EP0270673A1 - Device for initiating walking under conditions of limited mobility - Google Patents

Device for initiating walking under conditions of limited mobility Download PDF

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Publication number
EP0270673A1
EP0270673A1 EP86906032A EP86906032A EP0270673A1 EP 0270673 A1 EP0270673 A1 EP 0270673A1 EP 86906032 A EP86906032 A EP 86906032A EP 86906032 A EP86906032 A EP 86906032A EP 0270673 A1 EP0270673 A1 EP 0270673A1
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EP
European Patent Office
Prior art keywords
support
platforms
pedal
spring
walking
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.)
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Application number
EP86906032A
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German (de)
French (fr)
Other versions
EP0270673A4 (en
Inventor
Oleg Borisovich Balakshin
Mikhail Alexandrovich Epifanov
Valery Ivanovich Kozharinov
Inessa Benediktovna Kozlovskaya
Galina Vyacheslavovna Ljubimova
Irina Viktorovna Manyakhina
Alexandr Samuilovich Mirkin
Vladimir Vasilievich Nazarov
Lidia Grigorievna Turbina
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.)
Institut Mashinovedenia Imeni Aa Blagonravova Akademii Nauk Sssr
Original Assignee
Institut Mashinovedenia Imeni Aa Blagonravova Akademii Nauk Sssr
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Publication of EP0270673A1 publication Critical patent/EP0270673A1/en
Publication of EP0270673A4 publication Critical patent/EP0270673A4/en
Withdrawn legal-status Critical Current

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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
    • A63B23/03516—For both arms together or both legs together; Aspects related to the co-ordination between right and left side limbs of a user
    • A63B23/03533—With separate means driven by each limb, i.e. performing different movements
    • 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
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • 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
    • A63B23/04—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/08—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for ankle joints
    • A63B23/085—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for ankle joints by rotational movement of the joint in a plane substantially parallel to the body-symmetrical-plane
    • 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
    • A61H1/006—Apparatus for applying pressure or blows for compressive stressing of a part of the skeletal structure, e.g. for preventing or alleviating osteoporosis
    • 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
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/12—Feet
    • 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
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/04—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters attached to static foundation, e.g. a user
    • 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
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/05—Linearly-compressed elements

