CN110393895A - Knee joint trains adapter, rehabilitation training equipment and its Training Control method - Google Patents

Knee joint trains adapter, rehabilitation training equipment and its Training Control method Download PDF

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Publication number
CN110393895A
CN110393895A CN201810947902.4A CN201810947902A CN110393895A CN 110393895 A CN110393895 A CN 110393895A CN 201810947902 A CN201810947902 A CN 201810947902A CN 110393895 A CN110393895 A CN 110393895A
Authority
CN
China
Prior art keywords
knee joint
adapter
training
sliding
adjuster
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810947902.4A
Other languages
Chinese (zh)
Inventor
任宇鹏
赵笃
余杰华
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Force Tek Medical Technology Co Ltd
Beijing Litech Technology Co Ltd
Original Assignee
Beijing Force Tek Medical Technology Co Ltd
Beijing Litech Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Force Tek Medical Technology Co Ltd, Beijing Litech Technology Co Ltd filed Critical Beijing Force Tek Medical Technology Co Ltd
Publication of CN110393895A publication Critical patent/CN110393895A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/024Knee
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00178Exercising 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
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00181Exercising 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
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0494Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee joints
    • 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
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • 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
    • A61H2201/14Special force transmission means, i.e. between the driving means and the interface with the user
    • 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
    • A61H2201/1642Holding means therefor
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5064Position sensors
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5069Angle sensors
    • 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
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00Measuring of physical parameters relating to sporting activity
    • A63B2220/18Inclination, slope or curvature
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00Measuring of physical parameters relating to sporting activity
    • A63B2220/80Special sensors, transducers or devices therefor
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2230/00Measuring physiological parameters of the user
    • A63B2230/60Measuring physiological parameters of the user muscle strain, i.e. measured on the user
    • A63B2230/605Measuring physiological parameters of the user muscle strain, i.e. measured on the user used as a control parameter for the apparatus

Abstract

The present invention discloses a kind of knee joint training adapter, knee-joint rehabilitation training equipment and its Training Control method, and knee joint training adapter includes knee joint adapter and motion control host.Knee joint adapter includes that adjuster, position adjusting mechanism, shank fixing piece and ankle fixing piece, shank fixing piece and ankle fixing piece are connect by position adjusting mechanism with adjuster.Motion control host includes driving motor and control module, and adjuster is connect by a transmission mechanism with driving motor, and control module is connect with driving motor.Control module includes Angle Position change detection module, current of electric change detection module and mode selection module.The present invention can effectively assist patient to carry out joint exercise, promote muscle strength, improve range of motion, and stiff joint is loosened in drawing-off.

Description

Knee joint trains adapter, rehabilitation training equipment and its Training Control method
Technical field
The present invention relates to medical instruments fields more particularly to a kind of knee joint training adapter, knee-joint rehabilitation training to set Standby and its Training Control method.
Background technique
In public exercise rehabilitation training field, cerebral apoplexy, multiple sclerosis, spinal cord injury, brain paralysis influence millions of people's Life.For the patient that most of nervous function is damaged, dyskinesia is often increased with limb spasm related, and physiotherapy is existing The main means of stage rehabilitation training, but the status of existing training technique has many limitations.
In traditional stretching treatment, stretching, auxiliary and other physics intervention gimmick is can be used to mitigate in physiotherapist The spasm and contracture of patient limb restore balance, harmony and joint and the motor function of limbs of patient.However, passing System is caused high effort for by the stretching of physics gimmick, and general therapeutic teacher needs arduously to be stretched the four limbs of patient's spasm with hand; Meanwhile the intensity stretched by hand depends on the experience and subjective feeling of therapist.
In inducing active movement training, if patient is due to that cannot generate without physiotherapist or the auxiliary of equipment The active limb of continuous-stable moves, so being difficult to attempt by the movement of itself to reach and restore extremity motor function completely Purpose.Further, since shortage knowledge of rehabilitation or over training, patient may during attempting to carry out autonomous limb motion Potentially aggravate degree of injury.
Due to the shortage of therapist's resource, patient cannot get the exercise rehabilitation training of sufficient amount, so as to cause short-term health Refreshment effect of doing exercises cannot maintain long time.
