base platform and the motion platform, a link connecting the link to the base platform.
Description
Hintergrund der ErfindungBackground of the invention
Die vorliegende Erfindung betrifft eine nichtgeerdete, rekonfigurierbare, auf einem parallelen Mechanismus basierende, Kraftrückkopplung-Außenskelettvorrichtung für den menschlichen Fußknöchel. Die Vorrichtung findet hauptsächlich Verwendung als ein Gleichgewicht/Propriozeption-Trainer, wenngleich die Außenskelettvorrichtung auch für RoM/Kräftigung-Übungen (RoM: Bewegungsbereich) verwendet werden kann. Diese Vorrichtung wird auch für Metatarsophalangealgelenk-Übungen verwendet.The present invention relates to a non-grounded reconfigurable parallel mechanism force feedback exoskeleton device for the human ankle. The device is mainly used as a balance / proprioception trainer, although the exoskeleton device may also be used for RoM / Strengthening (RoM) exercises. This device is also used for metatarsophalangeal joint exercises.
Das Ziel der Rehabilitation ist, die physischen, sensorischen und neuronalen Fähigkeiten eines Patienten, die infolge einer Krankheit oder Verletzung beeinträchtigt wurden, wiederherzustellen. Fußknöchelrehabilitation ist üblicherweise notwendig nach Fußknöchelverstauchung, eine der häufigsten Verletzungen im Sport und im täglichen Leben [1]. Verluste von Funktionsfähigkeit, Fähigkeit, Gewicht zu tragen und Gelenkstabilität am Fußknöchel treten auch auf nach neurologischen Verletzungen als sekundäre Folge eines Schlaganfalls und Kontrakturverformung als sekundäre Folge einer zerebrovaskulären Erkrankung. Physiotherapeutische Übungen sind unerlässlich zur Wiederherstellung des Bewegungsbereichs (RoM: range of motion) des Gelenks, als Hilfe zur Wiederkräftigung von Muskeln für das Tragen von Gewicht, zur Förderung einer besseren Wahrnehmung der Gelenkposition (Propriozeption), zur Sicherstellung der Nervenintegrität und zur Wiedergewinnung des dynamischen Gleichgewichts.The goal of rehabilitation is to restore a patient's physical, sensory and neuronal abilities that have been compromised as a result of illness or injury. Ankle rehabilitation is usually necessary after ankle sprain, one of the most common injuries in sports and daily life [1]. Loss of function, ability to support weight and ankle joint stability also occur after neurological injury as a secondary consequence of stroke and contracture deformation as a secondary consequence of cerebrovascular disease. Physiotherapeutic exercises are essential for restoring the range of motion (ROM) of the joint, helping to re-enforce muscles for carrying weight, promoting better perception of joint position (proprioception), assuring nerve integrity, and regaining the dynamic balance.
Rehabilitation einer Fußknöchelverletzung wird allgemein in drei aufeinanderfolgenden Übungsphasen angegangen [2], [3]. Übungen in der frühen Phase konzentrieren sich zuerst auf Ermöglichen eines vollen RoM des Gelenks und danach Kräftigen von Fußknöchelmuskeln. Sobald der erforderliche RoM und die erforderliche Beweglichkeit erreicht ist und die Muskeln kräftig genug geworden sind, um teilweise Gewicht zu tragen, ohne Schmerz hervorzurufen, kann die mittlere Therapiephase begonnen werden, die sich konzentriert auf Verbesserung der Propiozeptionsfähigkeit durch Anwendung von statischen Gleichgewichtsübungen. In der Endphase der Therapie werden anspruchsvollere dynamische Gleichgewichtübungen durchgeführt.Rehabilitation of an ankle injury is commonly addressed in three consecutive exercise phases [2], [3]. Exercises in the early phase focus first on allowing a full ROM of the joint, and then strengthening ankle muscles. Once the required RoM and mobility is achieved and the muscles have become strong enough to partially support weight without causing pain, the middle therapy phase can be started focusing on enhancing propioceptor ability through the use of static balance exercises. In the final stages of therapy, more demanding dynamic balance exercises are performed.
