Active and passive motion system for limb joints

Abstract

The present application relates to an active and passive motion system of a limb joint, comprising: an upper arm frame, the upper arm frame comprising an upper arm supporting surface and a mounting surface arranged back to back, the mounting surface being fixed to a main support, and the mounting surface being fixedly connected to a first support; a guide device, comprising a moving body, the moving body being driven to move a preset length along a guiding direction of the guide device, and the moving body being hinged to an end of the first support away from the upper arm frame; a fixed point being provided on an end of the guide device located in its guiding direction; a forearm frame, being on the same side of the guide device as the upper arm frame and being connected to the upper arm frame by a joint hinge; the forearm frame comprising a forearm support plate and two forearm limit rods arranged on both sides of the forearm support plate in a width direction, the two forearm limit rods being connected by a forearm driving belt; the forearm limit rod being hinged to the fixed point via a second support, and the second support being perpendicular to the forearm limit rod.

Description

Technical Field

[0001] The present application relates to the field of sports rehabilitation, and in particular to an active and passive motion system for limb joints. Background Art

[0002] Immobilization or rest after limb joint surgery will cause a series of pathological changes in the joints and surrounding tissues, causing thickening and contracture of ligaments and joint capsule fibers, joint degeneration, heterotopic ossification, and limb joint stiffness and limited movement. Complex joint fractures and dislocations are most likely to cause stiffness. Swelling and hematoma are often the culprits of elbow stiffness, and the extreme position of joint movement is usually the most prone to stiffness.

[0003] In addition, due to damage to the brain nerves, more than 80% of hemiplegic stroke patients will experience limb hemiplegia accompanied by sequelae such as spasticity and hypertonia. If not actively treated, it may lead to permanent high muscle tension, joint contracture and abnormal movement patterns of the affected limb.

[0004] At present, the main method to reduce joint stiffness, hypertonia, and spasticity is to start functional training of joint range of motion and muscle strength at an early stage to improve the extensibility of joint soft tissue and muscle characteristics. The main means currently used are physical therapist manual stretching (PT), continuous passive training (CPM) and intelligent rehabilitation robot motion training system, but the current status of these rehabilitation means and technologies still has a lot of room for improvement.

[0005] Manual stretching is a method used by physical therapists to apply mechanical principles to continuously stretch and expand the range of motion of joints, and to perform passive rehabilitation training on limb joints to restore the patient's joint mobility and limb motor function. However, this type of rehabilitation training relies on the human input of rehabilitation therapists, and traditional physical manual stretching is very laborious. The duration, training intensity, and rehabilitation strategy also depend on the therapist's experience and subjective feelings.

[0006] CPM passive motion rehabilitation machine is mainly used in orthopedics to maintain joint mobility to prevent joint stiffness caused by trauma or postoperative swelling and hematoma. In order to ensure safety, foreign CPM passive motion rehabilitation machines all adopt an automatic operation mode of returning when encountering force. However, due to factors such as trauma or postoperative joint swelling and hematoma, they are often subject to varying degrees of resistance during operation, resulting in a relatively small passive operation range, and the limbs usually cannot reach the full range of motion. Domestic CPM moves limbs or joints at a constant speed within the pre-set angle operation range. Although the system can provide a large torque, during the entire operation process, due to the limitations of the mechanical structure and the way the force is applied, the resistance encountered during the operation cannot be detected, and the set range of motion is smaller than the effective range of motion. Otherwise, excessive force may occur during the operation, increasing the risk of secondary injury to the affected limb. In this case, the previous CPM range of motion cannot reach the effective position, which is also the key physiological position where stiffness is prone to occur. It is impossible to perform safe and effective reciprocating extrusion movements, and the effusion and bleeding cannot be effectively "pumped away" from the joint, resulting in joint stiffness. Utility Model Content

[0007] Based on this, it is necessary to provide a limb joint active and passive motion system to address at least some of the above problems.

[0008] A limb joint active and passive motion system, comprising:

[0009] An upper arm frame, the upper arm frame comprising an upper arm supporting surface and a mounting surface disposed opposite to each other, the mounting surface being fixed to the main support, and the mounting surface being fixedly connected to the first support;

[0010] The guide device comprises a moving body B, the moving body B can be driven to move a preset length along the guiding direction of the guide device, and the moving body B is hinged to an end of the first bracket away from the upper arm; a fixed point C is provided on one end of the guide device located in the guiding direction thereof;

[0011] The forearm frame is located on the same side of the guide device as the upper arm frame and is hingedly connected to the upper arm frame through a joint A; the forearm frame includes a forearm support plate and two forearm limit rods arranged on both sides of the forearm support plate in a width direction, and the two forearm limit rods are connected through a forearm driving belt; the forearm limit rod is hingedly connected to the fixed point C through a second bracket, and the second bracket is perpendicular to the forearm limit rod;

[0012] The forearm is fixed between the forearm support plate and the forearm driving belt. When the moving body B is driven to move in a direction close to the fixed point C, the second bracket pulls the forearm to stretch through the forearm driving belt. When the moving body B is driven to move to the shortest distance from the fixed point C, the angle between the forearm supporting surface of the forearm bracket and the upper arm supporting surface is 185°.

[0013] When the moving body B is driven to move in a direction away from the fixed point C, the second bracket pushes the forearm to flex through the forearm support plate, and when the moving body B is driven to move to the farthest distance from the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface is 45°.

[0014] Preferably, the guide device comprises a guide groove, the movable body B is embedded in the guide groove and can slide along the guide groove, and the fixed point C is arranged on the extension line of the guide groove in the length direction.

[0015] Preferably, it also includes a driving device, the driving device comprising:

[0016] A driving component, located at a fixed point C at one end of the guiding direction of the guide device;

[0017] The rotating screw is connected to the driving shaft of the driving component, and the length direction of the rotating screw is consistent with the guiding direction of the guiding device. The rotating screw is spirally penetrated into the moving body B to drive the moving body B to move along the guiding direction.

[0018] Preferably, it further comprises a telescopic adjustment frame, which is arranged at one end of the forearm frame away from the upper arm frame, and a hand fixing component is arranged at the end of the telescopic adjustment frame.

[0019] Preferably, the hand fixing component comprises:

[0020] A back-of-hand support portion connected to an end of the telescopic adjustment frame away from the forearm frame;

[0021] The finger plate includes four first finger sleeves which are arranged in parallel and dispersedly and connected to the back of hand supporting part, and two second finger sleeves which are arranged on both sides of the back of hand supporting part in the width direction;

[0022] A fixing frame, the fixing frame is mounted above the back of hand supporting portion and the two ends of the fixing frame are respectively fixed to the two second finger sleeves;

[0023] A pressure plate is provided on the fixing frame and is located above the back-of-hand supporting portion, and the pressure plate can be moved toward / away from the back-of-hand supporting portion under the action of the adjusting mechanism. When the back of the hand is placed on the back-of-hand supporting portion, the pressure plate moves toward the direction close to the back-of-hand supporting portion so that the back of the hand adheres to the surface of the back-of-hand supporting portion.

[0024] Preferably, the back of hand support portion is mounted on an angle adjustment plate, and the angle adjustment plate is hinged to the telescopic adjustment frame;

[0025] The back of the angle adjustment plate is provided with an extension portion facing away from the back of the hand supporting portion; it also includes an adjustment rod, one end of which is hinged to the end of the extension portion, and the other end passes through an adjustment bracket provided on the back of the telescopic adjustment frame, and a positioning screw penetrates into the adjustment bracket from the outside and abuts against the adjustment rod.

