EP0311993A2 - Système de mouvement pour meuble de couchage, de station assise et pour se tenir en position debout - Google Patents

Système de mouvement pour meuble de couchage, de station assise et pour se tenir en position debout Download PDF

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Publication number
EP0311993A2
EP0311993A2 EP88116894A EP88116894A EP0311993A2 EP 0311993 A2 EP0311993 A2 EP 0311993A2 EP 88116894 A EP88116894 A EP 88116894A EP 88116894 A EP88116894 A EP 88116894A EP 0311993 A2 EP0311993 A2 EP 0311993A2
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EP
European Patent Office
Prior art keywords
pressure
movement
air
pads
seat
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Granted
Application number
EP88116894A
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German (de)
English (en)
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EP0311993A3 (en
EP0311993B1 (fr
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Peter Halsig
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Individual
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Individual
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1054—Large wheels, e.g. higher than the seat portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1091—Cushions, seats or abduction devices
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00—Devices for specific treatment or diagnosis
    • A61G2210/10—Devices for specific treatment or diagnosis for orthopedics

Definitions

  • the invention relates to a movement system according to the preamble of claim 1. It is applicable for lying, sitting and standing at work, school, leisure, sport, fitness and rehabilitation, as well as for traffic, on land, by rail, in water and in the air.
  • DE-PS 876 760 describes a compressor-supported air mattress which is commercially available in several variants and which has the aim of protecting the sick or disabled from pressure sores.
  • the basic principle of all these systems is to adopt a symmetrical posture - concerning the axes of movement - and to largely maintain this in its supposedly ideal static relationships.
  • the body is not affected by the furniture in its spatial position or in its relationship of body parts to each other.
  • German utility model 83 35 794 a bed is described which consists of a large number of identical air chamber systems which, in a different arrangement, can rotate the body as a whole under computer control and can straighten the trunk to the extent limited by the stroke of the "bellows".
  • the adaptation to the size, weight and position of the user on the bed regulates a complex photoelectric and pressure sensor assembly of the individual fixed "bellows" in interaction with a computer.
  • this system is also about ideally supporting and supporting the lying body, especially the trunk and thus the spine, with the aim of relieving the immobilized patient from pain due to pressure bearing by turning the whole body to the side and by lifting the head and To spare the fuselage, being the most expensive technique enables these goals to be achieved without exact adjustment of the patient on the bed and above the movement pivot points.
  • DE-OS 23 48 124.5 describes a chair or armchair which consists of a plurality of interconnected chamber units of the seat and the back, which can be filled with air or the like.
  • the stated aim of this seat is: To ensure effective support for each posture of both ischial bones as well as the coccyx and at least one pressure relief on the underside of the thigh and to fix the posture taken.
  • the seat or such a bed is changed by the user's own movement and is therefore subject to any kind of physical limitation of use, especially during professional use or in the event of functional restrictions. At least with this seating system, the normal user is likely to be overwhelmed psychologically and sensory. This system also supports individual sitting and lying habits, which can be seen as the cause of many complaints. In the latter two systems, the activity-supporting or movement-active elements (pressure pads) etc. are always in a stationary position, so that they cannot be adjusted or cannot be adequately adapted to different requirements.
  • the stroke or pressure direction of the pressure pads is constant due to the technology used, cannot be changed or reversed.
  • Both systems are mainly designed to support and hold the whole body in its spatial relationship, or to change it in the case of DE-GM 83 35 794, but not to move the body in itself.
  • the systems that have become known do not allow transverse or transverse-diagonal partial body movements due to their conception. They are unable to absorb the forces that occur or impact in the seating area for the disabled or in the special area of the motor vehicle seat.
  • the invention has for its object to provide a reclining, sitting and standing system with the suitable reclining, sitting or standing furniture or adaptation of the new system to existing furniture which brings an improvement over the currently known reclining or seating furniture , as well as to create a new standing system for fitness, sport and medical use.