Herkömmliche Rehabilitationsvorrichtungen, die zur Unterstützung der Physiotherapie verwendet werden, sind einfache passive Geräte, wie elastische Bänder und Fußknöchelrehabilitationsschuhe für Kräftigungs- und Dehnungsübungen; Wackelbretter und Schaumstoffrollen für Propriozeptions- und Gleichgewichtsübungen. RoM-Übungen werden im Allgemeinen manuell von einem Therapeuten durchgeführt. Obwohl diese Gerätetypen einfach und fixkosteneffektiv sind, mangelt es diesen herkömmlichen Vorrichtungen an der Möglichkeit, quantitative Messungen des Patientenfortschritts zu sammeln, Patientenhistorie für eine Neubewertung zu überwachen und individuelle interaktive Behandlungsprotokolle zu gewinnen. Von den Therapeuten wird verlangt, während des Übens mit diesen Vorrichtungen Körperlast der Bewegungstherapie zu tragen und dem Patienten ihre volle Aufmerksamkeit zu widmen.Conventional rehabilitation devices used to assist physiotherapy are simple passive devices such as elastic ligaments and ankle rehabilitation shoes for strengthening and stretching exercises; Rattling boards and foam rollers for proprioception and balance exercises. RoM exercises are generally performed manually by a therapist. While these types of devices are simple and fixed cost effective, these conventional devices lack the ability to collect quantitative measurements of patient progress, monitor patient history for reassessment, and gain individual interactive treatment protocols. Therapists are required to wear body-load of exercise therapy while practicing with these devices and to pay their full attention to the patient.
Heutzutage werden Rehabilitationsübungen mit Hilfe von Robotervorrichtungen durchgeführt. Assistierendes Unterstützen von sich wiederholenden und körperlichen Rehabilitationsübungen unter Verwendung von Robotervorrichtungen trägt nicht nur dazu bei, die körperliche Belastung einer Bewegungstherapie für die Therapeuten zu beseitigen, sondern verringert auch die mit der Anwendung zusammenhängenden Kosten. Zudem erlaubt eine robotervermittelte Rehabilitationstherapie quantitative Messungen des Patientenfortschritts und kann verwendet werden, um individuelle interaktive Behandlungsprotokolle zu verwirklichen.Today, rehabilitation exercises are performed using robotic devices. Assisting repetitive and physical rehabilitation exercises using robotic devices not only helps to eliminate the physical burden of exercise therapy for the therapist, but also reduces the cost associated with the application. In addition, robot-mediated rehabilitation therapy allows for quantitative measurements of patient progress and can be used to realize individual interactive treatment protocols.
Vorteilhafte Wirkungen von Protokollen roboterassistierter Rehabilitation sind aufgezeigt worden in Vergleich zu herkömmlicher Therapie durch klinische Versuche in der Literatur [4]. Die Notwendigkeit für roboterassistierte Rehabilitationsvorrichtungen für Fußknöchelphysiotherapie erkennend, sind bis heute verschiedene Konstruktionen vorgeschlagen worden.
In [11] schlugen
Es ist also eine Aufgabe der Erfindung, eine Vorrichtung bereitzustellen, die eine rekonfigurierbare Konstruktion hat. Ihre Implementierung ist einfach und die Vorrichtung kann durch Zusammenbauen von kommerziell erhältlichen Teilen hergestellt werden. Aufgrund ihrer Rekonfigurierbarkeit erlaubt die Vorrichtung sowohl Bewegungsbereich/Kräftigung-Übungen wie auch Gleichgewicht/Propriozeption-Übungen.It is therefore an object of the invention to provide a device having a reconfigurable construction. Their implementation is simple and the device can be made by assembling commercially available parts. Due to its reconfigurability, the device allows both range of motion / strengthening exercises as well as balance / proprioception exercises.
