TR201611675A2 - PHYSIOTHERAPIST CONTROLLED PRONATION AND SUPINATION PHYSICAL THERAPY DEVICE - Google Patents

Abstract

Invention; It is related to the device that can accelerate the rehabilitation process after fracture union, perform rehabilitation exercises without the need of an expert, apply hot and cold treatment, monitor and record the recovery of the patient and improve the comfort of the patient.

Description

DESCRIPTION PHYSIOTHERAPIST CONTROLLED PRONATION AND SUPINATION PHYSICS TREATMENT DEVICE TECHNICAL FIELD Meet; the rehabilitation process after the union of the broken bone accelerates rehabilitation exercises without the need for a specialist. able to perform hot and cold treatment, with a device that can monitor and record the condition of the patient and increase the comfort of the patient. PRIOR ART Human skeletal system bones and their supporting muscles, cartilage, organs etc. consists of structures. The integrity of the human bone structure, both tissue and in terms of protecting the organs and realizing the desired movements. is of great importance. This skeletal structure, fractures, sprains, dislocations, etc. may be corrupted as a result of situations named with names. body in the literature It is the name given to the event of deterioration of the integrity of the bone system. cracks It usually occurs in milliseconds and causes soft tissue damage. It is possible. Removal of damage and loss of motion in this way must be won.

Human body joints generally play (synovial), do not move (fibrous) and semi-motile (cartilaginous) consists of three different joint types. Hand The wrist is included in the movable joints in these classes and during its daily activities, it often needs its flexibility-volatility. appears as an organ. In this context, wrist fractures are It has important effects that directly affect daily life. wrist, eight from the radius and ulna bones, the two forearm bones, along with the small bone is formed. This joint turns up and down, swivels, and leans sideways. able to make movements. The most common among general fractures and wrist fractures Types of fractures seen are fractures that occur at the distal ends of the radius bone and It constitutes 1/6 of the fractures treated in outpatient clinics.

As with all types of fractures, wrist Radius/UIna fractures Afterwards, a stable anatomical reduction should be achieved first in the treatment process. It is aimed and the patient's access to early mobility and rehabilitation. is requested. With this in mind, casting, pinning and methods such as external fixator application are used. Kirigin An indispensable treatment process after the treatment is physical therapy and relates to rehabilitation. 90% of the fracture patients are physical after fracture treatment. needs treatment. In these treatments, “fixation of the fracture site” It is an indispensable element during the treatment for the healing of fractures. When removing, this treatment method is used for muscle weakening, tissue adhesion, joint limitation. This side effect during physical therapy and rehabilitation, as it causes problems such as effects need to be studied. In this rehabilitation process hot application to the area (paraffin, whirlpool bath, hot sandbag, etc.), weight work etc. strengthening of muscles and joints with the help of exercises limitations are expected to be eliminated. Help of patients with these exercises It is very difficult for wrist movements to reach their former levels of motion without

The wrist generally has a three-axis rotation movement. These are a It resembles the dive (pitch), roll (roll), and heading turns of the aircraft.

Physical therapy for the recovery of these movements after the healing after the fracture and rehabilitation is needed. In this rehabilitation process, Heating the relevant area, electrical stimulation of the muscles and traditional to the patient's wrist to work the relevant muscles by a specialist with methods axial forces are applied. This is the invention whose patent has been applied for. BRIEF DESCRIPTION OF THE INVENTION A patient with a broken wrist and treated from wrist movements, except for the tilt movement, by his own effort. can develop. However, lying motion, that is, pronation (pronation) and Needs expert help for supination movements.

In addition, in order to force the rehabilitation area better, hot water, hot sand etc. Applications are made by experts. However, the expert It will ensure that the area remains warm during the forcings made by One design is missing. Therefore, depending on the ambient temperature, the temperature decreases and the limits of axial stresses can decrease. Moreover, Data on how well the patient recovers after rehabilitation is needed. is heard. Obtaining these data both helps the specialist to improve concretely. will indicate, as well as be a measure of how much he has improved for the patient. End As a result, there is a global data on how much patient recovery data is. If it is collected, what will be the return interval of the patient on the first day and what will happen as a result of rehabilitation? It is possible to make predictions on how much it will improve.

