CN102415934A - Noninvasive knee joint stiffness function recovery device - Google Patents

Noninvasive knee joint stiffness function recovery device Download PDF

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Publication number
CN102415934A
CN102415934A CN2010102330807A CN201010233080A CN102415934A CN 102415934 A CN102415934 A CN 102415934A CN 2010102330807 A CN2010102330807 A CN 2010102330807A CN 201010233080 A CN201010233080 A CN 201010233080A CN 102415934 A CN102415934 A CN 102415934A
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China
Prior art keywords
protector
knee
thigh
shank
knee joint
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Pending
Application number
CN2010102330807A
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Chinese (zh)
Inventor
汤福刚
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Individual
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Individual
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Priority to CN2010102330807A priority Critical patent/CN102415934A/en
Publication of CN102415934A publication Critical patent/CN102415934A/en
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Abstract

The invention relates to a noninvasive knee joint stiffness function recovery device for changing the stiffness state of a knee joint and recovering the stretching and bending functions of the knee joint. The device consists of crus protectors, a knee auxiliary frame, a force application adjusting mechanism, thigh protectors and connecting nuts, wherein the crus protectors are combined with the thigh protectors in a hinge type, the force application adjusting mechanism, the crus protectors and the thigh protectors constitute a four bar mechanism which is positioned under a hinge joint, and the knee auxiliary frame is positioned above the hinge joint. The invention provides a device for changing the stiffness state of the knee joint and recovering the stretching and bending functions of the knee joint, which is based on a human body adaptation idea, and has the advantages of simple structure, casually controllable force application, no need of operation, no invasion and no side effects.

