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CN115501079B - Knee joint rehabilitation exercise protection device and protection method - Google Patents

Knee joint rehabilitation exercise protection device and protection method Download PDF

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Publication number
CN115501079B
CN115501079B CN202110699634.0A CN202110699634A CN115501079B CN 115501079 B CN115501079 B CN 115501079B CN 202110699634 A CN202110699634 A CN 202110699634A CN 115501079 B CN115501079 B CN 115501079B
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CN
China
Prior art keywords
guide rail
knee joint
support
bearing
linear guide
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN202110699634.0A
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Chinese (zh)
Other versions
CN115501079A (en
Inventor
李汉
赵滨
王飞
张力夫
王海岳
白森楠
韩士玉
张行周
李健
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Machinery Equipment Research Institute
Original Assignee
Beijing Machinery Equipment Research Institute
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Filing date
Publication date
Application filed by Beijing Machinery Equipment Research Institute filed Critical Beijing Machinery Equipment Research Institute
Priority to CN202110699634.0A priority Critical patent/CN115501079B/en
Publication of CN115501079A publication Critical patent/CN115501079A/en
Application granted granted Critical
Publication of CN115501079B publication Critical patent/CN115501079B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/024Knee
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00181Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0494Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/10Leg
    • A61H2205/102Knee

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  • Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Biophysics (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention relates to a knee joint rehabilitation exercise protection device and a protection method, belongs to the technical field of rehabilitation instrument equipment, and solves the problem that knee joint protection devices in the prior art influence knee blood circulation. The invention comprises a thigh support, a crank, an arc guide rail, a linear guide rail and a shank support, wherein the lower end of one side of the thigh support is sequentially connected with the arc guide rail, the linear guide rail and the upper end of one side of the shank support, and the lower end of the other side of the thigh support is connected with the upper end of the other side of the shank support through the crank. The invention does not influence the normal flexibility of the knee joint of the human body and can improve the stress condition of the knee joint.

Description

Knee joint rehabilitation exercise protection device and protection method
Technical Field
The invention relates to the technical field of rehabilitation instrument equipment, in particular to a knee joint rehabilitation exercise protection device and a protection method.
Background
Knee joints are the most complex of all joints of the human body because they bear most of the weight of the human body, and the knee joints frequently move in daily life, which are key parts of the activities of the lower limbs of the human body. Because of this, the rate of knee joint injury is also the highest in all joints. For those patients with early and middle knee osteoarthritis, pain can be reduced by taking medicines, wearing orthotics and the like, symptoms can be relieved, and for patients with advanced knee osteoarthritis, knee joint replacement is an option for effectively relieving knee pain and restoring knee joint mobility. For the patient who chooses to make knee joint replacement, because the operation process can cut off partial bone, replace the knee joint of metal material, the growth of muscle and tissue around it is a very lengthy process, so general knee joint replacement patient's postoperative recovery cycle is very long, generally 1-2 years, and the time that resumes the state before the operation is longer, so how to let the patient more fast safer spends recovery period, it makes very significant.
The current knee joint protection device plays a role in stabilizing the knee by tightening the bandage, but long-term wearing can influence the blood circulation of the knee, and has negative influence on the recovery of the knee.
Disclosure of Invention
In view of the above analysis, the present invention provides a knee joint rehabilitation exercise protection device and a protection method, which are used for solving the problem that the existing knee joint protection device affects knee blood circulation.
In one aspect, the invention provides a knee joint rehabilitation exercise protection device, which comprises a thigh support, a crank, an arc guide rail, a linear guide rail and a shank support, wherein the lower end of one side of the thigh support is sequentially connected with the arc guide rail, the linear guide rail and the upper end of one side of the shank support, and the lower end of the other side of the thigh support is connected with the upper end of the other side of the shank support through the crank.
Further, the lower end of one side of the thigh support is connected with the upper end of the circular arc guide rail, and the lower end of the circular arc guide rail is connected with the upper end of the shank support through the linear guide rail.
Further, the circular arc guide rail comprises a first guide rail part and a first sliding block part, the first guide rail part is circular arc-shaped and is arranged in an arc-shaped groove formed in the lower end of one side of the thigh support, one end of the first sliding block part is arranged in the guide rail of the first guide rail part to slide, and the other end of the first sliding block part is provided with a bearing hole.
Further, a bearing is arranged in the bearing hole, and baffle support pins and a bearing inner baffle are respectively arranged on two sides of the bearing.
Further, the bearing further comprises a linear guide rail connecting seat, one end of the linear guide rail connecting seat sequentially penetrates through the inner baffle of the bearing, the inner ring of the bearing is connected with the baffle supporting pin, and the other end of the linear guide rail connecting seat is connected with the linear guide rail.
Further, the linear guide rail comprises a second guide rail part and a second sliding block part, the second guide rail part is connected with the upper end of one side of the calf support, and the second sliding block part is connected with the linear guide rail connecting seat.
Further, when the user wears the knee joint rehabilitation exercise protection device in a standing state, the circular arc guide rail is in a horizontal state, and the crank and the linear guide rail are in a vertical state.
Further, slotted holes are formed in the lower end of the other side of the thigh support and the upper end of the other side of the shank support, two ends of the crank are arranged in the slotted holes and are provided with joint bearing holes, and joint bearings are arranged in the joint bearing holes.
