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CN108852584A - Knee joint osseous arthritis intelligently rescues integrated instrument - Google Patents

Knee joint osseous arthritis intelligently rescues integrated instrument Download PDF

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Publication number
CN108852584A
CN108852584A CN201811037226.3A CN201811037226A CN108852584A CN 108852584 A CN108852584 A CN 108852584A CN 201811037226 A CN201811037226 A CN 201811037226A CN 108852584 A CN108852584 A CN 108852584A
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hinge
instrument
calf
support
thigh support
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徐高四
付书芳
汪建红
杨萍萍
邹红红
王丽
任带金
王�琦
李业贝
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Second Affiliated Hospital to Nanchang University
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Second Affiliated Hospital to Nanchang University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/1036Measuring load distribution, e.g. podologic studies
    • A61B5/1038Measuring plantar pressure during gait
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring 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 or mobility of a limb
    • A61B5/112Gait analysis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring 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 or mobility of a limb
    • A61B5/1121Determining geometric values, e.g. centre of rotation or angular range of movement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/3603Control systems
    • A61N1/36031Control systems using physiological parameters for adjustment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132Additional features of the articulation
    • A61F2005/0155Additional features of the articulation with actuating means

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
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  • Medical Informatics (AREA)
  • Physiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Geometry (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

本发明公开了一种膝关节骨性关节炎智能矫治一体仪,它包含大腿托、铰链、小腿托、套袜;所述的大腿托、小腿托之间通过铰链连接;大腿托的中部内置有小型低频脉冲电疗仪;铰链的中部内置有小型超短波治疗仪;小腿托的中部内置有中央控制管理装置;小腿托的下缘与套袜的上缘连接;套袜采用双层结构;套袜的足底夹层内设有光学足底压力检测仪;本发明通过光学足底压力检测仪判断患者步态是否异常,从而及时、有效、动态地减负及矫正,同时采用股四头肌伸肌训练结合神经肌肉电刺激方法锻炼股四头肌改善膝关节,以及超短波治疗仪减轻膝关节内炎症,在消除膝关节炎症的基础上,配合畸形力线的矫正,从而达到真正的矫正与治疗双重达标。

The invention discloses an integrated instrument for intelligent correction of knee osteoarthritis, which comprises a thigh support, a hinge, a calf support, and socks; the thigh support and the calf support are connected by a hinge; the middle part of the thigh support has a Small low-frequency pulse electrotherapy device; a small ultrashort wave therapeutic device is built in the middle of the hinge; a central control management device is built in the middle of the calf support; the lower edge of the calf support is connected with the upper edge of the sock; the sock adopts a double-layer structure; An optical plantar pressure detector is installed in the plantar interlayer; the present invention judges whether the patient's gait is abnormal through the optical plantar pressure detector, thereby reducing and correcting the burden in a timely, effective and dynamic manner, and at the same time adopts quadriceps femoris extensor training combined with The neuromuscular electrical stimulation method exercises the quadriceps to improve the knee joint, and the ultrashort wave therapy device reduces the inflammation in the knee joint. On the basis of eliminating the knee joint inflammation, it cooperates with the correction of the deformed force line, so as to achieve the double standard of real correction and treatment.

Description

膝关节骨性关节炎智能矫治一体仪Knee joint osteoarthritis intelligent correction instrument

技术领域technical field

本发明涉及医疗器械技术领域,具体涉及一种膝关节骨性关节炎智能矫治一体仪。The invention relates to the technical field of medical devices, in particular to an intelligent all-in-one instrument for knee osteoarthritis correction.

背景技术Background technique

骨性关节炎是一种常见的慢性关节炎,又称退行性关节炎,多见于65岁以上的老年人。其中膝骨性关节炎约占全身各骨性关节炎的31%左右。膝关节骨性关节炎导致关节疼痛、肿胀、功能障碍、活动受限,严重影响了患者的生活质量。目前为止仍没有彻底的治愈措施。Osteoarthritis is a common chronic arthritis, also known as degenerative arthritis, which is more common in the elderly over 65 years old. Among them, knee osteoarthritis accounts for about 31% of all osteoarthritis in the whole body. Osteoarthritis of the knee causes joint pain, swelling, dysfunction, and limited mobility, seriously affecting the patient's quality of life. So far there is no complete cure.