[0026] Preferably, the upper arm support comprises an upper arm supporting plate and upper arm limiting rods arranged on both sides of the upper arm supporting plate, and an upper arm strap is arranged between the two upper arm limiting rods.

[0027] Preferably, the main support comprises:

[0028] Base;

[0029] A fixing column, the lower end of which is mounted on the base;

[0030] a first connecting column, wherein the lower end of the first connecting column is hingedly connected to the upper end of the fixing column through a first hinge fixing mechanism,

[0031] A second connecting column is fixed to the upper arm frame, and the lower end of the second connecting column is hingedly connected to the upper end of the first connecting column through a second hinged fixing mechanism;

[0032] The hinge axis direction of the first hinge fixing mechanism is perpendicular to the hinge axis direction of the second hinge fixing mechanism and both are parallel to the horizontal plane.

[0033] Compared with the prior art, this application has the following advantages:

[0034] ① The forearm can be fixed to perform extension-flexion movement of -5°~0°~135°. The movement trajectory of the training components connected to the elbow joint conforms to the natural movement trajectory of elbow flexion-extension. The passive movement range reaches 140°, allowing the limbs to reach a full-angle effective range of motion;

[0035] ② During the exercise, the force point, force direction and movement trajectory are strictly set. The force point is the part of the forearm close to the wrist. The force direction remains perpendicular to the forearm during flexion-extension. There is no partial force to the elbow joint. The movement trajectory completely simulates the natural movement trajectory of the human elbow joint and will not cause secondary damage to the affected limb. In this way, the forearm on the forearm frame can safely and effectively perform continuous passive movement around the bracket node. BRIEF DESCRIPTION OF THE DRAWINGS

[0036] Figure 1 The structure of the active and passive motion system of limb joints provided in one embodiment of the present application;

[0037] Figure 2 for Figure 1 The state diagram of the active and passive motion system of the middle limb joint when it is flexed to the angle between the forearm support surface and the upper arm support surface is 45°;

[0038] Figure 3 A schematic diagram of a hand back support portion of a hand fixing component connected to a telescopic adjustment frame via an angle adjustment plate;

[0039] Figure 4 for Figure 3 A top view of the middle hand fixed parts;

[0040] Figure 5 for Figure 4 The main view;

[0041] Figure 6 This is a schematic diagram of the implementation and use process of the limb joint active and passive motion system of this application;

[0042] Figure 7 A schematic flow chart of a motion control method in a limb joint active and passive motion system provided in one of the embodiments of the present application;

[0043] Figure 8 A schematic diagram of the maximum angle in a basic operating scenario in a motion control method provided in one of the embodiments of the present application;

[0044] Fig. 9 A schematic diagram of the maximum angle in the extended motion and the reciprocating motion in the motion control method provided in one embodiment of the present application;

[0045] Fig.10 A schematic diagram of a flow chart of planning multiple motion types in a motion control method provided in one embodiment of the present application;

[0046] Fig.11 A schematic diagram of a flow chart of motion control based on torque and angle parameters in a motion control method provided in one embodiment of the present application;

[0047] Fig.12 A schematic diagram of speed change in a motion control method provided in one embodiment;

[0048] Fig.13 is a structural block diagram of a motion control device provided in one embodiment;

[0049] Fig.14 This is an internal structure diagram of a computer device provided in one of the embodiments of the present application;

[0050] In the figure,

[0051] 31, forearm frame; 311, forearm driving belt; 312, forearm limiting rod; 313, forearm support plate; 31a, second support; 32, upper arm frame; 321, upper arm strap; 322, upper arm limiting rod; 323, upper arm support plate; 32a, first support; A, joint; B, moving body; C, fixed point;

[0052] 20. Guide device; 10. Drive device;

[0053] 100. Telescopic adjustment frame; 102. Connecting nut;

[0054] 200, hand fixing part; 210, back of hand supporting part; 221, first finger sleeve; 222, second finger sleeve; 230, fixing frame; 240, pressing plate; 250, adjusting mechanism; 251, screw rod; 252, nut; 210', handle; 211', flexible belt;

[0055] 300, angle adjustment plate; 310, extension portion; 320, adjustment rod; 330, positioning screw; 340, adjustment bracket; 301, hinge point;

[0056] 1. Main bracket; 1-1. Base; 1-2. Fixed column; 1-3. First connecting column; 1-3a. First hinged fixing mechanism; 1-4. Second connecting column; 1-4a. Second hinged fixing mechanism; 1-5. Telescopic column; 1-6. Casters. DETAILED DESCRIPTION

[0057] The present application will be further described below in conjunction with the accompanying drawings.

[0058] In order to facilitate the understanding of the present application, various embodiments defined by the claims of the present application will be described more fully below with reference to the relevant drawings. Preferred embodiments of the present application are given in the drawings, which contain various specific details to assist in the understanding, but these details should be regarded as exemplary only. However, the present application can be implemented in many different forms and is not limited to the embodiments described herein. Accordingly, those of ordinary skill in the art will recognize that changes and improvements can be made to the various embodiments described herein without departing from the scope of the present application defined by the attached claims. In addition, for the sake of clarity and brevity, the description of well-known functions and structures may be omitted.

[0059] It will be apparent to those skilled in the art that the following description of various embodiments of the present application is provided for illustrative purposes only and not for limiting the present application as defined by the appended claims.

[0060] Throughout the specification and claims of this application document, the words "include" and "comprise" and variations of the words, such as "include" and "include" mean "including but not limited to", and are not intended to (and will not) exclude other components, wholes or steps. Features, wholes or characteristics described in conjunction with a specific aspect, embodiment or example of the present application will be understood to be applicable to any other aspect, embodiment or example described herein, unless incompatible therewith.

[0061] It should be understood that the singular forms "a", "an", and "the" include plural references unless the context clearly dictates otherwise. The expressions "including" and / or "may include" used in this application are intended to indicate the presence of corresponding functions, operations, or elements, and are not intended to limit the presence of one or more functions, operations, and / or elements. In addition, in this application, the terms "including" and / or "having" are intended to indicate the presence of characteristics, quantities, operations, elements, and components, or combinations thereof, disclosed in the application documents. Therefore, the terms "including" and / or "having" should be understood as additional possibilities of one or more other characteristics, quantities, operations, elements, and components, or combinations thereof.

[0062] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by those skilled in the art to which this application belongs. It should also be understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning consistent with the context of the relevant field and this specification, and should not be interpreted in an idealized or overly formal sense unless explicitly defined as such herein. The term "and / or" as used herein includes any and all combinations of one or more of the relevant listed items.

