Generic placeholder image

Recent Patents on Engineering

Editor-in-Chief

ISSN (Print): 1872-2121
ISSN (Online): 2212-4047

Review Article

Current Status and Future Perspectives of the Active Knee Joint Rehabilitation Device

Author(s): Jingang Jiang*, Ziwen Gao, Shichang Song, Xiaoyang Yu and Yang Zeng

Volume 16, Issue 4, 2022

Published on: 08 March, 2022

Article ID: e211221199191 Pages: 19

DOI: 10.2174/1872212116666211221100650

Price: $65

conference banner
Abstract

Background: Today, living standards and medical technology are improving, and the aging global population is increasing. However, more and more older adults are suffering from knee diseases. This will seriously affect patients’ daily life and their mental state. In many studies, repetitive physical exercises and motor activities in real-world environments have been shown to help improve knee muscle strength and restore damaged nerves. Therefore, physical knee therapy is very necessary. The use of rehabilitation training devices for movement therapy has shown great potential.

Objective: This study aimed at exploring the structural features, functions, and development status of the knee rehabilitation training device.

Methods: This review explores the structure and function of various current knee rehabilitation devices based on structural and kinematic properties of the knee joint in relation to requirements of physical knee rehabilitation. This paper aims to present a systematic guideline and outline a reference for future designers of rehabilitation devices.

Results: By analyzing the structure and movement of the knee joint and combining the strategies of physical knee rehabilitation, movement requirements during knee rehabilitation training are concluded. According to the structure, drive form, transmission mode, and rehabilitation environment of knee rehabilitation devices, the devices are classified and compared; some typical features are summarized; some current problems are analyzed, and the future trends and development directions of rehabilitation devices are discussed.

Conclusion: Current rehabilitation equipment has a variety of structures and functions, but a good balance between weight and volume is hardly maintained. The protection of the body needs to be further improved. Many knee rehabilitation devices are only concepts, not physical objects, and lack clinical trial data. Power sources and drives are large and heavy, which can compress the knee joint and burden the patient. Strong and lightweight materials should be chosen to assist knee rehabilitation. It will be a good development in the future.

Keywords: Active, gait analysis, horizontal type, knee joint rehabilitation equipment, leg muscle strength training, sitting type, standing type.

