CZ308177B6 - Exercise equipment and bed with exercise equipment - Google Patents

Abstract

Exercise equipment especially for the rehabilitation of lying patients includes- an underlying element,- a push-off member (2) for pushing down the user's feet,- a trolley mounted directly or indirectly on the push-off member (2) and adapted to be traversed linearly from the start position to the end position and back,a guide assembly for guiding the travel path of the support element, and- a biasing element (13) for biasing the push plate (2) with travel to the initial position.

Description

Technical field

The invention relates to an exercise device for practicing and rehabilitating the lower limbs, abdominal muscles and lumbar muscles of lying persons. In particular, they are bedridden due to illness and / or ill with the need to connect to medical devices. The invention envisages both a mobile version for transient bed equipment and a permanent bed equipment for a period of time necessary for rehabilitation, as well as an exercise equipment which is part of the bed already in production.

The use of said device during rehabilitation treatment avoids the critical loss of muscle that is required to subsequently leave the bed.

BACKGROUND OF THE INVENTION

At present, the exercise and rehabilitation of the lower limbs and abdominal muscles and the lumbar region in lying patients is insufficient. Although several methods are used for rehabilitation, the practice and rehabilitation of the above-mentioned areas is far from meeting the needs of the patients.

Currently, only movable splints - motodlahy - are available. These allow you to practice individual muscle and joint parts during orthopedic or neurological rehabilitation. At present there is a relatively large number of motodlahs, which are intended for both passive and active exercise and rehabilitation of almost all joints and muscles of the upper and lower limbs. The disadvantage of these devices, however, is that their use is relatively complicated. Motodlaže must be installed on a bed and allow only individual muscle groups affected by surgery or neurological disease to be practiced. Usually their use improves the mobility of rehabilitated areas, but does not allow the recovery of body strength and fitness.

In order to obtain the muscular strength of the lower limbs and generally the body's strength, devices imitating movement similar to cycling or exercise on an exercise bike are designed and used; they allow to gain muscle strength on the upper and lower limbs (especially the lower limbs). However, these devices are relatively large and complex and therefore cannot be integrated as a long-term or permanent part of the bed. On the contrary, it is necessary to move them between sick beds, between hospital rooms and between wards. This disadvantages or prevents their wide use in patients. In particular, these are patients who are either themselves the source of the risk of transmitting an infectious disease, or vice versa, in those at risk of acquiring an infectious disease. Moreover, said devices are relatively expensive.

To ensure permanent rehabilitation therapy in most patients (especially in patients in severe condition), it is necessary to provide a facility that allows repeated exercise at intervals and times, which are given mainly by the clinical condition of the patient. Ideally, this device should be part of the bed; it may also be a device that can be transported in a simple and quick manner and fixed to the patient's bed at any time of the day, or a device that will remain on the bed for the period necessary for rehabilitation.

Exercise devices are known from EP 2771079 and EP 1791606. Their disadvantage is that they are not adapted to exercise lying patients.

- 1 GB 308177 B6

SUMMARY OF THE INVENTION

The purpose of the invention is to provide and rehabilitate a patient while in bed. The invention eliminates the disadvantages of the prior art mentioned in the previous section. For this purpose, the proposed exercise equipment for bed exercises includes:

- at least one squeezer for squeezing the foot or feet of a lying person

- travel fixed directly or indirectly to the pusher and adapted to travel the pusher linearly from the start position to the end position and back,

- a guide assembly for guiding the travel path between the start position and the end position,

- a biasing element for biasing the push plate with travel to the initial position.

The device may also include a backing element.

The biasing element is preferably selected from the group consisting of:

- a pair of elastic ropes or springs or straps, each of which is fixed with one end to the extruding element and the other end to the support element,

- at least one pneumatic or hydraulic cylinder with a piston which is expanded between the support element and the running gear,

- a rope or strap fastened by one end to the extruding member, the other end adapted to attach a weight and between the first end and the other end the cable or strap is guided through a pulley attached to the support element,

- a motor for forcing the travel with the pusher to its starting position and for driving the travel from the start to the end position and / or back.

A preferred embodiment of the exercise device further comprises a support member to which the push member and the carriage are fastened, the carriage comprising at least one pair of wheels. Further, the exercise device comprises a support member for supporting the heel of the feet. A foot attachment device may be attached to the support member.

Travel allows movement of both limbs simultaneously, or each limb separately.

The backing element is preferably a backing plate for placement on a bed mattress. The backing plate is provided with a pair of spacer sidewalls extending parallel to each other and defining a travel path therebetween.

In a preferred embodiment, the guide assembly comprises two pairs of guide rods, each pair of guide rods extending parallel to each other along the sidewalls and at least one travel wheel provided with a circumferential groove and arranged with rolling motion between the pair of guide rods that fit into the circumferential groove of the wheel.

