EP0230218A1 - Dispositif de soutien et de mouvement d'une jambe d'un malade - Google Patents

Dispositif de soutien et de mouvement d'une jambe d'un malade Download PDF

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Publication number
EP0230218A1
EP0230218A1 EP19860890354 EP86890354A EP0230218A1 EP 0230218 A1 EP0230218 A1 EP 0230218A1 EP 19860890354 EP19860890354 EP 19860890354 EP 86890354 A EP86890354 A EP 86890354A EP 0230218 A1 EP0230218 A1 EP 0230218A1
Authority
EP
European Patent Office
Prior art keywords
patient
rail
leg
rails
thigh
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Withdrawn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
EP19860890354
Other languages
German (de)
English (en)
Inventor
Harald Sövegjarto
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 EP0230218A1 publication Critical patent/EP0230218A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
    • A61H1/0259—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane moved by translation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1207—Driving means with electric or magnetic drive
    • A61H2201/1215—Rotary drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1253—Driving means driven by a human being, e.g. hand driven
    • A61H2201/1261—Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
    • A61H2201/1269—Passive exercise driven by movement of healthy limbs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1628—Pelvis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1664—Movement of interface, i.e. force application means linear
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1676—Pivoting

Definitions

  • the invention relates to a device for the supported movement of a patient's leg, comprising a splint assigned to the thigh and a splint assigned to the lower leg, which two rails are movably connected to one another in the region of the patient's knee by means of at least one joint.
  • devices which have a splint associated with the thigh and a splint associated with the lower leg, the splint associated with the thigh being pivotable at its free end about an axis which is normally oriented to the longitudinal extent of the device and furthermore opposite the splint assigned to the lower leg the rail assigned to the thigh can be pivoted by means of a hinge joint.
  • the invention is based on the object of providing a device by which a patient's leg can be moved in a supported manner in a manner which best corresponds to the natural movement of the leg, so that stresses on the joints caused by the movement of the leg are avoided.
  • This is achieved according to the invention in that the joint connecting the upper leg to the lower leg associated rail by a pair of known, crossing each other Handlebars, which are located laterally outside the patient's knee, are formed and that the rail associated with the thigh can be pivoted relative to a support frame by means of a pivot bearing which is located laterally outside the patient's hip joint.
  • the two rails are preferably connected to one another by two pairs of crossing arms, which are located laterally outside the patient's knee.
  • Such a device enables a supported movement of a patient's leg, which is as close as possible to the orthopedic movement.
  • a support for the patient's foot can be provided in the region of the free end of the splint assigned to the lower leg, the support being adjustable in its angular position to the longitudinal axis of this splint and pivotable about an axis oriented transversely to this splint.
  • the rail associated with the lower leg is designed with supports which are movably guided along the supporting frame.
  • a servomotor can be provided which is designed with a spindle which can be screwed into a nut arranged on the supports for the rail assigned to the lower leg.
  • a drawstring can be provided, by means of which the two rails can be moved relative to the supporting frame by the patient himself against the effect of the gravity caused by the weight of the leg.
  • At least one of the two rails is formed by spars which are aligned parallel to one another and which are connected to one another by means of at least one rigid bracket and which have supports for holding them of the patient's leg are formed.
  • at least one of the two rails can be adjustable in its effective lengths.
  • the spars can be formed by tube pieces which are guided into one another and can be locked in their mutual positions by means of screws.
  • the pivot bearing for holding the rail assigned to the thigh can be carried by a bar or the like, the position of which can be set and locked in the longitudinal direction and in the transverse direction to the supporting frame.
  • the splint associated with the thigh can be formed with an obliquely protruding projection on which a handlebar connected to the support for the sole of the foot can be set and locked in different positions.
  • a device 2 according to the invention is mounted on a bed 1.
  • a patient 3 lies on this bed 1, whose right leg 4 is to be moved.
  • This leg 4 of the patient that is to be moved is placed on the device 2 and is held on it by means of bandages.
  • a device 2 consists of a splint 21 assigned to the thigh of the patient and a splint 22 assigned to the lower leg of the patient, which splint 21, 22 in the region of the patient's knee by at least one joint 23, the formation of which is explained in more detail below with reference to FIG. 5, are connected to one another.