Traditional passive drawing training device (CPM, continuous passive motion) is widely used in hospital In the family of patient.CPM is mainly provided in the joint microinching in the fixed range pre-established, to prevent from gluing after kan setsu waza Even, anchylosis is reduced.Its technology limitation is that CPM machine is between two preset articulated positions with slower constant The mobile limbs of speed or joint.Although system can provide very big stretch force moment, in entire drawing process, due to it The limitation of mechanical structure cannot detect the resistance that suffering limb is generated due to spasm, so preset motion range usually less than closes The range of flexible motion is saved, otherwise the danger of joint injury will increase.It is passive to pull function usually not under this function restriction It can be stretched to the higher position of limited Muscle tensility, and this physiological location exactly contracture and spasm most visibility point, It is to really need physiological location that is with high safety and effectively stretching.Due to lacking the detection to human synovial resistance, so traditional Continuous passive drawing training aids cannot be used for the rehabilitation of the dyskinesia due to caused by neurotrosis.
In recent years, another kind of active assisted class training equipment was used to help improve based on multi-freedom robot product Control and neural rehabilitation of the patient to the active movement of limbs after cerebral apoplexy and other neurotrosises.But from Point of View of Clinical It sees, for patient's (such as cerebral apoplexy, brain paralysis etc.) with high Muscle tensility/limb spasm, it is necessary to consider Muscle tensility variation or flesh Group's spasm problem could implement suitable autonomous synkinesia and train, but to train equipment often to ignore such for existing assisted class Pathological characters directly implement supplemental training to patient, do not solve the prerequisite function of Muscle tensility variation or muscle group spasm, Ci Zhongmo The problem of formula is likely to result in patient during supplemental training, high Muscle tensility/limb spasm more deteriorates.
In addition, some training experiment platform robots, the resistance generated by suffering limb spasm or active can be accurately measured Movement tendency, but the realization for being limited in that entire function and control of its technology is depended on to additional Cont rol Method of Precise Force/moment sensing The use of device.So structure determines that the cost of whole system increases, price is prohibitively expensive, be not suitable in grass-roots community and Family widely uses.And due to the difference of structure composition, device can only provide active-assistive exercise training function, same On device, the passive drawing with larger output torque cannot be realized simultaneously, ignore controlling for active/passive training combination Assessment after treatment mode and training.
It is domestic that commercialized product, similar product mainly include upper limb trainer and (the continuity passive movement rehabilitation of CPM instrument Device) etc. forms.Foot-operated self vehicle type training aids is suitable for the initiative and passivity training of upper limb.The product passes through upper limb and master Dynamic property is trained and passivity is trained, and gradually improves blood circulation, increases suffering limb muscular strength and endurance, keeps the flexibility of muscle, drops Low Muscle tensility.It is simple to be mainly characterized by function, staff is facilitated to operate;Be suitble to many and meanwhile use and monitoring management. Intelligent rehabilitation training system is furnished with safeguard measure simultaneously, spasm once occurs in patient's use process, it is anti-that machine will start intelligence To motor pattern, to alleviate spasm symptom.Although there is actively and passively mode, due to Design of Mechanical Structure and motion control The limitation of technology is only possible to produce the joint limb motion of repeatability;To the limb spasm problem of brain injury patients, cannot provide Targeted flexibility of joint drawing-off.Training mode provided by such product is confined to basic body building mode, is suitble to Improve cardiopulmonary ability and keep basic exercise ability, but improves limb spasm problem for alleviating, it is very limited.
Summary of the invention
In view of problems of the prior art, present invention firstly provides a kind of knee joint training adapters, at least Partly solve the deficiencies in the prior art.
Knee joint training adapter provided by the invention, comprising:
Knee joint adapter, the knee joint adapter include adjuster, position adjusting mechanism, shank fixing piece and ankle Fixing piece, the shank fixing piece and the ankle fixing piece are connect by the position adjusting mechanism with the adjuster;With And
Motion control host, the motion control host include driving motor and control module, and the adjuster passes through one Transmission mechanism is connect with the driving motor, and the control module is connect with the driving motor;
Wherein, the control module includes:
Angle Position change detection module, the active movement for detecting suffering limb drive the adjuster to move synchronously and generate Angle Position variation;
Current of electric change detection module, the motor driven that torque is applied to the adjuster and is generated for detecting suffering limb In curent change;And
Mode selection module connects respectively with the Angle Position change detection module and the current of electric change detection module Connect, with according to the Angle Position variation and/or the curent change selection using proper drag mode, stretch mode, auxiliary and Resistance mode induces active movement mode.