Definitions

  • the present invention relates to medical devices or equipment, in particular to devices for imitating human walking with restricted mobility.
  • a device for the rehabilitation of lower extremities is known (see, for example, SU-PS 791 377, IPK 3 A 61 H 1/02, published in the sheet "Discoveries, Inventions, Industrial Designs, Trademarks", H. 48, 1980, VT Grublyak and others), which provides two spring-loaded platforms hinged to the base.
  • a removable holding device In the upper part of the platforms mentioned, holes are cut out and a removable holding device is arranged, while on the side flanks of the platforms and, accordingly, also on the side flanks of the base, graduated scales and hands are provided in kg for measuring the compressive force when the spring compresses the extremities in Develop during the rehabilitation.
  • Brackets are provided on the platforms for the extremities.
  • the device operates in two modes second hand.
  • the patient sets the rhythm for the paralyzed foot by first inducing the passive movement pathways with their gradual restoration to the active ones.
  • the imitation device is changed differently, for which purpose the holder of the platforms is released and it is possible for the patient to alternate between active movements on the healthy and diseased foot, thereby creating the optimal conditions for resting the extremities.
  • the treating physician can use the pointer's deviations on the result scale to monitor the size of the restoration of active movements in the sick foot and its development of strength.
  • the mentioned known device for the rehabilitation of the lower extremities has no possibility of regulating the pressure force on the spring, as a result of which no metered load on the muscular system of the person can be set due to his condition.
  • the design described above does not allow the synchronization of muscle loads with the rhythm when walking, that is, does not allow imitation of the locomotive act.
  • the vibrators mentioned attack the support zones of the feet in the rhythm of walking, with excitation of the systems participating in the shaping of the locomotive act.
  • this known device for the treatment of post-insult patients is characterized by the fact that its use does not result in any strain on the foot muscles required for the perfect imitation of the locomotive act, and also in the device it is not possible to connect other sensory systems such as hearing, which is useful for realizing the imitation of the locomotive act.
  • the invention has for its object to develop a device for imitating human walking under conditions of restricted mobility, which enables a more effective intervention on the support zones of the feet and on the Achilles tendons while developing the muscle loads.
  • each platform on the Pedals built into the support box are correspondingly arranged, each of which represents a two-armed lever with the different arms, which is articulated on the base of the support box, and the mentioned joint support is accommodated within the support box and is displaced along the longitudinal axis of the pedal to the rear part on which the Heel support zone of the foot is created.
  • the front part of the pedal supporting the toe support zone of the pedal in the device for imitating walking by humans is to be connected to the base of the base box under conditions of restricted mobility and this is made possible by regulating the pressure force on the spring by means of one together with the spring within the Fasten the base box to the screw pairs.
  • the device developed according to the invention was investigated under clinical conditions in the treatment of patients with motor dysfunctions of different pathology and proved to be effective, which had an effect in the case of an earlier and increased increase in movement activity in comparison with the control group.
  • the patients get out of bed about three days earlier than in the control group.
  • the transition to the vertical position is subjectively easier, the restoration of blood circulation faster, the function of external breathing improves in comparison with the control (pulmonary vital capacity increases by 28%).
  • the device according to the invention for imitating human walking under conditions of restricted mobility contains a support box 1 (FIG. 1) in which two pedals 2 are installed.
  • Each pedal 2 represents a two-armed lever with different arms, on which a toe zone 3 and a heel support zone 4 can be distinguished.
  • Each pedal 2 is articulated on the base 5 (FIG. 2) of the support box 1 by means of a joint support 6, which provides fixed eyelets 7 on the pedal 2, supports 8 and bolts 9 fastened to the base 5 of the support box 1.
  • the toe support zone 3 of the pedal 2 is connected to the base 5 of the support box 1 via a spring 10 and is mounted by means of a pair of screws, which enables a setting screw 11 fastened to the base 5 of the support box 1, to be used to regulate the pressure force when the spring 10 is compressed includes her mother 12, one end of the spring 10 being attached to the nut 12 and the other end of the spring being attached to the toe support zone 3 of the pedal 2.
  • a pointer 13 projecting outside the support box 1 is attached, which serves as an indicator of the load in kg and angular swivel in the upper jump joint serves.
  • the load is assessed on the scale 14 (FIG. 1), which is plotted on the side flank 15 of the base box 1.
  • Platforms 16 for the feet which are equipped with at least four vibrators 17, are arranged on each pedal 2.
  • the relevant platforms 16 are fixed to the pedals 2 by means of belts 18.
  • the vibrators 17 arranged in pairs on each platform 16 develop mechanical vibrations which act on the support zones of the feet.
  • the vibrators 17 mentioned are connected to a program unit 19, which brings about their action and is coupled to a source 20 of the sound signals.
  • the device according to the invention for imitating human walking under conditions of restricted mobility works as follows.
  • the load on the pedal 2 (FIG. 2) is set on the adjusting screw 11 and the nut 12.
  • a physiologically based rhythm of walking in steps per minute and the duration of the treatment period in minutes are set on the keyboard of program unit 19 (FIG. 1).
  • the stimulation of the support zones of the feet by means of the vibrators 17 begins in the same order as for normal walking.
  • sound accompaniment from sound source 20 also takes the form of beats that are synchronized with the rhythm of walking.
  • Experience of practical use has confirmed that the patient easily masters the required stress conditions and takes them up well subjectively.
  • the program unit 19 (FIG. 1) gives the possibility of setting a rhythm of walking with the speed of 30, 60 and 120 steps / min. By allowing a lag of walking up to 30 step / min, the device receives the imitation of walking man under conditions whose limited mobility extremely promising for the treatment of patients for years egg g enschaf- th for which patients years, the use of greater speed when walking causes certain inconveniences.
  • the pedal 2 is designed as a two-armed lever with arms of different lengths and divided into the toe or heel support zone 3 or 4, the joint support 6 (FIG. 2) being offset along the longitudinal axis of the pedal 2 towards the rear part thereof , on which the heel support zone 4 is then fixed, while its best position has been determined experimentally.
  • the present invention is expediently to be used in the treatment of motor dysfunctions caused by the cerebral insult from a few months to a few years ago.
  • the treatment process is well transmitted.
  • the sensation of the vertical position and the perception of walking arise in patients, which enables the transition from the horizontal to the vertical position, which is significantly easier to take over, to expand the limits of mobility.
  • the local vibro stimulation favors the improvement of blood circulation in the rigid extremity and occurs as a measure to prevent and prevent thromboembolism of the pulmonary artery.
  • the device for imitating human walking under conditions of restricted mobility is used in clinical practice for the treatment of motor dysfunctions of various origins and for the prevention and prevention of the negative effects of lack of movement.
  • the rehabilitation of the sick is accelerated.
  • the use of the device according to the invention for imitating walking of humans under conditions of restricted mobility makes it possible in clinical practice, in conjunction with the other healing methods such as, for example, pharmacological, to solve the task of restoring the working capacity of sick people in the shortest possible time.
  • the device according to the invention can be used not only as a remedy, but also for the prevention of motor dysfunctions that occur during a job under conditions of restricted mobility, and thereby contribute to increasing the work performance of an operator when performing the tasks of his job under extreme conditions .

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Vibration Prevention Devices (AREA)

Abstract

The device contains two platforms (16) each of which comprises at least four vibrators (17) mounted in pairs on the platform (16), the mechanical oscillations of the vibrators influencing the supporting areas of both feet and each platform (16) being mounted on pedals (2) located in a casing (1) and consisting each of an unequilateral double-arm lever hingedly connected to the base of the casing (1), the hinged support (6) being located in the casing and offset along the longitudinal axis of the pedal (2) towards its rear side.