Description

No wound stiff knee functional rehabilitation device
Technical field
The orthopaedics that the present invention relates to stiff knee is corrected the field.Relate in particular to change stiff knee state, recover a kind of no wound stiff knee recovery device that knee joint is stretched Qu Gongneng.
Background technology
Stiff knee is meant that patient's knee joint is in and stretches or be in certain angularity attitude, can not free bend or stretch, and perhaps can only be in the phenomenon in the small angle range.Have a strong impact on patient's life quality, making the patient handicapped, even losing certain work capacity.
Cause the reason of stiff knee, be since the patient because of wounds such as tibiofibula, Fracture of femur, with operation or plaster fixation when treatment; Make the knee joint time be in a kind of posture, wound site forms cicatrix, fiber adhesion, especially knee joint peripheral soft tissue; Comprise the cripetura of motor key generation physiological, knee joint is in straight configuration for a long time during like treatment, and then the soft tissue in knee joint the place ahead shortens; After treatment is accomplished, during the knee joint bending that stretches, because of the place ahead soft tissue cripetura can not be extended; Limit kneed flexing, stiff knee occurred.If crooked by force, gently then cause arthralgia, heavy then will cause tissue to pull or secondary is fractured.
The method of treatment stiff knee has two types at present: the one, directly elongate the tissues such as flesh key of the part of cripetura; Another kind of is through knee joint being applied an external force; Through metabolic processes the soft tissue generation physiological change of cripetura is increased, stretch curved attitude to adapt to.
The method that operation is loosened just belongs to the first kind; Through artificial elongation the loosen part of cicatrix, adhesion of soft tissue or the operation of cripetura of performing the operation; This method can only be disposed the part of the soft tissue of cripetura, though can make knee joint recover to stretch function in the wrong, very likely produces cicatrix and adhesion; Postoperative can not in time be done restorative exercise again, also can cause secondary stiff.
Manual correction is that armrest power applies a power to knee joint, because this application of force is to the size of power control difficulty very, power is little, and action effect is not obvious; Power is big; Especially surpass marginal value that human body bears little by little when the application of force, patient's pain will reach insufferable degree, and the patient suffering is too big; So that the patient is lost confidence, and abandoning cure.
The functional exercise of motion machine is to make knee joint in the certain angle scope, make to stretch Qu Yundong through machinery, it to recover and take exercise kneed motility have very much suitable, for the DeGrain that changes spasticity.See that from human body adaptation theory the purpose that wants to reach recovery must possess two primary conditions: the one, strong effect, the 2nd, under the effect of power, to keep a period of time.The motion machine has only possessed the condition of the application of force, and the effect retention time is not enough, so this method effect is very undesirable.
It has better action to the functional rehabilitation of stiff knee patent 200810236408.3; But he is a device that wound is arranged after all; He need perform the operation on patient's lower limb and wear many spicules; And whole therapeutic process patient will wear spicule, and need be with whole device always, and action is inconvenience very.
Summary of the invention
In order to solve the prior art of treatment stiff knee: operation wound is big, be prone to cause secondary stiff; Manual correction application of force size is difficult to control; Adopt the sports apparatus poor effect; Patent equipment has the handicapped deficiency of wound; The present invention provides a kind of application of force simple in structure, easy to loading and unloading based on human body adaptation theory arbitrarily to control; Do not perform the operation and do not have wound; The change stiff knee state that has no side effect recovers the no wound stiff knee functional rehabilitation device that knee joint is stretched Qu Gongneng.
The present invention solves the technical scheme that its technical barrier adopts and is made up of shank protector, knee auxiliary frame, application of force governor motion, thigh protector and attaching nut.Shank protector and thigh protector are that hinge type combines; Application of force governor motion is connected respectively to the corresponding junction of shank protector and thigh protector; Form the below that a quadric chain is positioned at the hinge junction, the knee auxiliary frame is positioned at thigh protector and top, shank protector hinge junction.The thigh protector is installed on the thigh; The shank protector is installed on the shank; Based on the motion principle of quadric chain, regulate application of force governor motion and make the thigh protector combine axis to make the angle change around hinge type with the shank protector, accomplish kneed application of force purpose; The size of adjustment application of force dynamics stops to regulate the action time that can keep the application of force to realize the change of strength size.
The shank protector is a semicircle closed-in construction, is made up of restraint zone, auxilliary pad, shank protective pad, draw ring, shank protector body, screw axis.Protective pad is made up of outer surface, liner plate, pad, rivet, ear bar.Shank protector body is made up of watch box skeleton, attachment screw, lining, riveting packing ring, envelope.The watch box skeleton is that a semicircle framework auricle end for auricle is boring the hole, and lining is one and for the hole multidiameter lining and attachment screw is penetrated in the auricle stomidium, so that be connected with thigh protector riveted.
The thigh protector is made up of solid band, auxiliary pad, thigh protective pad, band, shaft type screw, thigh protector body.The thigh protector also is a semicircle closed-in construction.Thigh protector body is made up of skeleton and envelope, and skeleton is a semicircle framework for auricle, and the auricle end bores a circular hole, penetrates in the lining, with riveting packing ring and shank protector riveted, makes the thigh protector be hinge type with the shank protector and combines.
