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TWM445742U - A functional model of knee joint - Google Patents

A functional model of knee joint Download PDF

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Publication number
TWM445742U
TWM445742U TW100224523U TW100224523U TWM445742U TW M445742 U TWM445742 U TW M445742U TW 100224523 U TW100224523 U TW 100224523U TW 100224523 U TW100224523 U TW 100224523U TW M445742 U TWM445742 U TW M445742U
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TW
Taiwan
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tibia
femur
cruciate ligament
support platform
joint
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TW100224523U
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Chinese (zh)
Inventor
Wei-Chung Liu
Nien-Tzu Keng
Chun-Chih Lin
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Tzu Chi College Of Technology
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Priority to TW100224523U priority Critical patent/TWM445742U/en
Publication of TWM445742U publication Critical patent/TWM445742U/en

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Abstract

Recently, the knee-joint models only represented internal anatomic structures but design with functional structures. Even though the joint is movable, the relative locations of cruciate ligaments to bones may differ due to strength and directions of exerting force, which can lead to erroneous judgement on the functions of the cruciate ligaments. This design is about a model of knee-joint motion of human body composed of femur, fibula, anterior cruciate ligament, posterior cruciate ligament and slippery rails for joint motion. Anterior and posterior cruciate ligaments are designed to be movable to simulate their relative locations to the bones in motion, which can be utilized to indicate the functions of these two ligaments. In this design, the motion of the joint is confined as sliding on the rail to solve the above problem. Therefore, the design can help medical personnel in learning the functions of cruciate ligaments.

Description

膝關節之功能性模型Functional model of the knee joint

本創作係有關於一種功能性人體膝關節教學模型。此模型可透過骨骼在軌道滑動,模擬膝關節活動時,前、後十字韌帶的相對位置,並展現此韌帶的作用,以增進對膝關節十字韌帶功能的學習與了解。This creative department is about a functional human knee joint teaching model. This model can slide through the bones to simulate the relative position of the anterior and posterior cruciate ligaments when the knee joint is active, and demonstrate the role of the ligament to improve the learning and understanding of the knee cruciate ligament function.

近年戶外運動興盛,運動傷害病例不斷攀升,其中膝關節十字韌帶的傷害屬於常見的一種運動傷害。膝關節的結構複雜,主要結構除了股骨、脛骨,另外含半月板、前十字韌帶及後十字韌帶等。現今膝關節模型,結構上雖然已包括關節的各部構造,但缺乏功能性表現,其學習成效有待提升。In recent years, outdoor sports have prospered, and cases of sports injuries have been rising. Among them, the injury of the knee cruciate ligament is a common type of sports injury. The structure of the knee joint is complex. The main structure includes the femur and tibia, and the meniscus, anterior cruciate ligament and posterior cruciate ligament. Today's knee model, although structurally including the various parts of the joint, lacks functional performance, and its learning effectiveness needs to be improved.

第1圖係習知之膝關節模型前視圖,其結構主要是靠前十字韌帶4a與後十字韌帶3a的固定,以維持股骨2a與脛骨5a的穩定。前十字韌帶4a與後十字韌帶3a連接於股骨2a與脛骨5a的兩端,當股骨2a與脛骨5a偏離正確相對位置時,將導致無法正確展現該韌帶的原有功能。Fig. 1 is a front view of a conventional knee joint model, the structure of which is mainly fixed by the anterior cruciate ligament 4a and the posterior cruciate ligament 3a to maintain the stability of the femur 2a and the tibia 5a. The anterior cruciate ligament 4a and the posterior cruciate ligament 3a are connected to both ends of the femur 2a and the tibia 5a. When the femur 2a and the tibia 5a are deviated from the correct relative positions, the original function of the ligament cannot be correctly displayed.

