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CN112274308A - A kind of orthosis and correction method for hip osteoarthritis - Google Patents

A kind of orthosis and correction method for hip osteoarthritis
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Publication number
CN112274308A
CN112274308ACN202011301848.XACN202011301848ACN112274308ACN 112274308 ACN112274308 ACN 112274308ACN 202011301848 ACN202011301848 ACN 202011301848ACN 112274308 ACN112274308 ACN 112274308A
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hip
osteoarthritis
patient
hip joint
hip osteoarthritis
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CN112274308B (en
Inventor
刘国辉
苏佳灿
胡良聪
周武
米博斌
闫晨晨
谢旭东
陶然阳
余臣焱
曹发奇
陈文明
周志浩
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Abstract

The invention discloses an orthosis for hip osteoarthritis, which comprises a pelvis seat and a leg sleeve, wherein the pelvis seat and the leg sleeve are respectively worn around the hip and the thigh of a hip osteoarthritis patient through buckle belts arranged at the ends of the pelvis seat and the leg sleeve, and the pelvis seat and the leg sleeve are connected through a rigid connecting rod to form a rigid fixing structure for reducing the compression load of the hip joint of the hip osteoarthritis patient on the hip joint. The hip joint correction path of the hip joint osteoarthritis patient is planned, the hip joint state of the hip joint osteoarthritis patient is monitored in real time, the power driving device is controlled according to the correction path corresponding to the hip joint state to apply the inward-outward turning adjusting driving force to the hip joint of the hip joint osteoarthritis patient, and therefore the adjusting driving force is suitable for rehabilitation correction of the hip joint state of the hip joint osteoarthritis patient at present.

Description

Orthosis for hip osteoarthritis and correction method
Technical Field
The invention relates to the technical field of hip joint correction, in particular to an orthosis for hip joint osteoarthritis and a correction method.
Background
The hip joint is composed of a femoral head and an acetabulum, belongs to a ball-and-socket joint, is a typical rod-and-socket joint, has a high incidence rate with the increase of age, and is mainly used for treating the hip joint through surgical replacement or mechanical correction, wherein the mechanical correction needs a hip arthropathy orthosis, and the hip arthropathy orthosis is an orthosis for supporting or guiding the joint movement of the hip joint so as to reduce the burden of the hip joint.
Patent CN111818883A discloses a movable hip orthosis having a pelvic strap base body and two lateral pelvic strap ends which can be connected around the hip of a hip joint osteoarthritis patient in order to wear the pelvic strap, wherein at least one cam cushion is formed in the region of the pelvic strap ends, which cam cushion has at least one cam extending therefrom, wherein at least one cam is positioned on the cam cushion in such a way that the cam points in the worn state of the pelvic strap at the midgluteal muscle of the hip joint osteoarthritis patient, the wearing comfort and thus the compliance thereof being improved, wherein, in addition to the purely joint supporting function, further therapeutic supporting effects can be achieved. In particular, an orthosis is provided which also reduces deep back pain, typically caused by contracture muscle portions of the hip joint.
Although the patent CN111818883A has the advantage of improving wearing comfort compared with the conventional hip joint orthosis, there still exists a certain limitation, only one kind of fixed correction pulling force is provided for the hip joint of the hip joint osteoarthritis patient, and the correction process of the hip joint rehabilitation of the hip joint osteoarthritis patient is not planned, that is, the hip joint is gradually recovered and recovered to a normal condition in the hip joint correction process of the hip joint osteoarthritis patient, the previous correction force is not suitable for the later correction force, and the secondary injury or the delay of the recovery time can be caused if the correction force is not provided with the same correction force.
Disclosure of Invention
The invention aims to provide an orthosis for osteoarthritis of a hip joint, and aims to solve the technical problem that secondary injury or delayed rehabilitation time can be caused by the fact that the same correction force is continuously applied when the hip joint of a patient suffering from osteoarthritis of the hip joint is gradually recovered to a normal state in the prior art.
In order to solve the technical problems, the invention specifically provides the following technical scheme:
an orthosis for the osteoarthritis of the hip comprises a pelvis seat and a leg sleeve, wherein the pelvis seat and the leg sleeve respectively surround the hip and the thigh of a patient suffering from the osteoarthritis of the hip through fastening belts arranged at the ends of the pelvis seat and the leg sleeve, the pelvis seat and the leg sleeve are connected through a rigid connecting rod to form a rigid fixing structure used for relieving the compression load of the hip of the patient suffering from the osteoarthritis of the hip on the hip, an adjusting component used for assisting the varus and valgus of the hip of the patient suffering from the osteoarthritis of the hip is arranged at the position, corresponding to the position of the hip of the patient suffering from the osteoarthritis of the hip, on the inner side of the pelvis seat, and the adjusting component provides adjusting driving force for assisting the valgus and valgus of the hip of the patient suffering from the osteoarthritis of the hip through a power driving device arranged on the rigid connecting rod.