Further, the thigh support and the shank support are also provided with binding bands.
On the other hand, the invention provides a knee joint rehabilitation exercise protection method, which comprises the following steps of:
The user wears the knee joint rehabilitation exercise protection device, and the length of the binding band and the tension of the elastic connecting piece are adjusted; the crank follows the inward and outward rotation of the inner side of the knee joint, and the arc guide rail follows the inward and outward rotation of the outer side of the knee joint; the knee joint rehabilitation exercise protection device moves in a sagittal plane along with the knee joint, and the elastic connecting piece provides assistance, and the knee joint rehabilitation exercise protection device moves in a coronal varus along with the knee joint.
Compared with the prior art, the invention has at least one of the following beneficial effects:
(1) The invention uses the arc guide rail to follow the internal and external rotation movement of the knee in the horizontal plane, and limits the internal and external rotation angle of the knee by the limited length of the guide rail; the bearing and the linear guide rail are utilized to follow the bending and stretching movement of the knee in the sagittal plane, so that the normal bending and stretching degree of freedom of the knee joint of the human body is not affected;
(2) The invention uses the knuckle bearing and the curved bar to follow the varus-valgus motion of the knee joint in the coronal plane, and uses the limited travel of the linear guide rail and the limited rotation angle of the knuckle bearing to limit the valgus angle of the knee joint; the elastic connecting piece is utilized to provide assistance for the knee joint, so that the stress condition of the knee joint can be improved;
(3) The length of the bandage is adjusted by utilizing the locking buckle designed by the ratchet pawl and the gear rack, the self-locking can be realized, the tightening state of the bandage is kept, the tightness of the bandage is conveniently adjusted, and the wearing comfort and the self-locking stability are improved;
(4) The knee can be ensured to move in a normal range, the angle range of internal rotation, external rotation and internal and external turning is limited, certain assistance is provided for the knee joint, the function of protecting the knee is achieved under the condition that the normal movement of the knee joint is not influenced, and a safe and good recovery environment can be provided for a patient suffering from knee osteoarthritis;
(5) The invention can guide the knee joint to move in a normal and reasonable range, can accelerate the rehabilitation process of the knee joint, and solves the problem that the existing bandage product affects the blood circulation of the knee joint.
In the invention, the technical schemes can be mutually combined to realize more preferable combination schemes. Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention may be realized and attained by the structure particularly pointed out in the written description and drawings.
Drawings
The drawings are only for purposes of illustrating particular embodiments and are not to be construed as limiting the invention, like reference numerals being used to refer to like parts throughout the several views.
FIG. 1 is a schematic view of the overall structure of a knee joint rehabilitation exercise protection device according to an embodiment;
FIG. 2 is a cross-sectional view of a circular arc rail connection structure of an embodiment;
FIG. 3 is a schematic diagram of a circular arc guide rail structure according to an embodiment (I);
FIG. 4 is a schematic diagram of a circular arc guide rail structure according to a second embodiment;
FIG. 5 is a schematic diagram of a circular arc guide rail structure according to an embodiment (III);
FIG. 6 is a schematic view of a linear guide structure according to an embodiment;
FIG. 7 is a cross-sectional view of a crank attachment structure of an embodiment;
FIG. 8 is a schematic view (I) of a latch according to an embodiment;
FIG. 9 is a cross-sectional view (I) of a latch mechanism according to an embodiment;
FIG. 10 is a schematic view of a latch structure of a second embodiment;
FIG. 11 is a cross-sectional view (II) of a latch mechanism according to an embodiment;
FIG. 12 is a schematic view of a rack and pinion connection structure of the embodiment of the locking buckle;
The sagittal plane motion schematic of the knee rehabilitation motion protector of the embodiment of fig. 13 (one);
The sagittal plane motion schematic of the knee rehabilitation motion protector of the embodiment of fig. 14 (ii);
the schematic representation (one) of the coronal motion of the knee joint rehabilitation exercise protection device of the embodiment of fig. 15;
the schematic diagram of the coronal motion of the knee joint rehabilitation exercise protection device (two) of the embodiment of fig. 16.
Reference numerals:
1-thigh support; 2-bandages; 3-locking buckle; 31-positioning a bracket; 32-rack guide rails; 33-top plate; 34-side plates; 35-a bottom plate; 4-thigh protection pad; 5-a curved bar; 6-a shank protection pad; 7-arc guide rails; 71-a first rail portion; 72-a first slider portion; 8-elastic connection piece; 9-a baffle support pin; 10-linear guide rails; 101-a second rail portion; 102-a second slider portion; 11-a lower leg support; 12-a bearing; 13-baffle support pin set screw; 14-a bearing inner baffle; 15-a linear guide rail connecting seat; 16-knuckle bearing; 17-joint bearing pins; 18-a bearing outer clamp spring; 19-a snap spring in the bearing; 20-ratchet toggle pin; 21-spring pressure pins; 22-pawl springs; 23-pawl; 24-ratchet wheel; 25-racks; 26-a serrated platen; 27-locking buckle support; 28-connecting pins; 29-thrust pins.
Detailed Description
The following detailed description of preferred embodiments of the invention is made in connection with the accompanying drawings, which form a part hereof, and together with the description of the embodiments of the invention, are used to explain the principles of the invention and are not intended to limit the scope of the invention.
