CN100591307C - Movable ankle and foot joints metering orthotic device - Google Patents

Movable ankle and foot joints metering orthotic device Download PDF

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Publication number
CN100591307C
CN100591307C CN200810067751A CN200810067751A CN100591307C CN 100591307 C CN100591307 C CN 100591307C CN 200810067751 A CN200810067751 A CN 200810067751A CN 200810067751 A CN200810067751 A CN 200810067751A CN 100591307 C CN100591307 C CN 100591307C
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China
Prior art keywords
foot
metering
ankle
orthotic device
hard arc
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Expired - Fee Related
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CN200810067751A
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CN101288612A (en
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冉春风
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SHENZHEN LONGGANG CENTRAL HOSPITAL
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SHENZHEN LONGGANG CENTRAL HOSPITAL
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Abstract

A movable ankle joint measurement orthopedic device is characterized in that the orthopedic device is provided with a rigid arc-shaped slot plate with a seal strip; the front-end wall of a rigid arc-shaped protection plate is provided with an upward tilted Pi-shaped front support and two force measuring devices, one end of the force measuring devices is connected with lower soft pedal sleeves by connecting lines; the both sides of the rigid arc-shaped protection plate are vertically provided with Pi-shaped vertical supports and the two force measuring devices, and one end of the force measuring devices is connected with upper soft pedal sleeves by the connecting lines. The movable ankle joint measurement orthopedic device is applicable to the postoperative orthopedic training of the anklepart of a patient with the Achilles tendon rupture, the rupture of triceps muscle of calf or tibia anterior, the fracture of tibia or the lower end of fibula and the vascular rupture at the lower partof the calf. The movable ankle joint measurement orthopedic device has the advantages that the structure is reasonable and simple, the operation and the usage are convenient, the range of applicationis wide, which is not only applicable to the muscle strength training of the ankle part, but also applicable to the activity training of the ankle part. The orthopedic device can accurately measure the force generated by muscle contraction and provide an objective and detailed basis for the assessment of the muscle strength and the treatment effects.

