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Soft-stop knee brace for rehabilitation from ligament injuries: Design and pilot trial

机译:柔韧的膝关节支撑架,可修复韧带损伤:设计和试点

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摘要

Ligaments within the human knee are commonly torn or injured as a result of sports that involve sharp direction changes, pivoting and landing. For this reason, athletes are often side-lined from their respective sports for up to 18 months after injury to rehabilitate. As part of the rehabilitation process, knee braces are often prescribed in an attempt to decrease the recovery period of the injured individual by restraining and minimizing the motion at the knee. However, the true efficacy of knee bracing is yet to be fully evaluated as studies show mixed results to whether braces actually decrease the rehabilitation period for patients. This paper describes the design and pilot trials of a simple but novel knee brace design that aims to actively aid the rehabilitation of the knee from ligament injuries, primarily the anterior cruciate ligament (ACL). The newly developed knee brace uses an angle locking mechanism with dampers to control both the range of motion of the knee joint and the resistance applied to the knee joint at the limits of extension. Using finite element analysis, these dampers were designed help build muscle strength during everyday use of the knee brace and to reduce the ‘jarring effect’ which causes significant pain and risk to patients using current knee brace designs. Through providing these features, this new knee brace design has the potential to help improve the extent and speed of recovery for ACL impaired patients.
机译:由于涉及急剧的方向变化,枢转和着陆的运动,人的膝盖韧带通常会被撕裂或受伤。因此,运动员受伤后通常在长达18个月的时间里不能参加各自的运动,以康复。作为康复过程的一部分,通常开具膝托以试图通过限制和最小化膝盖处的运动来缩短受伤人员的康复时间。然而,由于研究表明,对于括号实际上是否缩短了患者的康复时间,结果表明尚需充分评估膝盖括号的真正功效。本文介绍了一种简单但新颖的护膝设计的设计和试验性试验,该设计旨在积极帮助膝盖免受韧带损伤(主要是前交叉韧带(ACL))的伤害。新开发的护膝使用带阻尼器的角度锁定机构来控制膝盖关节的运动范围和在伸展极限时施加于膝盖关节的阻力。通过使用有限元分析,这些阻尼器的设计有助于在日常使用护膝架时增强肌肉力量,并减少“震颤效应”,后者会给使用当前护膝架设计的患者带来巨大的痛苦和风险。通过提供这些功能,这种新的护膝设计有可能帮助改善ACL受损患者的康复程度和恢复速度。

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