In describing embodiments of the present invention, it should be noted that, unless explicitly stated and limited otherwise, the term "coupled" should be interpreted broadly, for example, as being fixedly coupled, detachably coupled, integrally coupled, mechanically coupled, electrically coupled, directly coupled, or indirectly coupled via an intermediate medium. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
The terms "top," "bottom," "above … …," "below," and "on … …" are used throughout to describe relative positions with respect to components of the device, such as the relative positions of the top and bottom substrates inside the device. It will be appreciated that the devices are versatile, irrespective of their orientation in space.
Because of the current knee joint protection appliances, the knee is stabilized by tightening the bandage, but long-term wear can affect the blood transport of the knee, negatively affecting the recovery of the knee. The invention aims to provide a knee joint rehabilitation exercise protection device and a protection method, which play a role in stabilizing knee joints, reduce the influence on the blood circulation of the knee joints, and enable inflammatory patients after knee joint replacement to recover the exercise capacity faster and recover normal life.
Example 1
In one embodiment of the present invention, as shown in fig. 1, a knee joint rehabilitation exercise protection device is disclosed, which comprises a thigh support 1, a crank 5, an arc guide rail 7, a linear guide rail 10 and a shank support 11, wherein the lower end of one side of the thigh support 1 is sequentially connected with the arc guide rail 7, the linear guide rail 10 and the upper end of one side of the shank support 11, and the lower end of the other side of the thigh support 1 is connected with the upper end of the other side of the shank support 11 through the crank 5.
Compared with the prior art, the knee joint rehabilitation exercise protection device provided by the embodiment has the advantages that one side of the thigh support is connected with one side of the calf support through the arc guide rail and the linear guide rail which are connected with each other, the other side of the thigh support is connected with the other side of the calf support through the crank, the knee can be ensured to move in a normal range, the angle range of inward and outward rotation and inward and outward turning can be limited, the knee can be protected under the condition that the normal movement of the knee joint is not influenced, and a safe and good recovery environment can be provided for a patient suffering from knee osteoarthritis; the device has solved the problem that current bandage product influences knee joint blood and moves, can guide knee joint in normal reasonable within range, can accelerate knee joint's rehabilitation process.
In a natural state, that is, in a standing state in which the user wears the protector, the circular arc guide rail 7 is in a horizontal state, and the crank 5 and the linear guide rail 10 are in a vertical state.
The thigh support 1 is a semi-cylinder-like structure, the circular arc of the semi-cylinder-like structure is adopted to adapt to the thigh of a user, lugs are respectively arranged on two sides of the thigh support 1, the lugs are connected with the binding bands 2, specifically, one end of each binding band 2 is fixedly connected with the lugs on one side of the thigh support 1 through rivets, the other end of each binding band is connected with the lugs on the other side of the thigh support 1 through an adjusting locking mechanism, and the adjusting locking mechanism is arranged on the lugs of the thigh support 1.
In this embodiment, in order to adapt to the wearing of different users, the length of the binding band 2 is adjusted by adopting the adjusting and locking mechanism, and the adjusting and locking mechanism can only realize the length adjustment of the binding band 2.
In order to firmly connect the thigh support 1 with the user, the upper and lower ends of the thigh support 1 are respectively provided with a strap 2.
In this embodiment, the adjusting locking mechanism is a locking buckle 3, the locking buckle 3 is fixed on the thigh support 1 through a rivet, and the tightening length of the bandage 2 is changed to match the thigh diameter of a wearer.
As shown in fig. 8-11, the locking buckle 3 comprises a ratchet 24, a rack 25 and a locking buckle support 27, the locking buckle support 27 is provided with a positioning support 31 and a rack guide rail 32, the positioning support 31 is perpendicular to the rack guide rail 32, the positioning support 31 is used for positioning the space position of the ratchet 24, the rack guide rail 32 provides sliding navigation for the movement of the rack 25, two ends of a shaft of the ratchet 24 are arranged on the positioning support 31, two sides of the ratchet 24 are respectively provided with a gear, the gears are matched with the rack 25, and the rack 25 slides in the rack guide rail 32.
Specifically, the locking buckle support 27 is of a '匚' shape structure and is formed by a top plate 33, a side plate 34 and a bottom plate 35, a rack guide rail 32 is arranged in the middle of the side plate 34, two support columns are arranged on two sides of the bottom plate 35 to form a positioning support 31, and two ends of a shaft of the ratchet wheel 24 are rotatably connected with the tops of the support columns.
For pressing the strap 2, the locking buckle 3 further comprises a serrated pressure plate 26, and for better adapting to the strap 2 of different shapes and compacting the strap 2, one end of the rack 25 is hinged with the serrated pressure plate 26 by a connecting pin 28, and the other end slides in the rack guide 32, considering that the thickness of the strap 2 may be uneven. The two ends of the saw-tooth pressing plate 26 are limited between the top plate 33 and the bottom plate 35 of the locking buckle bracket 27, and when the rack 25 slides in the rack guide rail 32, the distance between the saw-tooth pressing plate 26 and the binding belt 2 can be changed, so that the binding belt 2 can be pressed or loosened. The gap exists between the two ends of the saw-tooth pressing plate 26 and the top plate 33 and the bottom plate 35, so that interference is avoided when the saw-tooth pressing plate 26 deflects. Preferably, the binding band 2 is provided with a plurality of holes matched with the sawtooth pressing plate 26, and the binding band 2 can be firmly pressed through the matching of the sawtooth pressing plate 26 and the holes at different positions on the binding band 2.