傳統膝關節模型的設計有下列缺點:The design of the traditional knee model has the following disadvantages:

1、傳統膝關節模型設計,支撐平台1a位於關節底部與脛骨5a的切面相接,用以支撐膝關節相關構造。因為前十字韌帶4a與後十字韌帶3a其兩端分別附著在股骨2a與脛骨5a,然而股骨2a的重量下壓,壓縮股骨2a與脛骨5a的空間。狹窄的空間使股骨2a與位於脛骨5a的半月板51a及52a直接接觸,導致不易觀察前十字韌帶4a與後十字韌帶3a在膝關節運動時所扮演的角色。1. The traditional knee joint model design, the support platform 1a is located at the bottom of the joint and the cut surface of the tibia 5a to support the knee joint related structure. Since the anterior cruciate ligament 4a and the posterior cruciate ligament 3a are attached to the femur 2a and the tibia 5a, respectively, the weight of the femur 2a is pressed down, and the space of the femur 2a and the tibia 5a is compressed. The narrow space directly contacts the femur 2a with the meniscus 51a and 52a located on the tibia 5a, resulting in difficulty in observing the role of the anterior cruciate ligament 4a and the posterior cruciate ligament 3a in the movement of the knee joint.

2、利用前十字韌帶4a與後十字韌帶3a固定關節,一旦改變關節角度時,因韌帶的拉力,使得股骨2a與脛骨5a偏離關節活動的正確相對位置,導致無法模擬正常關節的活動時前十字韌帶4a與後十字韌帶3a的位置與功能。2. The anterior cruciate ligament 4a and the posterior cruciate ligament 3a are used to fix the joint. Once the joint angle is changed, due to the pulling force of the ligament, the femur 2a and the tibia 5a are deviated from the correct relative position of the joint movement, resulting in the inability to simulate the normal joint activity. The position and function of the ligament 4a and the posterior cruciate ligament 3a.

3、模型在結構設計上,為了固定分別位於關節兩端之股骨2a與脛骨5a,必須維持前十字韌帶4a與後十字韌帶3a有足夠的張力。所以前十字韌帶4a與後十字韌帶3a受到拉扯時,難以區分兩者拉緊或放鬆的狀態,不利於該結構功能的學習。3. In the structural design, in order to fix the femur 2a and the tibia 5a at the two ends of the joint, it is necessary to maintain sufficient tension between the anterior cruciate ligament 4a and the posterior cruciate ligament 3a. Therefore, when the anterior cruciate ligament 4a and the posterior cruciate ligament 3a are pulled, it is difficult to distinguish the state in which the two are tightened or relaxed, which is not conducive to the learning of the structural function.

4、整體關節結構無堅固之固定構造,在施力改變關節位置時,易因操作者對關節活動的不熟悉,人為造成股骨2a與脛骨5a相對位置的錯置,導致對前十字韌帶4a與後十字韌帶3a功能的誤判。4. The overall joint structure has no solid fixed structure. When the force is changed to change the joint position, it is easy for the operator to be unfamiliar with the joint activity. The artificial position of the femur 2a and the tibia 5a are misplaced, resulting in the anterior cruciate ligament 4a and Misjudgment of the function of the posterior cruciate ligament 3a.

基於上述原因,先前膝關節模型的設計,雖然可以用來學習關節的內部構造,但不利於前、後十字韌帶相關功能的學習。若只著重於內部構造的學習,透過解剖圖譜即可,故如何改善相關缺失,以協助學生有效學習該關節內部功能的運作,為本創作所關注者。For the above reasons, the design of the previous knee model, although it can be used to learn the internal structure of the joint, is not conducive to the learning of the function of the anterior and posterior cruciate ligament. If you only focus on the internal structure of learning, you can use the anatomical map, so how to improve the related missing, to help students effectively learn the operation of the internal function of the joint, is the focus of the creative.