Preferably, the position adjusting mechanism includes the first sliding block, the second sliding block and guide rail, the guide rail and the adjusting Device is fixedly connected, and first sliding block is slidably matched with the guide rail, and second sliding block is slidably matched with the guide rail, described For shank fixing piece by a regulating mechanism and the adjustable connection of the first sliding block, the ankle fixing piece and second sliding block are solid Fixed connection.
Preferably, the regulating mechanism is a sliding rail, and the shank fixing piece is fixed on the sliding rail, and described first is sliding Block has first sliding groove and second sliding slot, and the first sliding groove and the guide rail cooperate, and the second sliding slot is matched with the sliding rail It closes.
Preferably, the first sliding groove has the first glide direction, and the second sliding slot has the second glide direction, described First glide direction is mutually perpendicular to second glide direction.
Preferably, the guide rail has length direction, and first glide direction is consistent with the length direction of the guide rail.
Preferably, the transmission mechanism includes transmission case body and is arranged in the intracorporal synchronous belt drive mechanism of transmission case, institute Synchronous belt drive mechanism is stated with driven pulley, the adjuster is connect with the driven pulley, and the adjuster is with described The central axis of driven pulley is that axis can rotate.
Preferably, the adjuster includes briquetting and position-limit mechanism, and the briquetting is fixedly connected with the driven pulley, and There is the fluting matched with the guide rail, the position-limit mechanism includes limit shifting block and position-arresting disk, the limit on the briquetting Position disk is fixedly connected with the transmission case body, and limiting slot is provided on the position-arresting disk, the limit shifting block with it is described The axle portion and matched from the axle portion is outstanding with the limiting slot that driven pulley connection can be rotated with the driven pulley Limiting section.
The present invention further provides a kind of knee-joint rehabilitation training equipment, the sliding bottom including belt track, height adjustment Mechanism, above-mentioned knee joint training adapter, display device and rotatably trained seat.Height adjustment mechanism is mounted on described On sliding bottom.Knee joint training adapter is mounted on the height adjustment mechanism.Display device is adjustable by screen mount It is supported in the top of the motion control host.The relatively described knee joint training is arranged on the sliding rail in rotary training seat Adapter position-adjustable.
Preferably, the track includes the first track and the second track, first track and second orbital docking At T-shaped slide rail.
Knee-joint rehabilitation training is carried out using above-mentioned knee-joint rehabilitation training equipment the present invention further provides a kind of Control method, comprising:
Proper drag scheme control: the active movement of the Angle Position change detection module detection suffering limb drives the knee to close The Angle Position that section adapter is moved synchronously and generated changes, and the mode selection module becomes according to Angle Position described in the unit time Change, control motor driven is generated along current control amount identical with the Angle Position change direction, and mechanical resistance is overcome to drive Motor drives the knee joint adapter to move along direction identical with the suffering limb direction of motion;
Stretch mode control: the current of electric change detection module detection is since suffering limb is to the preceding shoulder joint adapter Apply torque and the curent change in the motor driven that generates, the mode selection module adjusts motor according to curent change and rotates Speed and range are used to stretch suffering limb muscle with the velocity of rotation and range that adjust the suffering limb;
Auxiliary and resistance mode control: the Angle Position change detection module detects the Angle Position of the knee joint adapter Variation, the mode selection module change according to the Angle Position, calculate required auxiliary identical with the suffering limb direction of motion The size of power or the resistance opposite with the suffering limb direction of motion, to control the motor to described in knee joint adapter application Auxiliary force or resistance, so that the suffering limb carries out supplemental training or resistance exercise;
Induce active movement scheme control: the Angle Position change detection module detection is since suffering limb is suitable to the knee joint Orchestration applies torque and the curent change that generates, the mode selection module by the detected curent change calculate because The autokinetic movement of suffering limb and the moment variations generated control the motor when the moment variations are less than a certain particular value and drive It moves to drive suffering limb to do exemplary passive movement, and the movement of limbs is fed back to patient in a manner of vision or the sense of hearing, with After allow patient to do autokinetic movement, and the moment variations after change ratio are fed back into patient.
The design of present invention combination knee joint adapter and motion control host can effectively assist patient to carry out joint forging Refining, muscle strength improve range of motion, and stiff joint is loosened in drawing-off;In addition, due to according to Angle Position variation and curent change The variation of Muscle tensility is monitored, implements flexible adaptive drawing-off treatment, that is, dynamic monitoring joint kinematic parameter is guaranteeing safety On the basis of validity, the strength that can be accurately regulated the speed to greatest extent with drawing-off range of motion is economical and practical, structure is simple It is single.
