CN108720975B - Walking exoskeleton for correcting foot varus - Google Patents

Walking exoskeleton for correcting foot varus Download PDF

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Publication number
CN108720975B
CN108720975B CN201710257591.4A CN201710257591A CN108720975B CN 108720975 B CN108720975 B CN 108720975B CN 201710257591 A CN201710257591 A CN 201710257591A CN 108720975 B CN108720975 B CN 108720975B
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China
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fixer
patient
sole
joint
foot
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CN201710257591.4A
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Chinese (zh)
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CN108720975A (en
Inventor
王凯乐
袁云
张珏
方竞
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Peking University
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Peking University
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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
    • A61F5/0127Orthopaedic 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
    • 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
    • A61F2005/0132Additional features of the articulation
    • 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
    • A61H2201/1657Movement of interface, i.e. force application means
    • A61H2201/1659Free spatial automatic movement of interface within a working area, e.g. Robot
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention provides an auxiliary device for preventing and correcting a patient with varus foot, which aims to solve the problem that the patient with varus foot turns over the load of the plantar outer edge of the foot on the instep side of the thigh during walking in a standing way, so as to achieve the aims of correcting the walking posture and assisting walking. The toe cap fixer is connected to the front sole bending joint through a connecting joint, and the front sole bending joint is internally provided with a bearing, so that the sole and the toes can bend and adaptively change angles to walk when walking, the lengths of the toes and the heels can be adjusted through the telescopic rod, and the legs of a patient are fixed with the footsteps of wearing shoes. The invention can be used for correcting the angle of the foot step when a patient with slight foot varus walks, and the ankle movable joint is convenient for the patient to walk and move. The invention removes the limitation of the normal activities of the sole and ankle of the patient while ensuring the optimal correction effect, and brings great convenience to doctors and patients.

