TW200800106A - Dual-axle load-bearing typed proprioception evaluation apparatus for ankle joint - Google Patents

Dual-axle load-bearing typed proprioception evaluation apparatus for ankle joint Download PDF

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TW200800106A
TW200800106A TW95121105A TW95121105A TW200800106A TW 200800106 A TW200800106 A TW 200800106A TW 95121105 A TW95121105 A TW 95121105A TW 95121105 A TW95121105 A TW 95121105A TW 200800106 A TW200800106 A TW 200800106A
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Taiwan
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seat
screw
pressure sensing
sensing unit
pivoting
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TW95121105A
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Chinese (zh)
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TWI287977B (en
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Lan-Yuen Guo
Fong-Chin Su
Chich-Haung Yang
Wen-Lan Wu
Jyh-Jong Chang
Hwai Ting Lin
Cheng Chun Chen
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Lan-Yuen Guo
Fong-Chin Su
Chich-Haung Yang
Wen-Lan Wu
Jyh-Jong Chang
Hwai Ting Lin
Cheng Chun Chen
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Publication of TWI287977B publication Critical patent/TWI287977B/en
Publication of TW200800106A publication Critical patent/TW200800106A/en

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Abstract

Provided is a dual-axle load-bearing typed proprioception evaluation apparatus for ankle joint, which comprises a seat body, a slide seat which is slidable relative to the seat body, a first rotation seat which is pivotally connected with the slide seat, a second rotation seat which is pivotally connected with the first rotation seat, a treading seat which is mounted on the seat body, a control unit which controls the movement of the first rotation seat and the second rotation seat. By means of the second rotation seat that is movable in two axes, the kinaesthesia, position perception and strength perception of the ankle joint under the load-bearing condition can be precisely measured.

Description

200800106 九、發明說明: * 【發明所屬之技術領域】 本發明係有關於一種雙軸負重式踝關節本體感覺評估 裝置,特別是指一種可測量運動感覺、關節位置感覺和力 量感覺之高精準度評估裝置。. 【先前技術】 按,本體感覺泛指對身體各部位位置或動作的知覺, Φ 本體感覺的傳入由身體周邊的傳入受器,如··肌梭、關節 受器、皮膚受器、高基肌腱器等所負責,它們分別提供人 體對肢體動作的察覺、位置及力量等訊息,因此本體感覺 通常包括運動感覺、關節位置感覺、力量感覺。 本體感覺的相傷除了與中槐神經病變,如:中風、脊 髓損傷等有關外,和年齡增長、韌帶受傷、周圍神經病變 及骨關節炎等常見的神經肌肉骨骼病變有關。因為烕 覺是-個很複雜的系統,需要從很多受器中,去 鲁入的訊息’因此在疾病發展的進程中,本體感覺很可能在 早期就受到侵襲而損害。 許多文獻指出可利用不同的評估方法去測量關節位置 的感覺,包含在不同關節載重情況(承重或不承重)、使關 節從起始位置移動到目標角度的方式(主動或被動移動)、 =指出關節位置的方式(藉由對侧關節移動或將關 即重新擺到相_置)和如何把關節重新擺回位置的方式 (被動或主動)。當受試者被要求去觸關節在㈣中的位 200800106 置’這些變動都可能影響輸入的角度。 目前已發展了很多不同的測驗方法來測量本體感覺, 但僅限於分別單獨測量運動感覺、關節位置感覺、力量感 覺。 大部份在腳踝本體感覺的研究,多是在沒有負重的情 況下所測得,無法代表在負重狀況下的表現;且有許多復 健計晝都主張可以藉由運動改善本體感覺,然而極少證據 • 顯示運動確實可以改善本體感覺;再者,本體感覺測試的 器材廣泛地包含多種的儀器和測試設備,其中包括商業性 的等速肌力儀、電磁場追踪器和其他自行設計的裝置。這 些商業性設備或是自行設計的裝置都有諸多眼制,或是精 一 準度不足、或是無法同時測量到本體感覺的三種模式;尤 ^ 其,在一個類似於實際情況下,去評估關節的功能表現很 重要’然而,大部份在腳踝本體感覺的評估,多是在沒有 負重的情況下所測得,與真實生活中的跌倒或腳踝扭傷等 鲁 受傷情況不符。 【發明内容】 本發明主要係為解決習用踝關節本體感覺評估裝置之 功能僅侷限於單一之問題;亦為解決習用踝關節本體感覺 評估裝置無法確實測量負重狀況下之踝關節本體感覺相關 數據問題;也為解決習用踝關節本體感覺評估裝置僅限於 單一自由度之動作,而難提供更接近實際之踝關節本體感 ; 覺多方向評估之問題。 200800106 ; 本發明係—種雙軸負重式踝關節本體感覺評估裝ί, 其包括有·座體,具有座面,座面上設有開口,座體之; =面另對設置有第一滑執;滑座,其對應上述第一滑軌而 &置有滑塊’藉使滑座可以相對滑移於座體,該滑座之〆 側另固没有第二滑軌及第一動力單元與第一螺桿,第〆動 力單兀係驅動該第一螺桿旋轉;第一旋座,樞接於前述之 滑座,其包括有-大於人體足部之框體及一向下延伸之第 _ 一桿件,第一桿件並套接有第一樞接座,第一樞接座組設 有滑塊而組合於上述第二滑軌,另設有第一螺座,且第一 樞接座與第一螵座之間,係另設置有第一壓力感測單元, 該第一壓力感测單元同時連結於第一樞接座與第一螺座, *而第一螺座係嚅合前述之第一螺桿;於該第一旋座上另固 ’ 没有第二動力單元與第二螺桿,第二螺桿並在水平面上垂 直於前述之第一螺桿,該第二動力單元係驅動該第二嫘桿 旋轉,另設有第三滑軌;第二旋座,樞接於前述之第一旋 • 座’其具有略大於人體足部之座面及由座面向下延伸之第 二桿件,該第二桿件並套接有第二樞接座,第二樞接座組 設有滑塊而組合於上述第三滑執;另設有第二螺座,且第 二樞接座與第二螺座之間,係另設置有第二壓力感測單 元,該第二壓力感測單元同時連結於第二樞接座與第二嫘 座,而第二螺座係嚙合前述之第三螺桿;踩踏座,成凹陷 5,具有一供人體足部踩踏之踩踏面,其以可拆部方式 ; 組裝於上述座體,與前述之第一旋座共同被設置於座體之 200800106 開口中;控制單元,控制上述第一動力單元與第二動力單 元動作。 上述之第一壓力感測單元同時連結於第一旋座、第一 樞接座與第-賴,且第—壓力感料元係魅制相 耦合。 上述之第二壓力感測單元同時連結於第二旋座、第二 樞接座與第二螺座,且第二壓力感測單元係與控制單元相 耦合。 本發明具有下列之優點·· 1·可在負重狀況下進行踝關節本體感覺之量測。 2.具有量測躁關節之運動感覺、關節位置感覺、力量感覺 等多種功能。 3· ^對踝關節進行二個_或複合二個軸向之本體感覺 里測。亦即’踩關節動作之矢狀面的足背和足底彎曲, 和額狀面的内翻和外翻均可被量測。 _ 4·對踩關節之本體感覺提供多種模式之㈣ 被動模式與受測者主動模式。 又、】耆 5·可以精確取獅_本體缝之受測數據。 6. ^有左右換位功能,可分別量測雙足踝關節之本體感 ?·提供-種客觀且量化的本體錢評估裝置,可 測躁關節本體感覺的損傷。 、 8 200800106 8·具有精確的測量能力,可以察覺踝關節之微小且重要的 潛在性缺損。 