本創作在提出一可以正確模擬膝關節之前十字韌帶與後十字韌帶功能運作的新穎設計裝置。該裝置包括內含滑動軌道之支撐平台、固定在支撐平台的股骨、可沿支撐平台軌道滑動之脛骨、附著在股骨與脛骨兩端之前、後十字韌帶及其他膝關節相關的附屬構造。該裝置利用一已設定好之軌道,使組成該關節主要骨骼之一的脛骨可在上述設定好之軌道滑動。另一主要骨骼股骨則將其固定不動,以模擬膝關節在做屈曲或伸展動作時,保持股骨與脛骨兩者之正確相對位置。此裝置可防止傳統模型其脛骨與股骨因角度改變時,被膝關節十字韌帶過度牽引或操作者的不當施力,而導致骨骼相對位置偏離,造成前、後十字韌帶功能誤判的問題。另外本裝置將股骨與脛骨利用滑動軌道保持適當距離,更能清楚觀察此韌帶在關節運動時被拉緊或放鬆,增加對該韌帶功能的認知。This creation proposes a novel design device that can correctly simulate the function of the cruciate ligament and posterior cruciate ligament before the knee joint. The device includes a support platform containing a sliding track, a femur fixed to the support platform, a tibia slidable along the support platform track, an attachment structure attached to the ends of the femur and the tibia, a posterior cruciate ligament, and other knee joints. The device utilizes a set track to allow the tibia comprising one of the main bones of the joint to slide over the set track. The other major skeletal femur fixes it to simulate the correct relative position of the femur and tibia when the knee is flexed or stretched. The device can prevent the traditional model from being excessively pulled by the knee cruciate ligament or improperly exerting force by the operator when the tibia and the femur are changed due to the angle, thereby causing the relative position of the bone to deviate, causing the problem of misjudgment of the anterior and posterior cruciate ligament functions. In addition, the device maintains a proper distance between the femur and the tibia using the sliding track, and it is more clearly observed that the ligament is tightened or relaxed during joint movement, thereby increasing the cognition of the function of the ligament.

本創作所提供的裝置,可清楚看到膝關節在做屈曲或伸展時,前、後十字韌帶被拉緊或放鬆與相對位置的變化,可有效提升學生對該韌帶功能的學習。The device provided by this creation can clearly see that the anterior and posterior cruciate ligaments are tightened or relaxed and the relative position changes when the knee joint is flexed or stretched, which can effectively improve the students' learning of the ligament function.

有關膝關節模型在文中所提之前、後、上、下等相關位置,是依據人體站立時膝關節的解剖學姿勢所定義。Relevant positions of the knee joint model before, after, after, and under the text are defined according to the anatomical posture of the knee joint when the human body is standing.

有關本創作之實施例Embodiments related to the present creation

請參閱第2到第5圖,本創作係提供一種膝關節功能學習之模型裝置。該模型主要包括一個支撐平台1,此支撐平台1上設置有股骨2、脛骨5、腓骨6、後十字韌帶3、前十字韌帶4及關節滑動軌道11、12。Please refer to Figures 2 to 5. This creation provides a model device for learning the function of the knee joint. The model mainly includes a support platform 1 on which a femur 2, a tibia 5, a tibia 6, a posterior cruciate ligament 3, a anterior cruciate ligament 4, and joint sliding tracks 11, 12 are disposed.

本創作的分解圖請參閱第2圖,鎖固螺絲21穿過股骨2的螺孔211後,插入支撐平台1的鎖固孔13;鎖固螺絲22則穿過股骨2的螺孔221後,插入支撐平台1的鎖固孔14,藉由兩端的鎖固螺絲21、22將股骨2固定在支撐平台1上。滑動轉軸53先穿過脛骨5的轉軸孔531後,再與滑動軌道11內的滑輪111接合;滑動轉軸54亦先穿過脛骨5的轉軸孔541後,再與滑輪軌道12內的滑輪121接合。滑動轉軸54與滑輪121的分解圖請參閱第3圖。腓骨6附著固定在脛骨5之外側面,可隨脛骨5的移動而移動。另外,前十字韌帶4一端附著於股骨2,另一端附著於脛骨5上方的半月板51與52的前方;後十字韌帶3則一端附著於股骨2,另一端附著於脛骨5上方的半月板51與52的後方。For an exploded view of the present invention, refer to FIG. 2, after the locking screw 21 passes through the screw hole 211 of the femur 2, and is inserted into the locking hole 13 of the support platform 1; after the locking screw 22 passes through the screw hole 221 of the femur 2, The locking hole 14 of the support platform 1 is inserted, and the femur 2 is fixed on the support platform 1 by the locking screws 21, 22 at both ends. The sliding shaft 53 first passes through the shaft hole 531 of the tibia 5, and then engages with the pulley 111 in the sliding rail 11; the sliding shaft 54 also passes through the shaft hole 541 of the tibia 5, and then engages with the pulley 121 in the pulley track 12. . See Figure 3 for an exploded view of the slide shaft 54 and the pulley 121. The tibia 6 is attached and fixed to the outer side of the tibia 5, and can move with the movement of the tibia 5. In addition, one end of the anterior cruciate ligament 4 is attached to the femur 2, and the other end is attached to the front of the meniscus 51 and 52 above the tibia 5; the posterior cruciate ligament 3 is attached to the femur 2 at one end and to the meniscus 51 above the tibia 5 at the other end. With the rear of 52.