  • Another object is the medical application of the lying, sitting and standing system according to the invention for use in the case of disabilities, for the rehabilitation of accident victims, for use in movement therapy.
  • the invention is based on the knowledge of the tasks and functional properties and the physiological need of those organs of the body, the task of which is to bring about and regulate the various positions, postures and movements, and their integration into the interactions with the psycho-mental conditions of everyday life .
  • the intervertebral discs z. B. require adequate nutrition to maintain their function, which is only guaranteed if these are relieved of pressure, which in connection with the spinal column statics can only be done by constant gentle changes in position of the pelvis against the shoulder. Since the pressure on the intervertebral discs increases with the sitting time in the symmetrical trunk posture, it is a requirement to place asymmetrical sitting and lying movements on an equal footing next to the symmetrical postures.
  • Muscles need constant changes in position, tension and use of force. They require stretching stimuli and have to recover at certain intervals depending on the type of fiber and the state of training. If they are constantly moved at defined intervals, they are also ready for sudden work assignments. These sudden movements, which the muscles in conventional furniture are not adjusted to, are considered to be the main cause of muscular discomfort.
  • the receptors of the sensor-motor system finally need, in order to master their task, to change the state of their measured variable after a defined period of time, as an increase or decrease in pressure, tension, tension, etc.
  • the brain tends to deal with recurring actions with less and less effort: habits become suitable that can no longer be controlled, which is why the brain becomes diverse must be stimulated. In addition, it is not capable of long-term functions. B. regulate body and organ, and coordinate mental and motor-physical needs satisfactorily.
  • the body For lying-sitting-standing, this means that after a certain time interval, the body is forced to move in as many levels as possible, contrary to its habit, in programmed movement steps.
  • the movement initiative usually starts with the device and not from the user.
  • the exception to this is conscious movement or muscle training, in which the user influences the stroke or the outflow speed of the pressure medium through muscle strength.
  • the movement should not be a block movement, e.g. B. the trunk in space, but as movement of body parts, spine sections against each other. Wherever there are joints, they should be operated.
  • the movement system consists of the system carrier (different for the application areas), an element carrier system in individual or modular construction and the movement-active elements, the air pockets.
  • the movements are caused by pressure pads, in particular air cushions, attacking certain parts of the body and by changing the volume, i. H. by inflating the air cushion or deflating the air cause a body movement that inevitably leads to muscle movement.
  • the body movement and thus the muscle movement should be carried out intermittently in a certain time course or time interval and in particular symmetrically and asymmetrically, with a control system for the pulsating, ie. H. regulates pressure-increasing or pressure-reducing flow of the pressure medium in the pressure cushion or air cushion.
  • This pulsating change of the air cushion at certain time intervals accordingly changes the physical position of the person, which leads to an attitude that corresponds to the needs of the organs.
  • the air pockets are attached to an element carrier system - the pads - with the task of regulating the movement - according to the requirements - also against movement resistance, such as. B. muscle-tendon shortening, joint blockade, neuromuscular tone changes, Habits and the like.
  • movement resistance such as. B. muscle-tendon shortening, joint blockade, neuromuscular tone changes, Habits and the like.
  • the pads are to be adjusted three-dimensionally, if possible, by means of adapters on the system carrier, the pads having a slack in the direction of operation of the air pockets, and which can be folded down or lowered to facilitate entry, but must nevertheless be lockable in function.
  • the invention is also of considerable importance in the use of the physically handicapped, in the case of accident victims or other persons with permanent or temporary muscle, brain and nerve function weakness.
  • the movement therapy of the human musculoskeletal system plays an important role.
  • the seating or reclining system according to the invention is a completely new kind of seating or reclining philosophy which aims at permanently dynamic sitting or reclining in contrast to the previously known sitting or reclining.
  • the sandwich pressure pads arranged symmetrically and in mirror image on a piece of seating or reclining furniture can be loaded both symmetrically and asymmetrically.