【實施方法】 請參閱第一、二、三圖,本發明之較佳實施例包括有: 座體(1),具有一足以供人體站立之座面(11),座面(11) 上設有一開口(12),座體(1)之二側面另對設置有第一滑軌 (13) 〇 滑座(2),其對應上述第一滑滅(ι3)而設置有滑塊 (21),藉使滑座(2)可以相對滑移於座體(i),該滑座(2)之 側另固$又有第一滑軌(22)及第一動力單元(23)與第一螺 桿(24),第一動力單元(23)係驅動該第一螺桿(24)旋轉。 第一旋座(3) ’其包括有一大於人體足部之框體(31), 框體(31)二侧設有第一樞接軸(32),藉以樞接於前述之滑 座(2),框體(31)另向下延伸有第一桿件(33),第一桿件(33) 並套接有第一樞接座(34),第一樞接座(34)組設有滑塊 (341)而組合於上述第二滑執(22),另設有第一螺座(π), 且第一樞接座(34)與第一螺座(35)之間,係另設置有第一 壓力感測單7〇(36),該第一壓力感測單元(36)同時連結於 2 —樞接座(34)與第一螺座(35),而第一螺座(35)係嚅合 前,之第一螺桿(24);於該第一旋座⑶上另固設有第二動 力單元(37)與第二螺桿⑽),第二螺桿⑽並在水平面上 垂直於别述之第一螺桿⑽,該第二動力單元⑽係驅動 200800106 該第二螺桿(38)旋轉,另設有第三滑執(39)。 第二旋座(4),其具有略大於人體足部之座面(41),座 面(41)二侧具有第二樞接轴(42)以樞接於前述之第一旋座 (3) ’座面(41)另向下延伸有第二桿件(43),該第二桿件(43) 並套接有第二樞接座(44),第二樞接座(44)組設有滑塊 (441)而組合於上述第三滑轨(39);另設有第二螺座(45), 且第一樞接座(44)與第二螺座(45)之間,係另設置有第二 φ 壓力感測單元(46),該第二壓力感測單元(46)同時連結於 第二樞接座(44)與第二螺座(45),而第二螺座(45)係嗡合 前述之第三螺桿(39)。 踩踏座(5),成凹陷型態,具有一供人體足部踩踏之踩 踏面(51),其以可拆卸方式組裝於上述座體(1),與前述之 第一旋座(3)共同被設置於座體(d之開口(12)中。 控制單元(6)’控制上述第一動力單元(23)與第二動力 單元(37)動作,其並耦合第一壓力感測單元(36)與第二壓 籲力感測單元(46)。 請參閱第四圖,於圖中可清楚顯示第一旋座(3)之第一 杯件(33)套接第一樞接座(34),及各組件之間之相互關係 之狀態,並請配合第五圖,其係為第一旋座(3)呈水平之狀 態。 第一旋座(3)之作動,請參閱第六圖,當第一動力單元 ⑽驅動第—螺桿(24)轉動,使第-螺座(35)向左侧移動 時,會連動第-壓力感測單元⑽而推動第一樞接座⑽ 200800106 向左,而第一樞接座(34)推移第一旋座(3)之第一桿件 (33),以使第一旋座(3)藉由第一樞接軸(32)而使框體(31) 向右侧偏轉。 反之,當第一螺座(35)向右侧作動時,則會連動第一 壓力感測單元(36)而拉動第一樞接座(34)向右,而第一樞 接座(34)推移第一旋座(3)之第一桿件(33),以使第一旋座 (3) 藉由第一樞接軸(32)而使框體(31)向左侧偏轉〔此部份 不具圖式〕。 請參閱第七圖,於圖中可清楚顯示第二旋座(4)之第二 才干件(43)套接第二樞接座(44),及各組件間相互關係之狀 恶,並凊配合第八圖,其係為第二旋座(4)呈水平之狀態。 第二旋座(4)之作動,請參閱第九圖,當第二動力單元 (37)驅動第二螺桿(38)轉動,使第二螺座(45)向右侧移動 時曰連動弟一壓力感測單元(46)而推動第二樞接座(44) 向右,而第二樞接座(44)推移第二旋座(4)之第二桿件 (43),以使第二旋座(4)藉由第二樞接轴(42)而使座面(μ) 向左侧偏轉。 反之,當第二螺座(45)向左侧作動時,則會連動第二 壓力感測單元(46)而拉動第二樞接座(44)向右,而第二樞 接座(44)推移第二旋座(4)之第二桿件(43),以使第二旋座 (4) 藉由第二樞接軸(42)而使座面(41)向右侧偏轉〔此部份 不具圖式〕。 此外,本發明之操作有另一模式,以第一旋座(3)為 200800106 • 例,*文洌者施力於第一旋座(3),藉由第一桿件(33)反向 施壓於第一樞接座(34),因第一樞接座(34)係連接有第一 壓力感测單元(36),第一壓力感測單元(36)再固定於第一 螺座(35),故當受測者施壓,壓力會傳至第一壓力感測單 元(36),當到達一定之力量(例:5公斤)時,第一壓力感測 單元(36)藉由控制單元(6)傳訊至第一動力單元(23)而啓 動第一螺桿(24)轉動,以帶動第一螺座(35),當第一螺座 _ (35)移動,會一併帶動第一壓力感測單元(36)及第一柩接 座(34),而使第一樞接座(34)帶動第一桿件(33)再使第一 故座(3)旋動,而第一旋座(4)亦是相同模式,二者亦可同 時操作。 本發明之使用方法為,當受測者站立於座體(丨)之座面 (11)處向前看,受測足踏於第二旋座(4),非受測足踏於踩 踏座(5),以負重狀態進行踝關節本體感覺量測。受測者的 踝關節的旋轉轴排列與第二旋座(4)之第二樞接軸(42)在 ⑩共同線上,後腳放置於鑲嵌在第二旋座(4)上堅硬的腳跟杯 中,前腳用粘扣帶捆在第二旋座(4)上。藉由一頭戴式耳機 則給予受測者警告提示,並遮蔽任何伺服馬達發出的聲 音,幫助受測者專心。評估方向包含矢狀面的足背和足底 彎曲,和額狀面的内翻和外翻等;或是同時結合此二個動 作平面加以測量,以模擬真實功能的情況。 ' 進行踝關節運動感覺量測時,藉由背靠腰帶在腰部、 '臀部、膝蓋、以及腳的高度提供受測者支持。受測者在受 12 *5. 200800106 •測時使用眼罩遮閉眼部,藉以排除視覺上的輸入。控制單 疋(6)驅動第一動力單元(22)與第二動力單元(37)中之任 一或二者,使第二旋座(4)以每秒〇·2度的轉速緩慢的移動 腳踝。當受測者察覺到關節的移動和方向時即示意,例如按 下開關,藉以測試受測者是否可以察覺此不連續的移動, 並以偵測到此動作感覺的最小關節活動值作紀錄。本測試 動作必須在低速,例如每秒〇 2度;且活動範圍很小,例如 鲁 往腳底方向移動5度。 進行踝關節位置感覺量測時,控制單元(6)控制第一動 力f元(23)與第二動力單元(37)中之任一或二者,使其限 制第一螺桿(24)與第二螺桿(38)之旋轉圈數於一預設值 \内,a藉此使第二旋座⑷被設定在-特^角度内旋動,在 。旋動範圍内’第二旋座⑷可主動或被動在—目標位置 停滯二特定時間,並由控制單元(6)記憶該目榡位置;藉. 由測试叉測者踝關節主動或是被動地複製該目摔位置之 •,力:以進行踩關節位置感覺之量測。執行時,指示角度 取好是很小’例如小於2度。此一踩關節位置感覺量測有 :種模式’第—模式為受測者主動模式’受測者的位置如 中所描述’在每次隨機測試的踩關節位置(即指示角度) ,跫測者必須主動複製腳踝關節位置。首先,從中立的 =始位置’在關節活動度範_,受測者在自己選擇的速 又下’主動移動自己的腳踩,然後在實驗者的指示下,停 '止在測試中的位置,在此位置專心記憶並停留5秒,接著 13 200800106 •腳踝在全部的範圍内移動,再回到起始位置。然後,受測 者被要求自動的複製測試位置角度;當受測者表示,=們 已經到達目標複製位置後,就開始收集資料,記錄在測試 的位置和複製的位置間絕對值的不同。第二模式為受測者 被動模式,第二旋座(4)將腳踝帶到一個目標位置,然後 維持5私,接著文測者被帶回中立位置(即起始位置), 隨後第二旋座(4)將腳踝帶往測驗位置前進,直到受測者 φ 表不他已回到目標位置為止,此時該位置為感覺位置。操 作者需紀錄目標位置與每次感覺位置間之相對距離之絕 對值’作為量測數據。 進行踝關節力量感覺量測時,受測者位置如上所描 述第一旋座(3)與第二旋座(4)機構連結到第一壓力感測 單兀(36)與第二壓力感測單元(46),控制單元(6)可紀錄 第一壓力感測單元(36)與第二壓力感測單元(46)所受外 力之壓力值。開始時受測者施一個測試力於第二旋座 • (4),透過控制單元(6)紀錄該測試力之值並復原,然後要 求受測者產生同樣的力,此力稱為複製力,使複製力維持 1秒,職提供足夠的休息㈣,以免造成疲勞效應,並 藉此記錄受測者的測試力和複製力間差異的絕對值。 最後,第一旋座(3)與第二旋座(4)係可與踩踏座(5) 對換’先將踩踏座(5)移出,第一旋座(3)與第二旋座(4), ‘ 藉由滑座(2)之滑塊(21),於座體(1)之第一滑執(13)滑移 於另一邊,空出之位置再放入踩踏座(5),即完成對換, 200800106 以方便左右腳之測試。 【圖式簡單說明】 第一圖係本發明之立體外觀圖。 第二圖係本發明之立體仰視圖(一)。 第三圖係本發明之立體仰視圖(二)。 第四圖係本發明之局部立體圖(一)。 第五圖係本發明之局部剖視圖(一)。 第六圖係本發明之局部作動圖(一)。 * 第七圖係本發明之局部立體圖(二)。 第八圖係本發明之局部剖視圖(二)。 第九圖係本發明之局部作動圖(二)。 