Detailed description of the invention
The accompanying drawings constituting a part of this application is used to provide further understanding of the present invention, and of the invention shows Examples and descriptions thereof are used to explain the present invention for meaning property, does not constitute improper limitations of the present invention.
Fig. 1 is the overall schematic of the knee-joint rehabilitation training equipment of one embodiment of the invention;
Fig. 2 is the structural block diagram of the control module of knee joint of the present invention training adapter;
Fig. 3 is the structural schematic diagram of the knee joint adapter in Fig. 1;
Fig. 4 is the decomposition diagram of the knee joint adapter in Fig. 1;
Fig. 5 is the decomposition diagram (looking up from another party) of the knee joint adapter in Fig. 1.
Specific embodiment
In order to enable the object, technical solutions and advantages of the present invention become apparent, root is described in detail below with reference to accompanying drawings According to example embodiments of the present invention.Obviously, described embodiment is only a part of the embodiments of the present invention, rather than this hair Bright whole embodiments, it should be appreciated that the present invention is not limited by example embodiment described herein.Based on described in the present invention The embodiment of the present invention, those skilled in the art's obtained all other embodiment in the case where not making the creative labor It should all fall under the scope of the present invention.
In the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", "vertical", The term of the orientation or positional relationship of instructions such as "horizontal", "inner", "outside", " preceding " and " rear " is to close relative to standing in the knee For the surrounding observer or patient that save rehabilitation training equipment, it is merely for convenience of description of the present invention and simplification of the description, without It is that the device of indication or suggestion meaning or element must have a particular orientation, be constructed and operated in a specific orientation, therefore not It can be interpreted as limitation of the present invention.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also can be indirectly connected through an intermediary Connection inside two elements.For electricity and the communications field, it can be wired connection, be also possible to be wirelessly connected.For For those skilled in the art, the concrete meaning of above-mentioned term in the present invention can be understood with concrete condition.
As shown in Figure 1, the present invention provides a kind of knee-joint rehabilitation training equipment, the sliding bottom 800 including belt track, Height adjustment mechanism 300, knee joint training adapter 1000, display device 400 and rotary training seat 500.Height is adjusted Section mechanism 300 is mounted on sliding bottom 800.Knee joint training adapter 1000 is mounted on height adjustment mechanism 300.Display Device 400 is by screen mount adjustable supports in the motion control host (can hereinafter introduce) of knee joint training adapter Top.Opposite knee joint training adapter position-adjustable is arranged on track 600 in rotary training seat 500.Sliding bottom 800 are locked on track 600, and 600 position of relative orbit is adjustable.Track 600 includes the first track 601 and the second track 602, First track 601 and the second track 602 are butted into T-shaped slide rail, and sliding bottom 800 is slidably matched with the first track 601, rotatably Training seat 500 is slidably matched with the second rail 602.
Based on the setting of the first track 601, left and right leg can be trained respectively, for example, motion control host is pushed away To appropriate location, when needing left or right knee joint training, left leg or right leg are placed on knee joint training adapter On 1000, and appropriate sitting posture when training is maintained, then locks the first track 601;Based on the setting of the second track 602, Can be according to the length of different patient's legs, accordingly forward/rear movable and rotary type training seat 500 arrives appropriate location.
Display device 400 can be used to show various data (including knee exercise data and various other information), show Showing device 400 may include display screen and/or image projecting equipment (projector) support rod, the projection device support rod setting Behind motion control host, rotary training 500 opposite of seat facilitates patient to watch.Preferably, by that can be revolved with 360 degree The upper rear portion of motion control host is arranged in the support rod turned.Preferably, display screen can be touch screen, and have both control device Input unit function.
Specifically, referring again to Fig. 1, knee joint training adapter 1000 includes knee joint adapter 100 and movement control Host processed.Motion control host includes driving motor 200 and control module 700.
In conjunction with refering to 2, control module 700 includes Angle Position change detection module 710, current of electric change detection module 720 and mode selection module 730, the active movement that Angle Position change detection module 710 is used to detect suffering limb drives knee joint The Angle Position that adapter 100 is moved synchronously and generated changes;Current of electric change detection module 720 closes knee for detecting suffering limb Section adapter 100 applies torque and the curent change in the motor driven that generates;Mode selection module 730 and Angle Position variation are examined It surveys module 710 and current of electric change detection module 720 is separately connected, according to Angle Position variation and/or the electric current Variation selection is using proper drag mode, stretch mode, auxiliary and resistance mode or induces active movement mode.
