卧式TKA术后辅助康复装置设计与仿真  

Design and simulation of horizontal auxiliary rehabilitation device after TKA operation

作　　者：刘刊 王旭鹏[1] 霍东锋 韩冰[2] 林文周[1] 张维杰 LIU Kan;WANG Xupeng;HUO Dongfeng;HAN Bing;LIN Wenzhou;ZHANG Weijie(Research Center for Civil-Military Integration and Protection Equipment Design Innovation,Xi’an University of Technology,Xi’an 710054;Shaanxi Engineering Laboratory for Transmissions and Controls,Northwestern Polytechnical University,Xi’an 710072;Knee Ward,Arthropathy Hospital,Honghui Hospital Affiliated to Medical Department,Xi’an Jiaotong University,Xi’an 710054)

机构地区：[1]西安理工大学军民融合助力与防护装备设计创新研究中心,陕西西安710054 [2]西北工业大学陕西省机电传动与控制工程实验室,陕西西安710072 [3]西安交通大学医学部附属红会医院关节病医院膝关节病区,陕西西安710054

出　　处：《机械设计》2025年第2期92-101,共10页Journal of Machine Design

基　　金：教育部青年基金项目(19YJC760057,21XJC760003);上海市设计学Ⅳ高峰学科项目资助(DB19405);陕西省青年杰出人才支持计划配套基金(106-451420001)。

摘　　要：膝关节骨性关节炎(Knee Osteoarthritis,KOA)患者随着人口老龄化逐年增加,发病后期患者多选择全膝关节置换术(Total Knee Arthroplasty,TKA)进行治疗,因此,术后辅助康复需求激增。文中以屈伸运动、固踝屈伸、直腿抬高和弯腿屈膝4种康复动作为设计依据,在进行人体膝关节生物力学分析的基础上,开展了卧式TKA术后辅助康复装置设计。在MATLAB与ADAMS环境下进行了设计参数分析和虚拟样机数值模拟,进而对比分析了髋、膝关节相关运动参数,验证了康复装置的可行性及康复效果影响因素,为下一步样机的研制奠定了基础。Currently,there are more and more Knee Osteoarthritis(KOA)patients due to population aging,and the patients with serious symptoms often choose Total Knee Arthroplasty(TKA)for treatment,so the demand for post-operative auxiliary rehabilitation surges.This article focuses on four types of rehabilitation exercise,such as flexion and extension,ankle flexion and extension,straight leg raising,and bent knee flexion.The biomechanical analysis is carried out on the knee joint,the horizontal auxiliary rehabilitation training device after the TKA operation is designed.In the environment of MATLAB and ADAMS,the design parameters are analyzed,and the virtual prototype is subjected to the numerical simulation;then,the related motion parameters of the hip and knee joints are compared and analyzed.These results shown that this rehabilitation device is feasible.Besides,the influencing factors of the rehabilitation effect are identified,which lays a solid foundation for development of next-generation prototypes.

关 键 词：KOA患者 辅助康复装置 运动分析 可行性分析 

分 类 号：TH122[机械工程—机械设计及理论]