Graphical Abstract

[1]
Y. Lin, "Arthritis policy and the elderly", In: US government science and Technology Report, Aging Health Policy Center. California, University Press: San Francisco, USA, 1983, pp. 1-65.
[2]
R.L. Reid, M.E. Quigley, and S.S.C. Yen, "Pituitary apoplexy. A review", Arch. Neurol., vol. 42, no. 7, pp. 712-719, 1985.
[http://dx.doi.org/10.1001/archneur.1985.04060070106028] [PMID: 4015472]
[3]
D. Clinch, "Arthritis in the elderly", Ir. Med. J., vol. 86, no. 5, pp. 145-146, 1993.
[PMID: 8225914]
[4]
P.D. Bunce, "The diagnosis and treatment of some of the more common diseases of the knee joint. 1907", Conn. Med., vol. 71, no. 1, pp. 37-39, 2007.
[PMID: 17288106]
[5]
J.B. Morrison, "Function of the knee joint in various activities", Biomed. Eng., vol. 4, no. 12, pp. 573-580, 1969.
[PMID: 5378020]
[6]
R.P. Welsh, "Knee joint structure and function", Clin. Orthop. Relat. Res., vol. 9, no. 147, pp. 7-14, 1980.
[PMID: 7371319]
[7]
L. Yuan, Z. Xiao, and R. Zhuang, "The role of MRI in the diagnosis and functional recovery of knee joint bone injury", Zhongguo Linchuang Kangfu, vol. 8, no. 26, p. 5660, 2004.
[8]
L. Murphy, T.A. Schwartz, C.G. Helmick, J.B. Renner, G. Tudor, G. Koch, A. Dragomir, W.D. Kalsbeek, G. Luta, and J.M. Jordan, "Lifetime risk of symptomatic knee osteoarthritis", Arthritis Rheum., vol. 59, no. 9, pp. 1207-1213, 2008.
[http://dx.doi.org/10.1002/art.24021] [PMID: 18759314]
[9]
I. Diaz, J.J. Gil, and E. Sanchez, "Lower-limb robotic rehabilitation: Literature review and challenges", J. Robot., vol. 2011, no. 2, pp. 1-11, 2011.
[http://dx.doi.org/10.1155/2011/759764]
[10]
Z. Xiao, X. Zhang, H. Zhang, X. Pan, and X. Zhang, "Observation on the curative effect of steam washing therapy with traditional chinese medicine combined with functional exercise on knee joint dysfunction after trauma", J. Trad. Chinese Orthoped. Traumatol., vol. 24, no. 3, pp. 17-19, 2012.
[11]
A. Wernig, S. Müller, A. Nanassy, and E. Cagol, "Laufband therapy based on ‘rules of spinal locomotion’ is effective in spinal cord injured persons", Eur. J. Neurosci., vol. 7, no. 4, pp. 823-829, 1995.
[http://dx.doi.org/10.1111/j.1460-9568.1995.tb00686.x] [PMID: 7620630]
[12]
S. Jawed, K. Gaffney, and D.R. Blake, "Intra-articular pressure profile of the knee joint in a spectrum of inflammatory arthropathies", Ann. Rheum. Dis., vol. 56, no. 11, pp. 686-689, 1997.
[http://dx.doi.org/10.1136/ard.56.11.686] [PMID: 9462173]
[13]
M.P. Daly, and B.M. Berman, "Rehabilitation of the elderly patient with arthritis", Clin. Geriatr. Med., vol. 9, no. 4, pp. 783-801, 1993.
[http://dx.doi.org/10.1016/S0749-0690(18)30377-X] [PMID: 8281505]
[14]
E. Akdoan, E. Tagn, and M.A. Adli, "Knee rehabilitation using an intelligent robotic system", J. Intell. Manuf., vol. 20, no. 2, pp. 195-202, 2009.
[http://dx.doi.org/10.1007/s10845-008-0225-y]
[15]
G.W. Lange, R.A. Hintermeister, T. Schlegel, C.J. Dillman, and J.R. Steadman, "Electromyographic and kinematic analysis of graded treadmill walking and the implications for knee rehabilitation", J. Orthop. Sports Phys. Ther., vol. 23, no. 5, pp. 294-301, 1996.
[http://dx.doi.org/10.2519/jospt.1996.23.5.294] [PMID: 8728527]
[16]
J.T. Yun, A.H. Wu, and H.Q. Sang, "Structure design and kinematics analysis of an omni-directional nursing mobile robot", J. Tianjin Polytech. Univ., vol. 35, no. 3, pp. 78-83, 2016.
[17]
Y. Wang, "Characteristics of knee joint structure and movement", J. Bone Joint Injury, vol. 4, no. 1, pp. 55-58, 1989.