【主要元件符號說明】 (1) 座體 (11) 座面 (12) 開口 (13) 第一滑執 (2) 滑座 (21) 滑塊 (22) 第二滑執 (23) 第一動力單元 (24) 第一螺桿 (3) 第一旋座 (31) 框體 (32) 第一樞接軸 (33) 第一桿件 (34) 第一樞接座 (341) 滑塊 (35) 第一嫘座 (36) 第一壓力感測單元 (37) 第二動力單元 (38) 第二螺桿 15 200800106 (39) (4) 第三滑軌 第二旋座 (41) 座面 (42) 第二樞接轴 (43) 第二桿件 (44) 第二樞接座 (441) 滑塊 (45) 第二螺座 (46) 第二壓力感測單元 (5) 踩踏座 (51) 踩踏面 (6) 控制單元200800106 IX. INSTRUCTIONS: * TECHNICAL FIELD The present invention relates to a biaxial weight-bearing ankle joint propensity evaluation device, and more particularly to a high precision that can measure motion sensation, joint position sensation, and power sensation. Evaluation device. [Prior Art] Press, the proprioception refers to the perception of the position or movement of various parts of the body, Φ the introduction of the proprioception by the afferent receptors around the body, such as muscle spindles, joint receptors, skin receptors, High-basin tendons are responsible for providing information such as the perception, position, and strength of the body's movements. Therefore, the proprioception usually includes motor sensation, joint position sensation, and power sensation. Nosocomial sensory injuries are associated with common neuromuscular and skeletal lesions such as age, ligament injury, peripheral neuropathy, and osteoarthritis, in addition to median neuropathy, such as stroke and spinal cord injury. Because 烕 是 is a very complex system that requires a lot of information from a lot of receptors, so in the process of disease development, the proprioception is likely to be damaged at an early stage. Many literatures indicate that different assessment methods can be used to measure the sensation of joint position, including the way in which different joint loads (bearing or non-load bearing), moving the joint from the starting position to the target angle (active or passive movement), = pointing The way the joint is positioned (by moving the contralateral joint or re-swinging to the phase) and how to reposition the joint back to the position (passive or active). When the subject is asked to touch the joint in position (4) 200800106, these changes may affect the angle of the input. A number of different test methods have been developed to measure proprioception, but only for measuring motion sensation, joint position sensation, and power sensation separately. Most of the research on the ankle proprioception is mostly measured without weight bearing, and can not represent the performance under weight bearing conditions; and many rehabilitation programs advocate that the proprioception can be improved by exercise, but very few Evidence • Displaying movement does improve proprioception; in addition, proprioceptive testing equipment includes a wide variety of instruments and test equipment, including commercial isokinetic muscles, electromagnetic field tracers, and other self-designed devices. These commercial devices or self-designed devices have many eye-catching systems, or three modes that are not accurate enough or can not measure the proprioception at the same time; especially, in a similar situation, to evaluate The functional performance of the joints is important. However, most of the evaluations of the ankle's proprioception are mostly measured without weight bearing, which is inconsistent with Lu injury in real life such as falls or ankle sprains. SUMMARY OF THE INVENTION The present invention is mainly to solve the problem that the function of the conventional ankle joint propensity evaluation device is limited to a single problem; and also to solve the problem that the ankle joint proprioceptive evaluation device cannot accurately measure the ankle joint proprioception related data under the load condition. It is also difficult to provide an ankle joint sense that is closer to reality than to solve the problem of multi-directional assessment. 200800106; The invention is a dual-axis weight-bearing ankle joint propensity evaluation device, which comprises a seat body, has a seat surface, and has an opening on the seat surface, and the seat body; a slider, which corresponds to the first slide rail and is provided with a slider 'so that the slider can slide relative to the seat body, and the second side of the slide has no second slide rail and the first power unit And the first screw, the first power unit drives the first screw to rotate; the first rotating seat is pivotally connected to the sliding seat, and includes a frame larger than the human foot and a first extending downward a rod member, the first rod member is sleeved with a first