CN212592986U - Walking aid training device for patients with spinal injuries - Google Patents

Walking aid training device for patients with spinal injuries Download PDF

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Publication number
CN212592986U
CN212592986U CN201922224566.3U CN201922224566U CN212592986U CN 212592986 U CN212592986 U CN 212592986U CN 201922224566 U CN201922224566 U CN 201922224566U CN 212592986 U CN212592986 U CN 212592986U
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China
Prior art keywords
motor
fixing block
sliding block
pedal
shaft
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Expired - Fee Related
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CN201922224566.3U
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Chinese (zh)
Inventor
卢旭华
王海滨
杨海松
郭群峰
王亮
孙钰岭
邹任玲
徐秀林
胡秀枋
刘二宁
徐言东
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Shanghai Changzheng Hospital
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Shanghai Changzheng Hospital
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Priority to CN201922224566.3U priority Critical patent/CN212592986U/en
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Publication of CN212592986U publication Critical patent/CN212592986U/en
Expired - Fee Related legal-status Critical Current
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Abstract

The utility model relates to a walking aid training device for patients with spinal column injury, which comprises a walking aid advancing frame, an upper limb supporting and lifting component, a horizontal driving component and a pedal component, wherein the upper limb supporting and lifting component is arranged on the walking aid advancing frame; the horizontal driving assembly is arranged on the walking aid advancing frame and comprises a front sliding block fixing block, a front sliding block fixing block driving piece, a rear sliding block fixing block and a rear sliding block fixing block driving piece, and the front sliding block fixing block driving piece and the rear sliding block fixing block driving piece respectively drive the front sliding block fixing block and the rear sliding block fixing block to horizontally displace; the pedal assembly is enabled to obtain walking type fluctuating displacement through the cooperative operation of the front sliding block fixing block and the rear sliding block fixing block. Compared with the prior art, the utility model discloses a backbone damage patient provides drive power, standardizes patient's gait, makes the patient can carry out the training of normal walking gait through this utility model to supplementary patient's normal walking.

Description

Walking aid training device for patients with spinal injuries
Technical Field
The utility model relates to a be used for backbone to harm medical instrument for patient, especially relate to a backbone damages patient and helps capable trainer.
Background
Most patients with spinal injuries have healthy upper limbs and completely paralyzed lower limbs, the lower limbs cause limb muscular atrophy due to long-term lack of training, and rehabilitation training is usually given during the recovery period in order to prevent the muscular atrophy of the patients from being aggravated in the recovery process. The walking aid is a common training mode for assisting a patient with spinal injury to perform rehabilitation training in the recovery period. The walking aid can ensure the body balance of a user, reduce the bearing of the lower limbs, relieve pain and improve the gait through training.
At present, the first type of walking aid only plays a simple role in supporting the upper limbs of a patient at home and abroad, has no driving device, and needs to rely on the residual physical ability of the patient to independently exert force to walk, so that the gait of the patient is seriously distorted, the physical ability is greatly lost, and the walking aid is not suitable for most patients with spinal injuries and lower limb complete paralysis. The second type is some manual drive walking aids, which have the advantages that the walking aid can be controlled by the hand of a patient to move, but the walking aid cannot directly drive the legs, the muscle force of the legs cannot be exercised, and the gait of the patient cannot be trained regularly. The third type is a power type exoskeleton lower limb rehabilitation training device, and the exoskeleton type walking aid can effectively compensate the lower limb function of a patient and realize the standing and walking of the patient. However, the existing exoskeleton walking aid at home and abroad is restricted by driving force, and patients with lower limb complete paralysis need to stand with the help of medical care personnel. Therefore, the walking aid driven by the pedal plate with the motor-controlled lower limb is designed, the standing and gait training of the patient with spinal injury can be realized by means of sound upper limb support, the problems of gait distortion, the improvement of the range of motion and the like are solved, and the walking aid has great significance for the walking aid training of the patient with spinal injury.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a running-aid device of running-board drive formula that is applicable to spinal injury patient and uses during rehabilitation training in order to overcome the defect that above-mentioned prior art exists, for spinal injury patient provides drive power, standardizes patient's gait, makes the patient can carry out the training of normal walking gait through this utility model to supplementary patient's normal walking.
The purpose of the utility model can be realized through the following technical scheme:
the utility model discloses well spinal injury patient helps capable trainer, advance frame, upper limbs supporting lifting unit, horizontal drive subassembly and pedal assembly including helping the capable ware, wherein specifically:
the walking aid device advancing frame is a support of a walking aid training device for patients with spinal injuries, and can be horizontally displaced;
the upper limb supporting and lifting assembly is arranged on the walking aid advancing frame and used for supporting and fixing the upper limbs of the patient;
the horizontal driving assembly is arranged on the walking aid advancing frame and comprises a front sliding block fixing block, a front sliding block fixing block driving piece, a rear sliding block fixing block and a rear sliding block fixing block driving piece, and the front sliding block fixing block driving piece and the rear sliding block fixing block driving piece respectively drive the front sliding block fixing block and the rear sliding block fixing block to horizontally displace;
the front end of the pedal assembly is movably connected to the front sliding block fixing block through a connecting rod, the rear end of the pedal assembly is hinged to the rear sliding block fixing block, and the pedal assembly obtains walking type fluctuating displacement through the cooperative operation of the front sliding block fixing block and the rear sliding block fixing block.
Furthermore, the rear sliding block fixing block driving piece comprises a screw rod, a screw rod nut, a screw rod linear guide rail, a screw rod motor and a pedal sliding block; the output shaft of the screw rod motor is connected with the end part of the screw rod; the pedal sliding block is arranged on the screw rod linear guide rail and can horizontally slide along the screw rod linear guide rail; the screw rod nut is provided with an internal thread matched with the screw rod, and the screw rod nut is sleeved on the screw rod nut in a penetrating way; the rear sliding block fixing block is simultaneously connected with the screw rod nut and the pedal sliding block.