[18]
X. Wang, "The relationship between knee joint structure and function from the biological point of view", J. Phys. Train., vol. 10, no. 1, pp. 27-28, 1987.
[19]
D.S. Smith, E. Goldenberg, A. Ashburn, G. Kinsella, K. Sheikh, P.J. Brennan, T.W. Meade, D.W. Zutshi, J.D. Perry, and J.S. Reeback, "Remedial therapy after stroke: A randomised controlled trial", Br. Med. J. (Clin. Res. Ed.), vol. 282, no. 6263, pp. 517-520, 1981.
[http://dx.doi.org/10.1136/bmj.282.6263.517] [PMID: 6780105]
[20]
M. Dam, P. Tonin, S. Casson, M. Ermani, G. Pizzolato, V. Iaia, and L. Battistin, "The effects of long-term rehabilitation therapy on post-stroke hemiplegic patients", Stroke, vol. 24, no. 8, pp. 1186-1191, 1993.
[http://dx.doi.org/10.1161/01.STR.24.8.1186] [PMID: 8342195]
[21]
J. Singh, P. Singh, and M.S. Sohal, "Effect of exercise rehabilitation programme on clinical health status of osteoarthritis knee patients", Indian J. Physiother. Occup. Ther., vol. 5, no. 3, pp. 191-198, 2011.
[22]
H. Schmidt, C. Werner, R. Bernhardt, S. Hesse, and J. Krüger, "Gait rehabilitation machines based on programmable footplates", J. Neuroeng. Rehabil., vol. 4, no. 2, p. 2, 2007.
[http://dx.doi.org/10.1186/1743-0003-4-2] [PMID: 17291335]
[23]
T. Bezalel, E. Carmeli, and M. Katz-Leurer, "The effect of a group education programme on pain and function through knowledge acquisition and home-based exercise among patients with knee osteoarthritis: A parallel randomised single-blind clinical trial", Physiotherapy, vol. 96, no. 2, pp. 137-143, 2010.
[http://dx.doi.org/10.1016/j.physio.2009.09.009] [PMID: 20420960]
[24]
Y. Su, "Effect of early rehabilitation training on joint function recovery after total knee arthroplasty", Int. J. Nurs. (N. Y.), vol. 29, no. 11, pp. 1721-1722, 2010.
[25]
X. Gu, Z. Zhang, and H. Hong, "Early rehabilitation after total knee arthroplasty", Chinese J. Physiother., vol. 22, no. 4, pp. 215-217, 1999.
[26]
Z. Yan, "Effect of knee joint functional exercise nursing on rehabilitation of knee osteoarthritis", Inner Mongolia Trad. Chinese Med., vol. 6, p. 160, 2016.
[27]
Y. Guo, Q. Zheng, N. Lei, X. Zhang, and X. Wu, "Study on the analgesic effect of cold compress after knee arthroscopy", Chinese J. Nurs., vol. 43, no. 9, pp. 786-787, 2008.
[28]
Z. Hui, G. Hua, L. Jing, L. Jie, X. Zhang, and L. Li, "Efficacy of two cold compress methods for postoperative analgesia and detumescence of knee arthroscopy", J. Clin. Rational Drug Use, vol. 6, no. 34, pp. 111-112, 2013.
[29]
X. Wang, and Y. Liang, "Effect of comprehensive nursing on knee joint recovery and nursing satisfaction after tibial plateau fracture", Colorectal Anal Surg., vol. 2, pp. 199-200, 2016.
[30]
Y. Wei, "Effect analysis of nursing intervention on knee joint function recovery after patellar fracture operation", Everybody Health, vol. 9, no. 12, p. 233, 2015.
[31]
H. Bo, Y. Duan, L. Hao, Zengtao Wang, and Xiaolei Zhu, "Effect of early functional exercise on knee joint function recovery after opera-tion of comminuted patellar fracture (a report of 65 cases)", Shandong Yiyao, vol. 46, no. 30, pp. 39-40, 2006.
[32]
R.R. Neptune, and S.A. Kautz, "Knee joint loading in forward versus backward pedaling: implications for rehabilitation strategies", Clin. Biomech. (Bristol, Avon), vol. 15, no. 7, pp. 528-535, 2000.
[http://dx.doi.org/10.1016/S0268-0033(00)00005-X] [PMID: 10831813]
[33]