pivoting seat, the first pivoting seat set is provided with a slider and combined with the second sliding rail, and the first screw seat is further provided, and the first pivoting seat A first pressure sensing unit is further disposed between the first and second sockets, and the first pressure sensing unit is coupled to the first pivoting seat and the first screw base. a first screw; fixed on the first rotating seat' without a second power unit and a second screw, and the second screw is suspended in a horizontal plane In the first screw, the second power unit drives the second mast to rotate, and the third sliding rail is further provided; the second rotating seat is pivotally connected to the first rotating seat and has a slightly larger than the human body. a seat portion of the foot and a second member extending downwardly from the seat, the second member is sleeved with a second pivoting seat, and the second pivoting seat is provided with a slider and combined with the third sliding handle Further, a second screw seat is provided, and a second pressure sensing unit is further disposed between the second pivoting seat and the second screw seat, and the second pressure sensing unit is simultaneously coupled to the second pivoting seat and a second socket, and the second screw base engages the third screw; the stepping seat is formed into a recess 5, and has a tread surface for the human foot to step on, which is detachably; assembled in the seat body, and The first first rotating seat is disposed in the opening of the 200800106 of the seat body; the control unit controls the first power unit and the second power unit to operate. The first pressure sensing unit is simultaneously coupled to the first rotating seat, the first pivoting seat and the first and the first, and the first pressure sensing element is coupled to the first phase. The second pressure sensing unit is simultaneously coupled to the second rotating seat, the second pivoting seat and the second screw seat, and the second pressure sensing unit is coupled to the control unit. The present invention has the following advantages: 1. The measurement of the ankle joint sensation can be performed under load bearing conditions. 2. It has many functions such as measuring the movement feeling of the ankle joint, joint position feeling, and power feeling. 3· ^ For the ankle joint, two or more composite axial senses are measured. That is, the sagittal back and foot curvature of the sagittal joint, and the inversion and eversion of the frontal plane can be measured. _ 4· Provide multiple modes for the body feeling of the stepping joint (4) Passive mode and the active mode of the subject. Also, 耆 5· can accurately take the measured data of the lion _ body seam. 6. ^ There is a left and right transposition function, which can measure the body sensation of the ankle joint separately. · Provide an objective and quantitative body money evaluation device to measure the damage of the ankle joint. , 8 200800106 8·With precise measurement capability, it can detect small and important potential defects of the ankle joint. [Implementation Method] Please refer to the first, second and third figures. The preferred embodiment of the present invention comprises: a seat body (1) having a seat surface (11) sufficient for the human body to stand, and a seat surface (11) There is an opening (12), and the second side of the seat body (1) is further provided with a first sliding rail (13) and a sliding seat (2), which is provided with a slider (21) corresponding to the first sliding (1). If the sliding seat (2) can be relatively slipped to the seat body (i), the side of the sliding seat (2) is further secured with a first sliding rail (22) and a first power unit (23) and the first The screw (24), the first power unit (23) drives the first screw (24) to rotate. The first rotating seat (3) 'includes a frame body (31) larger than the human foot portion, and the first pivoting shaft (32) is disposed on two sides of the frame body (31), thereby being pivotally connected to the aforementioned sliding seat (2) The frame body (31) further has a first rod member (33) extending downwardly, the first rod member (33) is sleeved with a first pivoting seat (34), and the first pivoting seat (34) is assembled. There is a slider (341) combined with the second sliding handle (22), and a first screw seat (π) is provided, and the first pivoting seat (34) is connected with the first screw seat (35). A first pressure sensing unit 7 (36) is further disposed. The first pressure sensing unit (36) is simultaneously coupled to the 2 - pivot socket (34) and the first screw base (35), and the first screw seat (35) before the twisting, the first screw (24); the second rotating unit (37) and the second screw (10) are additionally fixed on the first rotating base (3), and the second screw (10) is on the horizontal surface Vertically to the first screw (10), the second power unit (10) drives the 200800106 to rotate the second screw (38), and is additionally provided with a third slip (39). a second rotary seat (4) having a seat surface (41) slightly larger than the human foot, and a second pivot shaft (42) on both sides of the seat surface (41) for pivoting to the first rotation seat (3) The seat surface (41) further has a second rod member (43) extending downwardly, and the second rod member (43) is sleeved with a second pivot socket (44), and the second pivot socket (44) a slider (441) is provided to be combined with the third sliding rail (39); a second screw seat (45) is further disposed, and the first pivoting seat (44) is disposed between the first pivoting seat (44) and the second screw seat (45). A second φ pressure sensing unit (46) is further disposed, the second pressure sensing unit (46) is simultaneously coupled to the second pivoting seat (44) and the second screw seat (45), and the second screw seat (45) The third screw (39) of the foregoing is coupled. The stepping seat (5) is in a recessed state, and has a tread surface (51) for stepping on the human foot, which is detachably assembled to the seat body (1), and is common with the aforementioned first rotation seat (3) The control unit (6)' controls the first power unit (23) and the second power unit (37) to operate, and is coupled to the first pressure sensing unit (36). And the second pressure sensing unit (46). Referring to the fourth figure, it can be clearly shown that the first cup (33) of the first rotating seat (3) is sleeved with the first pivoting seat (34). ), and the state of the relationship between the components, and please cooperate with the fifth figure, which is the state in which the first rotating seat (3) is horizontal. The first rotating seat (3) is activated, please refer to the sixth figure. When the first power unit (10) drives the first screw (24) to rotate, and the first screw base (35) moves to the left side, the first pressure sensing unit (10) is interlocked to push the first pivot socket (10) 200800106 to the left. And the first pivoting seat (34) moves the first lever (33) of the first rotating base (3) such that the first rotating base (3) is framed by the first pivoting shaft (32) (31) to the right Conversely, when the first screw seat (35) is actuated to the right side, the first pressure sensing unit (36) is linked to pull the first pivoting seat (34) to the right, and the first pivoting seat ( 34) pushing the first lever (33) of the first pivot base (3) such that the first pivot base (3) deflects the frame body (31) to the left side by the first pivot shaft (32) [ This part does not have a picture]. Please refer to the seventh figure, which clearly shows that the second socket (4) of the second rotating seat (4) is sleeved with the second pivoting seat (44), and between the components The relationship between the two is related to the eighth figure, which is the state in which the second seat (4) is horizontal. The action of the second seat (4), see the ninth figure, when the second power unit ( 37) driving the second screw (38) to rotate, so that when the second screw seat (45) moves to the right side, the second pressure seat (46) is pushed to push the second pivot seat (44) to the right, and The second pivoting seat (44) moves the second lever (43) of the second rotating base (4) such that the second rotating base (4) makes the seating surface (μ) by the second