此支撐平台1的特點位於膝關節的側面,並將股骨2固定,而脛骨5則為活動式,此設計可避免股骨2的重量下壓,壓縮股骨2與脛骨5的空間,以利前十字韌帶4與後十字韌帶3活動的觀察。此與傳統膝關節模型(請參閱第1圖)的支撐平台1a,位於關節的底部,固定脛骨5a不同。The support platform 1 is located on the side of the knee joint and fixes the femur 2, while the humerus 5 is movable. This design avoids the weight of the femur 2 and compresses the space of the femur 2 and the tibia 5 to facilitate the front cross. Observation of ligament 4 and posterior cruciate ligament 3 activity. This is in contrast to the support platform 1a of the conventional knee joint model (see Fig. 1), which is located at the bottom of the joint and is different from the fixed tibia 5a.

支撐平台1的前視圖,請參閱第4圖,包括兩個鎖固孔13與14與兩個滑動軌道11與12。A front view of the support platform 1, see Fig. 4, includes two locking holes 13 and 14 and two sliding tracks 11 and 12.

請參閱第5圖,此圖係第2圖之組合示意圖。股骨2被鎖固螺絲21與22固定在支撐平台1上,脛骨5為活動式,可透過滑動轉軸53與54嵌入支撐平台1的滑動軌道11與12而移動。當脛骨5在支撐平台1的滑動軌道11、12移動時,會牽動連接在股骨2與脛骨5兩端的前十字韌帶4與後十字韌帶3。腓骨6附著在脛骨5,可隨脛骨5做整體活動。Please refer to Figure 5, which is a combination diagram of Figure 2. The femur 2 is fixed to the support platform 1 by the locking screws 21 and 22, and the tibia 5 is movable, and is movable by the sliding shafts 53 and 54 embedded in the sliding rails 11 and 12 of the support platform 1. When the humerus 5 moves on the sliding rails 11, 12 of the support platform 1, the anterior cruciate ligament 4 and the posterior cruciate ligament 3 attached to both ends of the femur 2 and the tibia 5 are pulled. The humerus 6 is attached to the tibia 5 and can be integrated with the humerus 5.

請參閱第6圖,此圖係本創作第5圖做屈曲運動時之狀態示意圖。當脛骨5往股骨2後方移動,即做屈曲運動時,後十字韌帶3因連接於股骨2與脛骨5兩端的距離變長,所以後十字韌帶3被拉緊;前十字韌帶4因連接於股骨2與脛骨5兩端的距離變短,所以前十字韌帶4被放鬆。利用此模型操作屈曲運動時,後十字韌帶3會被拉緊,可展現此韌帶的功能在防止膝關節過度屈曲,或膝關節在做屈曲運動時,防止股骨2往前滑動。Please refer to Figure 6, which is a schematic diagram of the state of the flexural movement in Figure 5 of this creation. When the humerus 5 moves toward the back of the femur 2, that is, when the flexion movement is performed, the posterior cruciate ligament 3 becomes longer due to the distance between the femur 2 and the tibia 5, so the posterior cruciate ligament 3 is tightened; the anterior cruciate ligament 4 is connected to the femur 2 The distance from both ends of the humerus 5 becomes shorter, so the anterior cruciate ligament 4 is relaxed. When the flexion motion is operated using this model, the posterior cruciate ligament 3 is tightened to show that the ligament functions to prevent excessive flexion of the knee joint, or to prevent the femur 2 from sliding forward when the knee joint is flexing.

另外,雖然脛骨5可在支撐平台1已設定好的滑動軌道11與12移動,但是滑動軌道11與12,與股骨2保持一定的弧度,相對的脛骨5不會因前十字韌帶4與後十字韌帶3的拉力而過度壓縮與股骨2的距離。In addition, although the tibia 5 can be moved on the slide rails 11 and 12 that the support platform 1 has set, the slide rails 11 and 12 maintain a certain curvature with the femur 2, and the opposite humerus 5 does not have the anterior cruciate ligament 4 and the posterior cross. The tension of the ligament 3 excessively compresses the distance from the femur 2.