In another embodiment, the exercise device may comprise a pair of guide rails in the form of a C profile or a U profile for guiding the travel path of the travel wheels.

The embossing surface of the embossing member forms an angle of 90 ° to 180 ° with the plane of the support plate.

The exercise device preferably comprises an end stop for defining the end travel position

Or an abutment and / or an initial stop to define the initial position of the travel or abutment.

Placing the exercise device of the invention on the bed: The mat is placed on the mattress and secured using at least one fastener assembly to secure the exercise device to the bed frame so that the longitudinal axis of the bed is parallel to the travel direction from start to end and back is defined by a guide assembly for guiding the travel path.

The range of possible travel, i.e. the distance between the start stop and the end stop, is preferably 60 to 120 cm.

Clarification of drawings

An exemplary embodiment of the invention is shown schematically in the drawing, in which Fig. 1 is a front view and Fig. 2 is a side view of an exercise device.

DETAILED DESCRIPTION OF THE INVENTION

The illustrated embodiment of the exercise device comprises a support member 1 and a push member 2, each of which in this case is in the form of a plate.

The support member 1 is arranged substantially horizontally and the depressive member 2 is arranged such that its foot support surface forms an angle of approximately 110 ° with the heel support surface disposed on the support member 1, generally the panels 1, 2 may form an angle of 90 ° to 90 °. 180 [deg.], Preferably 100 to 140 [deg.], And preferably the inclination of the push plate 2 relative to the support plate 1 can be adjustable and lockable in several positions.

The die 2 may also be in the form of a triangular prism of a light material, such as plastic, polystyrene and the like.

The illustrated exercise device further comprises a support member 4, which is provided with raised support sidewalls 5. The position of the push member 2 in this embodiment is secured by a pair of struts 11 spaced apart from each other by the push member 2 and the support member 4.

To the support member 4 is mounted a carriage comprising at least one pair of wheels 3, in the illustrated embodiment two pairs of wheels 3, which are fixed to the supporting sidewalls 5 with the possibility of rotation.

The first pair of wheels 3 is arranged on the sides of the support panel 1, the second one is arranged substantially on the sides of the area below the extrusion panel 2 and has the same spacing as the first pair of wheels 3.

The exercise device shown further comprises a backing plate 6 which is provided with spacer sidewalls 7 extending parallel to each other.

A pair of guide rods 18 adjoin each spacer side 7, which extend parallel to each other and spaced apart so that the illustrated wheels 3 with an axial section, for example in the form of an H, can guide one another.

Such guide rods 18 may alternatively be part of the receptacle on which the exercise equipment is to be installed. In this case, the backing element need not be used.

In the illustrated embodiment, the attachment of the guide rods 18 is accomplished by the alignment assembly s

The span element 19 secured by the locking nuts 20.

In another embodiment, the guide rods 18 can be replaced by guide rails, for example along or in place of each spacer side 7, by a guide rail formed by a C profile, the guide rails defining the path of movement of the wheels 3 and hence the support member 4 and / or pusher 2.

It is also possible to replace the backing plate 6 with a backing frame comprising a pair of guide rails mounted parallel to each other and intended to guide the movement of the carriage, respectively. The guide rails may be in the form of a U-shaped or C-shaped profile adapted to guide the wheels 3.

And in yet another embodiment, the guide rods 18 can be omitted completely, wherein the travel of the wheels 3 and 3, respectively. the linear movement of the support member 4 is defined by the spacer plates 7 of the support plate 6 in that the track width of the wheels 3 with adequate clearance corresponds to the distance of the spacer plates 7. The wheels 3 in this case travel directly on the support plate 6 and the support member 4 is supported on the support plate 6 such that the supporting sidewalls 5 and the spacer sidewalls 6 are arranged parallel to each other, defining a path of movement of the wheels 3 therebetween.

Obviously, the support member 4 need not be used if the at least one pair of wheels 3 is attached directly to the support member 1 and / or the push member 2.

Optionally, a support member 1 is also not required if the push member 2 is secured or lockable to the travel in a position suitable for supporting the feet of the lying user and is fastened directly or indirectly to the travel.

It is also possible to make the support piece 1 and the push piece 2 in one piece, or the support piece 1 can be formed by a step on the push piece 2.

It will also be appreciated that the second pair of wheels 3 may be replaced by one wheel 3 or even by a sliding member adapted to slide on the surface of the backing plate 6.