[0063] like Figure 1-Figure 6 As shown, in one embodiment of the present application, a limb joint active and passive motion system is provided, comprising:

[0064] An upper arm frame 32, the upper arm frame 32 comprises an upper arm supporting surface and a mounting surface which are arranged opposite to each other, the mounting surface is fixed to the main support 1, and the mounting surface is fixedly connected to the first support 32a;

[0065] The guide device 20 includes a moving body B, which can be driven to move a preset length along the guiding direction of the guide device 20, and the moving body B is hinged to an end of the first bracket 32a away from the upper arm 32; a fixed point C is provided on one end of the guide device 20 located in the guiding direction thereof;

[0066] The forearm frame 31 is located on the same side of the guide device as the upper arm frame 32 and is hingedly connected to the upper arm frame 32 through a joint A; the forearm frame 31 includes a forearm support plate 313 and two forearm limit rods 312 arranged on both sides of the forearm support plate 313 in the width direction, and the two forearm limit rods 312 are connected through a forearm driving belt 35; the forearm limit rod 312 is hingedly connected to the fixed point C through a second bracket 31a, and the second bracket 31a is perpendicular to the forearm limit rod 312;

[0067] A telescopic adjustment frame is provided at one end of the forearm frame 31 away from the upper arm frame 32, and a hand fixing component 200 is provided at the end of the telescopic adjustment frame;

[0068] The forearm is fixed between the forearm support plate 313 and the forearm driving belt 311. When the moving body B is driven to move in the direction close to the fixed point C, the second bracket 31a pulls the forearm to stretch through the forearm driving belt 311. When the moving body B is driven to move to the shortest distance from the fixed point C, the angle between the forearm supporting surface of the forearm bracket and the upper arm supporting surface is 185°.

[0069] When the moving body B is driven to move in a direction away from the fixed point C, the second bracket 31a pushes the forearm to flex through the forearm support plate 313. When the moving body B is driven to move to the farthest distance from the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface is 45°.

[0070] Specifically, when using the device, the patient can sit or lie down, and adjust the upper arm frame 32 and the forearm frame 31 to a suitable position. The upper arm is placed in the center of the upper arm support plate 323 of the upper arm frame 32; the forearm is placed in the center of the forearm frame 31, and the forearm near the wrist is placed on the forearm support plate 313. After the forearm elbow axis is concentric with the joint A, the upper arm is fixed with the upper arm strap 321, and the forearm support plate 313 cooperates with the forearm driving belt 311 to surround and fix the forearm; finally, the telescopic adjustment frame 100 is adjusted to a suitable hand length.

[0071] During the rehabilitation process, the upper arm is arranged on the upper arm frame 32 and always keeps a fixed position; the line connecting the fixed point C and the moving body B is consistent with the guiding direction. When the moving body B is driven to move in the direction close to the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface gradually increases; when the moving body B is driven to move to the closest distance to the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface is 185° (at this time, the forearm is extended -5°: the forearm is below the plane where the upper arm is located, and the angle between the forearm and the extension line of the upper arm is -5°), which meets the maximum extension angle of the human elbow joint toward the back of the hand. When the moving body B is driven to move in the direction away from the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface gradually decreases; Figure 2The moving body B is driven to move to the state farthest from the fixed point C. At this time, the angle between the forearm support surface and the upper arm support surface is 45° (the forearm is flexed 135° at this time: the forearm is above the plane where the upper arm is located, and the angle between the forearm and the extension line of the upper arm is 135°), which meets the minimum flexion and folding angle of the human elbow joint toward the palm side. Since the range of motion can reach the effective position (the key physiological position prone to stiffness), a safe and effective reciprocating squeeze movement is implemented to force the effusion and bleeding to be effectively "pumped away" from the joint, preventing joint stiffness caused by excessive matrix deposition. In this way, effective passive stretching training can be carried out on joints with high muscle tension or contracture.

[0072] It can be seen from the above process that during the movement, the forearm of the limb is limited from both sides by the forearm limiting rod 312, and the forearm frame 31 can drive the forearm to perform -5°-0°-135° extension-flexion movement around the joint A; and, since the second bracket is hinged to the fixed point C of the guide device, and the second bracket is perpendicular to the forearm limiting rod, the force is vertically transmitted from the fixed point C through the second bracket to the forearm limiting rod 312 and the forearm supporting plate 313. When the forearm is flexed and folded, the forearm supporting plate 313 pushes the forearm and wrist to perform standard flexion movement around the elbow joint in a direction perpendicular to the length of the forearm; when the forearm is extended, the second bracket 31a is pulled in a direction perpendicular to the forearm through the forearm driving belt 311 to perform extension movement with the forearm frame 31 and the forearm, ensuring that the direction of the force during flexion and extension is perpendicular to the forearm, there is no partial force to the elbow joint, and the elbow joint will not be squeezed.

[0073] In summary, this application has the following advantages:

[0074] ① The forearm can be fixed to perform extension-flexion movement of -5°~0°~135°. The movement trajectory of the training components connected to the elbow joint conforms to the natural movement trajectory of elbow flexion-extension. The passive movement range reaches 140°, allowing the limbs to reach a full-angle effective range of motion;

[0075] ② During the movement, the force point, force direction and movement trajectory are strictly set. The force point is the part of the forearm close to the wrist. The force direction is perpendicular to the forearm during flexion-extension. There is no partial force to the elbow joint. The movement trajectory completely simulates the natural movement trajectory of the human elbow joint and will not cause secondary damage to the affected limb. In this way, the forearm on the forearm frame 31 can safely and effectively perform continuous passive movement around the bracket node.

[0076] It is worth pointing out that the present application can not only drive the arm to move, but also cooperate with the fixed limit arm when the arm moves autonomously to make the arm move within a safe angle range; at the same time, it provides appropriate damping support to avoid accidents caused by excessive rotation of the arm.

[0077] For a detailed explanation of the implementation process of this application, please refer to Figure 6 , three rotatable node joints A, mobile body B, and fixed point C form triangle ABC. When the driving motor after power-on drives the rotating screw to rotate, the mobile body B rigidly connected to the upper arm is forced to move along the screw, so that the distance between nodes BC, that is, the length of the a side of the triangle, changes, so that the ∠A corresponding to the a side changes, that is, the forearm rotates around joint A. Because the angle β between the solid line represented by the forearm and the dotted line AC is rigid and unchanged, the change value of ∠A is also the change value of the angle between the forearm and the X-axis. This change value is the designed operating angle range. Assumptions:

[0078] When the forearm is fully extended (extended -5 degrees), ∠A is the initial value of 12.73 degrees, and the angle between the forearm frame and the X-axis is -5 degrees. When the forearm frame reaches the horizontal position, ∠A is 17.73 degrees, and the angle between the forearm frame and the X-axis is 0 degrees; when the forearm is fully flexed (flexed 135 degrees), ∠A is 152.73 degrees, and the angle between the forearm frame and the X-axis is 135 degrees. The range of ∠A is 140 degrees, which means that the forearm frame of the equipment can rotate around the bracket node A from -5° to 0° to 135°, so that the motion trajectory is consistent with the natural flexion-extension motion trajectory of the elbow joint, that is, this allows the forearm tied to the forearm frame to safely and effectively perform continuous passive motion around the elbow joint.

[0079] refer to Figure 1 In some embodiments, the guide device 20 includes a guide groove, the moving body B is embedded in the guide groove and can slide along the guide groove, and the fixed point C is set on the extension line of the length direction of the guide groove. Specifically, when the guide device 20 is a guide groove, the line connecting the fixed point C and the moving body B is consistent with the extension direction of the guide groove, and when the moving body B is driven to move, the angle between the front arm frame 31 and the upper arm frame 32 changes.

[0080] refer to Figure 1 In some embodiments, the invention further comprises a driving device 10, wherein the driving device 10 comprises:

[0081] A driving component, located at a fixed point C at one end of the guiding direction of the guide device 20;

[0082] The rotating screw is connected to the driving shaft of the driving component, and the length direction of the rotating screw is consistent with the guiding direction of the guide device 20. The rotating screw is spirally penetrated into the moving body B to drive the moving body B to move along the guiding direction.