As a preferable mode of the present invention, the adjusting assembly includes an elastic pad disposed at a position corresponding to the position of the hip joint of the patient with the osteoarthritis of the hip joint, and a push rod having one end connected to an end of the elastic pad facing away from the hip joint of the patient with the osteoarthritis of the hip joint and the other end connected to a driving shaft of the power driving device, the push rod moves axially under the driving of the power driving device, and the axially moving push rod enlarges or reduces the distance between the power driving device and the elastic pad.
In a preferred embodiment of the present invention, the power driving unit is integrally formed with the rigid link, the power driving unit is located on a side of the rigid link facing the inside of the thigh of the hip osteoarthritis patient, and the driving shaft of the power driving unit is located facing the push rod, and the distance between the power driving unit and the elastic pad is identical to the distance between the rigid link and the elastic pad and has a changing state.
As a preferred embodiment of the invention, the enlargement and reduction of the distance between the rigid connecting bar and the elastic pad correspond to the valgus and varus movements, respectively, of the hip joint of a patient with osteoarthritis of the hip joint.
In a preferred embodiment of the present invention, one end of the rigid connecting rod is connected to the lower end of the pelvic seat, and the other end is connected to the upper end of the leg sleeve.
As a preferable scheme of the invention, a power supply device for supplying power to the power driving device is arranged on one side of the pelvic seat far away from the power driving device, and the power supply device is electrically connected with the power driving device.
As a preferred scheme of the invention, the power driving device is provided with a real-time adjusting module for adjusting and assisting the driving force for the hip joint varus and valgus of the hip joint osteoarthritis patient according to the real-time hip joint state matching correction path of the hip joint osteoarthritis patient, the real-time adjusting module comprises attitude sensors arranged on the back, thighs and calves, pressure sensors arranged on the soles and a main control processor for analyzing the information collected by the attitude sensors and the pressure sensors, and the main control processor analyzes the information collected by the attitude sensors and the pressure sensors by using a crutch circuit module and a human-computer interaction system of a client to match the correction path to obtain the data of the driving force for the adjustment of the hip joint varus and valgus of the hip joint osteoarthritis patient.
As a preferred scheme of the invention, the power driving device and the real-time adjusting module are interconnected through ports for data exchange, the adjusting driving force data is input into the power driving device from the ports by the real-time adjusting module, and the power driving device controls the axial movement of the mandril to apply the adjusting driving force corresponding to the inward turning and the outward turning of the hip joint of the hip osteoarthritis patient according to the adjusting driving force data.
As a preferable aspect of the present invention, there is provided a method for correcting the orthosis for osteoarthritis of the hip joint, including the steps of:
s1, respectively wearing a pelvic seat and a leg sleeve on the hip and the thigh of a patient with hip osteoarthritis, wherein a rigid connecting rod and a power driving device are positioned on the outer side of the thigh, an elastic pad is tightly attached to the position of a hip joint, a posture sensor of a real-time adjusting module is installed on the back, the thigh and the shank of the patient with hip osteoarthritis, and a pressure sensor is installed on the sole of the patient with hip osteoarthritis;
s2, the real-time adjusting module acquires the hip joint state in real time by using the posture sensors of the back, the thigh and the shank of the patient with the hip osteoarthritis and the pressure sensors of the soles, the correcting path is matched to acquire the adjusting driving force data required by the hip joint varus and valgus of the patient with the hip osteoarthritis, and when the hip joint state is matched with the correcting path terminal point, the step S5 is carried out;
s3, inputting the adjusting driving force data into a power driving device through a port by a real-time adjusting module, starting the power driving device, and controlling the axial movement of a mandril by the power driving device according to the adjusting driving force data to apply adjusting driving force corresponding to the inward turning and the outward turning of the hip joint of the hip osteoarthritis patient;
s4, after correcting the hip osteoarthritis patient for a period of time by the current adjusting driving force, closing the power driving device, and going to step S2;
s5, finishing correction, namely detaching the pelvis seat and the leg sleeve from the hip and the thigh of the patient with the hip osteoarthritis, detaching the posture sensor from the back, the thigh and the calf of the patient with the hip osteoarthritis, and detaching the pressure sensor from the sole of the patient with the hip osteoarthritis for standby.