目前临床上对骨性关节炎治疗,主要分为药物治疗(消炎止痛药减轻临床症状)、康复理疗(如红外线、超短波等理疗)以及人工关节置换术。虽然,物理和药物治疗能够在一定程度上缓解患者的疼痛,但不能从根本上改善患膝关节的畸形力线。手术治疗不仅创伤大,花费昂贵,而且技术要求高,只适合晚期膝骨性关节炎患者,难以被广大患者接受。At present, the clinical treatment of osteoarthritis is mainly divided into drug therapy (anti-inflammatory and analgesic drugs to relieve clinical symptoms), rehabilitation physiotherapy (such as infrared, ultrashort wave and other physiotherapy) and artificial joint replacement. Although physical and drug therapy can alleviate the patient's pain to a certain extent, they cannot fundamentally improve the deformity line of the knee joint. Surgical treatment is not only traumatic and expensive, but also requires high technology. It is only suitable for patients with advanced knee osteoarthritis and is difficult to be accepted by most patients.

膝骨性关节炎加重的根本原因是未彻底消除的炎症以及膝关节内部应力分布不合理,也就是力线的畸形。同时,不正确的步态也会导致膝关节内力线的畸形,加速膝关节软骨一侧的磨损。因此对于膝骨性关节炎患者,延缓骨性关节炎的措施,一方面要减轻膝关节所受的负载,另一方面需要矫正下肢力线,减少内外翻的力臂长度。因此矫形器或者助行器的逐渐被广大患者接受。The root cause of the exacerbation of knee osteoarthritis is the inflammation that has not been completely eliminated and the unreasonable distribution of internal stress in the knee joint, that is, the deformity of the force line. At the same time, incorrect gait will also cause the deformity of the internal force line of the knee joint and accelerate the wear and tear of the cartilage side of the knee joint. Therefore, for patients with knee osteoarthritis, the measures to delay osteoarthritis, on the one hand, should reduce the load on the knee joint, and on the other hand, it is necessary to correct the line of force of the lower limbs and reduce the length of the moment arm of varus and varus. Therefore, orthotics or walking aids are gradually accepted by the majority of patients.

目前临床上运用的矫形器作用单一,无药物及物理治疗作用,且不能动态减负。此外,在实际运用中,一个合适的矫形器的佩戴前需要花费大量的时间和精力,通过外力的检测和调试,当患者病情加重时,也无法及时获知。The orthotics currently used clinically have a single function, have no drug and physical therapy effects, and cannot dynamically reduce the load. In addition, in actual use, it takes a lot of time and effort to wear a suitable orthosis. Through the detection and adjustment of external forces, it is impossible to know in time when the patient's condition worsens.

发明内容Contents of the invention

本发明的目的在于针对现有技术的缺陷和不足,提供一种结构简单、设计合理、使用方便的膝关节骨性关节炎智能矫治一体仪。The object of the present invention is to aim at the defects and deficiencies of the prior art, and provide an intelligent all-in-one instrument for knee osteoarthritis correction with simple structure, reasonable design and convenient use.

