EP1292366B1 - Device used for therapy and for exercising the joints of the human body - Google Patents

Device used for therapy and for exercising the joints of the human body Download PDF

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Publication number
EP1292366B1
EP1292366B1 EP01949223A EP01949223A EP1292366B1 EP 1292366 B1 EP1292366 B1 EP 1292366B1 EP 01949223 A EP01949223 A EP 01949223A EP 01949223 A EP01949223 A EP 01949223A EP 1292366 B1 EP1292366 B1 EP 1292366B1
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EP
European Patent Office
Prior art keywords
swivel arm
pressure
arm
pulling
disk
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Expired - Lifetime
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EP01949223A
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German (de)
French (fr)
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EP1292366A2 (en
Inventor
Peter Schulz
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Individual
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    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4041—Interfaces with the user related to strength training; Details thereof characterised by the movements of the interface
    • A63B21/4047—Pivoting movement
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/03508—For a single arm or leg
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4027—Specific exercise interfaces
    • A63B21/4033—Handles, pedals, bars or platforms
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4027—Specific exercise interfaces
    • A63B21/4033—Handles, pedals, bars or platforms
    • A63B21/4035—Handles, pedals, bars or platforms for operation by hand

Definitions

  • the present invention relates to a device for training the joints, muscles and receptors of the human body, in particular the shoulder joint, which is affected by movement restriction after immobilization or by degenerative processes and / or is affected unstable by muscular weakness or muscle atrophy.
  • the restriction of movement may be capsular or due to muscle contraction.
  • An object of the present invention is to be achieved in that the greatest possible training diversity of the movement in space in combination with traction and compression is made possible with variable resistances, without being overly costly and space consuming.
  • the device should except in case of pathological conditions in the hospital or in the. Rehabilitation station, the use in the traditional-preventive area for strengthening in sports such. Rowing, tennis and golf.
  • the invention consists essentially of a device for therapy and training of the joints of the human body, in particular the shoulder joint, in several directions, with at least one pivotable arm, which in any position in space within the range of action of the pivotable arm can be brought and is attached to at least one pivotal connection and on the pivotable arm an adjustable tension and compression device is arranged, which has at least one tension and compression element.
  • the device according to the invention makes it possible without manual. Contact to develop a movement under traction, intermittent traction and / or compression.
  • the movement level can be set and fixed in each room level as required.
  • the movement can be opposed depending on the requirements variable resistances (strengthening and decontraction) or it can be a movement alone required by minimal movement intensities. Due to the documentable fixed points of the individual variable parameters and settings of the device, it is possible to accurately document the course of therapy. Thus, by adjusting the tensile force of the springs and weights an objective performance curve can be determined, which is entered on a schematic data sheet of the training device.
  • pivot the pivotable arm on a vertical surface, e.g. to fix a wall.
  • pivotable arm It is also advantageous to rotatably support the pivotable arm in the region of the pivotable connection, so that the pivotable arm can rotate between 0 and 360 ° about its longitudinal axis.
  • pivotable arm can be adjusted in each position between 0 and 180 °, i. be pivoted both vertically and about its axis.
  • pivotable arm disc-shaped It is particularly advantageous to form the pivotable arm disc-shaped and to provide this disc at the outer edge with at least one recess in which the human body finds place.
  • a pulling and pushing device in the pivot point of the lever rod; which can exert both tension and pressure on the longitudinal axis of the upper arm.
  • this pulling and pushing device on a holding device which receives the elbow of the human arm. The pressure and / or pull acts parallel to the swivel arm and is output to the lever arm in the center.
  • lever rod it is also advantageous, at one end of the lever rod to arrange a handle which is adjustable along the axis of the lever rod.
  • the tension and compression device in the pivot point of the lever rod tensile and compressive elements which are advantageously realized by a spring or by a cable. It is advantageous to design the tension and compression device so that the forces are variable. For this purpose, it is also advantageous to use a hydraulic cylinder or a motor which can alternately exert tension or pressure on the forearm.
  • FIG. 1a shows a schematic representation of the device 1 according to the invention.
  • the device may conveniently be fastened to a vertical wall with two rails 12, 12 'which run parallel, with suitable means 3 not described here in more detail.
  • console 11 Between the rails 12, 12 a not apparent in this illustration console 11 is arranged, on which the pivotable arm 2 according to the invention with a pivotal connection 4. is attached.
  • the swiveling. Connection 4 a hinge.
  • Other connectivity options such as fixed grids are also within the scope of the general inventive idea.
  • Following the hinged connection (hinge) is followed by another rotatable connection 10 (pivot bearing), which allows the pivoting arm 2 to rotate 360 ° about its longitudinal axis.
  • a lever rod 19 is rotatably mounted on the pivotable arm 4.
  • the lever rod 19 has on one side, inter alia, a handle 23 and on the side opposite the handle 23 a weight 24, both of which can be moved in the longitudinal direction.
  • a pulling and pushing device 5 is arranged, on which a holding device 6 is attached, which serves to receive and support the elbow of the human arm.
  • the train- and printing device 5 will be described in detail below.
  • FIG. 1 b shows a front view of the device 1 according to the invention rotated by 90 ° with respect to FIG. 1 a.
  • the two fastening rails 12, 12 ' are fastened parallel to one another perpendicular to the wall 8 with suitable fastening means 3.
  • the lever rod 19 are in any inclined position, which was made according to the necessary setting for a particular muscle before.
  • the lever arm 19 can be brought to a certain position at certain points with a counter force 25, which is for example a spring force. This position is variable both in the spring force and in the position in space.
  • a counter force 25 which is for example a spring force. This position is variable both in the spring force and in the position in space.
  • the elbow is in the holding device 6, wherein the hand surrounds the handle 23.
  • the resulting force at rest can be set to 0. This results in an optimal application of force and adaptation for the body parts to be trained.
  • the spring force can be applied to all holes and parts of the device, so that the animated directions of movement are optimally promoted.
  • FIG. 2 an embodiment of the device 1 according to the invention is shown.
  • the parallel mounting rails 12, 12 ' are on a vertical wall. 8 attached.
  • the rails 12, 12 ' have holes at certain intervals, which serve to receive locking elements 14, 14' on the horizontal console 11.
  • a hinge 4 is attached by suitable means.
  • the suitable means may be screwed, clamped or welded.
  • the set height of the console 11 depends on the height or height of the patient.
  • a further rotatable connection 10 is expediently arranged, which allows a further degree of freedom of the pivoting arm 2.
  • a connecting web 21 connects, which is connected to a circular disc 2 'and represents the actual pivot arm 2.
  • the pivot bearing 10 can also be provided with an adjustable resistance force, which acts counter to the rotational movement.
  • the disc 2 ' has at certain points recesses 17, 18, which serve to provide space for the human body and to reduce the weight of the pivotable arm. Through the recess 17, the body can be brought arbitrarily close to the pivot point 20 of the lever rod 19, so that an optimal position of the shoulder joint is ensured to the pivot point 20.
  • the stop elements 16, 16 ' can set the angle of rotation ⁇ of the longitudinal axis of the lever rod 19 at reasonable intervals.
  • the lever rod 19 On the disc 2 'is at a suitable location in the vicinity of the recess 17, the lever rod 19 is mounted in the pivot point 20. In the fulcrum 20, the tension and compression device 5 according to the invention is arranged, which will be described in more detail below. At the pulling and pushing device 5, a holding device 6 is further attached. At one end of the lever rod 19, a handle 23 is fastened, which has a ball joint, so that the handle 23 sitting perpendicularly on the lever rod 19 is movable in each direction, which is indicated by the dashed lines 23 '.
  • the lever rod 19 is provided with holes 31 which serve to adjust both the handle 23 and the counterweight 24 along the lever rod 19. Further, in the holes 31, a spring can be hooked as a counterforce, which compensates for the gravity of the weight 24 and allows different resistance forces from different directions.
  • FIG. 3 shows a schematic representation of the tension and compression device 5.
  • a pressure element 26 is arranged, which acts against the force of the tension element 28 with the weight 32.
  • the pressure element 26 acts on a plane 29 which is firmly connected to the holding device 6 of the elbow.
  • the tension element 28 is attached in the form of a cable.
  • a cylinder 34 is arranged, which in turn is connected to a rod 35, at the end of a bracket 22 or a cup-shaped receptacle is attached for receiving the elbow.
  • the holding device 6 is rotatably mounted within certain limits about its longitudinal axis. The plane of rotation of the lever rod 19 is thus at a distance (A) to the disc 2 'variable.
  • the holding device 6 is shown schematically in part.
  • the cylinder 33 has in its lateral surface recesses 36 which are arranged along a slot 37 at certain intervals. These recesses 36 are used to adjust the spring force of the pressure element 26, so that the force to be applied by the arm of the human body can be adjusted individually, or the pressure is locked in order to achieve an insulated train.
  • training device Due to its high variability training device according to the invention is particularly well suited for use in problems of the shoulder joint. It can be used both in the field of rehabilitation and in sports. Furthermore, with the exercise device according to the invention a greater therapeutic or training effectiveness is achieved at a lower cost. As a result of the simplicity of the mechanical structure, an uncomplicated assembly is possible quickly. A significant advantage is further that all settings of the training device are reproducible and logged, so that a certain degree of objectivity is guaranteed.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Rehabilitation Tools (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Radiation-Therapy Devices (AREA)
  • Massaging Devices (AREA)