Description

Gebiet der TechnikTechnical field

Die vorliegende Erfindung bezieht sich auf medizinische Geräte bzw. Ausrüstungen, insbesondere auf Vorrichtungen zur Imitation des Gehens des Menschen bei eingeschränkter Beweglichkeit.The present invention relates to medical devices or equipment, in particular to devices for imitating human walking with restricted mobility.

Zugrundeliegender Stand der TechnikUnderlying state of the art

Die Entstehung der motorischen Funktionsstörungen ist im allgemeinen damit verbunden, daß unter normalen Bedingungen die Stützzonen von FÜßen, Achillessehne und andere Systeme wie beispielsweise muskuläre beim Gehen aktiv und in einer bestimmten Reihenfolge nach belastet werden. Jedoch werden diese Stützzonen unter Verhältnissen einer eingeschränkten Beweglichkeit keinen sonst beim Gehen gewöhnlichen Einwirkungen ausgesetzt, wodurch letzten Endes die Störungen an der statisch-kinetischen Regulation auftreten.The development of motor dysfunctions is generally associated with the fact that, under normal conditions, the support zones of the feet, Achilles tendon and other systems such as muscular are loaded actively and in a certain order after walking. However, under conditions of limited mobility, these support zones are not exposed to any other usual effects while walking, which ultimately leads to the disturbances in the static-kinetic regulation.

Bekannt ist eine Vorrichtung zur Rehabilitation von unteren Extremitäten (s. beispielsweise SU-PS 791 377, IPK3 A 61 H 1/02, veröffentlicht im Blatt "Entdeckungen, Erfindungen, gewerbliche Muster, Warenzeichen", H. 48, 1980, V.T. Grublyak und andere), die zwei federbelastete, an der Unterlage angelenkte Plattformen vorsieht. Im Oberteil der erwähnten Plattformen sind Bohrungen ausgespart und ist ein abnehmbarer Festhalter angeordnet, während an den Seitenflanken der Plattformen und dementsprechend auch an den Seitenflanken der Unterlage in kg graduierte Skalen und Zeiger zur Messung der Druckkraft beim Zusammendrücken der Feder vorgesehen sind, die die Extremitäten im Laufe der Rehabilitation entwickeln. Für die Extremitäten werden an den Plattformen Halterungen vorgesehen. Je nach der Rehabilitationstiefe wird die Vorrichtung in zwei Betriebsarten gebraucht.A device for the rehabilitation of lower extremities is known (see, for example, SU-PS 791 377, IPK 3 A 61 H 1/02, published in the sheet "Discoveries, Inventions, Industrial Designs, Trademarks", H. 48, 1980, VT Grublyak and others), which provides two spring-loaded platforms hinged to the base. In the upper part of the platforms mentioned, holes are cut out and a removable holding device is arranged, while on the side flanks of the platforms and, accordingly, also on the side flanks of the base, graduated scales and hands are provided in kg for measuring the compressive force when the spring compresses the extremities in Develop during the rehabilitation. Brackets are provided on the platforms for the extremities. Depending on the depth of rehabilitation, the device operates in two modes second hand.

Im anfänglichen Stadium der Erkrankung bleibt eine untere Extremität unbeweglich, während der Kranke in der Liegelage befindlich bleibt. Dabei wird die Imitationsvorrichtung am Bett durch eine besondere Bohrung befestigt und die Plattformen werden vermittels des Festhalters zu einem einheitlichen Ganzen vereint. Hiernach werden beide Extremitäten, und zwar die bewegliche und starre an den Plattformen festgelegt, während der Patient die aktiven Bewegungen mit dem gesunden Fuß im oberen Sprunggelenk ausübt.In the initial stage of the disease, a lower limb remains immobile, while the patient remains lying down. The imitation device is attached to the bed through a special hole and the platforms are united into a unified whole by means of the holder. Then both extremities, namely the movable and rigid, are fixed to the platforms, while the patient performs the active movements with the healthy foot in the upper ankle.

Mit seinem gesunden Fuß gibt der Patient den Rhythmus dem gelähmten Fuß vor, indem in diesem zunächst die passiven Bewegungsgänge unter deren almählicher Wiederherstellung zu den aktiven hervorgerufen werden.With his healthy foot, the patient sets the rhythm for the paralyzed foot by first inducing the passive movement pathways with their gradual restoration to the active ones.

Im Stadium der aktiven Rehabilitation wird die Imitationsvorrichtung anders umgestellt, wozu der Festhalter der Plattformen losgelöst wird und es ist dem Patienten möglich, die aktiven Bewegungen an dem gesunden und kranken Fuß abwechselnd auszuüben, indem dadurch die optimalen Verhältnisse zum Ausruhen der Extremitäten geschaffen werden.At the stage of active rehabilitation, the imitation device is changed differently, for which purpose the holder of the platforms is released and it is possible for the patient to alternate between active movements on the healthy and diseased foot, thereby creating the optimal conditions for resting the extremities.