为实现上述目的,本发明采用的技术方案是:它包含大腿托、铰链、小腿托、套袜;所述的大腿托、小腿托之间通过铰链连接;大腿托的中部内置有小型低频脉冲电疗仪;铰链的中部内置有小型超短波治疗仪;小腿托的中部内置有中央控制管理装置,小腿托的侧边上设有电源插头;小腿托的下缘与套袜的上缘连接;套袜采用双层结构;套袜的足底夹层内设有光学足底压力检测仪;光学足底压力检测仪通过数据线与中央控制管理装置连接;数据线设在套袜的夹层内;中央控制管理装置与低频脉冲电疗仪控制连接;In order to achieve the above object, the technical solution adopted by the present invention is: it includes a thigh support, a hinge, a calf support, and a set of socks; the thigh support and the calf support are connected by a hinge; a small low-frequency pulse electrotherapy device is built in the middle of the thigh support A small ultrashort wave therapy device is built in the middle of the hinge; a central control and management device is built in the middle of the calf rest, and a power plug is provided on the side of the calf rest; the lower edge of the calf rest is connected with the upper edge of the sock; the sock adopts Double-layer structure; an optical plantar pressure detector is installed in the interlayer of the sock; the optical plantar pressure detector is connected to the central control management device through a data line; the data line is set in the interlayer of the sock; the central control management device Control connection with low-frequency pulse electrotherapy device;

进一步地,它还包含弹性绷带;Further, it also includes an elastic bandage;

进一步地,所述的铰链包含上铰链带、关节盘、下铰链带;上铰链带的上端与大腿托的下缘连接,下端与关节盘的上部连接;下铰链带的上端与关节盘的下部连接,下端与小腿托的上缘连接;Further, the hinge includes an upper hinge strap, an articular disc, and a lower hinge strap; the upper end of the upper hinge strap is connected to the lower edge of the thigh support, and the lower end is connected to the upper part of the joint disc; the upper end of the lower hinge band is connected to the lower part of the joint disc Connection, the lower end is connected with the upper edge of the calf support;

进一步地,所述的超短波治疗仪设在关节盘的中部内侧;Further, the ultrashort wave therapeutic apparatus is set on the inner side of the middle part of the articular disc;

进一步地,所述的关节盘内设有两个上下对称的弹簧;上下两个弹簧分别与上铰链带、下铰链带连接;Further, there are two vertically symmetrical springs inside the articular disc; the upper and lower springs are respectively connected to the upper hinge belt and the lower hinge belt;

进一步地,所述的大腿托、小腿托均包含皮革表层和海绵内衬层;大腿托上设有大腿托调节扣,小腿托上设有小腿托调节扣;Further, the thigh support and the calf support both include a leather surface layer and a sponge inner lining; the thigh support is provided with a thigh support adjustment buckle, and the calf support is provided with a calf support adjustment buckle;

进一步地,所述的中央控制管理装置包含数据分析模块、微控制器、脉冲驱动模块及数据显示模块。Further, the central control management device includes a data analysis module, a microcontroller, a pulse drive module and a data display module.

采用上述结构后,本发明有益效果为:本发明所述的膝关节骨性关节炎智能矫治一体仪,通过光学足底压力检测仪测量出患者足底压力的分布规律及步态,动态监测患者膝关节运动学及动力学变化、判断患者步态是否异常,来调节患肢关节活动范围,减少步态偏差;精准地测量患肢畸形力线,调节矫正角度,减轻关节内压力,从而及时、有效、动态地减负及矫正,同时采用股四头肌伸肌训练结合神经肌肉电刺激方法锻炼股四头肌改善膝关节,以及超短波治疗仪减轻膝关节内炎症,在消除膝关节炎症的基础上,配合畸形力线的矫正,从而达到真正的矫正与治疗双重达标,且具有结构简单、设置合理、制作成本低等优点。After adopting the above-mentioned structure, the beneficial effects of the present invention are: the knee joint osteoarthritis intelligent correction all-in-one instrument according to the present invention can measure the distribution law and gait of the patient's plantar pressure through the optical plantar pressure detector, and dynamically monitor the patient's foot pressure. Knee joint kinematics and dynamics changes, judging whether the patient's gait is abnormal, to adjust the range of motion of the affected limb joints, and reduce gait deviation; accurately measure the deformed force line of the affected limb, adjust the correction angle, and reduce the pressure in the joint, so as to timely and Effectively and dynamically reduce and correct the load, while using quadriceps extensor training combined with neuromuscular electrical stimulation to exercise the quadriceps to improve the knee joint, and ultrashort wave therapy equipment to reduce inflammation in the knee joint, on the basis of eliminating knee joint inflammation , in conjunction with the correction of the deformity line of force, so as to achieve the dual standards of real correction and treatment, and has the advantages of simple structure, reasonable setting, and low production cost.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. For those skilled in the art, other drawings can also be obtained according to these drawings without any creative effort.