[0083] Specifically, a driving component is used to drive the rotating screw to rotate, so that the moving body B can move along the length direction of the rotating screw to automatically drive the moving body B to slide, and the rotating screw can provide a moving guide for the moving body B to ensure that the movement direction of the moving body B is stable and not deviated.

[0084] refer to Figure 3-Figure 5 In some embodiments, the hand fixing component 200 includes:

[0085] The back of hand support portion 210 is connected to the end of the telescopic adjustment frame 100 away from the forearm frame 31;

[0086] The finger plate includes four first finger sleeves 221 which are arranged in parallel and dispersedly and connected to the back of hand supporting part 210 and two second finger sleeves 222 which are arranged on both sides of the back of hand supporting part 210 in the width direction;

[0087] A fixing frame 230, wherein the fixing frame 230 is mounted above the back of hand supporting portion 210 and two ends of the fixing frame 230 are respectively fixed to two second finger sleeves 222;

[0088] The pressing plate 240 is disposed on the fixing frame 230 and is located above the back-of-hand supporting portion 210. The pressing plate 240 can be moved toward / away from the back-of-hand supporting portion 210 under the action of the adjusting mechanism 250. When the back of the hand is placed on the back-of-hand supporting portion 210, the pressing plate 240 moves toward the direction close to the back-of-hand supporting portion 210 so that the back of the hand adheres to the surface of the back-of-hand supporting portion 210.

[0089] Specifically, the second finger sleeve 222 can be directly connected and fixed with the fixing frame 230 by plugging and matching, and the adjustment mechanism 250 can include a screw rod 251 spirally inserted in the fixing frame and a nut 252 at the upper end of the screw rod 251, and the lower end of the screw rod 251 is rotatably connected with the pressing plate 240. During operation, four fingers are fixed to the four first finger sleeves 221 respectively, and the left thumb is fixed to the second finger sleeve 222 on one side, or the right thumb is fixed to the second finger sleeve 222 on the other side, so that the fingers can be fixed; when the back of the hand is placed on the back of the hand support part 210, the rotating nut 252 and the screw rod 251 drive the pressing plate 240 to move toward the direction close to the back of the hand support part 210, so that the back of the hand is closely attached to the surface of the back of the hand support part.

[0090] In this embodiment, the position of the back of the hand and fingers is fixed by using a finger plate, a fixing frame 230, an adjustment mechanism 250, and a pressure plate 240, so that the fingers cannot swing and the back of the hand cannot be lifted or turned over, thereby preventing the hand from swinging, lifting, or rotating to a large extent during exercise, which may cause the force point on the forearm to shift and the direction of the force to be skewed, thereby generating a partial force toward the elbow joint to cause secondary injury to the affected limb, ensuring that the force point is always located at the forearm close to the wrist and the force is always perpendicular to the forearm, thereby further improving the rehabilitation effect and safety.

[0091] Since the first finger sleeve 221 and the second finger sleeve 222 are arranged separately, the relative position between the first finger sleeve 221 and the second finger sleeve 222 can be adjusted according to the size of the hand before the pressure plate is fixed; after the pressure plate presses the back of the hand, the relative position of the first finger sleeve 221 and the second finger sleeve 222 can be fixed unchanged, thereby ensuring the stable position of the hand.

[0092] refer to Figure 3 In some embodiments, the back of hand support portion 210 is mounted on an angle adjustment plate 300 , and the angle adjustment plate 300 is hinged to the telescopic adjustment frame 100 ;

[0093] The back side of the angle adjustment plate 300 is provided with an extension portion 310 in a direction away from the back-of-hand support portion; it also includes an adjustment rod 320, one end of which is hinged to the end of the extension portion 310, and the other end passes through an adjustment bracket 340 provided on the back of the telescopic adjustment frame 100, and a positioning screw 330 penetrates into the adjustment bracket 340 from the outside and abuts against the adjustment rod 320.

[0094] Specifically, in some rehabilitation usage scenarios, it is necessary to change the angle between the hand and the forearm. In this case, the positioning screw 330 can be loosened, and the length of the adjustment rod 320 inserted into the adjustment bracket 340 can be manually changed. Since the other end of the adjustment rod 320 is connected to the extension part 310, the angle adjustment plate 300 can be driven to rotate around the hinge point 301 with the telescopic adjustment frame 100, and the angle between the angle adjustment plate 300 and the telescopic adjustment frame 100 can be changed, thereby changing the angle between the hand and the forearm.

[0095] In this embodiment, after adjusting the angle between the back of the hand support part 210 and the telescopic adjustment frame 100, more rehabilitation scenarios can be adapted. In particular, when the back of the hand support part 210 is rotated and adjusted toward the back of the hand, the fingers can be stretched behind the hand to relieve the symptoms of hand flexion spasm. In addition, the extension part 310 arranged on the back side of the angle adjustment plate 300 in a direction away from the back of the hand support part 210 can increase the adjustment space, avoiding the adjustment rod 320 being directly connected to the body of the angle adjustment plate 300, resulting in the end of the adjustment rod connected to the angle adjustment plate being stuck during the angle adjustment process.

[0096] refer to Figure 2 In some other embodiments, the hand fixing component 200 may include: a handle 210 ′ connected to the telescopic adjustment frame 100 through a flexible belt.

[0097] Specifically, after the telescopic adjustment frame 100 is adjusted to a suitable length for the hand, the connecting nut 102 is locked, the handle 210' is held by the hand, and the entire hand is stretched toward the back of the hand, thereby relieving the hand flexion spasm symptoms. This embodiment uses the handle 210', which has less hand restraint; and the handle 210' is connected to the telescopic adjustment frame 100 through a flexible belt 211', which is conducive to the stretching of the entire hand toward the back of the hand, greatly relieving the hand flexion spasm symptoms.

[0098] refer to Figure 1 In some embodiments, the forearm frame 31 is connected to the telescopic adjustment frame 100 through two connecting nuts 102. Specifically, the telescopic adjustment frame 100 can be telescopically adjusted, with a telescopic range of 0mm to 60mm, and is locked by the connecting nut 102 after the adjustment is completed.

[0099] refer to Figure 2 The upper arm frame 32 includes an upper arm support plate 323 and upper arm limiting rods 322 arranged on both sides of the upper arm support plate 323, and an upper arm strap 321 is arranged between the two upper arm limiting rods 322. The upper arm can be limited from both sides by the two upper arm limiting rods 322, so as to avoid the upper arm swinging, lifting or rotating during exercise, which will cause the force point on the forearm to shift and the force direction to deviate, thereby generating a partial force to the elbow joint to cause secondary damage to the affected limb, and ensure that the force point is always located at the part of the forearm close to the wrist, and the force is always perpendicular to the forearm, so as to further improve the rehabilitation effect and safety.

[0100] refer to Figure 1 In some embodiments, the main support 1 comprises:

[0101] Base 1-1;

[0102] A fixing column 1-2, the lower end of which is mounted on the base 1-1;

[0103] The first connecting column 1-3, the lower end of the first connecting column 1-3 is hingedly connected to the upper end of the fixing column 1-2 through a first hinge fixing mechanism 1-3a,

[0104] The second connecting column 1-4 is fixed to the upper arm 32, and the lower end of the second connecting column is hingedly connected to the upper end of the first connecting column 1-3 through a second hinged fixing mechanism 1-4a;

[0105] Among them, the hinge axis direction of the first hinge fixing mechanism 1-3a is perpendicular to the hinge axis direction of the second hinge fixing mechanism 1-4a and both are parallel to the horizontal plane.