Specifically, referring again to Fig. 1, under passive exercise mode, the driving motor 200 drives the knee joint suitable Orchestration 100 moves, and then the knee joint of patient is driven to be trained;Under active training mode, by the autokinetic movement of patient The knee joint adapter 100 is driven to move, so that patient's knee joint be made to be trained.Preferably, when patient passes through one section Between after passive exercise, detection can select active training after reaching requirement again.
In conjunction with refering to shown in Fig. 3 and Fig. 4, for the structure chart of the knee joint adapter 100 of the embodiment of the present invention, knee joint is suitable Orchestration 100 includes adjuster 110, position adjusting mechanism 120, shank fixing piece 130 and ankle fixing piece 140, shank fixing piece 130 and ankle fixing piece 140 connect with adjuster 110 by position adjusting mechanism 120, adjuster 110 passes through a transmission mechanism 900 connect with driving motor 200, and control module 700 is connect with driving motor 200.
Illustratively, position adjusting mechanism 120 includes the first sliding block 121, the second sliding block 122 and guide rail 123, guide rail 123 It is fixedly connected with adjuster 110, the first sliding block 121 is slidably matched with guide rail 123, and the second sliding block 122 is matched with the sliding of guide rail 123 It closes, shank fixing piece 130 is slided by a regulating mechanism 150 and the adjustable connection of the first sliding block 121, ankle fixing piece 140 and second Block 122 is fixedly connected.
Preferably, regulating mechanism 150 is a sliding rail, shank fixing piece 130 is fixed on sliding rail 150, the first sliding block 121 tool There are first sliding groove 1211 and second sliding slot 1212, first sliding groove 1211 and guide rail 123 cooperate, second sliding slot 1212 and sliding rail 150 Cooperation.First sliding groove 1211 have the first glide direction, second sliding slot 1212 have the second glide direction, the first glide direction with Second glide direction is mutually perpendicular to.In the embodiment that Fig. 4 is provided, guide rail 123 has length direction, the first glide direction and guide rail Length direction it is consistent.Based on the setting, shank fixing piece 130 goes up position-adjustable along its length on guide rail 123, and It can also slided perpendicular to rail length direction;Ankle fixing piece 140 can also be moved along rail length direction, so as to adjust Save different positions.
Shank fixing piece 130 includes fixing axle 131 and the shank cotton-dipping wheel 132 being set in fixing axle 131, fixing axle 131 are fixedly connected by a fixed block 133 with sliding rail 150.Since sliding rail 150 passes through second sliding slot 1212 and the first sliding block 121 It is slidably connected, so that shank fixing piece 130 is perpendicular to rail length direction position-adjustable.
Ankle fixing piece 140 includes fixing axle 141 and the ankle cotton-dipping wheel 142 being set in fixing axle 141, fixing axle 141 are fixedly connected with the second sliding block 122.Since the second sliding block 122 is slidably connected with guide rail 123, so that ankle fixing piece 140 is adjustable in 123 lengthwise location of guide rail.
Preferably, shank cotton-dipping wheel 132 and ankle cotton-dipping wheel 142 all have knee shape, to play fixed knee.
Illustratively, transmission mechanism 900 is synchronous belt drive mechanism, and synchronous belt drive mechanism 900 includes the first drive shell 901, the second drive shell 903, driven pulley 902, driving pulley and tensioning wheel (unmarked in driving pulley and tensioning wheel figure), the One drive shell 901 and the second drive shell 903 are interlocked to form transmission case body, and driven pulley 902 is arranged in transmission case body, adjust Device 110 is connect with driven pulley 902, and adjuster 110 can be rotated by axis of the central axis of driven pulley 902.