R.A. Palmitier, K.N. An, S.G. Scott, and E.Y. Chao, "Kinetic chain exercise in knee rehabilitation", Sports Med., vol. 11, no. 6, pp. 402-413, 1991.
[http://dx.doi.org/10.2165/00007256-199111060-00005] [PMID: 1925185]
[34]
J. Gu, S. Yang, C. Xu, L. Jiang, and Y. Liu, "A new type of knee rehabilitation device", CN. Patent 209951715U, 2017.
[35]
X. Huang, and W. Kui, "A knee rehabilitation device", CN. Patent 209548176U, 2019.
[36]
J. Zhang, J. Xu, Z. Ma, L. Li, and Z. Lu, "Integrated knee rehabilitation device", CN. Patent 205145026U, 2016.
[37]
A. Swamy, S. Miranda, C. Alice, P. Halley, and K.A. Siek, "Designing wearable interfaces for knee rehabilitation", 8th International Conference on Pervasive Computing Technologies for Healthcare, 2014. Oldenburg, Germany
[38]
J. Zhang, Z. Yan, H. Kun, L. Shen, J. Yang, X. Lin, and F. Li, "Knee joint walking robot", CN. Patent 108066944B, 2020.
[39]
R. Kun, G. Wei, X. Jia, R. Yu, and P. Zhang, "A knee joint rehabilitation training device with rebound function", CN. Patent 110269782A, 2019.
[40]
nianpu Li., and Yuhe Feng, "A temperature controlled limited knee rehabilitation device", CN. Patent 209236545U, 2019.
[41]
Yanwen Li, Wang Sen, Yingbao Luan, Wenlong Liang, Jingke Song, Li Shuang, Li He, Chongdi Zhong, and Longlong Yu, "A knee rehabilitation robot with human-computer integration", CN Patent 109984920B, 2020.
[42]
Y. Gai, and J. Wang, "Application of Hooke hinge in 6-UPU motion platform", Electronic Test, vol. 1, pp. 52-54, 2014.
[43]
M.L.A. Romero, V. Yair, V. Alexandra, and S. Leonardo, "Softactuated modular knee-rehabilitation device: proof of concept", In: Proceedings of 2017 International Conference on Bioinformatics Research and Applications (ICBRA 2017), 2017. Barcelona, Spain
[http://dx.doi.org/10.1145/3175587.3175593]
[44]
Y. Li, W. Sen, W. Liang, L. Shuang, Y. Luan, C. Zhong, L. Yu, L. He, and M. Zhao, "A wearable biological fusion lower limb rehabilitation robot", CN. Patent 110464601A, 2019.
[45]
P. Brian, "Knee orthosis and Hing joint", U.S. Patent 6.402.713B1, 2002.
[46]
Mose Burns Jebodiah, and jose San, "A knee rehabilitation exercise device", U.S. Patent 9.220.623B2, 2015.
[47]
W.P. Mark, B. Jebodiah, J. San, P.H. Jon, and G. Los, "Knee and joint rehabilitation exercise device", U.S. Patent 2020/0155405 A1, 2020.
[48]
K. Li, X. Yue, Y. Jiang, R. Li, H. Dan, H. Wang, and L. He, "A multifunctional knee rehabilitation device", CN. Patent 209695741U, 2019.
[49]
D.J.R. Hall, "Knee rehabilitation device", U.S. Patent 2011/0224585A1, 2011.
[50]
R. Richard, "Knee rehabilitation therapy device", U.S. Patent 2018/0256433 A1, 2018.
[51]
D. Gerardkramer, "Methods for manufacturing knee flexibility", U.S. Patent 2019/0142679A1, 2019.
[52]
A.S.A. Briggs, "Knee rehabilitation device", U.S. Patent 2018/0250185 Al, 2018.
[53]
E.K.D. Gilderman, "Knee joint rehabilitation assistance device", U.S. Patent 10123927B2, 2018.
[54]
L. Fei, X. Weng, J. Zhou, and Y. Bian, "Knee rehabilitation device", CN. Patent 208372101U, 2019.
[55]
W. Jiang, Y.L. Yimiao, C. Zhou, B. Lin, X. Zhang, and X. Hu, "A knee rehabilitation training device", CN. Patent 107951677A, 2018.
[56]
Y. Chen, and H. Jin, "A knee joint rehabilitation exercise device", CN. Patent 109011392A, 2018.
[57]
G. Xu, M. Zhu, A. Li, Z. Hao, and P. Yuan, "A knee joint rehabilitation device for the elderly", CN. Patent 210020204U, 2020.
[58]
X. Wang, "Knee rehabilitation training device", CN. Patent 111012629A, 2020.
[59]