Abstract

The present invention introduces a device for therapy and for exercising joints, muscles and the sensitivity for strengthening joints, in particular for strengthening the rotator cuff of the shoulder joint. The exercising device is secured on a parallel surface (8) by means of two parallel rails (12, 12'). The special advantage of the exercising device (1) has to be seen in that the swivel arm (2) as defined by the invention can be brought into any individual spatial position, so that optimal adaptation to the conditions required for the respective ailing part of the body is assured, and that additionally a tractive and compressive load can continuously and/or alternately act upon the joints.

Description

Die vorliegende Erfindung befasst sich mit einer Vorrichtung zum Trainieren der Gelenke, der Muskulatur und Rezeptoren des menschlichen Körpers, insbesondere dem Schultergelenk, das posttraumatisch oder nach Immobilisation oder durch degenerative Prozesse von einer Bewegungseinschränkung betroffen und/oder instabil durch muskuläre Schwäche oder Muskelathrophien betroffen ist. Die Bewegungseinschränkung kann kapsulär oder.durch Muskelkontraktion begründet sein.The present invention relates to a device for training the joints, muscles and receptors of the human body, in particular the shoulder joint, which is affected by movement restriction after immobilization or by degenerative processes and / or is affected unstable by muscular weakness or muscle atrophy. The restriction of movement may be capsular or due to muscle contraction.