Furthermore, the driving piece of the front sliding block fixing block comprises a rack motor, a speed reducing motor, a rack, a speed reducing gear and a screw rod sliding block; the output shaft of the rack motor is connected with the input shaft of the speed reducing motor; the speed reducer gear is arranged on an output shaft of the speed reducing motor; the screw rod sliding block is arranged on the screw rod linear guide rail and can horizontally slide along the screw rod linear guide rail; the front sliding block fixing block is connected with the screw rod sliding block, and the rack is fixed on the sliding block fixing block; the teeth on the reducer gear are meshed with the teeth on the rack.
Furthermore, the walking aid training device for the patient with spinal injury also comprises a main control computer, wherein a microprocessor in the main control computer is electrically connected with the screw rod motor and the rack motor, and the microprocessor sends a start-stop instruction signal, a steering instruction signal and a rotating speed instruction signal to the screw rod motor and the rack motor; the microprocessor sends a pre-loaded instruction signal to the screw rod motor and the rack motor, the screw rod motor drives the screw rod to rotate, so that the screw rod nut drives the pedal sliding block to displace, and further the rear sliding block fixing block generates periodic reciprocating displacement motion; the rack motor decelerates the output torsional force through the speed reducing motor, then drives the speed reducer gear to rotate, and the speed reducer gear drives the rack to horizontally displace, so that the front sliding block fixing block generates periodic reciprocating displacement motion different from that of the rear sliding block fixing block.
Further, the pedal assembly comprises a motor mounting plate, a pedal mounting shaft, an upper pedal and a lower pedal; one end of the pedal mounting shaft is connected with the upper pedal and the lower pedal; the other end is connected to the motor mounting plate.
Furthermore, an ankle motor is arranged on the motor mounting plate; the output end of the ankle motor is provided with a bevel pinion; the motor mounting plate is also provided with a bevel gear bearing seat, and a bevel gear shaft penetrates through the bevel gear bearing seat; a large bevel gear is sleeved on the bevel gear shaft in a penetrating manner, and the small bevel gear is meshed with the large bevel gear; the bevel gear shaft is connected with the pedal mounting shaft, the ankle motor is electrically connected with the microprocessor, the microprocessor sends a start-stop instruction signal, a steering instruction signal and a rotating speed instruction signal to the ankle motor, the ankle motor transmits transmission torque to the pedal mounting shaft through the small bevel gear, the large bevel gear and the bevel gear shaft in sequence, and the inclination angles of the upper pedal and the lower pedal relative to the horizontal plane are adjusted in real time through the pedal mounting shaft.
Furthermore, one end of the pedal mounting shaft is connected with the bevel gear shaft, and the other end of the pedal mounting shaft is provided with a connecting part which comprises an upper end surface and a lower end surface;
the upper end face is provided with a fixed key, the upper pedal plate is provided with a groove matched with the fixed key, and the upper end face is connected with the upper pedal plate through the fixed key;
the lower end surface is connected with the lower pedal through a bolt.
Furthermore, the walking aid advancing frame comprises a mounting bottom plate, and front wheels and rear wheels are arranged below the mounting bottom plate; the front wheel is provided with a steering gear, and the rear wheel is connected with a rear wheel hub motor;
the steering gear and the hub motor of the rear wheel are electrically connected with the microprocessor. The rack motor, the screw rod motor and the screw rod linear guide rail are fixed on the mounting bottom plate; the mounting base plate is also vertically provided with a supporting beam, the supporting beam is provided with a supporting linear guide rail, the supporting linear guide rail is provided with a backrest, and the backrest can be adjusted in the vertical direction through the supporting linear guide rail.
Furthermore, the upper limb supporting and lifting assembly is arranged on the mounting bottom plate; the upper limb supporting and lifting assembly comprises a supporting bracket, a supporting electric cylinder is arranged below the supporting bracket, and the supporting electric cylinder is electrically connected with the microprocessor; the supporting bracket is provided with armrests and a wearable traction striding bandage, and the patient is fixed in the wearable traction striding bandage.
Further, the wearable traction striding bandage comprises a shaft fixing belt, striding trousers, a striding belt, a ring fixing belt, a bandage, a belt loop and a shaft fixing belt.
Furthermore, the walking aid walking frame which is symmetrical left and right comprises a backrest, a hub motor set, a bottom plate and the like. The traveling frame mounting bottom plate is provided with a front wheel fixing support, a side plate, a rear wheel hub motor, a hub motor bearing seat and a supporting beam; the upper end of the front wheel fixing bracket is provided with an internal thread hole which is connected with the front wheel fixing bracket through an external thread at the upper end of the front wheel; the side plates are fixedly arranged on the left side and the right side of the rear end of the mounting bottom plate, and a circular hole is formed in the lower portion of each side plate and used for being matched with the mounting of the hub motor; the rear wheel hub motor is arranged on a bearing seat of the hub motor, and the bearing seat is fixedly arranged on an installation bottom plate of the travelling frame; the outer side of the supporting beam is provided with a linear guide rail, and the guide rail is connected with a slide block of a movable saddle part in the upper limb supporting and lifting device.
Furthermore, the rear wheels of the walking aid traveling frame in bilateral symmetry are hub motors which are driving wheels of the traveling frame, the motion state of the whole traveling frame device can be controlled by changing the motion direction and speed of the traveling frame device, so that the advancing direction of the traveling frame can be changed according to the traveling requirements of patients in the rehabilitation training process, the hub motors of the rear wheels are matched with accessories such as hub motor bearings to complete the forward and backward movements and the like of the whole walking aid, and the patients can move in a certain range.
