EP0316209A1 - Therapeutisches Übungsgerät - Google Patents

Therapeutisches Übungsgerät Download PDF

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Publication number
EP0316209A1
EP0316209A1 EP88402707A EP88402707A EP0316209A1 EP 0316209 A1 EP0316209 A1 EP 0316209A1 EP 88402707 A EP88402707 A EP 88402707A EP 88402707 A EP88402707 A EP 88402707A EP 0316209 A1 EP0316209 A1 EP 0316209A1
Authority
EP
European Patent Office
Prior art keywords
carriage
base
axis
gutter
rotation
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Withdrawn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
EP88402707A
Other languages
English (en)
French (fr)
Inventor
Patrick Akcelrod
Bernard Papailhau
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.)
Tasserit Ets
Original Assignee
Tasserit Ets
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 Tasserit Ets filed Critical Tasserit Ets
Publication of EP0316209A1 publication Critical patent/EP0316209A1/de
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0405Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously
    • A63B23/0417Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously with guided foot supports moving parallel to the body-symmetrical-plane by translation
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02Exercising 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
    • A63B21/05Linearly-compressed elements
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/20Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements using rollers, wheels, castors or the like, e.g. gliding means, to be moved over the floor or other surface, e.g. guide tracks, during exercising
    • A63B22/201Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements using rollers, wheels, castors or the like, e.g. gliding means, to be moved over the floor or other surface, e.g. guide tracks, during exercising for moving a support element in reciprocating translation, i.e. for sliding back and forth on a guide track
    • A63B22/203Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements using rollers, wheels, castors or the like, e.g. gliding means, to be moved over the floor or other surface, e.g. guide tracks, during exercising for moving a support element in reciprocating translation, i.e. for sliding back and forth on a guide track in a horizontal plane
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2208/00Characteristics or parameters related to the user or player
    • A63B2208/02Characteristics or parameters related to the user or player posture
    • A63B2208/0242Lying down
    • A63B2208/0252Lying down supine
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/03508For a single arm or leg
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0494Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee joints