And in yet another embodiment, it is possible to use a pair of pushers 2 with the possibility of traveling side by side in parallel direction to each other instead of one push plate 2 with travel. This can be ensured, for example, by providing a separate carriage directly or indirectly to each pushing member 2, and further each pushing member 2 is provided with a separate guide assembly for guiding the travel path along the support element, or a common guide assembly is provided for guiding the travel both travels.

This embodiment is particularly advantageous as it allows the legs to move alternately during exercise.

The backing plate 6 is provided with at least two, in the illustrated embodiment, four fastening assemblies for attaching the backing plate 6 to the seat when supported thereon. The fastening assembly in this exemplary embodiment comprises a rod 8, one end of which is fastened to the spacer side 7 by a screw connection and the other end is threaded, with the other end being threaded and secured by a clamping nut 10 to a retaining bracket 9 for attachment to the bed.

It is also possible to construct the fastening assembly in another way, for example, it may comprise tie rods and optionally fastening brackets for fastening to the bed bed or generally to any part of the bed frame, the rods may also be in the form of flexible straps or ropes. Alternatively, the fastening assembly can be omitted altogether, especially if the side walls 7 extend from the travel plane of the backing plate 6 not only upwards to limit travel but also downwardly, so that when the backing plate 6 is placed on the mattress, it essentially grips the bed mattress.

Preferably, at least one end stop 12, preferably of rubber material, is provided on the support plate 6 (or on the support frame) to define the end position of the support member 4,

Optionally, initial stops (not shown) may also be provided on the backing plate to define the initial position of the support member 4 or the support plate 1. Preferably, such initial stops are removably fastened.

In addition, the exercise device shown comprises a pair of biasing elements 13 in the form of elastic ropes or elastic straps. The support member 4 is provided on each of its support side panels 5 (preferably on its outer side) with a first clip 14 for attaching the biasing element 13 and the backing plate 6 is provided on each of its spacer side 7 (preferably on its inner side) with a second clip 15 the second fasteners 15 are arranged in the region to which the punching element 2 and the punching element 2, respectively, are facing. in the area of the initial stops.

The exercise device shown is used as follows: the exercise device is supported on the mattress bed 6 by placing the side walls 7 parallel to the sides of the bed (i.e. parallel to the longitudinal axis of the bed) so that the end stops 12 are disposed in an area adjacent to the bed in the legs.

The fixture sets the exercise equipment to the bed.

The resilient biasing elements 13 are attached to each side to the first tab 14 and the second tab 15 by pulling the support member 4 with the support member 1 and the depressive member 2 to the initial position, i.e., the position of the depressive member 2 furthest from the bed "v". legs "and closest to the bed" in the head ", respectively. to the initial stop. The user is placed on the bed, his legs are bent, heels are resting on the support part 1 and the feet on the pushing part 2. The feet begin to push the pushing part 2, which moves with the support part 1 and support part 4 by linear movement towards the end stop 12, respectively. away from the user's torso. In this case, the biasing element 13 is tensioned and thus acts against the pushing force exerted by the user. Upon reaching the end stop 12, the user reduces the push force and the support member 4 returns to the initial position by the elastic force of the biasing element 13. By repeating this procedure, the movement of the limbs is practiced, ie flexion in the ankle, knee and hip joints, as well as strength, especially the calf, thigh and abdominal muscles. The exercise device may comprise a plurality of biasing elements 13 for adjusting the resistance force by replacing or adding additional biasing elements 13.

In an alternative, not shown embodiment, the biasing element 13 is not resilient but is in the form of a cable, strap or chain, the second grip 15 being a pulley over which the biasing element 13 is guided. The first end of such a biasing element 13 is fixed to the first grip 14 the end is loose and adapted to hold the weights. The support member 4 is thus permanently pulled to the initial position due to the force transmitted from the weight through the roller.

In such a case, it is again advantageous if the exercise device comprises a plurality of weights, which allows them to be added or replaced to adjust the force required to push off the push-piece 2.

And in yet another embodiment (not shown), the biasing element 13 is fixed to the backing plate 6 on the end stop side 12 and is formed, for example, by a pneumatic or hydraulic cylinder and a piston which represents resistance to the movement of the support member 4 and the support member. of the pusher 2 towards the end stop 12 and at the same time provides the force for restoring the movement of the support member 4 and the pusher, respectively. the pusher 2 from the end stop 12 to the initial position.

The material of the backing plate 6, the support member 4 and the fastening assemblies is preferably metal, preferably stainless steel or possibly plastic or composite material, if washable.

Advantageously, the support member 1 and / or the push member 2 are provided with a removable washable or washable coating. It is also advantageous if the support member 1 and / or the push member 2 are padded on their user side.