J. Wang, A multi joint rehabilitation device. CN. Patent 210812335U, 2020.
[60]
F. Zhang, L. Jiang, G. Ren, and W. Yong, "Study on the influence of treadmill on knee joint rehabilitation", Hefei Gongye Daxue Xuebao. Ziran Kexueban, vol. 42, no. 3, pp. 380-386, 2019.
[61]
Huian Xintai Information Technology Co, "A knee rehabilitation training chair", CN. Patent 106964115A, 2017.
[62]
J. Hui, J. Wang, J. Li, L. Shu, and Q. Li, "Knee rehabilitation treatment device", CN. Patent 105943305A, 2016.
[63]
Z. Wang, Y. Min, X. Hu, Q. Wang, and J. Xie, "An adjustable knee rehabilitation device with massage function", CN. Patent 109984918A, 2019.
[64]
Z. Wang, H. Shen, and W. Yong, "A separate motion knee flexion with compressed air damping", CN. Patent 206304090U, 2017.
[65]
B. Stanley, "Knee rehabilitation device", U.S. Patent 2007 / 0149368 A1, 2007.
[66]
S. Huang, "Knee joint rehabilitation device", CN. Patent 203829255U, 2014.
[67]
M.H. Erik, "Overland Park. Knee rehabilitation apparatus", U.S. Patent 9474675 B2, 2016.
[68]
Y. Shen, and Z.X. Zhang, "Knee rehabilitation device", Kr. Patent 10-2018-0089126, 2017.
[69]
M. Zhou, K. Yan, and X. Zhu, "Knee joint exercise rehabilitation device", CN. Patent 110623785 A, 2019.
[70]
X. Qian, "A knee joint rehabilitation exercise machine", CN. Patent 207041658U, 2018.
[71]
S. Malone Mark, and T.X. Boerne, "Method and apparatus for knee joint flexibility rehabilitation", U.S. Patent 10.537487 B2, 2020.
[72]
Y. Yao, D. Zhu, G. Jing, Z. Feng, L. Jie, Y. Li, H. Tian, and Q. Li, "Knee joint rehabilitation device", CN. Patent 210844096U, 2020.
[73]
L. Mei, "A knee rehabilitation appliance", CN. Patent 210872636U, 2020.
[74]
M. Chen, and T. Jiang, "A knee rehabilitation training chair", CN. Patent 110916979A, 2020.
[75]
L. Tiseni, G. Rinaldi, D. Chiaradia, and A. Frisoli, "Design and control of a linear springs-based rotary series elastic actuator for portable assistive exoskeletons", 2021 30th IEEE International Conference on Robot & Human Interactive Communication (ROMAN), 2021, pp. 434-439.
[http://dx.doi.org/10.1109/RO-MAN50785.2021.9515444]
[76]
E.J. Rouse, L.M. Mooney, and H.M. Herr, "Clutchable series-elastic actuator: Implications for prosthetic knee design", Int. J. Robot. Res., vol. 33, no. 13, pp. 1611-1625, 2014.
[http://dx.doi.org/10.1177/0278364914545673]
[77]
Q. Yan, H. Dong, and J. Su, "A review of 3D printing technology for medical applications", Engineering, vol. 4, no. 5, pp. 729-742, 2018.
[http://dx.doi.org/10.1016/j.eng.2018.07.021]
[78]
S. Hersek, H. Töreyin, C.N. Teague, M.L. Millard-Stafford, H-K. Jeong, M.M. Bavare, P. Wolkoff, M.N. Sawka, and O.T. Inan, "Wearable vector electrical bioimpedance system to assess knee joint health", IEEE Trans. Biomed. Eng., vol. 64, no. 10, pp. 2353-2360, 2017.
[http://dx.doi.org/10.1109/TBME.2016.2641958] [PMID: 28026745]
[79]
B.T. Kanti, "Bioelectrical impedance methods for noninvasive health monitoring: A review", J. Med. Eng., vol. 6, pp. 1-28, 2014.
[80]
G. Sulter, C. Steen, and J. De Keyser, "Use of the Barthel index and modified Rankin scale in acute stroke trials", Stroke, vol. 30, no. 8, pp. 1538-1541, 1999.
[http://dx.doi.org/10.1161/01.STR.30.8.1538] [PMID: 10436097]
[81]
Z. Yun, C. Zhi-Tong, and N. Tao, "Reverse modeling strategy of aero-engine blade based on design intent", Int. J. Adv. Manuf. Technol., vol. 81, no. 9-12, pp. 1781-1796, 2015.
[http://dx.doi.org/10.1007/s00170-015-7232-x]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy