WO2021138828A1 - Support phase control knee joint brace - Google Patents

Support phase control knee joint brace Download PDF

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Publication number
WO2021138828A1
WO2021138828A1 PCT/CN2020/070850 CN2020070850W WO2021138828A1 WO 2021138828 A1 WO2021138828 A1 WO 2021138828A1 CN 2020070850 W CN2020070850 W CN 2020070850W WO 2021138828 A1 WO2021138828 A1 WO 2021138828A1
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WO
WIPO (PCT)
Prior art keywords
link
thigh
calf
pawl
ratchet
Prior art date
Application number
PCT/CN2020/070850
Other languages
French (fr)
Chinese (zh)
Inventor
陆寅啸
朱钧
俞乾
王晨
耿翔
马昕
Original Assignee
复旦大学
珠海复旦创新研究院
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.)
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Publication date
Application filed by 复旦大学, 珠海复旦创新研究院 filed Critical 复旦大学
Priority to PCT/CN2020/070850 priority Critical patent/WO2021138828A1/en
Publication of WO2021138828A1 publication Critical patent/WO2021138828A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices

Definitions

  • the invention belongs to the technical field of wearable devices, and relates to a knee joint brace, in particular to a support phase controlled knee joint brace.
  • the products in the prior art are mostly walking aids or bone fixators for postoperative rehabilitation.
  • the structure mainly includes an outer frame sliding wheel walker or a passive brace.
  • the former is an external frame structure with multiple sliding wheels, which is not bound to the human body.
  • the latter is bound to the human body, but the anti-fall function is realized by a support rod extending downwards, which provides support when the user has a tendency to fall.
  • This structure is relatively simple and has a single function.
  • the user's walking or squatting behavior causes certain obstacles and makes the user feel uncomfortable.
  • these braces cannot detect the user's gait, and there is a lack of knee braces similar to the gait detection function in the market. Therefore, it is necessary to design a knee brace that can solve the above-mentioned problems.
  • the present invention is made to solve the above-mentioned problems, and aims to provide a support phase controlled knee brace.
  • the present invention provides a support phase controlled knee brace, which is used to provide auxiliary limit support for the knee joint. It has the characteristics of: an insole placed under the user’s foot; and a medial knee joint module, including interconnected The inner leg link and the inner thigh link, as well as the inner lower leg link stopper provided on the top surface of the inner lower leg link for limiting; the inner joint cover, one end is connected to the pawl inner thigh link, and the other end Connected to the connection between the pawl inner leg link and the pawl inner thigh link; the outer knee joint module includes the outer thigh link and the outer thigh link connected to each other and the top surface of the outer leg link for limiting Lower leg outer link limit block; outer joint cover plate, connected to the outer thigh link; lower leg front baffle, connected to the end of the inner calf link close to the foot on both sides, and the outer leg link close to the foot One end of the thigh is used to support the lower legs; the front thigh baffle
  • the controller is an electromagnetic actuator connected by a wire; wherein the lateral knee joint module further includes a spring pre-tensioned unidirectional ratchet assembly arranged on the outer and inner side of the outer joint cover, and the spring pre-tensioned unidirectional ratchet assembly includes: a first sliding The bearing is arranged between the outer thigh link and the joint outer cover; the second sliding bearing is arranged between the lower leg outer link and the joint outer cover; the pawl is sleeved on the periphery of the first sliding bearing and the pawl
  • the surface has a first outer edge protrusion at the front and a second outer edge protrusion at the rear; a ratchet, sleeved on the periphery of the second sliding bearing; a pretension spring, one end of which is fixed to the second connecting rod on the outer thigh On one protrusion, the other end is fixed on the first outer edge protrusion of the pawl, which is used to apply a first pre-tightening
  • Both the pawl and the ratchet wheel are engaged under the action of the pre-tensioning force of the pre-tensioning spring to make the occlusal surface
  • the generated interactive force prevents the bending torque of the knee joint, and performs unidirectional locking during the supporting phase of walking.
  • the pawl overcomes the pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel and the pawl, thereby completing the bending of the knee joint.
  • the support phase controlled knee brace provided by the present invention, it may have such features, and further include: wherein an anti-falling hook strap is fixed to the side of the outer thigh link near the top of the trunk section; and an anti-falling hook is connected to The top of the anti-drop hook strap is used to hang on the wearer's belt.
  • the front calf baffle is provided with front calf straps for binding the calves and respectively arranged on the front side of the calf and the back side of the calf. Straps and straps behind the calves.
  • the front thigh baffle is provided with a front thigh strap for binding the thigh and respectively arranged on the front side of the thigh and the back side of the thigh. Straps and straps behind the thighs.
  • the support phase controlled knee brace may also have such features: wherein the inner side of the connection between the inner leg link and the inner thigh link and the connection point between the outer calf link and the outer thigh link
  • the inner side is fixed with a flexible pad.
  • the flexible pad consists of a filler, an outer fabric wrapped outside the filler, and a hook connected to the outer fabric on one side, and the other side is glued to the calf front baffle. Velcro on the inner surface and the inner surface of the front thigh baffle.
  • the support phase controlled knee brace provided by the present invention, it may also have such a feature: among them, the smallest included angle between the inner thigh link and the inner calf link and between the outer thigh link and the outer calf link Both are 50°, the maximum included angle is both 180°, the maximum angle of engagement between the pawl and the ratchet wheel is 130°, and every 10° is a gear.
  • the supporting phase controlled knee brace provided by the present invention may also have the feature: wherein the outer link of the lower leg and the ratchet are fixed by four screws.
  • the electromagnetic actuator is an electromagnet
  • the output end of the electromagnetic actuator is connected by an inelastic cable or a rigid brake link Protruding from the second outer edge of the pawl, the direction of the traction force on the pawl when the electromagnetic actuator is working is the direction that assists the pawl to disengage from the engaged state of the ratchet wheel.
  • the medial knee joint module has the inner calf link stopper and the outer knee joint module has the outer calf link stopper, the inner knee joint and the outer knee can be restricted.
  • the angle of rotation of the joint because it has a front calf baffle connected to the inner link of the lower leg and the outer lower leg, it can be used to support the lower leg; because it has a thigh front stop connected to the inner thigh link and the outer thigh link Plate, so it can be used to support the thigh; because it has a sensor module, it can detect the user's gait behavior; because it has a control module, it can control the state of the two spring-pretensioned one-way ratchet components according to the user's gait behavior ; Because the spring-preloaded unidirectional ratchet assembly has a pawl, a ratchet, a pre-tensioned spring, a torsion spring, and a pawl roller, it realize
  • the support phase controlled knee brace of the present invention can realize the detection of gait through the cooperation between the spring-pretensioned one-way ratchet assembly, the sensor module and the control module, and control unlocking and walking through the battery actuator.
  • the support phase is unidirectionally locked, and can also be unlocked in the swing phase of walking, so as not to affect the user's walking.
  • the support phase-controlled knee brace of the present invention solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of the present embodiment fits the legs, which can prevent the user from walking.
  • the gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
  • Fig. 1 is a schematic diagram of the structure of a knee brace for supporting phase control in an embodiment of the present invention
  • FIG. 2 is a schematic diagram of wearing a support phase control knee brace in an embodiment of the present invention
  • FIG. 3 is a schematic structural diagram of the medial knee joint module of the support phase control knee brace in an embodiment of the present invention
  • FIG. 4 is a schematic structural diagram of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention.
  • FIG. 5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention
  • FIG. 6 is a schematic diagram of the unlocked state of the spring-preloaded unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention
  • FIG. 7 is a schematic diagram of a single joint form of the support phase control knee brace in an embodiment of the present invention.
  • FIG. 8 is a front view of the inner knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention.
  • FIG. 9 is a front view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention.
  • Fig. 10 is a perspective view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the supporting phase control knee joint brace of the present invention.
  • gait refers to the posture shown when walking and all walking movements.
  • Fig. 1 is a schematic diagram of the structure of a support-phase control knee brace in an embodiment of the present invention
  • Fig. 2 is a schematic diagram of wearing a support-phase control knee brace in an embodiment of the present invention.
  • a support phase control knee brace 100 of this embodiment is used to provide auxiliary limit support for the knee joint, including: an insole 1, a medial knee joint module 2, and a medial joint cover 3.
  • the insole 1 is placed under the user's foot.
  • the medial knee joint module 2 includes the inner calf link 201 and the inner thigh link 202 that are connected to each other and rotate around the medial joint axis.
  • the medial knee joint module 2 has a two-link structure that can rotate around the medial joint axis with a single degree of freedom. , And only play the role of reducing the shearing force of the medial and lateral knee joints, and limit the legs to only rotate with a single degree of freedom in the sagittal plane, that is, the plane in the forward direction of human walking.
  • the medial knee joint module 2 further includes an inner calf link limiting block 203 provided on the top surface of the inner calf link 201 for limiting.
  • One end of the medial joint cover 3 is connected to the inner thigh link 202 by a screw, and the other end is connected to the connection between the inner thigh link and the inner calf link by a screw.
  • FIG. 4 is a schematic diagram of the structure of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention.
  • the lateral knee joint module 4 includes a lower leg outer link 401 and an outer thigh link 402 that are connected to each other, and rotate around the outer joint rotation axis.
  • the lateral knee joint module 4 further includes a lower leg outer link limiting block 403 arranged on the top surface of the lower leg outer link 401 for limiting position, and a spring pretensioner arranged on the outer and inner sides of the outer joint cover.
  • One-way ratchet assembly is also included.
  • both the medial knee joint module 2 and the lateral knee joint module 4 are modules in the form of a single joint, and the rotation axis of the medial joint and the rotation axis of the lateral joint are collinear, forming the knee joint of the support phase control knee brace 100 axis.
  • the inner side of the connection between the inner calf link 201 and the inner thigh link 202 and the inner side of the connection between the outer calf link 402 and the outer thigh link 402 are fixed with a flexible pad 13, and the flexible pad 13 It consists of a filler, an outer fabric wrapped outside the filler, and a Velcro with hook bristles attached to the outer fabric on one side and attached to the inner surface of the front calf baffle and the inner surface of the thigh front baffle on the other side And the outer fabric is sealed by knitting or gluing, and it is divided into two sides, one side is the soft fiber surface connected with the side with hook bristles of the Velcro, and the other side is the non-slip surface coated with non-slip rubber.
  • the shape of the flexible pad 13 is the same as or similar to the shape of the thigh front baffle 7 and the calf front baffle 6, so as to fit the leg shape and have a fixed anti-skid function.
  • the outer joint cover 5 is connected to the outer thigh connecting rod 402, specifically through a screw that passes through the outer thigh connecting rod 402, the first sliding bearing 801, and the pawl 803 in turn, and then is inserted into the positioning hole on the outer joint cover 5. 405 and a screw 406 that passes through the outer thigh connecting rod 402, the outer calf connecting rod 401, the second sliding bearing 802, and the ratchet 804 in sequence, and then inserted into the positioning hole on the outer joint cover plate 5.