pivoting shaft (42) Deflected to the left. Conversely, when the second screw (45) is actuated to the left, The second pressure sensing unit (46) is linked to pull the second pivoting seat (44) to the right, and the second pivoting seat (44) is moved by the second lever (43) of the second rotating seat (4). So that the second rotating seat (4) deflects the seating surface (41) to the right side by the second pivoting shaft (42). [This part is not in the drawing]. In addition, the operation of the present invention has another mode. Taking the first rotation seat (3) as 200800106 • In the example, the *writer applies the force to the first rotation seat (3), and the first rod member (33) is reversely pressed against the first pivot seat (34). The first pressure sensing unit (36) is connected to the first pressure sensing unit (36), and the first pressure sensing unit (36) is fixed to the first screw seat (35), so when the subject presses The pressure is transmitted to the first pressure sensing unit (36). When a certain force (for example, 5 kg) is reached, the first pressure sensing unit (36) communicates to the first power unit by the control unit (6). (23) starting the first screw (24) to rotate, to drive the first screw seat (35), when the first screw seat _ (35) moves, the first pressure sensing unit (36) and the first one are driven together柩 abutting (34), and driving the first pivoting seat (34) A member (33) so that then the first holder (3) rotating, and the first nosepiece (4) is also the same pattern, the same operation can both. The method of the present invention is that when the subject stands at the seat surface (11) of the seat (丨), the measured foot rests on the second seat (4), and the untested foot steps on the step seat. (5) The ankle joint sensory measurement is performed in a weight-bearing state. The rotation axis arrangement of the ankle joint of the subject is on the common line of 10 with the second pivot shaft (42) of the second rotation seat (4), and the rear foot is placed in the hard heel cup embedded in the second rotation seat (4). The front foot is tied to the second seat (4) with a hook and loop fastener. The subject is given a warning by a headset and shields the sound from any servo motor to help the subject to concentrate. The evaluation direction includes the sagittal back and foot curvature, and the inversion and eversion of the frontal plane; or the measurement of the two motion planes simultaneously to simulate the real function. ' For the ankle joint sensation measurement, the subject is supported by the back belt at the waist, 'hip, knee, and foot height. The subject is blinded by an eye mask when subjected to 12 *5. 200800106 • to exclude visual input. The control unit (6) drives either or both of the first power unit (22) and the second power unit (37) to cause the second seat (4) to move slowly at a speed of 〇2 degrees per second. ankle. When the subject perceives the movement and direction of the joint, it is indicated, for example, pressing the switch to test whether the subject can perceive the discontinuous movement and record the minimum joint activity value that detects the motion. This test action must be at a low speed, for example 〇 2 degrees per second; and the range of motion is small, for example, 5 degrees of movement to the sole of the foot. When performing the ankle joint position sensing measurement, the control unit (6) controls either or both of the first power f element (23) and the second power unit (37) to limit the first screw (24) and the first The number of revolutions of the two screws (38) is within a predetermined value\, whereby a second rotation seat (4) is set to rotate within a range of -. Within the range of rotation, the 'second rotation seat (4) can be actively or passively stopped at the target position for two specific times, and the control unit (6) memorizes the position of the target; by the test fork, the ankle joint is active or passive. Copy the position of the target position, force: to measure the position of the joint. When executed, the indication angle is preferably small 'for example less than 2 degrees. This one-step joint position sensation