In beiden Fällen der Rehabilitation kann der behandelnde Arzt anhand der Abweichungen des Zeigers an der Ergebnisskala die Wiederherstellungsgröße der aktiven Bewegungen im kranken Fuß und dessen Kraftentwicklung stats überwachen.In both cases of rehabilitation, the treating physician can use the pointer's deviations on the result scale to monitor the size of the restoration of active movements in the sick foot and its development of strength.

Die erwähnte bekannte Vorrichtung zur Rehabilitation der unteren Extremitäten besitzt keine Regelungsmöglichkeit der Druckkraft an der Feder, wodurch auch keine dosierte Belastung an Muskelsystem des Menschen aufgrund dessen Zustandes eingestellt werden kann. Darüber hinaus ermöglicht die obenbeschriebene Bauart auch keine Synchronisierung der Muskelbelastungen mit dem Rhythmus beim Gehen des Menschen, das heißt, ermöglicht keine Imitation des lokomotorischen Aktes.The mentioned known device for the rehabilitation of the lower extremities has no possibility of regulating the pressure force on the spring, as a result of which no metered load on the muscular system of the person can be set due to his condition. In addition, the design described above does not allow the synchronization of muscle loads with the rhythm when walking, that is, does not allow imitation of the locomotive act.

Bekannt ist eine andere Vorrichtung zur Behandlung der postinsultschen Kranken (s. S.S. Korsakov- Zeitschrift für die Neuropathologie und Psychiatrie, Bd. LXXXII, H. 8, SS. 26-29, "Medizin"-Verlag, Moskau, 1982), die in Form von vibrostimulierenden Schuhen ausgeführt ist. Die betreffende Vorrichtung enthält zwei Plattformen, die mindestens vier an jeder Plattform paarweise angeordnete Vibratoren besitzen, deren mechanische Schwingungen an den Plattformen anliegenden Stützzonen beider Füße angreifen. Diese in die Plattformen eingebauten Vibratoren sind an den Füssen des Kranken vermittels der Riemen befestigt und mit einer Programmsteuereinheit in Verbindung gesetzt, durch die die Kennwerte der Vibroerregung eingestellt werden.Another treatment device is known the post-insult patient (see SS Korsakov- Journal for Neuropathology and Psychiatry, vol. LXXXII, H. 8, pp. 26-29, "Medizin" publishing house, Moscow, 1982), which is designed in the form of vibrostimulating shoes. The device in question contains two platforms which have at least four vibrators arranged in pairs on each platform, the mechanical vibrations of which act on the support zones of the two feet resting on the platforms. These vibrators built into the platforms are attached to the patient's feet by means of the straps and connected to a program control unit by means of which the characteristic values of the vibratory excitation are set.

Die erwähnten Vibratoren greifen an den Stützzonen der Füße im Rhythmus des Gehens unter Erregung der an der Formgebung des lokomotorischen Aktes teilnehmenden Systeme an.The vibrators mentioned attack the support zones of the feet in the rhythm of walking, with excitation of the systems participating in the shaping of the locomotive act.

Diese bekannte Vorrichtung zur Behandlung der postinsultschen Kranken zeichnet sich jedoch dadurch aus, daß deren Verwendung keinerlei die für die vervollkommnete Imitation des lokomotorischen Aktes erforderliche Belastung der Fußmuskulatur bewirkt und auch in der Vorrichtung der Anschluß anderer sensorischer Systeme wie beispielsweise das Gehör nicht ermöglicht wird, was zur Verwirklichung der Imitation des lokomotorischen Aktes zweckmäßig ist.However, this known device for the treatment of post-insult patients is characterized by the fact that its use does not result in any strain on the foot muscles required for the perfect imitation of the locomotive act, and also in the device it is not possible to connect other sensory systems such as hearing, which is useful for realizing the imitation of the locomotive act.

Offenbarung der ErfindungDisclosure of the invention

Der Erfindung liegt die Aufgabe zugrunde, eine Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit zu entwickeln, die einen wirkungsvolleren Eingriff an den Stützzonen der Füße und an den Achillessehnen unter Entwicklung der Muskelbelastungen ermöglicht.The invention has for its object to develop a device for imitating human walking under conditions of restricted mobility, which enables a more effective intervention on the support zones of the feet and on the Achilles tendons while developing the muscle loads.