  • the inner joint cover 3 is fixed to the inner thigh link 202
  • the outer joint cover 5 is fixed to the outer thigh link 402, thereby forming a U-shaped structure, so that the knee joint has only one degree of freedom of rotation.
  • the inner thigh link 202 and the inner calf link 201, the outer thigh link 402 and the outer calf link 201 all have a U-shaped structure for physically limiting the opening of the inner and outer upper and lower leg links 15. Limit the rotation angle of the knee joint axis to 130°.
  • the minimum included angles between the inner thigh link 202 and the inner calf link 201, and the outer thigh link 402 and the outer calf link 401 are all 50°
  • the maximum included angle is 180°.
  • Both sides of the front calf baffle 6 are respectively connected to an end of the inner calf link 201 near the foot and an end of the outer calf link 401 near the foot, for supporting the calf.
  • the front calf baffle 6 is provided with a front calf strap 601 and a rear calf strap 602 for binding the calf and respectively disposed on the front side of the calf and the back side of the calf.
  • Both sides of the thigh front baffle 7 are respectively connected to an end of the inner thigh link 202 near the torso and an end of the outer thigh link 402 near the torso for supporting the thigh.
  • the front thigh baffle 7 is provided with a front thigh strap 701 and a rear thigh strap 702 for binding the thighs and respectively disposed on the front side of the thigh and the back side of the thigh.
  • the spring-preloaded one-way ratchet assembly 8 is arranged on the outside of the outer joint cover 5 and includes: a first sliding bearing 801, a second sliding bearing 802, a pawl 803, a ratchet 804, and a torsion spring 805 , Pre-tensioning spring 806 and pawl roller 807.
  • the first sliding bearing 801 is arranged between the outer thigh link 402 and the outer joint cover 5.
  • the second sliding bearing 802 is arranged between the outer link 401 of the lower leg and the outer joint cover 5.
  • the pawl 803 is sleeved on the periphery of the first sliding bearing 801, and the surface of the pawl 803 has a first outer edge protrusion 808 at the front and a second outer edge protrusion 809 at the rear.
  • the ratchet 804 is sleeved on the periphery of the second sliding bearing 802.
  • the rotation axis of the ratchet 804 is coaxial with the rotation axis of the outer joint and is fixed to the outer link 401 of the lower leg.
  • the pawl 803 rotates around the rotation axis of the pawl 803 and can effectively contact the teeth of the ratchet 804.
  • the rotation axis of the pawl 803 is parallel to the rotation axis of the outer joint and perpendicularly fixed to the outer thigh link 402.
  • the maximum angle of engagement between the pawl 803 and the ratchet wheel 804 is 130°, and every 10° is a gear.
  • the outer lower leg link 401 and the ratchet wheel 804 are fixed by four screws, and the outer lower leg
  • the four ratchet fixing holes 407 on the connecting rod 401 are waist-shaped long holes to ensure that the ratchet 804 can rotate with the rotation axis of the ratchet 804 in a restricted manner, and the rotation is 5°.
  • the bite force direction at this time is perpendicular to the occlusal surface between the ratchet wheel 804 and the pawl 803, which is formed by the rotation axis of the ratchet wheel 804 and the rotation axis of the outer joint In the plane, the ratchet wheel 804 and the pawl 803 are divided into front and rear parts.
  • One end of the pre-tensioning spring 806 is fixed to the first protrusion 404 on the outer thigh link 401, and the other end is fixed to the first outer edge protrusion 808 of the front part of the pawl 803 to apply a pre-tensioning force to the pawl 803 ,
  • the pawl 803 can engage with the ratchet 804 within a range of 130°, the interactive force of the occlusal surface generates a torque that prevents the knee joint from bending, and the direction of the first preload is The direction in which the auxiliary pawl 803 engages with the ratchet wheel 804.
  • the torsion spring 805 is embedded in the inner ring of the ratchet 804 to provide the ratchet 804 with a pre-tightening force that is opposite to the direction of the bite force, which can provide a cushioning effect for the pressure-bearing bite and lock, and increase the impact resistance of the ratchet 804, thereby Protect the user's knee joints.
  • the pawl roller 807 is mounted on the pawl 803 through the roller pin 8011, and a roller sliding sleeve 8010 is arranged between the pawl roller 807 and the roller pin.
  • the surface of the pawl roller 807 will interact with the ratchet wheel when the pawl 803 is engaged with the ratchet wheel 804.
  • the tooth surfaces of the 804 are in contact, thereby reducing the friction between the pawl 803 and the ratchet 804 during biting.
  • the pawl 803 and the ratchet 804 are occluded under the action of the first pretension force of the pretension spring 806, so that the interactive force generated by the occlusal surface prevents the bending torque of the knee joint.
  • Locking, and under the action of the electromagnetic actuator 1003, the pawl 803 overcomes the first pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803. Bend of the knee joint.
  • the sensor module 9 is used to detect the gait behavior of the user, including the first six-axis accelerometer at the top of the outer thigh link at the end of the thigh for detecting the acceleration of thigh movement, and the first six-axis accelerometer installed at the lower end of the lower leg of the outer link at the lower leg.
  • a plurality of pressure sensors 902 for pressure detection and obtaining plantar contact information are connected.
  • the first six-axis accelerometer is integrated on the control module 10
  • the second six-axis accelerometer 901 is a separate circuit board mounted on the outside of the lower leg, and is connected to the main controller 1001 through a wire.
  • the battery pack connected to the main controller 1001 supplies power.
  • the angular velocity sensor is composed of a magnetic head 903 and a magnetic ring 904.
  • the magnetic head 903 is arranged on the outer peripheral surface of the central circular hole at the top of the lower leg outer link 401 and is adjacent to the lower leg outer link limit block 403.
  • the magnetic ring 904 is coaxial with the first sliding bearing 801 and is close to the magnetic head 903.
  • the magnetic head 903 reads the change of the magnetic field of the magnetic ring 904 and transmits it to the control module 10 in response to the angle data between the upper and lower connecting rods.
  • the control module 10 is used to control the state of the spring-preloaded one-way ratchet assembly according to the user's gait behavior, and includes a main control that is provided on the front thigh baffle 7 and has a manual control button and is equipped with a first six-axis accelerometer.
  • a battery pack 1002 for power supply connected to the main controller 1001 via a wire 14, and an electromagnetic actuator 1003 connected to the main controller 1001 via a wire 14.
  • the electromagnetic actuator 1003 is an electromagnet, and the output end of the electromagnetic actuator 1003 is connected to the second outer edge protrusion 809 of the pawl 803 through an inelastic cable 1004 or a rigid brake link.
  • the direction of the traction force on the pawl 803 is the direction that assists the pawl 803 to disengage from the ratchet wheel 804.
  • the anti-drop hook strap 11 is fixed on the outer thigh connecting rod 402 near the top of the trunk section.
  • the anti-fall hook 12 is connected to the top of the anti-fall hook belt 11 for hanging on the wearer's waist belt to prevent the support phase control knee brace 100 from sliding down during the user's walking process and causing wearing discomfort.
  • FIG. 5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support-phase-controlled knee brace in an embodiment of the present invention
  • FIG. 6 is the spring-pretension unit of the support-phase-controlled knee brace in the embodiment of the present invention
  • FIG. 7 is a schematic diagram of the single-joint form of the support phase control knee brace in the embodiment of the present invention.
  • the support phase control knee brace 100 when the support phase control knee brace 100 is not energized or in the support phase state, the ratchet 804 and the pawl 803 are in the occluding state. At this time, the knee joint is locked, as shown in FIG. 5, when When the support phase controls the knee brace 100 to be powered on and the sensor module 9 detects that the leg enters the swing phase, the control module 10 sends a signal to the electromagnetic actuator 1003, the electromagnetic actuator 1003 is activated, the tongue retracts, and the An inelastic cable or a rigid brake link pulls up one end of the pawl 803 and enters the unlocked state from the locked state, as shown in FIG. 6.
  • the electromagnetic actuator 1003 is closed, and the pawl 803 is locked again under the action of the first pre-tensioning force of the side pre-tensioning spring 806 by the pawl 803.
  • the medial knee joint module has a calf inner link stopper and the outer knee joint module has a calf outer link stopper, it can limit the medial knee joint and the outer side.
  • the angle of rotation of the knee joint because it has the front calf baffle connected to the inner calf link and the outer calf link, it can be used to support the calf; because it has the front thigh connected to the inner thigh link and the outer thigh link
  • the baffle can be used to support the thigh; because it has a sensor module, it can detect the user’s gait behavior; because it has a control module, it can control the two spring-preloaded unidirectional ratchet components according to the user’s gait behavior Status: Because the spring pre-tensioned unidirectional ratchet components all have pawls, ratchets, pre-tensioned springs, torsion springs and pawl rollers, one-way locking and unlocking of
  • the support phase control knee brace involved in this embodiment because it has an anti-fall hook strap and an anti-fall hook, it can prevent the wearer's discomfort caused by the user's sliding failure during walking.
  • the front calf strap and the back calf strap are provided on the front calf baffle and are located on the front side of the calf and the back side of the calf, so it can be used to tie the calf , So that it can better support the calf.
  • the front thigh strap and the back thigh strap are provided on the front thigh baffle and are respectively located on the front side of the thigh and the back side of the thigh, so it can be used to tie the thighs , So that it better supports the thighs.
  • flexible guards are fixed on the inner side of the connection between the inner calf link and the inner thigh link and the inner side of the connection between the outer calf link and the outer thigh link. Cushion, so it can better protect the knee joint.
  • the electromagnetic actuator can assist the direction in which the pawl disengages from the engaged state of the ratchet wheel during operation.
  • the ratchet fixing holes on the outer link of the lower leg and the inner link of the lower leg are all waist-shaped long holes, the ratchet can be guaranteed to rotate around the ratchet rotation axis in a restricted manner , The rotation is 5°.
  • the support phase control knee brace of this embodiment can realize the detection of gait through the cooperation of the spring-pretensioned unidirectional ratchet assembly, the sensor module and the control module, and control the unlocking by the battery actuator and the
  • the walking support phase is unidirectionally locked, and can also be unlocked during the swing phase of walking, so as not to affect the user's walking.
  • the support phase-controlled knee brace of this embodiment solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of this embodiment fits the legs, which can be very effective for the user.
  • the walking gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
  • the pawl roller, torsion spring, waist-shaped hole of the outer link of the lower leg, etc. in the embodiment are all functionally improved parts and designs, but in the present invention, the basic pawl and the design of the ratchet fixed to the outer link of the lower leg should also be incorporated within the scope of patent protection.
  • the medial knee joint module and the lateral knee joint module in the embodiment are both single-joint modules.
  • the medial knee joint module and the lateral knee joint module can also be the medial knee joint module and the lateral knee joint module in the form of double joints, as shown in Figures 8-10, that is, the outer thigh link is replaced by the outer thigh gear Links, the outer calf link is replaced with an outer calf gear link, the inner thigh link is replaced with an inner thigh gear link, the inner calf link is replaced with an inner calf gear link, and an inner joint cover and an outer joint are added Cover, the pawl is connected to the outer thigh gear link, and the ratchet is connected to the outer calf gear link.
