CN105997320B - A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier - Google Patents

A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier Download PDF

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Publication number
CN105997320B
CN105997320B CN201610479803.9A CN201610479803A CN105997320B CN 105997320 B CN105997320 B CN 105997320B CN 201610479803 A CN201610479803 A CN 201610479803A CN 105997320 B CN105997320 B CN 105997320B
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CN
China
Prior art keywords
crank levers
thigh
shank
straightening
straightening members
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Expired - Fee Related
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CN201610479803.9A
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Chinese (zh)
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CN105997320A (en
Inventor
孙天宝
方璐
张儒志
邓小倩
胡骏骎
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GUANGDONG PROVINCIAL WORK INJURY REHABILITATION CENTER
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GUANGDONG PROVINCIAL WORK INJURY REHABILITATION CENTER
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Priority to CN201610479803.9A priority Critical patent/CN105997320B/en
Publication of CN105997320A publication Critical patent/CN105997320A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0127Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the feet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H2003/005Appliances for aiding patients or disabled persons to walk about with knee, leg or stump rests
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H2003/007Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/10Leg
    • A61H2205/102Knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/12Feet

Abstract

A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier, it is related to technical field of medical rehabilitation machinery, it includes above-knee thigh straightening members (1), thigh straightening mechanism fixture (2), shank straightening members (3), shank straightening members fixture (4), crank levers component, footrest connecting rope (5) and footrest (6), the above-knee thigh straightening members (1) and shank straightening members (3) are respectively equipped with openend, the both sides of the openend are connected and installed with thigh straightening mechanism fixture (2) and shank straightening members fixture (4) respectively, the crank levers component includes crank levers (7), crank levers rotary shaft (8) and a pair of a pair of pulleys (9) for limiting crank levers mobile space;The present invention effectively can carry out rehabilitation training to stroke hemiplegia lower limb, correct patient's gait.