Definitions

  • the present invention relates to apparatus for therapeutic exercises, and more particularly those making it possible to perform isometric exercises intended to combat atrophy, for example, of the thigh muscles during prolonged immobilization, continued, for example , accident or rheumatic disease.
  • One of the methods currently known for practicing isometric exercises consists in manually moving the limb to be treated, by pushing or counter-pushing in order to force the muscles of this limb to work and therefore help them to find their previous initial shape and quality.
  • This method which can give good results, still has the major drawback of requiring the intervention of a practitioner, for example a physiotherapist, whose professional qualities are not essential for this work.
  • This apparatus comprises a carriage mounted on sliding slides, means for applying to the carriage feedback forces, for example, a weight on which the force of gravity can be exerted, and a gutter for holding the leg mounted. by a pivoting end about an axis perpendicular to the direction of movement of the carriage.
  • this device gives a good result.
  • the gutter no longer moves in a perpendicular plane, in particular , to the axis of rotation of the knee patella of the patient. It follows that, when the patient exerts the efforts on his leg, the gutter can undergo deviations from this plane, which cause dangerous twists to the knee.
  • Apparatus has also been produced which makes it possible to overcome the two drawbacks mentioned above, for example that described in the two French Patent Applications 2 085 118 and 2 454 798.
  • These apparatuses essentially comprise a gutter with two articulated parts. one on the other at one of their ends, their two other ends being pivotally mounted, directly or indirectly, on a rigid base.
  • This embodiment makes it possible to limit the parasitic movements of the gutter as described above, but the cost price of the device is not greatly reduced, because the gutter comprises two holding elements, respectively, of the leg and of the thigh, and that, moreover, it requires a rigid base of a relatively great length.
  • the present invention aims to achieve an apparatus for therapeutic exercises, which is achievable with a small number of standard quality elements, so that it is a low cost price, weight and size significantly lower than those of the devices of the prior art, while giving results of care of as good quality.
  • the present invention relates to an apparatus for therapeutic exercises for a lower limb of a patient, that is to say the leg-thigh assembly, comprising a base, a carriage, means for mounting said carriage moving in a given direction relative to said base, means for exerting a force of feedback against said movement, a groove for holding said patient's leg, substantially between the foot and the knee of said lower limb, and means for pivotally mounting one end of said gutter on said carriage, characterized in that it comprises a bracket for holding a first rotation shaft along a first axis perpendicular to the direction of movement of said carriage, said first shaft being located in the half-space limited by said gutter opposite to that containing said base, and at least one retaining rod of which a first end is rotatably mounted on said first shaft and the second end of which is rotatably mounted on said gutter, by means of bearings and along a second axis of rotation parallel to the first.
  • FIGS 1 to 3 show a same embodiment of the apparatus according to the invention. Consequently, the same references designate the same elements there, whatever the figures on which they appear and whatever the form of representation of these elements, in real or simplified form.
  • the apparatus for therapeutic exercises for a lower limb of an illustrated patient comprises a base 1 and a carriage 2 associated with the base by means 3 so that it moves in a given direction 4 relative to the base. It also includes means 5 for exerting a force of feedback against this movement. The meaning of this feedback depends on how it is necessary to practice therapeutic exercise.
  • the apparatus further comprises a groove 6 for holding the patient's leg 7, substantially between his foot 8 and his knee 9. It also includes means for mounting one end 10 of the pivoting groove on the carriage 2.
  • the apparatus comprises a support bracket 11 of a first rotation shaft 12 along a first axis 13 perpendicular to the direction 4 of movement of the carriage 2.
  • This shaft 12 is located in the half-space 14 limited by the gutter 6 opposite to that 15 containing the base 1.
  • It also comprises at least one connecting rod 16 of which a first end 17 is mounted on the shaft 12 and the second end 18 of which is rotatably mounted on the gutter 6, by means of bearings 19 and according to a second axis of rotation 20, this axis 20 being parallel to the first axis 13 defined above.
  • the bearing means 19 are, for example, constituted by a plurality of bearings 30 defining a plurality of positions on the gutter 6 for the second axis of rotation 20.