As a result of our research, a suitable tool with the mentioned functions has been found. It was seen that the design did not exist. Regarding this, the invention that is the subject of our application; Based on these problems, a better rehabilitation process for the patient to provide solutions for the patient to regain the first day's health as soon as possible. it provides. Inventing the above-mentioned problems with one's own design will resolve it.

These solutions are; - With the invention designed so that the patient can make the turns automatically pronation and supination exercises, which are rotational movements of the wrist with this device, using different software under expert control, - With resistance to maintain the temperature of the patient's rehabilitation zone using the heating method, - Using peltier for cooling, o Recording the patient's wrist movements after each turn daily performance of the patient is recorded and a report about the daily development of the patient A tangible representation of the patient's recovery process by revealing performance data presented in the form, - By operating the device in active or passive mode, only in passive mode in active mode while working at rotation intervals set by the physiotherapist. interactive by increasing the device rotation angle to the patient after a certain time. MEANING OF SHAPES Figure 1. Invention Mounted Isometric View Figure 2. Side View of Invention Assembled Figure 3. Top View of Invention Assembled Figure 4. Invention Assembled Front View Figure 5. Invention Assembled Isometric A and B Detail Points view Figure 6. A Detail View Figure 7. B Detail View Figure 8. Invention Transparent View Figure 9. Invention Transparent Isometric View Figure 10. C Detail View The corresponding part numbers in the figures are given below.

Power Key Software Outer Pointer Motor Step Counter (Encoder) Nerve Switch Engine Holder Device Forearm Constant . Compressing Devices . Device Length Guide 11.1. Device Length Guide Slot . Registration Unit . Device Length Guide Fixing Apparatus . Upper Extremity Apparatus . Upper Extremity Angle Apparatus .one. Inclined Angle Slot .2. Angle Fixing Screw 16. Hand Holder 17. Angle Chart 18. Driver 19. Warmer - Cooler Bracelet . Screen 21. Speed Adjustment 22. Stop Button DETAILED DESCRIPTION OF THE INVENTION Meet; power key (1), software (2), inner pointer (3), outer pointer (4), motor (5), motor step counter (encoder) (6), nerve switch (7), motor holding apparatus (8), device front arm constant (9), at least one clamping device (10), at least one device length slide (11), device length slide slot (11.1), register (12), at least one device length guide fixing apparatus (13), upper extremity apparatus (14), upper limb angle device (15), inclined angle socket (15.1), angle fixing screw (15.2), hand grip (16), angle chart (17), driver (18), heater-cooler bracelet (19), It is characterized by display (20), speed control (21) and stop button (22) parts. In the treatment of fractures and fractures, the physiotherapist mechanically performed the exercises to the patient. applying, keeping the operation points warm during the application, It is a medical device that records the recovery status and presents it daily - monthly - yearly. is the device.

The working stages of the device are as follows; 1. Calibrations related to patient-device compatibility before operating the device needs to be done. a. After the patient is brought into the session position facing the device, then the first setting is to adjust the device according to the arm length for the patient will be. The device is placed on the patient's arm on the forearm fix (9). of the device length rail (11) of the device length rail slot (11.1) device to the patient arm length by means of its back-and-forth movement inside and device length slide fixing is provided. Fixing this length with the screwing method of the apparatus (13) is provided. Fixation of upper extremity after forearm fixation required. Upper extremity angle according to the sitting position of the patient With the apparatus (15) the angle is adjusted for the upper extremity apparatus (14) and the angle is adjusted. This angle is fixed with the fixing screw (15.2). Angle adjustment, upper extremity by the movement of the apparatus (14) in the inclined angle slot (15.1) is provided. Compression of the patient arm placed between these apparatus It is fixed with the apparatus (10). Clamping tools (10) They have a flexible structure and they can stretch as wide as the patient's arm.

Therefore, clamping devices extended to the width of the patient's arm (10), the device to which they are attached, the forearm fixed (9) and the upper extremity apparatus (14) is attached to the other end of its parts.