  • this is, for example, a seat cushion divided into two chambers, which is preferably inflated asymmetrically, ie on the left or right, in order to consciously achieve a one-sided lifting of the buttocks.
  • the upper body inevitably focuses on the changed buttocks position, which leads to a change in spinal posture, ie to a movement of vertebrae against vertebrae, and finally to a change in the stressed holding muscles
  • the air cushion is specifically supported by individual or modular pads.
  • the seat of a piece of seating furniture has a symmetrical two-chamber system, preferably a three, four or five-chamber system, which can be acted upon by pulsating and intermittently symmetrically or asymmetrically with air.
  • So-called multifunctional cushions are preferably used as pressure cushions, which are constructed as a sandwich, have several separate chambers, which can have different functions in different programs, or can only act as level regulators outside the moving part of the multifunctional cushion.
  • a lateral support of the pelvis as a so-called trochanter pad centers the pelvis above the air cushions.
  • the thigh support can also be used in the middle of the knee as a so-called abduction wedge.
  • the air cushions are also subjected to air symmetrically or asymmetrically intermittently.
  • subclaim 5 further pressure chambers are provided in the lower and upper region of the backrest as lumbar support, torso, shoulder, armpit support or side support, according to subclaim 6 additional pressure cushions are provided in the neck region as a headrest, the pulsating action according to the invention being provided with air or a corresponding principle Discharge is provided.
  • the pressure cushions provided in subclaims 4 to 6 can be symmetrical on a piece of seating furniture with respect to its vertical center plane, but in special medical cases also asymmetrical, ie. H. be arranged at different heights. Appropriate valves in the pressure pads connected in series or in parallel can in each case supply the necessary chambers with compressed air by means of a corresponding control, which are necessary for the treatment therapy.
  • armrests and footrests can be provided with side parts of vehicle seats as armrests or shoulder bump pads with pressure pads.
  • a front seat belt or front pelvic fixation pads are provided in particular in vehicles or aircraft, but also for therapeutic treatment of the disabled, which likewise have compressed air chambers over the entire length or over partial lengths and which can be charged with air statically or dynamically.
  • the pads or the pressure pads can have different shapes according to their function and direction of pressure (FIG. 4, No. 2, FIG. 3).
  • Multifunctional cushions are preferably used, which contain various functions in their sandwich construction. It is also possible to place several pillows on top of one another in a cover, which can serve to increase the stroke, differentiate direction or limit frictional forces. In addition, special friction pads can be used to trigger muscle activity.
  • the carrier system ideally a chair, armchair, bed, wheelchair, standing stand or the like, which is built according to the principles of the invention, can be adapted in conjunction with the element system (pad system) to such an extent that not only the size and weight, but also anatomical-physiological or pathological conditions of the user can be taken into account (e.g. spinal curvature (scoliosis) or muscle or joint function restrictions (contractures) etc.).
  • element system e.g. spinal curvature (scoliosis) or muscle or joint function restrictions (contractures) etc.
  • muscle fiber differential training eccentric, concentric, static, dynamic, long-stroke, small-stroke, pressure-constant, pressure-constant.
  • External stroke limiters can also be used.
  • smaller pillows can also be used.
  • control processing of external control interventions can be provided, e.g. B. pulse generator on the steering wheel rim, brake or gas.
  • this movement option can be used by the system electronics.
  • electrically controllable footrests or the regulation of an "upright chair” can be included in the movement of the body if necessary for wheelchairs.
  • the entire system or parts of the system are to be integrated into existing reclining / standing furniture using special adapters.
  • standing furniture also called standing stands or abdominal sloping boards, which are used for treatment therapies for the disabled.
  • standing furniture of this type is also used according to the invention, in which the person stands vertically or obliquely, is embedded and the pressure cushion is applied to certain parts of the body.
  • compressed air generated by a compressor which is controlled electrically or digitally-electrically, fills a number of air pockets based on demand and relieves pressure by appropriate valves, the user being moved in up to three levels as required.
  • the movement per air pocket refers only to a certain area of the body, with several such air pockets being connected in series or in parallel.
  • compressors can be used, as well as pressure bottle supply.
  • the seat (1) described in Fig. 1 has pressure pads or air pockets (2), which can be designed differently.