  • the rotation axis of the outer thigh gear link, the rotation axis of the inner thigh gear link and the outer joint cover rotate on the thigh side
  • the axis is coaxial
  • the rotation axis of the outer calf gear link, the rotation axis of the inner calf gear link and the calf side rotation axis of the outer joint cover are coaxial
  • the rotation axis of the inner thigh gear link is coaxial with the thigh side of the inner joint cover.
  • the rotation axis is coaxial, the rotation axis of the inner calf gear link is coaxial with the calf side rotation axis of the inner joint cover, the gear part of the outer thigh gear link and the gear part of the outer calf gear link mesh with each other, and the inner thigh gear is connected
  • the gear part of the lever meshes with the gear part of the inner calf gear link.
  • the outer thigh gear link and the outer calf gear link rotate in conjunction with their respective rotating shafts through gear meshing.
  • the rotating shaft of the pawl and the outer joint cover The thigh side rotation axis is coaxial, and the rotation axis of the ratchet wheel is coaxial with the calf side rotation axis of the outer joint cover.
  • the medial knee joint module meshes with the gears of the inner thigh gear link and the inner calf link, and can only move around the thigh joint shaft and the lower leg joint shaft, and the inner knee joint module of the double-joint form also only reduces the inner leg.
  • the role of the shearing force of the lateral knee joint restricts the leg to only rotate with a single degree of freedom in the sagittal plane, which is the plane in which the person is walking forward.

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Abstract

Disclosed is a support phase control knee joint brace (100), comprising: an insole (1); an inner side knee joint module (2) comprising a lower leg inner side connecting rod (201), a thigh inner side connecting rod (202) and a lower leg inner side connecting rod limiting block (203); an inner side joint cover plate (3) connected to the thigh inner side connecting rod (202); an outer side knee joint module (4) comprising a lower leg outer side connecting rod (401), a thigh outer side connecting rod (402) and a lower leg outer side connecting rod limiting block (403); an outer side joint cover plate (5) connected to the thigh outer side connecting rod (402); a lower leg front baffle (6), two sides of which are respectively connected to the lower leg inner side connecting rod (201) and the lower leg outer side connecting rod (401); a thigh front baffle (7) connected to the thigh inner side connecting rod (202) and the thigh outer side connecting rod (402); a sensor module (9) for detecting gait behaviors of a user; and a control module (10) for controlling the state of two spring preloaded one-way ratchet wheel assemblies (8) according to the gait behaviors of the user, wherein the outer side knee joint module (4) further comprises a spring preloaded one-way ratchet wheel assembly (8) arranged on the outer side of the outer side joint cover plate (5).

Description

一种支撑相控制膝关节支具Knee joint brace for supporting phase control 技术领域Technical field
本发明属于可穿戴设备技术领域,涉及一种膝关节支具,具体涉及一种支撑相控制膝关节支具。The invention belongs to the technical field of wearable devices, and relates to a knee joint brace, in particular to a support phase controlled knee joint brace.
背景技术Background technique
生活中,由于肌肉退行性病变等原因造成的股四头肌功能性萎缩,大幅降低了患者的肌肉能力,使患者在行走过程中会发生膝关节过伸、失稳和突发性肌无力问题,改变患者的行进步态,容易使患者在行走时发生步态异常以及绊跌,患者若想要维持行走,通常则需要在步行的支撑相时用手按压住大腿,强行维持支撑相的稳定,患者行走时会产生较大的不适。为了维持患者在行走时的摔倒概率,让行走步态能够趋于正常人的步态,通常可以通过穿戴下肢助行支具的方法来解决。In daily life, the functional atrophy of the quadriceps muscle due to muscle degeneration and other reasons greatly reduces the patient’s muscle capacity, causing the patient to experience knee hyperextension, instability and sudden muscle weakness during walking. Change the patient’s walking state, which is likely to cause abnormal gait and tripping during walking. If the patient wants to maintain walking, he usually needs to press his thigh with his hand during the supporting phase of walking to forcefully maintain the supporting phase. Stable, the patient will have greater discomfort when walking. In order to maintain the patient's probability of falling while walking, so that the walking gait can tend to the gait of a normal person, it can usually be solved by wearing a lower limb walking brace.
现有技术的产品多为术后康复用助行器或者骨骼固定器,结构主要有外框架滑动轮行走车或者被动式支具,前者为一个外部的多滑动轮的框架结构,不与人体绑定,后者为与人体绑定,但是防跌倒功能是通过一根伸向下方的支撑杆来实现,在使用者出现摔倒趋势时提供支撑,这种结构较为简单,功能单一,同时也会对使用者的步行或者下蹲这种行为造成一定的妨碍,让使用者产生不适感。此外,该些支具无法对使用者的步态进行检测,而市场上也缺少类似具有步态检测功能的膝关节支具。因此,需要设计一种能够解决上述问题的膝关节支具。The products in the prior art are mostly walking aids or bone fixators for postoperative rehabilitation. The structure mainly includes an outer frame sliding wheel walker or a passive brace. The former is an external frame structure with multiple sliding wheels, which is not bound to the human body. , The latter is bound to the human body, but the anti-fall function is realized by a support rod extending downwards, which provides support when the user has a tendency to fall. This structure is relatively simple and has a single function. The user's walking or squatting behavior causes certain obstacles and makes the user feel uncomfortable. In addition, these braces cannot detect the user's gait, and there is a lack of knee braces similar to the gait detection function in the market. Therefore, it is necessary to design a knee brace that can solve the above-mentioned problems.
发明内容Summary of the invention
本发明是为了解决上述问题而进行的,目的在于提供一种支撑相控制膝关节支具。The present invention is made to solve the above-mentioned problems, and aims to provide a support phase controlled knee brace.
本发明提供了一种支撑相控制膝关节支具,用于提供膝关节的辅助限位支撑,具有这样的特征,包括:鞋垫,置于使用者的足下;内侧膝关节模块,包括相互连接的小腿内侧连杆和大腿内侧连杆以及设置于小腿内侧连杆的顶部表面用于限位的小腿内侧连杆限位块;内侧关节盖板,一端连接于棘爪大腿内侧连杆上,另一端连接于棘爪小腿内侧连杆和棘爪大腿内侧连杆的连接处;外侧膝关节模块,包括相互连接的大腿外侧连杆和大腿外侧连杆以及设置于小腿外侧连杆的顶部表面用于限位的小腿外侧连杆限位块;外侧关节盖板,连接于大腿外侧连杆上;小腿前挡板,两侧分别连接于小腿内侧连杆靠近足部的一端以及小腿外侧连杆靠近足部的一端,用于支撑小腿;大腿前挡板,两侧分别连接于大腿内侧连杆靠近躯干的一端以及大腿外侧连杆靠近躯干的一端,用于支撑大腿;传感器模块,用于检测使用者的步态行为,包括安装于大腿外侧连杆顶端的第一六轴加速度计、安装于小腿外侧连杆的下端的第二六轴加速度计、由小腿外侧连杆顶部表面的磁头以及与第二滑动轴承同轴并靠近磁头的磁环组成的角速度传感器以及多 个设置于鞋垫表面并通过电线与第二六轴加速度计连接的压力传感器;以及控制模块,用于根据使用者的步态行为控制弹簧预紧单向棘轮组件的状态,包括设置于大腿前挡板上的具有手动控制按钮的并安装有第一六轴加速度计的主控制器、与主控制器通过电线连接的电池组以及与主控制器通过电线连接的电磁致动器;其中,外侧膝关节模块还包括,设置于外侧关节盖板外内侧的弹簧预紧单向棘轮组件,该弹簧预紧单向棘轮组件包括:第一滑动轴承,设置于大腿外侧连杆与关节外侧盖板之间;第二滑动轴承,设置于小腿外侧连杆与关节外侧盖板之间;棘爪,套设于第一滑动轴承外围,且棘爪的表面具有位于前部的第一外缘凸起以及位于后部的第二外缘凸起;棘轮,套设于第二滑动轴承外围;预紧弹簧,一端固定于大腿外侧连杆上的第一凸起上,另一端固定于棘爪的第一外缘凸起上,用于对棘爪施加第一预紧力,且该第一预紧力的方向为辅助棘爪与棘轮咬合的方向;扭簧,嵌于棘轮内圈,用于给棘轮提供一个与咬合受力方向相反的第二预紧力;以及棘爪滚轮,通过滚轮插销安装于棘爪上,棘爪滚轮的表面在棘爪与棘轮咬合时,与棘轮的齿面接触,从而降低咬合时棘爪与棘轮之间的摩擦力,棘爪与棘轮均在预紧弹簧的预紧力的作用下在咬合,从而使咬合面产生的交互力阻止膝关节弯曲的扭矩,在行走的支撑相进行单向锁定,且在电磁致动器的作用下,使得棘爪在步态摆动相时克服所受的预紧力,从而完成棘轮与棘爪之间的解锁动作,进而完成膝关节的弯曲。The present invention provides a support phase controlled knee brace, which is used to provide auxiliary limit support for the knee joint. It has the characteristics of: an insole placed under the user’s foot; and a medial knee joint module, including interconnected The inner leg link and the inner thigh link, as well as the inner lower leg link stopper provided on the top surface of the inner lower leg link for limiting; the inner joint cover, one end is connected to the pawl inner thigh link, and the other end Connected to the connection between the pawl inner leg link and the pawl inner thigh link; the outer knee joint module includes the outer thigh link and the outer thigh link connected to each other and the top surface of the outer leg link for limiting Lower leg outer link limit block; outer joint cover plate, connected to the outer thigh link; lower leg front baffle, connected to the end of the inner calf link close to the foot on both sides, and the outer leg link close to the foot One end of the thigh is used to support the lower legs; the front thigh baffle is connected to the end of the inner thigh link close to the torso and the end of the outer thigh link close to the torso to support the thigh; the sensor module is used to detect the user’s Gait behavior, including the first six-axis accelerometer installed on the top of the outer thigh link, the second six-axis accelerometer installed on the lower end of the lower leg outer link, the magnetic head on the top surface of the lower leg outer link, and the second sliding Angular velocity sensor composed of the bearing coaxial and close to the magnetic ring of the magnetic head and a plurality of pressure sensors arranged on the surface of the insole and connected to the second six-axis accelerometer through wires; and a control module for controlling the spring according to the user's gait behavior The state of the pre-tensioned one-way ratchet assembly includes a main controller with manual control buttons and a first six-axis accelerometer installed on the front baffle of the thigh, a battery pack connected to the main controller through a wire, and a main controller connected to the main controller through a wire. The controller is an electromagnetic actuator connected by a wire; wherein the lateral knee joint module further includes a spring pre-tensioned unidirectional ratchet assembly arranged on the outer and inner side of the outer joint cover, and the spring pre-tensioned unidirectional ratchet assembly includes: a first sliding The bearing is arranged between the outer thigh link and the joint outer cover; the second sliding bearing is arranged between the lower leg outer link and the joint outer cover; the pawl is sleeved on the periphery of the first sliding bearing and the pawl The surface has a first outer edge protrusion at the front and a second outer edge protrusion at the rear; a ratchet, sleeved on the periphery of the second sliding bearing; a pretension spring, one end of which is fixed to the second connecting rod on the outer thigh On one protrusion, the other end is fixed on the first outer edge protrusion of the pawl, which is used to apply a first pre-tightening force to the pawl, and the direction of the first pre-tightening force is the direction of assisting the pawl to engage with the ratchet wheel ; Torsion spring, embedded in the inner ring of the ratchet, used to provide the ratchet with a second pre-tightening force opposite to the direction of the bite force; and the pawl roller, which is installed on the pawl through the roller pin, and the surface of the pawl roller is on the ratchet When the pawl engages with the ratchet wheel, it comes into contact with the tooth surface of the ratchet wheel, thereby reducing the friction between the pawl and the ratchet wheel during engagement. Both the pawl and the ratchet wheel are engaged under the action of the pre-tensioning force of the pre-tensioning spring to make the occlusal surface The generated interactive force prevents the bending torque of the knee joint, and performs unidirectional locking during the supporting phase of walking. Under the action of the actuator, the pawl overcomes the pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel and the pawl, thereby completing the bending of the knee joint.
