EP0022002A1 - Appareil de kinésithérapie, notamment pour les traitements de rééducation - Google Patents

Appareil de kinésithérapie, notamment pour les traitements de rééducation Download PDF

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Publication number
EP0022002A1
EP0022002A1 EP80400910A EP80400910A EP0022002A1 EP 0022002 A1 EP0022002 A1 EP 0022002A1 EP 80400910 A EP80400910 A EP 80400910A EP 80400910 A EP80400910 A EP 80400910A EP 0022002 A1 EP0022002 A1 EP 0022002A1
Authority
EP
European Patent Office
Prior art keywords
movement
limb
segment
physiotherapy
branches
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP80400910A
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German (de)
English (en)
French (fr)
Inventor
Alain Barnet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0022002A1 publication Critical patent/EP0022002A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • 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
    • A63B23/0355—A single apparatus used for either upper or lower limbs, i.e. with a set of support elements driven either by the upper or the lower limb or limbs
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/17—Counting, e.g. counting periodical movements, revolutions or cycles, or including further data processing to determine distances or speed

Definitions

  • the present invention relates to a physiotherapy apparatus, in particular for the rehabilitation treatments of a limb or segment of a limb and making it possible to control the kinematic and dynamic characteristics of the movements executed by the patient as well as those of static or dynamic muscular contractions. 'relating to it in order to intervene on said characteristics according to the results obtained.
  • the invention provides a physiotherapy device intended to control and modify at least one of the kinematic, dynamic or static characteristics of a repetitive, in particular reciprocating movement, of a limb or segment of limb executed by a patient between adjustable positions, one of rest and the other set downstream of the first in the direction of movement, which is characterized in that it comprises, mounted on an adjustable support, a plate on which is articulated by one of its ends, around an axis, a control arm adapted to be driven by said member or segment of member during its movement and to cooperate with a plurality of means capable of delivering image signals from said characteristics of the movement, to record said signals and, in response to certain preselected of said signals, to modify at least one of said characteristics.
  • the invention effectively allows, firstly, the control of the characteristics of an angular movement carried out by a patient during the rehabilitation of a limb or segment of limb and, moreover , thanks to the signals generated, visualization by light, digital and / or sound display intended for this patient.
  • the device still has a number of other characteristics, which emerge in particular from claims which all aim at the dual purpose of controlling the work and motivating the patient.
  • the physiotherapy device according to the invention is assumed to be used for the rehabilitation of the legs (knee). It goes without saying that the device is easily adaptable to other rehabilitation problems and includes for this purpose mechanical and electrical adjustment means which involve devices known in themselves and which will therefore not be described in detail here. .
  • the apparatus can essentially be broken down into a cabinet for controlling, processing and recording signals as well as for viewing and signaling 3, a support linkage 4, a plate 5, a control crew 6.
  • This control unit 6 articulated as a whole around an axis 7, itself consists of an arm 8 which is extended by a rod 9, orientable relative to the arm 8, carrying a stirrup 10 with two flexible branches 11 and 12, mounted adjustable on a cross member 13.
  • the aim being to control the alternating movement of raising and lowering of a leg, the crew 6 is adjusted so that the patient's calf 14 cooperates with the crosspiece 13 in the "up" direction (arrow M), the return contact (arrow R) being provided by a very gentle action return spring 15.
  • the possibility is offered to control the angular characteristics (stroke, speed, frequency, etc. ) of the movement while the "linearity" of the movement (trajectory maintained in a median plane between the branches 11, 12) is monitored by means associated with the stirrup 10.
  • control cabinet 3 Thanks to the processing in the control cabinet 3 of the signals the emission of which is caused at different stages of the movement, the latter can be followed and corrected, the patient being able to be visually or acoustically informed of the result of his efforts.
  • FIG 3 highlights certain details of the plate 5 whose essential function is the control of the angular characteristics of the movement.
  • This plate is, as a whole, mounted orientable at the end of the rod 16 of the support linkage 4. It has a semi-circular plate 17 mounted in a stirrup 18 in which the axis 7 is journalled (around which the arm 8) also oscillates, a movable sector 19 and a stepping-type motor-reduction unit 22 associated with said sector 19.
  • the plate 17 and the sector 19 are provided with graduations 21 enabling the amplitude of the patient movement.
  • the stepping motor group 22 acting by means of a mechanism 23 (of the worm and toothed wheel type for example) on the sector 19 which is adapted to pivot around the axis 7.
  • the sector 19 is equipped with a plurality of contacts capable of being activated when the arm 8 passes, and - of which only the contacts 24 and 25 are shown, in particular defining the so-called intermediate and set positions .