  • These air pockets can be in or on the existing seat, e.g. B. under existing covers by means of tapes or closures or otherwise attached. However, they can be integrated into the seating system from the outset, as is the case with known sports seats in motor vehicles, with the user being adjusted on two levels (high, low, wide, narrow) with an adjustable back. This allows an individual adjustment to the size and number of the different system units.
  • the air pockets can be incorporated as a complete system or system parts in special covers and pulled over the seat (1).
  • FIG. 1 An essential element of the seating system is the pressure cushion shown in FIG. 1, which is designed as a seat cushion (3).
  • the seat cushion (3) consists of a multi-chamber system and in particular of a rear seat leg or back pocket (6) divided into two separate chambers (4, 5) and a front one, possibly also through a partition (7) in chambers (8, 9) split thigh pocket (10).
  • the rear seat leg pocket (6) is fastened on an additional level adjustment cushion (11) with which the height of the seat leg pocket (6) can be varied.
  • Compressed air supply lines (12) and air discharge lines (13) with valves (14) are provided for each chamber (4, 5, 8, 9 and 11).
  • the seat cushion (3) is therefore constructed as a sandwich bag with the possibility of influencing the various chambers.
  • the seat (1) can have further pressure chambers (15) in the side seating area, which offer the user a lateral support for the thighs.
  • the armrest (16) can optionally also be configured as a compressed air cushion.
  • the back part (17) of the seat (1) like the seat part (18), has a number of pressure pads or air pockets (2). These are in particular the lumbar air pocket (19) for supporting the lumbar region and a side air pocket (20) arranged in the lower lateral region of the back part (17) for supporting the lateral back region. Shoulder support pockets (21) are also laterally provided in the upper shoulder area of the back part (17).
  • the headrest (22) consists of an air-filled neck pocket (23), a middle pocket (24) and two side pockets (25), each of which form separate air pockets.
  • the side pockets (25) can be made of transparent material for viewing.
  • the air filling of the seat belt (26) can be used permanently but also intermittently in order to pressurize the user from the front.
  • the pressure cushions or air pockets (2) are normally arranged symmetrically with respect to the longitudinal center plane (29) of the seating furniture (1).
  • the seat control is divided into a right leg (30) and a left leg (31), which are acted upon intermittently with compressed air. It works as follows:
  • the switch console (32) gives a first output signal (33) to the electrically pneumatically operated compressor (34) and at the same time to the solenoid valve (35) for opening the air supply line (36) in the right leg (30).
  • the output signal (33) further actuates the pressure switch (37) to determine the upper pressure level in the air pockets (2) arranged behind it.
  • a return signal (33 ') is passed on to a timer (38) by the pressure switch (37) and this is switched on.
  • the return signal (33 ') closes the solenoid valve (35) and the compressor (34) is switched off, since the air is held in the air pockets (2) by the closed solenoid valve (35).
  • the timer (38) is set to a certain value. During this time, the air pockets (2) are filled.
  • a further work cycle follows, which carries out the previously described first work cycle in the left leg (31).
  • a first output signal (39) of the timer (38) is sent beforehand when the timer (38) has expired in the right strand (30), which has a further solenoid valve (40) in the air supply line (36) between the pressure switch (37) and the Solenoid valve (35) opens and allows the air in the air pockets (2) to escape.
  • this output signal (39) activates the pressure switch (37) in the lower pressure level, which leads to a return signal (39 ') coming from the pressure switch (37), which switches on the compressor (34).
  • the solenoid valve (40) is closed.
  • the return signal (39 ') in the left leg (31) as a signal (39 ⁇ ) opens the solenoid valve (41) in the left air supply line (42) and activates the pressure switch (43) to determine the pressure level in the left Air pockets (2) of the left strand.
  • the third work cycle follows: After the timer (38) has elapsed, it emits another output signal (44) which leads to the solenoid valve (45) and opens it to release the air to let the air pockets (2) in the left strand (31) escape.
  • the output signal (44) continues to the pressure switch (43) and this closes the solenoid valve (45) when the lower pressure level is reached. After reaching this state, the pressure switch (43) leads the return signal (44 ') back to the switch console (32) to restore the original initial state. The process can then begin again with the first work cycle.
  • the right and left strand can work in represent the right and / or left seat half of a piece of seating furniture, wherein the pressure pads (2) acted upon in a row (30, 31) can be distributed as desired symmetrically or asymmetrically on the seating furniture.