Description

A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier
Technical field
The present invention relates to technical field of medical rehabilitation machinery, and in particular to a kind of knee power radian pulley-type drop foot and partially Paralysed gait correcting device.
Background technology
Stroke hemiplegia lower limb often show as flexing spasm pattern, ankle plantar flexion of foot Varus deformity, ankle dorsiflexion deficiency, step Be rendered as during row draw circle a gait, tibialis anterior is powerless after fracture patient causes common peroneal nerve injury, ankle dorsiflexion can not, show as foot Hang down, have a strong impact on patient's walking gait, clinically use ankle-foot orthosis (ankle foot orthosis, AFO) and rectified Just.AFO can correct and prevent patient's contracture of Achilles tendon, can partly improve the stability of patient's walking gait, recover to some extent Patient's walking ability, extensively in clinical application.Although dynamic ankle AFO can allow some patientss to play itself ankle dorsiflexion function, But ankle-joint plantar flexion function is limited, has some patientss ankle dorsiflexion itself powerless, can not play ankle in the normal gait cycle Dorsiflexion function.
The content of the invention
The purpose of the present invention is exactly in order to solve the above-mentioned technical problem, and to provide a kind of knee power radian pulley-type drop foot And hemiplegic gait rectifier.
The present invention includes above-knee thigh straightening members, thigh straightening mechanism fixture, shank straightening members, shank correction structure Part fixture, crank levers component, footrest connecting rope and footrest, above-knee thigh straightening members and shank the straightening members difference Provided with openend, the both sides of the openend are connected and installed with thigh straightening mechanism fixture respectively and shank straightening members are fixed Part, the crank levers component include crank levers, crank levers rotary shaft and for limiting crank levers mobile space one To pulley, one end of the crank levers is provided with shaft mounting hole, and the other end is tethered at hole provided with connecting rope, the crank levers The shaft mounting hole of one end may be rotatably mounted on above-knee thigh straightening members by crank levers rotary shaft, the pair of pulley Be movably arranged on respectively by rotating shaft on shank straightening members, be stuck in the middle part of the crank levers rotary shaft a pair of pulleys it Between, the connecting rope that one end of the footrest connecting rope ties up to crank levers is tethered at hole, and the footrest is connected to footrest connecting rope The other end.
Low temperature thermoplastic plate mould molding is respectively adopted in the thigh straightening members, shank straightening members and footrest.
Also described thigh straightening mechanism fixture and shank straightening members fixture are VELCRO respectively.
The footrest connecting rope uses stretch cord.
The footrest connecting rope uses non-stretchable rope.
The present invention has advantages below:
The present invention is passively or actively knee sprung by hip flexing and provides driving force, on the outside of knee joint, across knee joint By single-ended on-fixed crank sliding lever in front side of shin bone space (pressing close to shin bone), there is provided substitute tibialis anterior concentric contraction function The driving force of (ankle dorsiflexion), fixed crank lever front side of shin bone end and preceding dorsal portion are distinguished by rope, preceding dorsal portion is by rectifying Shape device anchor line one end, rehabilitation training effectively can be carried out to stroke hemiplegia lower limb, correct patient's gait.
Brief description of the drawings
Fig. 1 is schematic structural view of the invention.
Fig. 2 is structural representation under use state of the present invention.
In figure:1st, above-knee thigh straightening members;2nd, thigh straightening mechanism fixture;3rd, shank straightening members;4th, shank is rectified Positive component fixture;5th, footrest connecting rope;6th, footrest;7th, crank levers;8th, crank levers rotary shaft;9th, a pair of pulleys.
Embodiment
The present invention will be further described below in conjunction with the accompanying drawings.
As shown in Figure 1, 2, the present invention includes above-knee thigh straightening members 1, thigh straightening mechanism fixture 2, shank correction Component 3, shank straightening members fixture 4, crank levers component, footrest connecting rope 5 and footrest 6, the above-knee thigh correction structure Part 1 and shank straightening members 3 are respectively equipped with openend, and the both sides of the openend are connected and installed with thigh straightening mechanism and consolidated respectively Determine part 2 and shank straightening members fixture 4, the crank levers component includes crank levers 7, crank levers rotary shaft 8 and used In a pair of the pulleys 9 for limiting crank levers mobile space, one end of the crank levers 7 is provided with shaft mounting hole, and the other end is set There is connecting rope to be tethered at hole, the shaft mounting hole of one end of the crank levers 7 may be rotatably mounted at by crank levers rotary shaft 8 On above-knee thigh straightening members 1, the pair of pulley 9 is movably arranged on shank straightening members 3 by rotating shaft respectively, the song The middle part of handle lever rotation axle 8 is stuck between a pair of pulleys 9, and one end of the connecting rope 5 of footrest 6 ties up to the company of crank levers 7 Splicing is tethered at hole, and the footrest 6 is connected to the other end of footrest connecting rope 5.
Low temperature thermoplastic plate mould molding is respectively adopted in the thigh straightening members 1, shank straightening members 3 and footrest 6.
Also described thigh straightening mechanism fixture 2 and shank straightening members fixture 4 are VELCRO respectively.
The footrest connecting rope 5 uses stretch cord.
The footrest connecting rope 5 uses non-stretchable rope.
Working method and principle, the present invention carry out the making of gait correcting device using following steps:
Step 1:Above-knee 20cm measures thigh circumference degree, and above-knee thigh straightening members are made using low temperature thermoplastic plate, be open to Interior (VELCRO is fixed, adjusting elasticity), above-knee thigh straightening members middle part crank levers rotary shaft installation;
Step 2:10cm measures calf circumference degree under capitulum fibulae, and shank straightening members, opening are made using low temperature thermoplastic plate Inwardly (VELCRO is fixed, adjusting elasticity), a pair of pulleys of shank straightening members middle part installation crank levers above and below, limit System and control crank levers move up space when sliding;
Step 3:Crank levers length and arc measurement:To calf at above-knee 20cm when 0 degree of knee is stretched in measurement on the outside of the knee joint Length under capitellum at 10cm is realized by the regulation to crank levers distal end radian size and gone down on one's knees 90 degree as lever length When, crank levers protrude anterior border of tibia vertical range 3-5cm;Lever near-end makes rotary shaft, and distal bore is used to be tethered at footrest Connecting rope;
Step 4:Made by low temperature thermoplastic plate and rope anchor is made in the middle part of front foot (articulationes metatarsophalangeae) back KAFO (footrest) Determine part;
Step 5:Stretch 0 degree of knee, 0 degree of ankle-joint erect position, measurement footrest connecting rope length and stationary rope both ends;
Step 6:Above-knee thigh straightening members, shank straightening members and footrest are worn on the thigh, shank and foot of people respectively Portion, rehabilitation walking is carried out, rope lengths will be adjusted according to walking gait analysis.
Embodiment of above is merely to illustrate the present invention, and not limitation of the present invention, about the common of technical field Technical staff, without departing from the spirit and scope of the present invention, it can also make a variety of changes and modification, thus it is all Equivalent technical scheme falls within scope of the invention, and scope of patent protection of the invention should be defined by the claims.