Die gestellte Aufgabe wird dadurch gelöst, daß in der Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit, die mindestens zwei Plattformen vorsieht, jede von denen mindestens mit vier Vibratoren ausgestattet ist, die an jeder Plattform paarweise angeordnet sind und mit ihren mechanischen Schwingungen an den an die Plattformen dichtanliegenden Stützzonen beider FÜße angreifen, erfindungsgemäß jede Plattform an den im Unterlagekasten eingebauten Pedalen entsprechenderweise angeordnet ist, jedes von denen einen zweiarmigen Hebel mit den unterschiedlichen Armen darstellt, der am Unterlagekastengrund angelenkt ist, und die erwähnte Gelenkauflage innerhalb des Unterlagekastens untergebracht und an der Längsachse des Pedals entlang zu dessen Hinterteil versetzt ist, auf dem die Fersenstützzone des Fußes angelegt ist.The task is solved in that in the device for imitating walking of humans under the conditions of its restricted mobility, which provides at least two platforms, each of which is equipped with at least four vibrators, which are arranged in pairs on each platform and attack with their mechanical vibrations on the support zones of the two feet which are close to the platforms, according to the invention each platform on the Pedals built into the support box are correspondingly arranged, each of which represents a two-armed lever with the different arms, which is articulated on the base of the support box, and the mentioned joint support is accommodated within the support box and is displaced along the longitudinal axis of the pedal to the rear part on which the Heel support zone of the foot is created.

Zweckmäßigerweise ist der die Zehenstützzone des Fußes tragende Vorderteil des Pedals in der Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit mit dem Unterlagekastengrund zu verbinden und diesen daran unter Ermöglichung der Regelung der Druckkraft an der Feder vermittels eines mit der Feder zusammen innerhalb des Unterlagekasten untergebrachten Schraubenpaars zu befestigen.Advantageously, the front part of the pedal supporting the toe support zone of the pedal in the device for imitating walking by humans is to be connected to the base of the base box under conditions of restricted mobility and this is made possible by regulating the pressure force on the spring by means of one together with the spring within the Fasten the base box to the screw pairs.

Die erfindungsgemäß entwickelte Vorrichtung wurde unter klinischen Verhältnissen bei Behandlung der Kranken mit den motorischen Funktionsstörungen unterschiedlicher Pathologie untersucht und erwies sich als eine wirkungsvolle, was sich bei einem früheren und vergrösserten Zuwachs der Bewegungsaktivität im Vergleich mit der Kontrollgruppe auswirkte. Etwa um drei Tage früher als in der Kontrollgruppe gehen die Kranken aus dem Bett. Dabei verläuft der Übergang zu der Vertikallage subjektiv leichter, die Wiederherstellung des Blutkreislaufes schneller, verbessert sich die Funktion der Außenatmung im Vergleich mit der Kontrolle (die Lungenvitalkapazität vergrößert sich um 28%).The device developed according to the invention was investigated under clinical conditions in the treatment of patients with motor dysfunctions of different pathology and proved to be effective, which had an effect in the case of an earlier and increased increase in movement activity in comparison with the control group. The patients get out of bed about three days earlier than in the control group. The transition to the vertical position is subjectively easier, the restoration of blood circulation faster, the function of external breathing improves in comparison with the control (pulmonary vital capacity increases by 28%).

Kurzbeschreibung der ZeichnungenBrief description of the drawings

Nachstehend wird die Erfindung anhand der konkreten Ausführungsbeispiele unter Bezugnahme auf die angelegten Zeichnungen näher erläutert, in denen es zeigt:

  • Fig. 1 erfindungsgemäße Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit in Gesamtansicht;
  • Fig. 2 dieselbe Vorrichtung im erfindungsgemaßen Schnitt II-II aus der Fig. 1.
The invention is explained in more detail below on the basis of the specific exemplary embodiments with reference to the drawings in which it shows:
  • 1 device according to the invention for imitating walking of humans under conditions of restricted mobility in an overall view;
  • 2 shows the same device in section II-II according to the invention from FIG. 1.