  • further strands (46 and 47) can be provided, which include, for example, the rear and front air admission of a seat.
  • the strand (46) for loading the air pockets in the backrest area and the strand (47) for loading the air pockets in the seat belt can be used as shown and described in FIG. 1.
  • one of the strands (46, 47) or a further strand can serve to apply air to the headrest.
  • the additional strands (46, 47) are then operated in parallel with the work cycles described or in time behind them.
  • the individual switching states of the solenoid valves (35, 40, 41, 45) as well as the pressure switches (37, 43) and the timer (38) and the compressor (34) are identified as follows:
  • An oblique line at the end of the output signal or return signal means opening or switching on, a vertical line closing or switching off the respective unit.
  • the switching process of the working cycles described above can be carried out manually or automatically. This is controlled by the switch console (32).
  • FIGS. 5 and 7 show application examples from the medical field.
  • the patient shown in FIGS. 5a to c is a so-called high cervical cross-section, ie the patient is completely paralyzed from the neck down. Because of this paralysis situation, the body, ie the joints, tendons, ligaments and muscles, has an enormous lack of movement, which often leads to severe stiffening leads and can be reduced by means of the device according to the invention. According to the representation in FIGS. 5a to c, the fullest possible trunk movement should take place in three movement planes. In particular - as shown - a mutually acting, ie diagonal pelvic trunk-head-side inclination should be simulated. 5a, the middle position can be seen in the rear view of the user. For this, the patient sits on the split seat cushion (3) shown in FIGS. 2 and 3. The individual further air cushions shown in FIG. 5a are in a central position, so that the patient is aligned symmetrically. 6a to 6c, the switching state of the working cycles shown in FIG. 4 and described in detail is shown schematically.
  • FIG. 5b an asymmetrical and pulsating loading of the attached air pockets (2) is to take place, which can be done by the working cycle (1) described in relation to Fig. 4.
  • the air pockets (2) arranged in the right work strand (30) (see FIGS. 4 and 6b) in this work cycle are attached asymmetrically to the patient (48).
  • An air cushion (49) below the right foot (50) of the patient (48) is inflated and lifted by the air supply line (36).
  • the right air chamber (51) of the buttocks air cushion (3) is inflated, causing the buttocks to rise on one side on the right side, but supported by the lower pelvic cushion (56) on the left side.
  • the air cushions (2) arranged in the right strand in FIG. 4 are accordingly asymmetrically distributed on the left and right of the body and, when pressurized, bring about the desired displacement of the body. The compressed air therefore flows through the pressure pads (49, 51, 52, 56, 53, 54, 55) caused by the first work cycle.
  • the reverse movement sequence then takes place in the second work cycle as shown in FIG. 5c.
  • the right foot cushion (49) is deliberately kept under pressure while the left buttock air chamber (51 '), the left side air cushion (52'), the right lower side cushion (56 '), the right elbow air cushion (53'), the right one upper shoulder pad (54 ') and the left side neck pad (55') are applied.
  • the left strand (31) is activated by the second work cycle described in FIG. 4.
  • FIGS. 5b and 5c The air cushions on both sides of the patient shown in FIGS. 5b and 5c are accordingly connected in series and are pressurized with compressed air in the first work cycle (5b) or second work cycle (5c).
  • the neutral state is shown in Fig. 5a.
  • This movement therapy from the center to one side and over the center to the other side results in a deepening of the breath and mobilization of the spine in such patients.
  • the side tilt shown in FIGS. 5b and 5c is maintained for 3 to 5 minutes, for example.
  • several air pockets can of course be added or left out.
  • additional front and rear pockets or the like can be added.
  • FIGS. 7a to 7d Another example is shown in FIGS. 7a to 7d, which is a spastic quadriplegia with a massive, partially fixed, right-convex scoliosis, ie. H. a spinal deformity.
  • the object of the device according to the invention with an asymmetrical, pulsating seating system also lies in the mobilization of the spine and the activation of the insufficient position receptors on the right side of the trunk in the exemplary embodiment.
  • FIG. H The starting position of the patient is shown in FIG. H.
  • the right convex spinal curvature (scoliosis) is to be compensated in accordance with the air cushions activated in FIG. 7b.
  • the left foot is raised by a left foot cushion (57)
  • the right buttock area is raised by the right buttock cushion (58)
  • the pelvis is supported in this area by a lower left pelvic fixation pocket (59) through a right side pocket (60)
  • the torso which is curved to the right, is pushed to the left.