[0106] Specifically, the hinge fixing mechanism may include a hinge screw. When the hinge screw is loosened, the two hinged parts rotate relative to each other to adjust the angle between them. After the adjustment is completed, the hinge screw is tightened to fix the relative position between the two hinged parts.

[0107] Since the patient's body positions during rehabilitation are different, such as lying on the back, lying on the side, etc., in this embodiment, the hinge axis direction of the first articulated fixing mechanism 1-3a is perpendicular to the hinge axis direction of the second articulated fixing mechanism 1-4a and both are parallel to the horizontal plane, so that the upper arm frame 32 and the forearm frame 31 can be adjusted in the front and back and left and right directions, and the adjustment range is -90° to +90°, respectively, to adapt to patients in different body positions, and the flexibility of use is better.

[0108] Furthermore, the upper end of the fixed column 1-2 is plugged with a telescopic column 1-5, and the height of the upper arm frame 32 and the forearm frame 31 can be adjusted by changing the plug-in length to accommodate patients at different heights, and the height adjustment range is 0mm to 170mm. The base can also be equipped with four casters 1-6, which can facilitate free movement of the device. When in use, the base casters 1-6 can be locked in advance.

[0109] In some embodiments, a touch screen is also included, which is electrically connected to the driving device 10; and the touch screen is connected to the upper arm 32 through a screen bracket. Specifically, the driving device 10 can be controlled to start on the touch screen to drive the moving body B to move. Furthermore, the screen bracket can be rotated and retracted to adjust the angle and height of the touch screen.

[0110] On the other hand, preferably, the above-mentioned limb joint active and passive motion system can also include a motion control method, through which better control of the forearm motion torque is achieved. It should be particularly noted that the mechanical structure part of the above-mentioned limb joint active and passive motion system of the present application can be implemented independently and does not necessarily need to include the motion control method.

[0111] like Figure 7 As shown, the motion control method comprises the following steps:

[0112] Step 101, an angle detection module is used to obtain the current angle change generated when the power unit drives the forearm to move.

[0113] The power unit may be a driving device, specifically a motor, and the forearm may be a limb of the user or other objects. In some embodiments, the motor may drive the forearm limb of the user to move.

[0114] The current angle change may be the angle change corresponding to the initial position to the current position, including the change in angle size and the change in direction. In some embodiments, the current angle change generated when the motor drives the user's limbs to move can be detected by the angle detection module. t .

[0115] Step 102, a torque detection module is used to obtain the current torque change generated when the power unit drives the forearm to move and when the power unit interacts with the forearm.

[0116] In some embodiments, the torque change M generated by the interaction between the motor and the affected limb when the motor drives the affected limb to move can be detected by the torque detection module. t , and M t As the current torque changes.

[0117] The current torque change may be a torque change corresponding to the change from the initial position to the current position, including a change in the magnitude of the torque and a change in the direction of the torque.

[0118] Step 103, an angle evaluation module is used to obtain the maximum angle change that can be achieved when the power unit drives the forearm to move, and a torque evaluation module is used to obtain the maximum torque change that can be achieved when the power unit interacts with the forearm.

[0119] In some embodiments, the maximum angular change that can be achieved can be evaluated by the angle evaluation module. Specifically, the motor can be controlled to run to the maximum angle that the patient can withstand and then stop running according to the operation point control module. The current angle change detected by the angle detection module is used to evaluate the maximum angular change that can be achieved when the affected limb is passively moved under the drive of the motor. max The maximum angle change can be understood as the maximum angle change range that the forearm can withstand.

[0120] In some embodiments, the maximum torque change can be obtained by evaluating the torque evaluation module. Specifically, the automatic evaluation can be performed within the first automatic cycle, the maximum flexion torque can be evaluated from the minimum angle to the maximum angle, the maximum extension torque can be evaluated from the maximum angle to the minimum angle, and the maximum torque change can be determined based on the maximum flexion torque and the maximum extension torque. The current torque change detected by the torque detection module evaluates the maximum torque change M of the motor on the affected limb when the affected limb is passively moved by the motor. max Among them, the maximum torque change can be understood as the maximum torque change range that the forearm can withstand.

[0121] Step 104, a motion planning module is used to determine the target angle and target torque corresponding to the forearm motion based on the current angle change, current torque change, maximum angle change and maximum torque change, and control the forearm motion based on the target angle and the target torque.

[0122] In some embodiments, the target angle and target torque for controlling the forearm movement can be calculated based on the motion planning module.

[0123] Among them, the angle change generated when the forearm moves is generated by the limb joint active and passive motion system driving the upper arm to rotate relative to the forearm. The limb joint active and passive motion system drive includes the power unit, which is a driving device for adjusting the angle between the forearm supporting surface and the upper arm supporting surface, that is, adjusting the angle generated when the forearm moves.

[0124] Specifically, see Figure 1-Figure 5 The power unit is a driving device, which is used to drive the moving body B to move a preset length in the direction of approaching / moving away from the fixed point C along the guiding direction of the guide device 20, so as to adjust the angle between the forearm support surface and the upper arm support surface, that is, to adjust the angle generated when the target object (forearm) moves. The angle change generated when the target object moves is generated when the power unit drives the forearm frame to rotate relative to the upper arm frame.

[0125] In some embodiments, the step of determining the target angle includes: determining the target angle based on the current angle change, the maximum angle change and preset motion parameters, wherein the preset motion parameters include at least one of an extension angle, a reciprocating angle and a dwell.

[0126] The target angle is determined based on the motion planning module. Specifically, the target angle ɑ can be determined based on the current angle change detected by the angle detection module, the maximum angle change (maximum operating angle) evaluated by the angle evaluation module, and the preset motion parameters. target The preset motion parameters may include preset extension angle, number of reciprocating movements, dwell time and other parameters, and the angle of motion of the forearm (eg, affected limb) is controlled based on the target angle.

[0127] In some embodiments, Figure 8 In the basic operation scenario shown, the target angle of the forearm (e.g., the affected limb) movement is equal to the maximum angle, i.e., target = max ,exist Fig. 9 In the extended operation scenario shown, the target angle is equal to the sum of the maximum angle and the extended angle, i.e., target = max +e, in Fig. 9 In the reciprocating operation scenario shown, the target angle is equal to the maximum angle plus the extended angle minus the reciprocating angle, that is, ɑ target = max +er. Among them, e is the expansion angle, r is the reciprocating angle, n is the number of reciprocating times, and t is the dwell time.

[0128] The method for determining the safety torque (target torque) includes: in some embodiments, determining the safety torque value based on the maximum torque change and the preset safety torque level; controlling the forearm movement based on the target angle and the target torque includes: starting the torque protection mode in response to the current torque change being greater than the safety torque value.

[0129] Specifically, when the current torque change detected by the torque detection module is greater than the safety torque M overload When the torque protection mode in the passive motion mode is activated, the safety torque M overload It is calculated based on the maximum torque change and the preset safety torque level. overload =M max +n M *k M , where M max is the maximum torque change, n M Refers to the safety torque level, k M Refers to the safety torque base, k M You can customize any number from 1 to 10.

[0130] In some embodiments, controlling the forearm movement based on the target angle includes: determining the target position of the power unit based on the target angle and the position function; determining the difference between the current angle change and the target angle value, determining the rotation speed of the power unit based on the size relationship between the difference and the limit range, and driving the forearm to perform passive movement based on the determined target position and rotation speed of the power unit.

[0131] Specifically, determine the difference between the current angle change detected by the angle detection module and the target angle obtained by the motion planning module Δ ɑ, according to the difference Δ ɑAdjust the speed V of the power unit (such as a motor) target , to control the motor to drive the affected limb to perform passive movement according to the target angle of the motion plan.

[0132] The target position is determined based on the target angle and the position function. The rotation speed is based on the angle difference value. Δ The relationship between ɑ and the limit range h is determined, for example, when the angular difference value Δ When ɑ is greater than the limit range h, the speed V target Equal to the maximum speed, when the angle difference Δ When ɑ is less than or equal to the limit range h, the speed V target Equal to the minimum speed.

[0133] Among them, V min =f V (V max);h=ɑ target -10; Δɑ=ɑ target -ɑ t ; When Δɑ≦h, V target =V min ; When Δɑ>h, V target =V max .

[0134] Among them, target is the target angle, V min Refers to the minimum speed, V max is the maximum speed, f V (.) refers to the minimum speed function, Δ ɑ refers to the current angle change ɑ t The target angle ɑ obtained by the motion planning module target The difference between t Refers to the current angle change; V target It refers to the target speed and h refers to the limit range.

[0135] In some embodiments, the maximum speed is determined by: determining the maximum speed V based on a preset speed level max , by accelerating or decelerating the speed. Specifically, V max =n V *k V , where n V Indicates the speed grade, k V Indicates the speed base. For example, when n V =3, k V =5, then V max =3*5=15.

[0136] Regarding continuous passive motion, torque monitoring and torque evaluation are added on the basis of traditional CPM exercise training. By detecting the applied torque in real time during the exercise, the forearm (e.g., the affected limb) can move within the maximum range without exceeding the safe torque evaluated based on the individual characteristics of the forearm (e.g., the patient). By safely and effectively implementing reciprocating motion at the extreme position of the forearm (e.g., the affected limb), the effectiveness and safety of the exercise are guaranteed. The motion control method provided in this application can ensure the safety and effectiveness of the exercise, and achieve reasonable control of the forearm. For example, if the forearm is an affected limb, the effusion and bleeding can be effectively "pumped away" from the joint, reducing the chance of stiffness after joint trauma. When the forearm is another target to be controlled, the forearm can be effectively controlled. This motion control method conforms to the characteristics of the forearm while ensuring the safety of the forearm.

[0137] Regarding adaptive active or passive muscle strength training, the movement state or movement intention of the affected limb with high muscle tone or contracture can be identified. During the movement, the perceived torque can be autonomously adjusted and a certain amount of assistance or resistance can be given to ensure active or passive movement under the premise of safety and effectiveness, so as to restore the motor nerve control and muscle strength of the forearm (such as the limb).

[0138] In some embodiments, controlling the movement of the forearm based on the target torque includes: determining the difference between the current torque change and the target torque value; controlling the operating parameters of the power unit based on the difference, and driving the forearm to perform stretching movement based on the adjusted operating parameters, wherein the operating parameters include rotational speed and / or torque.

[0139] Specifically, by comparing the current torque change M detected by the torque detection module t The maximum torque change M evaluated with the torque evaluation module max The difference ΔM between the two is measured, and the speed of the motor is adjusted according to the difference to adjust the torque of the motor on the affected limb, so that the affected limb can perform stretching movement under progressive force.

[0140] Specifically, when the difference ΔM is greater than or equal to zero, the rotation speed is equal to the maximum speed, and when the difference ΔM is less than zero, the rotation speed is equal to the minimum speed. max -M t , if ΔM ≥ 0, then V target =V max , if ΔM<0, then V target =V min ; Among them, V min Refers to the minimum speed, V max is the maximum speed, V target It refers to the target speed.

[0141] Regarding the progressive stretching technique, adaptive full stretching is performed for contracture or / myofascial adhesion, the mechanical principles of simulated manual stretching are applied, the stretching parameters (speed / intensity / time) are controlled, and a slow progressive force is adopted to implement the most "full" and "antagonistic" progressive flexible repeated stretching on the affected limb to loosen the contracted or adhered soft tissue, restore its elasticity and relative sliding ability, and achieve the purpose of increasing joint mobility.

[0142] In some embodiments, controlling the movement of the forearm based on the target torque includes: determining the current torque change and the maximum torque change; in response to the current torque change direction being the same as the running direction, controlling the operating parameters of the power unit based on the torque change, driving the forearm to accelerate along the running direction, so as to control the power unit to drive the forearm to perform assisted movement; in response to the current torque change direction being opposite to the running direction, controlling the operating parameters of the power unit based on the torque change, driving the forearm to decelerate along the running direction until the movement stops, so as to control the power unit to drive the forearm to perform assisted movement; wherein the operating parameters include the rotational speed of the power unit.

[0143] In some specific embodiments, by comparing the current torque change detected by the torque detection module and the maximum torque change evaluated by the torque evaluation module, when the torque change direction is in the same direction as the running direction, the motor speed is controlled to increase in proportion according to the torque change to drive the affected limb to accelerate along the running direction; when the torque change direction is opposite to the running direction, the motor speed is adjusted to decrease according to the difference to drive the affected limb to decelerate along the running direction, so as to control the motor to drive the affected limb to perform power-assisted exercise. The torque change direction can be based on the current torque change M t With the target speed V target The direction of the current torque change M t With the target speed V target In the same direction, it can be understood that the direction of torque change is the same as the running direction.

[0144] If the current torque changes M t With the target speed V target If the direction is the same, the target speed is determined based on the product of the first coefficient and the maximum speed, where the first coefficient is determined based on the current torque change and the base of the actively applied torque, that is, V target =M t / f*V max ; If the current torque changes M t With the target speed V target In the opposite direction, the target speed is determined based on the product of the second coefficient and the maximum speed, wherein the second coefficient is determined based on the difference between the current torque change and the maximum torque change and the maximum torque change, that is, V target =(M max -M t ) / M max *V max , where V min ≦V target ≦V max , f refers to the base of the actively applied torque. Among them, the first coefficient is greater than or equal to 1, and the second coefficient is less than 1.

[0145] In some embodiments, controlling the movement of the forearm based on the target torque includes: determining the active torque change generated by the active movement of the forearm based on the current torque change; in response to the active torque change direction being the same as the running direction, controlling the speed of the power unit to increase, driving the forearm to accelerate along the running direction, so as to control the power unit to drive the forearm to perform active movement; in response to the active torque change direction being opposite to the running direction, adjusting the power unit to run in the opposite direction, driving the forearm to decelerate in the opposite direction of the running direction without stopping, so as to control the power unit to drive the forearm to perform active movement.

[0146] Specifically, the torque change detected by the torque detection module is used to calculate the braking torque change generated by the active force of the forearm (for example, the affected limb). When the direction of the active torque change is the same as the running direction, the motor is controlled according to the torque change. When the running direction is opposite, the motor is adjusted to run in the opposite direction to drive the affected limb to run at a low speed in the opposite direction of operation, so as to control the motor to drive the affected limb to perform active movement.

[0147] If the current torque changes M t With the target speed V target In the same direction, V target =M t / f*V max , if the current torque changes M t With the target speed V target In the opposite direction, V target =-V min , where V min ≦V target ≦V max , f refers to the actively applied torque base.

