نوع مقاله : مقاله پژوهشی
نویسندگان
1 کارشناس ارشد مهندسی توان‌بخشی، گروه مهندسی مکانیک، دانشکدة فنی و مهندسی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران
2 استادیار بیومکانیک ورزشی، مرکز تحقیقات طب ورزشی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران
3 استادیار مهندسی مکانیک، گروه مهندسی مکانیک، دانشکدة فنی و مهندسی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران
چکیده
هدف از این مطالعه طراحی و ساخت دستگاه مکانیکی تقویت‌کننده زانو ـ ران (Mechanical Knee-Hip Strengthening Device) بود. ابتدا طرح اولیهM K-H SD در نرم‌افزار کتیا طراحی و سپس متناسب با اندازه‌های طراحی شده نمونه‌ی آزمایشگاهی، ساخته شد. ویژگی‌های خاص این دستگاه شامل تنظیم دامنه حرکتی مفصل زانو بین 20 درجه اکستانسیون تا 120 درجه فلکسیون به منظورکاهش میزان استرس بر مفصل پاتلوفمورال، تنظیم دامنه حرکتی مفصل ران بین 30 درجه فلکسیون و 20 درجه اکستانسیون متناسب با زوایای مفصل ران در یک سیکل راه رفتن نرمال، افزایش نیرو‌ی انقباضات ایزوتونیک با تغییر در تعداد و ضریب سختی فنرها، ایجاد انقباض ایزومتریک ارادی متناسب با توانایی فرد در انتهای 20 درجه اکستانسیون و 120 درجه فلکسیون می‌باشد. دستگاه M K-H SDبه علت مقرون به صرفه بودن، کارآمدی بیش‌تر (تقویت مفصل زانو و ران) و کنترل مفصل زانو در دامنه حرکتی بدون درد، به جای صندلی‌های کوآدری‌سپس در فیزیوتراپی‌ها توصیه می‌شود.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
Design and manufacture of mechanical knee-hip strengthening device (M K-H SD) and replace it instead of a chair Quadriceps (K-H SMD) and replace it instead of a chair Quadriceps
نویسندگان [English]
- Narges Maroofi-Analojeh 1
- Mahnaz Marvi Esfahani 2
- Seyed Hasan Mirtalaie 3
1 Rehabilitation Engineering, Department of Mechanical Engineering, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Sport Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran
3 Department of Mechanical Engineering, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
چکیده [English]
The aim of this study was to design and manufacture a Mechanical Knee-Hip Strengthening Device (M K-H SD). The device was designed in Catia software. Then, a laboratory sample was made according to the designed sizes. Special features of the device include adjusting the knee range of motion between 20˚ of extension to 120˚ of flexion to reduce of the stress on the patellofemoral joint, adjusting the hip range of motion between 30 degrees of flexion and 20 degrees of extension in proportion to thehip angles in a normal walking cycle, increasing the force of isotonic contractions by changing the number and stiffness of the springs, maximum voluntary isometric contraction at the end of 20˚ of extension and 120˚ of flexion. The M K-H SD is recommended instead of quadriceps chair due to its affordable, more efficiency (knee and hip joints) and control of the knee painless range of motion.
کلیدواژه‌ها [English]
- Design and manufacture
- M K-H SD
- Chair Quadriceps
- Zhang L, Liu G, Hang B, Wang Z, Yan Y, Ma J, et al. Knee joint biomechanics in physiological conditions and how pathologies can affect it: a systematic review. Applied bionics and biomechanics. 2020 Apr; 2020:1-22.
- Chhabra A, Elliott CC, Miller MD. Normal anatomy and biomechanics of the knee. Sports medicine and arthroscopy review. 2001;9(3):166-77.
- Flandry F, Hommel G. Normal anatomy and biomechanics of the knee. Sports medicine and arthroscopy review. 2011 Jun; 19(2):82-92.
- Bennell K, Hinman R. Exercise as a treatment for osteoarthritis. Current opinion in rheumatology. 2005 Sep; 17(5):634-40.
- Keyhanfar A, Hosseini S, Nemati N. Comparison of the effect of two methods of muscular exercise therapy on pain relief, functional abilities and static balance in patients with chronic patellofemoral pain. Journal of health and care. 2017 Sep; 19(2):117-28.
- Blomqvist O. US Patent 4502681A Mar 1985.
- Koller-Hodac A, Leonardo D, Walpen S, Felder D. Knee orthopaedic device how robotic technology can improve outcome in knee rehabilitation. in IEEE international conference on rehabilitation robotics.2011 Jun:1-6
- Brosseau L, Milne S, Wells G, Tugwell P, Robinson V, Casimiro L, Pelland L, Noel MJ, Davis J, Drouin H. Efficacy of continuous passive motion following total knee arthroplasty: a metaanalysis. The journal of rheumatology. 2004 Nov; 31(11):
2251-64.