  • the plurality of bearings 30 is constituted by a cam 31 pivotally mounted on the gutter 6 by defining a plurality of notches 32, 33 ... in which is adapted to cooperate by rotation a second shaft 34 secured to the end 18 of the connecting rod along the axis 20 .
  • the support bracket 11 advantageously comprises a first 21 and a second 22 legs pivotally mounted, respectively one on the other, along the first axis of rotation 13 and advantageously on the rotation shaft 12.
  • the end 23 of the first tab 21 opposite to that 24 pivotally mounted on the second tab 22 is pivotally mounted around a third axis 25 parallel to the first 13 and second 20 axes, this third axis being linked to the base 1.
  • the end 26 of the second tab 22 opposite to that 27 pivotally mounted on the first 21 is pivotally mounted around a fourth axis 28 parallel to the axes 13, 20 and 25, but connected to the carriage.
  • the carriage 2 is mounted in displacement in the direction 4 relative to the base.
  • the means allowing this movement comprise a slide 35 secured to the base 1 in direction 4, and a ring 36 slidingly mounted on the slide 35, the carriage 2 being secured to said ring.
  • the means 5 for exerting a feedback force comprise a banded spring 37 between a point 38 of the base 1 and a point 39 of the ring 36.
  • the apparatus comprises means 40 for adjusting the tension of the spring. These means are constituted, for example, by a washer 41 slidingly mounted on the slide 35 and a nut 42 cooperating with a threaded part of the slide. By turning it one way or the other, the patient can reduce or increase the length of the spring between the two points 38 and 39.
  • the gutter 6 mentioned above comprises, for example, an amount 43 secured to the carriage, at least one receiving cup 44 of the leg, and adjustable means 45 for mounting the cup on the amount 43 and adjusting its position along this amount.
  • One of the qualities of the structure of the apparatus as described above is to give it great rigidity despite the fact that the elements are, for the most part, mounted to rotate relative to one another.
  • the apparatus comprises two pairs of first and second legs and two connecting rods, the legs and connecting rods being substantially symmetrical with respect to a plane 50 passing through the slide 35 and perpendicular to the first rotation shaft 12, and the two connecting rods 16 then being joined by the same shaft 34.
  • This configuration appears perfectly in FIG. 3.
  • the short length of the gutter 6 as described above allows the base 1 to be advantageously made up of two parts 51, 52.
  • a first part 51 made of rigid material, is for example formed of a tubular frame in metal supporting the third axis 25 and the means 3 for mounting the carriage moving in the direction 4.
  • the second part 52 made of flexible material, it is integral with the first part 51, for example by means of a hinge or equivalent 53, and its length is determined so that patient 54 can sit on it while one of its legs 7 cooperates with the gutter 6.
  • the apparatus described above is used in the following manner, for example for reshaping a thigh muscle.
  • the first tab 21 pivots about the axis 25, FIG. 2, in a senestrorsum movement, while the carriage 2 moves in the direction 4 by compressing the spring 37, because that -this is maintained between the ring 41 and the base 1.
  • the second leg 22 undergoes a dextrorsum rotation about the axis 27, the angle at the top 70 of the triangle formed by the two legs 21, 22 increasing .
  • the connecting rod 16 also undergoes a dextrorsum rotation movement around the axis 13 while being perfectly maintained in the median plane 50 thanks to the structure of the apparatus, in particular the fact that the legs and the connecting rods are split and substantially symmetrical with respect to this plane. There is therefore no transverse action of effort on the knee and the risk of trauma as mentioned in the preamble is eliminated.
  • the patient releases his effort and the limb returns to its folded position under the action of the spring 37 which is released.
  • the force indirectly applied to the rigid part of the base 1 is compensated by the fact that by sitting on the flexible part 52 the patient contributes to exert a counter force reaction which keeps the base 1 in a stable position relative to its body.
  • the angle that the patient's leg and thigh can make in the rest position as shown in FIGS. 2 and 3 is adjusted by means of the different notches 32, 33, ...
  • a given notch and placing it tree 34 we get a determined angle of the gutter relative to the plane of the base.
  • the adjustment of these angle values is well known in itself. It consists in fact of the deformation of a triangle of which two sides defined by the second tab 22 and the link 16 are of constant lengths and whose third side has a variable length defined between the axis of rotation of the base 6 on the carriage 2 and the position of the axis 20 of the shaft 34 in one of the different notches of the cam.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)
EP88402707A 1987-11-10 1988-10-27 Therapeutisches Übungsgerät Withdrawn EP0316209A1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR8715527A FR2622794B1 (fr) 1987-11-10 1987-11-10 Appareillage pour exercices therapeutiques
FR8715527 1987-11-10