  • This movement is supported by an arm air cushion (61) and an upper left side cushion (62).
  • the original alignment of the upper body counterclockwise in FIG. 7a is accordingly rotated clockwise according to FIG. 7b.
  • the sequence of movements of the work cycles as shown above are symbolically represented in FIGS. 8a and b.
  • a rotational movement of the upper body can also be carried out according to FIGS. 7c and d be made.
  • an additional air cushion (64) is attached in the rear shoulder blade region and an air cushion (65) in the front shoulder region, which cause the body to perform the described rotational movement.
  • the therapies shown in FIGS. 5 and 7 result in an enormous stimulation of the circulatory system of the otherwise almost immobile patient. This improves blood circulation in the skin, muscles and bones and improves breathability. Stiffening of the spine is also prevented and demineralization of the spine and compression of the intervertebral discs are reduced or even stopped. The forced movements also stimulate the digestive organs. Further advantages are optimal pressure ulcer prophylaxis (pressure ulcer), prevention of scoliosis. H. Spinal bends and finally remobilization in the case of existing scoliosis. Spastic appearances can also be treated effectively.
  • the invention can therefore not only be used in normal seating or reclining furniture for fatigue-free sitting and lying, but is particularly indicated in rehabilitation and sports medicine and after operations on the back, as scoliosis training. Basically, it can be used to train the core muscles in a concentric or eccentric manner. Depending on the stroke setting in connection with the pressure component, it is possible to train in the direction of movement of the pressure pads or against the direction of movement.
  • the pressure pads can, for example, bend the trunk to the left and the patient has to exert his own force against it Press against forced bending. Furthermore, the patient can be asked to press the air out of the filled pocket as quickly as possible after reaching a maximum movement or to bring about the setpoint pressure in the pressure measuring element by means of counterpressure at any point in the movement sequence.
  • Medicine Orthopedics: Spinal issue internal Medicine: Constipation, difficulty breathing Neurology: Balance disorder Neurology: Hip and spine problems Neuropediatrics: Central nervous system disorder Psychiatry: Sleep disorder, excitability syndrome Rehabilitation: Wheelchair supply etc.
  • a system carrier for retrofitting in an existing seat (67a) or a system carrier for a new seat (67) is shown.
  • a pad (70) runs in a front upholstery fold on a system carrier (67)
  • the pad (70b) can be adjusted from a laterally installed system carrier (67) via the adapter (68)
  • Adapters (69) can be adjusted in width.
  • the parts shown with reference numerals (68a, 69a, 70a) are the adapters and pads belonging to the system carrier (67a).
  • An additional pelvic cushion (66) is provided in the seating area. Otherwise, the description of FIG. 1 applies.
  • FIG. 10a, b show another example of a multifunctional cushion, the valves being shown with reference number (12).
  • the right separate pocket (71) can work symmetrically or asymmetrically together with the left pocket (72) and a connection with the lower pocket (73) can work in the same way or in the opposite way in another movement program (FIG. 10b shows the side view of FIG. 10a).
  • Fig. 10c shows a "roof tile cushion", in which a row of air channels (74) are overlapped under a film plate (104), which unfold in the inflated state and allow lateral displacement without friction for the user.
  • This type of pillow in combination with the sandwich pillow according to FIG. 10d is intended for use in transverse trunk displacements.
  • This multifunctional pillow consists of three different air pocket types, but with a different one Function. This should serve as an example for the various possible combinations of air cushions of different shapes and functions.
  • 11a and b represent a system carrier, which consists of a center column (78), to which height-adjustable cross members (79) are attached, which can of course also be asymmetrical.
  • the central column (78) is connected to the cross member (78b) in a partially movable manner via an angle-adjustable joint.
  • a rear pelvic pad (80) and a lumbar pad (81) are directly connected to the central column (78) by means of height-adjustable adapters.
  • the trochanter pads (85) are intentionally not connected to the center column (78) on separate adapters, because these pads (85) not only have the pelvic fixation in the transverse direction, but also in a special training and in interaction with the spinach pads (86) 11b, which shows the fixation of the pelvis in the vertical direction, e.g. B. allow for scoliosis (spinal bend).
  • the pads (83) are adapted to the upper cross member (79) and have the task of exerting pressure on the shoulders in the vertical direction. In combination with the back pocket there is a longitudinal-diagonal movement when the shoulder pads are subjected to asymmetrical pressure with the diagonal back pocket.