Furthermore, the backrest is arranged on the back side of the support beam and is connected with the two backrest pipes through a buckle. Because the patient can not exert force due to insufficient muscle strength of the lower limbs caused by spinal injury, the condition of losing balance and falling backwards can occur in the training process. The backrest is a protection device, and can ensure the safety of a patient in the movement process. Can effectively improve the sports safety. The upper limb supporting and lifting devices which are bilaterally symmetrical comprise electric cylinders controlled by a direct-current servo motor, a movable saddle connected with the electric cylinders through external threads and handrails connected with the movable saddle through internal threads; the electric cylinder is controlled by the direct current servo motor and is fixedly arranged on the mounting bottom plate of the travelling frame; the movable supporting platform is provided with a stainless steel cover, a main control computer installation space is arranged in the stainless steel cover, and a bandage fixing shaft is arranged on the inner side of the movable supporting platform and used for fixing the wearable traction striding bandage. The stainless steel cover is connected with the two sliding blocks through bolts, the sliding blocks are matched with the linear guide rail of the walking aid advancing frame supporting beam to form a moving pair, the sliding blocks drive the moving saddle to move up and down, and the upper limbs of a patient are supported on the moving saddle. The upper limbs of bilateral symmetry support elevating gear, the patient utilizes healthy upper limbs, through the handrail, and the upper limbs supports on removing the saddle, with crane and wearing formula step traction bandage together, plays the effect of supporting the patient, makes the patient under the state of standing, carries out some low limbs rehabilitation training. The upper limb supporting and lifting device controls the up-and-down movement of the upper limb supporting and lifting device in the direction of the guide rail through the electric cylinder, and can adjust the height of the supporting frame according to the actual height of a patient so as to adapt to the heights of different patients, so that the patient can stand at the optimal supporting position for rehabilitation training.
Further, the wearable traction striding bandage comprises a striding belt, striding trousers, a bandage and the like. A wearable traction stride strap is a traction and protective device. When the patient uses the bandage, the patient needs to wear the bandage well under the assistance of medical staff, and meanwhile, the shaft fixing belt at one end of the bandage is connected with the bandage fixing shaft on the upper limb supporting and lifting device, so that the bandage can move along with the lifting device. The function is that the patient can be assisted to stand with the upper limb supporting and lifting device and the handrail at the same time, and the patient is guaranteed not to be injured due to unbalance in the standing rehabilitation training process.
Furthermore, the horizontal movement mechanism of the bilateral symmetry walking track driving device comprises a screw rod, a gear rack, 2 linear guide rails, 2 slide block mounting blocks and a screw rod nut. The driving mode is motor driving, the two direct current servo motors are respectively connected with the screw rod and the gear through the shaft coupling, and the rotation direction and the rotation speed of the gear and the screw rod can be changed by controlling the rotation direction and the rotation speed of the motors. The gear is matched with the rack to enable the rack to move horizontally, the other end of the rack is fixedly connected with the front sliding block fixing block, two sliding blocks are arranged on the lower portion of the front sliding block fixing block and are respectively matched with the linear guide rails on the left side and the right side to form a moving pair, and the front sliding block fixing block moves in the front-back direction of the horizontal plane to enable the front sliding block fixing block to move back-forth. The screw rod is matched with a screw rod nut which is fixedly arranged on the rear sliding block mounting block, two sliding blocks are fixedly arranged on the lower portion of the rear sliding block mounting block and are respectively matched with the linear guide rails on the left side and the right side to form a moving pair, and the rear sliding block fixing block can also realize the movement in the front-back direction on the horizontal plane. The horizontal movement mechanism of the walking track driving device simulates the forward movement of a human.
Further, the pedal mechanism of the bilaterally symmetrical walking trajectory drive device includes: a connecting rod, a connecting rod shaft, a connecting rod bracket, a motor mounting plate, a bevel gear motor, a pair of bevel gears, a bevel gear bearing and an upper pedal and a lower pedal. The left side and the right side of the front sliding block fixing block are connected with the two connecting rods in a revolute pair mode through connecting rod shafts respectively, the other ends of the connecting rods are connected with the connecting rod support in a revolute pair mode through the connecting rod shafts, the connecting rod support is installed at the front end of the bottom of the motor installation plate, the rear end of the motor installation plate and the rear sliding block fixing block are connected together in a revolute pair mode through a pedal installation shaft, the front sliding block fixing block is connected with the front portion of the pedal plate through the connecting rod, the rear portion of the pedal plate is connected with the rear sliding block fixing block, the speeds of the two sliding blocks are different, nonlinear matching is achieved, and the pedal plate.
Furthermore, a direct current servo motor is arranged on the motor mounting plate and connected with a bevel gear to control the rotation direction and the rotation speed of the bevel gear, and the direct current servo motor is matched with another bevel gear at an angle of 90 degrees. The bevel gear is matched with a shaft through a key, two ends of the shaft are matched with two bearings, the two bearings are respectively arranged on a bearing seat, and the bearing seat is arranged on a motor mounting plate. In addition, the right end of the shaft is matched with a pedal mounting shaft which is arranged in the middle of an upper pedal and a lower pedal and used for adjusting the angle of the pedals, so that the pedals can simulate the rotation of the ankle joint of a person.
Further, the horizontal movement mechanism of the walking track driving device simulates the forward movement of a human, the pedal plate mechanism simulates the leg lifting and putting down movement of the human, the pedal plate mounting shaft simulates the rotation of an ankle joint of the human, the three movements are integrated, so that the pedal plate realizes a track simulating the walking of a normal human, and under the driving of the pedal plate, a patient can complete rehabilitation training in a standing state without external force, a certain compensation effect is achieved on the functions of lower limbs, and a certain maintaining and recovering effect is achieved on the muscle force of the lower limbs.
Furthermore, two sensors are arranged between the upper foot pedal and the lower foot pedal and used for collecting signals such as pressure and the like in the movement process of the patient. The computer mode can further provide training degree and training for walking training according to the evaluation, and also can provide reference for doctor diagnosis.
Furthermore, a main control computer and a display are arranged on the walking aid advancing frame and the upper limb supporting and lifting device, and supporting system software is provided for providing a visual page, so that man-machine interaction is realized, and a control device of a user can conveniently realize a proper walking aid function according to the self requirement. The system software provides patient information management and walking aid mode setting, and parameters such as step length, pace and the like can be set according to the self condition of the patient, so that the running track of the motor of the mechanical device is controlled, and proper gait walking aid is provided for the patient. In the using process of a patient, the signals of the sensors are collected in real time and are visually displayed in system software, closed-loop control is achieved, a user can conveniently monitor the self state and evaluate the walking assisting effect, and the using safety of the mechanical device is improved. The system software provides a virtual scene game, so that the patient can sense scene change in the using process, the enthusiasm of the patient can be improved while the interestingness is increased, and the rehabilitation of the walking function is promoted.