Derartige Geräte sind im Stand der Technik aus den amerikanischen Druckschriften US 5,080,350 die dem Oberbegriff des Anspruchs 1 entspricht und US 4,640,268 bekannt. Als nachteilig wird es an diesen Geräten empfunden, dass der gesamte Aufbau auf einem Gestell aufgebaut ist und nicht alle betroffenen Muskelpartien während der Trainingsphase im notwendigen Maße beansprucht werden können. Ferner ist der Aufbau verhältnismäßig kompliziert, so dass die Herstellungskosten zu hoch erscheinen. Weiterhin scheint die individuelle Einstellbarkeit auf die speziellen Bedürfnisse bei Schultergelenken nicht ohne weiteres gewährleistet zu sein.Such devices are known in the art from US Pat. Nos. 5,080,350 corresponding to the preamble of claim 1 and US 4,640,268. As disadvantageous it is felt in these devices that the entire structure is built on a frame and not all affected Muscles during the training phase can be claimed to the necessary extent. Furthermore, the structure is relatively complicated, so that the manufacturing costs seem too high. Furthermore, the individual adjustability to the special needs of shoulder joints does not seem to be readily ensured.

Ein weiteres Trainingsgerät für die Glieder des menschlichen Körpers, insbesondere der. Armgliedmaßen, ist aus der amerikanischen Druckschrift US 5,254,066 bekannt, dessen Nachteil hauptsächlich in dem komplizierten technischen Aufbau zu sehen ist und damit verhältnismäßig kostenintensiv in der Anschaffung ist. Die bekannten Behandlungsmethoden in der Physiotherapie sind die Autozentrierung und Kräftigung der sogenannten Rotatorenmanschetten und die Erhöhung der Propriozeption durch Kompression. Ferner ist die Bewegungseinschränkung sowohl kapsulär als auch muskulär bedingt, was durch Traktionsmethoden, Muskeldehnungen und anderen Kräftigungen versucht wird, zu beseitigen. Dadurch kann der Schmerz teilweise gelindert werden.Another training device for the limbs of the human body, especially the. Arm limbs, is known from the American publication US 5,254,066, the disadvantage is mainly seen in the complicated technical structure and thus is relatively expensive to purchase. The known treatment methods in physiotherapy are the autocentring and strengthening of the so-called rotator cuffs and the increase of proprioception by compression. Furthermore, the restriction of movement is both capsular and muscular, which is attempted by traction methods, muscle stretching and other strengthening. As a result, the pain can be partially alleviated.

Bei den bekannten Trainingsgeräten ist es bis jetzt nur möglich, in einer Bewegungsebene zu trainieren oder isolierte apparative Traktionen auf das Gelenk zu geben. Variable Widerstände in mehreren Richtungen werden zwar genauer, aber nur mit großem Raum- und Kostenaufwand durch computergesteuerte Geräte ermöglicht. Alternativ kann heute die Bewegung in Kombination mit einer Traktion oder Kompression manuell gegeben werden, was in der Praxis Personalaufwand und intensive Betreuung bedeutet und darüber hinaus nur eine subjektive Dokumentation zuläßt.In the known exercise equipment, it is only possible up to now to train in a plane of motion or to give isolated apparative tractions on the joint. Variable resistors in multiple directions are made more accurate, but only with great space and cost by computer-controlled devices. Alternatively, today the movement can be given manually in combination with a traction or compression, resulting in In practice, personnel costs and intensive care mean that, moreover, only subjective documentation is permitted.

Ein Ziel der vorliegenden Erfindung soll dadurch erreicht werden, dass eine möglichst große Trainingsvielfalt der Bewegung im Raum in Kombination mit Traktion und Kompression bei variablen Widerständen ermöglicht wird, ohne dabei übermäßig kostenintensiv und raumkonsumierend zu sein. Dabei sollte das Gerät außer bei krankhaften Zuständen im Krankenhaus oder in der. Rehabilitationsstation, den Einsatz im sportlich-präventiven Bereich zur Kräftigung bei Sportarten, wie z.B. Rudern, Tennis und Golf, ermöglichen.An object of the present invention is to be achieved in that the greatest possible training diversity of the movement in space in combination with traction and compression is made possible with variable resistances, without being overly costly and space consuming. The device should except in case of pathological conditions in the hospital or in the. Rehabilitation station, the use in the sportive-preventive area for strengthening in sports such. Rowing, tennis and golf.

Daher ist es Aufgabe der vorliegenden Erfindung, die von einer Bewegungseinschränkung, Schwäche, Instabilität oder Tiefensensibilitäts-Minderung betroffene Gelenke des menschlichen Körpers mit einem einfachen technischen Gerät zu trainieren, ohne fremde Hilfe in Anspruch zu nehmen.Therefore, it is an object of the present invention to train the joints of the human body affected by movement restriction, weakness, instability or deep sensibility reduction with a simple technical device, without having to seek help from others.

Diese Aufgabe wird erfindungsgemäß mit den kennzeichnenden Merkmalen des Hauptanspruchs gelöst.This object is achieved with the characterizing features of the main claim.

Die Erfindung besteht im wesentlichen aus einer Vorrichtung zur Therapie und Training der Gelenke des menschliche Körpers, insbesondere dem Schultergelenk, in mehreren Richtungen, mit mindestens einem schwenkbaren Arm, der in jede beliebige Stellung im Raum innerhalb des Wirkungsbereichs des schwenkbaren Armes gebracht werden kann und an mindestens einer schwenkbaren Verbindung befestigt ist und auf dem schwenkbaren Arm eine einstellbare Zug- und Druckvorrichtung angeordnet ist, die mindestens ein Zug- und Druckelement aufweist.The invention consists essentially of a device for therapy and training of the joints of the human body, in particular the shoulder joint, in several directions, with at least one pivotable arm, which in any position in space within the range of action of the pivotable arm can be brought and is attached to at least one pivotal connection and on the pivotable arm an adjustable tension and compression device is arranged, which has at least one tension and compression element.

Die erfindungsgemäße Vorrichtung ermöglicht es, ohne manuellen. Kontakt eine Bewegung unter Traktion, intermittierender Traktion und/oder Kompression zu erarbeiten. Dabei kann die Bewegungsebene je nach Anforderung in jeder Raumebene eingestellt und fixiert werden. Der Bewegung können je nach Anforderung variable Widerstände entgegengesetzt werden (Kräftigung und Dekontraktion) oder es kann eine Bewegung alleine durch minimale Bewegungsintensionen gefordert werden. Infolge der dokumentierbaren Fixpunkte der einzelnen variablen Parameter und Einstellungen des Gerätes ist die Möglichkeit eröffnet, den Therapieverlauf genau zu dokumentieren. Somit kann durch Einstellung der Zugkraft der Federn und Gewichte ein objektiver Leistungsverlauf festgestellt werden, der auf einem schematischen Datenblatt des Trainingsgeräts eingetragen wird.The device according to the invention makes it possible without manual. Contact to develop a movement under traction, intermittent traction and / or compression. The movement level can be set and fixed in each room level as required. The movement can be opposed depending on the requirements variable resistances (strengthening and decontraction) or it can be a movement alone required by minimal movement intensities. Due to the documentable fixed points of the individual variable parameters and settings of the device, it is possible to accurately document the course of therapy. Thus, by adjusting the tensile force of the springs and weights an objective performance curve can be determined, which is entered on a schematic data sheet of the training device.

Erfindungsgemäß ist es vorteilhaft, den schwenkbaren Arm an einer vertikalen Fläche, z.B. einer Wand zu befestigen.According to the invention, it is advantageous to pivot the pivotable arm on a vertical surface, e.g. to fix a wall.

Vorteilhaft ist es auch, die Schrauben im Bereich der schwenkbaren Verbindung anzuordnen.It is also advantageous to arrange the screws in the region of the pivotable connection.

Vorteilhaft ist es auch, den schwenkbaren Arm im Bereich der schwenkbaren Verbindung drehbar zu lagern, so dass der schwenkbare Arm eine Drehung zwischen 0 und 360° um seine Längsachse ausführen kann.It is also advantageous to rotatably support the pivotable arm in the region of the pivotable connection, so that the pivotable arm can rotate between 0 and 360 ° about its longitudinal axis.

Vorteilhaft ist es dabei auch, die schwenkbare Verbindung mittels eines Scharniers auszuführen. Dadurch kann der schwenkbare Arm in jeder Stellung zwischen 0 und 180° verstellt werden, d.h. sowohl vertikal als auch um seine Achse geschwenkt werden.It is also advantageous to perform the pivotal connection by means of a hinge. Thereby, the pivotable arm can be adjusted in each position between 0 and 180 °, i. be pivoted both vertically and about its axis.

Um die Höheneinstellung des schwenkbaren Arms je nach Körpergröße des zu behandelnden menschlichen Körpers einstellen zu können, ist es vorteilhaft, den schwenkbaren Arm an einer horizontalen Konsole zu befestigen, die in vertikaler Richtung verstellt werden kann.In order to adjust the height adjustment of the pivotable arm depending on the size of the human body to be treated, it is advantageous to attach the pivoting arm to a horizontal bracket that can be adjusted in the vertical direction.

Dabei ist es vorteilhaft, die horizontale Konsole an zwei parallel zueinander verlaufenden Schienen anzuordnen und diese in gewissen Abständen mit Bohrungen zu versehen, in denen die horizontale Konsole befestigt wird.It is advantageous to arrange the horizontal bracket on two mutually parallel rails and to provide them at intervals with holes in which the horizontal console is attached.

Ganz besonders vorteilhaft ist es, den schwenkbaren Arm scheibenförmigen auszubilden und diese Scheibe am äußeren Rand mit mindestens einer Ausnehmung zu versehen, in der der menschliche Körper Platz findet.It is particularly advantageous to form the pivotable arm disc-shaped and to provide this disc at the outer edge with at least one recess in which the human body finds place.

Vorteilhaft ist es ferner, auf dem scheibenförmigen schwenkbaren Arm eine Hebelstange anzuordnen; die drehbar parallel zur Ebene der Scheibe gelagert ist.It is also advantageous to arrange a lever rod on the disk-shaped pivotable arm; which is rotatably mounted parallel to the plane of the disc.

Vorteilhaft ist es darüber hinaus, im Drehpunkt der Hebelstange eine Zug- und Druckvorrichtung anzuordnen; die auf die Längsachse des Oberarms sowohl Zug als auch Druck ausüben kann. Vorteilhaft weist diese Zug- und Druckvorrichtung eine Haltevorrichtung auf, die den Ellenbogen des menschlichen Armes aufnimmt. Der Druck und/oder Zug wirkt parallel zum Schwenkarm und wird auf den Hebelarm im Zentrum ausgegeben.It is also advantageous to arrange a pulling and pushing device in the pivot point of the lever rod; which can exert both tension and pressure on the longitudinal axis of the upper arm. Advantageously, this pulling and pushing device on a holding device which receives the elbow of the human arm. The pressure and / or pull acts parallel to the swivel arm and is output to the lever arm in the center.

Vorteilhaft ist es ferner, an einem Ende der Hebelstange einen Handgriff anzuordnen, der längs der Achse der Hebelstange verstellbar ist.It is also advantageous, at one end of the lever rod to arrange a handle which is adjustable along the axis of the lever rod.

Vorteilhaft ist es auch, auf der dem Handgriff gegenüberliegenden Seite der Hebelstange ein veränderliches Gewicht anzuordnen, um eventuell auftretende Zugkräfte zu kompensieren.It is also advantageous to arrange a variable weight on the side opposite the handle side of the lever rod in order to compensate for any tensile forces that may occur.

Erfindungsgemäß weist die Zug- und Druckvorrichtung im Drehpunkt der Hebelstange Zug- und Druckelemente auf, die vorteilhaft durch eine Feder bzw. durch einen Seilzug realisiert werden. Dabei ist es vorteilhaft, die Zug- und Druckvorrichtung so auszulegen, dass die Kräfte veränderlich sind. Hierzu bietet sich vorteilhaft auch ein Hydraulik-Zylinder oder ein Motor an, der wechselweise Zug oder Druck auf den Unterarm ausüben kann.According to the invention, the tension and compression device in the pivot point of the lever rod tensile and compressive elements, which are advantageously realized by a spring or by a cable. It is advantageous to design the tension and compression device so that the forces are variable. For this purpose, it is also advantageous to use a hydraulic cylinder or a motor which can alternately exert tension or pressure on the forearm.

Weitere erfindungswesentliche Merkmale sind den Unteransprüchen zu entnehmen.Other features essential to the invention can be found in the dependent claims.

Im nun folgenden wird die. Erfindung anhand von. Zeichnungen im einzelnen näher beschrieben. Es zeigt

Fig. 1a
eine schematische Darstellung der erfindungsgemäßen Vorrichtung (i);
Fig. 1b
eine gegenüber der Fig. 1a um 90° gedrehte Vorderansicht der erfindungsgemäßen Vorrichtung (1);
Fig. 2
ein Ausführungsbeispiel der erfindungsgemäßen Vorrichtung (1), die mit zwei Befestigungsschienen (12, 12') an der Wand (8) befestigt ist;
Fig. 3
eine schematische Darstellung der erfindungsgemäßen Zug- und Druckvorrichtung (5) mit der Haltevorrichtung (6) und den Zug- und Druckelementen (28,26);
Fig. 4
eine schematische Darstellung der Zug- und Druckvorrichtung (5), aus der die Einstellbarkeit der Druckkräfte hervorgeht.
The following will be the. Invention based on. Drawings described in detail. It shows
Fig. 1a
a schematic representation of the device according to the invention (i);
Fig. 1b
a front view of the device (1) according to the invention rotated by 90 ° with respect to FIG. 1a;
Fig. 2
an embodiment of the device (1) according to the invention, which is fastened with two fastening rails (12, 12 ') on the wall (8);
Fig. 3
a schematic representation of the tension and compression device (5) according to the invention with the holding device (6) and the tension and compression elements (28,26);
Fig. 4
a schematic representation of the tension and compression device (5) showing the adjustability of the compressive forces.

Die Fig. 1a zeigt eine schematische Darstellung der erfindungsgemäßen Vorrichtung 1. Die Vorrichtung kann zweckmäßigerweise an einer senkrechten Wand mit zwei Schienen 12, 12', die parallel verlaufen, mit hier nicht näher beschriebenen geeigneten Mitteln 3 befestigt werden. Zwischen den Schienen 12, 12 ist eine in dieser Darstellung nicht ersichtliche Konsole 11. angeordnet, an der der erfindungsgemäße schwenkbare Arm 2 mit einer schwenkbaren Verbindung 4. befestigt ist. Im allgemeinen Fall ist die schwenkbare. Verbindung 4 ein Scharnier. Andere Verbindungsmöglichkeiten wie fest einstellbare Rasterungen liegen ebenfalls im Bereich des allgemeinen Erfindungsgedankens. Im Anschluss an die schwenkbare Verbindung (Scharnier) folgt eine weitere drehbare Verbindung 10 (Drehlager), die es gestattet, den schwenkbaren Arm 2 um 360° um seine Längsachse zu drehen. Durch die Beweglichkeit der beiden Verbindungen 10 und 11 ist die Möglichkeit gegeben, die Bewegungsebene für den zu trainierenden Arm in jede beliebige Lage des Raumes einzustellen, was durch die gestrichelten Linien 7 angedeutet ist. Im rechtsseitigen Bereich dieser Darstellung ist auf dem schwenkbaren Arm 4 eine Hebelstange 19 drehbar gelagert. Die Hebelstange 19 weist auf der einen Seite u.a. einen Handgriff 23 und auf der dem Handgriff 23 gegenüberliegenden Seite ein Gewicht 24 auf, die beide in Längsrichtung verschoben werden können. Im Drehpunkt 20 ist eine Zug- und Druckvorrichtung 5 angeordnet, an der eine Haltevorrichtung 6 befestigt ist, die dazu dient, den Ellenbogen des menschlichen Armes aufzunehmen und zu unterstützen. Die Zug- und Druckvorrichtung 5 wird weiter unten im einzelnen näher beschrieben.1a shows a schematic representation of the device 1 according to the invention. The device may conveniently be fastened to a vertical wall with two rails 12, 12 'which run parallel, with suitable means 3 not described here in more detail. Between the rails 12, 12 a not apparent in this illustration console 11 is arranged, on which the pivotable arm 2 according to the invention with a pivotal connection 4. is attached. In the general case, the swiveling. Connection 4 a hinge. Other connectivity options such as fixed grids are also within the scope of the general inventive idea. Following the hinged connection (hinge) is followed by another rotatable connection 10 (pivot bearing), which allows the pivoting arm 2 to rotate 360 ° about its longitudinal axis. Due to the mobility of the two compounds 10 and 11, the possibility is given to adjust the movement plane for the arm to be trained in any position of the room, which is indicated by the dashed lines 7. In the right-hand area of this illustration, a lever rod 19 is rotatably mounted on the pivotable arm 4. The lever rod 19 has on one side, inter alia, a handle 23 and on the side opposite the handle 23 a weight 24, both of which can be moved in the longitudinal direction. In the pivot point 20, a pulling and pushing device 5 is arranged, on which a holding device 6 is attached, which serves to receive and support the elbow of the human arm. The train- and printing device 5 will be described in detail below.