图1是本发明的结构示意图。Fig. 1 is a structural schematic diagram of the present invention.

附图标记说明:Explanation of reference signs:

1、光学足底压力检测仪;2、套袜;3、中央控制管理装置;4、小腿托;5、电源插头;6、下铰链带;7、关节盘;8、上铰链带;9、大腿托;10、低频脉冲电疗仪;11、弹性绷带;12、超短波治疗仪。1. Optical plantar pressure detector; 2. Socks; 3. Central control and management device; 4. Calf support; 5. Power plug; 6. Lower hinge belt; 7. Joint plate; 8. Upper hinge belt; 9. Thigh support; 10. Low-frequency pulse electrotherapy device; 11. Elastic bandage; 12. Ultrashort wave therapy device.

具体实施方式Detailed ways

下面结合附图,对本发明作进一步的说明。Below in conjunction with accompanying drawing, the present invention will be further described.

参看图1所示,本具体实施方式采用的技术方案是:它包含大腿托9、铰链、小腿托4、套袜2;所述的大腿托9及小腿托4分别固定在大腿及小腿部;大腿托9、小腿托4之间通过铰链连接;大腿托9的中部内置有小型低频脉冲电疗仪10,低频脉冲电疗仪10上的电极片放置在紧贴于股四头肌处,在配合患者伸膝时,刺激股四头肌,从而达到股四头肌伸肌训练结合电刺激治疗膝骨性关节炎作用;铰链的中部内置有小型超短波治疗仪12;小腿托4的中部内置有中央控制管理装置3,小腿托4的侧边上设有电源插头5;小腿托4的下缘与套袜2的上缘连接;套袜2采用双层结构;套袜2的足底夹层内设有光学足底压力检测仪1;光学足底压力检测仪1用于测量足型的距离、角度、足弓高度、静态和动态重心平衡、步态进行线等,分析双脚上下左右的压力分布情况,膝关节压力的分布情况以及步态分析;光学足底压力检测仪1通过数据线与中央控制管理装置3连接,将数据反馈给中央控制管理装,3;数据线设在套袜2的夹层内;中央控制管理装置3与低频脉冲电疗仪10控制连接;Referring to shown in Fig. 1, the technical scheme adopted in this specific embodiment is: it comprises thigh support 9, hinge, calf support 4, socks 2; Described thigh support 9 and calf support 4 are respectively fixed on thigh and calf The thigh support 9 and the calf support 4 are connected by hinges; the middle part of the thigh support 9 is equipped with a small-scale low-frequency pulse electrotherapy instrument 10, and the electrode sheet on the low-frequency pulse electrotherapy instrument 10 is placed close to the quadriceps femoris. When the patient stretches the knee, the quadriceps is stimulated, so as to achieve the effect of quadriceps extensor training combined with electrical stimulation to treat knee osteoarthritis; a small ultrashort wave therapeutic device 12 is built in the middle of the hinge; a central The control management device 3 is provided with a power plug 5 on the side of the calf support 4; the lower edge of the calf support 4 is connected to the upper edge of the sock 2; the sock 2 adopts a double-layer structure; There is an optical plantar pressure detector 1; the optical plantar pressure detector 1 is used to measure the distance, angle, arch height, static and dynamic center of gravity balance, gait progress line, etc. of the foot shape, and analyze the pressure distribution of the feet up, down, left, and right situation, the distribution of knee joint pressure and gait analysis; the optical plantar pressure detector 1 is connected with the central control management device 3 through a data line, and feeds back the data to the central control management device 3; In the interlayer; the central control management device 3 is connected to the low-frequency pulse electrotherapy device 10;