Compared with the prior art, the utility model has the advantages of it is following:
1) the utility model provides a backbone damage patient helps capable trainer adopts pedal formula drive, the patient for unable independently walking provides drive power, the horizontal motion mechanism anthropomorphic dummy of orbit drive subassembly moves ahead, pedal mechanism anthropomorphic dummy lifts the leg and the motion of putting down, pedal installation axle anthropomorphic dummy ankle joint rotates, three kinds of motion are synthesized, make the footboard realize the orbit that the normal people of a simulation walked, under the drive of footboard, can make the patient accomplish rehabilitation training under the state of standing, the normal walking of auxiliary patient, can make the patient in the training process of walking, the angle of adjustment ankle joint, in order to avoid the injury.
2) The walking-assisting training device for patients with spinal injuries adopts the upper limb supporting and lifting component, supports the upper limbs healthy by the patients on the movable supporting platform, grasps the handrails, and plays a role of supporting the patients together with the lifting frame, so that the patients can train in a standing state; the height of the upper limb support can be adjusted according to the actual height of the patient so as to adapt to the heights of different patients and meet the walking requirements of the patients with different heights.
3) The utility model provides a spinal injury patient helps capable trainer adopts at wearing formula tractive stride bandage, with upper limbs support elevating gear combined action, has increased the strong point, makes the patient more comfortable, and the help patient realizes the training of standing.
4) The utility model provides a spinal injury patient helps capable trainer adopts wheel hub motor drive to help capable ware to go, makes the patient in the rehabilitation training in-process, can change the advancing direction that the line helped capable according to the demand of advancing of oneself, helps the patient at certain home range training.
Drawings
FIG. 1 is a schematic view of the overall structure of the walking aid training device for patients with spinal injuries according to the present invention;
FIG. 2 is a schematic structural view of a walking aid for patients with spine injuries according to the present invention;
fig. 3 is a schematic structural view of the middle and upper limb lifting mechanism of the present invention;
fig. 4 is a schematic structural view of the horizontal driving assembly of the present invention;
FIG. 5 is a schematic structural view of a foot pedal assembly of the present invention;
FIG. 6 is a schematic structural view of a pedal mounting shaft of the present invention;
FIG. 7 is a schematic view of a wearable traction stride strap of the present invention;
in the figure: 1. a mounting base plate, 2, a front wheel fixing bracket, 3, a front wheel, 4, a hub motor bearing seat, 5, a side plate, 6, a rear wheel hub motor, 7, a supporting beam, 8, a supporting beam sliding block, 9, a supporting linear guide rail, 10, a backrest, 11, a backrest bracket, 12, a backrest bracket buckle, 13, a backrest guide rod, 14, a backrest guide rod fixing buckle, 15, a direct current servo motor, 16, a motor mounting seat, 17, a supporting electric cylinder, 18, a stainless steel cover, 19, an emergency stop button, 20, a movable supporting platform, 21, a wearable traction striding bandage, 22, a handrail, 23, a wearable traction striding bandage, 24, a display, 25, a screw rod motor, 26, a coupler, 27, a front screw rod bearing seat, 28, a speed reducing motor, 29, a rack motor, 30, a left rack, 31, a screw rod sliding block, 32, a front sliding block fixing block, 33, a connecting rod shaft, 34 and a connecting rod bearing, 35. lead screw linear guide rail, 36, lead screw nut, 37, pedal slider, 38, pedal shaft, 39, pedal shaft bearing, 40, rear slider fixing block, 41, lead screw, 42, rear lead screw bearing block, 43, lead screw bearing, 44, rack bearing, 45, rack guide block, 46, reducer gear, 47, reduction motor bracket, 48, right rack, 49, rack motor tilt bracket, 50, link, 51, link bracket, 52, bevel gear bearing block, 53, bevel gear shaft, 54, motor mounting plate, 55, mounting plate shaft, 56, mounting plate bearing, 57, motor mounting plate mounting seat, 58, ankle motor, 59, small bevel gear, 60, large bevel gear, 61, bevel gear shaft, 62, pedal mounting shaft, 63, upper pedal, 64, pressure sensor, 65, lower pedal, 66, fixing key, 67, upper end face, 68, lower end face, 69, fixed key, and screw rod bearing, Striding pants, 70, a striding belt, 71, a ring fixing belt, 72, a binding belt, 73, a belt loop, 74 and a shaft fixing belt.
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.
With reference to fig. 1, 2, 3, 4 and 5, it can be seen that the components of the walking aid training device for patients with spinal injuries in the present embodiment are: a walking aid traveling frame, an upper limb supporting and lifting assembly, a horizontal movement mechanism of a walking track driving assembly and a pedal plate mechanism of the walking track driving assembly. As can be seen from FIG. 1, the horizontal movement mechanism of the upper limb support elevating device of FIG. 3 and the walking path driving device of FIG. 4 and the foot pedal structure of the walking path driving device of FIG. 5 are both mounted on the mounting base plate 1 of the walker advancing frame shown in FIG. 2.
Referring to fig. 2 in cooperation, the walking aid traveling frame in the embodiment comprises a mounting bottom plate 1, a front wheel fixing support 2 fixedly mounted on the mounting bottom plate 1, a side plate 5, a rear wheel hub motor 6, a hub motor bearing seat 4 and a supporting beam 7.