Beste AusfÜhrungsvariante der ErfindungBest embodiment of the invention

Die erfindungsgemäße Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit enthält einen Unterlagekasten 1 (Fig. 1), in dem zwei Pedale 2 eingebaut sind. Jedes Pedal 2 stellt einen zweiarmigen Hebel mit unterschiedlichen Armen dar, an dem eine Zehenzone 3 und eine Fersenstützzone 4 zu unterscheiden sind. Jedes Pedal 2 ist an dem Boden 5 (Fig. 2) des Unterlagekastens 1 vermittels einer Gelenkauflage 6 angelenkt, die an dem Pedal 2 festeingebauten Ösen 7,am Boden 5 des Unterlagekastens 1 befestigte Stützen 8 und Bolzen 9 vorsieht. Die Zehenstützzone 3 des Pedals 2 steht über eine Feder 10 mit dem Boden 5 des Unterlagekastens 1 in Verbindung und wird unter Ermöglichung einer Regelung der Druckkraft beim Zusammendrücken der Feder 10 vermittels eines Schraubenpaars montiert, das eine am Boden 5 des Unterlagekastens 1 befestigte Einstellschraube 11 mit ihrer Mutter 12 einschließt, wobei ein Ende der Feder 10 an der Mutter 12 und das andere Federende an der Zehenstützzone 3 des Pedals 2 befestigt wird. An derselben Zehenstützzone 3 des Pedals 2 ist noch ein außerhalb des Unterlagekastens 1 herausragender Zeiger 13 befestigt, der als Indikator der Belastung in kg und Winkelverschwenkung im oberen Sprunggelenk dient. Die Bewertung der Belastung erfolgt an der Skala 14 (Fig. 1), die auf der Seitenflanke 15 des Unterlagekastens 1 aufgetragen ist.The device according to the invention for imitating human walking under conditions of restricted mobility contains a support box 1 (FIG. 1) in which two pedals 2 are installed. Each pedal 2 represents a two-armed lever with different arms, on which a toe zone 3 and a heel support zone 4 can be distinguished. Each pedal 2 is articulated on the base 5 (FIG. 2) of the support box 1 by means of a joint support 6, which provides fixed eyelets 7 on the pedal 2, supports 8 and bolts 9 fastened to the base 5 of the support box 1. The toe support zone 3 of the pedal 2 is connected to the base 5 of the support box 1 via a spring 10 and is mounted by means of a pair of screws, which enables a setting screw 11 fastened to the base 5 of the support box 1, to be used to regulate the pressure force when the spring 10 is compressed includes her mother 12, one end of the spring 10 being attached to the nut 12 and the other end of the spring being attached to the toe support zone 3 of the pedal 2. On the same toe support zone 3 of the pedal 2, a pointer 13 projecting outside the support box 1 is attached, which serves as an indicator of the load in kg and angular swivel in the upper jump joint serves. The load is assessed on the scale 14 (FIG. 1), which is plotted on the side flank 15 of the base box 1.

An jedem Pedal 2 sind Plattformen 16 für die FÜße angeordnet, die mindestens mit vier Vibratoren 17 ausgerüstet sind. Die betreffenden Plattformen 16 sind an den Pedalen 2 vermittels Riemen 18 festgelegt. Die paarweise an jeder Plattform 16 angeordneten Vibratoren 17 entwickeln mechanische Schwingungen, die an den Stützzonen der FÜße angreifen.Platforms 16 for the feet, which are equipped with at least four vibrators 17, are arranged on each pedal 2. The relevant platforms 16 are fixed to the pedals 2 by means of belts 18. The vibrators 17 arranged in pairs on each platform 16 develop mechanical vibrations which act on the support zones of the feet.

Die erwähnten Vibratoren 17 sind an eine Programmeinheit 19 angeschlossen, die deren Wirkung zustandebringt und mit einer Quelle 20 der Schallsignale gekoppelt ist.The vibrators 17 mentioned are connected to a program unit 19, which brings about their action and is coupled to a source 20 of the sound signals.

Die erfindungsgemaße Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit arbeitet wie folgt.The device according to the invention for imitating human walking under conditions of restricted mobility works as follows.

In Abhängigkeit von dem Zustand des Patienten wird an der Einstellschraube 11 und der Mutter 12 die Belastung an dem Pedal 2 (Fig. 2) eingestellt. Am Tastenpult der Programmeinheit 19 (Fig. 1) werden ein physiologischbegründeter Rhythmus des Gehens in Schritt pro min und die Dauer der Behandlungsperiode in min eingestellt. Nach dem Einschalten der Programmeinheit 19 beginnt die Stimulierung der Stützzonen der FÜße vermittels der Vibratoren 17 in derselben Reihenfolge wie bei einem normalen Gehen. Zu gleicher Zeit verlauft auch eine Schallbegleitung aus der Schallquelle 20 in Form von mit dem Rhythmus des Gehens synchronen Schlägen. Dabei drückt der Patient an dem Pedal 2 mit der Fußzone hin, an der es zu dem Augenblick durch den Vibrator 17 stimuliert wird. Diese Bewegungsgänge erregen unter Überwindung der eingestellten Druckkraft in der Feder 10 (Fig. 2) dieselben Muskelgruppen wie bei dem normalen Gehen. Die Erfahrungen der praktischen Ausnutzung haben bestätigt, daß der Patient die erforderlichen Belastungsverhältnisse leicht beherrscht und subjektiv gut aufnimmt.Depending on the condition of the patient, the load on the pedal 2 (FIG. 2) is set on the adjusting screw 11 and the nut 12. A physiologically based rhythm of walking in steps per minute and the duration of the treatment period in minutes are set on the keyboard of program unit 19 (FIG. 1). After switching on the program unit 19, the stimulation of the support zones of the feet by means of the vibrators 17 begins in the same order as for normal walking. At the same time, sound accompaniment from sound source 20 also takes the form of beats that are synchronized with the rhythm of walking. The patient presses on the pedal 2 with the foot zone at which it is stimulated by the vibrator 17 at that moment. These movements stimulate the same muscle groups as in normal walking while overcoming the set pressure force in the spring 10 (FIG. 2). Experience of practical use has confirmed that the patient easily masters the required stress conditions and takes them up well subjectively.