  • the movement of the latter causes the arm 8 to successively activate a rest contact (normally closed not shown), then contact 24 which may correspond at a minimum required stroke or is intended to control the speed of movement at a given angle and, finally, the contact 25 which defines the set value to be reached in a time and possibly after a predetermined number of return trips.
  • a rest contact normally closed not shown
  • contact 24 which may correspond at a minimum required stroke or is intended to control the speed of movement at a given angle
  • the contact 25 which defines the set value to be reached in a time and possibly after a predetermined number of return trips.
  • the signal emitted when contact 24 is passed is used by the devices in the cabinet 3 for various control purposes, but that emitted by activating contact 25 is specially designed to cause, after validation by the control cabinet, the advancement of an angular "step" prefixed, in one direction or the other, of the contact carrier sector 19.
  • the activation of the contact 25 set point automatically causes stimulation to a progressively pushed effort within predetermined limits.
  • the displacement can be done, ideally, along a vertical plane parallel to the arm 8 and median with respect to the branches 11, 12 of the stirrup 10.
  • the mounts 26, 27, sliding on the cross member 13, branches 11, 12 are provided with microswitches activated when one of these two branches is slightly deformed, in bending, by the impact of the leg deviating from its median trajectory.
  • the corresponding signals are processed in the control cabinet 3 and are reflected by the corresponding displays and, in particular, by the temporary inhibition of the control of the stepping motor 22; it is this process which was alluded to above as validation of the activation of the set point contact 25.
  • stirrup 10 is mounted orientable at the end of the rod 9 which is itself orientable relative to the arm 8 which, in turn, can pivot with the plate 5. All the possibilities of directional adjustment (arrows F, G, H) are thus offered to define the characteristics of the movement and its median plane.
  • branches 11, 12 comprise means (electrodes, heating resistors, etc.) that are pre-activated and capable of acting correctly on the trajectory of the limb or segment of member at its predetermined approach to one of the two branches.
  • FIG. 4 gives an overview of certain additional devices which, in the case of a movement according to FIG. 2 for example, can affect the characteristics of the movement.
  • the patient's heel being taken between two half-shells 28 held by elastic clamps 29, these shells carry a support bracket 30 on which are mounted a directional stimulator 31, an additional weight 32 and a hooking frame 33 with a movable roller 34 of a counterweight (not shown).
  • the purpose of the directional stimulator 31 is to impart to the limb or segment of the limb in motion a directional impulse calling, on the part of the patient, for a muscular reaction (torsion, flexion or combination of the two) determined to oppose said impulse.
  • the stimulator 31 comprises a tube, preferably transparent, 35 closed at its ends by screwed end pieces 36. On these end pieces 36 are attached electromagnets 37 whose spring plungers terminate externally by a flange 38 and internally by a contact d excitation of the electromagnet 37. Inside the tube is placed a heavy ball 39.
  • any inclination of the tube 35 results in an impact of the ball on one of the flanges 38, and possible activation of one of the electromagnets 37 with, if necessary, returning the ball to the other end of the tube.
  • the tube 35 is normally mounted pivoting and sliding on the bracket 30 to work the targeted muscles under well defined conditions, forcing the patient to react to avoid going out of the median plane which is imposed on him between the branches of the stirrup 10 .
  • the attachment frame 33 also mounted pivoting and sliding, aims for a similar purpose. Thanks to the roller 34 movable on a rail 40 between adjustable stops 41, a counterweight coupled to the sling 42 can stress different muscles (internal or external rotator, for example).
  • the devices 31 and 33 can be arranged at any other location of the bracket 30 and in particular interchanged between them.
  • control cabinet 3 comprises a plurality of means, all known in themselves, for "counting" all the signals emitted during the movement and for triggering, in response to some of these signals, the activation of various signaling and / or display means, in particular directional optical signaling means.
  • the physiotherapy device according to the invention lends itself to very numerous variant embodiments as a function of the movement subjected to control and of the limb or segment of limb, object of rehabilitation, variants which all form an integral part of this application.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Tools (AREA)
EP80400910A 1979-06-20 1980-06-19 Appareil de kinésithérapie, notamment pour les traitements de rééducation Withdrawn EP0022002A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR7915762 1979-06-20
FR7915762A FR2459040A1 (fr) 1979-06-20 1979-06-20 Appareil de kinesitherapie, notamment pour les traitements de reeducation

Publications (1)

Publication Number Publication Date
EP0022002A1 true EP0022002A1 (fr) 1981-01-07

Family

ID=9226837

Family Applications (1)

Application Number Title Priority Date Filing Date
EP80400910A Withdrawn EP0022002A1 (fr) 1979-06-20 1980-06-19 Appareil de kinésithérapie, notamment pour les traitements de rééducation