Description

Movable ankle and foot joints metering orthotic device
Technical field
What the present invention relates to is orthosis, especially a kind of movable ankle and foot joints metering orthotic device.
Background technology
At present, be used for the orthopedic utensil in ankle and foot position seldom, more do not see the rectification device that to measure muscular strength or range of motion.
Summary of the invention
The purpose of this invention is to provide the movable ankle and foot joints metering orthotic device that a kind of patient's ankle joint function obstacle that is adapted to rupture of Achilles tendon, triceps surae or tibialis anterior fracture, tibia or fibula lower fracture, shank bottom rupture of blood vessel postoperative recovers.
Movable ankle and foot joints metering orthotic device of the present invention is characterized in that:
A, the hard arc backplate that supplies the shank position to embed, hard arc backplate are provided with can be with the Sealing strap of its notch sealing;
B, hard arc protective front edge of board wall are provided with and upwarp ∏ shape fore-stock, the hard arc protective front edge of board wall that upwarps ∏ shape fore-stock root top is provided with symmetric two ergometers, two ergographic ends are connected to line respectively, two line ends are connected with down the foot-operated cover of gentle matter, and two line crossbearers are cross bar before ∏ shape fore-stock;
C, hard arc backplate dual-side vertical rack are provided with ∏ shape vertical rack, the hard arc backplate of ∏ shape vertical rack root is provided with symmetric two ergometers, two ergographic ends are connected to line respectively, and two line ends are connected with the foot-operated cover of gentle matter, and two line crossbearers are in the cross bar of ∏ shape vertical rack.
Be interval with the centring ring that two lines of two confessions place on the front rail of the described ∏ of upwarping shape fore-stock.
Be interval with the centring ring that two lines of two confessions place on the cross bar of described ∏ shape vertical rack.
Described ergometer is the bar shaped ergometer, be with the spring of mark post to constitute by being axially arranged with the bar shaped shell that shows slotted eye and setting within it, the bar shaped shell wall that shows the slotted eye both sides is marked with metering scale, one end of spring is fixedlyed connected with bar shaped shell the inner, and the other end of spring is connected by the foot-operated cover of line and gentle matter.
Described hard arc backplate inwall is provided with soft pad.
Described hard arc protective board slot mouth Sealing strap is a splicing tape.
Movable ankle and foot joints metering orthotic device of the present invention utilizes Sealing strap that orthosis hard arc backplate is fixed on facies cruralis posterior when using, foot is extended the top of ∏ shape fore-stock, with arch of the foot down, toes place down in the foot-operated cover of gentle matter, and the toes dorsal surface contacts with the foot-operated cover of following gentle matter.When the ankle joint back of the body was stretched, the foot-operated cover of following gentle matter was stressed, and the ergometer that is connected with the foot-operated cover of gentle matter down by line can record ankle joint and carry on the back and stretch the stressed numerical value (gram number) of action.If foot is extend in the foot-operated cover of the gentle matter of going up of ∏ shape vertical rack below, the toes palmar surface contacts with the foot-operated cover of last gentle matter.When ankle plantar was bent, the top lasso was stressed, and the ergometer that is connected by the foot-operated cover of line and last gentle matter can record the stressed numerical value (gram number) that ankle plantar is bent action.
Movable ankle and foot joints metering orthotic device of the present invention is applicable to the orthotic training of rupture of Achilles tendon, triceps surae or tibialis anterior fracture, tibia or fibula lower fracture, rupture of blood vessel postoperative patient ankle and foot position, shank bottom.Orthotic training comprises:
One, exercise for power: the muscle that initiatively shrinks during exercise for power is the muscle or the tendon of fracture, should carry out when anastomotic healing, so the numerical value that the orthosis ergometer records is the muscle of damage or the power that the tendon contraction time is sent.For example after the rupture of Achilles tendon, treat anastomotic healing, do triceps surae and shrink training, promptly do ankle plantar on one's own initiative and bend action; Tibialis anterior fracture postoperative is treated anastomotic healing, does tibialis anterior and shrinks training, promptly initiatively does the ankle joint back of the body and stretches action.
Two, joint motion training: the muscle that initiatively shrinks during the joint motion training is the Antagonistic muscle of muscle injury.Be not muscle injury or tendon, postoperative can carry out in early days, so the power that the numerical value that orthotic ergometer records is the Antagonistic muscle of muscle injury to be sent when shrinking.For example the muscle of the movable training of rupture of Achilles tendon anastomosis posterior joint is the Antagonistic muscle of triceps surae (heel string), i.e. tibialis anterior; The muscle of the movable training of tibialis anterior fracture anastomosis posterior joint is the Antagonistic muscle of tibialis anterior, i.e. triceps surae.
The invention has the beneficial effects as follows: movable ankle and foot joints metering orthotic device is rational in infrastructure, simple, and is easy for operation, applied widely, both has been applicable to the training of ankle and foot position muscular strength, is applicable to the activity training in joint, ankle and foot position again.During exercise for power, the numerical value that records on the orthosis ergometer is the power that damage tendon or muscle contraction are sent; During the joint motion training, the numerical value that records is that the Antagonistic muscle of muscle injury shrinks the power of being sent, rather than the power that muscle injury or tendon sent.The power that the ergometer that orthosis disposed is produced in the time of can accurately demonstrating muscle contraction provides objective, full and accurate foundation for evaluating muscular strength and therapeutic effect.Can make the therapist grasp the great power of the each contraction of Antagonistic muscle and can make the myofilament of anastomosis that slip is arranged, break the adhesion pathological process, can not tear again because of Overexertion excessively elongates myofilament.
The concrete structure of movable ankle and foot joints metering orthotic device of the present invention is provided in detail by the following drawings and embodiment.
Description of drawings
Fig. 1 is the structural representation of movable ankle and foot joints metering orthotic device;
Fig. 2 is the ergometer structural representation of movable ankle and foot joints metering orthotic device shown in Figure 1.
The specific embodiment
Embodiment: can be clear that from Fig. 1 movable ankle and foot joints metering orthotic device has a hard arc backplate 1 that embeds for the shank position, hard arc backplate 1 be provided with can be with its notch sealing seal splicing tape 2;
