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Воробьев А.А.,
Воробьев А.А.
д.м.н., профессор, зав. кафедрой оперативной хирургии и топографической анатомии, руководитель отдела экспериментальной и клинической хирургии …
Петрухин А.В.,
Петрухин А.В.
к.т.н., доцент кафедры систем автоматизированного проектирования и поискового конструирования Волгоградского государственного технического университета, Волгоград
Засыпкина О.А.,
Засыпкина О.А.
к.м.н., старший преподаватель кафедры оперативной хирургии и топографической анатомии1, младший научный сотрудник лаборатории моделирования патологии …
Кривоножкина П.С.
Кривоножкина П.С.
ассистент кафедры детских болезней педиатрического факультета с курсом детской неврологии Волгоградского государственного медицинского университета, Волгогра
По данным отечественной и зарубежной литературы проанализировано состояние проблемы разработки и внедрения экзоскелетов. Показано, что в настоящее время приоритетными областями применения экзоскелетов являются военная промышленность и реабилитационная медицина. Отмечено, что большинство созданных экзоскелетов не могут найти массового применения в реабилитации больных с ограничением функций верхних и нижних конечностей из-за большой массы конструкции, зависимости от источников внешнего питания, значительной стоимости. Рассмотрены особенности двух видов экзоскелетов: активного и пассивного. Показано, что наиболее приемлема для использования конструкция пассивного экзоскелета. Отмечено, что основные группы нуждающихся в экзоскелетах состоят из пациентов, страдающих парезами верхних и нижних конечностей.
Sovremennye tehnologii v medicine,
Journal Year:
2016,
Volume and Issue:
8(2), P. 109 - 118
Published: June 1, 2016
This
study
evaluates
the
effectiveness
of
superficial
electromyography
(sEMG)
in
development
biocontrolled
exoskeletons,
through
an
analysis
based
on
findings
foreign
and
domestic
literature
subject.A
brief
historical
background
is
provided.The
features
reviewed
include
registration,
processing
signals
from
electromyograms
respect
biocontrol.It
demonstrated
that
testing
exoskeleton
devices
association
with
sEMG
provides
informative
analytical
tool
for
assisting
optimization
design
order
to
reduce
metabolic
"cost"
locomotion.The
use
myograms
during
operation
have
also
been
reviewed.The
role
myography
studies
fundamental
physical
processes
involved
while
adapting
described.We
conclude
potential
biocontrol
related
new
technical
mathematical
possibilities
available
transformation
classification
bioelectrical
muscles,
isolation
their
patterns
muscular
activity.
Issues of Reconstructive and Plastic Surgery,
Journal Year:
2023,
Volume and Issue:
26(3), P. 47 - 53
Published: Oct. 30, 2023
The
study
aimed
to
investigate
the
effectiveness
and
applicability
of
exoskeletons
in
rehabilitation
patients
with
scapula
shoulder
joint
injuries.
Purpose
a
study:
demonstrate
possibilities
rehabilitating
gunshot
injuries
upper
extremities,
specifically
focusing
on
passive
limb
exoskeleton
“EKZAR34”.
Material
methods
.
conducted
an
analysis
patient's
range
motion
after
using
exoskeleton.
Clinical
data
observations
patient
mine-explosive
injury
were
used
as
research
material.
Results.
use
compensates
for
lost
muscle
functions
increases
joint.
This
enables
perform
actions
that
would
otherwise
require
significant
effort
without
Additionally,
strengthens
both
damaged
undama-
ged
muscles,
leading
balanced
functioning
system.
Conclusion.
Employing
is
effective
promising
approach.
Exoskeletons
expedite
strengthening,
restore
motor
activity
motion,
enhance
treatment
outcomes
patients'
quality
life.
Journal of Volgograd State Medical University,
Journal Year:
2024,
Volume and Issue:
21(3), P. 173 - 180
Published: Oct. 27, 2024
The
use
of
passive
exoskeletons
is
a
promising
direction
in
the
treatment
patients
with
severe
combat
injuries
to
shoulder
girdle,
leading
disability
30
%
cases.
Aim:
To
demonstrate
capabilities
exoskeleton
EXAR-34
rehabilitation
and
habilitation
victim
damage
branches
brachial
nerve
plexus.
Materials
methods:
An
analysis
medical
documentation,
physical
examination,
morphometry,
goniometry
were
carried
out.
Clinical
observation
discussion:
A
patient
post-traumatic
left-sided
plexopathy
due
gunshot
perforating
shrapnel
cervicothoracic
wound
fractures
transverse
processes
C6,
C7,
Th3
vertebrae,
I–III
ribs
on
left
after
reconstructive
intervention
elements
plexus,
when
previously
out
measures
ineffective,
during
first
fitting
device,
range
active
movements
joints
injured
limb
increased
37,1–60,7
%,
routine
motor
skills
restored.
Conclusion:The
experience
using
device
demonstrates
high
promise
complex
interventions
plexus
for
wounds.
Proceedings of Southwest State University,
Journal Year:
2022,
Volume and Issue:
25(3), P. 27 - 40
Published: Jan. 29, 2022
Purpose
of
research
One
the
ways
to
increase
effectiveness
rehabilitation
systems
for
patients
with
musculoskeletal
disorders
is
use
exoskeletons,
which
make
it
possible
ensure
lower
limbs
movement
according
laws
close
natural
gait
set
by
therapist.
The
article
considers
a
method
based
on
construction
ankle
joint
motion
trajectories
(AJ)
followed
synchronous
determination
rotation
angles
limb
links
numerical
solution
inverse
kinematics
problem.
It
known
that
simplified
ancle
and
feet
without
taking
into
account
anthropometric
parameters
patient
leads
formation
an
incorrect
and,
as
result,
significant
in
time
patient.
Therefore,
when
constructing
mathematical
model
patterns,
proposed
video
capture
marker
points
selected
AJ
foot,
processing
approximation
received
signals
using
polynomials,
provides
high
accuracy
reproducing
patterns.
build
exoskeleton
along
trajectory
Methods.
Experimental
walking
studies
fragment,
smoothing
this
solving
reverse
problem
are
used
achive
goal.
Results.
Method
foot
finding
kinematic
characteristics
creation
patterns
introduced.
Conclusion.
Simulation
results
shows
methods
modeling
copy
person
process.
Journal of Physics Conference Series,
Journal Year:
2019,
Volume and Issue:
1333(5), P. 052003 - 052003
Published: Oct. 1, 2019
Abstract
This
research
shows
the
implemented
software
and
hardware
solutions
of
remote
control
systems
for
a
robotic
vehicle.
paper
partially
solves
problem
rapid
prototyping
debugging
motion
algorithms
The
composition
brief
characteristics
main
components
used
in
this
system
are
also
given
paper.
methods
(the
programming
languages
that
were
to
create
vehicle)
described
research.
results
basic
goals
further
modernization
vehicle
Main
conclusions