Country Status (2)

Country Link
EP (1) EP0022002A1 (ref)
FR (1) FR2459040A1 (ref)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4603687A (en) * 1983-08-08 1986-08-05 Greenwood Eugene C Continuous passive motion orthopedic device
FR2590151A1 (fr) * 1985-11-21 1987-05-22 Centre Nat Rech Scient Appareil electronique ambulatoire d'enregistrement et/ou de reeducation de la locomotion
FR2604364A1 (fr) * 1986-09-30 1988-04-01 David Int Ltd Appareil de reeducation, notamment pour les muscles et les articulations des extremites
US4784121A (en) * 1988-01-26 1988-11-15 Brooks Lester N Knee exercising device
FR2630333A1 (fr) * 1988-04-22 1989-10-27 Bodin Dominique Dispositif de mesure de souplesse physique notamment de la souplesse articulaire et musculaire d'un individu
US5336138A (en) * 1993-01-07 1994-08-09 Arjawat P Singh Head, neck, and shoulder exercise machine
EP0979641A3 (en) * 1998-05-19 2000-07-19 Ferno (UK) Limited Monitoring patient handling equipment

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3443512A1 (de) * 1984-04-06 1985-10-17 GGT-Medizin-Electronic-Systeme GmbH, 8000 München Verfahren und vorrichtung zur ermittlung und verbesserung der funktionsfaehigkeit des bewegungsapparates des menschen

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1354804A (en) * 1914-07-18 1920-10-05 Champtassin Paul De Mechanotherapeutic and gymnastic apparatus
DE521142C (de) * 1929-09-15 1931-03-18 Reinhard Lohe Dr Vorrichtung zur Mobilisation von Gelenken
FR2045215A5 (ref) * 1969-06-19 1971-02-26 Vacher Jacques
GB1350068A (en) * 1970-06-23 1974-04-18 Stewart J S S Physiotherapy control device
US3929335A (en) * 1975-02-10 1975-12-30 Franklin S Malick Electronic exercise aid
US3989240A (en) * 1975-05-06 1976-11-02 Victor Bernard J Electrically timed exercising device
DE2706408A1 (de) * 1977-02-15 1978-08-17 Mathias Oechsler Uebungsgeraet fuer bewegungsgestoerte patienten
FR2410485A1 (fr) * 1977-12-05 1979-06-29 Adcro Section Ceraval Appareil de musculation

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1354804A (en) * 1914-07-18 1920-10-05 Champtassin Paul De Mechanotherapeutic and gymnastic apparatus
DE521142C (de) * 1929-09-15 1931-03-18 Reinhard Lohe Dr Vorrichtung zur Mobilisation von Gelenken
FR2045215A5 (ref) * 1969-06-19 1971-02-26 Vacher Jacques
GB1350068A (en) * 1970-06-23 1974-04-18 Stewart J S S Physiotherapy control device
US3929335A (en) * 1975-02-10 1975-12-30 Franklin S Malick Electronic exercise aid
US3989240A (en) * 1975-05-06 1976-11-02 Victor Bernard J Electrically timed exercising device
DE2706408A1 (de) * 1977-02-15 1978-08-17 Mathias Oechsler Uebungsgeraet fuer bewegungsgestoerte patienten
FR2410485A1 (fr) * 1977-12-05 1979-06-29 Adcro Section Ceraval Appareil de musculation

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4603687A (en) * 1983-08-08 1986-08-05 Greenwood Eugene C Continuous passive motion orthopedic device
FR2590151A1 (fr) * 1985-11-21 1987-05-22 Centre Nat Rech Scient Appareil electronique ambulatoire d'enregistrement et/ou de reeducation de la locomotion
FR2604364A1 (fr) * 1986-09-30 1988-04-01 David Int Ltd Appareil de reeducation, notamment pour les muscles et les articulations des extremites
US4784121A (en) * 1988-01-26 1988-11-15 Brooks Lester N Knee exercising device
FR2630333A1 (fr) * 1988-04-22 1989-10-27 Bodin Dominique Dispositif de mesure de souplesse physique notamment de la souplesse articulaire et musculaire d'un individu
US5336138A (en) * 1993-01-07 1994-08-09 Arjawat P Singh Head, neck, and shoulder exercise machine
EP0979641A3 (en) * 1998-05-19 2000-07-19 Ferno (UK) Limited Monitoring patient handling equipment
US6219864B1 (en) 1998-05-19 2001-04-24 Ferno-Washington, Inc. Monitoring patient handling equipment

Also Published As

Publication number Publication date
FR2459040A1 (fr) 1981-01-09
FR2459040B1 (ref) 1983-05-13

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PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

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