The front wheel fixing support 2 is fixedly installed at the front end of the installation bottom plate 1, an internal thread hole is formed in the upper end of the front wheel fixing support 2 and used for being connected with external threads at the upper end of the front wheel 3, the side plates 5 are fixedly installed on two sides of the installation bottom plate and fixed at the lower end of the supporting beam 7, the rear wheel hub motor 6 is matched with the hub motor bearing seat 4 through the circular holes of the side plates 5, the hub motor bearing seat 4 is fixedly installed on the installation bottom plate 1, the outer side of the supporting beam 7 is fixedly installed with the supporting linear guide rail 9, two supporting beam sliding blocks 8 are embedded on the supporting linear guide rail 9, a backrest guide rod 13 is arranged on the rear side of the supporting beam 7, the upper end and the lower end of the backrest guide rod 13 are fixed through a backrest guide rod fixing buckle 14, the limiting function of the connecting end is achieved, and the backrest 10 is connected with a. The walking function of the walking aid walking frame is realized by controlling the rear wheel hub motor 4, the walking frame can be driven to move backwards, the front wheel of the rear wheel driving walking frame does not generate power when running and only plays a role in bearing and steering, and the rear wheel hub motor only drives the rear wheel to control the functions of advancing, retreating, steering and the like.
Refer to fig. 3 and fig. 7 in the cooperation, the utility model provides an upper limbs support lifting unit includes the electronic jar 17 of supporting of direct current servo motor 15 and control, motor and electronic jar are all fixed mounting on motor mount pad 16, motor mount pad 16 is fixed on the frame mounting plate 1 of marcing of fig. 2, electronic jar 17 upper end of supporting is connected with removal saddle 20 through the external screw thread, it is equipped with stainless steel lid 18 to remove the saddle 20 outside, the inside main control computer installation space that is equipped with of stainless steel lid 18, the main control computer is installed inside stainless steel lid 18, the main control computer adopts ARM microprocessor. The inner side of the stainless steel cover 18 is provided with a bandage fixing shaft 23 for connecting a shaft fixing belt 74 of the wearable traction striding bandage 23, and the wearable traction striding bandage 23 comprises striding trousers 69, a striding belt 70, a ring fixing belt 71, a bandage 72, a belt ring 73 and the shaft fixing belt 74; the device can assist the patient to stand together with the upper limb supporting and lifting device and the handrail, protect the patient in the training process and avoid secondary damage caused by unbalance; an emergency stop button 19 is arranged on the outer side of the stainless steel cover 18 and is electrically connected with the direct current servo motor 15, so that emergency braking can be performed, and the direct current servo motor 15 is stopped. The front end of the mobile platform 20 is connected with the armrest 22 through internal threads, the display 24 is connected to the middle part of the armrest 22, and the whole upper limb supporting and lifting assembly can adjust the lifting of the electric cylinder 17 through controlling the motor 15, so as to drive the lifting of the mobile saddle 20 to adapt to the heights of different patients.
Referring to fig. 4 in cooperation, the utility model provides a horizontal driving assembly is including lead screw motor 25, shaft coupling 26, preceding lead screw bearing frame 27, lead screw 41, screw-nut 36, back slider fixed block 40, pedal slider 37, pedal shaft bearing 39, back lead screw bearing frame 42, rack motor 29, gear motor 28, rack motor bearing strut 49, gear motor support 47, reduction gear 46, the rack, rack guide block 45, rack bearing 44, preceding slider fixed block 32, connecting rod bearing 34, connecting rod axle 33, lead screw slider 31, lead screw linear guide 35.
The screw rod 41 is supported by the front screw rod bearing seat 27 and the rear screw rod bearing seat 42, the pedal shaft 38 penetrates through the pedal shaft bearing 39, the pedal shaft bearing 39 is arranged on the rear sliding block fixing block, two ends of the pedal shaft 38 are connected with the rear end of the motor mounting plate mounting seat 57, referring to fig. 4 and 5, when the screw rod motor 25 is started, the coupling 26 is driven to rotate, the other end of the coupling 26 is connected with the screw rod 41, so that the screw rod 41 is driven to rotate, the screw rod 41 is matched with the screw rod nut 36, the screw rod nut 36 is fixedly arranged on the rear sliding block fixing block 40, the lower part of the rear sliding block fixing block 40 is fixedly connected with the pedal sliding block 37, the pedal sliding block 37 is matched with the linear guide rail 34 to form a moving pair, and the rear sliding block fixing block 40 and other components. The rack motor 29 is matched with the gear motor 28 to realize the output of the rotating torque, the rack motor 29 and the gear motor 28 are fixedly connected on a gear motor bracket 47, the gear motor bracket 47 is fixedly arranged on a rack motor inclined bracket 49, the shaft of the gear motor 28 is connected with the gear 46 through a key, wherein the rack comprises a left rack 30 and a right rack 48 which drive a reducer gear 46 to rotate, the reducer gear 46 is meshed with the rack to drive the rack to horizontally move under the limit of a rack guide block 45, the rack is fixedly connected with a front slider fixed block 32, two lead screw sliders 31 are fixedly arranged at the lower part of the front slider fixed block 31, the lead screw sliders 31 are assembled with a lead screw linear guide rail 35, so that the front slider fixing block 32 and other components mounted thereon realize linear motion in the front-back direction on a horizontal plane on the screw rod linear guide rail 35 under the driving of the rack to move back and forth.