它还包含弹性绷带11,所述的弹性绷带11环绕膝关节周围,稳定膝关节,当膝关节出现内外翻畸形时,可将膝关节中心往正确方向推移,从而协助矫正力线;It also includes an elastic bandage 11. The elastic bandage 11 wraps around the knee joint to stabilize the knee joint. When the knee joint deforms inside and outside, it can push the center of the knee joint in the correct direction, thereby helping to correct the line of force;

所述的铰链包含上铰链带8、关节盘7、下铰链带6;上铰链带8、下铰链带6均采用铝制材料制成;上铰链带8的上端与大腿托9的下缘连接,下端与关节盘7的上部连接;下铰链带6的上端与关节盘7的下部连接,下端与小腿托4的上缘连接;The hinge includes an upper hinge band 8, a joint plate 7, and a lower hinge band 6; the upper hinge band 8 and the lower hinge band 6 are made of aluminum; the upper end of the upper hinge band 8 is connected to the lower edge of the thigh support 9 , the lower end is connected to the upper part of the articular disc 7; the upper end of the lower hinge belt 6 is connected to the lower part of the articular disc 7, and the lower end is connected to the upper edge of the calf support 4;

所述的超短波治疗仪12设在关节盘7的中部内侧;超短波治疗仪12紧贴膝关节,通过温热效应去消散关节腔内的炎症,达到消炎止痛作用;The ultrashort wave therapeutic apparatus 12 is arranged on the inner side of the middle part of the articular disc 7; the ultrashort wave therapeutic apparatus 12 is close to the knee joint, and the inflammation in the articular cavity is dissipated through the thermal effect to achieve anti-inflammatory and analgesic effects;

所述的关节盘7内设有两个上下对称的弹簧;上下两个弹簧分别与上铰链带8、下铰链带6连接,弹簧不仅起到缓冲、减负作用,而且能够通过调节弹簧长度去改变铰链的长度;The joint disk 7 is provided with two up-and-down symmetrical springs; the upper and lower springs are respectively connected with the upper hinge band 8 and the lower hinge band 6, and the springs not only play a buffering and load-reducing role, but also can be changed by adjusting the length of the spring. the length of the hinge;

所述的大腿托9、小腿托4均包含皮革表层和海绵内衬层,贴身紧肤,防滑透气;大腿托9上设有大腿托调节扣,小腿托4上设有小腿托调节扣,可以按照患肢大小调节腿托的大小,从而达到紧贴皮肤的作用;The thigh support 9 and the calf support 4 both include a leather surface layer and a sponge lining layer, which are close to the skin, non-slip and breathable; the thigh support 9 is provided with a thigh support adjustment buckle, and the calf support 4 is provided with a calf support adjustment buckle, which can Adjust the size of the leg support according to the size of the affected limb, so as to achieve the effect of being close to the skin;

所述的中央控制管理装置3包含数据分析模块、微控制器、脉冲驱动模块及数据显示模块。中央控制管理装置3是整个矫治仪运作的核心,当患肢运动或静止时,光学足底压力检测仪1分析出该膝关节的受力分布情况,进而分析出力线、力矩等数据,把数字信息通过套袜内的数据线输送到中央控制管理装置3,做出相应的指示;The central control management device 3 includes a data analysis module, a microcontroller, a pulse drive module and a data display module. The central control management device 3 is the core of the operation of the whole orthodontic instrument. When the affected limb is moving or stationary, the optical plantar pressure detector 1 analyzes the force distribution of the knee joint, and then analyzes the data such as force line and moment, and converts the digital The information is sent to the central control management device 3 through the data line in the sock, and corresponding instructions are made;

