Study of CPM device used for rehabilitation and effective pain management following knee alloplasty

• Autorzy: Trochimczuk R. , Kuźmierowski T. , Anchimiuk P.

Identyfikatory

DOI

10.1515/ijame-2017-0014

• Języki publikacji: EN

Abstrakty

EN

This paper defines the design assumptions for the construction of an original demonstration of a CPM device, based on which a solid virtual model will be created in a CAD software environment. The overall dimensions and other input parameters for the design were determined for the entire patient population according to an anatomical atlas of human measures. The medical and physiotherapeutic community were also consulted with respect to the proposed engineering solutions. The virtual model of the CPM device that will be created will be used for computer simulations of changes in motion parameters as a function of time, accounting for loads and static states. The results obtained from computer simulation will be used to confirm the correctness of the design adopted assumptions and of the accepted structure of the CPM mechanism, and potentially to introduce necessary corrections. They will also provide a basis for the development of a control strategy for the laboratory prototype and for the selection of the strategy of the patient's rehabilitation in the future. This paper will be supplemented with identification of directions of further research.

Słowa kluczowe

EN

CPM device; rehabilitation robot; effective pain management; knee alloplasty; FEM analysis

PL

robot rehabilitacyjny; leczenie bólu; alloplastyka kolana

• Wydawca: Oficyna Wydawnicza Uniwersytetu Zielonogórskiego
• Czasopismo: International Journal of Applied Mechanics and Engineering
• Rocznik: 2017
• Tom: Vol. 22, no. 1
• Strony: 241--251
• Opis fizyczny: Bibliogr. 7 poz., rys., tab., wykr.

Twórcy

autor

Trochimczuk R.

• Bialystok University of Technology Faculty of Mechanical Engineering Department of Automatic Control and Robotics Wiejska 45C, 15-351 Bialystok, POLAND

autor

Kuźmierowski T.

• Lomza State University of Applied Sciences (LSUAS) Institute of Informatics and Automation Akademicka 14, 18-400 Lomza, POLAND

autor

Anchimiuk P.

• Non-Public Health Care Institution Specialist Clinic „Rehabilitacja” Słonimska 15/1, 15-028 Bialystok, POLAND

Bibliografia

• [1] Markuszewski J., Kokoszka P. and Ogrodowicz P. (2015): Arthroplasty of joints. - In: Wiktor’s Dega orthopedics and rehabilitation, (Kruczyński J. and Szulc A., Ed.). – Warsaw: PZWL (in Polish).
• [2] Kurtz S., Ong K., Lau E., Mowat F. and Halpern M. (2007): Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. – Journal of Bone and Joint Surgery Am, 89.4, pp.780-785.
• [3] Saringer J. (1993): Engineering aspect of the design and construction of continuous passive motion device for humans. - In: Continuous Passive Motion: A Biological Concept for the Healing and Regeneration of Articular Cartilage, Ligaments, and Tendons: From Origination to Research to Clinical. Baltimore (Salter R. Ed.) - Williams&Wilkins.
• [4] Driscoll O., Shawn W. and Giori N.J. (2000): Continuous passive motion (CPM): theory and principles of clinical application. - Journal of rehabilitation research and development, 37.2, pp.179-188.
• [5] Yashar A.A., Venn-Watson E., Welsh T., Colwel C.W. Jr. and Lotke P. (1997): Continuous passive motion with accelerated flexion after total knee arthroplasty. - Clinical Orthopaedics and Related Research, 345, pp.38-43.
• [6] Widuchowski J., Kusz D., Widuchowski W. and Pierzchała A. (2004): Total joint replacement - the operating method for the treatment of advanced disease and distortion of the knee. - Fizjoterapia Polska, vol.4, No.4, pp.403-410 (in Polish).
• [7] Trochimczuk R. and Kuźmierowski T. (2014): Kinematic analysis of CPM machine supporting to rehabilitation process after surgical knee arthroscopy and arthroplasty. - International Journal of Applied Mechanics and Engineering, vol.19, No.4, pp.841-848.

Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę (zadania 2017)