Die Fig. 1b zeigt eine gegenüber der Fig. 1a um 90° gedrehte Vorderansicht der erfindungsgemäßen Vorrichtung 1. Die beiden Befestigungsschienen 12, 12' sind parallel zueinander senkrecht an der Wand 8 mit geeigneten Befestigungsmitteln 3 befestigt. Der Schwenkarm und.damit die Hebelstange 19 befinden sich in einer beliebigen Schräglage, die entsprechend der notwendigen Einstellung für einen bestimmten Muskel vorher vorgenommen wurde. Der Hebelarm 19 kann an bestimmten Stellen mit einer Gegenkraft 25, was beispielsweise eine Federkraft ist, in eine bestimmte Stellung gebracht werden. Diese Stellung ist sowohl in der Federkraft als auch in der Stellung im Raum veränderlich. Während der durchzuführenden Übung liegt der Ellenbogen in der Haltevorrichtung 6, wobei die Hand den Handgriff 23 umschließt. Infolge der Federkraft 25 und des Gegengewichts 24 zur Federkraft kann die resultierende Kraft im Ruhepunkt auf 0 eingestellt werden. Hierdurch ergibt sich eine optimale Kraftaufwendung und Anpassung für die zu trainierenden Körperteile. Die Federkraft kann an allen Bohrungen und Teilen des Gerätes angelegt werden, so dass die zu belebenden Bewegungsrichtungen optimal gefördert werden.FIG. 1 b shows a front view of the device 1 according to the invention rotated by 90 ° with respect to FIG. 1 a. The two fastening rails 12, 12 'are fastened parallel to one another perpendicular to the wall 8 with suitable fastening means 3. The swivel arm and. The lever rod 19 are in any inclined position, which was made according to the necessary setting for a particular muscle before. The lever arm 19 can be brought to a certain position at certain points with a counter force 25, which is for example a spring force. This position is variable both in the spring force and in the position in space. During the exercise to be performed the elbow is in the holding device 6, wherein the hand surrounds the handle 23. Due to the spring force 25 and the counterweight 24 to the spring force, the resulting force at rest can be set to 0. This results in an optimal application of force and adaptation for the body parts to be trained. The spring force can be applied to all holes and parts of the device, so that the animated directions of movement are optimally promoted.