Description

Walking exoskeleton for correcting foot varus
Technical Field
The invention belongs to the technical field of medical equipment, and relates to a medical instrument for preventing and correcting foot drop, foot varus and foot valgus.
Background
The varus and the drop foot are common dyskinesias, and nearly half of the severe valgus and drop foot need to be treated. The cramps of severe subjects can lead to a variety of complications including skin injury, venous embolism and phlebitis, pain, difficult handling, difficult sputum excretion, and limited long-term activity with osteoporosis and contractures and joint deformity. The motor neuron injury such as cerebral palsy, apoplexy, craniocerebral trauma, spinal injury, neuron disease, multiple sclerosis and the like can cause foot varus and foot drop, which are the most main reasons for the disability of lower limbs. The walking and daily activities of patients are greatly restricted, and some of them even become disabled. Correcting varus and drop foot is one of the most prominent treatments to improve a patient's personal ability to live.
Currently, in the known technology, the existing apparatus for correcting drop foot, varus and valgus is mainly composed of an elastic sling and a sole supporting plate, and the sole tramples the sole supporting plate to cover the elastic sling and the elastic sling is sleeved on the neck. The device has the advantages of complex structure, inconvenient use and unsatisfactory rehabilitation effect, and is mainly because the conventional corrector cannot be well matched with the bending degree of the front sole and the ankle joint of a patient in the daily walking process of the patient.
Disclosure of Invention
In order to overcome the defects of the prior art and solve the problems of complicated application and unsatisfactory rehabilitation effect of the existing corrector on foot drop, foot varus and foot valgus, the invention aims to provide a novel correction appliance which has reasonable structure, good rehabilitation effect and convenient use.
The technical scheme adopted by the invention is as follows: the walking exoskeleton comprises a toe cap fixer, a connecting joint, a front sole bending joint, a sole length telescopic rod, an exoskeleton main body, a heel fixer, an ankle joint movable shaft handle, an elastic belt a and an elastic belt b, wherein grooves are formed in the toe cap fixer and the heel fixer, and the toe cap and the heel can be circumferentially fixed by the elastic belt a for clamping and fixing a patient's shoe from the front end and the rear end.
1) The sole length telescopic rod consists of a telescopic rod and a cylindrical seat. The length of the sole is adjusted by adjusting a knob on the exoskeleton main body; the front-back telescopic distance of the front sole bending joint is adjusted through the sole length telescopic rod; the bearing inner side of the front sole bending joint is sleeved on the cylindrical seat of the sole length telescopic joint, so that when a patient walks, the front sole bending joint can enable the corrector and the front sole of the patient to achieve self-adaptive synchronous bending.
2) The ankle joint part of the exoskeleton main body is provided with a round hole and a semicircular groove which are used for nesting and installing an ankle joint movable shaft, the bottom of the ankle joint movable shaft handle is of a semicircular structure, one side of the ankle joint movable shaft is provided with a protruding cylinder, the diameter of the ankle joint movable shaft is equal to the diameter of the round hole in the upper part of the exoskeleton main body, the semicircular diameter of one end of the ankle joint movable shaft is equal to the diameter of the semicircular groove in the exoskeleton main body, the ankle joint movable shaft is connected with the exoskeleton main body in an inserting mode, and the ankle joint movable shaft handle rotates forwards and backwards by an angle of-15 degrees. This ensures that the ankle joint movable shaft can enable the appliance and the ankle joint of the patient to achieve self-adaptive synchronous bending when the patient walks.
3) Two leg fixing plates are arranged on the upper side of the ankle joint movable shaft handle, and the two leg protection plates and the legs of a patient are fixed by using elastic bands b.
The invention is further described below with reference to the drawings and examples.
Drawings
Fig. 1 is a front view of a walking exoskeleton of the present invention for correcting foot varus in the left foot.
Fig. 2 is a view showing the installation of the foot sole length adjusting rod of the walking exoskeleton front sole bending joint for correcting foot varus by the left foot.
Fig. 3 is a schematic view of the walking exoskeleton ankle joint movement shaft for correcting foot varus in the left foot according to the present invention.
The right foot exoskeleton structure is symmetrical with the left foot.
Legend: including toe cap fixer (1), joint (2), preceding sole bending joint (3), sole length telescopic link (4), ectoskeleton main part (5), heel fixer (6), ankle joint loose axle (7), ankle joint loose axle handle (11), elastic cord a (8), elastic cord b (9), leg guard board (10), recess (12), bearing fixer (31), bearing (32), cylinder seat (41), telescopic link (42), knob (52), expansion groove (51), recess (53), round hole (54) and semicircle recess (55).
The specific embodiment is as follows:
the invention will be further described with reference to the following specific examples,
1) A walking exoskeleton for correcting foot varus as shown in fig. 1, comprising: the toe cap fixer (1), the connecting joint (2), the front sole bending joint (3), the sole length telescopic rod (4), the front sole bending joint (3) and the toe cap fixer (1) are in rigid connection through the connecting joint (2), and the heel fixer (6) is in rigid connection with the exoskeleton main body (5); the bottom of the walking exoskeleton is a hollow sole frame.
2) As shown in fig. 2, the distance between the toe holder (1) and the heel holder (6) can be adjusted by adjusting the knob (52) on the exoskeleton main body (5). The elastic band a (8) is fixed at one end of the toe cap fixer (1), passes through the heel fixer (6) along the shoe edge, and is finally fixed at the outermost side of the exoskeleton (5) of the shoe edge through the sticking buckle.
3) As shown in figure 2, the front sole bending joint (3) and the sole length telescopic rod (4) are positioned at the side of the shoe side of the patient, and the length of the sole frame can be adjusted according to the different shoe lengths of the patient, and the adjusting length is 0 to 5cm. When walking, the front end of the sole frame can be adaptively bent along with the front sole of a patient, and the circling gait can be avoided, so that the walking assisting effect of the patient is achieved.
4) As shown in fig. 2, the bearing (32) of the forefoot bending joint (3) is connected to the cylindrical seat (41) of the foot sole length extension rod and is fixed by the bearing holder (31).
5) As shown in fig. 2, the telescopic rod (42) of the sole length telescopic rod (4) can be inserted into the telescopic groove (51) of the exoskeleton main body (5) to adjust the length of the telescopic rod through the knob (52).
6) As shown in fig. 2, the toe cap of the patient's shoe is placed in the recess (12) of the toe cap holder (1), and the heel of the patient's shoe is placed in the recess (53) of the heel holder (6).
7) As shown in figure 3, the ankle joint shaft on the exoskeleton main body (5) is a round hole (54) and a semicircular groove (55) which are used for nesting and installing the ankle joint movable shaft (7), and the front and back rotation angle of the ankle joint movable shaft handle (11) is-15 degrees. This ensures that the ankle joint movable shaft can enable the appliance and the ankle joint of the patient to achieve self-adaptive synchronous bending when the patient walks.
In summary, in order to solve the problem that the conventional corrector cannot be well matched with the bending degree of the front sole and the ankle joint of a patient, the invention provides a corrector capable of self-adapting to the bending degree of the front sole and the ankle joint of the patient in the walking process. The main innovation is that: the front-back telescopic distance of the front sole bending joint is adjusted through the designed sole length telescopic rod, more front sole movement degrees of freedom can be provided for the corrector through the designed front sole bending joint, and more ankle movement degrees of freedom are provided for the corrector through the designed ankle joint movable shaft. Therefore, the effect that the corrector, the front sole and the ankle joint of the patient can achieve self-adaptive synchronous bending in the walking process of the patient is achieved, and the correcting effect is improved.