In order to compress the adjusted binding band 2, the locking buckle 3 further comprises a spring pressure pin 21, a pawl spring 22 and a pawl 23, wherein the spring pressure pin 21 is provided with threads and is arranged in a threaded hole of a top plate 33 of the locking buckle support 27, the lower end of the spring pressure pin 21 is fixedly connected with one end of the pawl spring 22, the other end of the pawl spring 22 is fixedly connected with one end of the pawl 23, and the other end of the pawl 23 (the tail end of the pawl 23) is hinged with the locking buckle support 27.
As another possibility of this embodiment, one end of the pawl spring 22 is connected to the latch bracket 27, the other end is connected to the front end of the pawl 23, the rear end of the pawl 23 is hinged to the latch bracket 27, the pawl 23 is in a rebound state under the action of the pawl spring 22, the lower end of the spring pressure pin 21 abuts against the front end of the pawl 23, the pawl 23 can be made to catch the ratchet 24 when the spring pressure pin 21 moves downward, and the pawl 23 rebounds to disengage from the ratchet 24 under the action of the pawl spring 22 when the spring pressure pin 21 moves upward. It should be noted that, in this embodiment, the front end of the pawl 23 refers to an end of the pawl 23 for limiting rotation of the ratchet 24.
The locking buckle 3 further comprises a ratchet toggle pin 20 and a thrust pin 29, one end of the ratchet toggle pin 20 is arranged in a hole at the top of the locking buckle support 27, the other end of the ratchet toggle pin passes through the top plate 33 and is provided with a bar-shaped slotted hole, the bar-shaped slotted hole is parallel to the rack guide rail 32, an arc-shaped slotted hole is formed in the ratchet 24, one end of the thrust pin 29 is arranged in the bar-shaped slotted hole, the other end of the thrust pin 29 is arranged in the arc-shaped slotted hole of the ratchet 24, along with the downward movement of the ratchet toggle pin 20, the thrust pin 29 moves in the bar-shaped slotted hole at the lower end of the ratchet toggle pin 20, the ratchet 24 is driven to rotate, and as shown in fig. 12, a gear fixedly connected with the ratchet 24 synchronously rotates, and further the rack 25 is driven to move outwards, and the toothed pressing plate 26 compresses the bandage 2.
It should be noted that the plurality of arc-shaped slots on the ratchet 24 are provided, and the plurality of arc-shaped slots are communicated but not concentrically arranged, so that the thrust pin 29 has an impetus at the junction of the two arc-shaped slots during the pressing down process of the ratchet toggle pin 20, thereby pushing the ratchet 24 to rotate. Preferably, in this embodiment, three arc slots are provided. Preferably, each arcuate slot is the same length.
Further, a spring is sleeved on the periphery of the ratchet toggle pin 20, the spring is arranged in a hole of the top plate 33, one end of the spring abuts against the lower end of a pin cap of the ratchet toggle pin 20, and the other end of the spring abuts against the bottom of the hole, so that the ratchet toggle pin 20 can rebound under the action of the spring after being pressed down.
In this embodiment, when the pressure spring pin 21 is screwed, the pawl spring 22 bears pressure to press the pawl 23 on the pawl 24, when the ratchet toggle pin 20 is pressed, the ratchet 24 rotates clockwise, when the saw-tooth pressing plate 26 moves to a proper position, the ratchet 24 cannot rotate reversely under the action of the pawl 23, the saw-tooth pressing plate 26 is locked, and the bandage 2 is kept taut all the time; when the length of the bandage 2 needs to be adjusted, the pressure spring pin 21 is unscrewed, the pawl 23 is pulled away from the ratchet wheel, the ratchet wheel is pulled upwards to stir the pin 20, the sawtooth pressing plate 26 is retracted, and the spring pressure pin 21 is screwed after the completion.
In the embodiment, the length of the bandage 2 is adjusted by utilizing the locking buckle 3 designed by the ratchet wheel, the pawl and the gear rack, and the self-locking is realized by the ratchet wheel 24 and the pawl 23, so that the tightening state of the bandage 2 can be kept at any time, and the wearing comfort is improved.
As shown in fig. 2, the lower end of the thigh support 1 is connected to the upper end of the circular arc rail 7, and the lower end of the circular arc rail 7 is connected to the upper end of the shank support 11 via the linear rail 10. The circular arc guide rail 7 includes a first guide rail portion 71 and a first slider portion 72, the first guide rail portion 71 is circular arc-shaped, one end of the first slider portion 72 is provided in the guide rail of the first guide rail portion 71 to slide, and the other end is provided with a bearing hole.
The first rail portion 71 is connected to the lower end of the thigh support 1, specifically, the lower end of the thigh support 1 is provided with an arc groove, the first rail portion 71 is disposed in the arc groove by a screw, and the rotation angle of the first slider portion 72 with respect to the thigh support 1 is limited within a certain range by limiting the sliding of the first slider portion 72 by the arc groove of the thigh support 1 and the first rail portion 71.