measurement has: the mode "the first mode is the subject's active mode 'the position of the subject' as described in the 'stepping joint position at each random test (ie, indicating the angle), speculation The person must actively copy the position of the ankle joint. First, from the neutral = start position 'in the joint activity range _, the subject at the speed of his choice, 'actively move his foot, then under the direction of the experimenter, stop 'stop in the test position In this position, concentrate on memory and stay for 5 seconds, then 13 200800106 • The ankle moves within the entire range and then returns to the starting position. The subject is then required to automatically copy the test position angle; when the subject indicates that = they have reached the target copy position, they begin collecting data, recording the difference in absolute values between the test position and the copied position. The second mode is the passive mode of the subject, the second seat (4) takes the ankle to a target position, and then maintains 5 private, then the subject is brought back to the neutral position (ie, the starting position), followed by the second rotation Seat (4) takes the ankle to the test position until the subject φ indicates that he has returned to the target position, at which point the position is the sensory position. The operator needs to record the absolute value of the relative distance between the target position and each perceived position as the measurement data. When the ankle joint sensation measurement is performed, the position of the subject is coupled to the first pressure sensing unit (36) and the second pressure sensing by the first rotation seat (3) and the second rotation seat (4) mechanism as described above. The unit (46), the control unit (6) can record the pressure values of the external forces received by the first pressure sensing unit (36) and the second pressure sensing unit (46). At the beginning, the test subject applies a test force to the second rotary seat (4), records the value of the test force through the control unit (6) and recovers, and then asks the subject to generate the same force, which is called the replication force. To maintain the copying power for 1 second, the job provides enough rest (4) to avoid the fatigue effect, and thereby record the absolute value of the difference between the test force and the copying force of the subject. Finally, the first swivel (3) and the second swivel (4) can be swapped with the treadle (5) to remove the tread (5) first, the first swivel (3) and the second swivel ( 4), ' With the slide (21) of the slide (2), the first slide (13) of the seat (1) slides to the other side, and the vacant position is placed in the step (5). , that is, complete the swap, 200800106 to facilitate the test of the left and right feet. BRIEF DESCRIPTION OF THE DRAWINGS The first drawing is a perspective view of the present invention. The second drawing is a perspective view (1) of the present invention. The third figure is a perspective view of the present invention (2). The fourth figure is a partial perspective view (1) of the present invention. The fifth drawing is a partial cross-sectional view (1) of the present invention. The sixth drawing is a partial actuation diagram (1) of the present invention. * The seventh drawing is a partial perspective view of the present invention (2). The eighth figure is a partial cross-sectional view (2) of the present invention. The ninth diagram is a partial actuation diagram (2) of the present invention. [Main component symbol description] (1) Seat (11) Seat (12) Opening (13) First sliding (2) Slide (21) Slider (22) Second slide (23) First power Unit (24) First screw (3) First rotary seat (31) Frame (32) First pivot shaft (33) First rod (34) First pivot seat (341) Slider (35) First sley (36) First pressure sensing unit (37) Second power unit (38) Second screw 15 200800106 (39) (4) Third rail second seat (41) Seat (42) Second pivoting shaft (43) Second lever (44) Second pivoting seat (441) Slider (45) Second screw base (46) Second pressure sensing unit (5) Stepping seat (51) Stepping on Face (6) control unit

Claims (1)