  • the rail 21 associated with the thigh is supported by a frame 20 by a bar 25 projecting on one side and a pivot bearing 26, which has a horizontal pivot axis 26a, by means of a horizontally oriented bar 27 and by means of a vertical bar 36.
  • the height of the rod 36 carrying the pivot bearing 26 can be adjusted and fixed in a block 37 by means of screws 37a.
  • the block 37 is furthermore mounted horizontally adjustably by means of the strip 27 in a tube 41 of the support frame 20 and its position can be set and locked by means of a screw 41a.
  • the rail 21 is formed by two bars 21a and 21b, which are connected to one another by a bracket 21c.
  • the bar 25 is adjustable relative to the spar 21a and its position can be set and locked by means of a screw 25a.
  • a support 21d for holding the thigh of the patient is located between the spars 21a and 21b.
  • the rail 22 assigned to the lower leg is also formed by two spars 22a, 22b, on which an upright bearing 22d is attached to hold the lower leg of the patient.
  • a sole plate 50 is provided which can be pivoted about a horizontal axis with respect to the rail 22 and which can also be adjusted in its angular position with respect to the vertical, as will be explained below with reference to FIG. 4 .
  • a projection 52 which is adjustable in its position in relation to the beam 21b and which is connected to the sole plate 50 by means of a link 53, also projects from the beam 21b.
  • the handlebar 53 can be set and locked relative to the extension 52 by means of a screw 52a.
  • tension springs 60 are provided between the supports 28 and the bracket 21c and a tension band 61 is fastened to one of the supports 28.
  • the two spars 22a and 22b of the rail 22 assigned to the lower leg are designed with a bracket 70, from which sensors 71 protrude on this device for setting the correct position of the leg on the device or for marking the patient's leg.
  • FIG. 3 shows a device according to the invention for moving the leg 4 of a patient axonometrically, the patient 3 also being indicated or the position of the leg 4 of the patient being shown on this device 2.
  • This design contains a variant compared to the design according to FIG. 2 as an actuator instead of a tension element, Motor 62 is provided, the drive spindle 63 is rotatably guided in a block 64 which is pivotally supported by the supports 28.
  • the sole plate 50 is carried by a first bracket 80 which is fastened to a second bracket 81.
  • This second bracket 81 can be set and locked relative to the spars 22a and 22b of the rail 22 by means of screws 81a.
  • a plate 82 is fastened to the bracket 80 and is formed with a part-circular slot 83. The slot 83 is penetrated by a screw pin 84 which protrudes from the sole plate 50.
  • a screw nut 85 is arranged on the screw pin 84. By loosening the screw nut 85, the sole plate 50, as indicated by the swivel arrow A, can be adjusted in angular positions relative to the vertical plane.
  • the sole plate 50 is connected to the handlebar 53 by means of a bracket 54, the position of the bracket 54 relative to the handlebar 53 being adjustable by means of a screw 53a.
  • the joints 23 are formed by two intersecting links 91 and 92, which are hinged to the spars 21a and 22a or 21b and 22b of the rails 21 and 22 by means of pins.
  • Such a joint in the manner of an overturned quadrangle causes a pivoting movement of the two mutually associated spars of the rails 21 and 22, which optimally corresponds to the movement of the knee joint.
  • the sole plate 50 by means of the extension 52 and. of the handlebar 53 is coupled to the rail 21 assigned to the thigh, this likewise executes a pivoting movement about a horizontal axis.
  • the extent of the pivoting movement can be adjusted by adjusting the articulation point of the link 53 on the extension 52.
  • the amount of movement caused by the drawstring 61 or. the servomotor 62 is effected by the Stops 31 limited.
  • the bar 27 is adjustable relative to the support frame 20, furthermore the bar 25 is adjustable relative to the spar 21a of the rail 21 and also the height of the pivot bearing 26 can be adjusted, the movement device can be adapted to patients of any size in order to. to be able to achieve orthopedically correct flexion movements of the patient's leg.
  • the particular advantage of a device according to the invention is that it is pivotally mounted outside the hip joint, so that the patient can take such a position that the axis of this pivot bearing coincides with the pivot axis of the hip joint. Furthermore, since the joints 23, through which the rails 21 and 22 are connected to one another, are located laterally outside the knee joint and they have such a configuration that they optimally imitate the pivoting movements of the knee joint, the knee joint is not loaded. Another advantage of a device according to the invention is that the effective length of the individual components can be adjusted as desired, which means that the necessary adaptation to a patient's leg can be carried out.
  • the device shown in the drawing is used to move a patient's right leg.
  • the bar 25 In the device for moving the left leg, the bar 25 must protrude from the left spar 21b, in which case the pivot bearing 26 is then on the left side, it also being outside the hip joint.
  • the springs 60 have such a tension that the gravity caused by the weight of the leg is approximately balanced. Accordingly, the positioning is applied either by the drawstring or by the servomotor.