The bearing 12 is provided in a bearing hole in the lower end of the first slider portion 72, the bearing inner baffle 14 is provided inside the bearing hole, and the outer ring of the bearing 12 is fixed in the bearing hole by the bearing inner baffle 14. The outside of bearing hole is equipped with baffle supporting pin 9, and the centre of baffle supporting pin 9 is equipped with the through-hole, and baffle supporting pin set screw 13 locates in the through-hole, and baffle supporting pin 9 is connected to one end, and linear guide connecting seat 15 is connected to the other end. The cylindrical portion of the linear guide connecting seat 15 is disposed in the inner ring of the bearing 12, and the baffle support pin fixing screw 13 is connected in a threaded hole of the cylindrical portion. The linear guide connecting seat 15 further comprises a connecting portion, the cylindrical portion is arranged on the connecting portion, and the connecting portion is connected with the linear guide 10.
It is noted that the first slider portion 72 includes an upper portion and a lower portion, the upper portion and the lower portion are connected by a hinge, the upper portion of the first slider portion 72 can rotate around the center of the lower portion of the first slider portion 72 within a certain angle range, the upper end of the lower portion of the first slider portion 72 is in a Y-shaped structure, and the limit of the lower end of the upper portion of the first slider portion 72 is achieved through the Y-shaped structure, so that the leg rest 11 connected by the arc guide rail 7 achieves the inside-out turning at a certain angle. In the present embodiment, the upper portion of the first slider portion 72 slides in cooperation with the first rail portion 71.
In this embodiment, two sides of the bearing 12 are respectively provided with a baffle support pin 9 and a bearing inner baffle 14, a cylindrical part of the linear guide rail connecting seat 15 passes through the bearing inner baffle 14 and is arranged in an inner ring of the bearing 12, the baffle support pin 9 and the cylindrical part are connected through a baffle support pin fixing screw 13, and the circular arc guide rail 7 and the linear guide rail 10 are connected through the linear guide rail connecting seat 15 while the limit of the bearing 12 is realized, so that the structure is simple and compact.
As shown in fig. 6, the linear guide 10 includes a second guide portion 101 and a second slider portion 102, the second guide portion 101 being disposed vertically and connected to the upper end of the calf support 11 by a screw, the second slider portion 102 being engaged with the second guide portion 101 and sliding on the second guide portion 101. The connecting portion of the linear guide connecting seat 15 is fixedly connected with the second slider portion 102.
The knee joint rehabilitation exercise protection device further comprises an elastic connecting piece 8 and connecting nails, wherein the connecting nails are arranged at the lower end of one side of the thigh support 1 and the upper end of one side of the shank support 11, and are specifically arranged at one side of the connecting arc guide rail 7, and two ends of the elastic connecting piece 8 are respectively connected with the connecting nails arranged at the lower end of the thigh support 1 and the connecting nails arranged at the upper end of the shank support 11. Preferably, the elastic connection is an elastic cord.
In order to provide different magnitudes of assistance, a plurality of connecting nails are uniformly distributed in the horizontal direction, and the magnitude of assistance can be changed by selecting connecting nails at different positions on the thigh support 1 and the shank support 11 and adjusting the tensioning degree of the elastic connecting piece 8.
It is noted that the middle portion of the elastic connection member 8 bypasses the barrier support pin 9, and specifically, both ends of the spring connection member 8 are connected with the connection nails of the thigh bracket 1 and the shank bracket 11, and the middle portion of the spring connection member 8 is in contact with the front side of the barrier support pin 9 and receives a tensile force from the elastic connection member 8. The anterior side in this embodiment is referred to as the knee side.
As another possibility of this embodiment, the other side of the thigh support 1 is also provided with an elastic connecting piece 8, the lower end of the other side of the thigh support 1 is provided with a plurality of connecting nails which are horizontally and uniformly distributed, the upper end of the other side of the shank support 11 is also provided with a baffle support pin 9, the baffle support pin 9 is higher than the connecting nails which are arranged on the same side of the shank support 11, two ends of the elastic connecting piece 8 are respectively connected with the connecting nails, the middle part bypasses the baffle support pin 9, and the power assisting size can be changed by selecting the connecting nails at different positions on the thigh support 1 and the shank support 11 and adjusting the tensioning degree of the elastic connecting piece 8. In this embodiment, the elastic connection members 8 simultaneously provided on both sides of the protection device provide assistance together.
The lower end of the other side of the thigh support 1 is connected with the upper end of the other side of the shank support 11 through a crank 5, as shown in fig. 7, a slotted hole is arranged at the lower end of the other side of the thigh support 1, one end of the crank 5 is arranged in the slotted hole, a knuckle bearing hole is arranged at one end of the crank 5, a knuckle bearing 16 is arranged inside the knuckle bearing 16, and the knuckle bearing 16 is connected with the lower end of the other side of the thigh support 1 through a knuckle bearing pin 17.
Considering the limit of the joint bearing pin 17 on the thigh support 1, the joint bearing pin 17 is provided with a clamp spring groove, the clamp spring groove is positioned on the outer side of the lower end of the thigh support 1, one end of the joint bearing pin 17 penetrates through the lower end of the thigh support 1 and is limited by the outer clamp spring 18 of the bearing, and the other end of the joint bearing pin is limited by the pin head of the joint bearing pin 17.
