The application relates to the technical field of medical devices, and particularly to a multi-posture lower limb rehabilitation robot.
The number of lower limb paralyzed patients caused by stroke, spinal cord injury and traumatic brain injury is very large and shows an uptrend. After symptomatic treatment of acute stage, paraplegic patients often need longer-term rehabilitation to restore lower limb motor function. Therapeutic exercise is a common method for lower limb rehabilitation. The traditional rehabilitation method is that the patient's lower limbs are driven manually by therapist to do rehabilitation training. So, it is very subjective and time-consuming, and the effect is not satisfactory. As a kind of automated, accurate, intelligent medical equipment, rehabilitation robots have strong advantages in providing continuous, quantitative rehabilitation training, can effectively overcome the shortage of traditional rehabilitation methods and have broad application prospects. In clinical rehabilitation training, different postures and trajectories are often applied in different rehabilitation stages to get better recovery result. For patients in early rehabilitation stage, passive training of lying posture is often used to prevent muscle atrophy and to reduce complications. For patients in midterm rehabilitation stage, the training posture needs to translate from lying to standing to overcome the problem of orthostatic hypotension. During the later rehabilitation stage, patients usually have certain lower limb muscle strength, and hence, it is possible to consider passive or active gait training with the help of weight support system to overcome a part of body weight. It makes patients restore independent walking ability and back to activities of daily living as early as possible. At the same time, for the patients in the early and middle stage, bicycle training of the sitting posture is usually used in practice. This training method can be achieved by a relatively simple rehabilitation bicycle. The training cost is lower and the training preparation process is faster, and hence, the method can be applied to the high intensity and frequency rehabilitation training. Currently, rehabilitation bicycles are widely used in the rehabilitation therapy for patients with lower limb paralysis.
However, for most existing rehabilitation robot systems, the training trajectories are designed for a certain training posture. It is difficult to meet the paralyzed patient's training needs of different rehabilitation stages. Besides, it is difficult to design and optimize the rehabilitation prescription based on the same platform and standard to get the best recovery result.
To address the above issues, the application presents a multi-posture lower limb rehabilitation robot. It can provide lying, sitting and standing posture training and gait training very similar to the human natural walking. Moreover, both active and passive modes are provided for the aforementioned training.
The application presents a multi-posture lower limb rehabilitation robot, which consists of two modules: robot base 1-1 and training bed.
The robot base 1-1 is a support base for the multi-posture lower limb rehabilitation robot. Wheels are installed on the bottom of the robot base for transferring the multi-posture lower limb rehabilitation robot. A bed adjustment mechanism is installed on the robot base, and hinged to the bed frame 1-7 through the bed support module 1-8, and can be used to adjust the bed angle to change the patient's posture during training.
The training bed comprises leg mechanisms 1-2, a seat 1-4, a seat width adjustment mechanism, a mechanism for adjusting gravity center of human body, a back cushion 1-5, a back cushion frame 5-1, a mechanism for adjusting the angle of seat back cushion, a bed frame 1-7 and a weight support system 1-6.
The leg mechanism 1-2 comprises the hip, knee and ankle joints, and the thigh and shank linkages, which can be used to fix patient's lower limbs and to help patient do lower limb rehabilitation training.
The seat 1-4 is used as a seat for patients and to support the weight of patient during the sitting training.
The seat 1-4 is installed fixedly on the seat width adjustment mechanism. The seat width adjustment mechanism is used to adjust the distance between the two leg mechanisms 1-2, to accommodate patients of different body size. The seat width adjustment mechanism is installed on the mechanism for adjusting gravity center of the patient's body, which is used to real-timely adjust the position of the patient's gravity center and to simulate the vertical variation of the gravity center of human body during natural walking. The seat arm 1-3 is installed on each side of the seat 1-4 to provide hand support for patient during the training.
The back cushion 1-5 is used to support the weight of the patient's upper body during the lying training. The back cushion is fixed on the front of the back cushion frame 5-1, one end of which is hinged to the bed frame 1-7.
The mechanism for adjusting back cushion angle is installed between the back cushion frame 5-1 and the bed frame 1-7. The mechanism for adjusting back cushion angle is used to adjust the angle of the back cushion for improving the patient's comfort during the sitting or lying training.
The weight support system 1-6 is driven by the motor 4-11 and installed on the back side of back cushion frame 5-1 to balance part or all of the patient's weight. (In the system, the side near patient is defined as front, and the side far away from patient is defined as back.)