Referring to fig. 4, 5, and 6 in cooperation, the pedal assembly in the present embodiment includes a link shaft 33, a link bearing 34, a link 50, a link bracket 51, a motor mounting plate 54, a bevel gear bearing 52, a bevel gear bearing 61, a bevel gear shaft 53, a small bevel gear 59, a large bevel gear 60, an ankle motor 58, a motor mounting plate mounting seat 57, a mounting plate bearing 56, a mounting plate shaft 55, a pedal mounting shaft 62, an upper pedal 63, a lower pedal 65, and a pressure sensor 64. The connecting rod shaft 33 is matched with the connecting rod bearing 34 and is connected with the front sliding block fixing block 32 shown in the figure 4, the connecting rod 50 is hinged on the connecting rod shaft 33 to form a revolute pair, the other end of the connecting rod 50 is hinged with the other connecting rod shaft 33, the connecting rod shaft 33 is matched with the connecting rod bearing 34 and is connected with the connecting rod support 51, the connecting rod support 51 is connected with the front end of the bottom of the motor mounting plate 54 through a bolt, a motor mounting plate mounting seat 57 is fixedly mounted at the rear end of the bottom of the motor mounting plate 54, a mounting plate shaft 55 is matched with the mounting plate bearing 56 and is connected with the motor mounting plate mounting seat 57 through a bolt, and an ankle motor 58 is fixedly arranged. The motor is connected with the small bevel gear 59 to drive the large bevel gear 60 to rotate, the large bevel gear 60 is meshed with the small bevel gear 59 to drive the large bevel gear 60 to rotate, the large bevel gear 60 is arranged on the bevel gear shaft 53 to drive the bevel gear shaft 53 to rotate, one end of the shaft gear shaft 53 is matched with the pedal mounting shaft 62 to drive the pedal mounting shaft 62 to rotate for a certain angle along with the pedal mounting shaft, the upper end face and the lower end face of the pedal mounting shaft 62 are designed to be horizontal tangent planes, the upper end face 67 is provided with a fixed key 66 which is fixedly matched with a groove at the bottom of the upper pedal 63, and the lower end face 68 of the pedal mounting shaft 62 is tightly matched with an upper panel of the lower pedal 65 through bolts.
When the front slider fixing block 32 shown in fig. 4 moves back and forth on the linear guide 35, the motor mounting plate 54 is driven by the link shaft 33, the link bearing 34 and the link 50 to have a back and forth horizontal movement along the direction of the linear guide 35, the rear end of the motor mounting plate 54 is hinged to the rear slider fixing block 40, when the front slider fixing block 32 moves together with the rear slider fixing block 40, the horizontal distance between the two slider fixing blocks increases or decreases, so that the link 50 and the front end of the motor mounting plate 54 connected thereto are raised or lowered, the movement of the front end of the motor mounting plate 54 in the vertical direction has a raising or lowering process, the bevel gear shaft 53 at the front end of the motor mounting plate 54 is supported by the bevel gear bearing 61 and the bevel gear shaft bearing 52, and one end is connected to the pedal mounting shaft 62, so that the motor mounting plate 54 is raised or lowered, the pedal is also driven to have a lifting and descending action in the vertical direction, so that the leg lifting and putting down movement of a person is simulated. The combination of the forward movement and the lifting and the lowering movement of the foot pedal simulating human is combined to form a normal walking movement track. In addition, the angle of the foot pedal can be controlled by the ankle motor 58, the angle between the instep and the lower leg can be changed, and the rotation of the ankle joint can be simulated when a patient steps on the foot pedal to move to different positions.
When the patient uses the walking aid, the wheelchair on which the patient sits is pushed to the rear part of the walking aid with the assistance of medical personnel, after the detachable backrest device on the walking aid advancing frame is detached, the patient can wear the wearable traction striding bandage with the assistance of the medical personnel, and the shaft fixing belt of the bandage is required to be connected to the bandage fixing shaft on the upper limb supporting and lifting device of the walking aid. The patient can place the foot in the suitable position of footboard department independently or with medical personnel's assistance, also can place the upper limbs on elevating gear platform by oneself, when starting elevating gear and bandage fixed axle, under wearing formula tractive bandage and elevating gear's combined action, can draw the patient from the wheelchair, and upper limbs support elevating gear can bear the weight of patient's most health this moment, starts the running-board trainer, and the footboard begins to drive patient's step and begins to carry out the rehabilitation training motion according to the main control computer setting pace. The front wheel of the walking aid traveling frame is a hub motor and is a driving wheel of the traveling frame, a steering gear is arranged on the front wheel, the steering gear is electrically connected with a microprocessor in a main control computer, the movement state of the whole traveling frame device can be controlled by changing the movement direction and speed of the steering gear, the walking aid can be controlled by a doctor or a patient, so that the advancing direction of the traveling frame can be changed according to the traveling requirement of the patient in the rehabilitation training process, the rear wheel hub motor is matched with accessories such as a hub motor bearing to complete the forward movement, the backward movement and other movements of the whole walking aid, and the patient can move in a certain range of motion.
The embodiments described above are intended to facilitate the understanding and use of the invention by those skilled in the art. It will be readily apparent to those skilled in the art that various modifications to these embodiments may be made, and the generic principles described herein may be applied to other embodiments without the use of the inventive faculty. Therefore, the present invention is not limited to the above embodiments, and those skilled in the art should make improvements and modifications within the scope of the present invention according to the disclosure of the present invention.