[0148] In some embodiments, controlling the forearm movement based on the target torque includes: determining the active torque change generated when the forearm actively exerts force based on the current torque change; in response to the active torque change being greater than a set resistance value, controlling the operating parameters of the power unit according to the torque change, so as to control the power unit to drive the forearm to perform resistance exercise, wherein the operating parameters include rotation speed and / or direction.

[0149] Specifically, the active torque change generated by the active force of the affected limb is calculated through the current torque change detected by the torque detection module. When the active torque change is greater than the set resistance value s, the motor speed and direction are adjusted according to the torque change to control the motor to drive the affected limb to perform resistance exercise. t ≥s, V target =M t / f*V max , V min ≦V target ≦Vmax .

[0150] The software control system provided in the above embodiment senses the current state value of the angle change and the torque change of the moving parts connected to the forearm (for example, it can be the affected limb) through real-time detection, and understands the movement state or intention through the difference by comparing the current state value with the maximum angle and / or safe torque assessed according to the patient's individual ability. According to the movement state or intention, after algorithm analysis, the motor speed / direction / torque / target position is adjusted in real time and accurately to the maximum extent under the premise of safety, so that the affected limb moves at an appropriate speed, torque and angle, thereby realizing a closed-loop adaptive control method of human-machine-environment perception and two-way interaction.

[0151] It should be noted that the speed change process mentioned in the above embodiment can refer to the attached Fig.12 , in the attached Fig.12 The figure shows the process of reaching the target position from the current position, including the acceleration process, the constant speed process and the deceleration process, and the acceleration time and the deceleration time can be set separately.

[0152] See also Fig.10 , is a flow chart of a motion control method provided in one embodiment of the present application, comprising the following steps:

[0153] Exercise preparation.

[0154] Movement assessment.

[0155] Motion planning, in the motion planning module, includes determining the type of movement based on the movement state. The types of movement include stretching movement, passive movement, active movement, assisted movement, and resistance movement.

[0156] Motion information collection, collects corresponding motion information data from the motion process, and evaluates the motion state and motion intention based on the collected motion data, and continues motion planning until the end of the motion.

[0157] See also Fig.11 , is a flow chart of a motion control method provided in one embodiment of the present application, comprising the following steps:

[0158] The motion planning module includes the determination of the target position and the target angle, and the control of the motor speed, torque and moving parts based on the target position and the target angle.

[0159] And through the motion state perception module, for example, including the torque detection module to perceive the torque change (current torque change), the torque evaluation module to evaluate the maximum torque (maximum torque change), and the torque difference calculation and analysis is performed based on the torque change and the maximum torque.

[0160] The motor torque is controlled based on the calculation and analysis of the torque difference.

[0161] And through the motion state perception module, for example, including the angle detection module to detect the angle change (current angle change), through the angle evaluation module to evaluate the maximum angle (maximum angle change), and the angle difference is calculated and analyzed based on the angle change and the maximum angle.

[0162] The speed of the motor is controlled based on the calculation and analysis of the angle difference.

[0163] The present application provides a software system for active and passive movement of limb joints and intelligent dynamic stretching of terminal angles, which belongs to the field of medical sports rehabilitation.

[0164] Joint stiffness caused by trauma and postoperative immobilization is the most common, and the probability of stiffness is highest in complex joint fractures and dislocations. Swelling and hematoma are often the culprits of elbow stiffness, and the extreme position of joint movement is usually the most prone to stiffness.

[0165] At present, the main method to reduce joint stiffness, hypertonia, and spasticity is to start functional training of joint range of motion and muscle strength at an early stage to improve the extensibility of joint soft tissue and muscle characteristics. The main means currently used are physical therapist manual stretching (PT), continuous passive training (CPM) and intelligent rehabilitation robot motion training system, but the current status of these rehabilitation means and technologies still has a lot of room for improvement.

[0166] Manual stretching is a method used by physical therapists to apply mechanical principles to continuously stretch and expand the range of motion of joints, and to perform passive rehabilitation training on limb joints to restore the patient's joint mobility and limb motor function. However, this type of rehabilitation training relies on the human input of rehabilitation therapists, and traditional physical manual stretching is very laborious. The duration, training intensity, and rehabilitation strategy also depend on the therapist's experience and subjective feelings.

[0167] CPM passive motion rehabilitation machine is mainly used in orthopedics to maintain joint mobility to prevent joint stiffness caused by trauma or postoperative swelling and hematoma. In order to ensure safety, foreign CPM passive motion rehabilitation machines all adopt an automatic operation mode of returning when encountering force. However, due to factors such as trauma or postoperative joint swelling and hematoma, they are often subject to varying degrees of resistance during operation, resulting in a relatively small passive operation range, and the limbs usually cannot reach the full range of motion. Domestic CPM moves limbs or joints at a constant speed within the pre-set angle operation range. Although the system can provide a large torque, during the entire operation process, due to the limitations of the mechanical structure and the way the force is applied, the resistance encountered during the operation cannot be detected, and the set range of motion is smaller than the effective range of motion. Otherwise, excessive force may occur during the operation, increasing the risk of secondary injury to the affected limb. In this case, the previous CPM range of motion cannot reach a limited higher position, which is also the key physiological position where stiffness is prone to occur. Safe and effective reciprocating extrusion motion must be implemented to force the effusion and bleeding to be effectively "pumped away" from the joint to prevent joint stiffness caused by excessive deposition of matrix.

[0168] At present, intelligent sports rehabilitation training systems are mainly used for active and passive auxiliary training of limbs after nerve damage, and for restoring patients' motor nerve control and muscle strength training of limbs. However, such patients usually have symptoms such as high muscle tension / limb contracture, so the system is usually equipped with safety protection measures. Once the resistance is too large, the machine starts to stop or automatically reverses the operation mode, and cannot perform effective passive stretching training on joints with high muscle tension or contracture.

[0169] Through the embodiments provided in the present application, for patients with clinical limb movement disorders such as high muscle tone / spasm, joint contracture / stiffness, etc., the movement status and / or movement intention of the patient can be accurately identified by real-time perception of the movement information of the affected limb (joint mechanics, joint angle), and based on the understanding of the movement status and / or movement intention, a sports rehabilitation system with functions such as (1) progressive stretching technology, (2) continuous passive motion training, and (3) adaptive active muscle strength training is provided to make up for the deficiencies of the existing technology.

[0170] In the above embodiment, combined with the design of the joint mechanical transmission structure and the motion control host, it can effectively assist the target user (for example, a patient) to perform forearm (for example, a joint) activity exercise, stretch contracted soft tissue, stretch and relax stiff joints, and improve joint mobility. The speed and torque of the motor are adjusted in real time through the angle change of limb movement and the state data such as torque change, and dynamic progressive force and continuous stretching treatment are implemented. On the basis of ensuring safety and effectiveness, the range of joint movement is maximized, and the patient's comfort is improved, so as to mobilize the patient's willingness to recover, increase the frequency of training treatment, and shorten the rehabilitation cycle.

[0171] It can be understood that the forearm provided in the embodiment of the present application can be a patient's limb or other non-human limb. In addition to being used in the medical field, the solution provided in this embodiment can also be applied to other cardinal fields such as strengthening exercise or training.