As a preferred aspect of the present invention, the method for planning the orthodontic path includes:
the external computing host machine respectively performs gait analysis and comparison on a healthy volunteer and a hip joint osteoarthritis patient by using a three-dimensional gait analysis system, and respectively obtains the optimal kinematics and mechanics parameters of the hip joint osteoarthritis patient for the changes of time-distance parameters (step length, step speed and step frequency), hip joint kinematics parameters and biomechanical parameters (hip joint stress vertical axis component force) and dynamic myoelectric parameters (femoral lateral muscle surface myoelectric signals) of the testee in walking;
and the external computing host plans the correction path of the hip osteoarthritis patient according to the optimal kinematics and mechanical parameters of the hip osteoarthritis patient by utilizing the abnormal triggering and deformity correction biomechanical mechanism of the skeletal muscle group of the senile motor system disease and the adaptive characteristics of the senile motor system under the interaction of a human body and an orthosis.
Compared with the prior art, the invention has the following beneficial effects:
the hip joint correction path of the hip joint osteoarthritis patient is planned, the hip joint state of the hip joint osteoarthritis patient is monitored in real time, the power driving device is controlled to apply inward and outward turning adjusting driving force to the hip joint of the hip joint osteoarthritis patient according to the correction path corresponding to the hip joint state, so that the adjusting driving force is suitable for rehabilitation correction of the hip joint state of the current hip joint osteoarthritis patient, the adjusting driving force is adjusted in real time according to the hip joint state of the hip joint osteoarthritis patient and is used as the adjusting driving force for correcting force application, the correction requirement of the hip joint osteoarthritis patient is met, and the defects that secondary injury or recovery time delay can be caused due to the fact that the same correcting force application is not used in the correction process are avoided.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be apparent that the drawings in the following description are merely exemplary, and that other embodiments can be derived from the drawings provided by those of ordinary skill in the art without inventive effort.
Fig. 1 is a side view schematically illustrating an orthosis according to an embodiment of the present invention;
fig. 2 is a front view of an orthosis according to an embodiment of the present invention;
FIG. 3 is a schematic structural view of a variable triangle formed by the power driving device, the hip joint and the elastic pad according to the embodiment of the present invention;
FIG. 4 is a block diagram of a real-time adjustment module according to an embodiment of the present invention;
fig. 5 is a flowchart of an orthodontic method according to an embodiment of the invention.
The reference numerals in the drawings denote the following, respectively:
1-a pelvic seat; 2-leg sleeve; 3-buckling a belt; 4-a rigid connecting rod; 5-a regulating component; 6-a power drive; 7-a power supply device; 8-a real-time adjustment module; 9-hip joint;
501-an elastic cushion; 502-a top rod;
801-attitude sensors; 802-pressure sensor; 803 — the master processor.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in figures 1 and 2, the invention provides an orthopedic device for hip osteoarthritis, which comprises apelvis seat 1 and aleg sleeve 2, wherein thepelvis seat 1 and theleg sleeve 2 are respectively worn around the hip and the thigh of a patient with hip osteoarthritis throughbuckling belts 3 arranged at the ends of thepelvis seat 1 and theleg sleeve 2, thepelvis seat 1 and theleg sleeve 2 are connected through a rigid connecting rod 4 to form a rigid fixing structure for relieving the hip compression load of the hip of the patient with hip osteoarthritis, an adjusting component 5 for assisting the inner and outer turning of the hip joint of the patient with the coxarthrosis is arranged at the position, corresponding to the position of the hip joint of the patient with the coxarthrosis, on the inner side of thepelvis seat 1, and the adjusting component 5 provides adjusting driving force for assisting the inner and outer turning of the hip joint of the patient with the coxarthrosis through apower driving device 6 arranged on a rigid connecting rod 4.
The rigid connecting rod 4 can keep the distance between the hip and the thigh fixed, thereby ensuring that a proper gap is left at the hip joint and avoiding the arthritis and the pain caused by extrusion and compression.
The adjustment driving force is the correction force applied by the orthosis to the hip joint of the hip osteoarthritis patient.
As shown in fig. 1 and 3, the adjusting assembly 5 includes anelastic pad 501 disposed at a position corresponding to the position of the hip joint of the patient with hip osteoarthritis, and apush rod 502 having one end connected to the end of theelastic pad 501 facing away from the hip joint of the patient with hip osteoarthritis and the other end connected to the driving shaft of thepower driving device 6, wherein thepush rod 502 is axially moved by the lifting driving of thepower driving device 6, and the axially movedpush rod 502 enlarges or reduces the distance between thepower driving device 6 and theelastic pad 501.