Preferably, in conjunction with refering to Fig. 5, adjuster 110 includes briquetting 111 and position-limit mechanism 1120, briquetting 111 and driven belt Wheel 902 is fixedly connected, and has the fluting 1111 matched with guide rail 123 on briquetting 111, and position-limit mechanism 1120 includes that limit is dialled Block 1121 and position-arresting disk 1122, position-arresting disk 1122 are fixedly connected with transmission case body, and are provided with limiting slot on position-arresting disk 1122 11221, limit shifting block 1121 has that connect with driven pulley 902 can be with the axle portion 11211 of the rotation of driven pulley 902 and from axis The limiting section 11212 outstanding matched with limiting slot 11221 of portion 11211.Driven pulley 902 can by main body wheel 9021, in Heart wheel 9022 and breast wheel 9023 assemble, and transmission belt is wound around on main body wheel 9021, and centre wheel 9022 and briquetting 111 are fixed Connection, and exempt from the installation of key axis between axle portion 11211.Setting based on position-limit mechanism 1120 can reach limit effect, due to limit Position disk 1122 is fixed, and limit shifting block 1121 can be rotated in the case where shank fixing piece 130 and/or ankle fixing piece 140 drive, and works as limit When shifting block 1121 is turned in 11221 one side wall of limiting slot of position-arresting disk 1122, limit is generated.
Under control model, activity point of view can be set the present invention, can set 2 location parameters: knee joint respectively The flexion angle of maximum extension ability, the flexion angle of maximum flexion ability.The drawing-off intensity can be closed according to patient's knee The flexion angle of the actual conditions setting drawing-off knee joint maximum extension ability of section, the flexion angle data of maximum flexion ability. The training device is 5 °~95 ° for the flexion angle setting range of kneed maximum extension ability, maximum flexion energy The flexion angle setting range of power is 5 °~95 °.
Control module of the invention can pull intensity, speed by monitoring limbs resistance or Muscle tensility variation with soft readjustment Degree and motion range, to safely and effectively reduce Muscle tensility, alleviation and inhibit spasm.Can provide effective knee extension/ Curvature movement guidance, induces knee joint autokinetic movement, tone up the muscles strength.
It should be noted that stretching, extension refers to that movement shank makes shank, knee, thigh is close to the movement on straight line; Buckling refers to movable knee, makes shank and thigh at the movement of angle.
The present invention also provides a kind of methods for carrying out knee-joint rehabilitation training using above-mentioned apparatus, and the method includes following Step: following one or more modes are needed to be implemented according to suffering limb training: 1) the proper drag mode of bucking-out system.In the mode In, the active movement of the Angle Position change detection module detection suffering limb drives the knee joint adapter to move synchronously and generate Angle Position variation, the mode selection module change according to Angle Position described in the unit time, control motor driven generation edge Current control amount identical with the Angle Position change direction, overcome mechanical resistance driving motor to drive knee joint adaptation Device is moved along direction identical with the suffering limb direction of motion, so that suffering limb carries out free movement.2) stretch mode.In the mode In, the current of electric change detection module detection is due to the motor that suffering limb applies torque to the knee joint adapter and generates Curent change in driving, the curent change that will test is by low-pass filtering to obtain smooth numerical value, the model selection Module adjusts motor rotation speed and range according to curent change to adjust the velocity of rotation of the suffering limb and range for stretching Suffering limb muscle.3) auxiliary and draught control mode.In this mode, the Angle Position change detection module detects the knee joint The Angle Position of adapter changes, and the mode selection module change according to the Angle Position, calculates required with suffering limb movement The size of the identical auxiliary force in direction or the resistance opposite with the suffering limb direction of motion, to control the motor to the knee joint Adapter applies the auxiliary force or resistance, so that the suffering limb carries out supplemental training or resistance exercise.4) active movement is induced Mode.In this mode, the Angle Position change detection module detection is since suffering limb is to knee joint adapter application torque And the curent change generated, the mode selection module are calculated the autonomous fortune because of suffering limb by the detected curent change Dynamic and generation moment variations, control the motor driven when the moment variations are less than a particular value to drive suffering limb to do Exemplary passive movement, and the movement of limbs is fed back to patient in a manner of vision or the sense of hearing, then allow patient to do independently Movement, and the moment variations after change ratio are fed back into patient.
Beneficial effects of the present invention are as follows:
1. this product can pull intensity, speed and movement with soft readjustment by monitoring limbs resistance or Muscle tensility variation Range, to safely and effectively reduce Muscle tensility, alleviation and inhibit spasm.
2. realizing the flexible isotonic drawing of knee extension extreme position under the premise of guaranteeing limbs safety, increasing joint Scope of activities.
3. this product carries out appropriate muscle/ligament to trainer for kneed recovery training in clinic The stretching of length inhibits spasm, prevents the contracture of joint, the joint motion of patient is made to be maintained and be improved.
4. a variety of knee joint strengthening cooling training: free resistanceless motion, auxiliary and resistive exercise, quilt can be achieved at the same time Dynamic drawing-off, interactive game induce active movement mode.