- Sakaki T, Okada S, Okajima Y, Tanaka N, Kimura A, Uchida SH, et al. TEM: Therapeutic exercise machine for hip and knee joints of spastic patients. in Proceeding of sixth international conference on rehabilitation robotics. 1999; 14(7):597-606.
- Akdoğan E, Adli MA. The design and control of a therapeutic exercise robot for lower limb rehabilitation. Physiotherabot. Mechatronics. 2011 Apr; 21(3):509-22.
- Chaparro-Rico B, Castillo-Castañeda E, Design of a 2DOF parallel mechanism to assist therapies for knee rehabilitation. Ingeniería e Investigación. 2016 Jan; 36(1):98-104.
- Chavoshian SM, Taghizadeh M, Karouti A. Design, control and experimental test of pneumatic leg rehabilitation device for isokinetic exercise. Jornal of mechanical engineering. 2019; 48(4(85)):87-95.(In persian).
- http://acinternational-east.pl/en/jupiter-2/.
- https://rehabpub.com/conditions/fitness/fit-glide-by-bob-brad-offers-low-impact-low-extremity-rehab/.
- https://meden.com.pl/offer/limb-dysfunction-therapy/173-knee-and-ankle-rehabilitation-device-avior.html.
- Tok F, Aydemir K, Peker F, Safaz I, Taşkaynatan MA, Özgül A. The effects of electrical stimulation combined with continuous passive motion versus isometric exercise on symptoms, functional capacity, quality of life and balance in knee osteoarthritis: randomized clinical trial. Rheumatology international. 2011;31(2):177-81.
- Tarnita D, Catana M, Dumitru N, Tarnita D. Design and simulation of an orthotic device for patients with osteoarthritis. New Trends in Medical and Service Robots. Springer; 2016:61-77.
- Lenssen AF, Crijns YH, Waltjé EM, Roox GM, van Steyn MJ, Geesink RJ, et al. Effectiveness of prolonged use of continuous passive motion (CPM) as an adjunct to physiotherapy following total knee arthroplasty: design of a randomised controlled trial [ISRCTN85759656]. BMC musculoskeletal disorders. 2006;7(1):1-5.
- Hall JR. US Patent 20140207030A1 Jul 2014.
- Shojaei M, Daneshjoo A, Rahnama N. Effects of harmoknee injury prevention training program on knee [isometric strength of young professional male soccer players. Journal of research in rehabilitation sciences, 2011 Dec; 7(4):446-54. (In persian).
- Ebrahimi Takamejani E, Hafezi R. Vastus medialis obliques (vmo) vastus lateralis (vl) activity ration ration for selected degrees of range of motion in open vs. closed kinetic chain (okc, ckc) during isometric contraction. Razi Journal of medical sciences. 2000 Sep; 7(20):73-79. (In persian).
- Whittle MW. Gait analysis: an introduction: Butterworth-Heinemann; 2014.
- Jeon JW, Hong J. Comparison of screw-home mechanism in the unloaded living knee subjected to active and passive movements. Journal of back and musculoskeletal rehabilitation. 2021 Jan; (preprint):1-7, doi:10.3233/BMR-200110.
- Huberti H, Hayes W, Stone J, Shybut G. Force ratios in the quadriceps tendon and ligamentum patellae. Journal of Orthopaedic Research. 1984;2(1):49-54.
- Wellsandt E, Kallman T, Golightly Y, Podsiadlo D, Dudley A, Vas S, Michaud K, Tao M, Sajja B, Manzer M. Knee joint unloading and daily physical activity associate with cartilage T2 relaxation times 1 month after ACL injury. Journal of orthopaedic research. 2021Mar; (preprint):doi: 10.1002/jor.25034.
- Heinert BL, Collins T, Tehan C, Ragan R, Kernozek TW. Effect of hamstring-to-quadriceps ratio on knee forces in females during landing. International Journal of sports medicine. 2021 Mar; 42(03):264-269.
- Farahmand, F. and M. Tahmasbi, Contact stresses of the tibio-femoral joint in total knee prostheses. 2003 Summer; 6(2):81-86. (In persian).
- Lin KM, James EW, Aitchison AH, Schlichte LM, Wang G, Green DW. Increased tibiofemoral rotation on MRI with increasing clinical severity of patellar instability. Knee Surgery, Sports traumatology, arthroscopy, 2021 Jan; (preprint):1-8, doi: 10.1007/s00167-020-06382-x.
)