After the angle and length adjustment procedures, the patient's current condition Determination of pronation and supination (P/S) rotation angles required. Wrist of the patient with plaster or other methods wrist after fixation and end of treatment pronation and supination angles are normal values of +/- 90 is below the level. These angle values are given to the patient, fixation duration, plaster type etc. depending on the effects. Expert making the necessary adjustments according to the patient's arm length It is provided to hold the hand grip (16). Device not energized in the patient's wrist right and left (pronation/supination) the pronation angle of the patient from the angle chart (17). and supination return information is learned. This information is later will be used for input. Angle chart (17) on X axes 0 as it approaches the Y axis, showing the corresponding parts at 90 degrees angles decreasing towards degrees with angle differences of at least one degree each. It is a structure that shows. 2. Completing the length setting process and adjusting the P/S values After the device is determined, the device is turned on with the power key (1) and energized. Energy at the first moment it is given to the software (2) by means of the inner needle (3), the reference information a front to the right or left via the motor (5) so that the movement is made. During this preliminary movement, the inner needle (3) is pronation and to the nerve switches placed on the supination (+/-90 degrees) nerves (7) contact is requested. The highest point on the plane where the inner pointer (3) is located. at least one nerve switch (7) is positioned. more than one nerve The key (7) will be in the plane of the inner pointer (3), equal in number to both sides. It is positioned in such a way that measurement can be obtained at both ends. This the software (2), the actual position of the motor (5) is provided and after that the movements of the motor (5), the driver (18) and it is calculated directly since it will be related to the step angles of the motor (5).

Motor (5) step tracking is a motor step placed at the back of the motor (5) It is controlled by the counter (encoder) (6). After the referencing process The motor (5) and the outer needle (4) come to the 0 degree position for patient rehabilitation. is made ready for use. The nerve switch (7) is also the It also allows it to work within the limits of +/-90 degrees. any In the figure, the inner needle (3) and the outer needle (4) working in sync with it in case of exceeding the values, limit conditions are communicated to the software (2), work is stopped. the engine (5) in any way motor holding apparatus as its displacement will change the angle values With (8), the motor (5) is fixed. . In the previous steps, the device was harmonized with the patient and The patient's P/S values were determined. Software related to the operation of the device settings must be made. a. For this, the touch input interface on the screen (20) It is necessary to enter information about the patient through the This information When entering, the first name defined for the patient, TR number, hospital file number etc. an ID is defined and logged in. b. Then, the patient's (mentioned in 1-c) determined P/S touch input values on the screen (20) respectively. entered via the interface.

. The operating speed of the device is determined. This speed was previously software (2) speeds defined and empirically determined by an expert as well as before the operation or via the speed setting (21) then increased and decreased.

. A follow-up on how long the patient will work It gives time information to the software (2) so that it can be done. To stop the device There are three methods. These; using the stop button (22) stop with the touch input interface on the screen (20) command or work determined by the expert. the end of the program. Using the alternative methods listed It can also be provided to automatically stop.