Wherein, the end of theelastic pad 501 facing to the hip joint of the patient with the hip joint osteoarthritis is tightly attached to the skin surface of the hip joint of the patient with the hip joint osteoarthritis under the pressure action of thepelvis seat 1, theelastic pad 501 is still at the hip joint, thepower driving device 6, the hip joint and theelastic pad 501 jointly form a variable triangle, thepower driving device 6 controls the driving shaft to drive theejector rod 502 to lift up and axially move, theejector rod 502 which lifts up and axially moves expands the distance between thepower driving device 6 and theelastic pad 501, namely the triangle side between thepower driving device 6 and theelastic pad 501 extends, the vertex angle at the position of the hip joint is increased to maintain the triangle structure, corresponding to the eversion movement of the hip joint, thepower driving device 6 controls the driving shaft to drive theejector rod 502 to contract and axially move, theejector rod 502 which contracts and axially moves reduces the distance between thepower driving device 6 and the elastic pad, that is, the triangle side between thepower driving device 6 and theelastic pad 501 is shortened, and the vertex angle at the position of the hip joint is reduced to maintain the triangle structure, which corresponds to the hip joint inversion movement.
Thepower driving device 6 and the rigid connecting rod 4 are of an integrated structure, thepower driving device 6 is positioned at one side part of the rigid connecting rod 4 facing to the inner thigh of the hip osteoarthritis patient, the driving shaft of thepower driving device 6 is positioned towards theejector rod 502, and the distance between thepower driving device 6 and theelastic cushion 501 is consistent with the distance between the rigid connecting rod 4 and theelastic cushion 501 and has a consistent changing state.
Wherein, thepower driving device 6 faces the inner thigh of the patient with hip joint osteoarthritis, so that thepower driving device 6, themandril 502 and theelastic cushion 501 are positioned in the same plane, because thepower driving device 6 and the rigid connecting rod 4 have an integrated structure, thepower driving device 6 and the rigid connecting rod 4 have the same motion state, thepower driving device 6, the hip joint and theelastic cushion 501 jointly form a variable triangle to be changed into the rigid connecting rod 4, the hip joint and theelastic cushion 501 jointly form a variable triangle, thepower driving device 6 controls a driving shaft to drive themandril 502 to lift up and move axially, themandril 502 moving axially to lift up expands the distance between thepower driving device 6 and theelastic cushion 501, because the distance between thepower driving device 6 and theelastic cushion 501 is consistent with the distance between the rigid connecting rod 4 and theelastic cushion 501 and has the consistent change state, that is, the triangle side between the rigid connecting rod 4 and theelastic pad 501 extends, the vertex angle at the position of the hip joint increases to maintain the triangle structure, corresponding to the eversion movement of the hip joint, thepower driving device 6 controls the driving shaft to drive theejector rod 502 to contract and move axially, theejector rod 502 contracting and moving axially reduces the distance between thepower driving device 6 and theelastic pad 501, that is, the triangle side between the rigid connecting rod 4 and theelastic pad 501 shortens, and the vertex angle at the position of the hip joint decreases to maintain the triangle structure, corresponding to the eversion movement of the hip joint.
The enlargement and reduction of the distance between the rigid connecting rod 4 and theelastic pad 501 correspond to the eversion and inversion movements of the hip joint of a patient with osteoarthritis of the hip joint, respectively.
One end of the rigid connecting rod 4 is connected with the lower end part of thepelvis seat 1, and the other end is connected with the upper end part of theleg sleeve 2. Because the rigid connecting rod 4 and the thigh of the patient with the hip osteoarthritis are kept in a consistent motion state, the distance between the rigid connecting rod 4 and theelastic cushion 501 is consistent with the distance between the thigh of the patient with the hip osteoarthritis and theelastic cushion 501, and the same change state is provided, the rigid connecting rod 4, the hip joint and theelastic cushion 501 jointly form a variable triangle, and the variable triangle is coincided with the thigh of the patient with the hip osteoarthritis, the hip joint and theelastic cushion 501 jointly, so that thepower driving device 6 controls the driving shaft to drive theejector rod 502 to axially move, the inversion and eversion motions of the hip joint of a healthy person can be simulated, and the purpose of correcting the hip joint of the patient with the hip osteoarthritis is achieved.
Thepower supply device 7 for supplying power to thepower driving device 6 is arranged on one side, away from thepower driving device 6, of thepelvis seat 1, and thepower supply device 7 is electrically connected with thepower driving device 6 so as to avoid thepower supply device 7 from generating gravity compression on hip joints corrected by hip osteoarthritis patients.
As shown in fig. 4, thepower driving device 6 has a real-time adjustment module 8 for adjusting and assisting the driving force for the varus and valgus of the hip joint osteoarthritis patient according to the hip joint real-time state matching correction path of the hip joint osteoarthritis patient, the real-time adjustment module 8 includes aposture sensor 801 arranged on the back, thigh and calf, apressure sensor 802 arranged on the sole, and amain control processor 803 for analyzing the information collected by theposture sensor 801 and thepressure sensor 802, and themain control processor 803 obtains the adjustment driving force data required by the valgus and the valgus of the hip joint osteoarthritis patient by analyzing the information collected by theposture sensor 801 and thepressure sensor 802 and the correction path matching by using a crutch circuit module and a human-computer interaction system of a client.