The upper end of the other side of the shank bracket 11 is provided with a slotted hole, the other end of the crank 5 is arranged in the slotted hole, the other end of the crank 5 is provided with a knuckle bearing hole, a knuckle bearing 16 is arranged in the knuckle bearing 16, and the knuckle bearing 16 is connected with the upper end of the other side of the shank bracket 11 through a knuckle bearing pin 17.
Considering the limit of the joint bearing pin 17 on the lower leg support 11, the joint bearing pin 17 is provided with a clamp spring groove, the clamp spring groove is positioned on the outer side of the upper end of the lower leg support 11, one end of the joint bearing pin 17 penetrates through the upper end of the lower leg support 11 and is limited by the outer clamp spring 18 of the bearing, and the other end of the joint bearing pin is limited by the pin head of the joint bearing pin 17.
Considering the limit of the knuckle bearing 16, the knuckle bearing holes at the two ends of the crank 5 are internally provided with snap spring grooves, and the snap springs 19 in the bearings are arranged in the snap spring grooves in the knuckle bearing holes to limit the axial movement of the knuckle bearing 16.
The shank support 11 is of a semi-cylinder-like structure, an arc of the semi-cylinder-like structure is adopted to adapt to the shank of a user, lugs are respectively arranged on two sides of the shank support 11, the lugs are connected with the binding bands 2, specifically, one end of each binding band 2 is fixedly connected with one lug on one side of the shank support 11 through rivets, the other end of each binding band is connected with one lug on the other side of the shank support 11 through an adjusting locking mechanism, and the adjusting locking mechanism is arranged on the lugs of the shank support 11.
In this embodiment, in order to adapt to the wearing of different users, the length of the binding band 2 is adjusted by adopting the adjusting and locking mechanism, and the adjusting and locking mechanism can only realize the length adjustment of the binding band 2.
In order to firmly connect the lower leg supporter 11 to the user, the upper and lower ends of the lower leg supporter 11 are respectively provided with a strap 2.
In this embodiment, the adjusting locking mechanism is a locking buckle 3, the locking buckle 3 is fixed on the shank bracket 11 through a rivet, and the tightening length of the bandage 2 is changed to match the shank diameter of the wearer.
In order to protect the legs of the user, the knee joint rehabilitation exercise protecting device further comprises a thigh protecting pad 4 and a shank protecting pad 6, wherein the thigh protecting pad 4 and the shank protecting pad 6 are respectively arranged at the inner side of the lower end of the thigh support 1 and the inner side of the upper end of the shank support 11.
In this embodiment, thigh support 1 passes through bandage 2, thigh protection pad 4 and the laminating of thigh, and shank support 11 passes through bandage 2, shank protection pad 6 and the laminating of shank, and the protection pad can cushion pressure, makes the better laminating knee joint of device.
The knee joint rehabilitation exercise protection device comprises three directions of movement angles: the angle of the knee in the horizontal plane, the angle of flexion and extension in the sagittal plane, and the angle of varus and valgus in the coronal plane.
Controlling the angle of the inward and outward rotation movement of the horizontal plane of the knee joint rehabilitation movement protection device: one side of the thigh support 1 is connected with the crank 5 through a knuckle bearing 16, and as shown in fig. 7, the side connection mode of the device limits the internal and external rotation angle between the thigh support 1 and the shank support 11 within a certain angle by virtue of the motion characteristic of the knuckle bearing 16; the other side of the thigh support 1 is connected with the arc guide rail 7 through a screw, as shown in fig. 2-5, two ends of the arc guide rail 7 are attached to two ends of the structure of the thigh support 1, and the first slider part 72 is limited to slide within a range of +/-10 degrees around the central axis of the thigh support 1, so that the device can fit the internal and external rotation angle of the knee joint in the horizontal plane.
Control of sagittal plane flexion and extension angle of knee joint rehabilitation exercise protection device: one side of the thigh support 1 is connected with the crank 5 through a knuckle bearing 16, as shown in fig. 7, the knuckle bearing 16 does not limit the rotational freedom degree around the center thereof; the other side of the thigh support 1 is connected with the shank support 11 through the bearing 12, the bearing 12 also does not limit the rotation freedom degree around the center of the bearing, the connection mode of the two sides does not limit the rotation freedom degree of the knee joint in the sagittal plane, the knee joint can be ensured to move in the normal gait, and the normal flexion and extension freedom degree is not influenced. As shown in fig. 13-14, one end of the elastic connecting piece 8 is connected to the connecting nail of the thigh support 1, the middle is wound to the connecting nail of the shank support 11 through the baffle support pin 9, and when the device is worn by a user, the elastic connecting piece 8 provides assistance for the knee joint in the knee joint bending and stretching process.