. Staying warm/cold around the patient's wrist during rehabilitation It is important for better stretching movements. this look the hot/cold circumference of the wrist while performing P/S exercise operations. is ensured to remain. The patient's wrist should be kept warm/cold cases, the procedures described in step 2 for the patient at the end, the warming-cooling bracelet (19) is tied to the wrist, The software (2) is informed that this function is active on the screen (20). It is entered with the touch input interface. If the heater - If the cooling wristband (19) is activated, the heater - cooler from the device the wrist will be energized and with the help of resistances, the patient will While heating is provided, when necessary, the heater-cooler wristband (19) cooling the patient's wrist thanks to the peltier cooler it contains will also be provided. During these processes, the heat on the wristband the temperature of the patient's arm to the software (2) of the sensing sensors. temperature of the patient's arm, burning or freezing from the wrist without allowing it to reach extreme temperatures at the level of It is provided to turn the power off and on. f. Contribute to the recovery of the patient while the device is operating in the active mode state. A working condition will be provided. Your device is in passive mode If it is desired to work, passive mode information is entered into the software (2). is given, the current P/S angle values will be retained and a work will be done. However, the working condition is actively changed. information is given to the software (2), the device will calculate the patient's current P/S angles. will focus on development. This information can be found on the screen (20). It is transmitted to the software (2) via the touch input interface. sick wrist Since the device will work during rehabilitation, the device better rehabilitation to actively increase angles for recovery will facilitate the process. Software during operation in active mode (2) Angle values at least 20 minutes, maximum 5 degrees angle through art will be made. 4. Harmonization of patient and device with steps 1 and 2 provided, with step 3 also setting the software (2) completed. After this process, the patient is active within the entered P/S interval. or will do exercises according to passive working mode. any continue to work until the time expires or is stopped. will. To record the patient's movements during the study recording unit (12) will be used. Each P/S via the register (12) extreme point angles will be recorded in the loop. This registration throughout the exercise and in a way that is specific to each patient. will be evaluated. Thus, daily monthly etc. about the patient's recovery data will be retained. These data are related to the patient's recovery process. concrete evidence will be presented to the expert. In addition, this data with software (2) evaluated through an algorithm over an online system. will be able to provide an estimate of the recovery of new patients. a new For example, a 1-month study can be performed by entering the current P/S values of the patient. how much improvement you can see as a result or how soon It will also be possible to make preliminary estimates of improvement.

Claims (4)

REQUIREMENTS It is a physiotherapist-controlled pronation and supination physical therapy device. power key (1), software (2), inner pointer (3), outer pointer (4), motor (5), motor encoder (6), at least one nerve switch (7), motor hold apparatus (8), at least one device forearm fixation (9), clamping apparatus (10), at least one device length rail (11), recording unit (12), device length rail fixing apparatus (13), upper limb apparatus (14), upper limb angle apparatus (15), hand grip (16), angle chart (17), driver (18), heating-cooling wrist (19), display (20), speed adjustment (21) and The stop button (22) is characterized by its parts. It is the device length slide (11) mentioned in claim 1, and its feature is; device length slide slot (11. 1) It is characterized by the fact that it can move back and forth in order to adjust according to the patient's arm length. It is the device length guide fixing apparatus (13) mentioned in claim 1, and its feature is; The device is characterized by being the part that fixes the length guide (11) with the screwing feature. It is the upper extremity angle apparatus (15) mentioned in claim 1, and its feature is; It is characterized by including an inclined motion slot (15,1) that allows angle adjustment according to the sitting position of the patient. It is the upper extremity angle apparatus (15) mentioned in claim 4, and its feature is; Angle fixing screw (15,) which fixes the angle adjustment set by means of the inclined movement slot (15,1) 2) is characterized by its inclusion. It is the compression apparatus (10) mentioned in claim 1, and its feature is; They are characterized by their flexibility. It is the angle chart (17) mentioned in claim 1, and its feature is; It is characterized by showing the parts corresponding to the X axes on it with 90 degrees and decreasing the angles towards 0 degrees as it approaches the Y axis, with angle differences of at least one degree each. The inner pointer mentioned in claim 1 ( 3) and its feature is; It is characterized by being the part that provides reference information to the software (2) by contacting the nerve switches (7) during the initial start-up. It is the nerve switch (7) mentioned in claim 8, and its feature is; It is characterized by positioning the inner needle (3) in equal numbers on both sides of the inner needle (3) on the plane. It is the nerve switch (7) mentioned in claim 9, and its feature is; inner needle (3) and outer needle ( 4) is the part that sends the stop operation signal to the software (2) if the reference values are passed. The software (2) mentioned in claim 1, its feature; It is characterized by having active and passive modes. It is the active mode mentioned in claim 11 and its feature is; It is characterized by turning the hand grip (16) piece by increasing the angle value of at most 5 degrees for a period of at least 20 minutes. It is the passive mode mentioned in claim 11 and its feature is; It is characterized by rotating the hand grip (16) piece in the angle ranges determined by the doctor. It is the heating-cooling wristband (19) mentioned in claim 1, and its feature is; It is characterized by containing resistance and peltier cooler.