Die Programmeinheit 19 (Fig. 1) gibt die Möglichkeit, einen Rhythmus des Gehens mit der Schnelligkeit von 30, 60 und 120 Schritt/min einzustellen. Durch die Ermöglichung einer Verzögerung des Gehens bis auf 30 Schritt/min erhält die Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit die für die Behandlung der Patienten bei Jahren äußerst aussichtsreichen Eigenschaf- ten, für welche Patienten bei Jahren die Benutzung einer größeren Schnelligkeit beim Gehen gewisse Unbequemlichkeiten bereitet.The program unit 19 (FIG. 1) gives the possibility of setting a rhythm of walking with the speed of 30, 60 and 120 steps / min. By allowing a lag of walking up to 30 step / min, the device receives the imitation of walking man under conditions whose limited mobility extremely promising for the treatment of patients for years egg g enschaf- th for which patients years, the use of greater speed when walking causes certain inconveniences.

Aus den Untersuchungen im Bereich der Bewegungsphysiologie ist bekannt, daß bei einem natürlichen Gehen des Menschen alle Muskelgruppen des Fußes in bestimmter Reihenfolge unter dem Treten von der Ferse auf die Zehen belastet werden, wobei den größten Teil der Belastung die Zehen übernehmen. Aus diesem Grunde wird das Pedal 2 als ein zweiarmiger Hebel mit unterschiedlichlangen Armen ausgeführt und in die Zehen- bzw. Fersenstützzone 3 bzw. 4 eingeteilt, wobei die Gelenkauflage 6 (Fig. 2) an der Längsachse des Pedals 2 entlang zu dessen Hinterteil versetzt ist, an dem dann die Fersenstützzone 4 festgelegt ist, während deren beste Stellunglage auf dem experimentuellen Wege ermittelt worden ist.From the studies in the area of movement physiology it is known that when people walk naturally, all muscle groups of the foot are loaded in a certain order by pedaling from the heel to the toes, with most of the load being borne by the toes. For this reason, the pedal 2 is designed as a two-armed lever with arms of different lengths and divided into the toe or heel support zone 3 or 4, the joint support 6 (FIG. 2) being offset along the longitudinal axis of the pedal 2 towards the rear part thereof , on which the heel support zone 4 is then fixed, while its best position has been determined experimentally.

Zweckmäßigerweise ist die vorliegende Erfindung bei Behandlung der motorischen Funktionsstörungen auszunutzen, die der von einigen Monaten bis auf die wenigen Jahre zurückliegende Zerebralinsult hervorgerufen hat.The present invention is expediently to be used in the treatment of motor dysfunctions caused by the cerebral insult from a few months to a few years ago.

Der Behandlungsvorgang wird gut übertragen. In ganzer Reihe von Fällen entsteht bei Patienten die Empfindung der Vertikalstellung und die Wahrnehmung des Gehens, wodurch der bedeutend leichter zu übernehmende Übergang aus der Waagerecht- zu der Vertikallage bei Erweiterung der Beweglichkeitsgrenzen ermöglicht wird. Die lokale Vibrostimulierung begünstigt die Verbesserung des Blutkreislaufes in der starren Extremität und tritt als Maßnahme zur Vorbeugung und Verhütung der Thromboembolie der Lungenschlagader hervor.The treatment process is well transmitted. In a whole series of cases, the sensation of the vertical position and the perception of walking arise in patients, which enables the transition from the horizontal to the vertical position, which is significantly easier to take over, to expand the limits of mobility. The local vibro stimulation favors the improvement of blood circulation in the rigid extremity and occurs as a measure to prevent and prevent thromboembolism of the pulmonary artery.

Industrielle VerwendbarkeitIndustrial applicability

Die Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit wird in der klinischen Praxis zur Behandlung von motorischen Funktionsstörungen verschiedener Herkunft und zur Vorbeugung und Verhütung der negativen Auswirkungen des Bewegungsmangels ausgenutzt.The device for imitating human walking under conditions of restricted mobility is used in clinical practice for the treatment of motor dysfunctions of various origins and for the prevention and prevention of the negative effects of lack of movement.

Durch Verwendung der erfindungsgemäßen Vorrichtung unter Ergänzung durch andere Arten der Viederherstellungstherapie wird eine Beschleunigung der Rehabilitation der Kranken erreicht.By using the device according to the invention in addition to other types of restorative therapy, the rehabilitation of the sick is accelerated.