Thepower driving device 6 and the real-time adjusting module 8 are interconnected through ports for data exchange, the adjusting driving force data is input into thepower driving device 6 from the ports through the real-time adjusting module 8, and thepower driving device 6 controls the axial movement of themandril 502 to apply adjusting driving force corresponding to the inward turning and the outward turning of the hip joint of the hip osteoarthritis patient according to the adjusting driving force data.
The driving force data is used for controlling the lifting force and the contraction force applied to themandril 502 by the driving shaft of thepower driving device 6, so that the increasing and reducing degrees of the vertex angle of the position of the hip joint in the variable triangle are controlled, and the degree of the eversion and inversion movement of the hip joint is realized.
The correction path is a plan of a correction scheme for correcting the hip osteoarthritis patient according to the rehabilitation development of the disease condition of the hip osteoarthritis patient, namely the correction path is composed of a plurality of driving force data, the driving force data in the correction path are distributed in a trend from an initial stage to a later stage, the corresponding disease condition from the initial stage to the later stage is gradually improved, and each correction period corresponds to one driving force data.
As shown in fig. 5, based on the above-mentioned orthosis structure for osteoarthritis of hip joint, the present invention provides an orthopedic method, comprising the steps of:
s1, respectively wearing a pelvic seat and a leg sleeve on the hip and the thigh of a patient with hip osteoarthritis, wherein a rigid connecting rod and a power driving device are positioned on the outer side of the thigh, an elastic pad is tightly attached to the position of a hip joint, a posture sensor of a real-time adjusting module is installed on the back, the thigh and the shank of the patient with hip osteoarthritis, and a pressure sensor is installed on the sole of the patient with hip osteoarthritis;
s2, the real-time adjusting module acquires the hip joint state in real time by using the posture sensors of the back, the thigh and the shank of the patient with the hip osteoarthritis and the pressure sensors of the soles, the correcting path is matched to acquire the adjusting driving force data required by the hip joint varus and valgus of the patient with the hip osteoarthritis, and when the hip joint state is matched with the correcting path terminal point, the step S5 is carried out;
s3, inputting the adjusting driving force data into a power driving device through a port by a real-time adjusting module, starting the power driving device, and controlling the axial movement of a mandril by the power driving device according to the adjusting driving force data to apply adjusting driving force corresponding to the inward turning and the outward turning of the hip joint of the hip osteoarthritis patient;
s4, after correcting the hip osteoarthritis patient for a period of time by the current adjusting driving force, closing the power driving device, and going to step S2;
s5, finishing correction, namely detaching the pelvis seat and the leg sleeve from the hip and the thigh of the patient with the hip osteoarthritis, detaching the posture sensor from the back, the thigh and the calf of the patient with the hip osteoarthritis, and detaching the pressure sensor from the sole of the patient with the hip osteoarthritis for standby.
After the hip osteoarthritis patient is corrected for a period of time, the current hip joint state of the hip osteoarthritis patient needs to be detected again, the driving force data in the correction path suitable for the hip joint state is matched according to the current hip joint state, specifically, if the hip joint state is improved, the hip joint state enters the correction period of improvement of the disease condition from the current period according to the correction path, if the hip joint state is deteriorated, the hip joint state enters the correction period of deterioration of the disease condition from the current period according to the correction path, the correction of the hip joint is monitored in real time, so that the driving force data is completely matched with the hip joint state, the hip joint of the hip osteoarthritis patient is corrected most suitably, the correction process is not continuously carried out according to the same direction of the correction path, the hip joint can jump to any position of the correction path according to the current condition of the hip joint, and the flexible purpose is achieved, the correction process only belonging to the disease rehabilitation of each hip osteoarthritis patient is formulated according to the hip osteoarthritis patient, the treatment effect is better, and the applicable population range is wider.
The planning method of the correcting path comprises the following steps:
the external computing host machine respectively performs gait analysis and comparison on a healthy volunteer and a hip joint osteoarthritis patient by using a three-dimensional gait analysis system, and respectively obtains the optimal kinematics and mechanics parameters of the hip joint osteoarthritis patient for the changes of time-distance parameters (step length, step speed and step frequency), hip joint kinematics parameters and biomechanical parameters (hip joint stress vertical axis component force) and dynamic myoelectric parameters (femoral lateral muscle surface myoelectric signals) of the testee in walking;
and the external computing host plans the correction path of the hip osteoarthritis patient according to the optimal kinematics and mechanical parameters of the hip osteoarthritis patient by utilizing the abnormal triggering and deformity correction biomechanical mechanism of the skeletal muscle group of the senile motor system disease and the adaptive characteristics of the senile motor system under the interaction of a human body and an orthosis.