Claims (3)

1. a kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier, it is characterised in that it is corrected including above-knee thigh Component(1), thigh straightening mechanism fixture(2), shank straightening members(3), shank straightening members fixture(4), crank levers Component, footrest connecting rope(5)And footrest(6), the above-knee thigh straightening members(1)With shank straightening members(3)It is respectively equipped with Openend, the both sides of the openend are connected and installed with thigh straightening mechanism fixture respectively(2)Fixed with shank straightening members Part(4), the crank levers component includes crank levers(7), crank levers rotary shaft(8)Moved with for limiting crank levers A pair of pulleys in space(9), the crank levers(7)One end be provided with shaft mounting hole, the other end is tethered at hole provided with connecting rope, The crank levers(7)The shaft mounting hole of one end pass through crank levers rotary shaft(8)Above-knee thigh is may be rotatably mounted to rectify Positive component(1)On, the pair of pulley(9)Shank straightening members are movably arranged on by rotating shaft respectively(3)On, the crank thick stick Bar rotary shaft(8)Middle part be stuck in a pair of pulleys(9)Between, the footrest connecting rope(5)One end tie up to crank levers(7)'s Connecting rope is tethered at hole, the footrest(6)It is connected to footrest connecting rope(5)The other end;The thigh straightening members(1), it is small Leg straightening members(3)And footrest(6)Low temperature thermoplastic plate mould molding is respectively adopted;The thigh straightening mechanism fixture(2)With Shank straightening members fixture(4)It is VELCRO respectively.
2. a kind of knee power radian pulley-type drop foot according to claim 1 and hemiplegic gait rectifier, its feature exist In the footrest connecting rope(5)Using stretch cord.
3. a kind of knee power radian pulley-type drop foot according to claim 1 and hemiplegic gait rectifier, its feature exist In the footrest connecting rope(5)Using non-stretchable rope.
CN201610479803.9A 2016-06-22 2016-06-22 A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier Expired - Fee Related CN105997320B (en)

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CN201610479803.9A CN105997320B (en) 2016-06-22 2016-06-22 A kind of knee power radian pulley-type drop foot and hemiplegic gait rectifier

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EP3593782B1 (en) * 2017-03-07 2023-07-12 Sakima Prosthetics&Orthotics Co., Ltd. Elbow/knee joint assistance device
ES2713777B2 (en) * 2017-11-23 2019-12-16 Gonzalez Noel Gutierrez MOTORIZED ASSISTANCE SYSTEM
DE102018117377B3 (en) * 2018-07-18 2019-09-05 Ottobock Se & Co. Kgaa Orthopedic device
CN112741757A (en) * 2020-12-30 2021-05-04 华南理工大学 Ankle joint line drives ectoskeleton control system based on biped pressure sensor

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