200800106 十、申請專利範圍: ~ 1·一種雙軸負重式踝關節本體感覺評估裝置,其包括 有·· 座體,具有座面,座面上設有開口,座體之二侧面另 對設置有第一滑軌; 滑座,其對應上述第一滑執而設置有滑塊,藉使滑座 可以相對滑移於座體,該滑座之一侧另固設有第二滑軌及 _ 第一動力單元與第一螺桿,第一動力單元係驅動該第一螺 桿旋轉; 第一旋座,樞接於前述之滑座,其包括有一大於人體 足部之框體及一向下延伸之第一桿件’第一桿件並套接有 〜 第一樞接座,第一樞接座組設有滑塊而組合於上述第二滑 : 軌,另設有第一螺座,且第一樞接座與第一螺座之間,係 另設置有第一壓力感測單元,該第一壓力感測單元同時連 結於第一樞接座與第一螺座’而第一螺座係嚷合前述之第 • 一螺桿;於該第一旋座上另固設有第二動力單元與第二螺 桿,第二螺桿並在水平面上垂直於前述之第一螺桿,該第 二動力單元係驅動該第二嫘桿旋轉’另設有第三滑執; 第二旋座,樞接於前述之第一旋座,其具有略大於人 體足部之座面及由座面向下延伸之弟—桿件’該第-一才干件 並套接有第二樞接座,第二樞接座組設有滑塊而組合於上 述第三滑軌;另設有第二螺座,且第二樞接座與第二螺座 、 之間,係另設置有第二壓力感測單元,該第二歷力感測單 17 200800106 元同時連結於第二樞接座與第二螺座,而第二螺座係嚅合 前述之第三螺桿; 踩踏座,成凹陷型態,具有一供人體足部踩踏之踩踏 面,其以可拆卸方式組裝於上述座體,與前述之第一旋座 共同被設置於座體之開口中; 控制單元,控制上述第一動力單元與第二動力單元動 作。 2. 如申請專利範圍第1項所述之雙軸負重式踝關節本 體感覺評估裝置,其中第一壓力感測單元同時連結於第一 旋座、第一樞接座與第一螺座,且第一壓力感測單元係與 控制單元相耦合。 3. 如申請專利範圍第1項所述之雙軸負重式踝關節本 體感覺評估裝置,其中第二壓力感測單元同時連結於第二 旋座、第二樞接座與第二螺座,且第二壓力感測單元係與 控制單元相輛合。 18200800106 X. Patent application scope: ~ 1· A two-axis weight-bearing ankle joint propensity evaluation device, which comprises a seat body, has a seat surface, and has an opening on the seat surface, and the two sides of the seat body are additionally provided with a first sliding rail; a sliding seat corresponding to the first sliding handle is provided with a slider, so that the sliding seat can be relatively slipped to the seat body, and the second sliding rail is fixed on one side of the sliding seat and the first sliding rail a power unit and a first screw, the first power unit drives the first screw to rotate; the first rotating base is pivotally connected to the sliding seat, and includes a frame larger than the human body and a first extending downward The first member of the rod member is sleeved with a first pivoting seat, the first pivoting seat set is provided with a slider and combined with the second sliding rail, and the first screw seat is provided, and the first pivoting seat is provided. Between the socket and the first screw base, a first pressure sensing unit is further disposed, the first pressure sensing unit is simultaneously coupled to the first pivot socket and the first screw seat and the first screw base is coupled The first screw; the second power unit and the second screw are additionally fixed on the first rotating base The second screw is perpendicular to the first screw in the horizontal plane, the second power unit drives the second mast to rotate 'the third sliding handle is provided; the second rotating seat is pivoted to the first rotation a seat having a seat surface slightly larger than a human foot and a brother-member extending from the seat surface downwardly. The first-only member is sleeved with a second pivot seat, and the second pivot seat block is provided with a slider And being combined with the third sliding rail; a second screw seat is further disposed, and a second pressure sensing unit is further disposed between the second pivoting seat and the second screw seat, the second force sensing unit Single 17 200800106 yuan is simultaneously connected to the second pivoting seat and the second screw seat, and the second screw seat is coupled with the third screw; the treading seat is in a concave shape, and has a tread surface for the human foot to step on. The detachable assembly is assembled to the seat body, and is disposed in the opening of the seat body together with the first screw seat; and the control unit controls the first power unit and the second power unit to operate. 2. The dual-axis weight-weight ankle body sensory evaluation device according to claim 1, wherein the first pressure sensing unit is simultaneously coupled to the first rotation seat, the first pivot seat and the first screw seat, and The first pressure sensing unit is coupled to the control unit. 3. The dual-axis load-weight ankle body sensory evaluation device according to claim 1, wherein the second pressure sensing unit is simultaneously coupled to the second screw seat, the second pivot seat and the second screw seat, and The second pressure sensing unit is in communication with the control unit. 18
TW95121105A 2006-06-14 2006-06-14 Dual-axle load-bearing typed proprioception evaluation apparatus for ankle joint TWI287977B (en)

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