In Fig. 2 ist ein Ausführungsbeispiel der erfindungsgemäßen Vorrichtung 1 gezeigt. Die parallel verlaufenden Befestigungsschienen 12, 12' sind an einer senkrechten Wand 8 befestigt. Die Schienen 12, 12' weisen in bestimmten Abständen Bohrungen auf, die zur Aufnahme von Feststellelementen 14, 14' an der horizontalen Konsole 11 dienen. An der horizontalen Konsole 11 ist ein Scharnier 4 mit geeigneten Mitteln befestigt. Die geeigneten Mittel können Verschraubungen, Klemmungen oder Verschweißungen sein. Die eingestellte Höhe der Konsole 11 richtet sich nach der Körpergröße bzw. der Sitzhöhe des Patienten. Im Bereich des Scharniers 4 ist zweckmäßigerweise eine weitere drehbare Verbindung 10 angeordnet, die einen weiteren Freiheitsgrad des Schwenkarms 2 ermöglicht. An die drehbare Verbindung 10, die in Form eines Drehlagers ausgeführt ist, schließt sich ein Verbindungssteg 21 an, der mit einer kreisrunden Scheibe 2' verbunden ist und den eigentlichen Schwenkarm 2 darstellt. Das Drehlager 10 kann auch mit einer einstellbaren Widerstandskraft versehen werden, die entgegen der Drehbewegung wirkt. Die Scheibe 2' weist an bestimmten Stellen Ausnehmungen 17, 18 auf, die dazu dienen, Platz für den menschlichen Körper zu bieten und das Gewicht des schwenkbaren Arms zu verringern. Durch die Ausnehmung 17 kann der Körper beliebig nahe an den Drehpunkt 20 der Hebelstange 19 herangeführt werden, so dass eine optimale Stellung des Schultergelenks zum Drehpunkt 20 gewährleistet ist. Auf einem Lochkreis auf der Scheibe 2' befinden sich Bohrungen 15, die hauptsächlich dazu dienen, Steckbolzen 16, 16' als Anschlagelemente für die. Hebelstange 19 zu bieten. Die Anschlagelemente 16, 16' können den Drehwinkel α der Längsachse der Hebelstange 19 in vernünftigen Abständen festlegen. Auf der Scheibe 2' ist an geeigneter Stelle in der Nähe der Ausnehmung 17 die Hebelstange 19 im Drehpunkt 20 gelagert. Im Drehpunkt 20 ist die erfindungsgemäße Zug- und Druckvorrichtung 5 angeordnet, die weiter unten näher beschrieben wird. An der Zug- und Druckvorrichtung 5 ist weiterhin eine Haltevorrichtung 6 befestigt. An einem Ende der Hebelstange 19 ist ein Handgriff 23 befestigte, der ein- Kugelgelenk aufweist, so dass der auf der Hebelstange 19 senkrecht sitzende Handgriff 23 in jeder Richtung beweglich ist, was durch die gestrichelten Linien 23' angedeutet wird. Die Hebelstange 19 ist mit Bohrungen 31 versehen, die dazu dienen, sowohl den Handgriff 23 als auch das Gegengewicht 24 entlang der Hebelstange 19 zu verstellen. Ferner kann in die Bohrungen 31 eine Feder als Gegenkraft eingehängt werden, die die Schwerkraft des Gewichts 24 kompensiert und unterschiedliche Widerstandskräfte aus verschiedenen Richtungen ermöglicht.2, an embodiment of the device 1 according to the invention is shown. The parallel mounting rails 12, 12 'are on a vertical wall. 8 attached. The rails 12, 12 'have holes at certain intervals, which serve to receive locking elements 14, 14' on the horizontal console 11. On the horizontal bracket 11, a hinge 4 is attached by suitable means. The suitable means may be screwed, clamped or welded. The set height of the console 11 depends on the height or height of the patient. In the region of the hinge 4, a further rotatable connection 10 is expediently arranged, which allows a further degree of freedom of the pivoting arm 2. To the rotatable connection 10, which is designed in the form of a pivot bearing, a connecting web 21 connects, which is connected to a circular disc 2 'and represents the actual pivot arm 2. The pivot bearing 10 can also be provided with an adjustable resistance force, which acts counter to the rotational movement. The disc 2 'has at certain points recesses 17, 18, which serve to provide space for the human body and to reduce the weight of the pivotable arm. Through the recess 17, the body can be brought arbitrarily close to the pivot point 20 of the lever rod 19, so that an optimal position of the shoulder joint is ensured to the pivot point 20. On a bolt circle on the disc 2 'are holes 15, which are mainly used to pin 16, 16' as stop elements for the. Lever 19 to offer. The stop elements 16, 16 'can set the angle of rotation α of the longitudinal axis of the lever rod 19 at reasonable intervals. On the disc 2 'is at a suitable location in the vicinity of the recess 17, the lever rod 19 is mounted in the pivot point 20. In the fulcrum 20, the tension and compression device 5 according to the invention is arranged, which will be described in more detail below. At the pulling and pushing device 5, a holding device 6 is further attached. At one end of the lever rod 19, a handle 23 is fastened, which has a ball joint, so that the handle 23 sitting perpendicularly on the lever rod 19 is movable in each direction, which is indicated by the dashed lines 23 '. The lever rod 19 is provided with holes 31 which serve to adjust both the handle 23 and the counterweight 24 along the lever rod 19. Further, in the holes 31, a spring can be hooked as a counterforce, which compensates for the gravity of the weight 24 and allows different resistance forces from different directions.

Die Fig. 3 zeigt eine schematische Darstellung der Zug- und Druckvorrichtung 5. In einem Zylinder 33 ist ein Druckelement 26 angeordnet, das gegen die Kraft des Zugelements 28 mit dem Gewicht 32 wirkt. Das Druckelement 26 wirkt auf eine Ebene 29, die mit der Haltevorrichtung 6 des Ellenbogen fest verbunden ist. An der gleichen Ebene 29 ist das Zugelement 28 in Form eines Seilzugs befestigt. Somit kann durch Variation des Gewichts 32 die resultierende Kraft für die Bewegung der Haltevorrichtung 6 reproduzierbar eingestellt werden. Auf der Fläche 29 ist ein Zylinder 34 angeordnet, der wiederum mit einer Stange 35 verbunden ist, an deren Ende ein Bügel 22 oder eine schalenförmige Aufnahme zur Aufnahme des Ellenbogen befestigt ist. Die Haltevorrichtung 6 ist in gewissen Grenzen um ihre Längsachse drehbar gelagert. Die Drehebene der Hebelstange 19 ist somit im Abstand (A) zur Scheibe 2' variabel.3 shows a schematic representation of the tension and compression device 5. In a cylinder 33, a pressure element 26 is arranged, which acts against the force of the tension element 28 with the weight 32. The pressure element 26 acts on a plane 29 which is firmly connected to the holding device 6 of the elbow. At the same level 29, the tension element 28 is attached in the form of a cable. Thus, by varying the weight 32, the resulting force for the movement of the holding device 6 can be set reproducibly. On the surface 29, a cylinder 34 is arranged, which in turn is connected to a rod 35, at the end of a bracket 22 or a cup-shaped receptacle is attached for receiving the elbow. The holding device 6 is rotatably mounted within certain limits about its longitudinal axis. The plane of rotation of the lever rod 19 is thus at a distance (A) to the disc 2 'variable.

In Fig. 4 ist ausschnittsweise die Haltevorrichtung 6 schematisch dargestellt. Der Zylinder 33 weist in seiner Mantelfläche Ausnehmungen 36 auf, die entlang eines Schlitzes 37 in bestimmten Abständen angeordnet sind. Diese Ausnehmungen 36 dienen zur Einstellung der Federkraft des Druckelements 26, so dass die vom Arm des menschlichen Körpers aufzuwendende Kraft individuell eingestellt werden kann, oder der Druck arretiert wird, um einen isolierten Zug zu erzielen.In Fig. 4, the holding device 6 is shown schematically in part. The cylinder 33 has in its lateral surface recesses 36 which are arranged along a slot 37 at certain intervals. These recesses 36 are used to adjust the spring force of the pressure element 26, so that the force to be applied by the arm of the human body can be adjusted individually, or the pressure is locked in order to achieve an insulated train.