The correction path is obtained through scientific analysis of kinematics simulation, has high scientificity and correctness, can provide a correction scheme which is most suitable for recovering to the healthy hip joint condition for the hip osteoarthritis patient, and completely meets the requirements of the hip osteoarthritis patient.
The correcting path is analyzed, planned and determined by an external computing host, and then transmitted to a main control processor through network communication.
The hip joint correction path of the hip joint osteoarthritis patient is planned, the hip joint state of the hip joint osteoarthritis patient is monitored in real time, the power driving device is controlled to apply inward and outward turning adjusting driving force to the hip joint of the hip joint osteoarthritis patient according to the correction path corresponding to the hip joint state, so that the adjusting driving force is suitable for rehabilitation correction of the hip joint state of the current hip joint osteoarthritis patient, the adjusting driving force is adjusted in real time according to the hip joint state of the hip joint osteoarthritis patient and is used as the adjusting driving force for correcting force application, the correction requirement of the hip joint osteoarthritis patient is met, and the defects that secondary injury or recovery time delay can be caused due to the fact that the same correcting force application is not used in the correction process are avoided.
The above embodiments are only exemplary embodiments of the present application, and are not intended to limit the present application, and the protection scope of the present application is defined by the claims. Various modifications and equivalents may be made by those skilled in the art within the spirit and scope of the present application and such modifications and equivalents should also be considered to be within the scope of the present application.

Claims (10)

Translated fromChinese
1.一种用于髋关节骨性关节炎的矫形器,其特征在于:包括骨盆座(1)和腿套(2),所述骨盆座(1)和腿套(2)分别通过设置在骨盆座(1)和腿套(2)端部的扣带(3)围绕穿戴在髋关节骨性关节炎患者的髋部和大腿部,所述骨盆座(1)和腿套(2)之间通过刚性连接杆(4)连接形成用以减轻髋关节骨性关节炎患者髋部对髋关节压迫负荷的刚性固定结构,在所述骨盆座(1)内侧与髋关节骨性关节炎患者髋关节位置一致的位置处设置有用以协助髋关节骨性关节炎患者髋关节内、外翻的调节组件(5),所述调节组件(5)通过设置在刚性连接杆(4)上的动力驱动装置(6)提供协助髋关节骨性关节炎患者髋关节内、外翻的调节驱动力。1. an orthosis for hip osteoarthritis, is characterized in that: comprise pelvic seat (1) and leg cover (2), described pelvic seat (1) and leg cover (2) respectively by being arranged in The buckles (3) at the ends of the pelvic seat (1) and the leg cover (2) are worn around the hip and thigh of a patient with hip osteoarthritis, the pelvic seat (1) and the leg cover (2) A rigid fixing structure for reducing the compression load on the hip joint by the hip of the patient with hip osteoarthritis is formed by being connected by a rigid connecting rod (4), and the inner side of the pelvic seat (1) is connected with the patient with hip osteoarthritis. An adjustment component (5) for assisting hip joint varus and valgus of a patient with hip joint osteoarthritis is provided at the position where the position of the hip joint is consistent, and the adjustment component (5) is provided with the power provided on the rigid connecting rod (4) The driving device (6) provides the adjusting driving force for assisting the varus and valgus of the hip joint of patients with hip osteoarthritis.2.根据权利要求1所述的一种用于髋关节骨性关节炎的矫形器,其特征在于:所述调节组件(5)包括设置在与髋关节骨性关节炎患者髋关节位置一致的位置处的弹性垫(501),以及一端连接在弹性垫(501)背向髋关节骨性关节炎患者髋关节的端部,另一端连接在动力驱动装置(6)驱动轴上的顶杆(502),所述顶杆(502)在动力驱动装置(6)的顶升驱动下轴向移动,轴向移动的所述顶杆(502)扩大或减小动力驱动装置(6)和弹性垫(501)之间的距离。2. A kind of orthosis for hip osteoarthritis according to claim 1, it is characterized in that: described adjustment component (5) comprises and is arranged in and is consistent with the hip joint position of hip osteoarthritis patient An elastic pad (501) at the position, and a top rod ( 502), the mandrel (502) moves axially under the lifting drive of the power drive device (6), and the axially moved mandrel (502) expands or reduces the power drive device (6) and the elastic pad (501) distance between.3.