The angle control of the varus-valgus motion of the coronal plane of the knee joint rehabilitation motion protection device: one side of the thigh support 1 is connected with the crank 5 through the knuckle bearing 16, as shown in fig. 7, the crank 5 can rotate in the coronal plane through the knuckle bearing 16, and the rotation range of the deflection angle of the knuckle bearing 16 is + -6 degrees; the other side of the thigh support 1 is connected with the shank support 11 through the linear guide rail 10, the second sliding block part 102 can slide along the second guide rail part 101 in the sagittal plane, the upper part and the lower part of the first sliding block part 72 are hinged, the length of the linear guide rail 10 is fixed, the sliding range of the second sliding block part 102 is fixed, and the inside-out turning angle of the side in the sagittal plane is fixed. The device can limit the varus and valgus angle of the knee joint in the sagittal plane through the knuckle bearing 16 and the linear guide rail 10, and plays a role in protecting the knee joint, as shown in fig. 15-16.
Example 2
In another embodiment of the present invention, a knee joint rehabilitation exercise protection method is disclosed, and the knee joint rehabilitation exercise protection device of embodiment 1 is adopted, and the steps include:
The user wears the protection device, adjusts the length of the strap 2 and the tension of the elastic connection 8: specifically, the user wears the protector, and through thigh bandage 2 and shank bandage 2 laminating user's thigh and shank, thigh protection pad 4 and shank protection pad 6 laminating knee joint, through locking knot 3 adjustment bandage length. The user adjusts the tension of the elastic connecting piece 8 to a proper size by adjusting the positions of the connecting rings at the two ends of the elastic connecting piece 8 and the connecting nails on the thigh bracket 1 and the connecting nails on the shank bracket 11.
The crank 5 follows the internal and external rotation of the inner side of the knee joint, and the arc guide rail 7 follows the internal and external rotation of the outer side of the knee joint: specifically, after the user finishes wearing in place, in the normal gait of patient walking, the joint bearing 16 is connected with the crank 5 in a matched manner, the crank 5 has a certain movement angle in the horizontal plane, can follow the internal and external rotation of the inner side of the knee joint, the arc guide rail 7 can follow the internal and external rotation of the outer side of the knee joint, and the device can control the internal and external rotation angle of the inner side and the outer side of the knee joint within a certain range so as to prevent the damage of the knee joint in the internal and external rotation direction.
The guard follows the knee joint in the sagittal plane and the resilient connection 8 provides assistance, the guard following the knee joint in the coronal varus motion. Specifically, through the matched connection of the knuckle bearing 16 and the crank 5, the linear guide rail 10 is matched and connected with the bearing 12, the device has a certain movement angle in the sagittal plane, can follow the movement of the knee joint in the sagittal plane, and the elastic connecting piece 8 can provide assistance for the movement of the knee joint, so that the stress condition of the knee joint is improved; through the cooperation connection of the knuckle bearing 16 and the crank 5, the upper sliding block of the linear guide rail 10 and the up-and-down movement of the guide rail, and the hinge joint of the upper sliding block part 72 and the lower sliding block part, the device has a certain movement angle in the coronal plane, can follow the knee joint to move in a certain range in an inside-out way, and protects the movement of the knee joint in the coronal plane.
According to the knee joint rehabilitation movement protection device, the device is enabled to perform internal and external rotation movement along a knee in a horizontal plane by utilizing the sliding of the circular arc guide rail 7 and the joint rotation of the joint bearing 16, the limited guide rail travel and the limited joint bearing 16 movement angle can limit the internal and external rotation angle of the knee, the movement angle is enabled to be not more than 40 degrees, and the stability of the knee joint in the internal and external rotation direction is ensured; the connecting and matching of the bearing 12 and the linear guide rail 7 are utilized, so that the movement resistance of the device to the human body is reduced, the elastic connecting piece 8 is utilized to provide assistance for knee joint flexion and extension, the stress condition of the knee joint is improved, and the influence of the device to the normal gait of the human body in the sagittal plane is reduced; the device varus angle is limited by utilizing the limited angle of the knuckle bearing 16 and the limited stroke of the linear guide rail 10 to limit the device varus angle by utilizing the knuckle bearing 16 and the crank 5 to follow the varus motion of the knee joint in the coronal plane, so that the varus angle is controlled within 10 degrees, and the limitation of the knee joint valgus angle is realized; the length of the bandage is adjusted by utilizing the locking buckle 3 designed by the ratchet pawl and the gear rack, self-locking is realized by the ratchet pawl, the tightening state of the bandage can be kept at any time, and the wearing comfort is improved.
The invention uses the arc guide rail to follow the internal and external rotation movement of the knee in the horizontal plane, and limits the external rotation angle of the knee through the limited length of the guide rail; the bearing and the linear guide rail are utilized to follow the bending and stretching movement of the knee in the sagittal plane, so that the normal bending and stretching degree of freedom of the knee joint of the human body is not affected; the knee joint is driven to turn inwards and outwards in the coronal plane by utilizing the knuckle bearing and the bent rod, and the varus angle of the knee joint is limited by utilizing the limited travel of the linear guide rail and the limited rotation angle of the knuckle bearing; the elastic connecting piece is utilized to provide assistance for the knee joint, so that the stress condition of the knee joint can be improved; the length of the bandage is adjusted by utilizing the locking buckle designed by the ratchet pawl and the gear rack, self-locking can be realized, the tightening state of the bandage is maintained, and the wearing comfort is improved.
The knee can be ensured to move in a normal range, the angle range of internal rotation, external rotation and internal and external turning is limited, certain assistance is provided for the knee joint, the function of protecting the knee is achieved under the condition that the normal movement of the knee joint is not influenced, and a safe and good recovery environment can be provided for a patient suffering from knee osteoarthritis; solves the problem that the prior bandage product affects the blood circulation of the knee joint, can guide the knee joint to move in a normal and reasonable range, and can accelerate the rehabilitation process of the knee joint.