The knee auxiliary frame is made up of guide rod, afterburning nut, knee backplate, connection joint and bearing pin.Guide rod is the screw thread member of one one end for earhole, penetrates to connect the joint, connects with bearing pin, and connection side, joint has screwed hole and is used for combining with the shank protector, and the knee backplate is made up of knee backplate body, protective pad.Knee backplate body is the ellipse plate.Both sides have earhole, penetrate guide rod the knee plate is moved along guide rod.
Application of force governor motion is made up of adjusting rod, adjusting nut, four poles, bolster, adapter.Adjusting rod is a threaded rod for stomidium, penetrates thigh protector and shank protector hinge junction, and the other end penetrates in the adapter.Four poles are rectangle plates of a two ends boring, and an end links to each other with adapter, bolster, and the other end is linked respectively on thigh protector and the shank protector, form quadric chain.Bolster is the ladder axis structure of a TBE (threaded both ends).Adapter is that the one side side of holing is processed with the rectangular block shape part of screwed hole, is used for adjusting rod, four poles, bolster are connected.
The shank protector is placed patient's shank appropriate location, and the thigh protector places patient's thigh corresponding position, the shank protector is overlapped with the knee joint rotating shaft with the axis of thigh protector hinge junction, and tighten up respectively.Shank protector and thigh protector play the fixed function of the present invention to patient's lower limb.The knee auxiliary frame is and knee joint the place ahead that the afterburning nut of turn can apply an aux. pressure to knee joint.The spin governor motion is positioned at the knee joint rear, according to the motion principle of quadric chain, and the adjusting nut of turn application of force governor motion; Pulling shank protector becomes the angle with the thigh protector, and then has changed kneed curved squareness, then on the thigh of knee joint both sides and shank, applies a bending force; This power can be through reconciling application of force governor motion the rotation amount of adjusting nut set up, principle be transferred to make the patient feel knee joint some tightly is advisable, stop to reconcile; Keep application of force a period of time; Its objective is according to human body to adapt to theory, the soft tissues such as tendon that make knee joint produce tension increase elongated, when knee joint loses the tension sense gradually; Just the adjusting nut of scalable application of force governor motion changes knee joint once more and becomes the angle; The soft tissues such as tendon that make knee joint produce tension increase once more, go round and begin again up to making knee joint change to ideal movement angle gradually, thereby reach the functional rehabilitation purpose of stiff knee.
Good effect of the present invention is:
1. do not have wound, make the patient exempt unnecessary misery, without any side effects.
2. application of force governor motion is simple in structure, and the application of force is easy to adjust, and the strength size is adjustable at random.
3. the knee assistor can be given auxiliary force of knee joint easily, and can regulate size at random.
4. the bonded part of thigh protector and shank protector adopts to tighten up to be with and tightens up, and dismounting easy to use is convenient.
5. because random installing/dismounting, must the patient in whole therapeutic process, be with and installing.
6. the present invention is a human device, can regulate and changes the treatment pattern according to patient's states.
Since he fixing reliable, easy to adjust, the retention time is controlled, satisfies the condition that human body adapts to theory, so the recovery that knee joint closes is very desirable.
Description of drawings
Below in conjunction with accompanying drawing and embodiment the present invention is further specified.
Fig. 1 is a structural representation of the present invention.
Fig. 2 is a shank protector structural representation of the present invention.
Fig. 3 is an auxilliary mat structure sketch map of the present invention.
Fig. 4 is a shank protector body structure sketch map of the present invention.
Fig. 5 is a bush structure sketch map of the present invention.
Fig. 6 is a thigh protector structural representation of the present invention.
Fig. 7 is a thigh protector body structure sketch map of the present invention.
Fig. 8 is a knee auxiliary frame structural representation of the present invention.
Fig. 9 is a guide rod structure sketch map of the present invention.
Figure 10 is a connection articulation structure sketch map of the present invention.
Figure 11 is a knee guard board structure sketch map of the present invention.
Figure 12 is an application of force governor motion structural representation of the present invention.
Figure 13 is an adjusting rod structural representation of the present invention.
Figure 14 is four branching rod structure sketch maps of the present invention.
Figure 15 is a supporting shaft structure sketch map of the present invention.
Figure 16 is a connector construction sketch map of the present invention.
Figure 17 is a user mode sketch map of the present invention.
The specific embodiment
As shown in Figure 1, no wound stiff knee functional rehabilitation device.It is made up of shank protector (1), knee auxiliary frame (2), application of force governor motion (3), thigh protector (4), attaching nut (5).Shank protector (1) is a closed-in construction that semicircle is disclosed, and is connected with thigh protector (4) riveted of the closed-in construction of semicircle bucket through lining (1-5-3) and riveting packing ring (1-5-4) and is the hinge type combination, can make hinge-type relatively and rotate.Application of force governor motion (3) is connected the riveted junction with attachment screw (1-5-2) with the upper end hole of adjusting rod (3-1), and four four poles (3-3) are connected respectively to the axle of screw axis (1-6) and thigh protector (4) of shank protector (1) with on the screw (4-5).Formed adjustable quadric chain by thigh protector (4), shank protector (1), application of force governor motion (3).Knee auxiliary frame (2) is linked by the link joint (2-4) on it on attachment screw (1-5-2) of riveted junction of thigh protector (4) and shank protector (1), and adjacent with the adjusting rod (3-1) of application of force governor motion (3).Application of force governor motion (3) is positioned at below, riveted junction, and knee auxiliary frame (2) is positioned at top, riveted junction.