根据权利要求2所述的一种用于髋关节骨性关节炎的矫形器,其特征在于:所述动力驱动装置(6)与刚性连接杆(4)具有一体成型结构,所述动力驱动装置(6)位于刚性连接杆(4)朝向髋关节骨性关节炎患者大腿内侧的一侧部且动力驱动装置(6)的驱动轴朝向顶杆(502)放置,所述动力驱动装置(6)和弹性垫(501)之间的距离和刚性连接杆(4)和弹性垫(501)之间的距离相一致并具有相一致的变化状态。3. An orthosis for hip osteoarthritis according to claim 2, characterized in that: the power drive device (6) and the rigid connecting rod (4) have an integrally formed structure, and the power The drive device (6) is located on the side of the rigid connecting rod (4) facing the inner thigh of the patient with hip osteoarthritis and the drive shaft of the power drive device (6) is placed toward the ejector rod (502), the power drive device ( 6) The distance between the elastic pad (501) and the rigid connecting rod (4) and the elastic pad (501) is consistent and has a consistent changing state.4.根据权利要求3所述的一种用于髋关节骨性关节炎的矫形器,其特征在于:所述刚性连接杆(4)和弹性垫(501)之间的距离的扩大和减小分别对应髋关节骨性关节炎患者髋关节的外翻和内翻运动。4. An orthosis for hip osteoarthritis according to claim 3, characterized in that: the expansion and reduction of the distance between the rigid connecting rod (4) and the elastic pad (501) Corresponding to the valgus and varus movements of the hip joint in patients with hip osteoarthritis, respectively.5.根据权利要求4所述的一种用于髋关节骨性关节炎的矫形器,其特征在于:所述刚性连接杆(4)的一端与骨盆座(1)的下端部相连,另一端与腿套(2)的上端部相连。5. An orthosis for hip osteoarthritis according to claim 4, characterized in that: one end of the rigid connecting rod (4) is connected with the lower end of the pelvic seat (1), and the other end It is connected with the upper end of the leg cover (2).6.根据权利要求5所述的一种用于髋关节骨性关节炎的矫形器,其特征在于:在所述骨盆座(1)远离动力驱动装置(6)的一侧设置有为动力驱动装置(6)供电的电源设备(7),所述电源设备(7)与动力驱动装置(6)电性连接。6. An orthosis for hip osteoarthritis according to claim 5, characterized in that: a side of the pelvis seat (1) away from the power drive device (6) is provided with a power drive A power supply device (7) powered by the device (6), the power supply device (7) is electrically connected to the power drive device (6).7.根据权利要求6所述的一种用于髋关节骨性关节炎的矫形器,其特征在于,所述动力驱动装置(6)具有依据髋关节骨性关节炎患者自身髋关节实时状态匹配矫治路径为髋关节骨性关节炎患者调整协助髋关节内、外翻调节驱动力的实时调整模块(8),所述实时调整模块(8)包括设置在背部、大腿、小腿的姿态传感器(801)和设置在足底的压力传感器(802),以及对姿态传感器(801)和压力传感器(802)采集的信息进行分析的主控处理器(803),所述主控处理器(803)利用拐杖电路模块及客户端的人机交互系统分析姿态传感器(801)和压力传感器(802)采集的信息和矫治路径相匹配获得髋关节骨性关节炎患者髋关节内、外翻所需的调节驱动力数据。7. A kind of orthosis for hip osteoarthritis according to claim 6, is characterized in that, described power drive device (6) has according to hip osteoarthritis patient's own hip joint real-time state matching The correction path is a real-time adjustment module (8) that adjusts and assists hip joint varus and valgus to adjust the driving force for hip osteoarthritis patients, and the real-time adjustment module (8) includes attitude sensors (801) arranged on the back, thigh, and calf. ) and a pressure sensor (802) arranged on the sole of the foot, and a main control processor (803) that analyzes the information collected by the attitude sensor (801) and the pressure sensor (802), the main control processor (803) uses The crutch circuit module and the client's human-computer interaction system analyze the information collected by the posture sensor (801) and the pressure sensor (802) and match the correction path to obtain the adjustment driving force required by the hip varus and valgus of the hip osteoarthritis patient data.8.根据权利要求7所述的一种用于髋关节骨性关节炎的矫形器,其特征在于,所述动力驱动装置(6)和实时调整模块(8)通过端口互联进行数据交换,所述调节驱动力数据由实时调整模块(8)从端口输入动力驱动装置(6),动力驱动装置(6)按照调节驱动力数据控制顶杆(502)的轴向移动对髋关节骨性关节炎患者髋关节施加对应矫治路径的内、外翻的调节驱动力。8. A kind of orthosis for hip osteoarthritis according to claim 7, is characterized in that, described power drive device (6) and real-time adjustment module (8) carry out data exchange through port interconnection, so The adjustment driving force data is input from the port into the power drive device (6) by the real-time adjustment module (8), and the power drive device (6) controls the axial movement of the ejector rod (502) according to the adjustment drive force data, which is beneficial to hip osteoarthritis. The patient's hip joint exerts an adjustment driving force corresponding to the varus and valgus of the correction path.9.