-5 CZ 308177 B6

The exercise device is preferably designed such that, in use, the guide assembly is arranged horizontally, that is to say the travel with the pusher 2 travels in a horizontal plane. In an embodiment (not shown), the guide assembly may be designed such that from the start position to the end position the travel travels not horizontally but at an angle upwards. In the case of such oblique travel guide, the biasing element 13 may be in the form of a carriage-mountable weight or a push-side 2 on the side facing away from the user, i.e. the side facing away from the push-off surface of the push-side 2.

The punch 2 may be provided with a shape element (not shown) for defining a foot or foot surface, for example in the form of a shaped foot recess, or a surface bounded by a rib extending around the circumference of the foot surface or the like.

Optionally, the push plate 2 may be provided with a fastening element (not shown) for fastening the feet to the push plate 2.

The biasing element 13 may also be represented by a motor that forces the travel with the pusher 2 to its initial position and during the exercise assists or completely ensures the drive of the travel for repeated travel from the start to the end position and back. Especially (but not only) in such a case, the push plate 2 is preferably provided with a fastening element (not shown) for fastening the feet to the push plate 2.

Although particularly preferred exemplary embodiments have been described, it will be apparent to those skilled in the art that other possible alternatives to these embodiments will be readily appreciated by those skilled in the art. Therefore, the scope of protection is not limited to these exemplary embodiments, but rather is given by the definition of the appended claims.

Industrial applicability

The exercise device of the invention is particularly useful for practicing the locomotion and muscle strength of the lower limbs and abdominal muscles, particularly in bedridden patients or patients whose mobility is severely restricted. The exercise equipment may be a fixed part of the bed or may be designed to be portable and installable on different beds as required.

PATENT CLAIMS

Claims (10)

1. Exercise equipment for exercise in bed, which includes - at least one push-off member (2) for push-off by the foot or feet of a recumbent user, - travel, - a guide assembly for guiding the travel path between the start position and the end position, characterized in that the travel is fastened directly or indirectly to the push member (s) (2) and adapted to move the push member (2) linearly from the start position to the end position and the exercise device further comprises a biasing member (13) for biasing the push piece (2) with travel to the initial position. -6GB 308177 B6 The exercise device of claim 1, wherein the biasing member is selected from the group it comprises - a pair of elastic ropes or springs or straps, each of which is fixed at one end with respect to the push-off panel (2) and fixed to the other part of the exercise equipment or to the other with the other end, - at least one pneumatic or hydraulic cylinder with a piston which is adapted to expand between the trolley and another part of the exercise equipment or bed, - a rope or strap fastened by one end to the push-off member (2), the other end adapted to attach a weight and between the first end and the other end the cable or strap is guided over a pulley attached to another part of the exercise equipment or to the bed, - a motor for forcing the traction with the pushing member (2) to its starting position and for driving the traction from the starting to the end position and / or back. The exercise device of claim 1 or 2, further comprising a support member (4) to which the punching member or two members (2) and a carriage are fastened, the carriage comprising at least one pair of wheels (3). An exercise device according to claim 3, characterized in that it comprises a support panel (1) for supporting the heel of the feet supported on the push panel (2), the support panel being fastened to the support panel (4), or - a shaped element for defining a foot or foot support surface, the shaped element being arranged on the push side (2) on its push side, or - a fastener for fastening the feet to the push-off member (2). Exercise device according to any one of the preceding claims, characterized in that it comprises a support element, which is preferably a support plate (6) for placing on the bed mattress, provided with a pair of spacer sidewalls (7) which extend parallel to each other and define the travel path. Exercise device according to claim 5, characterized in that the guide assembly comprises two pairs of guide rods (18), each pair of guide rods (18) extending parallel to each other along the side walls (7) and the at least one travel wheel (3) being is provided with a circumferential groove and is arranged with the possibility of rolling motion between a pair of guide rods (18) which fit into the circumferential groove of the wheel (3). Exercise device according to claim 5, characterized in that the punch (2) forms an angle of 90 ° to 180 ° with the plane of the backing plate (6). Exercise device according to any one of claims 1 to 5, characterized in that it comprises a pair of guide rails in the form of a C profile or a U profile for guiding the path of movement of the travel wheels (3). An exercise device according to any one of the preceding claims, characterized in that it comprises an end stop (12) for defining the end position of the carriage or push-off member (2) and / or an initial stop for defining the initial position of the carriage or push-off member (2). A bed comprising an exercise device according to any one of the preceding claims, wherein the bed comprises a mattress with an upper mattress platform and a frame with a grate on which the mattress is supported, wherein the exercise device is supported on the mattress and secured by at least One mounting assembly for attaching the exercise device to the cradle frame is such that the longitudinal axis of the cradle is parallel to the travel direction from the start position to the end position and defined by the guide assembly for guiding the travel path.