Zusammenfassung der ErfindungSummary of the invention
Gemäß einer Ausführungsform der vorliegenden Erfindung ist die Vorrichtung fähig, den gesamten komplexen Bereich des menschlichen Fußknöchels für RoM/Kräftigung-Übungen abzudecken. Die Vorrichtung kann während Gleichgewicht/Propriozeption-Übungen das menschliche Gewicht tragen. Durch die rekonfigurierbare Konstruktion der Basisplatte sind auch Übungen für das Metatarsophalangealgelenk möglich.According to one embodiment of the present invention, the device is capable of covering the entire complex area of the human ankle for RoM / Strengthening exercises. The device can support human weight during balance / proprioception exercises. The reconfigurable construction of the base plate also allows exercises for the metatarsophalangeal joint.
Gemäß einer Ausführungsform der vorliegenden Erfindung kann die Vorrichtung als ein klinisches Messwerkzeug verwendet werden. Fußknöchelgelenk-Bewegungsumfang, Kräfte und Impedanzen können ermittelt werden, um Diagnosen zu unterstützen.According to one embodiment of the present invention, the device may be used as a clinical measurement tool. Ankle joint range of motion, forces and impedances can be detected to aid diagnoses.
Gemäß einer Ausführungsform der vorliegenden Erfindung ist die Vorrichtung ergonomisch, erlaubt den gesamten Bewegungsbereich des menschlichen Fußknöchels. Die Vorrichtung ist leicht und tragbar; somit transportierbar. Die Vorrichtung ist aufgrund der ausgewählten Aktuatoren inhärent sicher.According to one embodiment of the present invention, the device is ergonomic, allowing the entire range of motion of the human ankle. The device is lightweight and portable; thus transportable. The device is inherently safe due to the selected actuators.
Gemäß einer Ausführungsform der vorliegenden Erfindung hat die Vorrichtung aufgrund ihrer parallelen kinematischen Struktur und optimierten Bandbreite eine höhere Kontrollfähigkeit als ähnliche Vorrichtungen.According to one embodiment of the present invention, the device has a higher control capability than similar devices because of its parallel kinematic structure and optimized bandwidth.
Gemäß einer Ausführungsform der vorliegenden Erfindung unterstützt die Vorrichtung komplexe Bewegungen des Fußes und ist nicht auf einen einzigen Freiheitsgrad beschränkt, wie es bei vielen existierenden Konstruktionen der Fall ist.According to one embodiment of the present invention, the device supports complex movements of the foot and is not limited to a single degree of freedom, as is the case with many existing designs.
Gemäß einer Ausführungsform der vorliegenden Erfindung ist die Vorrichtung programmiert, den Patienten während einer physikalischen Therapie zu führen, zu assistierend oder ihm Widerstand entgegenzusetzen, und ist mit einem Computersystem implementiert. Die Assistenz- und Widerstandspegel sind über Software einstellbar. Die Vorrichtung kann auch programmiert sein, Fußknöchelgelenk-Parameter, beispielsweise Tonus und Impedanz des Fußknöchels, zu schätzen.In accordance with one embodiment of the present invention, the device is programmed to guide, assist, or resist the patient during physical therapy and is implemented with a computer system. The assistant and resistance levels are adjustable via software. The device may also be programmed to estimate ankle parameters, such as ankle tone and impedance.
Aspekte der Vorrichtung gemäß der vorliegenden Erfindung betreffen Rehabilitationsroboter, roboterassistierte Rehabilitation, Vorrichtung für physikalische Therapie, Kraftrückkopplung-Außenskelette, haptische Interface-Vorrichtungen für medizinische Behandlung, klinische Messvorrichtungen, Fußknöchelrehabilitationssysteme, Fußknöchelorthosis, Rehabilitationsvorrichtungen für Fußknöchelphysiotherapie, Vorrichtungen zum Einschätzen einer Fußknöchelfunktion, Ermitteln von Fußknöchelimpedanz.Aspects of the device according to the present invention relate to rehabilitation robots, robot assisted rehabilitation, physical therapy devices, force feedback exoskeletons, haptic interface devices for medical treatment, clinical measurement devices, ankle rehabilitation systems, ankle orthosis, ankle rehabilitation devices, devices for assessing ankle function, ankle impedance determination ,
Kurze Beschreibung der ZeichnungenBrief description of the drawings
Detaillierte Beschreibung der bevorzugten AusführungsformenDetailed Description of the Preferred Embodiments
Die folgende Beschreibung der bevorzugten Ausführungsform ist einzig und allein beispielhafter Natur und soll in keiner Weise die Erfindung, ihre Anwendung oder Verwendungen einschränken.The following description of the preferred embodiment is merely exemplary in nature and is in no sense intended to limit the invention, its application, or uses.