Claims (10)

1.一种脊柱损伤患者助行训练装置,其特征在于,包括:1. a spinal cord injury patient walking aid training device, is characterized in that, comprises: 助行器行进架,为脊柱损伤患者助行训练装置的支架,能够进行水平位移;The walking frame is a support for the walking training device for patients with spinal injuries, which can perform horizontal displacement; 上肢支承升降组件,设于所述的助行器行进架上,对患者的上肢进行支承和固定;The upper limb supporting and lifting assembly is arranged on the walking frame of the walker to support and fix the upper limb of the patient; 水平驱动组件,设于所述的助行器行进架上,水平驱动组件包括前滑块固定块(32)、前滑块固定块驱动件、后滑块固定块(40)、后滑块固定块驱动件,所述的前滑块固定块驱动件和后滑块固定块驱动件分别驱动前滑块固定块(32)和后滑块固定块(40)进行水平位移;The horizontal drive assembly is arranged on the traveling frame of the walker, and the horizontal drive assembly includes a front sliding block fixing block (32), a front sliding block fixing block driving member, a rear sliding block fixing block (40), and a rear sliding block fixing block (40). a block driving member, the front sliding block fixing block driving member and the rear sliding block fixing block driving member respectively drive the front sliding block fixing block (32) and the rear sliding block fixing block (40) to perform horizontal displacement; 脚踏板组件,其前端通过连杆(50)活动连接于所述的前滑块固定块(32)上,后端铰接于所述的后滑块固定块(40)上,通过前滑块固定块(32)和后滑块固定块(40)的协同运行,使得脚踏板组件获得行走式的起伏位移。A foot pedal assembly, the front end of which is movably connected to the front slider fixing block (32) through a connecting rod (50), and the rear end is hinged to the rear slider fixing block (40), and the front slider is connected through the front slider. The cooperating operation of the fixing block (32) and the rear sliding block fixing block (40) enables the foot pedal assembly to obtain a walking-type undulating displacement. 2.根据权利要求1所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的后滑块固定块驱动件包括丝杆(41)、丝杆螺母(36)、丝杆直线导轨(35)、丝杆电机(25)、踏板滑块(37);2 . The walking aid training device for patients with spinal cord injury according to claim 1 , wherein the rear slider fixing block driver comprises a lead screw (41), a lead screw nut (36), a lead screw straight guide rail (35), screw motor (25), pedal slider (37); 所述的丝杆电机(25)的输出轴与所述的丝杆(41)的端部连接;The output shaft of the lead screw motor (25) is connected with the end of the lead screw (41); 所述的踏板滑块(37)设于所述的丝杆直线导轨(35)上,并可沿丝杆直线导轨(35)进行水平滑动;The pedal slider (37) is arranged on the screw linear guide rail (35), and can slide horizontally along the screw linear guide rail (35); 所述的丝杆螺母(36)上设有与丝杆(41)匹配的内螺纹,所述的丝杆螺母(36)穿套于所述的丝杆螺母(36)上;The lead screw nut (36) is provided with an internal thread matching the lead screw (41), and the lead screw nut (36) is sleeved on the lead screw nut (36); 所述的后滑块固定块(40)同时与所述的丝杆螺母(36)和踏板滑块(37)连接。The rear slider fixing block (40) is simultaneously connected with the screw nut (36) and the pedal slider (37). 3.根据权利要求2所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的前滑块固定块驱动件包括齿条电机(29)、减速电机(28)、齿条、减速器齿轮(46)、丝杆滑块(31);3 . The walking aid training device for patients with spinal cord injury according to claim 2 , wherein the front slider fixing block driving member comprises a rack motor ( 29 ), a deceleration motor ( 28 ), a rack, Reducer gear (46), lead screw slider (31); 所述的齿条电机(29)的输出轴与所述的减速电机(28)的输入轴连接;The output shaft of the rack motor (29) is connected with the input shaft of the deceleration motor (28); 所述的减速器齿轮(46)设于所述的减速电机(28)的输出轴上;The reducer gear (46) is arranged on the output shaft of the reduction motor (28); 所述的丝杆滑块(31)设于所述的丝杆直线导轨(35)上,并可沿丝杆直线导轨(35)进行水平滑动;The lead screw slider (31) is arranged on the lead screw linear guide rail (35), and can slide horizontally along the lead screw linear guide rail (35); 所述的前滑块固定块(32)与所述的丝杆滑块(31)连接,所述的齿条固定于所述的滑块固定块(32)上;The front sliding block fixing block (32) is connected with the lead screw sliding block (31), and the rack is fixed on the sliding block fixing block (32); 减速器齿轮(46)上的齿与所述的齿条上的齿啮合。The teeth on the reducer gear (46) mesh with the teeth on the rack. 4.根据权利要求3所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的脊柱损伤患者助行训练装置还包括主控计算机,主控计算机中的微处理器与所述的丝杆电机(25)和齿条电机(29)电连接,微处理器向丝杆电机(25)和齿条电机(29)发出启停指令信号、转向指令信号和转速指令信号;4. a spinal cord injury patient walking aid training device according to claim 3, is characterized in that, described spinal cord injury patient walking aid training device also comprises main control computer, the microprocessor in main control computer and described The screw motor (25) and the rack motor (29) are electrically connected, and the microprocessor sends a start-stop command signal, a steering command signal and a rotational speed command signal to the screw motor (25) and the rack motor (29); 微处理器将预加载的指令信号发送至丝杆电机(25)和齿条电机(29),The microprocessor sends the preloaded command signal to the screw motor (25) and the rack motor (29), 丝杆电机(25)带动丝杆(41)转动,使得丝杆螺母(36)带动踏板滑块(37)位移,进一步使得后滑块固定块(40)产生周期性往复位移运动;The lead screw motor (25) drives the lead screw (41) to rotate, so that the lead screw nut (36) drives the pedal slider (37) to displace, further causing the rear slider fixing block (40) to generate periodic reciprocating movement; 齿条电机(29)将输出的扭转力通过减速电机(28)进行减速,之后带动减速器齿轮(46)进行旋转,减速器齿轮(46)带动齿条水平位移,进一步使得前滑块固定块(32)产生不同于后滑块固定块(40)的周期性往复位移运动。The rack motor (29) decelerates the output torsional force through the deceleration motor (28), and then drives the reducer gear (46) to rotate, and the reducer gear (46) drives the horizontal displacement of the rack, which further makes the front slider fixed block (32) A periodic reciprocating movement different from the rear slider fixing block (40) is generated. 5.根据权利要求4所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的脚踏板组件包括电机安装板(54)、脚踏板安装轴(62)、上脚踏板(63)、下脚踏板(65);5. A walking aid training device for patients with spinal cord injury according to claim 4, wherein the foot pedal assembly comprises a motor mounting plate (54), a foot pedal mounting shaft (62), an upper foot pedal plate (63), lower foot pedal (65); 脚踏板安装轴(62)的一端与所述的上脚踏板(63)和下脚踏板(65)连接;另一端连接于所述的电机安装板(54)上。