The present invention is not limited to the above-mentioned embodiments, and any changes or substitutions that can be easily understood by those skilled in the art within the technical scope of the present invention are intended to be included in the scope of the present invention.

Claims (4)

1.一种膝关节康复运动防护装置,其特征在于,包括大腿支架(1)、曲柄(5)、圆弧导轨(7)、直线导轨(10)、小腿支架(11)和直线导轨连接座(15),所述大腿支架(1)的一侧下端依次连接所述圆弧导轨(7)、所述直线导轨(10)和所述小腿支架(11)的一侧上端,所述大腿支架(1)的另一侧下端通过所述曲柄(5)与所述小腿支架(11)的另一侧上端连接;1. A knee joint rehabilitation sports protection device, characterized in that it comprises a thigh support (1), a crank (5), an arc guide rail (7), a linear guide rail (10), a calf support (11) and a linear guide rail connecting seat (15), wherein the lower end of one side of the thigh support (1) is connected to the arc guide rail (7), the linear guide rail (10) and the upper end of one side of the calf support (11) in sequence, and the lower end of the other side of the thigh support (1) is connected to the upper end of the other side of the calf support (11) through the crank (5); 所述大腿支架(1)一侧的下端与所述圆弧导轨(7)的上端连接,所述圆弧导轨(7)的下端通过所述直线导轨(10)与所述小腿支架(11)的上端连接;The lower end of one side of the thigh support (1) is connected to the upper end of the circular arc guide rail (7), and the lower end of the circular arc guide rail (7) is connected to the upper end of the calf support (11) via the linear guide rail (10); 所述圆弧导轨(7)包括第一导轨部(71)和第一滑块部(72),所述第一导轨部(71)为圆弧形,并设于所述大腿支架(1)一侧的下端设的弧形槽内,所述第一滑块部(72)的一端设于所述第一导轨部(71)的导轨内滑动,另一端设有轴承孔;The arc guide rail (7) comprises a first guide rail portion (71) and a first slider portion (72); the first guide rail portion (71) is arc-shaped and is arranged in an arc-shaped groove arranged at the lower end of one side of the thigh support (1); one end of the first slider portion (72) is arranged in the guide rail of the first guide rail portion (71) for sliding, and the other end is provided with a bearing hole; 所述轴承孔内设有轴承(12),所述轴承(12)的两侧分别设有挡板支撑销(9)和轴承内挡板(14);A bearing (12) is provided in the bearing hole, and baffle support pins (9) and bearing inner baffles (14) are provided on both sides of the bearing (12); 所述直线导轨连接座(15)的一端依次穿过所述轴承内挡板(14)、所述轴承(12)的内圈与所述挡板支撑销(9)连接,另一端与所述直线导轨(10)连接;One end of the linear guide rail connecting seat (15) passes through the inner baffle plate (14) of the bearing, the inner ring of the bearing (12) and is connected to the baffle support pin (9), and the other end is connected to the linear guide rail (10); 所述直线导轨(10)包括第二导轨部(101)和第二滑块部(102),所述第二导轨部(101)与所述小腿支架(11)的一侧上端连接,所述第二滑块部(102)与所述直线导轨连接座(15)连接。The linear guide rail (10) includes a second guide rail portion (101) and a second slider portion (102), wherein the second guide rail portion (101) is connected to an upper end of one side of the calf support (11), and the second slider portion (102) is connected to the linear guide rail connecting seat (15). 2.根据权利要求1所述的膝关节康复运动防护装置,其特征在于,当使用者穿戴所述膝关节康复运动防护装置站立状态下,所述圆弧导轨(7)处于水平状态,所述曲柄(5)和所述直线导轨(10)处于竖直状态。2. The knee joint rehabilitation exercise protection device according to claim 1 is characterized in that when the user wears the knee joint rehabilitation exercise protection device and stands, the arc guide rail (7) is in a horizontal state, and the crank (5) and the linear guide rail (10) are in a vertical state. 3.根据权利要求1所述的膝关节康复运动防护装置,其特征在于,所述大腿支架(1)另一侧下端、所述小腿支架(11)另一侧上端均设有槽孔,所述曲柄(5)的两端设于所述槽孔内,且设有关节轴承孔,所述关节轴承孔内设有关节轴承(16)。3. The knee joint rehabilitation exercise protection device according to claim 1 is characterized in that a slot hole is provided at the lower end of the other side of the thigh support (1) and the upper end of the other side of the calf support (11), and both ends of the crank (5) are arranged in the slot hole and are provided with a joint bearing hole, and a joint bearing (16) is provided in the joint bearing hole. 4.根据权利要求1所述的膝关节康复运动防护装置,其特征在于,所述大腿支架(1)和所述小腿支架(11)上还设有绑带(2)。4. The knee joint rehabilitation sports protection device according to claim 1 is characterized in that straps (2) are also provided on the thigh support (1) and the calf support (11).
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CN103932870B (en) * 2014-05-04 2016-04-13 浙江大学 Bionic Design lower limb rehabilitation training ectoskeleton
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