Die Verwendung der erfindungsgemäßen Vorrichtung zur Imitation des Gehens vom Menschen unter Verhältnissen dessen eingeschränkter Beweglichkeit ermöglicht es in der klinischen Praxis, in Verbindung mit den anderen Heilverfahren wie beispielsweise pharmakologische die Aufgabe der Wiederherstellung der Arbeitsfähigkeit von kranken Menschen in kürzesten Fristen zu losen. Darüber hinaus kann die erfindungsgemäße Vorrichtung nicht nur als ein Heilmittel, sondern noch zur Vorbeugung der motorischen Funktionsstörungen ausgenutzt werden, die während einer Berufstätigkeit unter Verhältnissen der eingeschränkten Beweglichkeit auftreten, und dadurch der Steigerung der Arbeitsleistung eines Operatuermenschen bei Ausführung der Aufgaben dessen Berufstätigkeit unter Extrembedingungen beitragen.The use of the device according to the invention for imitating walking of humans under conditions of restricted mobility makes it possible in clinical practice, in conjunction with the other healing methods such as, for example, pharmacological, to solve the task of restoring the working capacity of sick people in the shortest possible time. In addition, the device according to the invention can be used not only as a remedy, but also for the prevention of motor dysfunctions that occur during a job under conditions of restricted mobility, and thereby contribute to increasing the work performance of an operator when performing the tasks of his job under extreme conditions .

Claims (2)

1. Vorrichtung zur Imitation menschlichen Gehens bei eingeschränkter Beweglichkeit, mit zwei Plattformen (16), die je wenigstens vier paarweise an jeder Plattform (16) montierte Vibratoren (17) tragen, deren mechanische Schwingungen an den Stützzonen beider an diesen Plattformen (16) angeordneten Füße angreifen, dadurch gekennzeich- n e t, daß jede Plattform (16) entsprechenderweise auf den innerhalb eines Unterlagekastens (1) montierten Pedalen (2) festgelegt ist, die je einen zweiarmigen Hebel mit unterschiedlichen Armen darstellen, der am Boden des Unterlagekastens (1) angelenkt ist, und daß die Gelenkauflage (6) innerhalb des Unterlagekastens (1) untergebracht und längs der Längsachse des Pedals (2) in Richtung zu dessen hinterem Teil verschoben ist, an dem die Fersenstützzone des Fußes angeordnet wird.1. Device for imitating human walking with restricted mobility, with two platforms (16), each carrying at least four pairs of vibrators (17) mounted in pairs on each platform (16), the mechanical vibrations of which are arranged on the support zones of both of these platforms (16) Attack feet, characterized in that each platform (16) is correspondingly fixed on the pedals (2) mounted within a support box (1), each of which represents a two-armed lever with different arms, which is articulated on the base of the support box (1) and that the joint support (6) is accommodated within the support box (1) and is displaced along the longitudinal axis of the pedal (2) towards its rear part, on which the heel support zone of the foot is arranged. 2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß der Vorderteil des Pedals (2), auf den die Zehenstützzone des Fußes aufgelegt wird, durch eine Feder (10) mit dem Boden (5) des Unterlagekastens (1) gekoppelt und daran unter Ermöglichung einer Regelung der Druckkraft der Feder (10) mittels eines mit dieser Feder (10) zusammen im Inneren des Unterlagekastens (1) untergebrachten Schraubenpaars befestigt ist.2. Apparatus according to claim 1, characterized in that the front part of the pedal (2), on which the toe support zone of the foot is placed, by a spring (10) with the bottom (5) of the support box (1) and coupled to it while enabling a regulation of the pressure force of the spring (10) is fastened by means of a pair of screws accommodated together with this spring (10) inside the support box (1).
EP19860906032 1986-06-20 1986-06-20 Device for initiating walking under conditions of limited mobility. Withdrawn EP0270673A4 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/SU1986/000059 WO1987007831A1 (en) 1986-06-20 1986-06-20 Device for initiating walking under conditions of limited mobility

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EP0270673A1 true EP0270673A1 (en) 1988-06-15
EP0270673A4 EP0270673A4 (en) 1989-06-21

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JP (1) JPS63503517A (en)
WO (1) WO1987007831A1 (en)

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WO1998055071A1 (en) * 1997-06-03 1998-12-10 Vlastimir Novakovic Automatic trainer
ITFE20130002A1 (en) * 2013-04-04 2014-10-05 Emiliano Schiavini ABDOMINAL MACHINE WITH ONE AND / OR TWO VIBRATING PLATFORMS

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Publication number Priority date Publication date Assignee Title
WO1998032410A1 (en) * 1997-01-27 1998-07-30 Vlastimir Novakovic Apparatus for the application of vibration biomechanics
WO1998055071A1 (en) * 1997-06-03 1998-12-10 Vlastimir Novakovic Automatic trainer
ITFE20130002A1 (en) * 2013-04-04 2014-10-05 Emiliano Schiavini ABDOMINAL MACHINE WITH ONE AND / OR TWO VIBRATING PLATFORMS

Also Published As

Publication number Publication date
EP0270673A4 (en) 1989-06-21
JPH0414988B2 (en) 1992-03-16
JPS63503517A (en) 1988-12-22
WO1987007831A1 (en) 1987-12-30

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