  • the fuselage (84) and spinapelottes (86) as fuselage-encompassing pelottes can usually be folded down.
  • Fig. 12a shows a bed (101) on which in a special sheet (94) a pillow case (87) as a multifunctional pillow (one pillow divided, one undivided), two shoulder pillows (88), a lumbar pocket (89) and two pelvic back pockets (90), each designed as a multi-function cushion, are attached by means of fastenings (93).
  • a pillow case 87
  • a multifunctional pillow one pillow divided, one undivided
  • shoulder pillows 88
  • a lumbar pocket 89
  • two pelvic back pockets 90
  • individual pillows or a combination of several pillows can move the respective body parts by selecting a program.
  • the knees lie on a split knee roller cushion (100), which is explained in more detail in FIG. 12c and can be adjusted in width on a guide (103) in the middle of two inner knee pads (102) including pressure cushion (102).
  • the air can be applied to the knee rollers symmetrically or asymmetrically, as can the knee abduction pads (102), which can, however, also be used statically.
  • the abduction pads (102) can also be pushed onto the outside of the guide; H. they can be used dynamically for function reversal or in both directions.
  • FIG. 12b in combination with the system according to FIG. 12a represents a system carrier (95) which, in turn, is adjustable in length and width by means of adapters holding air pocket-equipped pads for the different pressure directions.
  • These pads (96, 97, 98, 99) can of course be adjusted in at least two spatial dimensions.
  • the user needs a slide shoe (92) as heel protection, which can also contain an air pocket with a plastic-reinforced heel. This shoe prevents friction damage to the heel when using the knee roll.
  • the object shown in FIGS. 13a and b is a training and exercise device that can also be used in the medical field.
  • these exercise devices do not allow leg movements, so that the feet, knees and hip joints are only subjected to static loads during training or exercise treatment, which does not meet the requirements of the new movement system according to the invention.
  • the joints are moved in their natural posture - while standing, the load size being infinitely adjustable via the adjustable leg guide rails in such a way that the lower leg part and thigh part can be adjusted independently of one another for adjusting the knee joint (112).
  • the standing stand is further mounted on a frame (104) which is provided with wheels (127).
  • the leg guide rails (110, 111) are attached to a center stand (103) with a hip joint (109) that is freely movable in hip movement and extension and allows approx. 45 ° expansion and expansion as well as approx. 45 ° external and internal rotation .
  • the cable is locked at the lower end of a tube (105) which is inserted into the center stand (103) so that the height of the standing part can be adjusted mechanically or electrically (cable winch).
  • a strong rubber buffer (129) is inserted into the tube (105), through which the joint (109), a seat part (117) (Fig. 13b, 122) and trochanter pads are on a transverse axis (Fig. 13b, 128) (115) and pelvic supports (116), which according to the invention are adjustable via adapters, are provided with air cushions and can alternatively be attached to a stand on the tube (105).
  • the leg guides (110) in Fig. 13b (111, 126 right leg, 124, 125 left leg) are provided with a knee joint (112) which can be locked freely or in any other angle setting.
  • the foot guide (114) is only angle-adjustable in the flexion and extension plane and can also be equipped with air pockets, just like the thigh and lower leg knee pads (113).
  • the leg guides can float freely above the base frame (104), but can also be locked in different positions. They can be connected to the base frame via elastic bands that direct the movement stroke in different directions, which is good for an untargeted strength training.
  • a cross-adjustable and rotatable, curved rail (123) with slide is used on the base frame by means of an adapter, to which the foot frame is to be fastened, so that the user can practice a movement running in a certain plane, or into which it is moved by means of electrically controlled cables (112).
  • the cables (112) hang on a winch mechanism (121), which in turn can be adjusted with an adapter on a cross tube (120).
  • This mechanism is attached to a stand (118) which can support a worktop at its upper end with an inserted tube (119).
  • the cable pull mechanism is programmably computer-controlled together with the pneumatics, so that the "standing column" permits a multitude of completely new movement and therapy programs.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Mattresses And Other Support Structures For Chairs And Beds (AREA)
  • Chair Legs, Seat Parts, And Backrests (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Chairs For Special Purposes, Such As Reclining Chairs (AREA)
EP88116894A 1987-10-12 1988-10-12 Système de mouvement pour meuble de couchage, de station assise et pour se tenir en position debout Expired - Lifetime EP0311993B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3734402 1987-10-12
DE3734402 1987-10-12

