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踝足矫形器的研究与开发:综述。

Research and Development of Ankle-Foot Orthoses: A Review.

机构信息

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, China.

Key Laboratory for Biomedical Engineering of Education Ministry, Department of Biomedical Engineering, Zhejiang University, Hangzhou 310027, China.

出版信息

Sensors (Basel). 2022 Sep 1;22(17):6596. doi: 10.3390/s22176596.

Abstract

The ankle joint is one of the important joints of the human body to maintain the ability to walk. Diseases such as stroke and ankle osteoarthritis could weaken the body's ability to control joints, causing people's gait to be out of balance. Ankle-foot orthoses can assist users with neuro/muscular or ankle injuries to restore their natural gait. Currently, passive ankle-foot orthoses are mostly designed to fix the ankle joint and provide support for walking. With the development of materials, sensing, and control science, semi-active orthoses that release mechanical energy to assist walking when needed and can store the energy generated by body movement in elastic units, as well as active ankle-foot orthoses that use external energy to transmit enhanced torque to the ankle, have received increasing attention. This article reviews the development process of ankle-foot orthoses and proposes that the integration of new ankle-foot orthoses with rehabilitation technologies such as monitoring or myoelectric stimulation will play an important role in reducing the walking energy consumption of patients in the study of human-in-the-loop models and promoting neuro/muscular rehabilitation.

摘要

踝关节是人体维持行走能力的重要关节之一。中风和踝骨关节炎等疾病会削弱身体控制关节的能力,导致人们的步态失去平衡。踝足矫形器可以帮助患有神经/肌肉或踝关节损伤的用户恢复自然步态。目前,被动踝足矫形器主要用于固定踝关节并为行走提供支撑。随着材料、传感和控制科学的发展,半主动矫形器在需要时释放机械能量以辅助行走,并可以将身体运动产生的能量存储在弹性单元中,以及主动踝足矫形器利用外部能量将增强的扭矩传递到脚踝,已经受到越来越多的关注。本文回顾了踝足矫形器的发展历程,并提出将新型踝足矫形器与监测或肌电刺激等康复技术相结合,将在人类闭环模型研究中减少患者的步行能量消耗和促进神经/肌肉康复方面发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/9460335/9c58fe9a2aa5/sensors-22-06596-g002.jpg

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