Claims (2)

1. The utility model provides a walking exoskeleton for correcting foot varus, including toe cap fixer (1), joint (2), preceding sole bending joint (3), sole length telescopic link (4), exoskeleton main part (5), heel fixer (6), ankle joint loose axle (7), ankle joint loose axle handle (11), elastic cord a (8), elastic cord b (9), leg guard (10), recess (12), bearing fixer (31), bearing (32), cylindrical seat (41), telescopic link (42), knob (52), expansion groove (51), recess (53), round hole (54) and semicircle recess (55), its characterized in that:
the front sole bending joint (3) is in rigid connection with the toe cap fixer (1) through the connecting joint (2), and the heel fixer (6) is in rigid connection with the exoskeleton main body (5); the bottom of the walking exoskeleton is a hollow sole frame;
the elastic band a (8) is fixed at one end of the toe cap fixer (1) and passes through the heel fixer (6) along the shoe edge, and finally is fixed at the outermost side of the exoskeleton main body (5) of the shoe edge through the sticking buckle;
the front sole bending joint (3) and the sole length telescopic rod (4) are positioned at the side of the shoe side of the patient;
the bearing (32) of the front sole bending joint (3) is connected to the cylindrical seat (41) of the sole length telescopic rod (4) and is fixed through the bearing fixer (31);
the telescopic rod (42) of the sole length telescopic rod (4) is inserted into the telescopic groove (51) of the exoskeleton main body (5), and the length of the telescopic rod (42) is adjusted through the knob (52);
the toe cap of the patient's shoe is arranged in the groove (12) of the toe cap fixer (1), and the heel of the patient's shoe is arranged in the groove (53) of the heel fixer (6);
the ankle joint shaft on the exoskeleton main body (5) is a round hole (54) and a semicircular groove (55) which are used for nesting and installing the ankle joint movable shaft (7), and the forward and backward rotation angle range of the ankle joint movable shaft handle (11) is-15 degrees;
two leg fixing plates are arranged on the upper side of the ankle joint movable shaft handle (11), and the leg protection plates on the lower leg of the wearer and the ankle joint movable shaft handle (11) are fixed by elastic bands b (9).
2. A walking exoskeleton for correcting varus of the foot as claimed in claim 1, wherein: the bottoms of the toe cap fixer (1) and the heel fixer (6) respectively extend to the inside for 1-3 cm for preventing the shoes from separating from the fixer.
CN201710257591.4A 2017-04-19 2017-04-19 Walking exoskeleton for correcting foot varus Active CN108720975B (en)