Form by tightening up band (1-1), auxilliary pad (1-2), shank protector pad (1-3), draw ring (1-4), shank protector body (1-5), screw axis (16) like Fig. 2, the protector of shank shown in 5 (1), shank protector (1) is a semicircle closed-in construction.Shank protector body as shown in Figure 4 (1-5) is made up of watch box skeleton (1-5-1), attachment screw (1-5-2), lining (1-5-3), riveting packing ring (1-5-4), envelope (1-5-5); Watch box skeleton (1-5-1) is a semicircle framework for ear, and the boring of auricle termination lets lining (1-5-3) penetrate and is connected with thigh protector (4) riveted with riveting packing ring (1-5-4).Auxilliary pad as shown in Figure 3 (1-2) is a rectangular washer of being made up of outer surface (1-2-1), liner plate (1-2-2), pad (1-2-3), rivet (1-2-4), ear bar (1-2-5), is set on to tighten up on the band (1-1).
Thigh protector as shown in Figure 6 (4) is formed a semicircle closed-in construction by solid band (4-1), auxiliary pad (4-2), thigh protective pad (4-3), tight ring (4-4), axle with screw (4-5), thigh protector body (4-6).Thigh protector body as shown in Figure 7 (4-6) is made up of skeleton (4-6-1) and envelope (4-6-2); Skeleton (4-6-1) is a semi-circular framework for ear; A hole is bored in the termination of auricle; So that the lining (1-5-3) that penetrates as shown in Figure 1 is connected with riveting packing ring (1-5-4) riveted with shank protector (1), make thigh protector (4) become hinge type to combine with shank protector (1), can do hinge-type relatively and rotate.
Knee auxiliary frame as shown in Figure 8 (2) is made up of guide rod (2-1), afterburning nut (2-2), knee backplate (2-3), connection joint (2-4), bearing pin (2-5); Guide rod as shown in Figure 9 (2-1) is the screw thread member of one one end for earhole; Insert the opening part in link joint (2-4) and penetrate bearing pin (2-5) for the ear end, the other end links to each other with knee backplate (2-3), link shown in figure 10 joint (2-4) side opening; Offside is processed with screwed hole; As shown in Figure 1 it link to each other with attachment screw (1-5-2) on the shank protector (1), knee backplate shown in figure 11 (2-3) is made up of knee backplate body (2-3-1), protective pad (2-3-2), knee backplate body (2-3-1) is oval plate; Both sides have earhole; The guide rod (2-1) that penetrates as shown in Figure 8 turns afterburning nut (2-2) knee backplate (2-3) is moved along guide rod (2-1), reaches auxiliary afterburning purpose.
Application of force governor motion shown in figure 12 (3) is made up of adjusting rod (3-1), adjusting nut (3-2), four poles (3-3), bolster (3-4), adapter (3-5).Adjusting rod shown in figure 13 (3-1) is the screw thread member of one one end for auricle; Bore a through hole on the auricle; The attachment screw (1-5-2) that penetrates shank protector (1) as shown in Figure 1 go up and with knee auxiliary frame (2) to link joint (2-4) adjacent, the threaded shank portion of adjusting rod shown in figure 12 (3-1) penetrates in the adapter (3-5) and the adjusting nut of screwing on (3-2), four poles (3-3) have four; Shown in figure 14 it be the rectangle plate of two ends boring; One end penetrates bolster (3-4), and adjacent with adapter (3-5), and the other end links to each other with screw (4-5) with the axle of screw axis (1-6) the thigh protector (4) of shank protector (1) respectively; As shown in Figure 1, make application of force governor motion (3) and shank protector (1), thigh protector (4) form quadric chain.Bolster shown in figure 15 (3-4) is the multidiameter structure of a TBE (threaded both ends); Adapter (3-5) twist with its on; Shown in figure 16; Adapter is porose, a threaded rectangle block part of side usefulness processing of one side, plays the effect of being connected with adjusting rod (3-1), four poles (3-3), bolster (3-4).
Shown in figure 17ly earlier shank protector (1) is placed patient's shank place, and penetrate in the draw ring (1-4) and be strained and fixed with tightening up band (1-1) using when of the present invention; Thigh protector (4) places the thigh appropriate location and penetrates tight ring (4-4) with solid band (4-1) and is strained and fixed; Require the axis of riveted junction to overlap with the knee joint shaft axis; Shank protector (1), thigh protector (4) play the fixed function of the present invention to patient's lower limb; Knee auxiliary frame (2) is positioned at knee joint the place ahead, and knee backplate (2-3) places on the knee, and the afterburning nut of turn (2-1) can apply an aux. pressure to knee joint; Application of force governor motion (3) is positioned at the knee joint rear, and turn adjusting nut (3-2) is according to four link motion principles; Pulling shank protector (1) becomes the angle with thigh protector (4), and then has changed kneed curved squareness, then on thigh and shank, has applied a power; The big I of this power is controlled through regulating adjusting nut (3-2), and principle is when the application of force, is transferred to make patient's knee joint feel that some is tightly for suitable; Stop to regulate, keep a period of time, its objective is according to human body to adapt to theory; The tendon that makes knee joint produce tension increases with soft tissue, and knee joint does not have tension and feels after a while, at this moment can adjust adjusting nut (3-2) application of force and keeping a period of time once more again; Knee joint changes over the angle once more, goes round and begins again to make kneed one-tenth contention be gradient to ideal movement angle.Thereby recover it and stretch Qu Gongneng.Should be noted that the application of force will adapt to, and after the application of force, keep a period of time.When needs are pulled down when of the present invention, also very convenient, as long as unclamp the solid band (4-1) on band (1-1) and the thigh protector (4) that tightens up on the shank protector (1), unclamp the afterburning nut (2-1) of knee auxiliary frame (2) just can take off the present invention from patient's lower limb.