一种根据权利要求1-8任一项所述用于髋关节骨性关节炎的矫形器的矫治方法,其特征在于,包括以下步骤:9. a method for correcting the orthosis for hip osteoarthritis according to any one of claims 1-8, is characterized in that, comprises the following steps:S1、将骨盆座和腿套分别穿戴到髋关节骨性关节炎患者的髋部和大腿部,刚性连接杆和动力驱动装置位于大腿部外侧,弹性垫紧贴髋关节位置处,并将实时调整模块的姿态传感器安装到髋关节骨性关节炎患者的背部、大腿、小腿处,压力传感器安装到髋关节骨性关节炎患者的足底处;S1. Put the pelvic seat and leg cover on the hip and thigh of the patient with hip osteoarthritis, respectively. The rigid connecting rod and the power drive device are located on the outside of the thigh, and the elastic pad is close to the hip joint. The attitude sensor of the real-time adjustment module is installed on the back, thigh and calf of the patient with hip osteoarthritis, and the pressure sensor is installed on the sole of the foot of the patient with hip osteoarthritis;S2、实时调整模块利用髋关节骨性关节炎患者背部、大腿、小腿的姿态传感器和足底的压力传感器实时获取髋关节状态,匹配矫治路径获得髋关节骨性关节炎患者髋关节内、外翻所需的调节驱动力数据,当髋关节状态匹配矫治路径终点,转到步骤S5;S2. The real-time adjustment module uses the posture sensors of the back, thigh, and calf of the patient with hip osteoarthritis and the pressure sensor of the sole of the foot to obtain the status of the hip joint in real time, and matches the correction path to obtain the varus and valgus of the hip joint of the patient with hip osteoarthritis. The required adjustment driving force data, when the hip joint state matches the end point of the correction path, go to step S5;S3、实时调整模块通过端口将调节驱动力数据输入动力驱动装置,开启动力驱动装置,动力驱动装置按照调节驱动力数据控制顶杆的轴向移动对髋关节骨性关节炎患者髋关节施加对应矫治路径的内、外翻的调节驱动力;S3. The real-time adjustment module inputs the adjustment driving force data into the power drive device through the port, and turns on the power drive device. The power drive device controls the axial movement of the ejector rod according to the adjustment drive force data and applies corresponding correction to the hip joint of patients with hip osteoarthritis. The adjustment driving force of the inversion and valgus of the path;S4、以当前调节驱动力对髋关节骨性关节炎患者矫治一段时间后,关闭动力驱动装置,转到步骤S2;S4. After correcting the hip osteoarthritis patient with the current adjustment driving force for a period of time, turn off the power driving device, and go to step S2;S5、矫治完成,将骨盆座和腿套从髋关节骨性关节炎患者的髋部和大腿部拆卸下来,姿态传感器从髋关节骨性关节炎患者的背部、大腿、小腿处拆卸下来,以及压力传感器从髋关节骨性关节炎患者的足底处拆卸下来,备用。S5. After the correction is completed, the pelvic seat and leg cover are removed from the hip and thigh of the patient with hip osteoarthritis, and the posture sensor is removed from the back, thigh, and calf of the patient with hip osteoarthritis, and The pressure sensor was removed from the sole of the foot of a patient with hip osteoarthritis and used as a spare.10.根据权利要求9所述的一种矫治方法,其特征在于,所述矫治路径的规划方法:10. A kind of rectification method according to claim 9, is characterized in that, the planning method of described rectification path:外部计算主机利用三维步态分析系统分别对健康志愿者和髋关节骨性关节炎患者进行步态分析和比对,分别为受试者行走中的时间-距离参数(步长、步速、步频),髋关节运动学参数及生物力学参数(髋关节应力垂直轴分力)及动态肌电参数(股外侧肌表面肌电信号)的变化,获得髋关节骨性关节炎患者的最佳运动学及力学参数;The external computing host uses the three-dimensional gait analysis system to analyze and compare the gait of healthy volunteers and patients with hip osteoarthritis, respectively, which are the time-distance parameters (step length, pace, stride, etc.) of the subjects walking. frequency), hip kinematic parameters and biomechanical parameters (vertical axis component of hip joint stress) and dynamic EMG parameters (surface EMG signal of vastus lateralis muscle), to obtain the best exercise for patients with hip osteoarthritis Mechanical and mechanical parameters;外部计算主机根据髋关节骨性关节炎患者的最佳运动学及力学参数利用老年运动系统疾病骨骼肌群的异常触发和畸形矫正生物力学机制以及人体-矫形器相互作用下老年运动系统适应性特征,规划髋关节骨性关节炎患者的矫治路径。Based on the optimal kinematic and mechanical parameters of patients with hip osteoarthritis, the external computing host utilizes the abnormal triggering and deformity correction biomechanical mechanism of skeletal muscle groups in elderly motor system diseases and the adaptive characteristics of the elderly motor system under the interaction of human body and orthosis , planning the corrective path for patients with hip osteoarthritis.
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