5. stressing the induction of active movement and the new paragon of perception, intelligent sound guidance and interaction, entertaining acrognosis are provided Know game interaction.
6. utilizing new control system patented technology, core component cost is greatly reduced, for the following household and community rehabilitation Feasible equipment solution is provided.
Although describing example embodiment by reference to attached drawing here, it should be understood that above example embodiment are only exemplary , and be not intended to limit the scope of the invention to this.Those of ordinary skill in the art can carry out various changes wherein And modification, it is made without departing from the scope of the present invention and spiritual.All such changes and modifications are intended to be included in appended claims Within required the scope of the present invention.
In the instructions provided here, numerous specific details are set forth.It is to be appreciated, however, that implementation of the invention Example can be practiced without these specific details.In some instances, well known method, structure is not been shown in detail And technology, so as not to obscure the understanding of this specification.
Similarly, it should be understood that in order to simplify the present invention and help to understand one in each inventive aspect or at least two A, in the description to exemplary embodiment of the present invention, each feature of the invention is grouped together into single implementation sometimes In example, figure or descriptions thereof.However, the method for the invention should not be construed to reflect an intention that i.e. required Protection the present invention claims features more more than feature expressly recited in each claim.More precisely, such as phase As the claims answered reflect, inventive point is that all spies less than some disclosed single embodiment can be used The feature of sign solves corresponding technical problem.Therefore, it then follows thus claims of specific embodiment are expressly incorporated in The specific embodiment, wherein each, the claims themselves are regarded as separate embodiments of the invention.
It will be understood to those skilled in the art that any combination pair can be used other than mutually exclusive between feature All features disclosed in this specification (including adjoint claim, abstract and attached drawing) and so disclosed any method Or all processes or device of equipment are combined.Unless expressly stated otherwise, this specification (is wanted including adjoint right Ask, make a summary and attached drawing) disclosed in each feature can be replaced with an alternative feature that provides the same, equivalent, or similar purpose.
In addition, it will be appreciated by those of skill in the art that although some embodiments described herein include other embodiments In included certain features rather than other feature, but the combination of the feature of different embodiments mean it is of the invention Within the scope of and form different embodiments.For example, in detail in the claims, embodiment claimed it is one of any Can in any combination mode come using.
It should be noted that the above-mentioned embodiments illustrate rather than limit the invention, and ability Field technique personnel can be designed alternative embodiment without departing from the scope of the appended claims.In the claims, Any reference symbol between parentheses should not be configured to limitations on claims.Word "comprising" does not exclude the presence of not Element or step listed in the claims.Word "a" or "an" located in front of the element do not exclude the presence of at least two this The element of sample.The present invention can by means of include several different elements hardware and by means of properly programmed computer come It realizes.If several in these devices can be through the same hardware in the device claim for listing equipment for drying It embodies.The use of word first, second, and third does not indicate any sequence.These words can be construed to Title.
The above description is merely a specific embodiment or to the explanation of specific embodiment, protection of the invention Range is not limited thereto, and anyone skilled in the art in the technical scope disclosed by the present invention, can be easily Expect change or replacement, should be covered by the protection scope of the present invention.Protection scope of the present invention should be with claim Subject to protection scope.

Claims (10)

1. a kind of knee joint training adapter characterized by comprising
Knee joint adapter, the knee joint adapter include adjuster, and position adjusting mechanism, shank fixing piece and ankle are fixed Part, the shank fixing piece and the ankle fixing piece are connect by the position adjusting mechanism with the adjuster;And
Motion control host, the motion control host include driving motor and control module, and the adjuster passes through a transmission Mechanism is connect with the driving motor, and the control module is connect with the driving motor;
Wherein, the control module includes:
Angle Position change detection module, the active movement for detecting suffering limb drive the adjuster to move synchronously and the angle that generates Change in location;
Current of electric change detection module, for detecting in the motor driven that suffering limb generates adjuster application torque Curent change;And
Mode selection module is separately connected with the Angle Position change detection module and the current of electric change detection module, To use proper drag mode, stretch mode, auxiliary and resistance according to Angle Position variation and/or curent change selection Mode induces active movement mode.
2. knee joint training adapter according to claim 1, which is characterized in that the position adjusting mechanism includes first Sliding block, the second sliding block and guide rail, the guide rail are fixedly connected with the adjuster, and first sliding block is matched with guide rail sliding It closes, second sliding block is slidably matched with the guide rail, and the shank fixing piece passes through a regulating mechanism and first sliding block Adjustable connection, the ankle fixing piece are fixedly connected with second sliding block.