Eine Außenskelett-Vorrichtung für Fußknöcheltherapie und -messung (
eine Bewegungsplattform (
eine Basisplattform (
ein Verbindungselement (
a motion platform (
a base platform (
a connecting element (
Die Außenskelett-Vorrichtung (
In der bevorzugten Ausführungsform der Erfindung ist das Verbindungselement (
Ein Fußknöchelgelenk kann als eine räumliche serielle kinematische Kette mit zwei Druckgelenken (RR), nämlich einem oberen Druckgelenk und einem subtalaren Gelenk, modelliert werden. Das obere Fußknöchelgelenk unterstützt die Dorsiflexion/Plantarflexion-Rotationsbewegung, während das subtalare Gelenk die Supination/Pronation-Rotationsbewegung unterstützt. Die Supination/Pronation-Rotation ist eine komplexe Bewegung, die sowohl Inversion/Eversion- wie auch Abduktion/Adduktion-Komponenten hat.An ankle joint can be modeled as a two-thrust (RR) serial serial kinematic chain, an upper pressure joint and a subtalar joint. The upper ankle joint supports dorsiflexion / plantarflexion rotation, while the subtalar joint supports supination / pronation rotation. The supination / pronation rotation is a complex movement that has both inversion / eversion and abduction / adduction components.
Die in der bevorzugten Ausführungsform der Erfindung verwendete kinematische Kette ist die geschlossene kinematische Kette (paralleler Mechanismus). Die geschlossene kinematische Kette dient als ein Außenskelett und erlaubt und unterstützt die natürlichen Bewegungen der menschlichen Gelenke, wenn der Benutzer die Vorrichtung (
Die in dieser Erfindung verwendete geschlossene kinematische Kette kann mithilfe des Gelenkelements (
In der bevorzugten Ausführungsform der Erfindung ist das Gelenkelement (
Das Verbindungselement (
In dem Fall, dass die geschlossene kinematische Kette als ein 3UPS-Mechsnismus verwendet wird, ist das rekonfigurierbare Gelenk (
In dem Fall, dass die geschlossene kinematische Kette als ein 3RPS-Mechanismus verwendet wird, ist das rekonfigurierbare Gelenk (
Wenn die geschlossene kinematische Kette in dem 3UPS-Modus ist, kann die Vorrichtung (
Kopplungen zwischen der Außenskelett-Vorrichtung (
In einer Ausführungsform der Erfindung wird unter Verwendung von straffen Gurten um das Knie herum das Gewicht der Vorrichtung (
In einer anderen Ausführungsform der Erfindung kann durch Aufhängen der Vorrichtung (
Die Außenskelett-Vorrichtung (
Zum Schätzen der Fußknöchelparameter müssen die Längen der Glieder (
Liegen gute Schätzungen der Knochenlängen vor, können die Rotationsachsen der Drehgelenke des menschlichen Fußknöchels ermittelt werden, indem der Benutzer angewiesen wird, freie RoM-Bewegungen durchzuführen, und indem Positionsdaten von den ausziehbaren Gliedern (
Liegen das Konfigurations- und das Bewegungsausmaß von Vorwärts- und Inverskinematik des gekoppelten 3UPS-RR-Systems (das Außenskelett gekoppelt mit dem menschlichen Fußknöchel) und die dynamischen Eigenschaften nur der Außenskelett-Vorrichtung (
Die Außenskelett-Vorrichtung (
Da die Vorrichtung (
Wie oben erklärt, können durch Verwendung eines robusten Positionscontrollers und durch Steuerung der Außenskelett-Vorrichtung (
In einer anderen Ausführungsform der Erfindung kann die nichtgeerdete, tragbare und rekonfigurierbare Fußknöcheltherapie/messung-Außenskelett-Vorrichtung mit virtuellen Realitätsspielen kombiniert werden.In another embodiment of the invention, the non-grounded, portable and reconfigurable ankle therapy / measurement exoskeleton device may be combined with virtual reality games.