Publications (1)

Publication Number Publication Date
EP0316209A1 true EP0316209A1 (de) 1989-05-17

Family

ID=9356640

Family Applications (1)

Application Number Title Priority Date Filing Date
EP88402707A Withdrawn EP0316209A1 (de) 1987-11-10 1988-10-27 Therapeutisches Übungsgerät

Country Status (4)

Country Link
US (1) US4922892A (de)
EP (1) EP0316209A1 (de)
JP (1) JPH01155850A (de)
FR (1) FR2622794B1 (de)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5044359A (en) * 1990-06-12 1991-09-03 Reinert Otto C Passive spinal extension device
DE4132818A1 (de) * 1991-10-02 1993-04-08 Knoll Ernst Feinmech Bewegungsschiene

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5044355A (en) * 1990-04-23 1991-09-03 Reopelle Lawrence E Reciprocating leg exercise apparatus with gear assembly
US5228432A (en) * 1991-09-16 1993-07-20 Jace Systems, Inc. Continuous passive motion orthosis device for a limb
US5176601A (en) * 1991-11-27 1993-01-05 Reynolds Kelly P Exercising apparatus
US5303716A (en) * 1992-11-12 1994-04-19 Breg, Inc. Portable device for rehabilitative exercise of the leg
CA2239144A1 (fr) 1998-06-08 1999-12-08 Mission Sante Bois-Francs Inc. Exerciseur orthopedique
US6610096B2 (en) * 2001-08-22 2003-08-26 Macdonald Stuart G. Prosthetic implants having enhanced utility
US7534213B2 (en) * 2002-09-09 2009-05-19 Kneebourne Therapeutic, Llc Knee extension treatment apparatus
US9517380B2 (en) 2013-02-12 2016-12-13 Ryan J. Montgomery Knee rehabilitation assistance device
US10272291B2 (en) 2015-10-30 2019-04-30 Allan J. Santos Knee flexion and extension therapy device and method of use
CN109730895B (zh) * 2019-03-01 2021-02-05 湖南文理学院 一种便于调节力度的腿部康复训练用护理架
US10682543B1 (en) 2019-05-31 2020-06-16 Jamie Alvarez Systems and methods for passive, active, and resistance range of motion and stretching apparatus
US11612784B2 (en) * 2020-11-18 2023-03-28 Theodros Shawl Multi-modal rehabilitation device and methods

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2407710A1 (fr) * 1977-11-04 1979-06-01 Pecheux Jean Claude Attelle de mobilisation pour membres inferieurs
DE8506135U1 (de) * 1985-03-04 1985-04-25 Protek AG, Bern Beinbewegungsschiene
US4549534A (en) * 1983-01-13 1985-10-29 Zagorski Joseph B Leg exercise device

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US964898A (en) * 1910-03-17 1910-07-19 Theodor Buedingen Movement-cure apparatus.
US3620530A (en) * 1969-04-18 1971-11-16 Ira R Cosby Elastic band-resistance exercising device
DE2015054C3 (de) * 1970-03-28 1975-07-17 Bimler, Dr. Med. Rudolf, 2190 Cuxhaven Bewegungsschiene für Beine
US4111417A (en) * 1977-02-14 1978-09-05 Gardner James A Torso exerciser
US4229001A (en) * 1979-02-23 1980-10-21 Roman Michael P Therapeutic exercise device
FR2454798B1 (fr) * 1979-04-23 1987-02-13 Pecheux Jean Claude Attelle de support et de mobilisation pour membre inferieur
DE3037619A1 (de) * 1980-10-04 1982-05-13 Herbert 2970 Emden Callehn Streck- und beugegeraet fuer heilgymnastik
US4637379A (en) * 1984-12-05 1987-01-20 Toronto Medical Corporation Device for imparting continuous passive motion to leg joints
US4671257A (en) * 1985-01-23 1987-06-09 Invacare Corporation Continuous passive motion exercise apparatus
US4619454A (en) * 1985-05-30 1986-10-28 Walton Ronald A Leg conditioner for leg split type exercise

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2407710A1 (fr) * 1977-11-04 1979-06-01 Pecheux Jean Claude Attelle de mobilisation pour membres inferieurs
US4549534A (en) * 1983-01-13 1985-10-29 Zagorski Joseph B Leg exercise device
DE8506135U1 (de) * 1985-03-04 1985-04-25 Protek AG, Bern Beinbewegungsschiene

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5044359A (en) * 1990-06-12 1991-09-03 Reinert Otto C Passive spinal extension device
DE4132818A1 (de) * 1991-10-02 1993-04-08 Knoll Ernst Feinmech Bewegungsschiene

Also Published As

Publication number Publication date
JPH01155850A (ja) 1989-06-19
FR2622794B1 (fr) 1990-03-16
FR2622794A1 (fr) 1989-05-12
US4922892A (en) 1990-05-08

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