[0172] In one embodiment, Fig.13 As shown, a motion control system 400 corresponding to the motion control method is provided. The system can use software modules or hardware modules, or a combination of the two to become a part of a computer device, specifically including:

[0173] Angle detection module 410, used to obtain the current angle change generated when the power unit drives the forearm to move;

[0174] A torque detection module 420, used to obtain a current torque change generated when the power unit and the forearm interact with each other when the power unit drives the forearm to move;

[0175] An angle evaluation module 430 is used to obtain the maximum angle change that can be achieved when the power unit drives the forearm to move;

[0176] A torque evaluation module 440, for obtaining a maximum torque change that can be achieved when the power unit interacts with the forearm;

[0177] The motion planning module 450 is used to determine the target angle and target torque corresponding to the forearm motion based on the current angle change, the current torque change, the maximum angle change and the maximum torque change, and control the forearm motion based on the target angle and the target torque.

[0178] For the specific definition of the motion control system, please refer to the definition of the motion control method above, which will not be repeated here. Each module in the above motion control system can be implemented in whole or in part by software, hardware and a combination thereof. The above modules can be embedded in or independent of the processor in the computer device in the form of hardware, or can be stored in the memory of the computer device in the form of software, so that the processor can call and execute the operations corresponding to the above modules.

[0179] In the above description, although expressions such as "first" and "second" may be used to describe various elements of the present application, they are not intended to limit the corresponding elements. For example, the above expressions are not intended to limit the order or importance of the corresponding elements. The above expressions are used to distinguish one component from another component.

[0180] The terms used in the specification of the present application are only for the purpose of describing specific embodiments and are not intended to limit the present application. A singular expression includes a plural expression unless there is a significant difference in context or scheme between them.

[0181] The above description is merely an exemplary embodiment of the present application and is not intended to limit the protection scope of the present application. The protection scope of the present application is determined by the appended claims.

[0182] Those skilled in the art will understand that the various technical features of the above-described embodiments may be omitted, added or combined in any manner accordingly. To make the description concise, not all possible combinations of the various technical features in the above-described embodiments are described. However, as long as there is no contradiction in the combination of these technical features, and the simple transformation methods that can be thought of by those skilled in the art and the solutions for making adaptive and functional structural transformations to the prior art should be considered to be within the scope of this specification.

[0183] The above-mentioned embodiments only express several implementation methods of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the scope of the patent application. It should be pointed out that although the present application has been shown and described with reference to various embodiments, it is possible for a person of ordinary skill in the art to make various deformations and improvements in several forms and details without departing from the concept of the present application, without departing from the scope of the present application defined by the attached claims, and these all belong to the protection scope of the present application. Therefore, the protection scope of the patent application of the present application shall be subject to the attached claims.

Claims

1. A limb joint active and passive motion system, characterized in that: include: An upper arm frame, the upper arm frame comprising an upper arm supporting surface and a mounting surface disposed opposite to each other, the mounting surface being fixed to the main support, and the mounting surface being fixedly connected to the first support; The guide device comprises a moving body B, the moving body B can be driven to move a preset length along the guiding direction of the guide device, and the moving body B is hinged to an end of the first bracket away from the upper arm; a fixed point C is provided on one end of the guide device located in the guiding direction thereof; The forearm frame is located on the same side of the guide device as the upper arm frame and is hingedly connected to the upper arm frame through a joint A; the forearm frame includes a forearm support plate and two forearm limit rods arranged on both sides of the forearm support plate in a width direction, and the two forearm limit rods are connected through a forearm driving belt; the forearm limit rod is hingedly connected to the fixed point C through a second bracket, and the second bracket is perpendicular to the forearm limit rod; The forearm is fixed between the forearm support plate and the forearm driving belt. When the moving body B is driven to move in a direction close to the fixed point C, the second bracket pulls the forearm to stretch through the forearm driving belt. When the moving body B is driven to move to the shortest distance from the fixed point C, the angle between the forearm supporting surface of the forearm bracket and the upper arm supporting surface is 185°. When the moving body B is driven to move in a direction away from the fixed point C, the second bracket pushes the forearm to flex through the forearm support plate, and when the moving body B is driven to move to the farthest distance from the fixed point C, the angle between the forearm supporting surface and the upper arm supporting surface is 45°.

2. The limb joint active and passive motion system according to claim 1, characterized in that: The guide device comprises a guide groove, the movable body B is embedded in the guide groove and can slide along the guide groove, and the fixed point C is arranged on the extension line of the guide groove in the length direction.

3. The limb joint active and passive motion system according to claim 1, characterized in that: Also included is a driving device, the driving device comprising: A driving component, located at a fixed point C at one end of the guiding direction of the guide device; The rotating screw is connected to the driving shaft of the driving component, and the length direction of the rotating screw is consistent with the guiding direction of the guiding device. The rotating screw is spirally penetrated into the moving body B to drive the moving body B to move along the guiding direction.

4. The limb joint active and passive motion system according to claim 1, characterized in that: It also includes a telescopic adjustment frame, which is arranged at one end of the forearm frame away from the upper arm frame, and a hand fixing component is arranged at the end of the telescopic adjustment frame.

5. The limb joint active and passive motion system according to claim 4, characterized in that: The hand fixing component comprises: A back-of-hand support portion connected to an end of the telescopic adjustment frame away from the forearm frame; The finger plate includes four first finger sleeves which are arranged in parallel and dispersedly and connected to the back of hand supporting part, and two second finger sleeves which are arranged on both sides of the back of hand supporting part in the width direction; A fixing frame, the fixing frame is mounted above the back of hand supporting portion and the two ends of the fixing frame are respectively fixed to the two second finger sleeves; A pressure plate is provided on the fixing frame and is located above the back-of-hand supporting portion, and the pressure plate can be moved toward / away from the back-of-hand supporting portion under the action of the adjusting mechanism. When the back of the hand is placed on the back-of-hand supporting portion, the pressure plate moves toward the direction close to the back-of-hand supporting portion so that the back of the hand adheres to the surface of the back-of-hand supporting portion.

6. The limb joint active and passive motion system according to claim 5, characterized in that: The back of hand support portion is mounted on an angle adjustment plate, and the angle adjustment plate is hinged to the telescopic adjustment frame; The back of the angle adjustment plate is provided with an extension portion facing away from the back of the hand supporting portion; it also includes an adjustment rod, one end of which is hinged to the end of the extension portion, and the other end passes through an adjustment bracket provided on the back of the telescopic adjustment frame, and a positioning screw penetrates into the adjustment bracket from the outside and abuts against the adjustment rod.

7. The limb joint active and passive motion system according to claim 4, characterized in that: The hand fixing component comprises a handle connected to the telescopic adjustment frame through a flexible belt.

8. The limb joint active and passive motion system according to claim 1, characterized in that: The upper arm frame comprises an upper arm supporting plate and upper arm limiting rods arranged on both sides of the upper arm supporting plate, and an upper arm strap is arranged between the two upper arm limiting rods.

9. The limb joint active and passive motion system according to claim 1, characterized in that: The main support comprises: Base; A fixing column, the lower end of which is mounted on the base; a first connecting column, wherein the lower end of the first connecting column is hingedly connected to the upper end of the fixing column through a first hinge fixing mechanism, A second connecting column is fixed to the upper arm frame, and the lower end of the second connecting column is hingedly connected to the upper end of the first connecting column through a second hinged fixing mechanism; The hinge axis direction of the first hinge fixing mechanism is perpendicular to the hinge axis direction of the second hinge fixing mechanism and both are parallel to the horizontal plane.

10. The limb joint active and passive motion system according to claim 1, characterized in that: It also includes a touch screen, which is electrically connected to the driving device; and the touch screen is connected to the upper arm through a screen bracket.

Images