Hard arc backplate 1 front bulkhead is provided with and upwarps ∏ shape fore-stock 3, upwarp and be interval with on the front rail 4 of ∏ shape fore-stock 3 for two centring rings 5 that line places, hard arc backplate 1 front bulkhead that upwarps ∏ shape fore-stock 3 root tops is provided with symmetric two bar shaped ergometers 6, the movable end of two bar shaped ergometers 6 is connected to line 7, two lines 7 respectively and passes to upwarp and be connected with down the foot-operated cover 8 of gentle matter behind ∏ shape fore-stock 3 front rails 4 centring rings 5.
Hard arc backplate 1 dual-side vertically is connected with ∏ shape vertical rack 9, be interval with on the cross bar 10 of ∏ shape vertical rack 9 for two centring rings 11 that line 7 places, the hard arc backplate 1 of ∏ shape vertical rack 9 roots is provided with symmetric two bar shaped ergometers 6, the movable end of two bar shaped ergometers 6 is connected to respectively and is connected with down the foot-operated cover 12 of gentle matter after line 7, two lines 7 pass cross bar 10 centring rings 11 of vertical rack 9.
Described bar shaped ergometer 6, be with the spring 64 of mark post 63 to constitute by being axially arranged with the bar shaped shell 62 that shows slotted eye 61 and setting within it, bar shaped shell 6 walls that show slotted eye 61 both sides are marked with metering scale 65, one end of spring 64 and bar shaped shell 62 inner fixedlying connected, the other end of spring 64 is connected by the foot-operated cover of line 7 and gentle matter.
Described hard arc backplate 1 inwall is provided with soft pad 13.
The using method of movable ankle and foot joints metering orthotic device of the present invention is as follows:
1, the movable training of ankle joints of foot: rupture of Achilles tendon, Calf muscle fracture, shank lower fracture etc. are the easiest to cause that ankle plantar is bent and the back of the body is stretched function limitation.
(1) rupture of Achilles tendon anastomosis after 48 hours for example, can carry out in early days ankle joint initiatively carry on the back stretch, the passive sole of the foot bends training.Utilization is sealed splicing tape 2 hard arc backplate 1 is fixed on patient's shank position, and on the foot-operated cover 8 of the gentle matter of first half cover infra of foot, spring 64 retraction forces of bar shaped this moment ergometer 6 act on the instep, and ankle joint is the sole of the foot and bends state.When initiatively the back of the body is stretched ankle joint, the cellosilk at heel string anastomotic stoma place is slided to far-end, and the bar shaped ergometer 6 on the orthosis can record stressed concrete numerical value (gram number) at this moment, and initiatively the back of the body is stretched and kept loosening after 3 seconds, under the effect of spring 64 retractions, the passive sole of the foot that is in of ankle joint is bent state.Because of triceps surae is not initiatively shunk, so can not rupture once more in the heel string anastomosis.It is that tibialis anterior shrinks that the ankle joint back of the body is stretched, and the cellosilk at heel string anastomotic stoma place is passive to be subjected to tractive and to slide up and down, and has broken this pathological process of heel string adhesion, helps recovering the function that the ankle joint back of the body is stretched.
(2) improve the function that ankle plantar is bent: tibialis anterior fracture anastomosis is after 48 hours, and initiatively the sole of the foot is bent, the passive back of the body stretches training to carry out ankle joint in early days.The foot-operated cover 12 of last gentle matter is enclosed within sufficient first half, and the retraction force of the spring 64 of bar shaped ergometer 6 acts on the vola, makes ankle joint be the back of the body and stretches state.When initiatively the sole of the foot is bent ankle joint, the myofilament at tendon anastomosis place is slided to far-end, and the bar shaped ergometer 6 on the orthosis can record stressed concrete numerical value (gram number) at this moment, and initiatively the sole of the foot is bent and kept loosening after 3 seconds, under the effect of spring 64 retractions, ankle joint is in the back of the body passively and stretches state.Because of tibialis anterior does not initiatively shrink, so can not rupture once more in this flesh anastomosis.It is that triceps surae is shunk that ankle plantar is bent, and the myofilament at tibialis anterior anastomotic stoma place is passive to be subjected to tractive and to slide up and down, and has broken the process of tibialis anterior adhesion, helps recovering the function that ankle plantar is bent.
2, defencive function position
The modal reason of ankle joint function obstacle is rupture of Achilles tendon and shank lower fracture, and handicapped performance mainly is a drop foot, and the ankle joint back of the body is stretched limited.Adopt this orthosis; the foot-operated cover 12 of gentle matter is enclosed within sufficient first half; the retraction effect of spring 64 is used for the vola with masterpiece; the instep is stretched; protection ankle joint 90 degree positions; be functional position, be convenient to the patient and recover the posture of walking normally in the future, be actually to walking behind the patient day and kept correct (functional position) posture.
3, gageable exercise for power
(1) tibialis anterior training: the foot-operated cover 8 of following gentle matter is enclosed within sufficient first half, and under the retraction effect of spring 64, masterpiece is used in the instep, makes foot be in hang.At this moment, tibialis anterior shrinks, and the ankle joint back of the body is stretched, and the strength of tibialis anterior is increased.When each tibialis anterior shrinks, can on orthotic bar shaped ergometer, record the concrete numerical value (gram number) that this flesh shrinks.Can observe dynamically when tibialis anterior shrinks training for the first time, each action can reach how much restrain number, when tibialis anterior shrinks training for the second time, each action reaches how much restrain number, when tibialis anterior shrank training for the third time, each action reached how much restrain number, by that analogy.When training 30 times, each contractive action of tibialis anterior can reach the power of how many grams.Training every day was once trained 20 minutes at every turn.
(2) triceps surae training: the foot-operated cover 12 of upward gentle matter is enclosed within sufficient first half, and spring 64 retraction forces act on the vola, makes foot be in the back of the body and stretches state.At this moment, triceps surae is shunk, and ankle plantar is bent, and the strength of triceps surae is increased.When each triceps surae is shunk, on orthotic bar shaped ergometer 6, can record the concrete numerical value (gram number) of this flesh.Can dynamically observe when triceps surae is shunk training for the first time, the force that each action is spent can reach how much restrain number, for the second time, for the third time ... when the 30th triceps surae shunk training, how many grams were the force that each action is spent can reach respectively.
Gageable exercise for power can dynamically be observed the situation that muscular strength changes, and accurately shows the numerical value that muscular strength increases, for evaluation muscular strength increase situation provides objective basis.