One end of the pedal mounting shaft (62) is connected to the upper pedal (63) and the lower pedal (65); the other end is connected to the motor mounting plate (54). 6.根据权利要求5所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的电机安装板(54)上设有踝部电机(58);6. A walking aid training device for patients with spinal cord injury according to claim 5, wherein an ankle motor (58) is provided on the motor mounting plate (54); 所述的踝部电机(58)的输出端设有小锥齿轮(59);The output end of the ankle motor (58) is provided with a small bevel gear (59); 所述的电机安装板(54)上还设有锥齿轮轴承座(52),所述的锥齿轮轴承座(52)上贯穿设有锥齿轮轴(53);The motor mounting plate (54) is also provided with a bevel gear bearing seat (52), and the bevel gear bearing seat (52) is provided with a bevel gear shaft (53) through it; 所述的锥齿轮轴(53)上穿套设有大锥齿轮(60),所述的小锥齿轮(59)与大锥齿轮(60)相啮合;The bevel gear shaft (53) is sleeved with a large bevel gear (60), and the small bevel gear (59) is meshed with the large bevel gear (60); 所述的锥齿轮轴(53)与脚踏板安装轴(62)连接,踝部电机(58)与所述的微处理器电连接,微处理器向踝部电机(58)发出启停指令信号、转向指令信号和转速指令信号,踝部电机(58)将传动扭力依次通过小锥齿轮(59)、大锥齿轮(60)、锥齿轮轴(53)传递至脚踏板安装轴(62),通过脚踏板安装轴(62)实现对上脚踏板(63)和下脚踏板(65)相对于水平面的倾角实时调节。The bevel gear shaft (53) is connected with the foot pedal installation shaft (62), the ankle motor (58) is electrically connected with the microprocessor, and the microprocessor sends a start-stop instruction to the ankle motor (58). signal, steering command signal and rotational speed command signal, the ankle motor (58) transmits the transmission torque to the pedal installation shaft (62) through the small bevel gear (59), the large bevel gear (60), and the bevel gear shaft (53) in turn. ), the inclination angle of the upper foot pedal (63) and the lower foot pedal (65) relative to the horizontal plane can be adjusted in real time through the foot pedal installation shaft (62). 7.根据权利要求6所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的脚踏板安装轴(62)的一端与所述的锥齿轮轴(53)连接,另一端设有连接部,所述的连接部包括上端面(67)和下端面(68);7. A walking aid training device for patients with spinal cord injury according to claim 6, wherein one end of the foot pedal mounting shaft (62) is connected with the bevel gear shaft (53), and the other end is connected with the bevel gear shaft (53). A connecting portion is provided, and the connecting portion includes an upper end surface (67) and a lower end surface (68); 所述的上端面(67)上设有固定键(66),所述的上脚踏板(63)上设有与固定键(66)匹配的凹槽,所述的上端面(67)通过固定键(66)与上脚踏板(63)连接;The upper end surface (67) is provided with a fixing key (66), the upper footboard (63) is provided with a groove matching the fixing key (66), and the upper end surface (67) passes through the The fixed key (66) is connected with the upper foot pedal (63); 所述的下端面(68)通过螺栓与所述的下脚踏板(65)连接。The lower end surface (68) is connected with the lower footboard (65) through bolts. 8.根据权利要求4所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的助行器行进架包括安装底板(1),所述的安装底板(1)下方设有前轮(3)和后轮;8 . The walking aid training device for patients with spinal cord injury according to claim 4 , wherein the walking aid travel frame comprises an installation bottom plate ( 1 ), and a front wheel (3) and rear wheel; 所述的前轮(3)上设有转向器,所述的后轮上连接有后轮轮毂电机(6);The front wheel (3) is provided with a steering gear, and the rear wheel is connected with a rear wheel hub motor (6); 所述的转向器与后轮轮毂电机(6)与所述的微处理器电连接;The steering gear and the rear wheel hub motor (6) are electrically connected with the microprocessor; 所述的齿条电机(29)、丝杆电机(25)、丝杆直线导轨(35)固定于所述的安装底板(1)上;The rack motor (29), the screw motor (25), and the screw linear guide rail (35) are fixed on the mounting base plate (1); 所述的安装底板(1)还垂直设有支撑梁(7),所述的支撑梁(7)上设有支承直线导轨(9),所述的支承直线导轨(9)上设有靠背(10),所述的靠背(10)可通过支承直线导轨(9)进行竖直方向的调节。The mounting base plate (1) is also vertically provided with a support beam (7), the support beam (7) is provided with a support linear guide rail (9), and the support linear guide rail (9) is provided with a backrest ( 10), the backrest (10) can be adjusted in the vertical direction by supporting the linear guide rail (9). 9.根据权利要求8所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的上肢支承升降组件设于所述的安装底板(1)上;9. A walking aid training device for patients with spinal cord injury according to claim 8, wherein the upper limb support lifting assembly is provided on the installation bottom plate (1); 所述的上肢支承升降组件包括支承支架,支承支架下方设有支承电动缸(17),支承电动缸(17)与微处理器电连接;The upper limb support lifting assembly includes a support bracket, a support electric cylinder (17) is arranged below the support bracket, and the support electric cylinder (17) is electrically connected with the microprocessor; 所述的支承支架上设有扶手(22)和穿戴式牵拉跨步绑带(23),患者固定于所述的穿戴式牵拉跨步绑带(23)中。The support bracket is provided with a handrail (22) and a wearable stretching and striding strap (23), and the patient is fixed in the wearable stretching and striding strap (23). 10.根据权利要求9所述的一种脊柱损伤患者助行训练装置,其特征在于,所述的穿戴式牵拉跨步绑带(23)包括的轴固定带(74)、跨步裤(69)、跨步带(70)、环固定带(71)、绑带(72)、腰带环(73)和轴固定带(74)。10 . The walking aid training device for patients with spinal cord injury according to claim 9 , wherein the wearable pulling and striding straps ( 23 ) comprise shaft fixing straps ( 74 ), striding pants ( 10 . 10 . 69), step belt (70), loop fixing belt (71), straps (72), belt loop (73) and axle fixing belt (74).
CN201922224566.3U 2019-12-12 2019-12-12 Walking aid training device for patients with spinal injuries Expired - Fee Related CN212592986U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111067764A (en) * 2019-12-12 2020-04-28 上海长征医院 A walking aid training device for patients with spinal injury
CN115920307A (en) * 2022-11-07 2023-04-07 李开南 balance disorder rehabilitation robot

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111067764A (en) * 2019-12-12 2020-04-28 上海长征医院 A walking aid training device for patients with spinal injury
CN115920307A (en) * 2022-11-07 2023-04-07 李开南 balance disorder rehabilitation robot

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