在本发明提供的支撑相控制膝关节支具中,可以具有这样的特征,还包括:其中,防坠挂钩带,固定于大腿外侧连杆靠近躯干段顶部一侧;以及防坠挂钩,连接于防坠挂钩带顶部,用于挂在穿戴者的腰带上。In the support phase controlled knee brace provided by the present invention, it may have such features, and further include: wherein an anti-falling hook strap is fixed to the side of the outer thigh link near the top of the trunk section; and an anti-falling hook is connected to The top of the anti-drop hook strap is used to hang on the wearer's belt.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,小腿前挡板上设置有用于绑缚小腿的且分别设于小腿前侧和小腿后侧的小腿前绑带与小腿后绑带。In the support phase controlled knee brace provided by the present invention, it may also have such a feature: wherein, the front calf baffle is provided with front calf straps for binding the calves and respectively arranged on the front side of the calf and the back side of the calf. Straps and straps behind the calves.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,大腿前挡板上设置有用于绑缚大腿的且分别设于大腿前侧和大腿后侧的大腿前绑带与大腿后绑带。In the support phase controlled knee brace provided by the present invention, it may also have such a feature: wherein, the front thigh baffle is provided with a front thigh strap for binding the thigh and respectively arranged on the front side of the thigh and the back side of the thigh. Straps and straps behind the thighs.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,小腿内侧连杆和大腿内侧连杆的连接处的内侧以及小腿外侧连杆和大腿外侧连杆的连接处的内侧均固定有柔性护垫,柔性护垫由填充物、包裹于填充物之外的外层织物以及一侧与外层织物连接的带有勾刺毛且另一侧黏于小腿前挡板内侧 表面和大腿前挡板内侧表面的魔术贴。In the support phase controlled knee brace provided by the present invention, it may also have such features: wherein the inner side of the connection between the inner leg link and the inner thigh link and the connection point between the outer calf link and the outer thigh link The inner side is fixed with a flexible pad. The flexible pad consists of a filler, an outer fabric wrapped outside the filler, and a hook connected to the outer fabric on one side, and the other side is glued to the calf front baffle. Velcro on the inner surface and the inner surface of the front thigh baffle.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,大腿内侧连杆以及小腿内侧连杆之间以及大腿外侧连杆以及小腿外侧连杆之间的最小夹角均为50°,最大夹角均为180°,棘爪与棘轮的咬合的最大角度为130°,且每10°为一档。In the support phase controlled knee brace provided by the present invention, it may also have such a feature: among them, the smallest included angle between the inner thigh link and the inner calf link and between the outer thigh link and the outer calf link Both are 50°, the maximum included angle is both 180°, the maximum angle of engagement between the pawl and the ratchet wheel is 130°, and every 10° is a gear.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,小腿外侧连杆与棘轮之间通过四根螺钉固定。The supporting phase controlled knee brace provided by the present invention may also have the feature: wherein the outer link of the lower leg and the ratchet are fixed by four screws.
在本发明提供的支撑相控制膝关节支具中,还可以具有这样的特征:其中,电磁致动器为电磁铁,电磁致动器的输出端通过无弹性拉索或刚性制动连杆连接于棘爪的第二外缘凸起,电磁致动器工作时对棘爪的牵引力方向为辅助棘爪脱离与棘轮咬合状态的方向。In the support phase controlled knee brace provided by the present invention, it may also have the feature: wherein the electromagnetic actuator is an electromagnet, and the output end of the electromagnetic actuator is connected by an inelastic cable or a rigid brake link Protruding from the second outer edge of the pawl, the direction of the traction force on the pawl when the electromagnetic actuator is working is the direction that assists the pawl to disengage from the engaged state of the ratchet wheel.
发明的作用与效果The role and effect of the invention
根据本发明所涉及的支撑相控制膝关节支具,因为内侧膝关节模块具有小腿内侧连杆限位块且外侧膝关节模块具有小腿外侧连杆限位块,所以能够限制内侧膝关节和外侧膝关节的转动角度;因为具有连接于小腿内侧连杆以及小腿外侧连杆上的小腿前挡板,所以能够用于支撑小腿;因为具有连接于大腿内侧连杆以及大腿外侧连杆上的大腿前挡板,所以能够用于支撑大腿;因为具有传感器模块,所以能够检测使用者的步态行为;因为具有控制模块,所以能够根据使用者的步态行为控制两个弹簧预紧单向棘轮组件的状态;因为弹簧预紧单向棘轮组件具有棘爪、棘轮、预紧弹簧、扭簧以及棘爪滚轮,所以实现膝关节支具的单向锁定和解锁,进而完成膝关节的弯曲和直立。According to the support phase control knee brace of the present invention, because the medial knee joint module has the inner calf link stopper and the outer knee joint module has the outer calf link stopper, the inner knee joint and the outer knee can be restricted. The angle of rotation of the joint; because it has a front calf baffle connected to the inner link of the lower leg and the outer lower leg, it can be used to support the lower leg; because it has a thigh front stop connected to the inner thigh link and the outer thigh link Plate, so it can be used to support the thigh; because it has a sensor module, it can detect the user's gait behavior; because it has a control module, it can control the state of the two spring-pretensioned one-way ratchet components according to the user's gait behavior ; Because the spring-preloaded unidirectional ratchet assembly has a pawl, a ratchet, a pre-tensioned spring, a torsion spring, and a pawl roller, it realizes the unidirectional locking and unlocking of the knee brace, thereby completing the bending and erection of the knee joint.
因此,本发明的支撑相控制膝关节支具能够通过弹簧预紧单向棘轮组件、传感器模块以及控制模块之间的配合,实现对步态的检测,并通过电池致动器控制解锁以及在行走支撑相进行单向锁定,还能够在行走的摆动相中进行解锁,从而不影响使用者的行走。Therefore, the support phase controlled knee brace of the present invention can realize the detection of gait through the cooperation between the spring-pretensioned one-way ratchet assembly, the sensor module and the control module, and control unlocking and walking through the battery actuator. The support phase is unidirectionally locked, and can also be unlocked in the swing phase of walking, so as not to affect the user's walking.
进一步地,本发明的支撑相控制膝关节支具解决了患者在行走时发生步态异常以及绊跤等问题,且本实施例的支具的各部位贴合腿部,能够对使用者的行走步态进行检测,允许关节在任意时刻进行伸展,让行走步态趋于正常人的步态,不会让使用者产生由于步行或者下蹲等动作造成妨碍而引起的不适感。Further, the support phase-controlled knee brace of the present invention solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of the present embodiment fits the legs, which can prevent the user from walking. The gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
附图说明Description of the drawings
图1是本发明的实施例中支撑相控制膝关节支具的结构示意图;Fig. 1 is a schematic diagram of the structure of a knee brace for supporting phase control in an embodiment of the present invention;
图2是本发明的实施例中支撑相控制膝关节支具的佩戴示意图;2 is a schematic diagram of wearing a support phase control knee brace in an embodiment of the present invention;
图3是本发明的实施例中支撑相控制膝关节支具的内侧膝关节模块的结构示意图;3 is a schematic structural diagram of the medial knee joint module of the support phase control knee brace in an embodiment of the present invention;
图4是本发明的实施例中支撑相控制膝关节支具的外侧膝关节模块的结构示意图;4 is a schematic structural diagram of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention;
图5是本发明的实施例中支撑相控制膝关节支具的弹簧预紧单向棘轮组件的锁定状态示意图;5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention;
图6是本发明的实施例中支撑相控制膝关节支具的弹簧预紧单向棘轮组件的解锁状态示意图;6 is a schematic diagram of the unlocked state of the spring-preloaded unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention;
图7是本发明的实施例中支撑相控制膝关节支具的单关节形式示意图;FIG. 7 is a schematic diagram of a single joint form of the support phase control knee brace in an embodiment of the present invention;
图8是本发明的支撑相控制膝关节支具的双关节形式的弹簧预紧棘轮模块的内侧膝关节模块主视图;8 is a front view of the inner knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention;
图9是本发明的支撑相控制膝关节支具的双关节形式的弹簧预紧棘轮模块的外侧膝关节模块主视图;9 is a front view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention;
图10是本发明的支撑相控制膝关节支具的双关节形式的弹簧预紧棘轮模块的外侧膝关节模块立体图。Fig. 10 is a perspective view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the supporting phase control knee joint brace of the present invention.
具体实施方式Detailed ways
为了使本发明实现的技术手段与功效易于明白了解,以下结合实施例及附图对本发明作具体阐述。In order to make the technical means and effects of the present invention easy to understand, the following describes the present invention in detail with reference to embodiments and drawings.
以下实施例中,步态指走路时所表现的姿态以及走路所有的动作,支撑相指下肢接触地面并承受重力的时间,约占步行周期的60%,摆动相指足底离不地面向前迈步到再次落地之间的时间,约占整个步态周期的40%。In the following examples, gait refers to the posture shown when walking and all walking movements. The time that the lower limbs of the supporting finger touch the ground and bear gravity, which accounts for about 60% of the walking cycle, and the swinging finger refers to the fact that the soles of the feet cannot move forward from the ground. The time between stepping and landing again accounts for about 40% of the entire gait cycle.
实施例:Examples:
图1是本发明的实施例中支撑相控制膝关节支具的结构示意图,图2是本发明的实施例中支撑相控制膝关节支具的佩戴示意图。Fig. 1 is a schematic diagram of the structure of a support-phase control knee brace in an embodiment of the present invention, and Fig. 2 is a schematic diagram of wearing a support-phase control knee brace in an embodiment of the present invention.
如图1和图2所示,本实施例的一种支撑相控制膝关节支具100,用于提供膝关节的辅助限位支撑,包括:鞋垫1、内侧膝关节模块2、内侧关节盖板3、外侧膝关节模块4、外侧关节盖板5、小腿前挡板6、大腿前挡板7、传感器模块9、控制模块10、防坠挂钩带11以及防坠挂钩12。As shown in Figures 1 and 2, a support phase control knee brace 100 of this embodiment is used to provide auxiliary limit support for the knee joint, including: an insole 1, a medial knee joint module 2, and a medial joint cover 3. The lateral knee joint module 4, the lateral joint cover 5, the calf front baffle 6, the thigh front baffle 7, the sensor module 9, the control module 10, the anti-falling hook belt 11, and the anti-falling hook 12.
鞋垫1置于使用者的足下。The insole 1 is placed under the user's foot.
内侧膝关节模块2包括相互连接的小腿内侧连杆201和大腿内侧连杆202,且绕内侧关节轴旋转,且内侧膝关节模块2为可以绕内侧关节轴进行单自由度旋转的二连杆结构,且只起到降低内外侧膝关节剪切力的作用,并限制腿部只能在矢状面即人向前行走方向的平面进行单自由度的转动。The medial knee joint module 2 includes the inner calf link 201 and the inner thigh link 202 that are connected to each other and rotate around the medial joint axis. The medial knee joint module 2 has a two-link structure that can rotate around the medial joint axis with a single degree of freedom. , And only play the role of reducing the shearing force of the medial and lateral knee joints, and limit the legs to only rotate with a single degree of freedom in the sagittal plane, that is, the plane in the forward direction of human walking.
本实施例中,内侧膝关节模块2还包括设置于小腿内侧连杆201的顶部表面用于限位的小腿内侧连杆限位块203。In this embodiment, the medial knee joint module 2 further includes an inner calf link limiting block 203 provided on the top surface of the inner calf link 201 for limiting.
内侧关节盖板3的一端通过一根螺钉连接于大腿内侧连杆202上,另一端通过一根螺钉连接于大腿内侧连杆与小腿内侧连杆的连接处。One end of the medial joint cover 3 is connected to the inner thigh link 202 by a screw, and the other end is connected to the connection between the inner thigh link and the inner calf link by a screw.
图4是本发明的实施例中支撑相控制膝关节支具的外侧膝关节模块的结构示意图。4 is a schematic diagram of the structure of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention.
如图4所示,外侧膝关节模块4包括相互连接的小腿外侧连杆401和大腿外 侧连杆402,且绕外侧关节旋转轴旋转。As shown in Fig. 4, the lateral knee joint module 4 includes a lower leg outer link 401 and an outer thigh link 402 that are connected to each other, and rotate around the outer joint rotation axis.
本实施例中,外侧膝关节模块4还包括设置于小腿外侧连杆401的顶部表面用于限位的小腿外侧连杆限位块403以及设置于所述外侧关节盖板外内侧的弹簧预紧单向棘轮组件。In this embodiment, the lateral knee joint module 4 further includes a lower leg outer link limiting block 403 arranged on the top surface of the lower leg outer link 401 for limiting position, and a spring pretensioner arranged on the outer and inner sides of the outer joint cover. One-way ratchet assembly.
本实施例中,内侧膝关节模块2和外侧膝关节模块4均为单关节形式的模块,且内侧关节旋转轴与外侧关节旋转轴共线,构成了支撑相控制膝关节支具100的膝关节轴。In this embodiment, both the medial knee joint module 2 and the lateral knee joint module 4 are modules in the form of a single joint, and the rotation axis of the medial joint and the rotation axis of the lateral joint are collinear, forming the knee joint of the support phase control knee brace 100 axis.
本实施例中,小腿内侧连杆201和大腿内侧连杆202的连接处的内侧以及小腿外侧连杆402和大腿外侧连杆402的连接处的内侧均固定有柔性护垫13,柔性护垫13由填充物、包裹于填充物之外的外层织物以及一侧与外层织物连接的带有勾刺毛且另一侧黏于小腿前挡板内侧表面和大腿前挡板内侧表面的魔术贴,且外层织物使用针织或者胶合方式封口,分为两面,一面为与魔术贴带有勾刺毛的一面连接的软毛纤维面,另一侧为涂覆防滑橡胶的防滑面。In this embodiment, the inner side of the connection between the inner calf link 201 and the inner thigh link 202 and the inner side of the connection between the outer calf link 402 and the outer thigh link 402 are fixed with a flexible pad 13, and the flexible pad 13 It consists of a filler, an outer fabric wrapped outside the filler, and a Velcro with hook bristles attached to the outer fabric on one side and attached to the inner surface of the front calf baffle and the inner surface of the thigh front baffle on the other side And the outer fabric is sealed by knitting or gluing, and it is divided into two sides, one side is the soft fiber surface connected with the side with hook bristles of the Velcro, and the other side is the non-slip surface coated with non-slip rubber.
本实施例中,柔性护垫13的形状与大腿前挡板7以及小腿前挡板6的形状相同或相似,从而起到贴合腿型并具有固定防滑的作用。In this embodiment, the shape of the flexible pad 13 is the same as or similar to the shape of the thigh front baffle 7 and the calf front baffle 6, so as to fit the leg shape and have a fixed anti-skid function.
外侧关节盖板5连接于大腿外侧连杆402上,具体通过一根依次穿过大腿外侧连杆402、第一滑动轴承801、棘爪803后插入于外侧关节盖板5上的定位孔的螺钉405以及一根依次穿过大腿外侧连杆402、小腿外侧连杆401、第二滑动轴承802、棘轮804后插入于外侧关节盖板5上的定位孔的螺钉406连接。The outer joint cover 5 is connected to the outer thigh connecting rod 402, specifically through a screw that passes through the outer thigh connecting rod 402, the first sliding bearing 801, and the pawl 803 in turn, and then is inserted into the positioning hole on the outer joint cover 5. 405 and a screw 406 that passes through the outer thigh connecting rod 402, the outer calf connecting rod 401, the second sliding bearing 802, and the ratchet 804 in sequence, and then inserted into the positioning hole on the outer joint cover plate 5.
本实施例中,内侧关节盖板3与大腿内侧连杆202固定,且外侧关节盖板5与大腿外侧连杆402固定,从而形成了U字型结构,使得膝关节只有一个旋转自由度,此外,大腿内侧连杆202与小腿内侧连杆201以及大腿外侧连杆402与小腿外侧连杆201在U字型结构上均具有用于对内外侧大小腿连杆的开度进行物理限位的结构15,限制了膝关节轴的转角在130°,同时,大腿内侧连杆202以及小腿内侧连杆201之间以及大腿外侧连杆402以及小腿外侧连杆401之间的最小夹角均为50°,最大夹角均为180°。In this embodiment, the inner joint cover 3 is fixed to the inner thigh link 202, and the outer joint cover 5 is fixed to the outer thigh link 402, thereby forming a U-shaped structure, so that the knee joint has only one degree of freedom of rotation. , The inner thigh link 202 and the inner calf link 201, the outer thigh link 402 and the outer calf link 201 all have a U-shaped structure for physically limiting the opening of the inner and outer upper and lower leg links 15. Limit the rotation angle of the knee joint axis to 130°. At the same time, the minimum included angles between the inner thigh link 202 and the inner calf link 201, and the outer thigh link 402 and the outer calf link 401 are all 50° , The maximum included angle is 180°.
小腿前挡板6两侧分别连接于小腿内侧连杆201靠近足部的一端以及小腿外侧连杆401靠近足部的一端,用于支撑小腿。Both sides of the front calf baffle 6 are respectively connected to an end of the inner calf link 201 near the foot and an end of the outer calf link 401 near the foot, for supporting the calf.
本实施例中,小腿前挡板6上设置有用于绑缚小腿的且分别设于小腿前侧和 小腿后侧的小腿前绑带601与小腿后绑带602。In this embodiment, the front calf baffle 6 is provided with a front calf strap 601 and a rear calf strap 602 for binding the calf and respectively disposed on the front side of the calf and the back side of the calf.
大腿前挡板7两侧分别连接于大腿内侧连杆202靠近躯干的一端以及大腿外侧连杆402靠近躯干的一端,用于支撑大腿。Both sides of the thigh front baffle 7 are respectively connected to an end of the inner thigh link 202 near the torso and an end of the outer thigh link 402 near the torso for supporting the thigh.
本实施例中,大腿前挡板7上设置有用于绑缚大腿的且分别设于大腿前侧和大腿后侧的大腿前绑带701与大腿后绑带702。In this embodiment, the front thigh baffle 7 is provided with a front thigh strap 701 and a rear thigh strap 702 for binding the thighs and respectively disposed on the front side of the thigh and the back side of the thigh.
如图2-图4所示,弹簧预紧单向棘轮组件8设置于外侧关节盖板5外侧,包括:第一滑动轴承801、第二滑动轴承802、棘爪803、棘轮804、扭簧805、预紧弹簧806以及棘爪滚轮807。As shown in Figures 2 to 4, the spring-preloaded one-way ratchet assembly 8 is arranged on the outside of the outer joint cover 5 and includes: a first sliding bearing 801, a second sliding bearing 802, a pawl 803, a ratchet 804, and a torsion spring 805 , Pre-tensioning spring 806 and pawl roller 807.
第一滑动轴承801设置于大腿外侧连杆402与外侧关节盖板5之间。The first sliding bearing 801 is arranged between the outer thigh link 402 and the outer joint cover 5.
第二滑动轴承802设置于小腿外侧连杆401与外侧关节盖板5之间。The second sliding bearing 802 is arranged between the outer link 401 of the lower leg and the outer joint cover 5.
棘爪803套设于第一滑动轴承801外围,且棘爪803的表面具有位于前部的第一外缘凸起808以及位于后部的第二外缘凸起809。The pawl 803 is sleeved on the periphery of the first sliding bearing 801, and the surface of the pawl 803 has a first outer edge protrusion 808 at the front and a second outer edge protrusion 809 at the rear.
棘轮804套设于第二滑动轴承802外围。The ratchet 804 is sleeved on the periphery of the second sliding bearing 802.
本实施例中,棘轮804的旋转轴与外侧关节旋转轴同轴并与小腿外侧连杆401固定,棘爪803绕棘爪803的旋转轴旋转,并可与棘轮804的轮齿有效接触,此外,棘爪803的旋转轴与外侧关节旋转轴平行且垂直固定于大腿外侧连杆402。In this embodiment, the rotation axis of the ratchet 804 is coaxial with the rotation axis of the outer joint and is fixed to the outer link 401 of the lower leg. The pawl 803 rotates around the rotation axis of the pawl 803 and can effectively contact the teeth of the ratchet 804. In addition, , The rotation axis of the pawl 803 is parallel to the rotation axis of the outer joint and perpendicularly fixed to the outer thigh link 402.
本实施例中,棘爪803与棘轮804之间咬合的最大角度为130°,且每10°为一档,此外,小腿外侧连杆401与棘轮804之间通过四根螺钉固定,且小腿外侧连杆401上的四个棘轮固定孔407为腰型长孔,保证棘轮804能够以棘轮804的旋转轴做有限制的旋转,该旋转为5°。In this embodiment, the maximum angle of engagement between the pawl 803 and the ratchet wheel 804 is 130°, and every 10° is a gear. In addition, the outer lower leg link 401 and the ratchet wheel 804 are fixed by four screws, and the outer lower leg The four ratchet fixing holes 407 on the connecting rod 401 are waist-shaped long holes to ensure that the ratchet 804 can rotate with the rotation axis of the ratchet 804 in a restricted manner, and the rotation is 5°.
本实施例中,当承压咬合使棘轮804旋转5°后,此时的咬合力方向与棘轮804和棘爪803之间的咬合面垂直,以棘轮804的旋转轴与外侧关节旋转轴构成的平面,分别将棘轮804和棘爪803分为前后两部分。In this embodiment, when the ratchet wheel 804 is rotated by 5° by the pressure-bearing bite, the bite force direction at this time is perpendicular to the occlusal surface between the ratchet wheel 804 and the pawl 803, which is formed by the rotation axis of the ratchet wheel 804 and the rotation axis of the outer joint In the plane, the ratchet wheel 804 and the pawl 803 are divided into front and rear parts.
预紧弹簧806一端固定于大腿外侧连杆401上的第一凸起404上,另一端固定于棘爪803前部的第一外缘凸起808上,用于对棘爪803施加预紧力,并且在该第一预紧力的作用下,棘爪803可与棘轮804在130°范围内咬合,咬合面的交互力产生阻止膝关节弯曲的扭矩,且该第一预紧力的方向为辅助棘爪803与棘轮804咬合的方向。One end of the pre-tensioning spring 806 is fixed to the first protrusion 404 on the outer thigh link 401, and the other end is fixed to the first outer edge protrusion 808 of the front part of the pawl 803 to apply a pre-tensioning force to the pawl 803 , And under the action of the first preload, the pawl 803 can engage with the ratchet 804 within a range of 130°, the interactive force of the occlusal surface generates a torque that prevents the knee joint from bending, and the direction of the first preload is The direction in which the auxiliary pawl 803 engages with the ratchet wheel 804.
扭簧805嵌于棘轮804内圈,用于给棘轮804提供一个与咬合受力方向相反 的预紧力,为承压咬合锁紧时能够提供缓冲作用,且增加棘轮804的抗冲击性能,从而保护使用者的膝关节。The torsion spring 805 is embedded in the inner ring of the ratchet 804 to provide the ratchet 804 with a pre-tightening force that is opposite to the direction of the bite force, which can provide a cushioning effect for the pressure-bearing bite and lock, and increase the impact resistance of the ratchet 804, thereby Protect the user's knee joints.
棘爪滚轮807通过滚轮插销8011安装于棘爪803上,且棘爪滚轮807与滚轮插销之间设置有滚轮滑套8010,棘爪滚轮807的表面在棘爪803与棘轮804咬合时,与棘轮804的齿面接触,从而降低咬合时棘爪803与棘轮804之间的摩擦力。The pawl roller 807 is mounted on the pawl 803 through the roller pin 8011, and a roller sliding sleeve 8010 is arranged between the pawl roller 807 and the roller pin. The surface of the pawl roller 807 will interact with the ratchet wheel when the pawl 803 is engaged with the ratchet wheel 804. The tooth surfaces of the 804 are in contact, thereby reducing the friction between the pawl 803 and the ratchet 804 during biting.
本实施例中,棘爪803与棘轮804在预紧弹簧806的第一预紧力的作用下在咬合,从而使咬合面产生的交互力阻止膝关节弯曲的扭矩,在行走的支撑相进行单向锁定,且在电磁致动器1003的作用下,使得棘爪803在步态摆动相时克服所受的第一预紧力,从而完成棘轮804与棘爪803之间的解锁动作,进而完成膝关节的弯曲。In this embodiment, the pawl 803 and the ratchet 804 are occluded under the action of the first pretension force of the pretension spring 806, so that the interactive force generated by the occlusal surface prevents the bending torque of the knee joint. Locking, and under the action of the electromagnetic actuator 1003, the pawl 803 overcomes the first pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803. Bend of the knee joint.
传感器模块9,用于检测使用者的步态行为,包括大腿外侧连杆顶端的位于大腿端用于检测大腿运动加速度的第一六轴加速度计、安装于小腿外侧连杆下端的位于小腿端用于检测小腿运动加速度的第二六轴加速度计901、安装于膝关节轴轴端的用于检测膝关节转角的角速度传感器以及多个设置于鞋垫1表面并通过电线14与第二六轴加速度计901连接的多个用于压力检测并获得足底接触信息的压力传感器902。The sensor module 9 is used to detect the gait behavior of the user, including the first six-axis accelerometer at the top of the outer thigh link at the end of the thigh for detecting the acceleration of thigh movement, and the first six-axis accelerometer installed at the lower end of the lower leg of the outer link at the lower leg. A second six-axis accelerometer 901 for detecting the acceleration of the movement of the calf, an angular velocity sensor installed at the end of the knee joint axis for detecting the angle of the knee joint, and a plurality of second six-axis accelerometers 901 installed on the surface of the insole 1 through wires 14 A plurality of pressure sensors 902 for pressure detection and obtaining plantar contact information are connected.
本实施例中,第一六轴加速度计集成在控制模块10上,第二六轴加速度计901为一块单独的安装于小腿外侧的电路板,并通过电线与主控制器1001连接,由同样与主控制器1001连接的电池组进行供电。In this embodiment, the first six-axis accelerometer is integrated on the control module 10, and the second six-axis accelerometer 901 is a separate circuit board mounted on the outside of the lower leg, and is connected to the main controller 1001 through a wire. The battery pack connected to the main controller 1001 supplies power.
本实施例中,角速度传感器由磁头903和磁环904组成,磁头903设置于小腿外侧连杆401的顶部的中心圆孔的外周表面,且与小腿外侧连杆限位块403相邻,磁环904与第一滑动轴承801同轴且靠近磁头903,磁头903读取磁环904磁场的变化,传给控制模块10响应的大小腿连杆之间所呈夹角数据。In this embodiment, the angular velocity sensor is composed of a magnetic head 903 and a magnetic ring 904. The magnetic head 903 is arranged on the outer peripheral surface of the central circular hole at the top of the lower leg outer link 401 and is adjacent to the lower leg outer link limit block 403. The magnetic ring 904 is coaxial with the first sliding bearing 801 and is close to the magnetic head 903. The magnetic head 903 reads the change of the magnetic field of the magnetic ring 904 and transmits it to the control module 10 in response to the angle data between the upper and lower connecting rods.
控制模块10用于根据使用者的步态行为控制弹簧预紧单向棘轮组件的状态,包括设置于大腿前挡板7上的且具有手动控制按钮并安装有第一六轴加速度计的主控制器1001、与主控制器1001通过电线14连接的用于供电的电池组1002以及与主控制器1001通过电线14连接的电磁致动器1003。The control module 10 is used to control the state of the spring-preloaded one-way ratchet assembly according to the user's gait behavior, and includes a main control that is provided on the front thigh baffle 7 and has a manual control button and is equipped with a first six-axis accelerometer. A battery pack 1002 for power supply connected to the main controller 1001 via a wire 14, and an electromagnetic actuator 1003 connected to the main controller 1001 via a wire 14.
本实施例中,电磁致动器1003为电磁铁,电磁致动器1003的输出端通过无弹性拉索1004或刚性制动连杆连接于棘爪803的第二外缘凸起809,电磁致动器1003工作时对棘爪803的牵引力方向为辅助棘爪803脱离与棘轮804咬合状 态的方向。In this embodiment, the electromagnetic actuator 1003 is an electromagnet, and the output end of the electromagnetic actuator 1003 is connected to the second outer edge protrusion 809 of the pawl 803 through an inelastic cable 1004 or a rigid brake link. When the actuator 1003 is working, the direction of the traction force on the pawl 803 is the direction that assists the pawl 803 to disengage from the ratchet wheel 804.
防坠挂钩带11固定于大腿外侧连杆402靠近躯干段顶部一侧。The anti-drop hook strap 11 is fixed on the outer thigh connecting rod 402 near the top of the trunk section.
防坠挂钩12连接于防坠挂钩带11顶部,用于挂在穿戴者的腰带上,防止支撑相控制膝关节支具100在使用者行走过程中下滑失效而引起穿戴不适感。The anti-fall hook 12 is connected to the top of the anti-fall hook belt 11 for hanging on the wearer's waist belt to prevent the support phase control knee brace 100 from sliding down during the user's walking process and causing wearing discomfort.
图5是本发明的实施例中支撑相控制膝关节支具的弹簧预紧单向棘轮组件的锁定状态示意图,图6是本发明的实施例中支撑相控制膝关节支具的弹簧预紧单向棘轮组件的解锁状态示意图,图7是本发明的实施例中支撑相控制膝关节支具的单关节形式的示意图。5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support-phase-controlled knee brace in an embodiment of the present invention, and FIG. 6 is the spring-pretension unit of the support-phase-controlled knee brace in the embodiment of the present invention A schematic diagram of the unlocked state of the ratchet assembly. FIG. 7 is a schematic diagram of the single-joint form of the support phase control knee brace in the embodiment of the present invention.
进一步地,本实施例中,在支撑相控制膝关节支具100未通电或者支撑相状态时,棘轮804与棘爪803为咬合状态,此时,膝关节锁死,如图5所示,当支撑相控制膝关节支具100通电启动并且由传感器模块9检测到腿部进入摆动相时,则由控制模块10给电磁致动器1003信号,电磁致动器1003启动,锁舌缩入,通过无弹性拉索或刚性制动连杆将棘爪803的一端拉起,由锁定状态进入解锁状态,如图6所示。一定时间后或者当传感器模块9检测到腿处于支撑相时,电磁致动器1003关闭,受到棘爪803对侧预紧弹簧806的第一预紧力的作用,棘爪803再次锁定。Further, in this embodiment, when the support phase control knee brace 100 is not energized or in the support phase state, the ratchet 804 and the pawl 803 are in the occluding state. At this time, the knee joint is locked, as shown in FIG. 5, when When the support phase controls the knee brace 100 to be powered on and the sensor module 9 detects that the leg enters the swing phase, the control module 10 sends a signal to the electromagnetic actuator 1003, the electromagnetic actuator 1003 is activated, the tongue retracts, and the An inelastic cable or a rigid brake link pulls up one end of the pawl 803 and enters the unlocked state from the locked state, as shown in FIG. 6. After a certain period of time or when the sensor module 9 detects that the leg is in the supporting phase, the electromagnetic actuator 1003 is closed, and the pawl 803 is locked again under the action of the first pre-tensioning force of the side pre-tensioning spring 806 by the pawl 803.
实施例的作用与效果The function and effect of the embodiment
根据本实施例所涉及的支撑相控制膝关节支具,因为内侧膝关节模块具有小腿内侧连杆限位块且外侧膝关节模块具有小腿外侧连杆限位块,所以能够限制内侧膝关节和外侧膝关节的转动角度;因为具有连接于小腿内侧连杆以及小腿外侧连杆上的小腿前挡板,所以能够用于支撑小腿;因为具有连接于大腿内侧连杆以及大腿外侧连杆上的大腿前挡板,所以能够用于支撑大腿;因为具有传感器模块,所以能够检测使用者的步态行为;因为具有控制模块,所以能够根据使用者的步态行为控制两个弹簧预紧单向棘轮组件的状态;因为弹簧预紧单向棘轮组件均具有棘爪、棘轮、预紧弹簧、扭簧以及棘爪滚轮,所以实现膝关节支具的单向锁定和解锁,进而完成膝关节的弯曲和直立。According to the support phase control knee brace involved in this embodiment, because the medial knee joint module has a calf inner link stopper and the outer knee joint module has a calf outer link stopper, it can limit the medial knee joint and the outer side. The angle of rotation of the knee joint; because it has the front calf baffle connected to the inner calf link and the outer calf link, it can be used to support the calf; because it has the front thigh connected to the inner thigh link and the outer thigh link The baffle can be used to support the thigh; because it has a sensor module, it can detect the user’s gait behavior; because it has a control module, it can control the two spring-preloaded unidirectional ratchet components according to the user’s gait behavior Status: Because the spring pre-tensioned unidirectional ratchet components all have pawls, ratchets, pre-tensioned springs, torsion springs and pawl rollers, one-way locking and unlocking of the knee brace are realized, thereby completing the bending and erection of the knee joint.
根据本实施例所涉及的支撑相控制膝关节支具,因为具有防坠挂钩带和防坠挂钩,所以能够防止支具在使用者在行走过程中下滑失效而引起的穿戴不适感。According to the support phase control knee brace involved in this embodiment, because it has an anti-fall hook strap and an anti-fall hook, it can prevent the wearer's discomfort caused by the user's sliding failure during walking.
根据本实施例所涉及的支撑相控制膝关节支具,因为小腿前挡板上设置且分别位于小腿前侧和小腿后侧的小腿前绑带与小腿后绑带,所以能够用于绑缚小 腿,使其更好地支撑小腿。According to the support phase control knee brace involved in this embodiment, the front calf strap and the back calf strap are provided on the front calf baffle and are located on the front side of the calf and the back side of the calf, so it can be used to tie the calf , So that it can better support the calf.
根据本实施例所涉及的支撑相控制膝关节支具,因为大腿前挡板上设置且分别位于大腿前侧和大腿后侧的大腿前绑带与大腿后绑带,所以能够用于绑缚大腿,使其更好地支撑大腿。According to the support phase control knee brace involved in this embodiment, the front thigh strap and the back thigh strap are provided on the front thigh baffle and are respectively located on the front side of the thigh and the back side of the thigh, so it can be used to tie the thighs , So that it better supports the thighs.
根据本实施例所涉及的支撑相控制膝关节支具,因为小腿内侧连杆和大腿内侧连杆的连接处的内侧以及小腿外侧连杆和大腿外侧连杆的连接处的内侧均固定有柔性护垫,所以能够更好地保护膝关节。According to the support phase control knee brace involved in this embodiment, flexible guards are fixed on the inner side of the connection between the inner calf link and the inner thigh link and the inner side of the connection between the outer calf link and the outer thigh link. Cushion, so it can better protect the knee joint.
根据本实施例所涉及的支撑相控制膝关节支具,因为电磁致动器的输出端通过无弹性拉索或刚性制动连杆连接于第一棘爪的第二外缘凸起,所以电磁致动器在工作时能够辅助棘爪脱离与棘轮咬合状态的方向。According to the support phase control knee brace involved in this embodiment, because the output end of the electromagnetic actuator is connected to the second outer edge of the first pawl through an inelastic cable or a rigid brake link, the electromagnetic The actuator can assist the direction in which the pawl disengages from the engaged state of the ratchet wheel during operation.
根据本实施例所涉及的支撑相控制膝关节支具,因为小腿外侧连杆以及小腿内侧连杆上的棘轮固定孔均为腰型长孔,所以能够保证棘轮绕棘轮旋转轴做有限制的旋转,该旋转为5°。According to the support phase control knee brace involved in this embodiment, because the ratchet fixing holes on the outer link of the lower leg and the inner link of the lower leg are all waist-shaped long holes, the ratchet can be guaranteed to rotate around the ratchet rotation axis in a restricted manner , The rotation is 5°.
因此,本实施例的支撑相控制膝关节支具能够通过弹簧预紧单向棘轮组件、传感器模块以及控制模块之间的配合,实现对步态的检测,并通过电池致动器控制解锁以及在行走支撑相进行单向锁定,还能够在行走的摆动相中进行解锁,从而不影响使用者的行走。Therefore, the support phase control knee brace of this embodiment can realize the detection of gait through the cooperation of the spring-pretensioned unidirectional ratchet assembly, the sensor module and the control module, and control the unlocking by the battery actuator and the The walking support phase is unidirectionally locked, and can also be unlocked during the swing phase of walking, so as not to affect the user's walking.
进一步地,本实施例的支撑相控制膝关节支具解决了患者在行走时发生步态异常以及绊跤等问题,且本实施例的支具的各部位贴合腿部,能够对使用者的行走步态进行检测,允许关节在任意时刻进行伸展,让行走步态趋于正常人的步态,不会让使用者产生由于步行或者下蹲等动作造成妨碍而引起的不适感。Further, the support phase-controlled knee brace of this embodiment solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of this embodiment fits the legs, which can be very effective for the user. The walking gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
上述实施方式为本发明的优选案例,并不用来限制本发明的保护范围。The foregoing embodiments are preferred cases of the present invention, and are not used to limit the protection scope of the present invention.
实施例中的棘爪滚轮、扭簧、小腿外侧连杆的腰型孔等均为功能改善性零件和设计,但是在本发明基本的棘爪和与小腿外侧连杆固定的棘轮设计也应纳入专利保护范围内。The pawl roller, torsion spring, waist-shaped hole of the outer link of the lower leg, etc. in the embodiment are all functionally improved parts and designs, but in the present invention, the basic pawl and the design of the ratchet fixed to the outer link of the lower leg should also be incorporated Within the scope of patent protection.
实施例中的内侧膝关节模块和外侧膝关节模块均为单关节形式的模块。但是在本发明中内侧膝关节模块和外侧膝关节模块还可以是双关节形式的内侧膝关节模块和外侧膝关节模块,如图8-图10所示,即将大腿外侧连杆替换为大腿外侧齿轮连杆,小腿外侧连杆替换为小腿外侧齿轮连杆,大腿内侧连杆替换为大腿内侧齿轮连杆,小腿内侧连杆替换为小腿内侧齿轮连杆,并增加一个内侧关节盖 板和一个外侧关节盖板,棘爪与大腿外侧齿轮连杆连接,棘轮与小腿外侧齿轮连杆连接,此时,大腿外侧齿轮连杆的旋转轴、大腿内侧齿轮连杆的旋转轴与外侧关节盖板大腿侧旋转轴同轴,小腿外侧齿轮连杆的旋转轴、小腿内侧齿轮连杆的旋转轴与外侧关节盖板的小腿侧旋转轴同轴,大腿内侧齿轮连杆的旋转轴与内侧关节盖板的大腿侧旋转轴同轴,小腿内侧齿轮连杆的旋转轴与内侧关节盖板的小腿侧旋转轴同轴,大腿外侧齿轮连杆的齿轮部分与小腿外侧齿轮连杆的齿轮部分互相啮合,大腿内侧齿轮连杆的齿轮部分与小腿内侧齿轮连杆的齿轮部分互相啮合,大腿外侧齿轮连杆和小腿外侧齿轮连杆以各自的旋转轴,经由齿轮啮合进行联动转动,棘爪的转轴与外侧关节盖板的大腿侧旋转轴同轴,棘轮的转轴与外侧关节盖板的小腿侧旋转轴同轴。同时,内侧膝关节模块通过大腿内侧齿轮连杆的齿轮和小腿内侧连杆的齿轮啮合,只能绕大腿关节转轴和小腿关节转轴运动,且双关节形式的内侧膝关节模块同样只起到降低内外侧膝关节剪切力的作用,并限制腿部只能在矢状面即人向前行走方向的平面进行单自由度的转动。The medial knee joint module and the lateral knee joint module in the embodiment are both single-joint modules. However, in the present invention, the medial knee joint module and the lateral knee joint module can also be the medial knee joint module and the lateral knee joint module in the form of double joints, as shown in Figures 8-10, that is, the outer thigh link is replaced by the outer thigh gear Links, the outer calf link is replaced with an outer calf gear link, the inner thigh link is replaced with an inner thigh gear link, the inner calf link is replaced with an inner calf gear link, and an inner joint cover and an outer joint are added Cover, the pawl is connected to the outer thigh gear link, and the ratchet is connected to the outer calf gear link. At this time, the rotation axis of the outer thigh gear link, the rotation axis of the inner thigh gear link and the outer joint cover rotate on the thigh side The axis is coaxial, the rotation axis of the outer calf gear link, the rotation axis of the inner calf gear link and the calf side rotation axis of the outer joint cover are coaxial, and the rotation axis of the inner thigh gear link is coaxial with the thigh side of the inner joint cover. The rotation axis is coaxial, the rotation axis of the inner calf gear link is coaxial with the calf side rotation axis of the inner joint cover, the gear part of the outer thigh gear link and the gear part of the outer calf gear link mesh with each other, and the inner thigh gear is connected The gear part of the lever meshes with the gear part of the inner calf gear link. The outer thigh gear link and the outer calf gear link rotate in conjunction with their respective rotating shafts through gear meshing. The rotating shaft of the pawl and the outer joint cover The thigh side rotation axis is coaxial, and the rotation axis of the ratchet wheel is coaxial with the calf side rotation axis of the outer joint cover. At the same time, the medial knee joint module meshes with the gears of the inner thigh gear link and the inner calf link, and can only move around the thigh joint shaft and the lower leg joint shaft, and the inner knee joint module of the double-joint form also only reduces the inner leg. The role of the shearing force of the lateral knee joint restricts the leg to only rotate with a single degree of freedom in the sagittal plane, which is the plane in which the person is walking forward.

Claims (8)

  1. 一种支撑相控制膝关节支具,用于提供膝关节的辅助限位支撑,其特征在于,包括:A support phase control knee joint brace for providing auxiliary limit support of the knee joint, which is characterized in that it comprises:
    鞋垫,置于使用者的足下;Insoles, placed under the user's feet;
    内侧膝关节模块,包括相互连接的小腿内侧连杆和大腿内侧连杆以及设置于所述小腿内侧连杆的顶部表面用于限位的小腿内侧连杆限位块;The medial knee joint module includes an inner calf link and an inner thigh link that are connected to each other, and an inner calf link limiting block provided on the top surface of the inner calf link for limiting;
    内侧关节盖板,一端连接于所述大腿内侧连杆上,另一端连接于所述小腿内侧连杆和所述大腿内侧连杆的连接处;An inner joint cover plate, one end is connected to the inner thigh link, and the other end is connected to the connection between the inner calf link and the inner thigh link;
    外侧膝关节模块,包括相互连接的大腿外侧连杆和大腿外侧连杆以及设置于所述小腿外侧连杆的顶部表面用于限位的小腿外侧连杆限位块;The lateral knee joint module includes an outer thigh link and an outer thigh link that are connected to each other, and a lower leg outer link limiting block provided on the top surface of the lower leg outer link for limiting;
    外侧关节盖板,连接于所述大腿外侧连杆上;The outer joint cover is connected to the connecting rod of the outer thigh;
    小腿前挡板,两侧分别连接于所述小腿内侧连杆靠近足部的一端以及所述小腿外侧连杆靠近足部的一端,用于支撑小腿;The front calf baffle, both sides of which are respectively connected to one end of the inner calf link close to the foot and one end of the calf outer link close to the foot, for supporting the calf;
    大腿前挡板,两侧分别连接于所述大腿内侧连杆靠近躯干的一端以及所述大腿外侧连杆靠近躯干的一端,用于支撑大腿;The thigh front baffle, both sides of which are respectively connected to an end of the inner thigh link close to the torso and an end of the outer thigh link close to the torso, for supporting the thigh;
    传感器模块,用于检测使用者的步态行为,包括安装于所述大腿外侧连杆顶端的第一六轴加速度计、安装于所述小腿外侧连杆的下端的第二六轴加速度计、由所述小腿外侧连杆顶部表面的磁头以及与所述第二滑动轴承同轴并靠近所述磁头的磁环组成的角速度传感器以及多个设置于所述鞋垫表面并通过电线与所述第二六轴加速度计连接的压力传感器;以及The sensor module is used to detect the user’s gait behavior, including a first six-axis accelerometer installed at the top of the outer thigh link, a second six-axis accelerometer installed at the lower end of the lower leg outer link, and The magnetic head on the top surface of the outer link of the lower leg and the angular velocity sensor composed of a magnetic ring coaxial with the second sliding bearing and close to the magnetic head, and a plurality of angular velocity sensors arranged on the surface of the insole and connected to the second six through wires The pressure sensor connected to the axis accelerometer; and
    控制模块,用于根据使用者的步态行为控制所述弹簧预紧单向棘轮组件的状态,包括设置于所述大腿前挡板上的具有手动控制按钮的并安装有所述第一六轴加速度计的主控制器、与所述主控制器通过电线连接的电池组以及与所述主控制器通过电线连接的电磁致动器;The control module is used to control the state of the spring-preloaded one-way ratchet assembly according to the user's gait behavior, and includes a manual control button provided on the thigh front baffle and installed with the first six-axis A main controller of the accelerometer, a battery pack connected to the main controller via a wire, and an electromagnetic actuator connected to the main controller via a wire;
    其中,所述外侧膝关节模块还包括设置于所述外侧关节盖板外内侧的弹簧预紧单向棘轮组件,该弹簧预紧单向棘轮组件包括:Wherein, the lateral knee joint module further includes a spring-preloaded unidirectional ratchet assembly disposed on the outer and inner sides of the outer joint cover plate, and the spring-preloaded unidirectional ratchet assembly includes:
    第一滑动轴承,设置于大腿外侧连杆与所述关节外侧盖板之间;The first sliding bearing is arranged between the connecting rod of the outer thigh and the outer cover plate of the joint;
    第二滑动轴承,设置于小腿外侧连杆与所述关节外侧盖板之间;The second sliding bearing is arranged between the outer connecting rod of the lower leg and the outer cover plate of the joint;
    棘爪,套设于所述第一滑动轴承外围,且所述棘爪的表面具有位于前部的第一外缘凸起以及位于后部的第二外缘凸起;The pawl is sleeved on the periphery of the first sliding bearing, and the surface of the pawl has a first outer edge protrusion at the front part and a second outer edge protrusion at the rear part;
    棘轮,套设于所述第二滑动轴承外围;A ratchet, sleeved on the periphery of the second sliding bearing;
    预紧弹簧,一端固定于所述大腿外侧连杆上的第一凸起上,另一端固定于所述棘爪的第一外缘凸起上,用于对所述棘爪施加第一预紧力,且该第一预紧力的方向为辅助所述棘爪与所述棘轮咬合的方向;A pre-tensioning spring, one end is fixed to the first protrusion on the outer thigh link, and the other end is fixed to the first outer edge protrusion of the pawl, for applying first pretension to the pawl Force, and the direction of the first pre-tightening force is the direction assisting the engagement of the pawl with the ratchet wheel;
    扭簧,嵌于所述棘轮内圈,用于给所述棘轮提供一个与咬合受力方向相反的第二预紧力;以及A torsion spring, embedded in the inner ring of the ratchet wheel, for providing the ratchet wheel with a second pretension force opposite to the direction of the bite force; and
    棘爪滚轮,通过滚轮插销安装于所述棘爪上,所述棘爪滚轮的表面在所述棘爪与所述棘轮咬合时,与所述棘轮的齿面接触,从而降低咬合时所述棘爪与所述棘轮之间的摩擦力,The pawl roller is mounted on the pawl through a roller pin, and the surface of the pawl roller contacts the tooth surface of the ratchet wheel when the pawl engages with the ratchet wheel, thereby reducing the ratchet during engagement. The friction between the pawl and the ratchet,
    所述棘爪与所述棘轮均在所述预紧弹簧的预紧力的作用下在咬合,从而使咬合面产生的交互力阻止膝关节弯曲的扭矩,在行走的支撑相进行单向锁定,且在所述电磁致动器的作用下,使得所述棘爪在 步态摆动相时克服所受的预紧力,从而完成所述棘轮与所述棘爪之间的解锁动作,进而完成膝关节的弯曲。The pawl and the ratchet are both engaged under the action of the pretensioning force of the pretensioning spring, so that the interactive force generated by the occlusal surface prevents the bending torque of the knee joint, and performs unidirectional locking during the walking support phase, And under the action of the electromagnetic actuator, the pawl overcomes the pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel and the pawl, thereby completing the knee The bending of the joints.
  2. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于,还包括:The supporting phase control knee brace according to claim 1, further comprising:
    防坠挂钩带,固定于所述大腿外侧连杆靠近躯干段顶部一侧;以及An anti-falling hook strap fixed on the side of the outer thigh link near the top of the trunk section; and
    防坠挂钩,连接于所述防坠挂钩带顶部,用于挂在穿戴者的腰带上。The anti-falling hook is connected to the top of the anti-falling hook belt and is used to hang on the waist belt of the wearer.
  3. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述小腿前挡板上设置有用于绑缚小腿的且分别设于小腿前侧和小腿后侧的小腿前绑带与小腿后绑带。Wherein, the front calf baffle is provided with a front calf strap and a back calf strap for binding the calf and respectively arranged on the front side of the calf and the back side of the calf.
  4. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述大腿前挡板上设置有用于绑缚大腿的且分别设于大腿前侧和大腿后侧的大腿前绑带与大腿后绑带。Wherein, the front thigh baffle is provided with a front thigh strap and a rear thigh strap for binding the thigh and respectively arranged on the front side of the thigh and the back side of the thigh.
  5. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述小腿内侧连杆和所述大腿内侧连杆的连接处的内侧以及所述小腿外侧连杆和所述大腿外侧连杆的连接处的内侧均固定有 柔性护垫,Wherein, the inner side of the connection between the inner calf link and the inner thigh link and the inner side of the connection between the outer calf link and the outer thigh link are fixed with flexible pads,
    所述柔性护垫由填充物、包裹于所述填充物之外的外层织物以及一侧与所述外层织物连接的带有勾刺毛且另一侧黏于所述小腿前挡板内侧表面和所述大腿前挡板内侧表面的魔术贴。The flexible pad consists of a filler, an outer layer fabric wrapped outside the filler, and one side connected to the outer layer fabric with hook bristles and the other side is glued to the inner side of the calf front baffle Velcro on the surface and the inner surface of the front thigh baffle.
  6. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述大腿内侧连杆以及所述小腿内侧连杆之间以及所述大腿外侧连杆以及所述小腿外侧连杆之间的最小夹角均为50°,最大夹角均为180°,Wherein, the minimum included angle between the inner thigh link and the inner calf link, and between the outer thigh link and the outer calf link are both 50°, and the maximum included angle is both 180°,
    所述棘爪与所述棘轮之间咬合的最大角度为130°,且每10°为一档。The maximum angle of engagement between the pawl and the ratchet wheel is 130°, and every 10° is a gear.
  7. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述小腿外侧连杆与所述棘轮之间通过四根螺钉固定,Wherein, the outer connecting rod of the lower leg and the ratchet are fixed by four screws,
    所述小腿外侧连杆上的棘轮固定孔为腰型长孔。The ratchet fixing hole on the outer connecting rod of the lower leg is a waist-shaped long hole.
  8. 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:
    其中,所述电磁致动器为电磁铁,Wherein, the electromagnetic actuator is an electromagnet,
    所述电磁致动器的输出端通过无弹性拉索或刚性制动连杆连接于所述棘爪的第二外缘凸起,所述电磁致动器工作时对所述棘爪的牵引力方向为辅助所述棘爪脱离与所述棘轮咬合状态的方向。The output end of the electromagnetic actuator is connected to the second outer edge protrusion of the pawl through an inelastic cable or a rigid brake link, and the direction of the traction force on the pawl when the electromagnetic actuator is working In order to assist the direction of the pawl from being engaged with the ratchet wheel.
PCT/CN2020/070850 2020-01-08 2020-01-08 Support phase control knee joint brace WO2021138828A1 (en)

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Citations (5)

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Publication number Priority date Publication date Assignee Title
US20060052732A1 (en) * 2004-09-08 2006-03-09 Honda Motor Co., Ltd. Walking assistance device provided with a force sensor
CN101584618A (en) * 2008-05-21 2009-11-25 彪仕医技股份有限公司 Knee joint rehabilitation bracket
CN101786478A (en) * 2010-02-23 2010-07-28 华东理工大学 Fictitious force-controlled lower limb exoskeleton robot with counter torque structure
CN106618830A (en) * 2016-12-30 2017-05-10 北京林业大学 Single-lower-limb exoskeleton orthopedic apparatus and orthopedic control method
CN107811805A (en) * 2017-11-16 2018-03-20 上海理工大学 Wearable lower limb exoskeleton rehabilitation robot

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060052732A1 (en) * 2004-09-08 2006-03-09 Honda Motor Co., Ltd. Walking assistance device provided with a force sensor
CN101584618A (en) * 2008-05-21 2009-11-25 彪仕医技股份有限公司 Knee joint rehabilitation bracket
CN101786478A (en) * 2010-02-23 2010-07-28 华东理工大学 Fictitious force-controlled lower limb exoskeleton robot with counter torque structure
CN106618830A (en) * 2016-12-30 2017-05-10 北京林业大学 Single-lower-limb exoskeleton orthopedic apparatus and orthopedic control method
CN107811805A (en) * 2017-11-16 2018-03-20 上海理工大学 Wearable lower limb exoskeleton rehabilitation robot

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