Claims (5)

1. functional rehabilitation device that does not have the wound stiff knee; Form by shank protector, knee auxiliary frame, application of force governor motion, thigh protector and attaching nut; It is characterized in that: the shank protector is hinge type with the thigh protector and combines; Application of force governor motion and shank protector, thigh protector are formed a quadric chain, are positioned at shank protector and thigh protector hinge junction below, and the knee auxiliary frame is positioned at the top of shank protector and thigh protector.
2. no wound stiff knee functional rehabilitation device according to claim 1; It is characterized in that: the shank protector is a semicircular structure; Form by tightening up band, auxilliary pad, draw ring, shank protector body, screw axis; Shank protector body is made up of watch box skeleton, envelope, and the watch box skeleton is the semicircle framework of a band earhole, and the auricle end is drilled with through hole.
3. the functional rehabilitation device of no wound stiff knee according to claim 1; It is characterized in that: the knee auxiliary frame is made up of guide rod, afterburning nut, knee backplate, link joint, and guide rod is the screw thread member of one one end for the hole, penetrates the link joint; Connect with bearing pin; Link side, joint has screwed hole, and the knee backplate is the ellipse plate, and both sides have earhole.
4. no wound stiff knee functional rehabilitation device according to claim 1; It is characterized in that: application of force governor motion is made up of adjusting rod, adjusting nut, four poles, bolster, adapter; Adjusting rod is the threaded rod in a band edge hole; Four poles are rectangle plates of a two ends boring, and an end links to each other with adapter, bolster, and the other end is linked respectively on shank protector and the thigh protector and formed quadric chain.
5. no wound stiff knee functional rehabilitation device according to claim 1; It is characterized in that: the thigh protector is made up of solid band, auxiliary pad, thigh protective pad, band, shaft type screw, thigh protector body; The thigh protector also is a semicircle closed-in construction; Thigh protector body is made up of skeleton and envelope, and skeleton is a semicircle framework for auricle, and the auricle end bores a circular hole.
CN2010102330807A 2010-09-28 2010-09-28 Noninvasive knee joint stiffness function recovery device Pending CN102415934A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106691658A (en) * 2017-02-13 2017-05-24 哈尔滨工业大学 Knee-joint fixing supporting tool
CN108498101A (en) * 2018-05-24 2018-09-07 新疆医科大学 A kind of noninvasive femur fixing device for rat knee joints angle measurement
CN110653796A (en) * 2019-09-11 2020-01-07 西北机电工程研究所 Flexible exoskeleton power-assisted robot

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1057581A (en) * 1990-06-21 1992-01-08 清华大学 Electric walking machine for high leg paraplegia patients
US5458565A (en) * 1992-07-01 1995-10-17 Smith & Nephew Donjoy Inc. Osteoarthritic knee brace
CN101166502A (en) * 2005-04-29 2008-04-23 尼伯恩治疗有限责任公司 Knee extension treatment apparatus
CN201179298Y (en) * 2008-04-09 2009-01-14 吉化集团公司 Adjustment type movement rehabiliation apparatus under lower limbs load
CN101438984A (en) * 2008-12-22 2009-05-27 中国人民解放军第四军医大学 External fixing rack gradually pulling device and method for treating stiff knee
CN201806895U (en) * 2010-07-22 2011-04-27 汤福刚 Non-invasive knee joint stiffness functional recovery device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1057581A (en) * 1990-06-21 1992-01-08 清华大学 Electric walking machine for high leg paraplegia patients
US5458565A (en) * 1992-07-01 1995-10-17 Smith & Nephew Donjoy Inc. Osteoarthritic knee brace
CN101166502A (en) * 2005-04-29 2008-04-23 尼伯恩治疗有限责任公司 Knee extension treatment apparatus
CN201179298Y (en) * 2008-04-09 2009-01-14 吉化集团公司 Adjustment type movement rehabiliation apparatus under lower limbs load
CN101438984A (en) * 2008-12-22 2009-05-27 中国人民解放军第四军医大学 External fixing rack gradually pulling device and method for treating stiff knee
CN201806895U (en) * 2010-07-22 2011-04-27 汤福刚 Non-invasive knee joint stiffness functional recovery device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106691658A (en) * 2017-02-13 2017-05-24 哈尔滨工业大学 Knee-joint fixing supporting tool
CN108498101A (en) * 2018-05-24 2018-09-07 新疆医科大学 A kind of noninvasive femur fixing device for rat knee joints angle measurement
CN110653796A (en) * 2019-09-11 2020-01-07 西北机电工程研究所 Flexible exoskeleton power-assisted robot

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Application publication date: 20120418