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
EP19860890354 1986-01-21 1986-12-23 Dispositif de soutien et de mouvement d'une jambe d'un malade Withdrawn EP0230218A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT13186A AT388287B (de) 1986-01-21 1986-01-21 Einrichtung zur gestuetzten bewegung des beines eines patienten
AT131/86 1986-01-21

Publications (1)

Publication Number Publication Date
EP0230218A1 true EP0230218A1 (fr) 1987-07-29

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ID=3482351

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19860890354 Withdrawn EP0230218A1 (fr) 1986-01-21 1986-12-23 Dispositif de soutien et de mouvement d'une jambe d'un malade

Country Status (2)

Country Link
EP (1) EP0230218A1 (fr)
AT (1) AT388287B (fr)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0311073A2 (fr) * 1987-10-07 1989-04-12 Dieter Pürschel Appareil d'exercice pour effectuer des mouvements contrôlés d'articulations du corps
WO1990007918A1 (fr) * 1989-01-23 1990-07-26 Toronto Medical Corp. Appareil conferant un mouvement passif continu a un membre inferieur
EP0383137A2 (fr) * 1989-02-15 1990-08-22 Ruf, Jörg Rail de guidage pour le traitement par mouvement des membres inférieurs
DE4039843A1 (de) * 1989-12-22 1991-06-27 Bogdan Pawinski Rehabilitationsgeraet fuer extremitaeten
EP0588464A1 (fr) * 1992-09-16 1994-03-23 Sutter Corporation Appareil d'exercice de la patelle
FR2759901A1 (fr) * 1997-02-27 1998-08-28 Smith & Nephew Kinetec Sa Dispositif pour produire un deplacement passif continu
FR2784893A1 (fr) * 1998-10-23 2000-04-28 Smith & Nephew Kinetec Sa Attelle de mobilisation d'un membre inferieur
FR2784892A1 (fr) * 1998-10-23 2000-04-28 Smith & Nephew Kinetec Sa Attelle de mobilisation passive repliable pour membre inferieur
CN110227000A (zh) * 2019-07-09 2019-09-13 王海涛 一种固定下肢骨骼恢复用夹板装置
US10682543B1 (en) 2019-05-31 2020-06-16 Jamie Alvarez Systems and methods for passive, active, and resistance range of motion and stretching apparatus
CN113633518A (zh) * 2021-08-20 2021-11-12 高小惠 一种针对卧床患者进行康复的锻炼装置

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE746931C (de) * 1939-06-27 1944-08-30 Valentin Reichhart UEbungsgeraet zum Beweglichmachen von infolge eines Knochenbruches o. dgl. steif gewordenen Fussgelenken mit einer von Hand zu bewegenden Fussstuetze
US3426753A (en) * 1965-09-22 1969-02-11 Hans Streckfuss Surgical or orthopedic splint having means for exercising uninjured leg portions to prevent muscular atrophy and joint stiffness
FR2085118A5 (fr) * 1970-03-28 1971-12-17 Bimler Rudolf
FR2407710A1 (fr) * 1977-11-04 1979-06-01 Pecheux Jean Claude Attelle de mobilisation pour membres inferieurs
FR2468360A1 (fr) * 1979-11-05 1981-05-08 Pecheux Jean Claude Attelle, du type pose, pour la mobilisation active du genou
US4523585A (en) * 1983-10-03 1985-06-18 Lamb Steve R Anatomic fracture brace for the knee

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE336427B (fr) * 1968-11-26 1971-07-05 C Petersson
FR2454798B1 (fr) * 1979-04-23 1987-02-13 Pecheux Jean Claude Attelle de support et de mobilisation pour membre inferieur