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Application Number Priority Date Filing Date Title
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CN108720975B true CN108720975B (en) 2023-12-22

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109431755A (en) * 2018-12-16 2019-03-08 房县永祥康复专科医院 A kind of bracket of auxiliary podarthrum walking
CN110101492A (en) * 2019-04-30 2019-08-09 广西科技大学 A kind of apparatus for correcting of lower limb exoskeleton ankle-joint
CN112972088A (en) * 2021-02-23 2021-06-18 文捷 Brace is corrected to water chestnut enstrophe

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WO2009157075A1 (en) * 2008-06-26 2009-12-30 株式会社アシックス Supporter for suppressing inversion of foot
WO2010070364A1 (en) * 2008-12-16 2010-06-24 Andreas Tsitouras Foot drop orthosis
CN202191386U (en) * 2011-08-12 2012-04-18 杨智权 Ankle foot orthotic device
CN202313829U (en) * 2011-11-04 2012-07-11 威海众和康复材料股份有限公司 Disposal ankle joint dorsiflexion corrector
CN204428228U (en) * 2014-12-29 2015-07-01 中国人民解放军第四军医大学 A kind of split type rehabilitative shoe
CN104905900A (en) * 2015-06-23 2015-09-16 张超 Rectification rehabilitation shoes
CN105250099A (en) * 2015-11-13 2016-01-20 广西壮族自治区人民医院 Functional pad for preventing heel pressure sores
CN205515077U (en) * 2016-03-11 2016-08-31 张宁 Integrative shoes of T are soon prevented in skin traction of lower extremity
CN106137499A (en) * 2016-08-09 2016-11-23 无锡智航控制技术有限公司 Foot varus joint orthosis
CN205795871U (en) * 2016-05-11 2016-12-14 黑龙江省中医药科学院 A kind of ankle joint orthotic device
CN106510087A (en) * 2016-12-19 2017-03-22 湘潭上瑞鞋业有限公司 Functional shoes capable of correcting and treating pes supinatus ectropion
CN207545281U (en) * 2017-04-19 2018-06-29 北京大学 One kind is used to correct pigeon-toed walking ectoskeleton

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Publication number Priority date Publication date Assignee Title
US20170216071A1 (en) * 2016-02-02 2017-08-03 Wade Bader Ankle-foot varus deformity alignment device

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009157075A1 (en) * 2008-06-26 2009-12-30 株式会社アシックス Supporter for suppressing inversion of foot
WO2010070364A1 (en) * 2008-12-16 2010-06-24 Andreas Tsitouras Foot drop orthosis
CN202191386U (en) * 2011-08-12 2012-04-18 杨智权 Ankle foot orthotic device
CN202313829U (en) * 2011-11-04 2012-07-11 威海众和康复材料股份有限公司 Disposal ankle joint dorsiflexion corrector
CN204428228U (en) * 2014-12-29 2015-07-01 中国人民解放军第四军医大学 A kind of split type rehabilitative shoe
CN104905900A (en) * 2015-06-23 2015-09-16 张超 Rectification rehabilitation shoes
CN105250099A (en) * 2015-11-13 2016-01-20 广西壮族自治区人民医院 Functional pad for preventing heel pressure sores
CN205515077U (en) * 2016-03-11 2016-08-31 张宁 Integrative shoes of T are soon prevented in skin traction of lower extremity
CN205795871U (en) * 2016-05-11 2016-12-14 黑龙江省中医药科学院 A kind of ankle joint orthotic device
CN106137499A (en) * 2016-08-09 2016-11-23 无锡智航控制技术有限公司 Foot varus joint orthosis
CN106510087A (en) * 2016-12-19 2017-03-22 湘潭上瑞鞋业有限公司 Functional shoes capable of correcting and treating pes supinatus ectropion
CN207545281U (en) * 2017-04-19 2018-06-29 北京大学 One kind is used to correct pigeon-toed walking ectoskeleton

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