3. knee joint training adapter according to claim 2, which is characterized in that the regulating mechanism is a sliding rail, institute It states shank fixing piece to be fixed on the sliding rail, first sliding block has first sliding groove and second sliding slot, the first sliding groove Cooperate with the guide rail, the second sliding slot and the sliding rail cooperate.
4. knee joint training adapter according to claim 3, which is characterized in that the first sliding groove has the first sliding Direction, the second sliding slot have the second glide direction, and first glide direction is mutually perpendicular to second glide direction.
5. knee joint training adapter according to claim 4, which is characterized in that the guide rail has length direction, institute It is consistent with the length direction of the guide rail to state the first glide direction.
6. the training of knee joint described in any one of -5 adapter according to claim 1, which is characterized in that the transmission mechanism Including transmission case body and setting in the intracorporal synchronous belt drive mechanism of transmission case, the synchronous belt drive mechanism has driven belt Wheel, the adjuster is connect with the driven pulley, and the adjuster can as axis using the central axis of the driven pulley Rotation.
7. knee joint training adapter according to claim 6, which is characterized in that the adjuster includes briquetting and limit Mechanism, the briquetting are fixedly connected with the driven pulley, and have the fluting matched with the guide rail, institute on the briquetting It states position-limit mechanism to be fixedly connected including limit shifting block and position-arresting disk, the position-arresting disk with the transmission case body, and the position-arresting disk On be provided with limiting slot, the limit shifting block has that connect with the driven pulley can be with the axle portion of driven pulley rotation With from the axle portion limiting section outstanding matched with the limiting slot.
8. a kind of knee-joint rehabilitation training equipment characterized by comprising
The sliding bottom of belt track;
Height adjustment mechanism, the height adjustment mechanism are mounted on the sliding bottom;
Knee joint training adapter as described in any one of claim 1-7, the knee joint training adapter are mounted on On the height adjustment mechanism;
Display device, the display device is by screen mount adjustable supports in the top of the motion control host;And
The relatively described knee joint training adapter position-adjustable is arranged on the sliding rail in rotary training seat.
9. knee-joint rehabilitation training equipment according to claim 8, which is characterized in that the track include the first track and Second track, first track and second orbital docking are at T-shaped slide rail.
10. a kind of carry out knee joint recovery instruction using the knee-joint rehabilitation training equipment as described in any one of claim 8-9 Experienced control method characterized by comprising
Proper drag scheme control: the active movement of the Angle Position change detection module detection suffering limb drives the knee joint suitable The Angle Position that orchestration is moved synchronously and generated changes, and the mode selection module changes according to Angle Position described in the unit time, It controls motor driven to generate along current control amount identical with the Angle Position change direction, overcomes mechanical resistance driving motor The knee joint adapter is driven to move along direction identical with the suffering limb direction of motion;
Stretch mode control: the current of electric change detection module detection is since suffering limb is to the knee joint adapter applied force Square and the curent change in the motor driven that generates, the mode selection module according to curent change adjust motor rotation speed and Range is used to stretch suffering limb muscle with the velocity of rotation and range that adjust the suffering limb;
Auxiliary and resistance mode control: the Angle Position that the Angle Position change detection module detects the knee joint adapter becomes Change, the mode selection module changes according to the Angle Position, calculates required auxiliary force identical with the suffering limb direction of motion Or the size of the resistance opposite with the suffering limb direction of motion, it is described auxiliary to knee joint adapter application to control the motor Power-assisted or resistance, so that the suffering limb carries out supplemental training or resistance exercise;
Induce active movement scheme control: the Angle Position change detection module detection is since suffering limb is to the knee joint adapter The curent change for applying torque and generating, the mode selection module are calculated by the detected curent change because of suffering limb Autokinetic movement and the moment variations that generate, the motor driven is controlled when the moment variations are less than a particular value with band Dynamic suffering limb does exemplary passive movement, and the movement of limbs is fed back to patient in a manner of vision or the sense of hearing, then allows trouble Person does autokinetic movement, and the moment variations after change ratio are fed back to patient.
CN201810947902.4A 2018-04-25 2018-08-20 Knee joint trains adapter, rehabilitation training equipment and its Training Control method Pending CN110393895A (en)

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