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE746931C (de) * 1939-06-27 1944-08-30 Valentin Reichhart UEbungsgeraet zum Beweglichmachen von infolge eines Knochenbruches o. dgl. steif gewordenen Fussgelenken mit einer von Hand zu bewegenden Fussstuetze
US3426753A (en) * 1965-09-22 1969-02-11 Hans Streckfuss Surgical or orthopedic splint having means for exercising uninjured leg portions to prevent muscular atrophy and joint stiffness
FR2085118A5 (fr) * 1970-03-28 1971-12-17 Bimler Rudolf
FR2407710A1 (fr) * 1977-11-04 1979-06-01 Pecheux Jean Claude Attelle de mobilisation pour membres inferieurs
FR2468360A1 (fr) * 1979-11-05 1981-05-08 Pecheux Jean Claude Attelle, du type pose, pour la mobilisation active du genou
US4523585A (en) * 1983-10-03 1985-06-18 Lamb Steve R Anatomic fracture brace for the knee

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0311073A3 (fr) * 1987-10-07 1989-10-04 Dieter Pürschel Appareil d'exercice pour effectuer des mouvements contrôlés d'articulations du corps
EP0311073A2 (fr) * 1987-10-07 1989-04-12 Dieter Pürschel Appareil d'exercice pour effectuer des mouvements contrôlés d'articulations du corps
WO1990007918A1 (fr) * 1989-01-23 1990-07-26 Toronto Medical Corp. Appareil conferant un mouvement passif continu a un membre inferieur
EP0383137A2 (fr) * 1989-02-15 1990-08-22 Ruf, Jörg Rail de guidage pour le traitement par mouvement des membres inférieurs
EP0383137A3 (fr) * 1989-02-15 1991-03-27 Ruf, Jörg Rail de guidage pour le traitement par mouvement des membres inférieurs
DE4039843A1 (de) * 1989-12-22 1991-06-27 Bogdan Pawinski Rehabilitationsgeraet fuer extremitaeten
EP0588464A1 (fr) * 1992-09-16 1994-03-23 Sutter Corporation Appareil d'exercice de la patelle
AU740656B2 (en) * 1997-02-27 2001-11-08 Smith & Nephew Kinetec Sa Device for producing continuous passive motion
FR2759901A1 (fr) * 1997-02-27 1998-08-28 Smith & Nephew Kinetec Sa Dispositif pour produire un deplacement passif continu
WO1998037850A1 (fr) * 1997-02-27 1998-09-03 Smith & Nephew Dispositif pour produire un deplacement passif continu
US6325770B1 (en) 1997-02-27 2001-12-04 Smith & Nephew Kinetec Sa Device for producing continuous passive motion
FR2784892A1 (fr) * 1998-10-23 2000-04-28 Smith & Nephew Kinetec Sa Attelle de mobilisation passive repliable pour membre inferieur
WO2000024354A1 (fr) * 1998-10-23 2000-05-04 Smith & Nephew Kinetec Attelle de mobilisation d'un membre inferieur
WO2000024355A1 (fr) * 1998-10-23 2000-05-04 Smith & Nephew Kinetec Attelle de mobilisation passive repliable pour membre inferieur
FR2784893A1 (fr) * 1998-10-23 2000-04-28 Smith & Nephew Kinetec Sa Attelle de mobilisation d'un membre inferieur
US10682543B1 (en) 2019-05-31 2020-06-16 Jamie Alvarez Systems and methods for passive, active, and resistance range of motion and stretching apparatus
US11826603B2 (en) 2019-05-31 2023-11-28 Jamie Alvarez Systems and methods for passive, active, and resistance range of motion and stretching apparatus
CN110227000A (zh) * 2019-07-09 2019-09-13 王海涛 一种固定下肢骨骼恢复用夹板装置
CN110227000B (zh) * 2019-07-09 2021-04-02 王海涛 一种固定下肢骨骼恢复用夹板装置
CN113633518A (zh) * 2021-08-20 2021-11-12 高小惠 一种针对卧床患者进行康复的锻炼装置

Also Published As

Publication number Publication date
AT388287B (de) 1989-05-26
ATA13186A (de) 1988-11-15

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