Claims (6)

1, a kind of movable ankle and foot joints metering orthotic device is characterized in that:
A, the hard arc backplate that supplies the shank position to embed, hard arc backplate are provided with can be with the Sealing strap of its notch sealing;
B, hard arc protective front edge of board wall are provided with and upwarp ∏ shape fore-stock, the hard arc protective front edge of board wall that upwarps ∏ shape fore-stock root top is provided with symmetric two ergometers, two ergographic ends are connected to line respectively, two line ends are connected with down the foot-operated cover of gentle matter, and two line crossbearers are cross bar before upwarping ∏ shape fore-stock;
C, hard arc backplate dual-side vertical rack are provided with ∏ shape vertical rack, the hard arc backplate of ∏ shape vertical rack root is provided with symmetric two ergometers, two ergographic ends are connected to line respectively, and two line ends are connected with the foot-operated cover of gentle matter, and two line crossbearers are in the cross bar of ∏ shape vertical rack.
2, movable ankle and foot joints metering orthotic device according to claim 1 is characterized in that:
Be interval with the centring ring that two lines of two confessions place on the front rail of the described ∏ of upwarping shape fore-stock.
3, movable ankle and foot joints metering orthotic device according to claim 1 is characterized in that:
Be interval with the centring ring that two lines of two confessions place on the cross bar of described ∏ shape vertical rack.
4, movable ankle and foot joints metering orthotic device according to claim 1 is characterized in that:
Described ergometer is the bar shaped ergometer, be with the spring of mark post to constitute in the bar shaped shell by being axially arranged with the bar shaped shell that shows slotted eye and being arranged on, the bar shaped shell wall that shows the slotted eye both sides is marked with metering scale, one end of spring is fixedlyed connected with bar shaped shell the inner, and the other end of spring is connected by the foot-operated cover of line and gentle matter.
5, movable ankle and foot joints metering orthotic device according to claim 1 is characterized in that:
Described hard arc backplate inwall is provided with soft pad.
6, movable ankle and foot joints metering orthotic device according to claim 1 is characterized in that:
Described hard arc protective board slot mouth Sealing strap is a splicing tape.
CN200810067751A 2008-06-16 2008-06-16 Movable ankle and foot joints metering orthotic device Expired - Fee Related CN100591307C (en)

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Application Number Priority Date Filing Date Title
CN200810067751A CN100591307C (en) 2008-06-16 2008-06-16 Movable ankle and foot joints metering orthotic device

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Application Number Priority Date Filing Date Title
CN200810067751A CN100591307C (en) 2008-06-16 2008-06-16 Movable ankle and foot joints metering orthotic device

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CN101288612A CN101288612A (en) 2008-10-22
CN100591307C true CN100591307C (en) 2010-02-24

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102711929B (en) * 2009-11-12 2016-06-22 英诺瓦德公司 For tempering the exercise apparatus of human leg, purposes and exercise method
CN102028573B (en) * 2011-01-04 2012-01-11 韩文冬 Medical adjustable fixing device used after achilles tendon rupture surgery
CN104622484B (en) * 2015-01-29 2017-01-04 大连理工大学 Upper limb muscle tension measuring device
CN107028616A (en) * 2017-04-28 2017-08-11 浙江中医药大学附属第三医院 Ankle-joint muscle strength test device
CN109009603B (en) * 2018-08-21 2023-08-01 河南翔宇医疗设备股份有限公司 Adjustable external rotation foot joint orthosis
CN109820527A (en) * 2019-03-29 2019-05-31 黄子奇 A kind of tendon tissue tension measuring device

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