Aufgrund seiner hohen Variabilität eignet sich das erfindungsgemäße Trainingsgerät besonders gut zum Einsatz bei Problemen des Schultergelenks. Es läßt sich sowohl im Bereich der Rehabilitation als auch im sportlichen Bereich einsetzen. Ferner wird mit dem erfindungsgemäßen Trainingsgerät eine größere Therapie- bzw. Trainingseffektifität bei geringeren Kosten erzielt. Infolge der Einfachheit des mechanischen Aufbaus ist eine unkomplizierte Montage rasch möglich. Ein wesentlicher Vorteil liegt ferner darin, dass sämtliche Einstellungen des Trainingsgeräts reproduzierbar und protokollierbar sind, so dass ein gewisses Maß an Objektivität gewährleistet ist.Due to its high variability training device according to the invention is particularly well suited for use in problems of the shoulder joint. It can be used both in the field of rehabilitation and in sports. Furthermore, with the exercise device according to the invention a greater therapeutic or training effectiveness is achieved at a lower cost. As a result of the simplicity of the mechanical structure, an uncomplicated assembly is possible quickly. A significant advantage is further that all settings of the training device are reproducible and logged, so that a certain degree of objectivity is guaranteed.

Claims (16)

  1. A device (1) for therapy and exercising of the joints of the human body, in particular of the shoulderjoint in a number of directions, comprising at least one swivel arm (2) which can be brought in any spatial position within the range of action of the swivel arm (2) and is secured on at least one pivot connection (4), characterized in that an adjustable traction and compression device (5) arranged on the swivel arm (2), said device comprising at least one pulling and pressure applying element (28, 26).
  2. The device according to claim 1, characterized in that the swivel arm (2) is supported in a rotating manner in the area of the pivot connection (4), whereby the range of rotation by means of a pivot bearing (10) is between 0° and 360°.
  3. The device according to any one of the preceding claims, characterized in that the swivel arm (2) is displaceable both vertically and horizontally.
  4. The device according to claim 1, characterized in that the swivel arm (2) has the shape of a disk on which stop elements (16, 16') can be arranged in any desired locations.
  5. The device according to claim 4, characterized in that drilled holes (15) are arranged on the disk of the swivel arm (2), into which the stop elements (16, 16') are plugged.
  6. The device according to claims 1 and 4, characterized in that the disk (2') comprises at least one recess (17) located in the edge zone of the disk.
  7. The device according to claim 1, characterized in that a lever bar (19) is arranged on the swivel arm (2), said lever bar being supported in a rotating manner.
  8. The device according to claims 1 and 7, characterized in that the lever bar (19) is rotatably supported parallel with the plane of the disk (2') and has a swiveling handle (23).
  9. The device according to any one of the preceding claims, characterized in that the traction and compression device (5) is arranged in the point of rotation (20) and acting on the lever bar (19).
  10. The device according to any one of the preceding claims, characterized in that a weight (24) can be arranged on the side of the lever bar (19) facing away from the handle (23).
  11. The device according to any one of the preceding claims, characterized in that the force of the lever arm of the weight (24) can be completely or partly compensated by a counter force.
  12. The device according to claim 1, characterized by
    - a pressure-applying element (26) (pressure spring), said element being secured with its one end on a holding device (6) in a cylinder; and
    - a pulling element (28) forming a counter force to the pressure-applying element.
  13. The device according to claim 12, characterized in that the pulling and pressure-applying element (28, 26) is arranged in a hydraulic cylinder acting in both directions.
  14. The device according to claim 12, characterized in that the pulling and pressure-applying forces are adjustable.
  15. The device according to any one of the preceding claims, characterized in that the holding device (6) for the elbow of the human arm is arranged in such a way that it can be rotated around its longitudinal axis.
  16. The device according to claim 12, characterized in that the pulling and pressure-applying element (28, 26) is a motor.
EP01949223A 2000-06-02 2001-06-01 Device used for therapy and for exercising the joints of the human body Expired - Lifetime EP1292366B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE10027041A DE10027041A1 (en) 2000-06-02 2000-06-02 Device for the therapy and training of the joints of the human body
DE10027041 2000-06-02
PCT/DE2001/002059 WO2001091692A2 (en) 2000-06-02 2001-06-01 Device used for therapy and for exercising the joints of the human body

Publications (2)

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EP1292366A2 EP1292366A2 (en) 2003-03-19
EP1292366B1 true EP1292366B1 (en) 2006-11-22

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EP01949223A Expired - Lifetime EP1292366B1 (en) 2000-06-02 2001-06-01 Device used for therapy and for exercising the joints of the human body

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US (1) US20020107116A1 (en)
EP (1) EP1292366B1 (en)
AT (1) ATE345852T1 (en)
AU (1) AU7045701A (en)
DE (3) DE10027041A1 (en)
WO (1) WO2001091692A2 (en)

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US20020107116A1 (en) 2002-08-08
DE50111494D1 (en) 2007-01-04
DE10027041A1 (en) 2002-01-10
EP1292366A2 (en) 2003-03-19
WO2001091692A2 (en) 2001-12-06
DE10192159D2 (en) 2002-08-29
AU7045701A (en) 2001-12-11
ATE345852T1 (en) 2006-12-15
WO2001091692A3 (en) 2002-11-28

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