本具体实施方式的工作原理为:本发明运用三点受力原理纠正膝关节畸形力线,第一力为环绕膝关节周围的弹性绷带对膝关节的推移力,另外两力分别由两侧铰链提供;当患者穿戴好该矫治仪,通电情况下,无论是静态下还是动态下,足部作用在光学足底压力测量仪1上;光学足底压力测量仪1通过测量足型的距离、角度,足弓高度、静态和动态重心平衡、步态进行线等,分析出双脚上下左右的压力分布情况,膝关节压力的分布情况以及步态,通过数据线把以上获得信息传递给中央控制管理装置3,判断患者步态是否异常,通过铰链旋转调整角度范围,去限制患肢关节活动范围,减少步态偏差;同时测定患肢畸形力线,所需矫正角度,进而调节双侧铰链长度,改变患肢力线,从而达到减轻关节内压力作用;关节盘7中的超声波治疗仪12在通电下以温热效应,减轻膝关节内炎症,达到消炎止痛作用;此外,当患肢伸膝时,光学足底压力检测仪1检测足底压力变化,中央控制管理装置3分析数据,判断出患肢运动情况(患肢伸膝),在每次股四头肌收缩运动时(伸膝),低频脉冲电疗仪10自动发出低频脉冲电流去刺激股四头肌收缩,而达到股四头肌伸肌训练结合电刺激治疗膝骨性关节炎作用。The working principle of this specific embodiment is: the present invention uses the three-point force principle to correct the deformed force line of the knee joint. The first force is the pushing force of the elastic bandage around the knee joint to the knee joint, and the other two forces are respectively provided by the hinges on both sides. Provided; when the patient wears the orthodontic device and is powered on, whether it is static or dynamic, the foot acts on the optical plantar pressure measuring instrument 1; the optical plantar pressure measuring instrument 1 measures the distance and angle of the foot shape , arch height, static and dynamic center of gravity balance, gait progress line, etc., analyze the pressure distribution of the feet up, down, left, and right, the distribution of knee joint pressure and gait, and pass the above information to the central control management through the data line Device 3, to determine whether the patient's gait is abnormal, and adjust the angle range through hinge rotation to limit the range of motion of the joints of the affected limb and reduce gait deviation; at the same time, measure the deformity force line of the affected limb and the required correction angle, and then adjust the length of the bilateral hinges. Change the line of force of the affected limb, so as to achieve the effect of reducing the pressure in the joint; the ultrasonic therapeutic instrument 12 in the joint disc 7 can reduce the inflammation in the knee joint with a warming effect under the electrification, and achieve the effect of anti-inflammatory and analgesic; in addition, when the affected limb stretches the knee , the optical plantar pressure detector 1 detects the change of the plantar pressure, and the central control management device 3 analyzes the data to determine the movement of the affected limb (extend the knee of the affected limb). The low-frequency pulse electrotherapy apparatus 10 automatically sends out low-frequency pulse current to stimulate the contraction of the quadriceps femoris, so as to achieve the effect of quadriceps femoris extensor training combined with electric stimulation to treat knee osteoarthritis.

以上所述,仅用以说明本发明的技术方案,而非限制本领域普通技术人员对本发明的技术方案所做的其它修改或者等同替换,只要不脱离本发明技术方案的精神和范围,均应涵盖在本发明的权利要求范围当中。The above is only used to illustrate the technical solution of the present invention, not to limit other modifications or equivalent replacements made by those skilled in the art to the technical solution of the present invention, as long as it does not depart from the spirit and scope of the technical solution of the present invention, all should fall within the scope of the claims of the present invention.

Claims (7)

1.膝关节骨性关节炎智能矫治一体仪,其特征在于它包含大腿托、铰链、小腿托、套袜;所述的大腿托、小腿托之间通过铰链连接;大腿托的中部内置有小型低频脉冲电疗仪;铰链的中部内置有小型超短波治疗仪;小腿托的中部内置有中央控制管理装置,小腿托的侧边上设有电源插头;小腿托的下缘与套袜的上缘连接;套袜采用双层结构;套袜的足底夹层内设有光学足底压力检测仪;光学足底压力检测仪通过数据线与中央控制管理装置连接;数据线设在套袜的夹层内;中央控制管理装置与低频脉冲电疗仪控制连接。1. The all-in-one instrument for intelligent correction of knee osteoarthritis is characterized in that it includes a thigh support, a hinge, a calf support, and socks; the thigh support and calf support are connected by a hinge; a small Low-frequency pulse electrotherapy device; a small ultrashort wave therapy device is built in the middle of the hinge; a central control management device is built in the middle of the calf rest, and a power plug is provided on the side of the calf rest; the lower edge of the calf rest is connected to the upper edge of the sock; The sock adopts a double-layer structure; the sole layer of the sock is equipped with an optical plantar pressure detector; the optical plantar pressure detector is connected to the central control and management device through a data line; the data line is set in the interlayer of the sock; the central The control management device is connected with the control of the low-frequency pulse electrotherapy apparatus. 2.根据权利要求1所述的膝关节骨性关节炎智能矫治一体仪,其特征在于它还包含弹性绷带。2. The integrated instrument for knee osteoarthritis intelligent correction according to claim 1, characterized in that it also includes an elastic bandage. 3.根据权利要求1所述的膝关节骨性关节炎智能矫治一体仪,其特征在于所述的铰链包含上铰链带、关节盘、下铰链带;上铰链带的上端与大腿托的下缘连接,下端与关节盘的上部连接;下铰链带的上端与关节盘的下部连接,下端与小腿托的上缘连接。3. The all-in-one instrument for knee osteoarthritis intelligent correction according to claim 1, characterized in that the hinge comprises an upper hinge strap, an articular disc, and a lower hinge strap; the upper end of the upper hinge strap and the lower edge of the thigh support Connection, the lower end is connected with the upper part of the joint disc; the upper end of the lower hinge belt is connected with the lower part of the joint disc, and the lower end is connected with the upper edge of the calf support. 4.根据权利要求1或3所述的膝关节骨性关节炎智能矫治一体仪,其特征在于所述的超短波治疗仪设在关节盘的中部内侧。4. The integrated intelligent correction instrument for knee osteoarthritis according to claim 1 or 3, characterized in that the ultrashort wave therapeutic instrument is set on the inner side of the middle part of the articular disc. 5.根据权利要求3所述的膝关节骨性关节炎智能矫治一体仪,其特征在于所述的关节盘内设有两个上下对称的弹簧;上下两个弹簧分别与上铰链带、下铰链带连接。5. The all-in-one instrument for intelligent correction of knee osteoarthritis according to claim 3, characterized in that two symmetrical springs are arranged in the articular disc; the upper and lower springs are connected with the upper hinge belt and the lower hinge respectively with connection. 6.根据权利要求1所述的膝关节骨性关节炎智能矫治一体仪,其特征在于所述的大腿托、小腿托均包含皮革表层和海绵内衬层;大腿托上设有大腿托调节扣,小腿托上设有小腿托调节扣。6. The all-in-one instrument for intelligent correction of knee osteoarthritis according to claim 1, characterized in that said thigh support and calf support both include a leather surface and a sponge inner lining; thigh support is provided with a thigh support adjustment buckle , There is a calf rest adjustment buckle on the calf rest. 7.根据权利要求1所述的膝关节骨性关节炎智能矫治一体仪,其特征在于所述的中央控制管理装置包含数据分析模块、微控制器、脉冲驱动模块及数据显示模块。7. The knee joint osteoarthritis intelligent correction all-in-one instrument according to claim 1, characterized in that said central control and management device includes a data analysis module, a microcontroller, a pulse drive module and a data display module.
CN201811037226.3A 2018-09-06 2018-09-06 Knee joint osseous arthritis intelligently rescues integrated instrument Pending CN108852584A (en)

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CN113226226A (en) * 2018-12-19 2021-08-06 奥托博克欧洲股份两合公司 knee orthosis
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CN118576467A (en) * 2024-07-31 2024-09-03 北京水木东方医用机器人技术创新中心有限公司 A portable four-in-one knee joint therapeutic device and method

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Application publication date: 20181123