Die Beschreibung der Erfindung ist einzig und allein beispielhafter Natur und daher sollen Modifikationen, die nicht vom wesentlichen Kern der Erfindung abweichen, im Geltungsbereich der Erfindung liegen. Solche Modifikationen sind nicht als ein Abweichen vom Geist und Geltungsbereich der Erfindung zu betrachten.The description of the invention is merely exemplary in nature and, therefore, modifications which do not depart from the gist of the invention are intended to be within the scope of the invention. Such modifications are not to be regarded as a departure from the spirit and scope of the invention.
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ZITATE ENTHALTEN IN DER BESCHREIBUNG QUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.
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CN105965477A (en) * | 2016-05-17 | 2016-09-28 | 广西大学 | Symmetrical and asymmetrical reconfigurable four-configuration parallel platform |
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CN111700774A (en) * | 2020-07-21 | 2020-09-25 | 河北工业大学 | Motion decoupling ankle joint fitting mechanism |
RU210251U1 (en) * | 2021-05-17 | 2022-04-04 | Общество с ограниченной ответственностью "Экзомед" | DEVICE FOR REHABILITATION OF PATIENTS WITH ANKLE JOINT DISFUNCTIONS |
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M. Girone, G. Burdea, M. Bouzit, V. Popescu und J. E. Deutsch, "A Stewart platform-based system for ankle telerehabilitation," Autonomous Robots, Bd. 10, Nr. 2, pp. 203-212, 2001 |
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Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105125380A (en) * | 2015-09-28 | 2015-12-09 | 北京工业大学 | Ankle rehabilitation device |
CN105125380B (en) * | 2015-09-28 | 2017-04-12 | 北京工业大学 | Ankle rehabilitation device |
CN105965477A (en) * | 2016-05-17 | 2016-09-28 | 广西大学 | Symmetrical and asymmetrical reconfigurable four-configuration parallel platform |
CN105965477B (en) * | 2016-05-17 | 2018-01-05 | 广西大学 | The symmetrical and asymmetric structure state parallel connection platform of restructural four |
WO2018047129A1 (en) | 2016-09-09 | 2018-03-15 | Ecole Polytechnique Federale De Lausanne (Epfl) | Modular exoskeleton for example for spinal cord injured patients |
US11278465B2 (en) | 2016-09-09 | 2022-03-22 | Ecole Polytechnique Federale De Lausanne (Epfl) | Modular exoskeleton for example for spinal cord injured patients |
RU197022U1 (en) * | 2019-10-18 | 2020-03-25 | Общество с ограниченной ответственностью "Экзомед" | MECHATRONIC DEVICE FOR REHABILITATION OF PATIENTS WITH DISTURBANCES OF THE LOWER EXTREMITIES |
CN111700774A (en) * | 2020-07-21 | 2020-09-25 | 河北工业大学 | Motion decoupling ankle joint fitting mechanism |
CN111700774B (en) * | 2020-07-21 | 2024-03-29 | 河北工业大学 | Ankle joint fitting mechanism with motion decoupling function |
RU210251U1 (en) * | 2021-05-17 | 2022-04-04 | Общество с ограниченной ответственностью "Экзомед" | DEVICE FOR REHABILITATION OF PATIENTS WITH ANKLE JOINT DISFUNCTIONS |
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