The application has the following advantages:
In figures: 1-1 robot base; 1-2 leg mechanism; 1-3 arm; 1-4 seat; 1-5 back cushion; 1-6 weight support system; 1-7 bed frame; 1-8 bed support module; 2-1 rail saddle of the seat width adjustment mechanism; 2-2 mounting plate of the seat width adjustment mechanism; 2-3 driving motor of the seat width adjustment mechanism; 2-4 motor mounting plate of the seat width adjustment mechanism; 2-5 bevel gear train of the seat width adjustment mechanism; 2-6 lead screw of the seat width adjustment mechanism; 2-7 linear guide rail of the seat width adjustment mechanism; 2-8 screw nuts of the seat width adjustment mechanism; 2-9 screw nut mounting plate of the seat width adjustment mechanism; 2-10 mounting plate of the leg mechanism; 3-1 mounting plate of the mechanism for adjusting gravity center of human body; 3-2 driving motor of the mechanism for adjusting gravity center of human body; 3-3 motor mounting plate of the mechanism for adjusting gravity center of human body; 3-4 lead screw of the mechanism for adjusting gravity center of human body; 3-5 screw nut of the mechanism for adjusting gravity center of human body; 3-6 screw nut mounting plate of the mechanism for adjusting gravity center of human body; 3-7 linear guide rail of the mechanism for adjusting gravity center of human body; 3-8 rail saddle of the mechanism for adjusting gravity center of human body; 4-1 bandage hook; 4-2 hook beam; 4-3 weight support rope, 4-4 weight support gear train, 4-5 rail saddle of the weight support system, 4-6 screw nut of the weight support system; 4-7 screw nut mounting plate of the weight support system; 4-8 linear guide rail of the weight support system; 4-9 lead screw of the weight support system; 4-10 lead screw coupling of the weight support system; 4-11 driving motor of the weight support system; 4-12 mounting plate of the weight support system; 5-1 back cushion frame; 5-2 beam A of the mechanism for adjusting back cushion angle; 5-3 electric push rod of the mechanism for adjusting back cushion angle; 5-4 beam B of the mechanism for adjusting back cushion angle;
To make the purpose, technical solution and advantages clear, the application is described in details by embodiments and attached figures.
The position description of the components of the embodiment is according to the vertical relationship when the training bed is in the vertical state. The robot base 1-1 is the base of the multi-posture lower limb rehabilitation robot and used to support the training bed weight. Wheels are installed on bottom of the robot base 1-1 and used to facilitate the transfer of the lower limb rehabilitation robot. The robot base 1-1 comprises a set of bed angle adjustment mechanism. The bed angle adjustment mechanism is linked with the training bed through the bed support module 1-8 and the bed frame 1-7 can be used to adjust the angle between the training bed and the robot base 1-1, namely the angle θ in
As shown in
The
When the driving motor 2-3 drives the lead screw 2-6 to rotate through the bevel gear train 2-5, the screw nut 2-8 will move along the lead screw 2-6 in straight line, and make the leg mechanism mounting plate 2-10 move along the linear guide rails 2-7 in straight line. Therefore, the distance of the two leg mechanisms 1-2 will be changed, and the seat width will be adjusted.
When the driving motor 3-2 drives the lead screw 3-4 to rotate, the mounting plate 2-2 will move along the linear guide rails 3-7 in straight line. The leg mechanism 1-2, the seat 1-4 and seat width adjustment mechanism are all installed on the mounting plate 2-2, and hence, the leg mechanism 1-2, the seat 1-4 and the seat width adjustment mechanism can be controlled to move along the linear guide rails 3-7 in straight line by the driving motor 3-2. (When the bed is in the upright state, the linear movement is vertical movement.) The mechanism for adjusting gravity center of human body can be used to control the patient's linear movement in vertical direction, which makes the patient's gravity center changed.
When the driving motor 4-11 drives the lead screw 4-9 to rotate, the screw nut 4-6 will move along the lead screw 4-9 in straight line, and one end of the rope 4-3 will move along the linear guide rail 4-8 in straight line. At the same time, the rope 4-3 will make the bandage hook 4-1 move linearly. As a result, the bandage is tightened or relaxed along the direction of patient's body. Thus, the weight support pulling force can be controlled through controlling the driving motor 4-11.
The length of the electric push rod 5-3 is controlled by an electric motor. When the length of the electric push rod 5-3 is changed, the angle between the back cushion frame 5-1 and the bed frame 1-7 is changed, which is the inclination angle of the back cushion. Thus, the inclination angle of the back cushion can be controlled by adjusting the length of the electric push rod 5-3.
In this embodiment, the linear motion module of the seat width adjustment mechanism comprises a driving motor 2-3, a motor mounting plate 2-4, a bevel gear train 2-5, two lead screws 2-6, two screw nuts 2-8, two screw nut mounting plates 2-9. The linear motion module translates the rotation of the driving motor 2-3 to the linear motion of the screw nut 2-8 and makes the screw nut mounting plates 2-9 linearly move for the position adjustment. In practice, the linear motion module can be replaced by an electric push rod to accomplish the same function.
In this embodiment, the linear motion module of the mechanism for adjusting the gravity center of human body comprises a driving motor 3-2, a motor mounting plate 3-3, a lead screw 3-4, a screw nut 3-5 and a screw nut mounting plate 3-6. The linear motion module translates the rotation of the driving motor 3-2 to the linear motion of the screw nut 3-5 and makes the screw nut mounting plates 3-6 linearly move for the position adjustment. In practice, the linear motion module can be replaced by an electric push rod to accomplish the same function.
In this embodiment, the linear motion module of the weight support system comprises a driving motor 4-11, a lead screw coupling 4-10, a lead screw 4-9, a screw nut 4-6, a screw nut mounting plate 4-7. The linear motion module translates the rotation of the driving motor 4-11 to the linear motion of the screw nut 4-6 and makes the screw nut mounting plate 4-7 linearly move for the position adjustment. In practice, the linear motion module can be replaced by an electric push rod to accomplish the same function.
The above is only the detailed implementation of present application. However the protection scope of the present application is not limited by the implementation. Within the technical scope disclosed by the application, any transformation or replacement conceivable for persons skilled in the art should be covered in the protection scope of the application. Therefore, the protection scope of the present application is defined in the claims.
Filing Document | Filing Date | Country | Kind |
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PCT/CN2015/074810 | 3/20/2015 | WO | 00 |