Publications (3)

Publication Number Publication Date
EP0311993A2 true EP0311993A2 (fr) 1989-04-19
EP0311993A3 EP0311993A3 (en) 1990-01-31
EP0311993B1 EP0311993B1 (fr) 1995-01-25

Family

ID=6338107

Family Applications (1)

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EP88116894A Expired - Lifetime EP0311993B1 (fr) 1987-10-12 1988-10-12 Système de mouvement pour meuble de couchage, de station assise et pour se tenir en position debout

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Country Link
EP (1) EP0311993B1 (fr)
AT (1) ATE117532T1 (fr)
DE (2) DE3852859D1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0591568A1 (fr) * 1991-04-03 1994-04-13 Peter Halsig Système de contrôle de mouvements pour meubles et appareils d'exercises thérapeutiques
EP0772988A1 (fr) 1995-11-09 1997-05-14 Asko Päärni Chaise
WO2000022964A1 (fr) * 1998-10-19 2000-04-27 Gisela Schon Siege
US8429774B2 (en) 2009-08-31 2013-04-30 Hill-Rom Industries Sa Lateral tilt device
WO2013092690A1 (fr) * 2011-12-20 2013-06-27 Zimmer Medizinsysteme Gmbh Dispositif de siège enfant pour un enfant et poussette
CN106726048A (zh) * 2016-12-29 2017-05-31 四川大学华西医院 一种脊柱弯曲变形调整凳

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5606754A (en) 1989-03-09 1997-03-04 Ssi Medical Services, Inc. Vibratory patient support system
US5586346A (en) 1994-02-15 1996-12-24 Support Systems, International Method and apparatus for supporting and for supplying therapy to a patient
DE19910877B4 (de) * 1999-03-11 2006-01-05 Lobo, Rocque, Prof. Dr. Vorrichtung zur Beeinflussung des Befindens einer sich in einem Sitz eines Fortbewegungsmittels befindlichen Person
DE102008047692A1 (de) * 2008-09-18 2010-03-25 GM Global Technology Operations, Inc., Detroit Fahrzeugsitz und Kraftfahrzeug
SE535499C2 (sv) * 2010-07-09 2012-08-28 Scania Cv Ab Metod och anordning för lägesjustering av en fordonsstol
DE102010056568A1 (de) 2010-12-30 2012-07-05 Aerovitt Systembau Gmbh Mobile Sitzauflage
US10293718B1 (en) 2016-06-22 2019-05-21 Apple Inc. Motion control seating system

Citations (2)

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Publication number Priority date Publication date Assignee Title
US3477071A (en) * 1968-10-14 1969-11-11 John H Emerson Device for automatically shifting the body of a patient
US3924613A (en) * 1973-08-01 1975-12-09 Armin Beck Seat, particularly for motor vehicles

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3477071A (en) * 1968-10-14 1969-11-11 John H Emerson Device for automatically shifting the body of a patient
US3924613A (en) * 1973-08-01 1975-12-09 Armin Beck Seat, particularly for motor vehicles

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0591568A1 (fr) * 1991-04-03 1994-04-13 Peter Halsig Système de contrôle de mouvements pour meubles et appareils d'exercises thérapeutiques
EP0772988A1 (fr) 1995-11-09 1997-05-14 Asko Päärni Chaise
US6086151A (en) * 1995-11-09 2000-07-11 Vanaranta Consulting Oy Chair apparatus with resilient support member
WO2000022964A1 (fr) * 1998-10-19 2000-04-27 Gisela Schon Siege
US8429774B2 (en) 2009-08-31 2013-04-30 Hill-Rom Industries Sa Lateral tilt device
US8601622B1 (en) 2009-08-31 2013-12-10 Hill-Rom Industries S.A. Patient support apparatus including a lateral tilt device
WO2013092690A1 (fr) * 2011-12-20 2013-06-27 Zimmer Medizinsysteme Gmbh Dispositif de siège enfant pour un enfant et poussette
CN104053423A (zh) * 2011-12-20 2014-09-17 家用医疗系统有限公司 用于儿童的儿童座椅装置及儿童车
AU2012357726B2 (en) * 2011-12-20 2015-05-28 Valentyn Serdyuk Child seat device for a child and stroller
CN104053423B (zh) * 2011-12-20 2017-01-11 瓦伦廷·瑟杜克 用于儿童的儿童座椅装置及儿童车
CN106726048A (zh) * 2016-12-29 2017-05-31 四川大学华西医院 一种脊柱弯曲变形调整凳

Also Published As

Publication number Publication date
DE3834723A1 (de) 1989-05-11
EP0311993A3 (en) 1990-01-31
DE3852859D1 (de) 1995-03-09
EP0311993B1 (fr) 1995-01-25
ATE117532T1 (de) 1995-02-15

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