此種設計可避免傳統模型(請參閱第1圖)以前十字韌帶4a與後十字韌帶3a固定膝關節,因韌帶拉力過大的關係,而導致股骨2a與脛骨5a相對位置的偏離,且可以改善前十字韌帶4a與後十字韌帶3a其張力變化不大,難以分辨差異的問題。This design avoids the traditional model (see Fig. 1). The anterior cruciate ligament 4a and the posterior cruciate ligament 3a fix the knee joint. Due to the excessive tension of the ligament, the relative position of the femur 2a and the tibia 5a is deviated, and the front can be improved. The tension between the cruciate ligament 4a and the posterior cruciate ligament 3a does not change much, and it is difficult to distinguish the difference.

請參閱第7圖,此圖係本創作第5圖做伸展運動時之狀態示意圖。將脛骨5往股骨2的前方移動時,亦即使膝關節做伸展運動,此時連接於股骨2與脛骨5的後十字韌帶3因兩端的距離變短而被放鬆;而連接於股骨2與脛骨5的前十字韌帶4則因兩端的距離變長而被拉緊。此創作模型可清楚展現膝關節在做伸展運動時,藉由前十字韌帶4被拉緊而可防止膝關節做過度伸展的功能。Please refer to Figure 7, which is a schematic diagram of the state of stretching in Figure 5 of this creation. When the humerus 5 is moved toward the front of the femur 2, even if the knee joint is stretched, the posterior cruciate ligament 3 connected to the femur 2 and the tibia 5 is relaxed due to the shorter distance between the ends; and the femur 2 and the tibia are connected. The anterior cruciate ligament 4 of 5 is tensioned by the distance between the ends. This creation model clearly shows that the knee joint can be prevented from being overstretched by the anterior cruciate ligament 4 being stretched during the stretching exercise.

因為股骨2已被固定在支撐平台1上,且脛骨5被限制在已被設定好的滑動軌道11與12移動,所以此關節在做屈曲或伸展運動的操作時,皆能展現前十字韌帶4與後十字韌帶3的原有功能,不會因不同操作者而產生差異。亦即此模型的設計可改善傳統模型(請參閱第1圖),以前十字韌帶4a與後十字韌帶3a固定膝關節,因操作者對膝關節構造的不熟悉而人為造成股骨2a與脛骨5a相對位置的偏離,而導致韌帶功能誤判的問題。Since the femur 2 has been fixed on the support platform 1, and the tibia 5 is restricted to the set slide rails 11 and 12, the joint can exhibit the anterior cruciate ligament 4 during the operation of flexion or extension. With the original function of the posterior cruciate ligament 3, there will be no difference due to different operators. That is, the design of this model can improve the traditional model (see Fig. 1). The anterior cruciate ligament 4a and the posterior cruciate ligament 3a fix the knee joint, and the femur 2a is opposite to the tibia 5a due to the operator's unfamiliarity with the knee joint structure. The deviation of the position leads to the problem of misjudgment of the ligament function.

【習知】[Practical]

1a...支撐平台1a. . . Support platform

2a...股骨2a. . . Femur

3a...後十字韌帶3a. . . Posterior ligament

4a...前十字韌帶4a. . . Anterior ligament

5a...脛骨5a. . . Humerus

51a,52a...半月板51a, 52a. . . Meniscus

【本創作】[This creation]

1...支撐平台1. . . Support platform

11,12...滑動軌道11,12. . . Sliding track

111,121...滑輪111,121. . . pulley

13,14...鎖固孔13,14. . . Locking hole

2...股骨2. . . Femur

21,22...鎖固螺絲21,22. . . Locking screw

211,221...螺孔211,221. . . Screw hole

3...後十字韌帶3. . . Posterior ligament

4...前十字韌帶4. . . Anterior ligament

5...脛骨5. . . Humerus

51,52...半月板51,52. . . Meniscus

53,54...滑動轉軸53,54. . . Sliding shaft

531,541...轉軸孔531,541. . . Shaft hole

6...腓骨6. . . fibula

第1圖係習知之膝關節模型前視圖。Figure 1 is a front view of a conventional knee joint model.

