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坐姿下肢康復(fù)訓(xùn)練系統(tǒng)的結(jié)構(gòu)設(shè)計與分析

Mechanical structure design and analysis of systemfor sitting lower limb rehabilitation training

作者: 肖陽  徐秀林  潘志超 
單位:上海理工大學(xué)醫(yī)療器械與食品學(xué)院(上海200093)
關(guān)鍵詞: 下肢康復(fù)訓(xùn)練;結(jié)構(gòu)設(shè)計;有限元分析;三維建模;組內(nèi)相關(guān)系數(shù) 
分類號:R496
出版年·卷·期(頁碼):2017·36·3(237-244)
摘要:

目的 設(shè)計一臺基于坐姿的下肢康復(fù)訓(xùn)練系統(tǒng),以幫助各類下肢運動功能障礙患者實現(xiàn)髖、膝、踝關(guān)節(jié)的有效康復(fù)訓(xùn)練。方法 首先設(shè)計坐姿下肢康復(fù)訓(xùn)練系統(tǒng)的整體結(jié)構(gòu);然后采用SolidWorks對系統(tǒng)整體結(jié)構(gòu)進(jìn)行三維建模,并用有限元分析軟件Ansys對主要受力部件進(jìn)行變形量分析和強度校核;最后對實體樣機(jī)進(jìn)行調(diào)試,驗證本訓(xùn)練系統(tǒng)設(shè)計的可行性和合理性。結(jié)果 該系統(tǒng)主要包括可移動訓(xùn)練座椅、外骨骼機(jī)械腿、髖關(guān)節(jié)間距調(diào)節(jié)裝置以及電控部分。座椅支撐最大的等效應(yīng)力為5.2315MPa,且最大變形量僅為0.0128mm;移動導(dǎo)桿最大等效應(yīng)力為204.59MPa,最大變形量為1.72mm;腳踝部分最大等效應(yīng)力為97.326MPa,腳踝部分最大變形量為0.62mm。該訓(xùn)練系統(tǒng)可以滿足身高在155~190cm內(nèi)的患者使用。機(jī)械腿膝關(guān)節(jié)運動到最大及最小極限角度的可靠性組內(nèi)相關(guān)系數(shù)(intraclass correlation coefficient,ICC)分別為0.823和0.895;踝關(guān)節(jié)運動到背屈、趾屈極限位角度的可靠性ICC值分別為0.861和0.833。結(jié)論 本訓(xùn)練系統(tǒng)各主要受力部件的強度和變形量都能滿足要求;能夠達(dá)到髖、膝、踝三關(guān)節(jié)預(yù)定動作范圍,可帶動受試者實現(xiàn)各種模式的下肢康復(fù)訓(xùn)練,具有較好的可行性和合理性。

Objective  Based on the sitting position, this paper designes a system for lower limb rehabilitation training, which can help patients with hip, knee and ankle joints rehabilitation. Methods Firstly, the whole structure of sitting lower limb rehabilitation training system was designed; and the Software SolidWorks was used for the whole structure of 3D modeling.Then,we used the finite element analysis software to analyze the deformation and strength check of the main bearing parts. Finally,the sample machine was debugged to verify the feasibility and rationality of the design. Results The system included a movable chair, two external skeletal mechanical legs, a distance adjustment device of hip, and an electric cabinet.Seat support’s maximum equivalent stress and the maximum deformation was 5.2315MPa and 0.0128mm. Mobile guide’s rod maximum equivalent stress and biggest deformation was 204.59MPa and 1.72mm. Ankle part’s maximum equivalent stress and deformation was 97.326MPa and 0.62mm. The training system could meet the height within 155-190cm patients. When the mechanical leg knee joint moved to the maximum and minimum limit angle, the reliability ICC value was 0.823 and 0.895. When the mechanical ankle moved to dorsiflexion and toe ultimate flexion angle, the reliability ICC value was 0.861 and 0.833. Conclusions   The strength and the deformation of the main stress components can meet the requirements. This training system can reach the range of preconcerted actions of three joints, lead patients with lower limb dysfunction to practice many types of lower limbs rehabilitation training, to have good feasibility and rationality.

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