第2圖係本創作之分解圖。Figure 2 is an exploded view of the creation.

第3圖係第2圖滑動轉軸與滑輪之分解圖Figure 3 is an exploded view of the sliding shaft and pulley of Figure 2

第4圖係本創作之支撐平台前視圖。Figure 4 is a front view of the support platform of this creation.

第5圖係第2圖之組合示意圖。Figure 5 is a schematic diagram of the combination of Figure 2.

第6圖係本創作第5圖做屈曲運動時之狀態示意圖。Fig. 6 is a schematic view showing the state of the flexural motion in Fig. 5 of the present creation.

第7圖係本創作第5圖做伸展運動時之狀態示意圖。Fig. 7 is a schematic diagram showing the state of stretching in the fifth drawing of the present creation.

1...支撐平台1. . . Support platform

2...股骨2. . . Femur

3...後十字韌帶3. . . Posterior ligament

4...前十字韌帶4. . . Anterior ligament

5...脛骨5. . . Humerus

11,12...滑動軌道11,12. . . Sliding track

Claims (6)

一種膝關節之功能性模型,包括:一含滑動軌道之支撐平台、一固定支撐平台的股骨、一可於支撐平台滑動軌道移動的脛骨與腓骨、兩條各別連接於股骨及脛骨之前、後十字韌帶與可於支撐平台軌道滑動的轉軸。 A functional model of a knee joint, comprising: a support platform with a sliding track, a femur with a fixed support platform, a tibia and a tibia that can move on the support platform sliding track, and two separate connections before and after the femur and tibia The cruciate ligament and the shaft that can slide on the support platform track. 如請求項1所述之膝關節之功能性模型,其中腓骨直接固定於脛骨,腓骨本身藉由脛骨的移動而一起移動。 A functional model of the knee joint according to claim 1, wherein the tibia is directly fixed to the tibia, and the tibia itself moves together by movement of the tibia. 如請求項1所述之膝關節之功能性模型,其中股骨固定於支撐平台,脛骨則為活動式,可於支撐平台上移動。 A functional model of the knee joint according to claim 1, wherein the femur is fixed to the support platform, and the tibia is movable and movable on the support platform. 如請求項1所述之膝關節之功能性模型,其中轉軸係穿過脛骨,穿過後連接一轉輪,可於支撐平台的軌道滑動,以牽動脛骨做相對運動。 The functional model of the knee joint according to claim 1, wherein the shaft passes through the tibia, and is connected to a wheel after passing through, and can slide on the track of the support platform to affect the relative movement of the tibia. 如請求項1所述之膝關節之功能性模型,其中脛骨之移動,係利用轉輪於支撐平台弧狀凹槽滑動所產生。 A functional model of the knee joint according to claim 1, wherein the movement of the tibia is generated by sliding the runner on the arcuate groove of the support platform. 如請求項1所述之膝關節之功能性模型,其中前十字韌帶與後十字韌帶係以彈性或非彈性的帶狀物所構成。 A functional model of the knee joint according to claim 1, wherein the anterior cruciate ligament and the posterior cruciate ligament are formed of elastic or inelastic bands.
TW100224523U 2011-12-23 2011-12-23 A functional model of knee joint TWM445742U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106373473A (en) * 2016-11-30 2017-02-01 中南大学 Experimental device for simulating friction of knee joint of human body
CN110136558A (en) * 2019-05-15 2019-08-16 福建医科大学 A kind of range of motion limiter of human body lower limbs skeleton model
CN110857907A (en) * 2018-08-24 2020-03-03 深圳先进技术研究院 Fatigue testing device for lower limb vascular stent

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106373473A (en) * 2016-11-30 2017-02-01 中南大学 Experimental device for simulating friction of knee joint of human body
CN106373473B (en) * 2016-11-30 2018-11-30 中南大学 It is a kind of for simulating the experimental provision of human body knee joint friction
CN110857907A (en) * 2018-08-24 2020-03-03 深圳先进技术研究院 Fatigue testing device for lower limb vascular stent
CN110136558A (en) * 2019-05-15 2019-08-16 福建医科大学 A kind of range of motion limiter of human body lower limbs skeleton model
CN110136558B (en) * 2019-05-15 2024-03-22 福建医科大学 Joint movement limiter of human lower limb skeleton model

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